This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with obesity and the notorious difficulty of treating this complex, multifactorial disease. With these problems in mind, the report aims to help policy-makers introduce strategies for prevention and management that have the greatest chance of success. The importance of prevention as the most sensible strategy in developing countries, where obesity coexists with undernutrition, is repeatedly emphasized.Recommended lines of action, which reflect the consensus reached by 25 leading authorities, are based on a critical review of current scientific knowledge about the causes of obesity in both individuals and populations. While all causes are considered, major attention is given to behavioural and societal changes that have increased the energy density of diets, overwhelmed sophisticated regulatory systems that control appetite and maintain energy balance, and reduced physical activity. Specific topics discussed range from the importance of fat content in the food supply as a cause of population-wide obesity, through misconceptions about obesity held by both the medical profession and the public, to strategies for dealing with the alarming prevalence of obesity in children.The report has eleven chapters presented in five parts. Part one, which assesses the magnitude of the problem, explains the system for classifying overweight and obesity based on the body mass index, considers the importance of fat distribution, and provides an overview of trends in all regions of the world, concluding that obesity is increasing worldwide at an alarming rate. Chapters in part two evaluate the true costs of obesity in terms of physical and mental ill health, and the human and financial resources diverted to deal with these problems. Specific health consequences discussed include increased risk of cardiovascular disease, cancer, and other noncommunicable diseases, endocrine and metabolic disturbances, debilitating health problems, and psychological problems. The health benefits and risks of weight loss are also assessed.Part three draws on the latest research findings to consider specific factors involved in the development of overweight and obesity. Discussion centres on factors, such as high intakes of fat, that may disrupt normal physiological regulation of appetite and energy balance, and the role of dietary factors and levels of physical activity. In terms of opportunities for prevention, particular attention is given to the multitude of environmental and societal forces that adversely affect food intake and physical activity and may thus overwhelm the physiological regulatory systems that keep weight stable in the long term. The possible role of genetic and biological susceptibility is also briefly considered.Against this background, the fourth and most extensive part maps out strategies for prevention and management at both the population and individual levels. Separate chapters address the need to develop population-based strategies that tackle the environmental and societal factors implicated in the development of obesity, and compare the effectiveness of current options for managing overweight or obese individuals. Specific strategies discussed include dietary management, physical activity and exercise programmes, behaviour modification, drug treatment, and gastric surgery. While noting striking recent progress in the development of drug treatments, the report concludes that gastric surgery continues to show the best long-term success in treating the severely obese. The final part sets out key conclusions and recommendations for responding to the global obesity epidemic and identifies priority areas where more research is urgently needed...". the volume is clearly written, and carries a wealth of summary information that is likely to be invaluable for anyone interested in the public health aspects of obesity and fatness, be they students, practitioner or researcher." - Journal of Biosocial Science

Eating disorders are but one of many specific pathological responses to the pressures of the modern world. In group therapy, patients battling bulimia nervosa can learn from one another how to heal the emotional wounds that have put their health in jeopardy. Group therapy addresses the four etiologies of eating disorders by teaching the sociocultural context, discussing both the psychological and familial constellation of each member, and providing a forum to address the physiological aspects of the disorder by discussing the benefits of or disappointments in medications.

The only eating-disorder treatment manual for group application available, this book presents an integrative treatment model bringing together psychoeducational, cognitive behavioral, relational, experiential, and interpersonal methods. The introduction begins with a detailed discussion of bulimia's cultural roots as well as its epidemiology and etiology, moves to a survey of available treatments, and concludes with a rationale for use of the integrative group method.

Following chapters provide instructions for leading a time-limited therapy group for bulimic patients, including a discussion of screening procedures for prospective members and a guide for processing group dynamics. These precede the core of the book: step-by-step descriptions of the twelve structured therapy sessions. Interspersed throughout are group reading assignments and reflective essays.

Fully revised to reflect changes in the field, this collection of essays by psychotherapists who specialize in the treatment of anorexia nervosa and bulimia explains in accessible and humane terms how the treatment process works and demonstrates strategies that lead to recovery. The book details the interaction between practitioner and patient, practitioner and practitioner, and family members. The collection, which draws upon the knowledge and experience of clinicians who have practiced at the Wilkins Center for Eating Disorders, also points up the advantages of a collaborative team, for both the patient and professionals.

In an extensively revised new edition of the successful "Anorexia and Bulimia, " Richard Gordon includes new information and discussion of the latest ideas in this rapidly growing research field. The past two decades have witnessed an enormous increase in the number of cases of eating disorders in industrial societies.

This text presents a detailed examination of anorexia nervosa, bulimia nervosa, food and occupational therapy, and offers a comprehensive resource for all those with an academic or professional interest in eating disorders and the social and cultural contexts of food and eating. In addition, the book provides for occupational therapists a guide to the valuable contribution that they can make to the treatment of those suffering from an eating disorder.

A painful, powerful, and ultimately enriching account of what it feels like to be young, confused, and controlled by food.

Adolescence is a time full of pitfalls for teenage girls. Many escape relatively unscathed; some -- unable to cope successfully with the pressures exerted by family, school, and the media -- develop eating disorders. Marianne Apostolides was one of those girls. She became anorexic at the age of fourteen and struggled for the next ten years with anorexia, binge eating, and bulimia.

In this courageous work, Apostolides recreates the years in which she felt she could control her life only by controlling her diet. Insecure, unable to communicate with her parents, and driven to achieve at school, she initially found relief in the structure of calorie-counting and schedules. When the constant dieting became too much for her body to handle, she began to binge, and then to binge and purge. Her world defined by food, Apostolides would battle throughout high school, college, and adulthood to confront the deeper issues that compelled her to hurt herself again and again.

This is a book about a young woman who did not know how to cope with her feelings, and who, through therapy, was able to find the road to recovery at last. Absorbing and honest, hers is an important story of anguish, frustration, and, ultimately, triumph.

" . . . compelling. . . . This book might have been called 'No Easy Answers.' Each of the contributors writes with undisguised urgency. . . . [W]e should face up to these issues now. By No Extraordinary Means will serve as an impetus and guide." -New York Times Book Review "This fine new book . . . thoughtfully written . . . well edited and cohesively integrated . . . will be valuable for physicians, nurses, nutritionists, attorneys, members of the clergy, policy makers, and members of the general public." -New England Journal of Medicine

This empathetic handbook has been created for people affected by any form of disordered eating. Thoughtfully compiled by experienced authors, it will be a comprehensive guide through every stage of your recovery, from recognising and understanding your disorder and learning fully about treatment, to self-help tools and practical advice for maintaining recovery and looking to the future. Each chapter includes suggested objectives, tasks and reflections which are designed to help you think about, engage with, and express your thoughts, feelings and behaviours. It will encourage you to process the discoveries you make about yourself for positive and long-lasting change. Encouraging quotes are included throughout from people who have walked this path and found the help they needed to overcome their own disordered eating. You are not alone on this journey.

Illustrating the "whats," "whys," and "how-tos" of the leading evidence-based treatments for eating disorders, this unique volume is organized around in-depth cases. A range of therapies are represented in sections covering behavioral, cognitive, affect-based, relational, and integrative approaches. Each section opens with an instructive overview by the editor. The expert contributors show what their techniques look like in action with patients struggling with anorexia nervosa, bulimia nervosa, binge-eating disorder, and related problems. Cases cover the entire process of treatment and include therapist-patient dialogues. The essential role of assessment in treatment planning and progress monitoring is highlighted, with detailed descriptions of relevant instruments and procedures.

Healthy Food: Perspectives, Availability and Consumption first explores the pathological form of healthy eating, orthorexia nervosa. Although orthorexia nervosa cannot be found in the Diagnostic and Statistical Manual of the American Psychiatric Association, important findings suggest that orthorexia nervosa should receive wider scientific and public attention. Additionally, the current literature regarding the effects of healthy foods and early feeding practices in childhood is explored in the context of the primordial prevention of non-communicable diseases and their risk factors. This compilation also examines carrot bagasse flour and banana peel flour for their potential to be employed as functional ingredients to improve the texture, color, and flavor of raw meat products, as chorizo, or cooked meat products, as sausages. Candelilla wax oleogel is investigated for its potential to replace pork back fat lard in cooked sausages, specifically focusing on its textural profile, moisture, color, and sensory acceptance. Results indicate that candelilla wax oleogel can be employed as a fat replacement, improving the health profile of certain meat products.

When Rebecca Lester was eleven years old-and again when she was eighteen-she almost died from anorexia nervosa. Now both a tenured professor in anthropology and a licensed social worker, she turns her ethnographic and clinical gaze to the world of eating disorders-their history, diagnosis, lived realities, treatment, and place in the American cultural imagination. Famished, the culmination of over two decades of anthropological and clinical work, as well as a lifetime of lived experience, presents a profound rethinking of eating disorders and how to treat them. Through a mix of rich cultural analysis, detailed therapeutic accounts, and raw autobiographical reflections, Famished helps make sense of why people develop eating disorders, what the process of recovery is like, and why treatments so often fail. It's also an unsparing condemnation of the tension between profit and care in American healthcare, demonstrating how a system set up to treat a disease may, in fact, perpetuate it. Fierce and vulnerable, critical and hopeful, Famished will forever change the way you understand eating disorders and the people who suffer with them.

The aim of this book is to illustrate a variant of the standard cognitive treatment for eating disorders. This therapy is based on the principle that assessing and treating the patient's process of worry and sense of control fosters greater understanding of the psychopathology of the eating disorder and increases the efficacy of cognitive treatment. The book is an edited collection of chapters that discuss the psychopathological roles played by control and worry in eating disorders, and provide a detailed description of the therapeutic protocol, which primarily focuses on the treatment of the cognitive factors of control and worry as core factor of a psychotherapy of eating disorders. In addition, the book shows contributions from other theorists in the field who have investigated the role of worry, preoccupation, and control, or who explore the connections between worry, control, and other emotional factors underlying eating disorders, such as perfectionism, self-esteem, and impulsivity.

This is a book that attempts to propose itself as a new trigger in the wide world of anorexia nervosa. The originality of its proposal consists in approaching anorexia nervosa, not only by endocrinological and psychological perspectives, but also by anthropological, philosophical and ethical point of view. In this way it's not only an update of specific literature, but also an integration with a new method to study this condition. The purpose of the book is to approach anorexia nervosa from different points of view, to reach a new interpretation which involves notions from biological and human sciences interpreted in a unique model and which could allow a new method of treatment.

Grounded in decades of influential research, this book thoroughly examines perfectionism: how it develops, its underlying mechanisms and psychological costs, and how to target it effectively in psychotherapy. The authors describe how perfectionistic tendencies--rooted in early relational and developmental experiences--make people vulnerable to a wide range of clinical problems. They present an integrative treatment approach and demonstrate ways to tailor interventions to the needs of individual clients. A group treatment model is also detailed. State-of-the-art assessment tools are discussed (and provided at the companion website). Throughout the book, vivid clinical illustrations make the core ideas and techniques concrete.

'A gracefully written book about the inner strength we all have within us' Wim Hof ________________________________________________________________________________ Do you feel held back by your own thoughts? Have you gone through years of therapy but never quite resolved your problems? Whether you struggle with mental health or want to achieve more in life, this revolutionary book is your key to finally making positive changes. It's common to feel a loss of control and even feel out of touch with our own identity when we go through periods of stress or trauma. Our brains are conditioned to form beliefs about ourselves and the world around us, so when we experience adversity thoughts such as 'I'm not good enough', 'I don't deserve to be happy' and 'I don't belong here' can develop and start to hold us back in life. Left unchecked, these thoughts can leave us feeling stuck, incapable and unfulfilled but this life-changing book shows how we can de-hypnotize ourselves of those beliefs and re-discover the capable and confident person within us. Having practised as a therapist for almost thirty years, Andrew Parr has helped thousands of people to break free of their self-sabotaging thoughts and achieve things they never thought possible: from pay rises to weight loss, and from quitting smoking to overcoming insomnia. In The Real You he shares his transformative approach, combining the most effective aspects of hypnotherapy, psychotherapy, coaching and CBT, that will help you to identify and resolve problematic mental patterns more easily than with traditional talking therapy. No matter what you want to achieve, the simple, practical exercises in this book will put you back control of your thoughts, transform your self-confidence and make success possible. ________________________________________________________________________________ 'A truly unique and transformational book' Paul Hewitt, Sports Performance Specialist

Eating and its Disorders features contributions by international experts in the field of eating disorders which represent an overview of the most current knowledge relating to the assessment, treatment, and future research directions of the study of eating-related disorders. * Presents the newest models and theories for use in the treatment of patients with eating disorders * Written specifically to fulfill the needs of clinical psychologists and therapists * Includes coverage of important service related issues for working with people with eating disorders * Features chapters from a global group of authors which highlight differing methods and perspectives that can be incorporated into clinical practice

THIS BOOK COULD SAVE YOUR LIFE
-Every five seconds, one more person develops diabetes.
-Worldwide, 285 million people are affected by type 2 diabetes.
-Many of them have no idea.
Here is the personal story of one man who has unearthed the mysteries of this global epidemic and offers hard-won practical advice for how readers can take control of their lives and combat this deadly disease.
""Sugar Nation" is a must-read As a fitness expert myself, who has dealt with family diabetes and coaching families on how to limit their sugar intake, this book is a fundamental tool in educating the world on just how dangerous dietary sugar can be. Jeff O'Connell's direct yet user-friendly approach to this important and overlooked subject is more than refreshing. All will benefit from picking this book up."
--Jennifer Nicole Lee, author of "The Jennifer Nicole Lee Fitness Model Diet"

"Art Therapy and Eating Disorders" is a step-by-step approach to a new and extremely promising technique for treating people with eating disorders -- children as well as adults, male and female sufferers alike -- that has proven to be a crucial aid to identification, prevention, and intervention. Mury Rabin demonstrates how her award-winning art therapy technique, known as Phenomenal and Nonphenomenal Body Image Tasks or "PNBIT," can be used by clinicians other than art therapists and shows its effectiveness in combination with diverse therapeutic techniques.

Unlike traditional therapy programs that treat symptoms, this technique focuses on root causes and consists of a series of tasks -- some phenomenal: weight recording, mirror viewing, and body dimension estimates; others not: chromatic family line drawings and body image mandalas. The book includes five case studies that illustrate how the PNBIT technique functions in practice.

It should not surprise us that so many are finding unique value in the experiential techniques. The fact that eating-disordered patients adopt physical and often complex metaphoric means of expressing their emotional pain suggests the difficulty we are likely to encounter in asking them to articulate the inarticulable. In moving to spatial, kinesthetic, and symbolic expression, we are, in a sense, agreeing to speak the patient's language rather than our own.
Given the very nature of eating disorders, many clinicians are finding that experiential methods are particularly applicable for treating patients who suffer from them. Providing a valuable new tool for practitioners, EXPERIENTIAL THERAPIES FOR EATING DISORDERS is the first text to focus solely on the application of expressive therapies and experiential techniques to the treatment of anorexia nervosa and bulimia.
Each chapter of this innovative work systematically reviews a single experiential treatment approach. Among these are
* guided imagery
* hypnosis
* structured eating
* family sculpting
* psychodrama and gestalt therapy
* dance/movement therapy
* art therapy
* music therapy
* and metaphor/poetry therapy.
Throughout, important clinical issues that often accompany eating disorders also are addressed, including such topics as self-awareness, self-esteem, autonomy, identity, impulse regulation, affect modulation, body image, and interpersonal relationships. Countertransferential issues are examined, and areas needing further exploration such as father's role in the development of eating disorders, the hypnotizability of eating disordered patients, and the role of family in thetreatment process are delineated.
The contributing authors, experienced practitioners from a variety of disciplines, systematically establish the theoretical framework of each treatment approach, fully describe specific techniques, and then consider their practical applications in both inpatient and outpatient settings--providing numerous case examples for illustration. They also offer helpful recommendations for incorporating these techniques into ongoing treatment plans.
EXPERIENTIAL THERAPIES FOR EATING DISORDERS--a valuable clinical resource for psychologists, psychiatrists, and all mental health professionals called on to treat patients suffering from anorexia and bulimia nervosa.
This innovative work illustrates the use of guided imagery, hypnosis, structured eating, family sculpting, psychodrama and gestalt therapy, and dance/movement, art, music, and metaphor/poetry therapy in the treatment of anorexia and bulimia nervosa. Systematically presented are the theoretical framework of each treatment approach, specific techniques, and their practical applications illustrated by numerous case examples. All professionals who treat clients with eating disorders will find this volume a most valuable clinical resource.