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

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.

"Packed with information that is useful on a daily basis. This book will be useful for all who care for children with disabilities or chronic disase." -Journal of Parental and Enteral Nutrition Food and nutrition studies are more relevant to the practice of medicine than ever before. As scientific understanding of these links has expanded over the last decade, the need for an authoritative reference has never been greater. This fully revised and updated edition of PEDIATRIC AND ADULT NUTRITION IN CHRONIC DISEASES, DEVELOPMENTAL DISABILITIES, AND HEREDITARY METABOLIC DISORDERS offers a comprehensive reference to the nutritional interventions for diseases across the lifespan. Comprising more than 60 topic-based chapters from leading figures in nutrition and medicine, this book is the most up-to-date work on diet as a symptom of, and therapy for, chronic, hereditary, and developmental disorders. Enriched with tables and charts that distill the latest recommendations for nutrient intake, physical activity, this third edition is a convenient and essential resource for busy clinicians and students in nutrition, dietetics, and medical specialties.

" . . . 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 work challenges the popular notion that eating disorders occur only among white, well-to-do, heterosexual women. Based on in-depth life history interviews with African-American, Latina, and lesbian women, this book chronicles the effects of racism, poverty, sexism, acculturation, and sexual abuse on women's eating patterns and bodies. By revealing how these girls and women use eating to "make a way outa no way", it dispels popular stereotypes of anorexia and bulimia as symptoms of vanity and stresses the risks of mislabelling what is often a way of coping with society's own disorders. With its multicultural focus, this book not only brings women of colour and lesbians into our picture of eating problems, but also clears up many demeaning and sexist ideas about these problems among white women. By featuring the creative ways in which women have changed their unwanted eating patterns and regained trust in their bodies and appetites, it also offers a message of hope and empowerment that applies across race, class, and sexuality.

Over the past twenty-five years, our quest for thinness has morphed into a relentless obsession with weight and body image. In our culture, "fat" has become a four-letter word. Or, as Lance Armstrong said to the wife of a former teammate, "I called you crazy. I called you a bitch. But I never called you fat." How did we get to this place where the worst insult you can hurl at someone is "fat"? Where women and girls (and increasingly men and boys) will diet, purge, overeat, undereat, and berate themselves and others, all in the name of being thin?As a science journalist, Harriet Brown has explored this collective longing and fixation from an objective perspective as a mother, wife, and woman with "weight issues," she has struggled to understand it on a personal level. Now, in Body of Truth , Brown systematically unpacks what's been offered as "truth" about weight and health.Starting with the four biggest lies, Brown shows how research has been manipulated how the medical profession is complicit in keeping us in the dark how big pharma and big, empty promises equal big, big dollars how much of what we know (or think we know) about health and weight is wrong. And how all of those affect all of us every day, whether we know it or not.The quest for health and wellness has never been more urgent, yet most of us continue to buy into fad diets and unattainable body ideals, unaware of the damage we're doing to ourselves. Through interviews, research, and her own experience, Brown not only gives us the real story on weight, health, and beauty, but also offers concrete suggestions for how each of us can sort through the lies and misconceptions and make peace with and for ourselves.

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.

In one indispensable volume, this book combines a complete overview of night eating syndrome (NES) with evidence-based treatment guidelines and clinical tools. Experts in the field review the biological underpinnings of NES and its common comorbidities; explain how the basic science can inform clinical practice; and discuss issues in assessment and diagnosis. Vivid case examples are featured. Of special utility for clinicians, the book includes a manual for delivering an empirically supported cognitive-behavioral treatment protocol. Reproducible client forms can be photocopied from the book or downloaded and printed in a convenient 8 1/2" x 11" size.

Eminently practical and authoritative, this comprehensive clinical handbook brings together leading international experts on eating disorders to describe the most effective treatments and how to implement them. Coverage encompasses psychosocial, family-based, medical, and nutritional therapies for anorexia nervosa, bulimia nervosa, binge-eating disorder, and other eating disorders and disturbances. Especially noteworthy are "mini-manuals" that present the nuts and bolts of 11 of the treatment approaches, complete with reproducible handouts and forms. The volume also provides an overview of assessment, treatment planning, and medical management issues. Special topics include psychiatric comorbidities, involuntary treatment, support for caregivers, childhood eating disorders, and new directions in treatment research and evaluation.

First published more than twenty years ago, with almost 150,000 copies sold, The Golden Cage is still the classic book on anorexia nervosa, for patients, parents, mental health trainees, and senior therapists alike. Writing in direct, jargon-free style, often quoting her patients' descriptions of their own experience of illness and recovery, Bruch describes the relentless pursuit of thinness and the search for superiority in self-denial that characterizes anorexia nervosa. She emphasizes the importance of early diagnosis and offers guidance on danger signs. Little-known when this groundbreaking book was first published, eating disorders have become all too familiar. Sympathetic and astute, The Golden Cage now speaks to a new generation.

The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook gives practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, family-based behavioral weight loss treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.

'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

Feeding Anorexia challenges prevailing assumptions regarding the notorious difficulty of curing anorexia nervosa. Through a vivid chronicle of treatments at a state-of-the-art hospital program, Helen Gremillion reveals how the therapies participate unwittingly in culturally dominant ideals of gender, individualism, physical fitness, and family life that have contributed to the dramatic increase in the incidence of anorexia in the United States since the 1970s. She describes how strategies including the meticulous measurement of patients' progress in terms of body weight and calories consumed ultimately feed the problem, not only reinforcing ideas about the regulation of women's bodies, but also fostering in many girls and women greater expertise in the formidable constellation of skills anorexia requires. At the same time, Gremillion shows how contradictions and struggles in treatment can help open up spaces for change.Feeding Anorexia is based on fourteen months of ethnographic research in a small inpatient unit located in a major teaching and research hospital in the western United States. Gremillion attended group, family, and individual therapy sessions and medical staff meetings; ate meals with patients; and took part in outings and recreational activities. She also conducted over one hundred interviews-with patients, parents, staff, and clinicians. Among the issues she explores are the relationship between calorie-counting and the management of consumer desire; why the "typical" anorexic patient is middle-class and white; the extent to which power differentials among clinicians, staff, and patients model "anorexic families"; and the potential of narrative therapy to constructively reframe some of the problematic assumptions underlying more mainstream treatments.

This is the first book to present a roadmap for tailoring acceptance and commitment therapy (ACT) to the serious, complex challenges of anorexia nervosa (AN). Leading authorities describe interventions grounded in ACT core processes--Defusion, Acceptance, Attention to the Present Moment, Self-Awareness, Values, and Committed Action. Guidance is provided for conducting functional assessments with adolescents and adults and working toward individualized treatment goals, starting with weight restoration. The book also discusses ways to engage parents and other family members in treatment. It features therapist scripts, sample dialogues, case examples, and reproducible forms and handouts. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials.

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"

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.

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.

Tens of thousands of parents have turned to this compassionate resource for support and practical advice grounded in cutting-edge scientific knowledge. Numerous vivid stories show how to recognize and address anorexia nervosa, bulimia nervosa, and other devastating eating disorders that wreak havoc on teens and their families. James Lock and Daniel Le Grange present strong evidence that parents-who have often been told to take a back seat in eating disorder treatment-can and must play a key role in recovery. Whether pursuing family-based treatment or other options, parents learn specific, doable steps for monitoring their teen's eating and exercise habits, managing mealtimes, ending weight-related power struggles, and collaborating successfully with health care providers. Featuring the latest research and resources, the second edition now addresses additional disorders recognized in DSM-5 (including binge-eating disorder).