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.

* Employs the same interventions as standard FBT for anorexia and bulimia: externalization, agnosticism, parental empowerment, a behavioral focus on changing eating behavior * Early sessions focus on inciting parents to make changes and includes a family meal that allows therapists to observe and consult directly to mealtime behaviors * The first phase is focused on parents taking charge and changing the eating behaviors of their child that are maintaining ARFID. The second phase focuses on the child taking up in an age appropriate way managing their eating consistent with the changes the parents have employed in the first phase. For adolescents with ARFID, a third phase is a brief series of sessions focused on the impact of ARFID on adolescent developmental process

Purging disorder is characterized by vomiting or misuse of laxatives or other medications, after normal food intake, to control weight or shape. More than two million girls and women in the US suffer from purging disorder, and nearly a half million boys and men join them. But purging disorder's status as an "other" eating disorder has left it invisible to all but those who experience it firsthand. The Void Inside: Bringing Purging Disorder to Light chronicles the growing recognition of purging disorder at the turn of the millennium, reviews what science has taught us about the illness, and explains the medical complications that purging may bring. Pamela K. Keel, known for her work identifying and naming purging disorder, presents irrefutable evidence that it can no longer be considered a subset of better-known eating disorders. She also provides helpful and accessible information on assessment and treatment, and on what recovery looks like after a diagnosis of purging disorder. Drawing on the stories and words of those directly impacted by purging disorder, Keel illuminates how the illness impacts the lives of real people to underscore the severity of this hidden eating disorder, its chronicity, and the need for greater awareness. The Void Inside is an essential resource for accurate, scientifically-based information for those with purging disorder, their friends and loved ones, health professionals, educators, and anyone interested in knowing more about this severe psychiatric illness.

The Oxford Handbook of Eating Disorders provides current insights from established experts into the phenomenology, epidemiology, prevention, and treatment of eating disorders. Fully revised to reflect new DSM-5 classification and diagnostic criteria, each chapter of the Second Edition has been updated to feature the latest clinical research findings, applications, and approaches to understanding eating disorders. An additional chapter on emerging issues explores critical questions pertaining to ethics and the use of technology in treating eating disorders. With information on newly documented syndromes and a new section on bariatric surgery, this handbook not only encapsulates where the field is at but also offers astute perspectives on how the field is changing. Including both practical specifics, like literature reviews and clinical applications, as well as a broad view of foundational topics, this handbook is essential for scientists, clinicians, experts, and students alike.

Provides psychoeducation regarding body image and its correlation with disordered eating Guides readers to practically work toward improving body image Gives space to underrepresented populations when it comes to body image and disordered eating habits

Drawing on empirical research, clinical case material and vivid examples from modern culture, The Psychology of Overeating demonstrates that overeating must be understood as part of the wider cultural problem of consumption and materialism. Highlighting modern society's pathological need to consume, Kima Cargill explores how our limitless consumer culture offers an endless array of delicious food as well as easy money whilst obscuring the long-term effects of overconsumption. The book investigates how developments in food science, branding and marketing have transformed Western diets and how the food industry employs psychology to trick us into eating more and more - and why we let them. Drawing striking parallels between 'Big Food' and 'Big Pharma', Cargill shows how both industries use similar tactics to manufacture desire, resist regulation and convince us that the solution to overconsumption is further consumption. Real-life examples illustrate how loneliness, depression and lack of purpose help to drive consumption, and how this is attributed to individual failure rather than wider culture. The first book to introduce a clinical and existential psychology perspective into the field of food studies, Cargill's interdisciplinary approach bridges the gulf between theory and practice. Key reading for students and researchers in food studies, psychology, health and nutrition and anyone wishing to learn more about the relationship between food and consumption.

Preventing Harmful Behaviour in Online Communities explores the ethics and logistics of censoring problematic communications online that might encourage a person to engage in harmful behaviour. Using an approach based on theories of digital rhetoric and close primary source analysis, Zoe Alderton draws on group dynamics research in relation to the way in which some online communities foster negative and destructive ideas, encouraging community members to engage in practices including self-harm, disordered eating, and suicide. This book offers insight into the dangerous gap between the clinical community and caregivers versus the pro-anorexia and pro-self-harm communities - allowing caregivers or medical professionals to understand hidden online communities young people in their care may be part of. It delves into the often-unanticipated needs of those who band together to resist the healthcare community, suggesting practical ways to address their concerns and encourage healing. Chapters investigate the alarming ease with which ideas of self-harm can infect people through personal contact, community unease, or even fiction and song and the potential of the internet to transmit self-harmful ideas across countries and even periods of time. The book also outlines the real nature of harm-based communities online, examining both their appeal and dangers, while also examining self-censorship and intervention methods for dealing with harmful content online. Rather than pointing to punishment or censorship as best practice, the book offers constructive guidelines that outline a more holistic approach based on the validity of expressing negative mood and the creation of safe peer support networks, making it ideal reading for professionals protecting vulnerable people, as well as students and academics in psychology, mental health, and social care.

* Chapters bring the voices of LGBTQ+ into the spotlight through art and contribute to experiential learning, allowing for more understanding of the lives of LGBTQ+ peoples within the dietetic profession * Includes arts-based research that has the capacity to acknowledges multiple truths within the world and to give voice and representation to LGBTQ+ individuals * Topic cover eating disorders, body image, creative practices in nutrition counseling, weight stigma, and gendered understandings of nutrition. Special attention is paid to experiences of marginalization, homophobia, heteronormativity within dietetics and nutritional healthcare, and the intersections of oppression, poverty, social justice, and politics

* Takes a cultural development perspective, offering a unique approach which provides a clear, coherent framework for the book, and takes a balanced approach to quantitative and qualitative research * Features significant coverage of men and children as well as women, and contains useful indicators and lessons for how to promote positive body image, making this essential reading for students and academics across a range of disciplines, as well as professionals interested in body image * New edition includes the latest research and developments on topics including body image interventions, social media, incidence of dieting and cosmetic surgery, popular culture, and body scanning

Are you a sugar addict? "Beating Sugar Addiction For Dummies "provides you a safe and healthy path to overcome your addiction, eliminate stress eating, and upgrade your nutrition for a healthier lifestyle.

Sugar addiction is a rapidly growing epidemic that can lead to obesity, chronic fatigue, diabetes, and a host of other medical and psychological problems." Beating Sugar Addiction For Dummies" helps those who are affected by this commonly overlooked addiction to outsmart their sugar cravings and overcome their addiction. The tips in this book will help you: Learn to stop stress eating and perform a nutrition makeover that makes the low-sugar lifestyle easy Stop the frustration of yo-yo dieting, and finally find an eating plan that works.Free yourself from the grip of sugar addiction and regain control over your life.

"Beating Sugar Addiction For Dummies" contains everything you need to start your journey down the road to wellness: Four common types of sugar addicts - which one are you?Finally understand carbs, protein, and fat with a simple nutrition system for weight loss and healthy eating, including what to choose and what to stay away fromDetoxing from sugar and performing a kitchen makeoverEating mindfully - making purposeful decisions instead of stress eatingHow to survive holidays, restaurants, and special occasionsBuilding a support systemExercise programs for energy and weight lossSpeedy low-sugar recipes for breakfast, lunch, dinner, snacks, and dessertsStaying on track and breaking the cycle of failure - including a step-by-step list of exactly what to do when a sugar craving strikes

If you're one of the millions of people worldwide who relies too much on sugar for energy, comfort, or convenience, "Beating Sugar Addiction For Dummies "is your no-nonsense guide to decreasing your sugar intake, losing weight, and changing your life for the better

This is an edited book that brings together many of the most distinguished researchers and clinicians in the field of food misuse. The papers included are drawn from the conferences on psychological approaches to eating disorders and obesity held at the University of Hertfordshire in 2005 and 2006. It presents current research while focusing on the "application" of this new knowledge.

It covers both eating disorders and obesity in one volume, thus positioning obesity firmly at one end of the food misuse continuum. Chapters will cover subjects such as psychological and cultural aspects of food use, using CBT for treating eating disorders, and CBT group therapy for obesity.

This volume offers rare insight into an enduring case of anorexia nervosa in a female patient, and details the approaches to treatment taken by psychotherapists throughout the sixty-year period from 1938 to 2002. Through discussion and analysis of clinical notes and transcripts, Lipsitt traces the course of the patient's illness to consider the centrality of the mother-daughter relationship, and to highlight aspects of constancy and change in the illness over time. Particular attention is paid to shifts and progress in understanding and treatment of anorexia nervosa, and consideration is also given to how contemporary treatment might differ in view of more recent advances in cognitive behavioral approaches. Offering an innovative approach towards addressing the transgenerational perspective of women's eating disorder experiences, this book provides material for a range of professionals to discuss the nature of the disorder and the pros and cons of different treatment approaches. An original take on the relationship dynamics and perspectives of anorexia sufferers, this volume will be of interest to students, faculty, and scholars with an interest in studying eating disorders and psychoanalytic psychotherapy.

* The Recovery Cycle is the positive mirror image of the Addiction Cycle, and the first and only simple and relatable model for positive change in recovery * Written with both therapists and clients in mind - by a clinician in recovery herself - the easy, pragmatic, and conversational style plays to the resistance known to addicted people while gently encouraging sober relationships and spiritual connection * It speaks to all addiction disorders and discusses what every addicted person must go through to fall in love with their sober life, no matter what program they choose, no matter what addiction

* Chapters bring the voices of LGBTQ+ into the spotlight through art and contribute to experiential learning, allowing for more understanding of the lives of LGBTQ+ peoples within the dietetic profession * Includes arts-based research that has the capacity to acknowledges multiple truths within the world and to give voice and representation to LGBTQ+ individuals * Topic cover eating disorders, body image, creative practices in nutrition counseling, weight stigma, and gendered understandings of nutrition. Special attention is paid to experiences of marginalization, homophobia, heteronormativity within dietetics and nutritional healthcare, and the intersections of oppression, poverty, social justice, and politics

There is a growing body of research exploring the effectiveness of yoga as a pathway to positive embodiment for those at-risk for and struggling with eating disorders. This book provides a comprehensive look at the state of the field. This book begins with an introduction to positive embodiment, eating disorders, and yoga. It also offers insights into the personal journey of each of the editors as they share what brought them to this work. The first section of this book explores the empirical and conceptual rationale for approaching eating disorder prevention and treatment through the lens of embodiment and yoga. The next section of the text integrates the history of embodiment theory as related to yoga and eating disorders, provides the logic model for change and guidance for researchers, and offers a critical social justice perceptive of the work to date. The third section addresses the efficacy of yoga in the prevention and treatment of eating disorders including a comprehensive review and meta-analysis as well as five research studies demonstrating the various approaches to exploring the preventative and therapeutic effects of yoga for disordered eating. The final section of this book closes with a chapter on future directions and offers guidance for what is next in both practice and research. The chapters in this book were originally published as a special edition of Eating Disorders: The Journal of Treatment & Prevention.

* follows the counseling principle of meeting the client where they are and questions what happens when eating disorder professionals fail to acknowledge veganism as an authentic part of their client's recovery * explores the existing research in conjunction with the ideas perpetuated around veganism and recovery, the potential harm to vegans prohibited from following veganism in treatment centers, and indications of further shifts toward normalizing veganism in the eating disorder field * discusses how to positively impact a vegan's access to treatment, the quality of their treatment, and a professional's capacity to provide optimal treatment to vegans and non-vegans alike

Why do so many people become overweight and obese and why do they find it so difficult to lose weight? In this second edition of his influential book on Dieting, Overweight and Obesity, Wolfgang Stroebe - who developed the goal conflict model of eating - explores the physiological, environmental and psychological influence on weight gain and examines how these processes are affected by genetic factors. Like the first edition, the book takes a social-cognitive approach to weight regulation and discusses how exposure to environmental cues can set-off overeating in chronic dieters. In addition to extensively revising and updating the chapters of the first edition, this second edition features three new chapters. The chapter on successful restrained eating reviews personality factors as well as recent experimental research on impulse control. The chapters on psychological treatment of obesity and on primary prevention describe and evaluate the various treatment and prevention approaches and the research conducted to assess their efficacy. This book is essential reading for students, researchers and clinicians interested in an up-to-date review of the field of eating research and a new theoretical approach to the study of overweight and obesity.

* Provides medical clinicians as well as others with an acute awareness of the critical and potentially lethal medical outcomes they may have to face when managing those with eating disorders * Over twenty real case presentations each offers an essential piece of the medial puzzle clinicians are faced to manage * In-depth descriptions of several critical medical risks are given including refeeding syndrome, prolonged QTc interval, several dysrhythmias, cardiac anomalies, cardiac valve disorders including mitral valve prolapse, metabolic abnormalities, insulin dependent diabetes mellitus, and infections

* Provides medical clinicians as well as others with an acute awareness of the critical and potentially lethal medical outcomes they may have to face when managing those with eating disorders * Over twenty real case presentations each offers an essential piece of the medial puzzle clinicians are faced to manage * In-depth descriptions of several critical medical risks are given including refeeding syndrome, prolonged QTc interval, several dysrhythmias, cardiac anomalies, cardiac valve disorders including mitral valve prolapse, metabolic abnormalities, insulin dependent diabetes mellitus, and infections

Provides psychoeducation regarding body image and its correlation with disordered eating Guides readers to practically work toward improving body image Gives space to underrepresented populations when it comes to body image and disordered eating habits

* The Recovery Cycle is the positive mirror image of the Addiction Cycle, and the first and only simple and relatable model for positive change in recovery * Written with both therapists and clients in mind - by a clinician in recovery herself - the easy, pragmatic, and conversational style plays to the resistance known to addicted people while gently encouraging sober relationships and spiritual connection * It speaks to all addiction disorders and discusses what every addicted person must go through to fall in love with their sober life, no matter what program they choose, no matter what addiction

Eating disorders (EDs) affect at least 11 million people in the United States each year and spread across age, race, ethnicity and socio-economic class. While professional literature on the subject has grown a great deal in the past 30 years, it tends to be exclusively research-based and lacking expert clinical commentary on treatment. This volume focuses on just such commentary, with chapters authored by both expert clinicians and researchers. Core issues such as assessment and diagnosis, the correlation between EDs and weight and nutrition, and medical/psychiatric management are discussed, as are the underrepresented issues of treatment differences based on gender and culture, the applications of neuroscience, EDNOS, comorbid psychiatric disorders and the impact of psychiatric medications. This volume uniquely bridges the gap between theoretical findings and actual practice, borrowing a bench-to-bedside approach from medical research.

Preventing Harmful Behaviour in Online Communities explores the ethics and logistics of censoring problematic communications online that might encourage a person to engage in harmful behaviour. Using an approach based on theories of digital rhetoric and close primary source analysis, Zoe Alderton draws on group dynamics research in relation to the way in which some online communities foster negative and destructive ideas, encouraging community members to engage in practices including self-harm, disordered eating, and suicide. This book offers insight into the dangerous gap between the clinical community and caregivers versus the pro-anorexia and pro-self-harm communities - allowing caregivers or medical professionals to understand hidden online communities young people in their care may be part of. It delves into the often-unanticipated needs of those who band together to resist the healthcare community, suggesting practical ways to address their concerns and encourage healing. Chapters investigate the alarming ease with which ideas of self-harm can infect people through personal contact, community unease, or even fiction and song and the potential of the internet to transmit self-harmful ideas across countries and even periods of time. The book also outlines the real nature of harm-based communities online, examining both their appeal and dangers, while also examining self-censorship and intervention methods for dealing with harmful content online. Rather than pointing to punishment or censorship as best practice, the book offers constructive guidelines that outline a more holistic approach based on the validity of expressing negative mood and the creation of safe peer support networks, making it ideal reading for professionals protecting vulnerable people, as well as students and academics in psychology, mental health, and social care.