Approximately 500,000 people in North America and Western Europe die from obesity-related diseases every year. This figure can only increase as efforts to stem this tide lag behind the rise of the overweight population. In the West especially, though by no means exclusively, the associated cost in human lives and suffering is accompanied by an increased strain on healthcare budgets. Partly for this reason, the biomedical community is looking beyond lifestyle changes to search for a drug or drugs that can tackle the problem. A number of potential candidates have come and gone, and still the current level of research into the pharmacotherapy of obesity is unprecedented. Pharmacotherapy of Obesity looks at the drugs currently available and those in development, exploring their mechanisms of action and their best use in the patient. However, this volume also looks at non-drug therapies, exercise regimes, surgery, behavioral treatment and alternative techniques such as acupuncture. The book closes with a look at the contribution that genomics is making to the search for new drugs, and looks ahead to what such drugs might be like. Produced by leading experts in the field, Pharmacotherapy of Obesity provides an essential, multi-disciplinary view of the treatment of obesity. It is ideal for anyone involved in obesity management, whether clinical or research-based, and for researchers in pharmacology, physiology, or the pharmaceutical industry.

In this classic text, originally published in 1986, Susie Orbach brilliantly examines the anorectic's struggle. Anorexia is a battle; a battle to be thin; a battle of wills, denial versus desire. It is also about control; by conquering feelings of hunger, the anorectic woman aspires to conquer her emotional feelings as well. For Orbach, the stru

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.

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 r

Therapists Kathleen Burns Kingsbury and Mary Ellen Williams have treated hundreds of people with eating disorders in their many years of practice, from slender seven-year old Madeline who 'feels fat', to Clare, an overwhelmed mother who can only cope with stress by bingeing three times a day.

In Weight Wisdom, they draw on their vast experience to illuminate a clear and practical path to recovery, offering a unique collection of daily affirmations that focus on the irrational beliefs, thoughts, and fears behind eating disordered behaviour. In this powerful guide, Kingsbury and Williams equip readers with simple reflections, vignettes, and everyday analogies that they have successfully used with their own clients to counter destructive feelings and shatter distorted ideas of food and weight. Pithy and positive statements replace compulsive, perfectionist rules with new strategies to cope with blame, guilt, vulnerability, and self-criticism. Concrete activities help people with eating problems get off the scale, get in touch with their feelings, and make friends with their bodies. Written by experienced therapists who understand the needs and fears of people with eating problems, the book is a refreshing guide to lasting change and recovery.

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Eating disorders vary in severity from developmental difficulties in adolescence which may be transitory, to serious and chronic mental illnesses. The Anorexic Mind offers a coherent approach to these difficult and demanding problems, always underlining the point that while many of the manifestations are physical, eating disorders have the

This book examines the so-called War on Obesity as an example of a cultural complex, how that complex shapes the way fat is treated in psychotherapy, including the classical Jungian approach to fat, as written by Marion Woodman. It looks at the experience of being fat as an ongoing trauma.

ARFID Avoidant Restrictive Food Intake Disorder: A Guide for Parents and Carers is an accessible summary of a relatively recent diagnostic term. People with ARFID may show little interest in eating, eat only a very limited range of foods or may be terrified something might happen to them if they eat, such as choking or being sick. Because it has been poorly recognised and poorly understood it can be difficult to access appropriate help and difficult to know how best to manage at home. This book covers common questions encountered by parents or carers whose child has been given a diagnosis of ARFID or who have concerns about their child. Written in simple, accessible language and illustrated with examples throughout, this book answers common questions using the most up-to-date clinical knowledge and research. Primarily written for parents and carers of young people, ARFID Avoidant Restrictive Food Intake Disorder includes a wealth of practical tips and suggested strategies to equip parents and carers with the means to take positive steps towards dealing with the problems ARFID presents. It will also be relevant for family members, partners or carers of older individuals, as well as professionals seeking a useful text, which captures the full range of ARFID presentations and sets out positive management advice.

This groundbreaking volume concentrates on solution-oriented treatment of some of the most difficult pathologies - anorexia, bulimia and vomiting (as a separate category introduced by Nardone et al). The logic and apparent simplicity of the way these complex conditions are treated is truly outstanding. As opposed to a long-drawn psychotherapy, Nardone and his colleagues offer a relatively short period of treatment, consisting of dialogue between the patient and the therapist, and sometimes the patient's family. The patient is also given some "homework" to do in-between the sessions. Rather than looking at the "why" of the situation, this approach looks at "how" the problem manifests itself and what can be done about it. The book starts by outlining the pathologies and the logic behind this type of brief therapy. It then moves on to examine particular case studies and the reader gets immersed in the fascinating dialogue between the therapist and the client.

The Inside Scoop on Eating Disorder Recovery is a fresh, smart, how-to book that helps people with eating disorders to heal their relationship with food, their bodies, and ultimately themselves. Written from the perspective of two eating disorder therapists, both of whom are recovered from their own eating disorders, the text uses humor, personal narratives, and research-proven techniques to offer specific actionable guidelines on how to reclaim one's life from an eating disorder. The authors explain the difference between dieting and eating disorders, break down the stages of recovery, and provide tips on how to thrive in each stage. The book provides powerful myth-busting on topics that have historically not been addressed in eating disorder recovery books, such as clean eating and orthorexia, exercising in recovery, and fat positivity. Tangible exercises at the end of each chapter provide readers with advice and tips on implementing this approach to recovery in their day-to-day lives. The humorous and down-to-earth tone of the book creates an authentic and genuine feel that leaves those who struggle with chronic dieting, eating disorders, and negative body image feeling connected and heard.

Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual provides a framework for carer skills workshops which can be used by anyone working with these conditions. Based on the successful New Maudsley Model, which equips carers with the knowledge and skills needed to support those with an eating disorder, the book consists of two sections which will help facilitators to deliver skills workshops to carers. The first section provides the theoretical background, while the second uses exercises to bring the New Maudsley Model to life. The skills workshops provide a much-needed lifeline, giving carers an opportunity to meet in a safe, non-judgemental and confidential environment, and to learn to recognise that changes in their own responses can be highly beneficial. With session-by-session guidelines and handouts for participants, Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual will be of aid to anyone working with someone coping with these conditions.

The widely updated second edition of Eating Disorders: Journey to Recovery Workbook helps those struggling with eating disorders in their recovery, guiding the reader through a greater consideration of body image, compulsive exercising, and personal and societal relationships based on Prochaska's Stages of Change Theory. The workbook explores complicated issues having a direct effect on the eating disorder, including trauma, depression, gender identity, abuse, and the media. Updated to include the acknowledgement of binge-eating disorder, selective eating, and avoidant restrictive food intake disorder (ARFID), this second edition encourages self-paced learning and practice adjunct to one-on-one and group therapy from two seasoned clinicians in the treatment of eating disorders.

Based on the authors' pioneering work and up-to-date research at London's Maudsley hospital, A Cognitive Interpersonal Therapy Workbook for Treating Anorexia Nervosa provides adults with anorexia nervosa and the professionals working alongside them with a practical resource to work through together. The approach described is recommended by the National Institute of Clinical and Care Excellence (NICE) as a first-line, evidence-based treatment for adults with anorexia nervosa. A Cognitive Interpersonal Therapy Workbook for Treating Anorexia Nervosa provides adults with anorexia nervosa and the professionals working alongside them with a practical resource to work through together. The manual is divided into accessible modules, providing a co-ordinated, step-by-step guide to recovery. Modules include: Nutrition Developing treatment goals Exploring thinking styles Developing an identity beyond anorexia. A Cognitive Interpersonal Therapy Workbook for Treating Anorexia Nervosa is a highly beneficial aid to recovery for those with the condition, their families and mental health professionals.

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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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.

People with eating disorders often exhibit serious misconceptions about their own body image. Overcoming Body Image Disturbance provides a treatment programme (piloted by the authors) for people with eating disorders who have a negative body image. The manual offers advice for therapists, enabling them to deliver the programme, as well as practical guidance for the sufferer, encouraging them to learn the appropriate skills to change their attitude towards their body. Alongside the programme, this treatment manual provides: an introduction to the concept of body image and body image disturbance worksheets and homework assignments for the client recommendations of psychometric measures to aid assessment and evaluation coverage on innovative techniques and approaches such as mindfulness. This manual intended to be used with close guidance from a therapist will be essential for all therapists, mental health workers and counsellors working with clients who have negative body images. "Workbook resources can be downloaded free of charge by purchasers of the print version."

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.

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.

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.

Multistep Cognitive Behavioral Therapy for Eating Disorders: Theory, Practice, and Clinical Cases describes a novel model of cognitive behavior therapy (CBT) for eating disorders called multistep CBT-E (Enhanched). The treatment, derived from the transdiagnostic cognitive behavior theory of eating disorders, extends the range of applicability of standard CBT-E. It is designed to be applicable to three different levels of care (outpatient, intensive outpatient, inpatient), and to eating disorder patients of all diagnostic categories, ages, and BMI categories. Distinguishing multistep CBT-E is the adoption of a multi-step approach conducted by a multidisciplinary CBT-E team including psychologists, dietitians, and physicians, the inclusion of a family module for patients under eighteen years old, and the use of assisted eating and group sessions, in adjunct to individual psychotherapy in the intensive levels of care. The first eight chapters provide an overview of eating disorders, the cognitive behavior theory of eating disorders, how to build a CBT-E multidisciplinary team, how patients are assessed and prepared for the treatment, the general organization, procedures, and strategies involved in the three steps of multistep CBT-E treatment, and how multistep CBT-E can be adapted for adolescents. In order to highlight the flexibility of the multistep CBT-E approach, Section Two of the book provides a detailed description of three treated clinical cases. The first case illustrates how outpatient CBT-E was adapted to treat a professional sportswoman affected by an eating disorder; the second describes the procedures and strategies applied in intensive outpatient CBT-E to treat a patient who did not improve with standard outpatient CBT-E; and the third case illustrates the procedures and strategies typically applied in inpatient CBT-E and shows how it can be used to help a patient with a longstanding eating disorder who has failed to respond to several outpatient treatments. Each chapter gives a general description of the case in question and details the main procedures, strategies, and tools used from the assessment stage through to discharge. In addition, abridged transcripts of relevant clinical sessions are included, to give interesting insight into the practical implementation of multistep CBT-E, and the outcomes at the end of the treatment and follow-up are reported.

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.