Treatment Manual for Anorexia Nervosa, First Edition: A Family-Based Approach

Overview

This practical manual offers a step-by-step guide to the treatment of anorexia nervosa in adolescents. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Intervention is divided into three clearly defined phases. Using such innovative methods as a family meal, the clinician first learns strategies for helping families gain immediate control over the adolescent's eating ...
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Overview

This practical manual offers a step-by-step guide to the treatment of anorexia nervosa in adolescents. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Intervention is divided into three clearly defined phases. Using such innovative methods as a family meal, the clinician first learns strategies for helping families gain immediate control over the adolescent's eating behaviors. Once the patient accepts parental demands to eat, related family problems are addressed in the second phase. The third and final phase of treatment aims toward getting adolescent development back on track and establishing family relationships that do not revolve around the eating disorder. Featuring detailed guidelines for conducting each family session, the manual is illustrated with extensive clinical transcripts and vignettes.

The book contains black-and-white illustrations.

Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach presented in this book is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Intervention is divided into three clearly defined phases. Using innovative methods, the clinician first learns strategies for helping families gain immediate control over the adolescent's eating behaviors. Once the patient accepts parental demands to eat, related family problems are addressed in the second phase. The third and final phase of treatment aims at getting adolescent development back on track and establishing family relationships that do not revolve around the eating disorder.\

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Editorial Reviews

From the Publisher

"This book is an important addition to the literature on the treatment of anorexia nervosa. It provides an authoritative and detailed description of the 'Maudsley method,' the leading family-based treatment for adolescents with anorexia nervosa. The book will be an invaluable resource for clinicians for years to come."--Christopher G. Fairburn, DM, FRCPsych, Professor of Psychiatry, University of Oxford

"Family-based treatment is one of the few demonstrably effective interventions for anorexia nervosa. This treatment manual clearly explains the development of this approach and, even more important, provides a detailed description of how it can be implemented. Lock and his colleagues have provided practitioners with a most useful tool to assist their patients. This book will be required reading for all who treat youngsters with anorexia nervosa."--B. Timothy Walsh, MD, Ruane Professor of Psychiatry, Columbia University College of Physicians and Surgeons; Director, Eating Disorders Research Unit, New York State Psychiatric Institute

"During the past decade, progress in the mental health sciences has been reflected in the increasing refinement of empirically based treatment techniques that can be manualized for general application. This book is a fine example of this type of progress, which has been exciting to witness. Lock and his coauthors are to be congratulated for putting together such an excellent and much-needed treatment manual. The authors manage to compress detailed instruction and rich, relevant case material into a powerful volume that delights by its erudition and persuasiveness. Highly recommended for all who are serious about bringing their therapeutic skills to the cutting edge."--Hans Steiner, MD, Professor of Psychiatry, Stanford University School of Medicine

Booknews
This manual presents the family therapy method developed in the 1970s, which actively engages the patient's family in the treatment. Writing for clinicians, the authors (three psychiatrists and a child psychiatrist) present a clearly written, step-by-step guide that explains how to direct the family, working with a clinician, to understand the nature of the illness, then build parental alliance and support within the family and an outline for action. Annotation c. Book News, Inc., Portland, OR (booknews.com)\
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Product Details

  • ISBN-13: 9781572308367
  • Publisher: Guilford Publications, Inc.
  • Publication date: 8/28/2002
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 270
  • Product dimensions: 5.90 (w) x 8.80 (h) x 0.70 (d)

Meet the Author

James Lock, MD, PhD, is Assistant Professor of Child Psychiatry in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. He is also the chief of psychiatric inpatient services at Lucile Salter Packard Children's Hospital at Stanford.

Daniel Le Grange, PhD, is Assistant Professor of Psychiatry and Director of the Eating Disorders Program at the University of Chicago.

W. Stewart Agras, MD, is Professor and Associate Chair of the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.

Christopher Dare, MD, is a Reader in Psychotherapy and Head of the Section of Psychotherapy at the Department of Psychiatry, Institute of Psychiatry, at the Maudsley Hospital in London. He is also Consultant Psychiatrist to the Adolescent Eating Disorder Clinic, South London, and Maudsley NHS Trust.

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Table of Contents


Foreword
1. Introduction and Background Information
on Anorexia Nervosa
2. Family Treatment for Anorexia Nervosa
3. Phase I: Initial Evaluation and Setting Up Treatment
4. Session 1: The First Face-to-Face Meeting
5. Session 1 in Action
6. Session 2: The Family Meal
7. Session 2 in Action
8. The Remainder of Phase I (Sessions 3¿10)
9. Session 8 in Action
10. Beginning Phase II: Helping the Adolescent Eat on Her Own (Sessions 11¿16)
11. Phase II in Action
12. Starting Phase III: Adolescent Issues (Sessions 17¿20)
13. Phase III in Action
14. Summary of a Completed Case
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