Treatment of Eating Disorders: Bridging the research-practice gap

Cover Page
......Page 1
TREATMENT OF EATING DISORDERS......Page 2
Copyright
......Page 3
Biographies......Page 4
Refining the Clinical Evaluation of Patients with Eating Disorders......Page 84
CHAPTER 17 -
The Weight-Bearing Years: Eating Disorders and Body Image Despair in Adult Women......Page 15
References......Page 19
Applying Acceptance and Commitment Therapy to the Treatment of Eating Disorders......Page 69
Gender, Culture, and Eating Disorders......Page 21
GENDER: DIFFERENCE OR SIMILARITY?......Page 22
NATURE, NURTURE, AND THE BRAIN......Page 23
GENDERING: A BIOPSYCHOSOCIAL PROCESS......Page 24
PSYCHOLOGICAL DEVELOPMENT IN A GENDERED ENVIRONMENT......Page 25
MEDIA IMAGES, GENDER, AND OBJECTIFICATION THEORY......Page 26
GENDER DISTINCTIONS AND THE OUTCOME OF OBJECTIFICATION......Page 27
FEMINIST PERSPECTIVES: PROTECTION IN THE FACE OF OBJECTIFICATION?......Page 28
GENDER-INFORMED TREATMENT......Page 29
ENHANCING GENDER COMPETENCE......Page 30
CONCLUSION
......Page 32
References......Page 206
CHAPTER 21 - The Most Painful Gaps......Page 208
Weight Neutrality in the Health at Every Size Paradigm and Its Implications for Clinical Practice......Page 35
WEIGHT, MENSTRUATION, AND PHYSICAL CONDITIONS......Page 36
ABOUT THE DATA......Page 38
COGNITIVE DEFUSION VERSUS FUSION......Page 182
Cultural Meanings of Fat and Thin......Page 40
A FINAL REFLECTION AS AN EXAMPLE OF ADVOCACY......Page 79
Makeover Mind......Page 42
THE VALUE OF A WEIGHT NEUTRAL STANCE: PART 3......Page 44
From Makeover Mind to Sustainable Eating......Page 45
Other Self-Care Behaviors......Page 47
CONNECTING TO AND COMMITTING TO ACTION ALIGNED WITHnbspCORE VALUES......Page 187
OUTCOME......Page 235
CONCLUSIONS......Page 49
References......Page 51
CHAPTER 24 -
The Use of Holistic Methods tonbspIntegrate the Shattered Self......Page 403
Contributions to the Understanding and Treatment of Eating Disorders......Page 54
THE SUCCESSFUL CLIENT’S RECIPE......Page 55
Vital Signs......Page 106
Neural Developmental Sequence......Page 56
Relational, Attitudinal, and Systemic Factors......Page 57
Atypical Antipsychotics......Page 125
PREGNANCY AND PARENTING: RISK OR OPPORTUNITY?......Page 58
ATTACHMENT THEORY, AFFECT-REGULATION THEORY, AND EATING DISORDERS......Page 59
Affect Disregulation and the Right Hemisphere......Page 60
THERAPEUTIC IMPLICATIONS......Page 61
Left Hemisphere Cognitive, Conscious Strategies for Affect-Regulation......Page 62
Language of the Right Hemisphere......Page 63
The Therapist, More Than the Theory, Is the Agent of Change......Page 64
References......Page 65
EATING DISORDERS AND THE SHATTERED SELF......Page 404
Risk and Mass Media......Page 71
Media Literacy......Page 73
Are Mass Media a Causal Risk Factor?......Page 74
MINDFULNESS-BASED THERAPIES......Page 389
Binge Eating Disorder (BED)......Page 373
Other Physical Conditions......Page 76
Extending the Frame of Research and Practice Nancy L. Cloak and Pauline S. Powers......Page 358
Develop a Repertoire of Active Interventions......Page 77
Giving and Receiving Good Gifts of Love (Box 22.5)......Page 378
Support of Parents and Loved Ones......Page 78
References......Page 80
Setting the Groundwork: The Academy for Eating Disorders Research-Practice Initiative......Page 455
AED ``Data''......Page 456
UNDERPINNING: TRAUMA......Page 86
Stages of Change Theory, Motivational Interviewing, and Eating Disorders......Page 308
Family Issues......Page 197
Assessing Quantity Of Meals And Snacks......Page 87
Principled Living (Box 22.4)......Page 377
Twelve Steps of Self-Mutilators Anonymous......Page 88
A Relational/Motivational Approach: Therapist Stance......Page 331
CONCLUSIONS......Page 89
Laxatives, Diuretics, and Enemas......Page 90
Exercise......Page 91
CLINICAL ISSUES......Page 92
Anxiety Disorders......Page 93
Substance Use Disorders......Page 94
CONCLUSION......Page 273
BRINGING IT ALL TOGETHER......Page 95
References......Page 96
CHAPTER 26 -
Body Talk......Page 101
MENTAL ILLNESSES OR MEDICAL ILLNESSES?......Page 102
WHAT PATIENTS DO IS MORE IMPORTANT THAN THEIRDIAGNOSTIC CATEGORY......Page 103
GENERAL RECOMMENDATIONS ON EATING DISORDERASSESSMENT......Page 104
GATHERING THE HISTORY......Page 105
Relational-Cultural Theory and Research......Page 112
NEUROPSYCHIATRIC ASSESSMENT: IMPAIRED BRAIN MEANSIMPAIRED MIND......Page 113
Discuss the Intervention with the Patient and Explore His or Her Reactions......Page 114
Restriction......Page 115
Special Considerations for Female Therapists......Page 116
Osteopenia and Osteoporosis......Page 117
RENAL ASSESSMENT......Page 118
REFEEDING SYNDROME......Page 119
BRIDGING THE GAP FOR MEDICAL ASSESSMENT......Page 120
References......Page 121
CHAPTER 20 -
When Helping Hurts......Page 123
Medication Guidelines: Antidepressants......Page 124
Early Developmental Trauma......Page 126
EXERCISE: A NEGLECTED COMPONENT OF EATING DISORDERS TREATMENT......Page 127
Medication Guidelines: Antidepressants......Page 128
Symptoms Are Worse/Outcome Less Robust in Comorbid Patients......Page 129
Robbie Munn......Page 130
Diagnostic Criteria......Page 131
Medication Guidelines: Antidepressants......Page 132
Combining Treatments......Page 133
References......Page 134
CHAPTER 8 -
Nutritional Impact on the Recovery Process......Page 139
THE HARMFUL ROLE OF EXERCISE IN THE CONTEXT OF EATING DISORDERS......Page 423
IN MEMORY OF ANNA SELINA WESTIN: November 27, 1978-February 17, 2000......Page 142
Duration of Nutritional Rehabilitation......Page 143
Genetics......Page 227
On-going Nutritional Rehabilitation......Page 147
The End of the Journey......Page 151
CLOSING THE RESEARCH/PRACTICE GAP IN THE NUTRITIONAL TREATMENT OF EATING DISORDERS......Page 152
References......Page 153
INTRODUCTION......Page 155
THE TROUBLE WITH TRANSITIONS......Page 157
Treatment Implications From the Neurological Perspective Francine Lapides......Page 158
Discuss the Symptoms in Detail......Page 159
Deconstruct the Meanings of Food and Weight......Page 160
Eating Disorder Not Otherwise Specified (EDNOS)......Page 161
Monitor the patient’s reactions to the intervention......Page 170
CONCLUSION......Page 171
References......Page 452
Willingness and Acceptance versus Experiential Avoidance......Page 179
Stages of Change Theory and Motivational Interviewing......Page 322
MINDFULNESS AS AN INTERVENING ACTION VERSUS
BEING LOST IN THE FUTURE OR PAST
......Page 184
BRIDGING THE GAP: MIND, BODY, AND SPIRIT......Page 341
References......Page 253
CHAPTER 11 -
Outpatient Treatment of Anorexia Nervosa following Weight Restoration......Page 192
The Use of Metaphor and Storytelling in Body Image Treatment......Page 439
Psychopharmacologists......Page 194
Part Two: Anna Is Diagnosed with Anorexia Nervosa; August 2000......Page 352
Nutrition Specialists......Page 196
EVIDENCE FOR EXERCISE PROTOCOLS IN EATING DISORDERS TREATMENT......Page 199
A NEW LENS FOR FOOD AND FAT......Page 449
ASSESSING AND ADDRESSING COMORBIDITIES......Page 204
SUMMARY......Page 205
Recommendations for the Clinician......Page 265
Ineffective translation and transfer of knowledge......Page 213
Outcome Literature: Coming in From the Outside......Page 214
Triggering Events......Page 228
Recovery Literature: Coming Out from the Inside......Page 216
Qualitative Research: Bridging the Tower and the Trenches......Page 217
THROUGH THE LOOKING GLASS......Page 357
GUIDING PRINCIPLES FOR RESEARCH-PRACTICE INTEGRATION......Page 286
OVERVIEW OF BPD......Page 225
The Prevalence of BPD......Page 226
IMPACT: PATIENT AND ECOLOGICAL SYSTEM......Page 279
Clinical Diagnosis......Page 229
BPD May be a Risk Factor for the Development of an Eating Disorder......Page 230
Comorbid BPD Requires Augmented and Lengthier Treatment......Page 231
DANCE/MOVEMENT THERAPY: EXPLORING THE DANCE OF CONNECTION......Page 411
Systematized Treatment Approaches......Page 232
Eclectic Treatment Approaches: A Brief Example......Page 233
Potential Treatment Quagmires......Page 234
The Borderline Personality Scale of the Personality Diagnostic Questionaire-4......Page 238
The Self-Harm Inventory......Page 239
CHAPTER 14 -
Managing the Eating Disorder Patient with a Comorbid Substance Use Disorder......Page 241
ABOUT BODY IMAGE AND EATING DISORDERS......Page 242
Exercise Protocols in Anorexia Nervosa Patients......Page 427
SIMILARITIES AND DIFFERENCES BETWEEN EATING DISORDERS AND SUBSTANCE USE DISORDERS......Page 244
Differences......Page 245
Over-the-Counter Medications......Page 246
Cultivating Mindfulness in Treatment Teams......Page 247
Empirically Supported Interventions......Page 248
General Principles and Strategies......Page 326
What Can Therapists Do?......Page 315
Integrated or Sequential Treatment......Page 251
Connecting with Patients and Families for Change......Page 275
Treatment Considerations and Recommendations for a Vulnerable Population......Page 258
DAWN: WHERE WE BEGAN......Page 337
NEW DIRECTIONS: FAMILY-BASED TREATMENT AND PARENTAL INTERVENTION WITH FOOD......Page 260
TREATING THE INDIVIDUAL WITH COMORBID TRAUMA AND EATING DISORDER......Page 261
Treatment Approach......Page 262
CLINICAL VIGNETTES......Page 266
Working with Transference......Page 398
Nurture......Page 278
RECOVERY DEFINED......Page 280
Previous Treatment Approaches......Page 281
Radical Acceptance......Page 282
Cultivating Mindful Exercise in Patients......Page 433
Research-Practice Integration Strategies for the Treatment Professional......Page 283
Milieu Treatment......Page 284
TAKING A MINDFUL APPROACH TO EXERCISE......Page 285
Appendix A......Page 288
RADICAL ACCEPTANCE......Page 289
THE SHAPE OF ADULT EATING DISORDERS......Page 291
A PERFECT STORM: MIDLIFE TRANSITIONS IN AN ERA OF GLOBAL TRANSFORMATION......Page 294
THE CHALLENGE OF CHILDREN......Page 296
MEDICAL ISSUES......Page 300
FINAL THOUGHTS: NOTES TO, AND ABOUT, THE SELF......Page 301
BRIDGING THE RESEARCH-PRACTICE GAP......Page 302
References......Page 318
The Art and Science of Treatment Engagement......Page 305
EXPANDING CLINICIAN RESOURCES......Page 306
Physiological and Medical......Page 307
GROWING UP MALE......Page 309
Mindfulness and Spiritual Mindedness (Box 22.3)......Page 310
Psychotherapy with Men......Page 312
What Men Bring to Therapy......Page 313
What are Men like in Therapy?......Page 314
Countertransference......Page 316
CONCLUSIONS......Page 317
Theoretical and Empirical Roots......Page 321
Relational-Cultural Theory and Eating Disorders: The Patient......Page 324
Relational-Cultural Theory and Eating Disorders: The Family......Page 325
YOGA AS A PATHWAY TO WHOLENESS......Page 408
References......Page 334
WHAT WE HAD TO LEARN: PARENTAL NEGLECT......Page 339
RECOMMENDATIONS FOR TRAINING......Page 382
Age and Developmental Capacity......Page 344
Conduct a Religious and Spiritual Assessment......Page 372
WHEN THE PATIENT IS NOT A CHILD: SPOUSES, PARENTS, SIBLINGS, AND OTHERS AS THE EATING-DISORDERED PATIENT......Page 346
WHAT WE KNOW, WHAT WE DO NOT KNOWhellipAND MAYBE WHAT WE SHOULD NOT KNOW......Page 347
INTRODUCTION......Page 351
Implement Spiritual Interventions in Treatment......Page 354
Part Four: The Most Painful Gap: The Beginning of the End......Page 355
Part Five: Wetnqh_x2019re in This Together-How Families, Treatment Professionals, and Insurance Companies Can and Should Work Together......Page 356
Concluding Thoughts......Page 361
OUR ``IN A PERFECT WORLD'' DESIRES......Page 362
CONCLUSION......Page 366
CHAPTER 22
 - The Role of Spirituality in Eating Disorder Treatment and Recovery......Page 367
EVIDENCE FOR A RESEARCH-PRACTICE DIVIDE IN THE EATING DISORDERS FIELD......Page 369
COMMON SPIRITUAL ISSUES OF EATING DISORDER PATIENTS......Page 370
Establish a Spiritually Safe Therapeutic Environment......Page 371
Learning a Language of Spirituality (Box 22.2)......Page 375
Holding Up a Therapeutic Mirror That Reflects Spiritual Identity (Box 22.6)......Page 380
References......Page 383
BRIDGING THE GAP: THE OVERVIEW......Page 472
WHAT IS MINDFULNESS?......Page 387
BRINGING THE BRAIN INTO TREATMENT......Page 390
BREAKING WITH TRADITION......Page 391
SKILLS FOR WELLBEING......Page 393
MINDFUL EATING......Page 395
IDENTITY, PERFECTIONISM, AND MINDFULNESS......Page 396
Mindfulness and Countertransference......Page 399
SUMMARY AND FUTURE PATHS......Page 401
UNDERSTANDING THE GESTALT PERSPECTIVE......Page 405
Anorexia Nervosa (AN)......Page 406
Bulimia Nervosa......Page 407
Yoga Postures and the Seven Chakras......Page 409
The Building Blocks......Page 412
Integrating the Concepts......Page 414
The Rhythm and Pacing of the Delivery......Page 415
``Emotion'' Words......Page 416
BARRI......Page 417
Trigger Words......Page 418
CONCLUSION......Page 419
Cultivating a Mindful Approach......Page 422
IT’S NOT THE EXERCISE: QUALITY TRUMPS QUANTITY......Page 424
Exercise Protocols with Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified (EDNOS) Patients......Page 429
CRITICAL THEMES OF EXERCISE PROTOCOLS IN EATING DISORDERS TREATMENT......Page 430
Cultivating Mindfulness in Exercise......Page 431
FUTURE DIRECTIONS AND PERSPECTIVES......Page 434
LEARNING THE LANGUAGE OF SYMBOLISM AND METAPHOR......Page 443
TRANSLATING A ``FAT ATTACK'' INTO METAPHORICAL LANGUAGE......Page 446
FINAL THOUGHTS ON THE TRANSFORMATIVE POWER OF METAPHOR......Page 111
Challenges and Opportunities for the Eating Disorder Treatment Professional......Page 453
STRATEGIES FOR BRIDGING THE GAP......Page 458
Opportunities......Page 465
Challenges......Page 466
Implementation......Page 469
References......Page 471
A Bolder Model Michael Levine and Margo Maine......Page 473
Hippocrates Revisited Edward P. Tyson......Page 474
Puzzling Out Where to Go from Here Martha M. Peaslee Levine and Richard L. Levine......Page 475
The Gaps Within the Gaps: Imagination to Imaginaction Beth Hartman McGilley......Page 476
Trauma and Eating Disorders Diann Ackard and Tim Brewerton......Page 477
Eating Disorders and Self-Inflicted Violence: NextnbspStepsnbspin Bridging the Gap Kim Dennis and Jancey Wickstrom......Page 478
The Role of the Family Judith Brisman......Page 479
Kitty Westin......Page 480
A New Paradigm: Health as a Value Versus Size as a Goal Kathy Kater......Page 481
Bridging the Research-Practice Gap Judith Banker and Kelly Klump......Page 482
References......Page 483
Index......Page 484
Color Plates......Page 493