This memoir chronicles the unique ordeals of identical twin sisters Diana and Julia Lockwood. Even among twins, Diana and Julia were especially close and deeply entwined- they were more than just sisters or best friends, they were like one soul in two bodies. While their total attunement sometimes saved them in funny and unexpected ways, it also eventually destroyed them. A survivor of sexual assault and anorexia and living with Asperger's, the author tells her own life story and weaves Julia's letters and journal entries into the text. While Diana survived the struggles that led her to three suicide attempts, her twin unfortunately took her own life only a year after their father did the same. This book explores the life and relationship of twins separated by tragedy and follows a woman's struggle to make it on her own.

Organizations do not have goals - only people do. Furthermore, people within the same organizations have different goals. This book takes this as its starting point, recognizing that organizations are a dynamic coalition of individuals and groups competing and co-operating as they each pursue their various objectives. Power is a fundamental part of organizational behaviour but many previous studies failed to recognize its centrality. This book remedies this.

The Upside of Being Down shows the winding paths that are the thoughts that go through one's mind, and the debilitating symptoms that come alight with Anorexia Nervosa. Anorexia Nervosa is an illness misunderstood by many. At first glance it is seen as a trivial call for attention, but it is so much more. The Upside of Being Down is a memoir of a teenage survivor of Anorexia written in order to destigmatize this illness so that many more can be treated. Only one in ten sufferers will seek treatment because many people don't conceptualize what eating disorders truly encompass. What may come as a surprise to many, is that weight and looks are the most insignificant part of this illness. Through medical appointments and unique experiences, Carolina recounts the thoughts and actions that built up her diagnosis within The Upside of Being Down. Much like navigating unknown seas, Carolina writes about surviving an illness that is entirely abstract and has no simple way out, while also advocating for eating disorder awareness to encourage families and people who are on the verge of giving up.

Highly practical and clinician friendly, this book provides evidence-based tools for tailoring psychotherapy to the needs of clients with bulimia nervosa or eating disorder not otherwise specified (EDNOS), including binge-eating disorder. It offers specific guidance for conducting thorough clinical assessments and conceptualizing each case in order to select appropriate interventions. A proven cognitive-behavioral treatment protocol is presented and illustrated with a chapter-length case example. In a convenient large-size format, the book includes a session-by-session treatment plan and 20 reproducible forms, handouts, and worksheets that clinicians can photocopy or download and print for repeated use.

Eating disorders (EDs) have become a social epidemic in the developed world. This book addresses the close links between EDs and exercise, helping us to understand why people with EDs often exercise to excessive and potentially harmful levels. This is also the first book to examine this issue from an ethical and legal perspective, identifying the rights and responsibilities of people with EDs, their families and the fitness professionals and clinicians that work with them.

The book offers an accessible account of EDs and closely examines the concept of addiction. Drawing on a wide range of medical, psychological, physiological, sociological and philosophical sources, the book examines the benefits and risks of exercise for the ED population, explores the links between EDs and other abuses of the body in the sports environment and addresses the issue of athletes with disordered eating behaviour. Importantly, the book also surveys current legislation and professional codes of conduct that guide the work of fitness professionals and clinicians in this area and presents a clear and thorough set of case histories and action points to help professionals better understand, and care for, their clients with EDs.

Exercise and Eating Disorders is important reading for students of applied ethics, medical ethics and the ethics of sport, as well as for fitness professionals, psychiatrists, clinical psychologists, sports coaches and sport and exercise scientists looking to improve their understanding of this important issue.

Incorporating Science, Body, and Yoga in Nutrition-Based Eating Disorder Treatment and Recovery is a valuable, innovative guide that demonstrates how clients and clinicians can untangle, discern, and learn from the complex world of eating disorders. With voices from every stage of recovery, this book illustrates how clients can claim mastery in food and life. As a nutritionist who specializes in disordered eating, the holistic method Ms. Mora created provides individuals with a true potential for healing. Incorporating Science, Body, and Yoga in Nutrition-Based Eating Disorder Treatment and Recovery weaves strong, resilient, and vibrant threads of science, dietetic practice, and yoga therapy that harmonize with all treatment modalities. It will help treatment providers from every discipline to guide clients as they reweave their lives with nourishing relationships, embodiment, and ongoing growth.

The Overcoming Eating Disorders, Second Edition program addresses the cognitive-behavioral treatment of Bulimia Nervosa and Binge Eating Disorder. CBT has been proven the most effective treatment for helping patients improve their eating habits and overcome their disorder.
The treatment described is divided into three overlapping phases: behavior change, identifying binge triggers, and relapse prevention. The main focus of the program is the normalization of eating. Patients use self-monitoring forms to track their eating habits on a daily basis while they work toward establishing a pattern of 3 meals and 2 snacks per day eaten at regular intervals. Once a regular pattern of eating has been established, patients move on to recognizing and eliminating their triggers for binging and purging. CBT techniques like problem-solving and cognitive restructuring help patients deal with negative mood states, faulty interpersonal interactions, and errors in thinking. The final phase of treatment consists of a review of the positive changes that have occurred during treatment, as well as a discussion of any residual problems and ways to handle setbacks or lapses. Homework exercises are assigned at each session and play an important role in keeping patients motivated throughout the duration of treatment.
This newly revised and updated Therapist Guide includes expanded information regarding weight and shape concerns and an entirely new chapter on adapting the treatment for use as a time-limited, therapist-assisted self-help program. Complete with step-by-step instructions for delivering the treatment, this guide is an indispensable resource that no clinician can do without.

This groundbreaking volume presents a new conceptual approach to treating adults with eating disorders and their children. By utilizing Parent-Based Prevention, a state-of-the-art intervention program from Stanford University for families who risk raising children in the context of parental eating disorders, Parents with Eating Disorders offers a practical, evidence-based manual to working with affected families with the goal of preventing disordered eating from being passed to future generations. Additional resources include intervention planning and self-assessment forms intended for clinicians to use as they implement the program.

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

The first edition of A Guide To Assessments That Work provided a much needed resource on evidence-based psychological assessment. Since the publication of the first edition, a number of advances have been made in the assessment field and a revised diagnostic system for mental disorders has been introduced. These changes are reflected in the second edition and new chapters have been included to cover the use of evidence-based assessment instruments and procedures in clinical practice and the use of evidence-based principles to integrate and interpret assessment data. This volume addresses the assessment of the most commonly encountered disorders or conditions among children, adolescents, adults, older adults, and couples. Strategies and instruments for assessing mood disorders, anxiety and related disorders, couple distress and sexual problems, health-related problems, and many other conditions are reviewed by leading experts. With a focus throughout on assessment instruments that are feasible, psychometrically sound, and useful for typical clinical requirements, this edition features the use of a rating system designed to provide evaluations of a measure's norms, reliability, validity, and clinical utility. Standardized tables summarize this information in each chapter, providing essential information on the most scientifically sound tools available for a range of assessment needs. With its focus on clinically relevant instruments and assessment tasks, this volume provides readers with the essential information for conducting the best evidence-based mental health assessments currently possible.

An Alternate Selection of the Book of the Month Club and Quality Paperback Book Club

“Although it reads like a novel—a funny, touching, and absolutely gripping novel—Stick Figure is, astonishingly, the diary of Lori Gottlieb in 1978, when, at age 11 and all evidence to the contrary, she decided she was too fat and simply stopped eating…”
—Boston Globe

Growing up in Beverly Hills in the 1970s, Lori Gottlieb learned the lessons her culture had to teach her—for example, that “no one could ever like a girl with thunder thighs.” Lori took those lessons seriously, and saw her world fall slowly apart as she developed a fierce reluctance to eat—winding up hospitalized when her “diet” took over her life. Fortunately, she recorded the journey in her diary, and her story is funny, slyly insightful, and surprisingly universal. A Los Angeles Times bestseller, Lori’s story is being made into a motion picture film by Martin Scorsese’s company, Carpo Productions.

An innovative and customizable 8-week plan to help you take control of your eating habits--once and for all. Do you feel like your eating gets out of control? When it comes to food, does it feel like your life is controlled by cycles of deprivation and bingeing? Whether or not you've been formally diagnosed with a binge-eating disorder, you know that something needs to change. But like many disorders, what helps one person may not help another. That's why The Binge Eating Prevention Workbook offers a wide range of evidence-based tools to help you take charge of your eating habits. Using the eight-week protocol in this workbook, you'll learn how to recognize your triggers, cope with difficult emotions, improve relationships, and make healthy food choices that will ultimately improve how you feel. You'll learn to understand the underlying causes of your binge eating, how to recognize binge-inducing environmental factors, why dieting just doesn't work, and mindfulness techniques to help you stay present when the urge to binge takes hold. If you're ready to break the shame-filled cycle of binge eating, this workbook has everything you need to get started today.

The treatment of eating disorders remains controversial, protracted, and often unsuccessful. Therapists face a number of impediments to the optimal care fo their patients, from transference to difficulties in dealing with the patient's family.

Treating Eating Disorders addresses the pressure and responsibility faced by practicing therapists in the treatment of eating disorders. Legal, ethical, and interpersonal issues involving compulsory treatment, food refusal and forced feeding, managed care, treatment facilities, terminal care, and how the gender of the therapist affects treatment figure centrally in this invaluable navigational guide.

Mindful Eating from the Dialectical Perspective is both a research reference and exhaustive guide to implementing a practice of mindful eating grounded in dialectical behavior therapy. This informative and timely new resource balances a presentation of empirical data with thorough and engaging instruction for hands-on application that features an innovative forbidden foods hierarchy construction. This invaluable guide makes the empirically supported approach accessible for therapists and anyone struggling with patterns of unbalanced eating.

Food for Thought offers fresh psychoanalytic insights into treating clients with eating disorders. In lively and jargon-free language, Nina Savelle-Rocklin breaks down the psychoanalytic approach to give practitioners and general readers alike a deeper understanding of the theory and effective treatment of eating disorders. Those living with eating disorders often use food to express their inner feelings, and Savelle-Rocklin illustrates the importance of the therapeutic relationship in uncovering the nature of these internal emotions, and formulating them into words. Through an intensive and mutual process, clients can begin to understand the language of the eating disorder, identify and work through its underlying conflicts, ultimately eliminating symptoms, relieving distress, and transforming the way they relate to themselves and others. Thoughtful and highly engaging, Food for Thought provides invaluable methods for practitioners treating patients with eating disorders to achieve lasting change and true healing.

The first of its kind, this edited volume provides in-depth, culturally sensitive material intended for addressing the unique concerns of Black women with eating disorders in addition to comprehensive discussions and treatment guidelines for this population. The contributing authors-all of whom are Black professionals providing direct care to Black women-offer a range of perspectives to help readers understand the whole experience of their Black female clients. This includes not only discussion of their clients' physical health but also of their emotional lives and the ways in which the stresses of racism, discrimination, trauma, and adverse childhood experiences can contribute to disordered eating. Through a wealth of diverse voices and stories, chapters boldly tackle issues such as stereotypes and acculturative stress. Clinicians of any race will gain new tools for assessing, diagnosing, and treating disordered eating in Black women and will be empowered to provide better care for their clients.

Helping Patients Outsmart Overeating, written by an eating disorder therapist and a physician, offers a new paradigm for doctors and health care providers who treat patients with eating and weight concerns. It describes how both parties are frustrated by weight-loss plans and programs that fail in the long term, and presents a science-based explanation for why diets fail and how they, in fact, may adversely impact patients' mental and physical health. The authors illustrate how providers can truly help patients by using empathy, compassion, and motivational interviewing. They explain how helping patients strengthen skills related to self-awareness, emotional management, stress reduction, appetite attunement, perseverance and effective self-care can improve self-efficacy and support sustained motivation in improving health and wellness promoting behaviors. The issue of weight stigma is addressed, along with how professionals' view of their own eating and weight affects the patient-provider relationship. This book introduces clinicians to tools from eating and success psychology, Intuitive Eating, Lifestyle Medicine, and Health and Wellness Coaching, within a weight-inclusive paradigm. It also details a collaborative model for working with ancillary disciplines to give patients and providers the comprehensive support needed for lasting success.

This is how Geneen Roth remembers her time as an emotional overeater and self-starver. After years of struggle, Roth finally broke free from the destructive cycle of bingeing and purging. In the two decades since her triumph, she has gone on to help tens of thousands of others do the same through her lectures, workshops, and retreats. Those she has met during this time have shared stories that are both heartrending and inspiring, which Roth has gathered for this unique book.

Twenty years after its original publication, Feeding the Hungry Heart continues to inspire women and men, helping them win the battle against a hunger that goes deeper than a need for food.

Avoidant Restrictive Food Intake Disorder, more commonly known as ARFID, is a relatively newly introduced diagnostic category. Research in the field, although growing, remains limited, with clinical knowledge and expertise varying across clinicians. There may be uncertainty how to correctly identify and diagnose the disorder as well as how best to direct treatment. This clinical guide sets out to be a trailblazer in the field, providing up-to-date information and comprehensive clinical guidance on ARFID in childhood and adolescence. Chapters in the book are divided into five sections, the first focussing on the importance of attending to the perspectives of those directly affected by ARFID. Three subsequent sections cover diagnosis and presentation, including chapters on aetiology, epidemiology, assessment, and outcome measures; clinical assessment, including psychological, family, nutritional, medical, and sensory components; and management, discussing nutritional, medical, psychological, and wider system approaches. The final section discusses prognosis and outcomes, and considers future research directions. This clinically focussed book, with contributions from a multi-disciplinary authorship, is intended to function as an accessible, practical guide, and reference resource. It includes summaries of available evidence, with related recommendations for clinical practice. The advice and suggestions included will assist clinicians in targeting their attention appropriately, to ensure that children, adolescents, and their families receive the best possible care.

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.

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

Amid the welter of clinical studies, memoirs, and other death-defying tales of eating disorders, we remain unclear about the relationships among trauma, anorexia, and bulimia, and about the psychological pathways to recovery. Creating Bodies offers the gripping story of healing and transformation detailed in one woman's diaries. Hannah wrote 18 diaries between the ages of 14 and 32. In the excerpts reprinted herein, we watch Hannah navigate violent adolescent friendships, descend into anorexia and bulimia, marry an abusive man, struggle to recover memories of sexual abuse, and finally to heal. And we learn of her interaction with Katie Gentile, who analyzed her diaries and met with Hannah to discuss the latter's own understanding of the diaries and of the diary analysis. Through a close study of both the content and structure of Hannah's diaries, Gentile shows how unspeakable, embodied remnants of sexual trauma become symbolized and how, within this process, Hannah's bulimia functioned as both an act of self destruction and a lifesaving form of resistance. Anchored in relational psychoanalysis and critical feminist theory, Creating Bodies provides a uniquely longitudinal account of the development of, and ultimate recovery from, an eating disorder fueled by childhood sexual abuse. An invaluable contribution to the literature on adolescent and adult eating disorders, it is also a thoughtful meditation on how the act of writing deepens issues of relationality and, over time, promotes cure. Psychoanalysts will be intrigued by the rich process issues embedded in prose journals, notes, and letters - both close to and distinct from clinical process issues - that Gentile uses to understand Hannah's projects of self-destruction and reconstruction.

This book is a comprehensive guide to addressing, working with, and healing from emotional struggles related to fertility and eating disorders. Covering the emotional, psychological and physical impact of anorexia nervosa, bulimia and binge eating disorder, this book explores the lived experience of numerous women and men who have lived with eating disorders, fertility, and parenthood. It delves into research on medical complications that can affect fertility, attachment, the experience of shame, adjustment to the postpartum period, and offers clinical tools for therapists to use to support clients from a weight and body neutral perspective. Those who read this book will come away with a renewed sense of hope for recovery and healing from serious mental illnesses, and the notion that the value of having a family may be stronger than the eating disorder itself. The only book of its kind, The Clinical Guide to Fertility, Motherhood and Eating Disorders will be useful to practitioners, therapists, and scholars alike.

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.

For the first time in one volume, many of the world's most esteemed eating disorders prevention experts share their opinions and recommendations about future directions for the field. Employing "The Last Word" format of writing concise editorials about a focused area of research, authors from four countries contribute thirteen chapters with diverse points of view. The approaches range from large scale, macro-environmental calls for change through public policy to the more intimate promotion of positive youth identity for buffering against eating disorders. Included are retrospective looks at the development of prevention programs with an eye toward best practices moving forward, calls for integrating eating disorders interventions with existing efforts in the obesity and health promotion fields, examples of successful change through public policy and social justice, and a cry for gender inclusiveness, which has missing in female dominated strategies. More personal-level recommendations look at the efficacy of mindfulness, yoga, intuitive eating and exercise, and the importance of forming healthy self-identity. Informed by decades of investigation, the authors-all of whom have conducted numerous studies, programs, and research projects-offer the insights they've learned and the lessons that they each believe will make a difference in reducing eating disorders. This book was originally published as a special issue of Eating Disorders: The Journal of Treatment and Prevention.