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.

Preventing Eating Disorders, complete with a variety of prevention strategies, programs, and approaches, is designed for health and mental health workers, educators, researchers, students, and interested members of the community at large who wish to prevent eating disorders and related problems (e.g., negative body image). Building bridges between academic and community-based knowledge and activism, this book describes prevention at the societal, institutional, familial, and individual levels, and focuses on increasing resilience and protective factors as well as reducing the vulnerability to disordered eating.

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Prevention and Recovery from Eating Disorders in Type 1 Diabetes: Injecting Hope sheds light on an often overlooked and misunderstood issue: the problem of eating disorders in women with type 1 diabetes - referred to by lay people and the media as "diabulimia" and characterized by insulin restriction as a means of calorie purging for weight loss. Drawing on a series of recent interviews and over 16 years of research and clinical experience with this unique phenomenon, author Dr. Ann Goebel-Fabbri provides groundbreaking insight into the lives of women who have recovered from eating disorders in type 1 diabetes. She explores the condition's origins, its effects on the lives of those affected, and possible paths to recovery. Also included are suggestions for prevention and treatment, as well as practical and inspirational advice from now-recovered women. Prevention and Recovery from Eating Disorders in Type 1 Diabetes is a valuable guide for patients and loved ones, diabetes treatment teams, and eating disorder clinicians.

This volume offers a realistic discussion of the complexity of the treatment of traumatic and dissociative experiences in eating disorders. The authors investigate critical issues concerning contraindications and the pitfalls of treatment while reflecting on the longterm outcomes of treatment.

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Contents:
Introduction.The Therapeutic Relationship. Introducing Bit(e) by Bit(e). Theoretical Background About Behaviour Change. Facilitating Change. Essentials of Motivational Interviewing. Guidelines for Motivational Interviewing. The Goal of the Therapeutic Alliance. The First Meeting. Written Feedback. Sessions 1-3. Difficulties With Change. Core Values: Goal Setting. Moving into Action. Commitment to Change. Sessions 3-8: Action. Interpersonal Difficulties. Termination of Treatment. Relapse Prevention. Case Report 1. Case Report 2. Appendix: Workbook - Motivational Enhancement Therapy. Please note: The full text of Getting Better Bit(e) by Bit(e) is included in this Guide.

This volume provides researchers and clinicians with an insight into recent developments in activity anorexia. Much of the basic information on the topic has come from animal literature; the theory of activity anorexia is built on an animal model of self-starvation (rats placed on a single daily feeding run more and more, over days stop eating, and die of starvation). Additionally, experiments that for ethical or practical reasons could not be done with humans may be conducted with other animals. The animal research is extending the understanding of biologically-based reward mechanisms that regulate eating and exercise, environment-behavior interactions that affect anorexia, and the biochemical changes that accompany physical activity and starvation.
Increasingly, however, the impact of physical activity on human anorexia is being directly investigated--eight out of fourteen research chapters in this volume are based on human research. Some researchers are interested in the impact of hyperactivity and caloric restriction on human reproductive function. Other authors are investigating physically active subgroups of people considered to be at risk for anorexia. Finally, several clinician/researchers suggest how physical activity and extreme dieting interact for anorexia nervosa patients.
Chapter authors were asked to present their views independent of the editors' argument that, when it is present, physical activity is central to anorexia. Many of the contributors disagree with the editors about the details of activity anorexia. A few suggest that excessive physical activity is either incidental to, or an epiphenomenon of, anorexia. Most authors are, however, in accord with the view that physical activity reduces food consumption which further drives up activity that results in even less caloric intake. No matter what their perspective, all contributors agree that hyperactivity frequently accompanies self-starvation in humans and other animals. The end result is a lively book that provides a source of ideas for both researchers and practitioners.

This guide to 'self-help' has become highly valued by sufferers from anorexia nervosa, their families and their carers. It relates to Arthur Crisp's much praised text Anorexia Nervosa: Let Me Be, now in its third reprint. Many sufferers report that Anorexia Nervosa: The Wish to Change has provided them with their first private opportunity to reconsider their position and future properly, and then to do more about them. Carers have found it particularly helpful as a joint tool in their work with patients, especially when used alongside the more recently published Anorexia Nervosa: Guidelines for Assessment and Treatment in Primary and Secondary Care and the Patient's Log Book from the same centre.

The grandmother granddaughter conversation examined in this book makes explicit what the detailed study of interaction reveals about two social problems--"bulimia" and "grandparent caregiving." For the first time, systematic attention is given to interactional activities through which family members display ordinary yet contradictory concerns about health and illness:
* a grandmother's (who is also a registered nurse) attempts to initiate, confront, and remedy her granddaughter's lack of responsibility in admitting bulimic "problems" and committing to professional medical assistance;
* a granddaughter's methods for avoiding ownership of the alleged bulimic problems by discounting the legitimacy of her grandmother's expressed concerns.
Through analysis of a single audio-recorded and transcribed conversation, Wayne Beach reveals the altogether pervasive and often troubled talk surrounding family medical predicaments. From a careful review of extant theories that seek to explain eating disorders and grandparent caregiving, it becomes clear that an overreliance on self-report data has promoted underspecified understandings of "social contexts" -- conceptualizations void of real time practices and interactional consequences mirroring how families manage their daily affairs and understandings regarding health and illness. In contrast, this volume draws attention to family members' embodied interactional activities. Here it is seen, for example, how methods for expressing concern and caring by "individuals" may nevertheless eventuate in interactional troubles and problems "between" family members. The analysis reveals that, while displays of basic concerns for others' health and well being are routine occurrences between family members in home environments -- and of course, across friendship and various support networks -- even the delicate and well-intended management of such occasions guarantees neither agreement on the nature of the alleged "problems" nor, consequently, a commitment to seek professional help as a means of remedying a medical condition. In such cases, the very existence of an illness is itself a matter of some contention to be interactionally worked out. And it is perhaps both predictable and symptomatic that those explicitly denying (or as with the granddaughter, indirectly failing to admit) that problematic health behaviors exist, also somehow let it be made known that far too much attention is being given to possibilities and consequences of illness in the first instance.
Implications of this investigation extend well beyond "bulimia" and "grandparent caregiving" to a vast array of casual and institutional involvements between family members, friends, and bureaucratic representatives such as those involved in long-term caregiving, dealing with cancer and Alzheimer's disease, or conducting psychiatric interviews and HIV/AIDS counseling sessions. Findings regarding the interactionally organized nature of talk about bulimia, as well as the problematic nature of caregiving, will be of value to researchers focusing on language and social interaction, health practitioners, and families alike.
This volume includes the full transcript of the conversation in the case study. A copy of the audio-recording is available for classroom adoption and/or personal purchase by contacting: Wayne A. Beach, School of Communication, San Diego State University, San Diego, CA 92182-4516.

Although eating problems--ranging from body dissatisfaction and dieting to anorexia nervosa or bulimia nervosa--can begin and typically have their roots in childhood, theory and research in developmental psychopathology and developmental psychology have not received substantial attention in eating disorders research. This book provides crucial background material from both fields, and then makes direct applications to numerous aspects of the field of eating disorders including theory, research, treatment, and primary prevention.
This book was born out of a transaction between frustration and optimism. The frustrations reflected the limitations of current knowledge about eating problems and disorders. Etiological "causes" which are sensitive and specific to eating disorders have been elusive. Although there is some understanding of risk factors, little is known about protective factors. This has made prevention, among other things, difficult. Furthermore, the mechanisms underlying the association between risk factors and disordered eating are poorly understood. For example, it is known that women are at greater risk than men are, but clinicians are hard- pressed to get beyond gender-based speculations and demonstrate why this is true.
The optimism grows from familiarity with the field of developmental psychopathology. It seems evident that this approach has much to offer the field of eating disorders. This book is an early step in the integration of developmental psychopathology into theorizing, research, treatment, and prevention of eating disorders. It addresses four specific goals:
* to introduce the principles and methodologies of developmental psychopathology,
* to review the work of developmental psychologists in several major areas of behavior relevant to understanding the causes, treatment, and prevention of eating disorders,
* to apply developmental psychopathology principles to the area of eating disorders, both in the form of theoretical models and in specific areas/issues raised by developmental psychopathology, and
* to discuss the implications of developmental approaches for prevention programs and treatments.

This book explores the ways in which anorexic women use their eating to control their bodies. It argues that the female body in modern Western culture is understood as open and accessible and female appetite as dangerous and voracious. Anorexia attempts to resist both these constructions in the creation of a closed, desireless body. Since anorexic women resist the power of collective ideologies their resistance cannot work - the closed body becomes its own prison.

Using Writing as a Therapy for Eating Disorders: The diary healer uses a unique combination of evidence-based research and raw diary excerpts to explain the pitfalls and benefits of diary writing during recovery from an eating disorder. In a time when diary writing remains a largely untapped resource in the health care professions, June Alexander sets out to correct this imbalance, explaining how the diary can inspire, heal and liberate, provide a learning tool for others and help us to understand and cope with life challenges. The book focuses on the power of diary writing, which may serve as a survival tool but become an unintended foe. With guidance, patients who struggle with face-to-face therapy are able to reveal their thoughts through writing and construct a strong sense of self. The effects of family background and the environment are explored, and the therapeutic value of sharing diaries, to better understand illness symptoms and behaviours, is discussed. Using Writing as a Therapy for Eating Disorders will be of interest to those who have recovered or are recovering from eating disorders or any mental illness, as well as therapists, clinicians and others working in the medical and healthcare professions.

Eating Disorders and Sexual Trauma is the first book to fully explore the complex relationship between sexual abuse and the eating disorders. The book encompasses the compelling writings of 26 specialists who thoughtfully consider the numerous questions surrounding this controversial topic: Why would early trauma influence eating behavior? What is the association between eating disorders and sexual abuse? What impact does the controversy surrounding "false memory" have on the thinking about this association?
Working from the premise that children exposed to inescapable stress throughout childhood will be at risk for compulsivity and reenactment of trauma by self-abuse syndromes, this collection provides provocative answers to these and many other questions.
Taken as a whole this book provides an important global view of the topic. Chapters focus attention on the prevalence of sexual abuse among individuals with eating disorders; how a history of sexual violence can serve as a predictor of subsequent food-related syndromes; trauma-based theory, dissociation, abreactive, and ego-states therapy; and a practical and theoretical exploration of the sexual self of an eating-disordered person. New perspectives on body image, feminist approaches to treatment, false memory, and the sexual self, as well as a first-person narrative that powerfully links the two phenomena, round out the discussion. Finally, a dialogue about the controversies surrounding sexual abuse and eating disorders and an examination of false memory syndrome constitute the fitting finale for this stimulating presentation.
Eating Disorders and Sexual Trauma represents an important step forward in the research, theory, and treatment in both of these disciplines. It is a volume that has much wisdom to offer practitioners who work with populations who are dealing with these issues and their cross-influence.

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This book explores the ways in which anorexic women use their eating to control their bodies. It argues that the female body in modern Western culture is understood as open and accessible and female appetite as dangerous and voracious. Anorexia attempts to resist both these constructions in the creation of a closed, desireless body. Since anorexic women resist the power of collective ideologies their resistance cannot work - the closed body becomes its own prison.

This volume should enhance health care professionals' understanding of the myriad complications that develop when a person with an eating disorder gets married or becomes involved in a long-term intimate relationship. Drawing on their vast experience in family therapy, social work, and treatment of eating disorders, the authors carefully review the current literature on eating disorders in long-term relationships, and then present a practical approach to assessment and treatment.

Series Information:
Brunner/Mazel Eating Disorders Monographs

Because anorexia nervosa has historically been viewed as a disorder that impacts women and girls, there has been little focus on the conceptualization and treatment of males suffering from this complex disorder. Understanding Anorexia Nervosa in Males provides a structure for understanding the male side of the equation combined with practical resources to guide clinical intervention. Presented using an integrative framework that draws on recent research and organizes information from multiple domains into a unified understanding of the interconnected issues at hand, this informative new text provides a comprehensive approach to understanding and treating a widely unrecognized population.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company.

Contributions from researchers and clinicians in the US and abroad who have worked closely with males suffering from eating disorders address the physiological, psychological, cultural and existential aspects of these generally neglected but apparently increasing problems. Annotation copyright Book

Originally published in 1986, Sara Gilbert provided the first systematic and comprehensive coverage of the psychological aspects of eating disorders and their treatment. The book begins with an account of normal eating behaviour and the problems of explaining its control in the individual in the context of social and cultural influences. It describes cross-cultural differences in attitudes to being overweight or underweight, and the current western dilemma of pressures towards slimness on the one hand and the increasing demand for choice and fast food on the other. In Part II, the author describes the phenomena of overeating and undereating, both in relation to people with systemic disease and in people suffering from obesity, anorexia nervosa and bulimia. She examines the psychological causes of overeating and undereating, and the problems of drawing a line between purely medical and purely social-psychological explanations. In Part III of the book, the author provides a summary of treatments for overeating and undereating, with emphasis on the psychological approaches. She describes new developments, in particular in the use of behavioural techniques, and their significance as a means of allowing individual sufferers some choice in the course of their own treatment.

Young people develop anorexia because they are unhappy. In the process of becoming anorexic they silence themselves and distance themselves from parental support. Family therapy can help patients by improving their communication with their parents. Therapists can support parents in helping their children to find their voices. This book presents a review of the research evidence that has guided the development of family therapy for young people with anorexia. In addition, it presents the current evidence for a family model. A flexible model is proposed to meet different family scenarios and levels of treatment resistance. Greg Dring argues that the evidence indicates the need for an assertive approach to therapy, drawing on the full range of family therapy skills available, in order to re-instate a healthy relationship between parents and children. This book is intended for family therapists and other clinicians in Child and Mental Health Services who work with young people with anorexia.

This important volume addresses a growing problem prevalent in hospitalized patients--eating disorders, including anorexia nervosa and bulimia. Experts present the latest findings on the theories, evaluation, and treatment of this pernicious syndrome. Clearly written and up-to-the-minute, this outstanding collection of interdisciplinary vantage points, overlapping theories, and program applications will be of great value to front-line clinicians. Also included are historical perspectives, the treatment and rehabilitation of eating disorders, characteristics of families with eating disorders, and much more.

Eating problems are common in children and teenagers. Yet myths about such problems abound and it can be very difficult to separate the facts from popular beliefs; unusual or disturbed eating patterns can be understandably bewildering and distressing for parents. Whatever aspect of your child's eating behaviour is causing you concern, this book will help you understand some of the more common reasons why problems arise, and will give you advice on what you and others can do to manage the situation. Written by two experienced clinicians, this new edition of Eating Disorders: A Parents' Guide is dedicated to clarifying the subject of eating disorders. Combining an accessible and straightforward introduction to the subject with practical advice, this book represents the first step towards recognising, understanding and dealing with the problem. Case-studies are used to help parents understand their children's experiences of this complex and challenging subject and sensitive advice is offered on a range of issues, including: how to identify a complete range of eating difficulties how to approach specific problems where to seek help and treatment. This book will be welcomed by anyone who is concerned about the eating habits of their children and will be invaluable to professionals working with those suffering from eating disorders.

Incidence of BED appears to be on the increase. Treating it, and overcoming it, is all the more difficult, especially for those living in a culture that has an intense body image focus. A Clinician's Guide to Binge Eating Disorder educates the reader about its triggers and behaviours - and describes steps to treat it and resume a full and productive life. Evidence-based research outcomes provide the framework and foundation for this book. First-person case studies bring application of this science to life to help close the gap between research and treatment/care, and the importance of clinicians developing a therapeutic relationship as a healing tool with their client is discussed, recognizing that medical and psychological dimensions are inextricably intertwined. This book allays fear of the unknown, explains the emotional chaos that can sweep in like a storm when, unintentionally, triggers are released. It provides practical steps and footholds for clinicians and researchers to help the patient take control of their life and look to a positive future.

Embodiment refers to the attunement of the inner and outer self. Cognitions are aligned with the sensing and feeling body. Further, in an attuned experience of self, positive embodiment is maintained by a set of internally focused tools, such as self-care practices that support physiological health, emotional well-being and effective cognitive functioning. For those who suffer from eating disorders, this is not the case; in fact, the opposite is true. Disordered thinking, an unattuned sense of self and negative cognitions abound. Turning this thinking around is key to client resilience and treatment successes. Catherine Cook-Cottone provides tools for clinicians working with clients to restore their healthy selves and use their bodies as a positive resource for healing and long-term health. The book goes beyond traditional treatments to talk about mindful self-care, mindful eating, yoga and other practices designed to support self-regulation.

Sally Baker and Liz Hogon, informed by helping hundreds of clients achieve a sustained healthy approach to eating, have researched and written How To Feel Differently About Food to break the painful cycle of yo-yo dieting and emotional eating. The book cuts a clear path through the conflicting nutritional information that fills the popular media to reveal the best way to eat for improved health and enhanced mood, boost energy without triggering feelings of hunger and stop wildly fluctuating blood-sugar levels that lead to cravings. They explain how to make informed and appetising food choices and how to implement small but empowering new eating habits from breakfast onwards. Learning new ways of thinking and feeling about food will naturally enable readers to approach food differently. These positive changes are designed to be effortlessly integrated into a busy life with minimum planning and preparation, including how to eat for nourishment, become healthier, lose excess weight if appropriate, and boost mood as well as help to combat anxiety and depression.