Ingestion of food is a physiological process among heterotrophic organisms to obtain nutrients for survival. The consumption of soil, clay and chalk by humans is labeled as geophagia. Ancient resources and modern references deliver valuable information concerning geophagia and pica in humans. This book takes a consistent, interdisciplinary approach for reviewing this aberrant behavior, crafting its etiology, charting its health effects and identifying the universal traits among the affected population. It puts forward a brief conceptual framework to achieve universality in its definition, history, epidemiology and multiple hypotheses thus help in adopting measures to control this habit. Key Features: 1. Systematic and meticulous flow of information on geophagia. 2. Guides general practioners, physicians, pediatricians to curb this practice in their patients. 3. A unique and concise treatise covering descriptive and research based work over a crucial health issue of worldwide prevalence.

This important and well researched volume examines the clinical phenomenon of eating disorders, exploring their longitudinal risk trajectory and introducing the Mindful Emotion Regulation - Approach (MER-A) as a starting point for intervention. The book reviews various eating problems that can originate from the earliest perinatal phase to early adolescence, and through the MER-A framework focuses on how the principles of mindfulness and the related theoretical and clinical bases underlying the construct of emotional regulation can guide the clinician to a deeper understanding of a patient's disordered eating. Featuring reflections on clinical cases, it includes coverage of patients' difficulties in regulating emotions, their relationships with various eating behaviours and their associated interpersonal features. Mindfulness and Eating Disorders across the Lifespan represents an attempt to provide a complete appreciation of this complex and multifaceted topic, making it of great importance to psychotherapists and related mental health professionals working with eating disorders.

Multifamily Therapy Group for Young Adults with Anorexia Nervosa describes a new and innovative family-centered outpatient Multifamily Therapy Group (MFTG) approach called Reconnecting for Recovery (R4R) for young adults with anorexia nervosa that is based on a relational reframing of eating disorders. Developed in concert with young adults and their families and informed by clinical observations, theory, and research, R4R is designed to help young adults and family members learn the emotional and relational skills required to avoid or repair relationship ruptures for continued collaboration in recovery. The book begins with an overview of anorexia nervosa, MFTG treatment approaches, and the development of R4R and moves into a session by session review of R4R including session goals, exercises and handouts. Protocols, case vignettes, and other materials help translate the theory and research underlying this multifamily therapy group model into practice. This treatment manual provides readers with explicit guidance in how to develop and conduct an outpatient R4R MFTG and a deeper understanding of the nature, purposes, and processes that characterize one.

* Psychoanalytic/psychodynamic self-psychology is illustrated using 12 case studies, each of which exemplifies specific theoretical, clinical, and technical principles of the approach. Together, the 12 case studies form a cohesive whole which enables the reader to follow in detail an entire process of therapy, illustrating the technique and its roots in self-psychology theory. * Provides the evidence basis for the efficacy of this treatment of eating disorders and the empirical capability of the theory to predict the development of eating disorders as well as remission from EDs. * The cases and the empirical studies are integrated around the basic themes of the theory so as to create a comprehensive text while balancing between theory, clinical examples, and empirical basis.

Multifamily Therapy Group for Young Adults with Anorexia Nervosa describes a new and innovative family-centered outpatient Multifamily Therapy Group (MFTG) approach called Reconnecting for Recovery (R4R) for young adults with anorexia nervosa that is based on a relational reframing of eating disorders. Developed in concert with young adults and their families and informed by clinical observations, theory, and research, R4R is designed to help young adults and family members learn the emotional and relational skills required to avoid or repair relationship ruptures for continued collaboration in recovery. The book begins with an overview of anorexia nervosa, MFTG treatment approaches, and the development of R4R and moves into a session by session review of R4R including session goals, exercises and handouts. Protocols, case vignettes, and other materials help translate the theory and research underlying this multifamily therapy group model into practice. This treatment manual provides readers with explicit guidance in how to develop and conduct an outpatient R4R MFTG and a deeper understanding of the nature, purposes, and processes that characterize one.

This comprehensive text provides practical approaches to adapting empirically supported treatments for eating disorders for clinicians working with patients of diverse backgrounds and presentations, or within non-traditional treatment settings across levels of care. The book describes empirically- and clinically-informed treatment adaptations that impact delivery of real-world services for eating disorder patients and generate interest in testing adapted treatments in randomized controlled trials. Featuring contributions from researchers and clinicians with expertise in developing, delivering, and testing interventions for eating disorders, each chapter focuses on a specific population, setting, or training approach. Practical applications are then illustrated through case examples and wisdom gleaned through the contributors' own clinical studies and experiences. Readers working with a diverse population of eating disorder patients will gain the necessary skills to support their patients on the journey to recovery and self-acceptance.

This comprehensive text provides practical approaches to adapting empirically supported treatments for eating disorders for clinicians working with patients of diverse backgrounds and presentations, or within non-traditional treatment settings across levels of care. The book describes empirically- and clinically-informed treatment adaptations that impact delivery of real-world services for eating disorder patients and generate interest in testing adapted treatments in randomized controlled trials. Featuring contributions from researchers and clinicians with expertise in developing, delivering, and testing interventions for eating disorders, each chapter focuses on a specific population, setting, or training approach. Practical applications are then illustrated through case examples and wisdom gleaned through the contributors' own clinical studies and experiences. Readers working with a diverse population of eating disorder patients will gain the necessary skills to support their patients on the journey to recovery and self-acceptance.

* The world's only comprehensive resource on women's sexuality and anorexia nervosa * Presents a model for understanding sexuality as an experience of complex and interconnected factors, and then explores how anorexia nervosa interacts with these varied components of one's sexuality * Melissa Fabello is a prolific social media force with 22.4K Twitter followers, 16.4K Instagram followers, 5K newsletter subscribers, and features on Good Morning America, MSNBC, the BBC, the documentary Fattitude, and in Upworthy, The Guardian, Bustle, SELF, and more

The first to synthesize the exponentially growing research on expressed emotion (EE) and eating disorders and apply it to treatment, interventions, and other scenarios, this unique text provides unprecedented guidance to students, clinicians, and researchers in the field of eating disorders. This book explores the components of relatives' attitudes and behaviors toward an ill family member and discusses a modifiable treatment target that could improve outcomes for patients through interventions, treatment plans, and future directions in research. Chapters bring together contributions from eminent scientists and clinicians in the fields of families, eating disorders, and treatment to contribute to the clinical and scholarly understanding of expressed emotion and eating disorders. Mental health professionals studying and treating eating disorders will find this text to be a valuable reference guide and will be inspired to further explore this rich and promising area of study.

Developing an understanding of eating disorders beyond the biological/medical framework has become a necessity in present times, especially when eating disorders are swiftly spreading deep roots across the world. In view of the multidimensional etiology of eating disorders, there are increased efforts towards understanding its phenomenological, cultural, and other related non-medical aspects, and Gender, Eating Disorders, and Graphic Medicine leaps past the prevalent notions on eating disorder, and contributes to the developing corpus of affective knowledge on eating disorders among women through comics and graphic medicine. Taking cues from select graphic narratives on eating disorders, this book attempts to posit graphic medicine as one of the most befitting modes of life writing. This book is distinctive in that it is an attempt not only to explore the multi-dimensional etiology of eating disorders in women using graphic medicine narratives but also to understand how graphic medicine humanizes eating disorders by offering a unique ingress into women's phenomenological experience of eating disorders.

Widely popularized images of unobtainable and damaging feminine ideals can be a cause of profound disjunction between women and their bodies. A consequence of this dissonance is an embodied performance of these ideals with the potential development of disordered eating practices, such as anorexia nervosa. This book develops a spirituality of anorexia by suggesting that these eating disorders are physical symptoms of the general repression of feminine nature in our culture. Furthermore, it puts forward Goddess feminism as a framework for a healing therapeutic model to address anorexia and more broadly, the "slender ideal" touted by society. The book focuses on the female body in contemporary society, specifically the development of anorexia nervosa, and what this expression communicates about female embodiment. Drawing upon the work of a variety of theorists, social commentators, liberation theologians and thealogians, it discusses the benefits of adopting female-focused myths, symbols and rituals, drawing upon the work of Marion Woodman and Naomi Goldenberg. Ultimately, it theorises a thealogical approach to anorexia aimed at displacing the damaging discourses that undermine women in the twenty-first century. Offering an alternative model of spirituality and embodiment for contemporary women, this book will be of keen interest to scholars of theology, religious studies, gender studies and psychology.

The first to synthesize the exponentially growing research on expressed emotion (EE) and eating disorders and apply it to treatment, interventions, and other scenarios, this unique text provides unprecedented guidance to students, clinicians, and researchers in the field of eating disorders. This book explores the components of relatives' attitudes and behaviors toward an ill family member and discusses a modifiable treatment target that could improve outcomes for patients through interventions, treatment plans, and future directions in research. Chapters bring together contributions from eminent scientists and clinicians in the fields of families, eating disorders, and treatment to contribute to the clinical and scholarly understanding of expressed emotion and eating disorders. Mental health professionals studying and treating eating disorders will find this text to be a valuable reference guide and will be inspired to further explore this rich and promising area of study.

This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders, other compulsions and addictions, such as alcoholism, and even erotic attachments. The chapters help therapists think creatively about these types of patients who are coming to therapy more frequently than ever, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues. The first half of the book addresses specific problems associated with patients who have eating disorders. The editors explore the patient's conflicts, affect regulation, transference, behavior, as well as the countertransference issues that inevitably arise in therapy. The second half broadens the scope and addresses a spectrum of addictions and associated issues such as creativity, sexuality and the transference.

This book takes a unique approach to the examination of the eating disorder, anorexia nervosa (and bulimia). White, middle-class, heterosexual women share their insights into the emergence of their illnesses through detailed interviews that consider perceptions of the role of family, the influence of cultural messages regarding thinness and beauty, the agency these women exert in the use of weight control to cope with life's stressors, the meaning they attach to their eating disorders and how these issues together perpetuate their disease. The book uses a Symbolic Interactionist framework and a grounded theory approach to examine the narratives which emerge from these women's stories. Themes of family, culture, and self arise in their narratives; these form the theoretical underpinnings for this book, and combine to shape the comprehensive model of eating disorders that emerges from this study. Haworth-Hoeppner's book will appeal to researchers and advanced students of sociology, women's studies, family studies, social psychology, and gender studies.

Most people with eating disorders struggle to find an effective therapy that they can access quickly. Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders presents a new form of cognitive behavioural therapy (CBT) that is brief and effective, allowing more patients to get the help that they need. CBT is a strongly supported therapy for all adults and many adolescents with eating disorders. This 10-session approach to CBT (CBT-T) is suitable for all eating disorder patients who are not severely underweight, helping adults and young adults to overcome their eating disorder. Using CBT-T with patients will allow clinicians to treat people in less time, shorten waiting lists, and see patients more quickly when they need help. It is a flexible protocol, which fits to the patient rather than making the patient fit to the therapy. Brief Cognitive Behavioural Therapy for Non-Underweight Patients provides an evidence-based protocol that can be delivered by junior or senior clinicians, helping patients to recover and go on to live a healthy life. This book will appeal to clinical psychologists, psychiatrists, psychotherapists, dietitians, nurses, and other professionals working with eating disorders.

This is an insightful and essential new volume for academics and professionals interested in the lived experience of those who struggle with disordered eating. Embodiment and Eating Disorders situates the complicated - and increasingly prevalent - topic of disordered eating at the crossroads of many academic disciplines, articulating a notion of embodied selfhood that rejects the separation of mind and body and calls for a feminist, existential, and sociopolitically aware approach to eating disorder treatment. Experts from a variety of backgrounds and specializations examine theories of embodiment, current empirical research, and practical examples and strategies for prevention and treatment.

Comprehensive in scope and meticulously researched, Handbook of Obesity Prevention analyzes the intricate causes of this public health crisis, and sets out concrete, multilevel strategies for meeting it head-on. This innovative handbook starts by clearly defining obesity in clinical, epidemiologic, and financial terms. From there, expert contributors provide insights on current issues, methods, and controversies in the field, focusing on new opportunities for prevention, successful interventions and initiatives, and guidelines for planning and implementing programs and evaluating results. This systematic approach to large-scale social and policy change gives all parties involveda "from individual practitioners to multinational corporationsa "the tools to set and attain realistic goals based on solid evidence and best practice in public health.

A sample of topics covered:

• The individual: risk factors and prevention across the lifespan, specific populations (pregnant women, ethnic and regional groups).
• Levers for change in schools and workplaces.
• Prevention in health care systems: roles and resources.
• Community settings: role of the physical environment.
• "De-marketing" obesity: food industries and the media.
• Grassroots action: consumers and communities.
• The global obesity epidemic: rapid developments, potential solutions.
• From obesity prevention to health promotion: the future of the field.

Its level of detail and wide range of topics make the Handbook of Obesity Prevention a bedrock sourcebook, overview, reference, orteaching text. Read by topic or cover to cover, here is accurate, up-to-date information for professionals and students in all areas of public health.

The Oxford Handbook of Eating Disorders provides current insights from established experts into the phenomenology, epidemiology, prevention, and treatment of eating disorders. Fully revised to reflect new DSM-5 classification and diagnostic criteria, each chapter of the Second Edition has been updated to feature the latest clinical research findings, applications, and approaches to understanding eating disorders. An additional chapter on emerging issues explores critical questions pertaining to ethics and the use of technology in treating eating disorders. With information on newly documented syndromes and a new section on bariatric surgery, this handbook not only encapsulates where the field is at but also offers astute perspectives on how the field is changing. Including both practical specifics, like literature reviews and clinical applications, as well as a broad view of foundational topics, this handbook is essential for scientists, clinicians, experts, and students alike.

Foreign Bodies: Eating Disorders, Childhood Sexual Abuse, and Trauma-Informed Treatment addresses the association between eating disorders and childhood sexual abuse, proposing a new way of treating those suffering from eating disorders who were sexually abused as children. Based on testimonies of survivors of abuse who subsequently developed eating disorders, it offers a new form of diagnosis and treatment, arguing that the eating-disorder field often ignores the traumatic sources of eating disorders, leading to some treatment programs not being commensurate, and at times conflicting, with the principles of childhood sexual abuse treatment. The case studies used to highlight the link between childhood sexual abuse and eating disorders are presented from the perspective of the women involved, in their own words. Their voices are supplemented by Gur's own stance as a clinician specializing in the treatment of sexual abuse and CPTSD. The book is divided into three parts: the first deals with eating disorders, childhood sexual abuse, and the association between them; the second examines the treatment of eating disorders and childhood sexual abuse; and the third offers a new form of diagnosis and treatment for eating disorders. This book will be of great interest to researchers and postgraduate students in the eating disorder field of psychotherapy, psychology, or psychiatry, plus those studying the treatment of trauma. It will also be of interest to clinical dieticians, psychologists, social workers, doctors, nurses, eating disorder specialists, and policymakers in the mental health field, as well as eating disorders sufferers and those who care for them.

Taking a Detailed Eating Disorder History educates health care clinicians of all backgrounds on how to best acquire a detailed eating disorder history and expands the clinical standard and effectiveness of history taking for a more thorough treatment of eating disorders. It describes the vast permutations and possible combinations of over 100 eating disorder behaviors as well as their connections to emotional and social triggers. Readers will also gain a stronger understanding of complicating factors related to eating disorders, such as diabetes, pregnancy, inflammatory bowel disease, and metabolic disorders, as well as drug and alcohol use, difficult relationships, and emotional strife. This informative new resource will be essential for any care provider of those with eating disorders.

Every psychotherapist will be familiar with what it means to experience the hatred and despair of their most vulnerable patients in the midst of a psychotherapy session. Most often these patients will manage to express their feelings verbally, but what about those who never developed the capacity to speak? Or those who are capable of talking, but carry a complex range of unprocessed embodied feelings that cannot be verbally expressed? Some patients must rely on another type of language in order to communicate their dissociative states of mind. Primitive Bodily Communications explores how the 'talking cure' can still work when words fail and the body 'talks.' Non-verbal communication can be thought of as a form of body language and, even though this is a topic not frequently discussed, many practitioners have experienced working with people who communicate through the use of their bodies. The book does not refer to bodily communications as primitive because we see them as inferior to verbal language, but simply because they point to the beginnings of psychological development, to primary ways of being and relating, as well as to enduring aspects of ourselves. The contributors explore the topic of primitive bodily communications in the context of intellectual disability, eating disorders and bodily neglect, focusing on the communicative aspect of bodily expressions within the therapeutic relationship. A wide spectrum of clinical cases illustrates how these patients can reach a state of better physical and emotional containment and, when possible, of verbal communication.

Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak offers a compilation of some of the most innovative thinking on psychoanalytic approaches to the treatment of eating disorders available today. In its recognition of the multiple meanings of food, weight, and body shape, psychoanalytic thinking is uniquely positioned to illuminate the complexities of these often life-threatening conditions. And while clinicians regularly draw on psychoanalytic ideas in the treatment of eating disorders, many of the unique insights psychoanalysis provides have been neglected in the contemporary literature. This volume brings together some of the most respected clinicians in the field and speaks to the psychoanalytic conceptualization and treatment of eating disorders as well as contemporary issues, including social media, pro-anorexia forums, and larger cultural issues such as advertising, fashion, and even agribusiness. Drawing on new theoretical developments, several chapters propose novel models of treatment, whereas others delve into the complex convergence of culture and psychology in this patient population. Psychoanalytic Treatment of Eating Disorders will be of interest to allpsychoanalysts and psychotherapists working with this complex and multi-faceted phenomenon.

Who develops which eating disorder and why? When do eating disorders begin and what fuels them? In Hunger for Connection, psychoanalyst and eating-disorder specialist Alitta Kullman expands on the "body/mind" personality organization she calls the "perseverant personality," illustrating how food and thought are linked from infancy, and for some, can become the primary source of nurturance and thought-processing for a lifetime-leading to what we call an eating disorder. Writing in a highly accessible style, Kullman brings humor and gentleness to her interactions with patients, offering health professionals and mainstream readers alike an essential guide to understanding and/or working with cyclical eating disorders of all types. From psychoanalysts, psychotherapists, and counsellors, to eating disorder specialists, researchers, and students, Hunger for Connection not only provides guidelines for therapists of varying theoretical orientations and levels of expertise, but help and hope to people suffering with eating disorders and those who care for and about them.

Patients with eating disorders frequently feel that they aren't "sick enough" to merit treatment, despite medical problems that are both measurable and unmeasurable. They may struggle to accept rest, nutrition, and a team to help them move towards recovery. Sick Enough offers patients, their families, and clinicians a comprehensive, accessible review of the medical issues that arise from eating disorders by bringing relatable case presentations and a scientifically sound, engaging style to the topic. Using metaphor and patient-centered language, Dr. Gaudiani aims to improve medical diagnosis and treatment, motivate recovery, and validate the lived experiences of individuals of all body shapes and sizes, while firmly rejecting dieting culture.

Drawing on the evidence-based Internal Family System (IFS) therapy model, An Internal Family Systems Guide to Recovery from Eating Disorders: Healing Part by Part addresses the necessity of healing the eating disorder sufferer's three groups of inner "Parts": the Mentors, the Advocates, and the Kids. In order to reconnect to their sense of Self and to achieve an inner balance necessary for recovery, the reader learns to address the unique needs of each of their "Parts." Written in an accessible style, this book combines compassionate examples from the author's client cases and her own recovery with a step-by-step framework for identifying and healing the readers' Parts using the IFS model. Each chapter ends with questions for the reader to answer to further enhance their personal recovery. An Internal Family Systems Guide to Recovery from Eating Disorders:Healing Part by Part will be essential to mental health professionals treating clients with eating disorders and to the clients themselves.