Eating and its Disorders

One of the more complex and challenging groups to engage in the clinical process are patients with eating–related difficulties. Recent NICE guidelines recommend a focus on psychological approaches and therapies as treatment for this difficult to engage patient group.  Eating and its Disorders  presents an overview of our most current knowledge relating to the assessment, treatment, and future research directions of the study of eating–related disorders. A host of national and international experts working in the field share their insights, as well as some of the potential dilemmas in working with these client groups. Clinicians and health–care professionals will gain important insights into the latest evidence–based approaches to assessment and formulation of eating and its disorders, as well as evidence–based psychological models that attempt to account for the complexities of real clinical practice. Also addressed are the challenges of working with individuals that have enduring eating problems, neuropsychological treatments of eating disorders, co–morbid problems such as self–harming, and personality based difficulties. With its cutting edge insights into the newest models and theories in the field,  Eating and its Disorders  is an invaluable guide to the processes, interventions, challenges, and organizational approaches to eating–related problems and difficulties.

About the Editors  viii About the Contributors  ix Preface  xvi Acknowledgements  xix Section 1 Clinical Assessment  1 Chapter 1 Introduction to Clinical Assessment for Eating Disorders  3 Ken Goss and John RE Fox Chapter 2 The Assessment of Mental State, Psychiatric Risk and Co–Morbidity in Eating Disorders  11 Hannah Andrews Chapter 3 Psychological Assessment in Eating Disorders  28 Ken Goss, Steven Allan, Lisa Galsworthy–Francis and Bhavisha Dave Chapter 4 Physiological Assessment of Eating Disorders  42 Ty Glover and Sonu Sharma Chapter 5 Assessment of Occupation and Social Performance  61 Rebecca Morris Chapter 6 Motivation to Change  75 Catherine Kitson Chapter 7 Treating Eating Disorders: Some Legal and Ethical Issues  102 Simona Giordano Chapter 8 Perspectives on Living with an Eating Disorder: Lessons for Clinicians  117 Stephanie Tierney Section 2 Psychological Processes in Eating Disorders  135 Chapter 9 Psychological Processes in Eating Disorders 137 John RE Fox and Ken Goss Chapter 10 Trauma and Eating Disorder  139 Christopher Holman Chapter 11 Shame and Pride in Eating Disorders  154 Steven Allan and Ken Goss Chapter 12 Emotions and Eating Disorders  167 John RE Fox, Anita Federici and Mick J Power Chapter 13 Neuropsychological Inefficiences in Anorexia Nervosa Targeted In Clinical Practice: The Development of a Module of Cognitive Remediation Therapy  185 Carolina Lopez, Helen Davies and Kate Tchanturia Section 3 Psychological Therapies for Eating Disorders  199 Chapter 14 Introduction to Psychological Therapies for Eating Disorders  201 Ken Goss and John RE Fox Chapter 15 Cognitive Behavioural Models in Eating Disorders  204 Myra Cooper Chapter 16 Cognitive Behavioural Therapy for the Eating Disorders: Getting Off to a Flying Start  225 Madeleine Tatham, Jane Evans and Glenn Waller Chapter 17 Psychodynamic Approaches to Eating Disorders  244 Tony Winston Chapter 18 Family and Multifamily Therapy  260 Mima Simic and Ivan Eisler Chapter 19 Using Cognitive Analytic Therapy to Understand and Treat People with Eating Disorders  280 Adrian Newell Chapter 20 An Introduction to Compassion–Focused Therapy for Eating Disorders (CFT–E)  303 Ken Goss and Steven Allan Chapter 21 Emotions and Eating Disorders: Treatment Implications  315 John RE Fox, Anita Federici and Mick J Power Section 4 Working With Special Populations and Service–Related Issues  339 Chapter 22 Working with Special Populations and Service–Related Issues  341 John RE Fox and Ken Goss Chapter 23 Working with Anorexia Nervosa on an Eating Disorders Inpatient Unit: Consideration of the Issues  344 John RE Fox, Ceri Woodrow and Kate Leonard Chapter 24 The Treatment Setting for Eating Disorders: Day Patient Treatment  360 Amy Willinge, Chris Thornton and Stephen Touyz Chapter 25 Personality Disorder and Eating Disorder: The Management of Eating Disorders in People With Co–Morbid Personality Disorder  394 Mark J Sampson, Magdalene Sampson and John RE Fox Chapter 26 Working with Severe and Enduring Eating Disorders: Enhancing Engagement and Matching Treatment to Client Readiness  412 Josie Geller, Suja Srikameswaran, Joanna Zelichowska and Kim D Williams Chapter 27 Eating Disorders in Males  427 Zach de Beer and Bernadette Wren Chapter 28 Eating Disorders in Childhood and Adolescence: Assessment and Treatment Issues  442 Debra Quine Chapter 29 Eating Disorders in Childhood and Adolescence: Service–Related Issues  467 Debra Quine Index  487

John Fox  works as a lecturer in clinical psychology in the Division of Clinical Psychology at the University of Manchester where he is involved in training the next generation of Clinical Psychologists, and as a Consultant Clinical Psychologist at the Eating Disorders Clinic at Cheadle Royal Hospital. He has published extensively on eating disorders, with a particular research interest in emotional factors and eating disorders. Kenneth Goss  is a Consultant Clinical Psychologist and Head of Coventry Eating Disorders Service in the UK.Dr. Goss has more than 20 years’ experience working with people with eating difficulties. He has supervised and trained numerous trainee Clinical Psychologists in the field of eating disorders.