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By H. Charles Fishman

Enduring swap in consuming Disorders offers a special viewpoint at the profitable remedy of consuming issues, that are one of the such a lot debilitating and recalcitrant psychiatric illnesses. distinctive within the box, this booklet info potent Structural family members treatment with qualitative follow-ups of as much as two decades. a realistic strategy delivering concrete instruments to the clinician to making switch that holds through the years with bulimia, anorexia, and compulsive overeating.

The textual content attracts on circumstances from the author's perform of over twenty-five years and follows his procedure within the theoretical culture of in depth Structural kinfolk treatment (IST). Chapters talk about the character and importance of consuming issues, a overview of present remedy methods, and the significance of the family members within the healing strategy. situations of consuming issues in youths and adults are supplied in addition to situations of bulimia, anorexia, and compulsive overeating.

Three appendices give you the reader with information about the clinical foundation of the IST version, the effectiveness of the strategy in treating stipulations except consuming issues and fighting consuming disorders.

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Additional resources for Enduring Change in Eating Disorders: Interventions with Long-Term Results

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In a randomized controlled trial, Bulik et al. (1999) found that lesser severity of BN is associated with a more rapid response to CBT. A review by Anderson and Maloney (2001), however, found that most studies provide outcome data on binge eating, purgative behavior, and concern with shape and weight, while fewer provide data on restraint and self-esteem. They also mention that use of different outcome measures, such as self-reports versus standardized rating scales, can produce discrepancies in efficacy estimates of CBT.

In the therapy described here, the cause is irrelevant; we can transform these cases of eating disorders by working with the patient’s contemporaries, the influential people in the person’s social system. In any case, the causes of eating disorders continue to elude researchers, though there seems to be strong evidence of an interaction between sociocultural and biological influences. The cultural etiology model of AN is a popular one, with feminists being the most outspoken supporters. Brumberg (2000) notes that instead of “casting the behavior as pathological…they seek to demonstrate that these disorders are an inevitable consequence of a misogynistic society that demeans women” (p.

A major problem with group treatments is that they tend to have high attrition rates (Fairburn & Cooper, 1993). In fact, my patient Joy, described in a later chapter, found them counterproductive. A veteran of eat-ing disorder groups, she reported that members become competitive and their symptoms are exacerbated: “Put me in a room full of bulimics and I’ll be throwing up by the next night. It’s a control issue. ” This may be one reason for the high attrition rate. Can eating disorders be treated?

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