Physical activity appears to be one of the behaviours of patients with anorexia nervosa that may worsen over time and contributes to maintaining the dieting disorder. Seasonal variation in physical activity has been demonstrated. The current thesis therefore addresses three main questions: a) do Australian and German female students perceive seasonal variation in physical activity in a similar manner b) does physical activity vary across the seasons in female patients with anorexia nervosa compared to healthy female controls and c) what assessment and treatment strategies are implemented by clinical specialists? In summary, seasonal variation in physical activity was reported by Australian and German students. Further, it was demonstrated that time spent in some components of physical activity (moderate intensity activities and exercise) varied across the seasons in the patient-group. Comprehensive assessment tools and published exercise programmes were rarely used by the clinical specialists, indicating the need to extend treatment guidelines to include physical activity and its seasonal variation.

The abundance of food in the developed countries of the world has seemingly spawned an epidemic of disorders connected to the food. Extremes such as intensive concern about one's body image and total disregard for it have resulted in countries which contain enormous segments of the population who are either obese and proud of it or bordering on anorexia nervosa. This new book gathers state-of-the-art research from leading scientists throughout the world which offers important information on understanding the underlying causes and discovering the most effective treatments for eating disorders.

This is a book that will be useful to carers, helping them understand the issues that affect male suffers and some of the barriers they will have to break down in order to recover. It will also reassure men affected by an eating disorder that they are not alone, their problems are understood b medical professional and that recovery is possible' - "Signpost

"

Anna has established herself as a leading author in the field of eating disorders and combines her personal experiences with an extensive research interest. Her two previous books published by Lucky Duck were winner and special commendation in the NASEN/TES book awards and we expect this publication to be equally well received.

It would be a mistake to think that eating and body image problems are experienced only by women. Anna draws the readers attention to the characteristic and special difficulties for men, including:

" athletics, body building and eating

" depression and self-esteem

" eating disorders and homosexuality.

Like all her books she offers a comprehensive overview and contributes information, advice and hope. This is a book for those affected and those who want to help them.

Ayelet spent six years of her adolescence in and out of hospital, having been diagnosed as suffering from a severe anorexia disorder. She is now a special needs teacher. In the first part of this book Ayelet describes her personal experiences of the illness, the repeated hospitalisations and her ultimate recovery, illustrated with examples of her drawing and writing from when she was ill. Tammie Ronen, her therapist, outlines the step-by-step progress of the therapy from the professional angle, describing in detail the decision-making and treatment considerations specific to Ayelet's life and context. She also includes comprehensive overviews of contemporary research into anorexia and of cognitive constructivist methods. This interweaving of theory, practice and personal experience offers the reader unique insight into the reality of the illness and demonstrates the effectiveness of integrative and creative methods, and the central importance of a good relationship between the client and the therapist. The book is a rich source of inspiration and guidance for therapists and other professionals, as well as for people with eating disorders and their families.

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.

`This brief and powerful book has very important things to say to a wider audience; to health care professionals, to therapists, and also to social scientists who deal with questions of femininity, the body, and poststructuralism' - Journal of Health Psychology

`A readable book that contains simplified information of some complicated concepts. It will prove of benefit to those readers in the field of women and social studies' - European Eating Disorders Review

The concepts presented in this book are carefully argued, succinctly organized, and genuinely stimulating.... It provokes clinicians to think about treatment and the effect of diagnostic practices, it provokes researchers to ask different questions, and it provokes students to read beyond dominant and conventional texts. This is a timely and important publication that deserves to feature prominently in the ongoing study of anorexia nervosa' - Journal of Community & Applied Social Psychology

`This book is intelligent, well-written and thought provoking addition to current literature on eating disorders' - Feminism and Psychology

In this wide-ranging book, Julie Hepworth casts a critical light on our contemporary understanding of anorexia nervosa. She locates contemporary discourses of anorexia nervosa within their historical context, showing how current practices continue to be influenced by medicine, psychology, ideology and politics. She argues that anorexia nervosa must be considered within the political, social and gendered relationships that continue to contribute to its definition. The book demonstrates the need for a new conceptualization of anorexia nervosa which would draw on the insights of discourse theory, feminism and postmodernism to create new understandings of anorexia nervosa within contemporary health care practices.

This important work illuminates the relationship between the anguish of eating disorder sufferers and the problems of ordinary women. It covers a wide variety of issues from ways in which gender may predispose women to eating disorders to the widespread cultural concerns these problems symbolize. Chapters all share three basic elements: The psychology of women is reflected in the concepts and methods described; there is an explicit commitment to political and social equality for women; and therapy is reevaluated based on an understanding of the needs of women patients and the potentially differing contributions of male and female therapists.

from Publisher's Weekly: This posthumous collection of case material illustrates the treatment modality successfully employed by psychiatrist Bruch with patients suffering from the eating disorder of anorexia. Two of her associates at Baylor College of Medicine in Houston have edited this final work, taped by the author before her death in 1984. Bruch makes the reader privy to the therapeutic transaction between her patients who are in what she describes as "the relentless pursuit of thinness.'' Emphasizing the conversational ambiance of the therapy and discounting heretofore unsuccessful approaches of psychoanalysis and behavior modification, she helped her patients to heal. The dramatic dialogues in the cases presented allow us to hear these desperate young anorexic women individually explore their thwarted development, under the direction of a compassionate physician who guides them towards wellness. from Library Journal: Psychiatrist Bruch was a pioneer in developing psychotherapy for anorexia victims. Author of half a dozen books, her first work, Eating Disorders, appeared 15 years ago. She taped her interactions with clients, and these form the nucleus of this final book. Bruch's strength is her straightforward writing: it is honest, simple, and effective.

Do certain eating disorders directly correlate with neglect and abuse? What do eating and growth disorders have in common? And, are some treatment methods more successful than others in treating such disorders? In Eating and Growth Disorders in Infants and Children Woolston examines the relevant literature on each major eating and growth disorder from infancy through childhood. Among the disorders considered are failure to thrive, psychosocial dwarfism, rumination, pica, obesity, and anorexia nervosa. The author describes the emergence and course of each specific disorder, discusses known or suspected risk factors, and alerts the reader to unresolved clinical and research issues. Woolston also stresses the advantages of using a multidisciplinary team approach --including a pediatrician, a nurse, a developmental psychologist, a social worker, and a nutritionist--and points out that all aspects and levels of risk should be considered. Comprehensive, yet concise, this book presents an excellent overview of the various aspects of each disorder. It is an indispensable volume for professionals and students in developmental psychology, clinical psychology, psychiatry, social work, and nursing.

The synthesis of forty years of pioneering work by the world's leading authority on the emotional aspects of eating disorders."The definitive book on eating disorders....It is a classic."- Shervert H. Frazier, M.D., Harvard Medical School

Eating disorders present diagnostic and treatment challenges to clinicians. While such disorders need both medical and psychological treatment, patients may be too medically ill for a thorough psychiatric evaluation and may be misunderstood by many primary care physicians. In this book, Drs. Philip S. Mehler and Arnold E. Andersen provide a user-friendly and comprehensive guide for primary care physicians, mental health professionals, and others who encounter patients who have eating disorders. Mehler and Andersen identify common medical complications that people who have eating disorders face and answer questions about how to treat them. They also cover such serious complications as osteoporosis, cardiac arrhythmia, electrolyte abnormalities, and gastrointestinal sequelae. Incorporating illustrative case studies, medical background on the complications, guidelines for diagnosis and treatment, and an up-to-date list of selected references, chapters cover important topics including team treatment and nutritional rehabilitation. Care of the patient who is very medically compromised is based on extensive experience. The authors also address special areas of concern, such as athletes who have eating disorders, males with eating disorders, and the pharmacological treatment of obesity. In this thoroughly revised and updated edition of Eating Disorders, Drs. Mehler and Andersen * discuss the results of recent randomized control trials* include new chapters on diabetes in eating disorders, osteoporosis, gastrointestinal complications, involuntary feeding, and innovative psychological strategies* present a fresh consideration of ethical conflicts, including involuntary treatment, harm reduction, palliative care, and futility* focus on evidence-based solutions* provide information pertinent to worried families and nonmedical professionals like teachers and coaches, including recent genetic findings* take a holistic approach that considers both the physical and mental health of the patient This classic foundational guide will help primary care and mental health professionals to understand and more effectively address the complex concerns of patients who have eating disorders.

Acclaimed for its encyclopedic coverage, this is the only handbook that synthesizes current knowledge and clinical practices in the fields of both eating disorders and obesity. Like the prior editions, the significantly revised third edition features more than 100 concise, focused chapters with lists of key readings in place of extended references. All aspects of eating disorders and obesity are addressed by foremost clinical researchers: classification, causes, consequences, risk factors, and pathophysiology, as well as prevention, treatment, assessment, and diagnosis. New to This Edition *Reflects 15 years of important advances in both fields, including state-of-the-art intervention approaches and a growing focus on how the brain regulates eating behavior. *Dozens of entirely new chapters. *New topics: epigenetics, body weight and neurocognitive function, stress and emotion regulation, the gut microbiome, surgical devices for obesity, food labeling and marketing, and more. *Expanded coverage of prevention and policy.

2020 Edition Set text for Eduqas GCSE 9-1 Drama exam Based on Maureen Dunbar's award-winning book and film Catherine: The Story of a Young Girl Who Died of Anorexia Nervosa. Catherine Dunbar died in 1984, after a seven-year battle against anorexia nervosa. She was just twenty-two. Mark Wheeller's potent documentary play uses the words from Catherine's diaries and also of those most closely involved and affected. This 2020 edition includes a foreword by the late Maureen Dunbar, unseen extra scenes and a reflection by Mark, on the astonishing journey of this widely studied play since its first performances, including one by OYT on the Olivier Stage of the Royal National Theatre. Suitable for: Key Stage 3/4, BTEC, GCSE Duration: 75 minutes approximately Cast: 6 female, 3 male, 22 female/male, or 3 female and 2 male with doubling. "This play reaches moments of almost unbearable intensity... naturalistic scenes flow seamlessly into sequences of highly stylised theatre... such potent theatre!" Vera Lustig, The Independent "Elegantly structured, highly informative, and imaginatively theatrical. There wasn't a dry eye in the house." Anne McFerran, Stage and Television Today

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.

Eating can be a source of great pleasure--or deep distress. If you've picked up this book, chances are you're looking for tools to transform your relationship with food. Grounded in dialectical behavior therapy (DBT), this motivating guide offers a powerful pathway to change. Drs. Debra L. Safer, Sarah Adler, and Philip C. Masson have translated their proven, state-of-the-art treatment into a compassionate self-help resource for anyone struggling with bingeing and other types of "stress eating." You will learn to: *Identify your emotional triggers. *Cope with painful or uncomfortable feelings in new and healthier ways. *Gain awareness of urges and cravings without acting on them. *Break free from self-judgment and other traps. *Practice specially tailored mindfulness techniques. *Make meaningful behavior changes, one doable step at a time. Vivid examples and stories help you build each DBT skill. Carefully crafted practical tools (you can download and print additional copies as needed) let you track your progress and fit the program to your own needs. Finally, freedom from out-of-control eating--and a happier future--are in sight. Mental health professionals, see also the related treatment manual, Dialectical Behavior Therapy for Binge Eating and Bulimia, by Debra L. Safer, Christy F. Telch, and Eunice Y. Chen.

Do you struggle with Ana (anorexia) or have a difficult relationship with food and body image? Emotional Freedom Techniques (EFT) have the potential to transform your life and put you on the path to recovery. Here, honest diary extracts relay Kim Marshall's own struggles with anorexia and bulimia, including time spent in a residential treatment centre, and how she discovered EFT and learned to quiet the negative voices that were blocking her recovery. Now fully-recovered and a certified EFT practitioner, Kim explains how to use the approach as a self-help tool. Including easy-to-follow EFT scripts and positive mantras to help you stay on the path to recovery, Kim explains how to use EFT to help overcome denial and fears about recovery from anorexia. This candid account of recovery from eating disorders shows how it is possible to deal with underlying emotional issues and achieve a more positive mindset.

This groundbreaking book gives clinicians a new set of tools for helping people overcome binge-eating disorder and bulimia. It presents an adaptation of dialectical behavior therapy (DBT) developed expressly for this population. The treatment is unique in approaching disordered eating as a problem of emotional dysregulation. Featuring vivid case examples and 32 reproducible handouts and forms, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions. Step-by-step guidelines are provided for implementing DBT skills training in mindfulness, emotion regulation, and distress tolerance, including a specially tailored skill, mindful eating. Purchasers get access to a Web page where they can download and print the reproducible handouts and forms in a convenient 8 1/2" x 11" size. See also the related self-help guide, The DBT Solution for Emotional Eating, by Debra L. Safer, Sarah Adler, and Philip C. Masson, ideal for client recommendation.

This groundbreaking book gives clinicians a new set of tools for helping people overcome binge-eating disorder and bulimia. It presents an adaptation of dialectical behavior therapy (DBT) developed expressly for this population. The treatment is unique in approaching disordered eating as a problem of emotional dysregulation. Featuring vivid case examples and 32 reproducible handouts and forms, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions. Step-by-step guidelines are provided for implementing DBT skills training in mindfulness, emotion regulation, and distress tolerance, including a specially tailored skill, mindful eating. Purchasers get access to a Web page where they can download and print the reproducible handouts and forms in a convenient 8 1/2" x 11" size. See also the related self-help guide, The DBT Solution for Emotional Eating, by Debra L. Safer, Sarah Adler, and Philip C. Masson, ideal for client recommendation.

Over the past decade there have been significant shifts both in feminist approaches to the field of eating disorders and in the ways in which gender, bodies, body weight, body management and food are understood, represented and regulated within the dominant cultural milieus of the early twenty-first century.

Critical Feminist Approaches to Eating Dis/Orders addresses these developments, exploring how eating disordered subjectivities, experiences and body management practices are theorised and researched within postmodern and post-structuralist feminist frameworks.

Bringing together an international range of cutting-edge, contemporary feminist research and theory on eating disorders, this book explores how anorexia nervosa, bulimia nervosa and obesity cannot be adequately understood in terms of individual mental illness and deviation from the norm but are instead continuous with the dominant cultural ideas and values of contemporary cultures.

This book will be essential reading for academic, graduate and post-graduate researchers with an interest in eating disorders and critical feminist scholarship, across a range of disciplines including psychology, sociology, cultural studies and gender studies as well as clinicians interested in exploring innovative theory and practice in this field.

This guide draws together the latest developments in eating disorders. Together with its companion volume "Annual Review of Eating Disorders Part 1-2007", this resource covers the twenty key topics.It is a compilation of reviews from leading scientists and clinicians, and is the essential update for busy professionals and health researchers, with a clear emphasis on clinical implications. It also provides invaluable information for psychologists, psychiatrists, dieticians, family doctors, pediatricians, counsellors and educators.'An impressive collection of comprehensive reviews covering the state-of-the-science in the eating disorders field. These reviews evaluate clinical and empirical data published in 2004-2006 examining issues as diverse as neurobiological influences, body image, and treatment of eating disorders. The depth and scope of the reviews are a testament to the hard work of the editors and the authors who volunteered their time for this important project.' - Kelly L Klump, in the Foreword.

This volume brings together behavioral, medical, and public health approaches and provides the knowledge necessary for a wide range of practitioners to effectively address the current obesity epidemic among children and adolescents. The book addresses several themes in pediatric and adolescent obesity. Experts in the field discuss the prevalence, etiology, and sequelae of pediatric and adolescent obesity, as well as the medical and behavioral assessment of the overweight child, adolescent, and family. The book offers a comprehensive understanding of the wide range of approaches to pediatric and adolescent obesity treatment, in order to promote an individualized approach that will best fit the patient and family.

Inside Anorexia describes the different experiences and challenges faced by teenage girls with anorexia and their families. It demonstrates that the starting point for understanding anorexia must be the unique stories of individuals and their families. Structured around real-life accounts, the book provides a valuable insight into the lived experience of girls with anorexia and their families. Useful fact boxes in each story provide an overview of current knowledge from a variety of disciplines as well as new findings from the authors' own research into anorexia nervosa. Inside Anorexia is an accessible resource for anyone who wants a better understanding of anorexia nervosa. It will be an informative guide for health professionals as well as for people with anorexia and their families.

This book contains reviews from leading scientists and clinicians drawing together the latest developments in the ten key topics covering the major areas of eating disorders including bulimia, body image, socio-cultural issues and anorexia. This volume compliments "Annual Review of Eating Disorders Part 1". Together, the two books cover the twenty main topics identified by the Academy of Eating Disorders as providing essential knowledge in the field. It is ideal for busy clinicians, with a clear emphasis on clinical implications and is supported by the American Academy for Eating Disorders. Clinicians and health researchers involved in the area of eating disorders will find this review invaluable, as will professional organisations for psychologists, psychiatrists, dieticians, general practitioners, paediatricians, counsellors and educators.

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.