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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.
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.
Bulimia Nervosa is an eating disorder characterised by recurrent episodes of binge-eating followed by inappropriate compensatory behaviour. It affects 1-2% of the population, the majority of cases occurring in women between the ages of 16 and 35. This book provides a comprehensive and detailed review of the key psychological aspects of the disorder and places particular emphasis on cognitive considerations. The coverage includes the key features of Bulimia Nervosa, associated problems, psychological theories and different treatment approaches. There is special focus on cognitive factors with case examples used to illustrate the two most articulated cognitive treatments for the disorder. Emerging topics, such as imagery and metacognition are covered, as are service issues, such as stepped care and practice guidelines. Drawing on research and theory from cognitive and non-clinical areas of psychology, The Psychology of Bulimia Nervosa provides an original and challenging perspective on this debilitating condition. It questions assumptions about cognitive theory of Bulimia Nervosa and the role of standard cognitive therapy in treating the problem, suggests novel ideas, and a revised treatment and outlines areas for further research activity.
This innovative scientific reference and clinical tool is virtually two books in one. Part I thoroughly yet succinctly reviews the literature on binge-eating disorder, covering diagnosis and epidemiology, clinical features and course, links to obesity, medical risks, and current treatment data. Part II provides an evidence-based cognitive-behavioral treatment manual. Session-by-session guidelines address how to help individuals or groups change their eating behavior, cope with emotional triggers, restructure problematic thoughts, deal with body image concerns and associated problems, maintain improvement, and prevent relapse. Featured are more than 40 clearly explained homework assignments and handouts, all in a large-size format with permission to photocopy.
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.
First published in 1994. As the incidence of eating disorders such as anorexia nervosa, bulimia nervosa and obesity sometimes caused by compulsive eating has risen, so has research and literature in the field. Presenting current knowledge of these eating disorders - the most common types found in adolescents and adults - this book addresses issues relevant to all.; Examining the pertinent history, aetiology, psychotherapy, and sociology, the contributors define these eating disorders and discuss issues of recovery and methods of treatment.; They also consider the problem as it exists in both male and females in this multicultural society. The resulting volume is divided into four parts: the first gives an overview in general, and the next three focus individually on anorexia nervosa, bulimia nervosa, and obesity respectively.