This book is the first to address what really happens behind closed doors during eating disorders treatment, as most writing has only addressed theoretical approaches and behavioral strategies. The field has long needed a book that describes the heart of the matter: the therapeutic interventions and interactions that comprise life-changing treatment for this life-threatening disorder. In response to this need, the authors have created a book that reflects the individual therapeutic skills and the collective wisdom of senior clinicians, all of whom have years of experience treating anorexia, bulimia, and binge eating disorder. Intended to be a deeply thoughtful and instructive volume, Effective Clinical Practice in the Treatment of Eating Disorders: The Heart of the Matter demonstrates the depth, complexity, and impact of the therapeutic process. In particular, the book articulates and explores essential points of information, issues, insights and unresolved questions about eating disorders treatment. Effective Clinical Practice in the Treatment of Eating Disorders describes and explicates important treatment issues and themes in a nuanced, highly contextualized and qualitative manner. The book offers a significant reference for both novice and seasoned therapists, and it includes specific information that will serve to inform and mentor future generations of eating disorders clinicians.

8 Keys to Recovery from an Eating Disorder was lauded as a "brave and hopeful book" as well as "remarkably readable". Now, the authors have returned with a companion workbook-offering all new assignments, strategies and personal reflections to help those who suffer from an eating disorder heal their relationship to food and their bodies. Clients of Costin and Grabb consistently tell them that knowing they are both recovered is one of the most helpful aspects of their treatment. With this experience as a foundation, the authors bring together years of clinical expertise and invaluable personal testimony, from themselves and others, to the strategies in this book. Readers will get a glimpse of what it's like to be in therapy with either Carolyn or Gwen. Filled with tried and true practical exercises, goal sheets, food journal forms, clinical anecdotes and stories, readers are guided in exploring their thoughts, feelings and coping strategies while being encouraged to choose how they want to approach the material. This book is an important resource to anyone living with destructive or self-defeating eating behaviours.

In the treatment of Anorexia Nervosa, delivering psychological interventions in a group format can bring unique benefits in addition to those associated with working with patients individually. These include: sharing experiences and learning from others in a safe and therapeutic environment, becoming accustomed to being with other people and practising interpersonal skills. However, these aspects of group treatment also represent a challenge for group facilitators as it is exactly these interpersonal and relational demands that patients find difficult to tolerate. Facilitators are likely to be confronted with low motivation, or complete disengagement, as a result of the discomfort evoked by spending time in psychological groups. Nonetheless, once these difficulties are successfully overcome, the group setting can be effectively utilised to address the specific aims of a given psychological intervention, as well as tapping into these wider benefits Drawing upon research carried out by the Maudsley national inpatient eating disorders programme, Brief Group Psychotherapy for Eating Disorders brings together expert contributions in order to review the evidence base, as well as discussing how the challenges of the group setting can be overcome. This book outlines newly-developed protocols for group interventions aimed at providing brief but effective treatment for an increased numbers of patients, and addresses the need to develop and evaluate cost effective psychological interventions for patients with Anorexia Nervosa. Brief Group Psychotherapy for Eating Disorders is designed to offer therapists, clinicians, and researchers in the field a synopsis of the available evidence along with guidance on how to put theory into practice effectively. It will also be an invaluable resource for students, trainees and teachers in the clinical, counselling, psychology, psychiatry, nursing, occupational therapy and other allied professions.

In the treatment of Anorexia Nervosa, delivering psychological interventions in a group format can bring unique benefits in addition to those associated with working with patients individually. These include: sharing experiences and learning from others in a safe and therapeutic environment, becoming accustomed to being with other people and practising interpersonal skills. However, these aspects of group treatment also represent a challenge for group facilitators as it is exactly these interpersonal and relational demands that patients find difficult to tolerate. Facilitators are likely to be confronted with low motivation, or complete disengagement, as a result of the discomfort evoked by spending time in psychological groups. Nonetheless, once these difficulties are successfully overcome, the group setting can be effectively utilised to address the specific aims of a given psychological intervention, as well as tapping into these wider benefits Drawing upon research carried out by the Maudsley national inpatient eating disorders programme, Brief Group Psychotherapy for Eating Disorders brings together expert contributions in order to review the evidence base, as well as discussing how the challenges of the group setting can be overcome. This book outlines newly-developed protocols for group interventions aimed at providing brief but effective treatment for an increased numbers of patients, and addresses the need to develop and evaluate cost effective psychological interventions for patients with Anorexia Nervosa. Brief Group Psychotherapy for Eating Disorders is designed to offer therapists, clinicians, and researchers in the field a synopsis of the available evidence along with guidance on how to put theory into practice effectively. It will also be an invaluable resource for students, trainees and teachers in the clinical, counselling, psychology, psychiatry, nursing, occupational therapy and other allied professions.

Family-based treatment (FBT) for eating disorders is an outpatient therapy in which parents are utilized as the primary resource in treatment. The therapist supports the parents to do the work nurses would have done if the patient were hospitalized to an inpatient-refeeding unit, and are eventually tasked with encouraging the patient to resume normal adolescent development. In recent years many new adaptations of the FBT intervention have been developed for addressing the needs of special populations. This informative new volume chronicles these novel applications of FBT in a series of chapters authored by the leading clinicians and investigators who are pioneering each adaptation.

Family-based treatment (FBT) for eating disorders is an outpatient therapy in which parents are utilized as the primary resource in treatment. The therapist supports the parents to do the work nurses would have done if the patient were hospitalized to an inpatient-refeeding unit, and are eventually tasked with encouraging the patient to resume normal adolescent development. In recent years many new adaptations of the FBT intervention have been developed for addressing the needs of special populations. This informative new volume chronicles these novel applications of FBT in a series of chapters authored by the leading clinicians and investigators who are pioneering each adaptation.

The effective treatment of anorexia nervosa (AN) remains a significant challenge. This has prompted new research into ways of engaging and keeping patients in treatment and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. In this book Kate Tchanturia brings together international experts from the field of eating disorders to discuss the effectiveness of cognitive remediation therapy for treating anorexia nervosa, and keeping patients in therapy.

Cognitive Remediation Therapy (CRT) is a type of therapy that concentrates on improving neurocognitive abilities such as attention, working memory, cognitive flexibility and planning, and executive functioning which leads to improved general functioning. Recent research has demonstrated the effectiveness of the approach for treating those with anorexia nervosa, cognitive improvements have been noted in patients, and the approach is associated with low drop-out rates from the treatment, and high levels of acceptability among both patients and therapists.

This book presents research focussing on:

- individual therapy with adults

- family-based therapy

- CRT with young people

- group format of CRT

- adapting interventions for people with co-morbidities

- clinicians experiences working with CRT

Illustrated throughout with case studies, and integrating neuropsychological testing and brain imaging this book discusses the latest research on this novel treatment approach. It will be key reading for researchers and academics in the eating disorders field wanting to trial the approach, as well as final year undergraduates and postgraduate clinical psychology students looking for a new perspective.

Choice Recommended Read This insightful, thought-provoking, and engaging book explores the truth behind how and why we eat and drink what we do. Instead of promising easy answers to eliminating picky eating or weight loss, this book approaches controversial eating and drinking issues from a more useful perspective-explaining the facts to promote understanding of our bodies. The only book to provide an educated reader with a broad, scientific understanding of these topics, The Psychology of Eating and Drinking explores basic eating and drinking processes, such as hunger and taste, as well as how these concepts influence complex topics such as eating disorders, alcohol use, and cuisine. This new edition is grounded in the most up-to-date advances in scientific research on eating and drinking behaviors and will be of interest to anyone.

This book presents an overview of the latest psychological knowledge about the application of mindfulness-based interventions in the field of eating disorders. Increasingly, these interventions are used in therapeutic practice. They encourage clients to process their experience fully, as it arises, without judgement. Mindfulness-based approaches, in particular, emphasize the cultivation of moment to moment awareness of thoughts and feelings as well as bodily sensations. In so doing, eating disorders present an ideal context for the development of mindfulness. Indeed, it is in the body that the emotional and relational struggles of clients reveal themselves. The authors in this diverse volume share a belief in the utility of using mindfulness-based practices to address disordered eating. It features up to date research and theory regarding mindfulness and the full spectrum of eating disorders, from Anorexia Nervosa and Bulimia Nervosa to Binge Eating Disorder. In addition, it explores how professionals can utilize mindfulness in their own practices, in the context of both individual and group treatment. This book was originally published as a special issue of Eating Disorders: the Journal of Treatment and Prevention.

In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient's life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an 'other' to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.

First published in 1990. Routledge is an imprint of Taylor & Francis, an informa company.

Personality Disorders and Eating Disorders explores and defines the multifaceted relationship between these two fields in a cogent synthesis of prevalence, etiology, and treatment. The book brings together leading specialists in both fields, with a clinical focus on such topical issues as genetics, drug abuse, and childhood trauma-as they relate to each field and as they affect the relationship between the two disorders. Therapists who treat eating disorders will find the material on treatment approaches especially helpful in formulating interventions with particularly difficult patients. Therapists who work with patients with personality disorders will find that the interface between personality and eating disorders is relevant to various aspects of self-destructive behavior observed in these individuals. This unique book enhances the assessment and treatment of individuals suffering from personality disorders and eating disorders, and it augments the understanding of both populations, while establishing a foundation for discussing each as they interface with one another.

The book is intended as a practical guide to setting up, staffing and running eating disorders services. The guidance and advice given is based on the experience of the eating disorder service at the Royal Free, which does not have specialised beds, but which is nevertheless considered to offer one of the best services in the UK. Each element of the service will be considered from referral, inpatient and outpatient treatment, service evaluation and multi-disciplinary teamworking. The book also discuss's innovative approaches in treatment, including an evaluation of Email Bulimia Therapy.* Ties in with NICE guidelines, which highlight the need for local services for treating eating disorders* Offers practical guidance on setting up a community model of treatment and on working within a multi-disciplinary team* Based on the Royal Free experience - their Eating Disorders Service has twice been a finalist in the Hospital Doctor Team of the Year awards

This important new book details a strategic and systemic model for short-term therapy with adolescent sufferers of anorexia nervosa, a psychopathology that seduces patients into starvation as doctors and family look on with increasing desperation. Supported by the successful treatment of hundreds of cases over the past 30 years, the book is the culmination of a long-term intervention programme developed at the Strategic Therapy Centre of Arezzo, Italy. It begins by outlining the range of different eating disorders, before identifying the specific characteristics that adolescents with anorexia present. The variations of the pathology are then discussed. Not all patients present with the same symptoms; some sufferers over-exercise while others binge eat or self-harm. Substance abuse is also common, either with diuretics or chemicals; others self-induce vomiting. The therapeutic strategy will, of course, differ for each patient. Accessibly written throughout, the book concludes with two cases studies - complete with full transcripts - which illustrate the therapeutic process that allowed the patient to change their patterns of thinking, and the accompanying behaviours. An insightful and invaluable work on this vital topic, the book will be essential reading for any professional working with adolescents presenting with anorexia, as well as the families of sufferers.

Ecotourism and natural resource extraction may be seen as contradictory pursuits, yet in reality they often take place side by side, sometimes even supported by the same institutions. Existing academic and policy literatures generally overlook the phenomenon of ecotourism in areas concurrently affected by extraction industries, but such a scenario is in fact increasingly common in resource-rich developing nations. This edited volume conceptualises and empirically analyses the 'ecotourism-extraction nexus' within the context of broader rural and livelihood changes in the places where these activities occur. The volume's central premise is that these seemingly contradictory activities are empirically and conceptually more alike than often imagined, and that they share common ground in ethnographic lived experiences in rural settings and broader political economic structures of power and control. The book offers theoretical reflections on why ecotourism and natural resource extraction are systematically decoupled, and epistemologically and analytically re-links them through ethnographic case studies drawing on research from around the world. It should be of interest to students and professionals engaged in the disciplines of geography, anthropology and development studies.

The subgroup of males with eating disorders has been understudied, and this book presents the most comprehensive look at this topic since Arnold Andersen edited the text Males with Eating Disorders in 1990. This monograph represents both original research and reviews of other studies based on a special issue of Eating Disorders: The Journal of Treatment and Prevention, with additional added chapters. Representing international contributions from researchers and clinicians in nine countries, this cross-section includes chapters on etiology, sociocultural and gender issues, symptom presentation, assessment, medical and psychological concerns, treatment, recovery, and prevention.

The highly respected and widely known Anorexia Nervosa: A Survival Guide for Sufferers and Friends was written in 1997. This long-awaited new edition builds on the work of the first book, providing essential new and updated research outcomes on anorexia nervosa. It offers a unique insight and guidance into the recovery process for those who suffer from an eating disorder as well as advice and information for their loved ones. Written collaboratively by both an expert in the field and someone with personal experience of eating disorders, this book offers exceptional understanding of the issues surrounding the illness. Divided into four sections, it includes: an outline of anorexia nervosa coping strategies for sufferers advice and information for families, carers and friends guidelines for professionals who are involved in the sufferer's life. Families, friends, carers and professionals such as teachers and GPs are encouraged to read all sections in order to fully understand the illness. With an emphasis on collaboration and a layout that enables content to be referenced and read in any order, this book is an essential resource for anyone affected, directly or indirectly, by anorexia nervosa.

Your Dieting Daughter is a must read for anyone wanting to help contribute to a young woman's development of a healthy self and body esteem, whether she is 13 or 30. Costin has updated the first edition of this book to reflect her 15 additional years of expertise on dealing with the tricky issues of body image, food, and weight in a culture that places an unhealthy emphasis on being thin. From aiding a young girl to lose weight for health reasons; to encouraging a young woman to accept her natural body size; to helping detect, prevent, and understand eating disorders, this second edition is full of practical and invaluable information. Chapters guide parents in the Do's and Don'ts that will help a daughter to accept, respect, and care for her body. Readers will learn the importance of setting a good example and the critical need to take the focus from numbers and measurements - such as scale weight, clothing size, miles run, or sit-ups accomplished - to important goals like health, body acceptance, and finding physical activity to enjoy. Whether you are interested in being a good role model for you daughter, helping girls and women who are currently suffering from an eating disorder or body image issues, or raising the next generation of girls to value the size of their heart over their body size, this is a book not to be missed.

In the fourth edition of this accessible and comprehensive book, Bryan Lask and Rachel Bryant-Waugh build on the research and expertise of the previous three editions. First published in 1993, this was the first book of its kind to explore eating disorders in children and young adolescents, a population that is very different from those in their late teens and adulthood.

The contributors experience and knowledge have increased and the field has moved forward over the past 20 years. This fully revised edition offers a distillation of current information relating to the younger population, and contains brand new chapters on areas of experience, research and practice including:

• The perspective of a young person going through an eating disorder
• Experiences of a parent
• Updated information regarding advances from neuroscience
• Therapeutic engagement
• Cognitive remediation therapy

"

Eating Disorders in Childhood and Adolescence "offers the reader knowledge, insight and understanding into this fascinating but challenging patient group. It has both a clinical and research focus and will be an essential text for a wide range of professionals, as well as being readable for parents of children suffering from eating disorders.

Your Dieting Daughter is a must read for anyone wanting to help contribute to a young woman s development of a healthy self and body esteem, whether she is 13 or 30. Costin has updated the first edition of this book to reflect her 15 additional years of expertise on dealing with the tricky issues of body image, food, and weight in a culture that places an unhealthy emphasis on being thin. From aiding a young girl to lose weight for health reasons; to encouraging a young woman to accept her natural body size; to helping detect, prevent, and understand eating disorders, this second edition is full of practical and invaluable information. Chapters guide parents in the Do s and Don ts that will help a daughter to accept, respect, and care for her body. Readers will learn the importance of setting a good example and the critical need to take the focus from numbers and measurements - such as scale weight, clothing size, miles run, or sit-ups accomplished - to important goals like health, body acceptance, and finding physical activity to enjoy. Whether you are interested in being a good role model for you daughter, helping girls and women who are currently suffering from an eating disorder or body image issues, or raising the next generation of girls to value the size of their heart over their body size, this is a book not to be missed.

Marcia Herrin and Maria Larkin have collaborated on the second edition of Nutrition Counseling in the Treatment of Eating Disorders, infusing research-based approaches and their own clinically-refined tools for managing food and weight-related issues. New to this edition is a section on nutrition counseling interventions derived from cognitive behavioral therapy-enhanced, dialectical behavioral therapy, family-based treatment, and motivational interviewing techniques. Readers will appreciate the state of the art nutrition and weight assessment guidelines, the practical clinical techniques for managing bingeing, purging, excessive exercise, and weight restoration as well as the unique food planning approach developed by the authors. As a comprehensive overview of food and weight-related treatments, this book is an indispensible resource for nutrition counselors, psychotherapists, psychiatrists, physicians, and primary care providers.

This book presents an overview of the latest psychological knowledge about the application of mindfulness-based interventions in the field of eating disorders. Increasingly, these interventions are used in therapeutic practice. They encourage clients to process their experience fully, as it arises, without judgement. Mindfulness-based approaches, in particular, emphasize the cultivation of moment to moment awareness of thoughts and feelings as well as bodily sensations. In so doing, eating disorders present an ideal context for the development of mindfulness. Indeed, it is in the body that the emotional and relational struggles of clients reveal themselves. The authors in this diverse volume share a belief in the utility of using mindfulness-based practices to address disordered eating. It features up to date research and theory regarding mindfulness and the full spectrum of eating disorders, from Anorexia Nervosa and Bulimia Nervosa to Binge Eating Disorder. In addition, it explores how professionals can utilize mindfulness in their own practices, in the context of both individual and group treatment. This book was originally published as a special issue of Eating Disorders: the Journal of Treatment and Prevention.

Decoding Anorexia is the first and only book to explain anorexia nervosa from a biological point of view. Its clear, user-friendly descriptions of the genetics and neuroscience behind the disorder is paired with first person descriptions and personal narratives of what biological differences mean to sufferers. Author Carrie Arnold, a trained scientist, science writer, and past sufferer of anorexia, speaks with clinicians, researchers, parents, other family members, and sufferers about the factors that make one vulnerable to anorexia, the neurochemistry behind the call of starvation, and why it's so hard to leave anorexia behind. She also addresses: * How environment is still important and influences behaviors * The characteristics of people at high risk for developing anorexia nervosa * Why anorexics find starvation "rewarding" * Why denial is such a salient feature, and how sufferers can overcome it Carrie also includes interviews with key figures in the field who explain their work and how it contributes to our understanding of anorexia. Long thought to be a psychosocial disease of fickle teens, this book alters the way anorexia is understood and treated and gives patients, their doctors, and their family members hope.

The majority of cancer-related deaths are associated with nutritional problems. The major role that nutrition and diet play in the development and course of cancer had only been recently appreciated, and relatively little had been written on the topic in general. A critical component of nutrition and diet is eating behavior. Originally published in 1985, the purpose of this book was to meet the needs of both the clinician and the researcher by bringing together data and theory about nutrition and cancer from several disciplines, as considered from a biobehavioral perspective. The first chapter of the book provides an overview of the purposes and organization of the volume. The rest is divided into 3 parts. Part 1 focuses on basic research concerned with the nature and development of taste aversions and taste preferences in human and animals. Part 2 applies the basic processes reviews in the first part to the cancer area, focusing on eating and nutritional problems related to both tumor development and to learned processes that develop as a result of being exposed to radiotherapy and chemotherapy treatments. Part 3 focuses on identifying and evaluating intervention strategies for improving the nutritional status of people with cancer or at high risk for developing cancer.

While many aspects of eating disorders remain a mystery, there is growing evidence that collaboration is an essential element for treatment success. This book emphasises and explains the importance of family involvement as part of a unified team approach towards treatment and recovery.

A Collaborative Approach to Eating Disorders draws on up-to-date evidence based research as well as case studies and clinical vignettes to illustrate the seriousness of eating disorders and the impact on both the sufferer and their loved ones. Areas of discussion include:

• current research including genetic factors, socio-cultural influences and early intervention
• clinical applications such as family based dialectical and cognitive behavioural treatments
• treatment developments for both adolescents and adults with a range of eating disorders
• building collaborative alliances at all levels for treatment and ongoing recovery.

With contributions from key international figures in the field, this book will be a valuable resource for students and mental health professionals including family doctors, clinicians, nurses, family therapists, dieticians and social workers.