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Research and Treatment in the Psychobiology of Bulimia Nervosa 1 2 K. M. Pirke and W. Vandereycken When we were preparing this book, the main purpose was to gather the latest in sights from both basic and clinical research in bulimic disorders. The burgeoning scientific interest in eating disorders forced us to restrict the focus in such a way that attention was only paid to psychobiological aspects of (disturbed) nutrition and be havior. This implied that other important aspects, like sociocultural and familial fac tors, had to be excluded. But it turned out that even with such a restricted scope the subject was not an easy one. A review of the contributions to this volume clearly shows that our present understanding of bulimia nervosa is still very small. Reviewing the hypothalamic and especially neuroendocrine regulation of nutrient balance, Bray has emphasized the importance of the autonomic nervous system in regulating food intake and energy expenditure. The role of insulin, adrenal steroids, gonadal steroids, and growth hormone in modulating nutrient intake and storage were discussed. The studies by Jimerson et aI. , Schweiger et aI. , and Fichter et al. show that all these factors are altered in bulimic patients, indicating that the whole system of regulating food intake and storage is severely disturbed in bulimia nervosa. Evidence has been presented that neurotransmitter alterations may occur in bulimia: Jimerson et al.
Offers a clear, concise, up-to-date introduction to eating disorders for students in the health professions This is a concise, accessible introduction to eating disorders for undergraduate and graduate students in psychology, as well as those specializing in health education and nutrition. Easy to read and grounded in DSM-5 definitions and the most up-to-date research, the text is designed for students in the health professions as well as health professionals seeking a basic understanding of the challenges associated with their diagnoses and treatment. Written by a licensed psychologist and certified eating disorders specialist, the book describes what eating disorders are and are not, who is likely to develop them, and signs and symptoms of specific disorders. It discusses biological, medical, psychological, interpersonal, and socio-cultural risk factors, and helps the reader to identify those who are at risk for experiencing an eating disorder and how to refer them for evaluation. Scenarios reflect the wide spectrum of people who suffer from eating disorders including young and old, male and female, and athlete and non-athlete. Uniquely, the book also covers the range of reactions someone—including treatment providers—can have to an individual diagnosed with an eating disorder. The text also delivers strategies for treatment and prevention, with overviews of their effectiveness. Print version of the book includes free, searchable, digital access to its entire contents. Key Features: Provides an easy-to-read introduction to the full range of eating disorders Discusses risk factors and warning signs of eating disorders Discusses evidence-based treatment approaches and prevention Considers long-term effects of eating disorders Includes illustrative narratives of diverse individuals with EDs Authored by a certified eating disorders specialist
This book presents an implementation of psychodynamic self psychology in the treatment of anorexia nervosa and bulimia nervosa, using a theoretical and therapeutic approach to examine the way that patients turn to food consumption or avoidance in order to supply needs they do not believe can be provided by human beings. The book starts with an overview of self psychology, presenting both the theory of self psychology and its specific application for the etiology and treatment of eating disorders. Featuring contributions from eating disorder professionals, the book then integrates this theory with 16 compelling case studies to explore how the eating-disordered patient is scared to take up space in a society that encourages precisely that. Professionals in the field of psychotherapy for eating disorders, as well as the entire community of psychotherapists, will benefit from the empirical capability of the theory to predict the development as well as remission from eating disorders.
The theme of this text is the enduring relationship of anorexia nervosa to the unfolding of puberty, which transcends and shapes the input of "fashion". Anorexia nervosa is closely related to the personal challenges of adolescence and further growth within the individual and family. The author sees the disorder as an avoidance of the mounting fear of normal adult weight, with puberty at its pivot. His approach to all those concerned involves their engagement and empowerment in the prospect of renewed, healthier growth and recovery. It is significantly effective in both the short and the long term.
During the past 15 years, research on anorexia nervosa and bulimia nervosa has grown drastically, providing empirical evidence for a more accurate classification schema of eating disorders. This book brings together the most recent clinical research concerning all facets of these distinct but interrelated disorders, providing a current overview of the psychobiology and treatment of anorexia nervosa and bulimia nervosa. Written by experts in the field, Psychobiology and Treatment of Anorexia Nervosa and Bulimia Nervosa reviews a diagnostic schema of eating disorders from the perspectives of cross-cultural, longitudinal, and family studies. It presents the psychobiology of anorexia and bulimia nervosa in the context of neuroendocrinology and the psychological perceptions associated with eating behavior. The book also examines the family's contribution to the development and maintenance of eating disorders from the perspective of family interaction studies. The final section of this book reviews the latest developments in the integration of psychodynamic concepts into the psychotherapy of anorexia and bulimia nervosa, covers cognitive behavioral approaches, and examines the pharmacological treatment of eating disorders.
Multifamily Therapy Group for Young Adults with Anorexia Nervosa describes a new and innovative family-centered outpatient Multifamily Therapy Group (MFTG) approach called Reconnecting for Recovery (R4R) for young adults with anorexia nervosa that is based on a relational reframing of eating disorders. Developed in concert with young adults and their families and informed by clinical observations, theory, and research, R4R is designed to help young adults and family members learn the emotional and relational skills required to avoid or repair relationship ruptures for continued collaboration in recovery. The book begins with an overview of anorexia nervosa, MFTG treatment approaches, and the development of R4R and moves into a session by session review of R4R including session goals, exercises and handouts. Protocols, case vignettes, and other materials help translate the theory and research underlying this multifamily therapy group model into practice. This treatment manual provides readers with explicit guidance in how to develop and conduct an outpatient R4R MFTG and a deeper understanding of the nature, purposes, and processes that characterize one.
Eating disorders (EDs) are considered a major disease in the modern world, being one of the most prevailing public health problems among female adolescents and young adults in recent decades, and reaching epidemic proportions in many Western countries. The last two decades have envisioned an abundance of research in many aspects related to EDs. Nevertheless, EDs are still highly misunderstood disorders that often raise a host of negative emotions such as bewilderment, mistrust and fear. This book reviews research on the diagnosis and classification of EDs, as well as the historical and socio-cultural aspects and the genetics, biology and psychological considerations involved.