A thoroughly up-to-date reference for researchers who specialize in obesity and clinicians who specialize in working with clients with problem eating behaviors, Handbook of Assessment Methods for Eating Disorders and Weight-Related Problems, Second Edition, offers the field's most comprehensive collection of measures and assessment tools related to eating behaviors.

In addition to obesity (an issue that has reached epidemic proportions in the United States), the Handbook deals with problem eating behaviors, eating disorders, and the associated psychological issues that underlie these problems. This Second Edition provides the latest research and theory, along with empirically validated assessment tools for measuring attitudes, beliefs, and behaviors with regard to food, including:

General personality assessment and psychopathology of persons with eating and weight-related concerns

Quality of life assessments

Measuring attitudes and beliefs about obese people

Assessment of body image

Measures of restrained eating

Measures of physical activity

Measuring food intake

Binge eating and purging

Eating and weight-related problems with children

Identification of psychological problems of patients with eating disorders

New and Continuing Features:

No other resource offers such a comprehensive collection of assessment methods for eating disorders and weight-related problems in one volume. Contributions from highly regarded scholars and researchers in the field offer up-to-date, academically rigorous, and research-based information. The volume's Introduction emphasizes the importance of research in this area and highlights the changes in the field over the past decade.

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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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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 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.

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

'Cracked is a perfect book. I loved it. Sensitive, poignant and tender - all delivered in the grip of a white-knuckle whodunnit' - Rachael Blok, bestselling author of The Scorched Earth Seven patients. One dark secret. PHILLIP WALTON HAS BEEN MURDERED. AND THIS IS NOT THE FIRST MURDER. Jenny Nilson hasn't seen her former psychiatrist Phillip since she left the Hillside Psychiatric Unit eight years ago. She wanted to forget everything about her time there, so she kept her secrets buried deep. Especially from her new husband. But now the police are knocking at her door with evidence of her involvement in Phillip's death. It seems as though everything she's kept hidden is about to spill out. Jenny desperately needs to speak to old friends, and old enemies, from those dark years. Because they are the only ones who know what really happened at Hillside, and about the dark secret that Phillip kept for them all - that this is not the first death. Cracked is the blisteringly tense, deliciously dark and twisty debut thriller which is perfect for fans of THE SILENT PATIENT and THE WOMAN IN THE WINDOW. *Trigger Warning: This novel deals with issues of self harm and suicide that some readers may find upsetting* REAL READERS LOVE CRACKED 'I couldn't put this book down. The plot is really interesting and the setting of a psychiatric hospital was hugely captivating . . . a fantastically written and compelling book and would highly recommend it to fans of psychological thrillers' 'It's not quite like anything I've read before. . . . You get a real sense of[the characters'] pain and anguish alongside a very good and fast paced story' 'Oh my goodness this one really surprised me! I was impressed with the writing style and the characters were fantastic. Very suspenseful!' 'The ending was not what I expected! Gripping!' 'This was an excellent thriller that kept me on my toes the whole time. Exquisite character development and tons of surprises make it an entertaining and insightful read' 'I was completely drowned in this book and its characters' 'A riveting read, one which you can't put down once you've started because even when I wasn't reading it, I'd find myself wondering what would happen next' 'This novel really makes you think about mental wellbeing and how it can devastates lives. A stunning read' 'Totally engrossing, the suspense will keep you wanting to read into the wee hours'

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.

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

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.

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.

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.