Helping People with Eating Disorders E-Book

Bob Palmer

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 665

Veröffentlichungsjahr: 2014

Beschreibung

Up-to-date and accessible, the second edition of Helping People with Eating Disorders is a comprehensive guide to understanding, assessing, and treating eating disorders.

• Focuses on evidence-based practice with references to the latest research and new DSM-V classifications
• Discusses the types of eating disorders and their causes, reviews treatment methods and their outcomes, and provides guidance on dealing with challenging cases
• Illustrates concepts and methods using several case studies that run throughout the book, as well as many examples from the author's clinical work
• Written in clear and concise language by an expert with over 40 years’ experience in the field

Leseprobe

CONTENTS

COVER

PRAISE FOR HELPING PEOPLE WITH EATING DISORDERS

TITLE PAGE

COPYRIGHT PAGE

ABOUT THE AUTHOR

PREFACE TO THE SECOND EDITION

PREFACE TO THE FIRST EDITION

1 WHAT ARE THE EATING DISORDERS?

CLASSIFICATIONS AND DIAGNOSTIC CRITERIA

A BRIEF HISTORY

THE FEATURES OF ANOREXIA NERVOSA

THE FEATURES OF BULIMIA NERVOSA

THE FEATURES OF BINGE EATING DISORDER

TWO CLICHES

OTHER DIAGNOSTIC CATEGORIES

RESIDUAL CATEGORIES

SOME RESIDUAL ISSUES

FURTHER READING

2 WHO SUFFERS FROM EATING DISORDERS? WHO ASKS FOR HELP?

EPIDEMIOLOGICAL RESEARCH

WHO SUFFERS FROM EATING DISORDERS?

DISORDERS OF ADOLESCENCE?

DISORDERS OF RESTRAINT?

EATING DISORDERS ACROSS TIME

EATING DISORDERS ACROSS COUNTRIES, CLASSES, CULTURES AND SUBCULTURES

GOLDEN GIRLS?

CULTURE AND BULIMIA NERVOSA

FILTERS ON THE PATHWAY TO CARE

HOW MANY PEOPLE SUFFER FROM ANOREXIA NERVOSA?

HOW MANY PEOPLE SUFFER FROM BULIMIA NERVOSA?

BINGE EATING DISORDER

COMORBIDITY

THE COURSE AND OUTCOME OF THE EATING DISORDERS

BEYOND DIAGNOSTIC CATEGORIES

RISK FACTORS

FURTHER READING

3 WHAT CAUSES EATING DISORDERS?

EATING RESTRAINT AND ITS CONSEQUENCES

COUNTERREGULATION

MOTIVATION FOR RESTRAINT

CONCERN ABOUT BODY WEIGHT AND SHAPE

THE SOCIAL CONTEXT

SELF-ESTEEM

THE PERSONAL CONTEXT

PERSONALITY AND TEMPERAMENT

BODY IMAGE

EATING AND EMOTION

FAMILY INFLUENCES

CHILDHOOD ABUSE AND ADVERSITY

PRECIPITATING LIFE EVENTS AND ADVERSITY

BIOLOGICAL ISSUES

CRISP’S SPECULATION

NEW METHODS AND NEW MODELS

GREEN SHOOTS?

CONCLUSIONS

FURTHER READING

4 THINKING ABOUT EATING DISORDERS

HORIZONTAL AND VERTICAL METAPHORS

ENTANGLEMENT AND MOTIVATED EATING RESTRAINT

WEIGHT AND EATING CONTROL: THE SLIMMING IDEOLOGY

WEIGHT AND EATING CONTROL: THE SPRING STORY

THE NATURAL HISTORY OF SLIMMING

THE VICIOUS CIRCLE OF RESTRAINT

THE VICIOUS CIRCLE OF FAILED RESTRAINT

THE VICIOUS CIRCLE OF ENTANGLEMENT

A NESTING SET OF VICIOUS CIRCLES

DIFFERENTIAL VULNERABILITY

SPRING STORY: RECAPITULATION AND WARNING

FURTHER READING

5 WHAT IS INVOLVED IN RECOVERY FROM EATING DISORDER?

WHAT IS RECOVERY?

A VIEW OF RECOVERY FROM EATING DISORDER

TASK ONE: RESTORING WEIGHT AND EATING

TASK TWO: DISENTANGLING

TASK THREE: GETTING LIFE ON THE MOVE AGAIN

THE ROLE OF OTHERS IN RECOVERY

CAN ANYONE RECOVER?

FURTHER READING

6 ASSESSING PEOPLE WITH EATING DISORDERS

THE FIRST FEW MINUTES

MIXED FEELINGS

ANOREXIA NERVOSA

BULIMIA NERVOSA

MIXED FEELINGS AGAIN

ENGAGEMENT

THE PROSPECT OF CHANGE

INTERVIEWING STYLE

THE IMMEDIATE AIMS OF ASSESSMENT

THE HISTORY OF WEIGHT AND EATING

ASSESSING CURRENT EATING

ASSESSING BINGE EATING

IDEAS AND ATTITUDES

WIDER ASSESSMENT

THE PRESENT

MENTAL EXAMINATION

PERSONALITY ASSESSMENT

SELF-ESTEEM

OBSESSIONALITY AND PERFECTIONISM

EMOTION, IMPULSIVITY AND ‘BORDERLINE TRAITS’

INVOLVING OTHERS

STANDARD INTERVIEWS AND QUESTIONNAIRES

PHYSICAL ASSESSMENT

WEIGHING

PUTTING IT ALL TOGETHER

FURTHER READING

7 WHAT HELPS PEOPLE WITH ‘BULIMIC DISORDERS’?

GENERAL ISSUES

PHYSICAL ISSUES

THERAPEUTIC ALLIANCE

TREATMENTS FOR BULIMIA NERVOSA

DIAGNOSIS AND ‘TRANSDIAGNOSIS’

COGNITIVE BEHAVIOURAL THERAPY

COGNITIVE BEHAVIOURAL THERAPY FOR BULIMIA NERVOSA (CBT-BN)

ENHANCED COGNITIVE BEHAVIOURAL THERAPY (CBT-E)

THE TWO VERSIONS OF CBT-E: FOCUSED AND BROAD

EVALUATION OF CBT-E

OTHER FORMS OF CBT: DOING IT BY THE BOOK OR BESPOKE?

TREATMENT FOCUS

INTERPERSONAL PSYCHOTHERAPY (IPT)

OTHER THERAPIES

PSYCHODYNAMIC APPROACHES

FEMINIST PERSPECTIVES

FAMILY-BASED TREATMENT

NON-VERBAL THERAPIES

GROUP TREATMENTS

PSYCHOEDUCATION

‘SELF-HELP’

DRUG TREATMENTS

COMBINED TREATMENT

BINGE EATING DISORDER

STEPPED CARE

UNRESPONSIVE PATIENTS

MORE OF THE SAME?

SOMETHING DIFFERENT?

REASSESSMENT

BULIMIC DISORDERS AND BORDERLINE PERSONALITY DISORDER

PHYSICAL COMPLICATIONS

FURTHER READING

8 WHAT HELPS PEOPLE WITH ANOREXIA NERVOSA?

THE SICK ROLE

THE TASKS OF RECOVERY AND THE AIMS OF TREATMENT

CLINICAL MANAGEMENT

OUTPATIENT TREATMENT: GENERAL ISSUES

SETTING UP TREATMENT

KEEPING AN EYE ON THE PHYSICAL STATE

WEIGHT GAIN

GIVING ADVICE ABOUT EATING

THERAPY

TIMING OF THERAPY

THE THERAPUETIC ALLIANCE

INVOLVING FAMILIES AND CARERS

EVIDENCE-BASED PRACTICE

RESEARCH INTO THE TREATMENT OF ANOREXIA NERVOSA

THERAPY TRIALS

THE MAUDSLEY METHOD

THERAPY FOR ADULTS

GROUP TREATMENT

DRUG TREATMENTS

ANTIDEPRESSANT DRUGS

NEUROLEPTICS

CYPROHEPTADINE

BLOATING AND CONSTIPATION

VITAMINS

INPATIENT TREATMENT

RESCUE ADMISSIONS

ADMISSIONS FOR TREATMENT (STRATEGIC ADMISSIONS)

INPATIENT REGIMES

CHOOSING AND SUPERVISING MEALS

BALANCE, COMPROMISE AND CONFIDENCE

TARGETS AND PLATEAUX

THE UNIT CULTURE

AN UNUSUAL REGIME AND CULTURE: THE MANDOMETER

DIMINISHING RETURNS

DAY PATIENT PROGRAMMES

PHYSICAL CARE AND COMPLICATIONS

VERY LOW WEIGHT

GASTROINTESTINAL PROBLEMS

ELECTROLYTE AND FLUID BALANCE

OEDEMA

MENSTRUATION

OSTEOPOROSIS

NEUROLOGICAL PROBLEMS

MANAGEMENT OF VERY SEVERE DISORDER

MANAGEMENT OF THE TRULY CHRONIC CASE

SERVICE ORGANISATION

FURTHER READING

9 UNUSUAL EATING DISORDERS

EATING DISORDERS IN MEN

EATING DISORDERS IN CHILDREN

EATING DISORDERS IN OLDER PEOPLE

EATING DISORDERS AND PSYCHIATRIC COMORBIDITY

EATING DISORDERS AND PHYSICAL COMORBIDITY

EDNOS AND ALL THAT

PARTIAL SYNDROMES

TRULY ATYPICAL CASES

AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER (ARFID)

CHERISHING UNCERTAINTY

FURTHER READING

10 WHAT MAY GO WRONG?

THE MANAGEMENT OF MIXED FEELINGS

BATTLING

AVOIDING BATTLES

COMPULSORY TREATMENT

SPLITTING AND RIVALRY

COLLUDING

STALEMATE

DROPOUT

DISSOCIATION AND COMPLICATION

SEXUAL EXPLOITATION BY CLINICIANS

CHRONICITY

EATING DISORDERS AND TERMINAL CARE

FURTHER READING

11 THE ORGANISing SERVICES FOR PEOPLE WITH EATING DISORDERS

FILTERS ON THE PATHWAY TO CARE

SEEKING HELP

GATEKEEPERS

OFFERING HELP

THIRD PARTIES

NEED AND DEMAND

OPTIMAL PROVISION AND COMPREHENSIVE PROVISION

COMPREHENSIVE SERVICE?

SERVICES FOR ANOREXIA NERVOSA (AN)

SERVICES FOR BULIMIC DISORDERS

STEPPED CARE

SIZE OF SERVICES

TRAINING AND SUPERVISION

RESPONSIBILITY

AUDIT, RESEARCH AND DEVELOPMENT

USER AND CARER ORGANISATIONS

MONEY, IMAGE AND ADVOCACY

FURTHER READING

REFERENCES

INDEX

END USER LICENSE AGREEMENT

List of Illustrations

Chapter 04

Figure 4.1 Spring Diagram I. Body weight is seen as a regulated system which tends to settle within a set range which is particular for the individual. This may be represented by a spring.

Figure 4.2 Spring Diagram II.

Figure 4.3 Spring Diagram III. Greater restraint will lead to greater response and the risk of ‘escape’.

Chapter 07

Figure 7.1 Diagram representing the “transdiagnostic” cognitive behavioral theory. From

Cognitive Behavior Therapy

by Christopher Fairburn (2008) Guilford Press. Reprinted with permission of Christopher Fairburn.

Figure 7.2a and b Normalisation of ED Features in Treatment and Follow-Up in the Oxford – Leicester Trial. Adapted with permission of Christopher Fairburn.A. Comparison of results for “less complex” and “more complex” cases.B. Comparison of results of CBT-E focused and CBT-E broad for “more complex” cases.

Guide

Cover

Table of Contents

Begin Reading

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PRAISE FOR HELPING PEOPLE WITH EATING DISORDERS

“I cannot speak too highly of this book. Written by a leading figure in the field, it provides a balanced, comprehensive and up-to-date account of what we know about eating disorders and their management. It is also beautifully written. There is no book like it.”

Professor Christopher Fairburn, Centre for Research on Eating Disorders at Oxford, University of Oxford

“As a clinical and administrative professional in the field of eating disorders over the past 40 years, I know from experience that Bob Palmer’s writing and presentations never fail to shed new light on those stubbornly complex aspects of eating disorders that stymie the most brilliant minds. This book provides readers from a wide range of professional disciplines as well as sufferers, families, and others, a private audience with one of the foremost thinkers in our field as he summarizes the full scope of our current clinical knowledge base with his inimitable compassion, humility, intelligence, and wisdom. Bob Palmer’s book belongs in the hands of everyone and anyone who has been or might be touched by eating disorders.”

Judith Banker, Executive Director, Center for Eating Disorders, Ann Arbor, Michigan

“Professor Palmer draws on a lifetime of expertise in research and clinical treatment of eating disorders in this book. It is his grasp of this most complex and challenging of mental illnesses that is so useful to clinicians. His practical examples, and the robust evidence base that underpins them, are invaluable aids to improving treatment outcomes.”

Susan Ringwood, Chief Executive, Beat

“Leave it to Bob Palmer to provide a book that brilliantly serves anyone (regardless of discipline, therapeutic orientation, or level of experience) who wants to be prepared for clinical work with people with eating disorders. The book is comprehensive, current, pragmatic and balanced. The concepts it conveys artfully blend evidence-based rigor with that kind of clinical sensitivity and sophistication that can only emerge from the mind (and heart) of a master clinician. As an added bonus, the reader gets to enjoy that marvellous wit, wisdom and humanity for which the author is so well known.”

Howard Steiger, Director, Eating Disorders Program, Douglas Mental Health University Institute

“This book is one that I have used since it first came out, for learning, teaching and training. However, this new edition is going to be the reason that the first edition gets retired. The content is totally updated, reflecting the author’s extraordinary clinical and academic command of the field. Whether you are working with individuals with eating disorders, teaching on the subject, or developing services, this book will help you.

While this book is a valuable guide to the current literature on understanding and treating the eating disorders, its perspective goes beyond that of other books. In particular, the final two chapters deal with issues that all clinicians and service providers should be aware of but which are rarely laid out so clearly.

If you do not own the first edition of this book – you should buy this second edition. If you own the first edition of this book – you should buy this second edition.”

Glenn Waller, Professor of Clinical Psychology, University of Sheffield

HELPING PEOPLE WITH EATING DISORDERS

A Clinical Guide to Assessment and Treatment

SECOND EDITION

Bob Palmer

This second edition first published 2014© 2014 John Wiley & Sons, Ltd

Edition History: John Wiley & Sons, Ltd (1e, 2000)

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Library of Congress Cataloging-in-Publication Data

Palmer, Robert L.Helping people with eating disorders : a clinical guide to assessment and treatment /    Bob Palmer. – Second edition.  pages cm Includes bibliographical references and index.

 ISBN 978-1-118-60670-4 (cloth) – ISBN 978-1-118-60669-8 (pbk.) 1. Eating disorders.I. Title. RC552.E18P35 2015 616.85′26–dc232014004704

A catalogue record for this book is available from the British Library.

Cover image: © LCBallard / iStockphotoCover design by Simon Levy Associates