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Available5.0
33 reviews
ISBN 10: 041596461X
ISBN 13: 9780415964616
Author: Margo D Maine, William N Davis, Jane Shure
This book is the first to address what really happens behind closed doors during eating disorders treatment, as most writing has only addressed theoretical approaches and behavioral strategies. The field has long needed a book that describes the heart of the matter: the therapeutic interventions and interactions that comprise life-changing treatment for this life-threatening disorder. In response to this need, the authors have created a book that reflects the individual therapeutic skills and the collective wisdom of senior clinicians, all of whom have years of experience treating anorexia, bulimia, and binge eating disorder. Intended to be a deeply thoughtful and instructive volume, Effective Clinical Practice in the Treatment of Eating Disorders: The Heart of the Matter demonstrates the depth, complexity, and impact of the therapeutic process. In particular, the book articulates and explores essential points of information, issues, insights and unresolved questions about eating disorders treatment. Effective Clinical Practice in the Treatment of Eating Disorders describes and explicates important treatment issues and themes in a nuanced, highly contextualized and qualitative manner. The book offers a significant reference for both novice and seasoned therapists, and it includes specific information that will serve to inform and mentor future generations of eating disorders clinicians.
Introduction
Section One Effective Clinical Practices: Approaches
Chapter One Beyond the Medical Model A Feminist Frame for Eating Disorders
Introduction
Words About Words
The Medical Model and Theories on Women's Mental Health
The History of Eating Disorders
Therapeutic Relationships: Psychoanalytic Theories and Beyond
The Culture of Treatment
A Feminist Framework: How It Works
A Feminist Therapist: How I Work
Final Thoughts: The Path of Least Resistance or a Path of Mutual Growth?
References
Chapter Two Wholeness and Holiness A Psychospiritual Perspective
Introduction
Step 1: The Requisite “Leap of Faith”
Psychospiritual Literacy
Introducing Spirituality
Spirituality 101: “You Must Study”
Psychospiritual Restructuring
Authenticity
The Psychospiritual Therapeutic Relationship
Psychospiritual Psychotherapy: Sowing the Seeds
References
Recommended Reading
Chapter Three Individual Psychotherapy for Anorexia Nervosa and Bulimia Making A Difference
Introduction
Context
Approach Eating Disorders as Ordinary Problems
Work Hard to Engage the Patient
Take Symptoms Seriously
Use Interpretations Sparingly and Without High Expectations
Look for Opportunities to Provide Psychoeducation
Be Very Aware of the Process of Therapy
Rely on the Impact of the Treatment Relationship
Conclusion
References
Chapter Four Developing Body Trust A Body-Positive Approach to Treating Eating Disorders
Introduction
The Cultural Context
Process and Goals of Treatment
Rethinking Body Image
Weight Neutrality
Relinquishing the Fantasy of the Thin Future
Dealing With Cultural Attitudes
Remedial Eating
Finding the Parent Within
References
Section Two Effective Clinical Practice: Methods
Chapter Five Holistic Integrative Psychiatry and the Treatment of Eating Disorders
Introduction
About Holistic Integrative Medicine
Traditional Medicine and Holistic Integrative Psychiatry
Clinical Perspectives on Holistic Integrative Psychiatry
Spirituality
Yoga and Meditation
Natural Alternatives to Psychiatric Medication
Clinical Perspectives on Holistic Integrative Psychiatry and the Treatment of Eating Disorders
Assessing Carefully
Case Example: Accessing the Healing Power of Love
Case Example: Healing Deep Wounds: The Power of Pets
Final Thoughts
References
Chapter Six Countertransference in the Psychotherapy of Patients With Eating Disorders
Introduction
Importance of the Therapeutic Relationship
Countertransference and Projective Identification
Special Aspects of Eating Disorder Treatment
Countertransference in the Psychotherapy of Eating Disorders
Planning to Use Countertransference Reactions
Final Thoughts on the Unique Tool of Countertransference
References
Chapter Seven Family Therapy With Eating Disorders Creating an Alliance for Change
Introduction
A Historical View
Overview of Family Dynamics With Eating Disorders
Beginning Stages of Treatment
Therapeutic Issues
Partners
Multifamily Therapy and Support Groups
Families: The Silver Lining in a Dark Cloud
References
Chapter Eight Sacred Circles Feminist-Oriented Group Therapy for Adolescents With Eating Disorders
Introduction
Overview of Group Therapy
Assessment and Preparation for Group
Group Cohesion
Core Therapeutic Factors
Feminist Theory and Therapy
Feminist-Oriented Group Therapy for Adolescents With Eating Disorders
Group Format and Demographics
Group Process
Between-Group Contacts
Group Duration and Graduation
Group in Action
A Path to Fullfillment
References
Chapter Nine Treating Eating Disorders The Healing Power of Guided Imagery
Introduction
What Is Guided Imagery?
Types by Origin
Types by Therapeutic Aim
Why Imagery With Eating Disorders?
Modulating Intense Emotions
Developing Self-Soothing Mechanisms
Uncovering Unconscious Material
Principles and Assumptions: Integrating Imagery Into Psychotherapy
Psychoeducational Preparation
Relaxation
Creating Safety
The Mind-Body Connection
The Principle of Amplification
Clinical Examples
Scripted Imagery 1: Favorite Food Exercise
Scripted Imagery 2: The Inner Guide Exercise
Conclusion
References
Chapter Ten BodyMind Treatment Connecting to Imprinted Emotions and Experiences
Introduction
BodyMind Integration
Culture and Identity
Body Image
Attachment
Accessing Stored Emotion
The Physicalization of Language
Case Example: Gail's Representation of Feeling Cornered
From Body and Mind Problems to BodyMind Solutions
References
Section Three Effective Clinical Practices: Special Themes
Chapter Eleven Shame, Compassion, and the Journey Toward Health
Introduction
Origins of Shame
Trauma-Based Shame
Culturally Induced Shame
Attachment Deficits and Shame
Familial Shame
Shame, Dissociation, and Eating Disorders
Working With Shame in the Treatment of Eating Disorders
Working With the Monster
Working With Shame in the Therapeutic Relationship
Mindfulness and the Brain
Compassion
Healing the Weight of Shame
Distinguishing Past From Present
Integrating the Private and Public Self
Tracking the Client's Process Toward Resolution
Working With Shame in the Therapeutic Relationship
Compassion: The Antidote to Shame
References
Chapter Twelve The Embodied Therapist Perspectives on Treatment, Personal Growth, and Supervision Related to Body Image
Introduction
The Embodied Self
The Clinician's Relationship to Her Own Weight, Eating, and Body Image
Scrutiny and Comments From Clients Regarding the Clinician's Body
Self-Disclosure and Authenticity
Embodied Awareness: A Tool for Recovery
References
Recommended Resources
Chapter Thirteen Connecting Through Difference Therapeutic Use of Self to Promote Eating Disorder Recovery
Introduction
My Journey
Acknowledging Difference to Enhance Connection
Sizing Each Other Up
Self-Acceptance: From Clinician to Client
Self-Acceptance Through Empowerment
Final Thoughts: From the Danger of Difference to the Value of Connection
References
Chapter Fourteen Therapy Redux The Evolution of a Treatment Relationship
Introduction
References
Chapter Fifteen Working With People Who Live Dangerously Perspectives on Managing Negative Countertransference During the Treatment of Eating Disorders
Introduction
Sources of Negative Countertransference
Management of Negative Transference
Therapist Self-Care and Managing Countertransference
Therapist Self-Disclosure and Managing Countertransference
Managing Negative Countertransference in Clinical Practice
Case Example: On the Cutting Edge
Case Example: Worrying on the Sidelines
The Gift and Challenge of Change
References
Chapter Sixteen Forgiveness The Final Frontier in Recovery From an Eating Disorder
Introduction
What Is Forgiveness?
Eating Disorders as a Metaphor for Not Forgiving
Case Example: Internalizing Perfection
Case Example: Accepting Imperfection
Themes Amenable to Forgiveness Interventions
Perfectionism
Relational Disappointments
Case Example: Mindfulness Practice as a Path Through Loss
Managing Anger
Guilt, Self-Hatred, and Entitlement
Case Example: Developing Compassion for Self and Others
Forgiveness on the Road to Recovery
Case Example: Forgiveness as a Window to Love
Forgiveness: The Promising Path to Peace
References
Tags: Margo D Maine, William N Davis, Jane Shure, Effective, Clinical
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