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In the treatment of Anorexia Nervosa, delivering psychological interventions in a group format can bring unique benefits in addition to those associated with working with patients individually. These include: sharing experiences and learning from others in a safe and therapeutic environment, becoming accustomed to being with other people and practising interpersonal skills. However, these aspects of group treatment also represent a challenge for group facilitators as it is exactly these interpersonal and relational demands that patients find difficult to tolerate. Facilitators are likely to be confronted with low motivation, or complete disengagement, as a result of the discomfort evoked by spending time in psychological groups. Nonetheless, once these difficulties are successfully overcome, the group setting can be effectively utilised to address the specific aims of a given psychological intervention, as well as tapping into these wider benefits Drawing upon research carried out by the Maudsley national inpatient eating disorders programme, Brief Group Psychotherapy for Eating Disorders brings together expert contributions in order to review the evidence base, as well as discussing how the challenges of the group setting can be overcome. This book outlines newly-developed protocols for group interventions aimed at providing brief but effective treatment for an increased numbers of patients, and addresses the need to develop and evaluate cost effective psychological interventions for patients with Anorexia Nervosa. Brief Group Psychotherapy for Eating Disorders is designed to offer therapists, clinicians, and researchers in the field a synopsis of the available evidence along with guidance on how to put theory into practice effectively. It will also be an invaluable resource for students, trainees and teachers in the clinical, counselling, psychology, psychiatry, nursing, occupational therapy and other allied professions.
In the treatment of Anorexia Nervosa, delivering psychological interventions in a group format can bring unique benefits in addition to those associated with working with patients individually. These include: sharing experiences and learning from others in a safe and therapeutic environment, becoming accustomed to being with other people and practising interpersonal skills. However, these aspects of group treatment also represent a challenge for group facilitators as it is exactly these interpersonal and relational demands that patients find difficult to tolerate. Facilitators are likely to be confronted with low motivation, or complete disengagement, as a result of the discomfort evoked by spending time in psychological groups. Nonetheless, once these difficulties are successfully overcome, the group setting can be effectively utilised to address the specific aims of a given psychological intervention, as well as tapping into these wider benefits Drawing upon research carried out by the Maudsley national inpatient eating disorders programme, Brief Group Psychotherapy for Eating Disorders brings together expert contributions in order to review the evidence base, as well as discussing how the challenges of the group setting can be overcome. This book outlines newly-developed protocols for group interventions aimed at providing brief but effective treatment for an increased numbers of patients, and addresses the need to develop and evaluate cost effective psychological interventions for patients with Anorexia Nervosa. Brief Group Psychotherapy for Eating Disorders is designed to offer therapists, clinicians, and researchers in the field a synopsis of the available evidence along with guidance on how to put theory into practice effectively. It will also be an invaluable resource for students, trainees and teachers in the clinical, counselling, psychology, psychiatry, nursing, occupational therapy and other allied professions.
The effective treatment of anorexia nervosa (AN) remains a significant challenge. This has prompted new research into ways of engaging and keeping patients in treatment and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. In this book Kate Tchanturia brings together international experts from the field of eating disorders to discuss the effectiveness of cognitive remediation therapy for treating anorexia nervosa, and keeping patients in therapy. Cognitive Remediation Therapy (CRT) is a type of therapy that concentrates on improving neurocognitive abilities such as attention, working memory, cognitive flexibility and planning, and executive functioning which leads to improved general functioning. Recent research has demonstrated the effectiveness of the approach for treating those with anorexia nervosa, cognitive improvements have been noted in patients, and the approach is associated with low drop-out rates from the treatment, and high levels of acceptability among both patients and therapists. This book presents research focussing on: - individual therapy with adults - family-based therapy - CRT with young people - group format of CRT - adapting interventions for people with co-morbidities - clinicians experiences working with CRT Illustrated throughout with case studies, and integrating neuropsychological testing and brain imaging this book discusses the latest research on this novel treatment approach. It will be key reading for researchers and academics in the eating disorders field wanting to trial the approach, as well as final year undergraduates and postgraduate clinical psychology students looking for a new perspective.
The effective treatment of anorexia nervosa (AN) remains a significant challenge. This has prompted new research into ways of engaging and keeping patients in treatment and ultimately achieving better outcomes, not only on a symptomatic level but also in broader aspects of life. In this book Kate Tchanturia brings together international experts from the field of eating disorders to discuss the effectiveness of cognitive remediation therapy for treating anorexia nervosa, and keeping patients in therapy. Cognitive Remediation Therapy (CRT) is a type of therapy that concentrates on improving neurocognitive abilities such as attention, working memory, cognitive flexibility and planning, and executive functioning which leads to improved general functioning. Recent research has demonstrated the effectiveness of the approach for treating those with anorexia nervosa, cognitive improvements have been noted in patients, and the approach is associated with low drop-out rates from the treatment, and high levels of acceptability among both patients and therapists. This book presents research focussing on: - individual therapy with adults - family-based therapy - CRT with young people - group format of CRT - adapting interventions for people with co-morbidities - clinicians experiences working with CRT Illustrated throughout with case studies, and integrating neuropsychological testing and brain imaging this book discusses the latest research on this novel treatment approach. It will be key reading for researchers and academics in the eating disorders field wanting to trial the approach, as well as final year undergraduates and postgraduate clinical psychology students looking for a new perspective.
This book explores the link between autism and eating disorders through testimonies from practitioners, service users and carers. Combining research findings, case studies and first-hand accounts, it provides insights into how individuals on the autism spectrum can be supported towards full recovery from an eating disorder. Edited by the lead Clinical Psychologist at the Maudsley Eating Disorder National Service, informed by their team's research, chapters focus on the unique issues arising when autism and eating disorders coexist. The contributors suggest treatment adaptations from a multi-disciplinary perspective, and touch more broadly on the topic of poor mental health outcomes for autistic individuals, and how these might be improved.
A number of avenues of research indicate that neurobiological abnormalities may be involved in eating disorders. An important component of this may be some form of dysfunction in cognitive processing. The aim of this book is to review the results and implications of previous research into neuropsychological function in Eating Disorders (ED), focusing on the diagnoses of Anorexia Nervosa (AN) and Bulimia Nervosa (BN). Published articles on this topic, uncovered in a recent systematic literature search, are summarised here in a table format, allowing the straightforward comparison of materials, methods and results across studies. Whilst providing insight into potential areas of cognitive dysfunction in this clinical group, the neuropsychological data that exists for eating disorders is somewhat unclear. A number of methodological limitations are inherent in this literature; with issues ranging from sample characteristics to study design and the variety of tests employed, thus restricting the conclusions that may be derived. Suggestions as to how these limitations may be overcome and potential directions for future research are discussed accordingly. We advocate the adoption of a hypothesis driven approach to explore neuropsychological processing in Eating Disorders, the utility of which has been confirmed in the ongoing work of our department. Based on clinical observation and personality research, our hypotheses with regards to reduced cognitive flexibility in individuals with AN have consistently been endorsed. Neuropsychological research has both important theoretical and clinical implications, advancing understanding with regards to aetiology and phenotypes of disorder. The knowledge derived from hypothesis driven neuropsychological studies may be applied practically in research and treatment settings, with the potential to initiate the development of innovative treatment interventions, as has been seen with other psychiatric disorders.
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