Details

Recovery from Eating Disorders


Recovery from Eating Disorders

A Guide for Clinicians and Their Clients
1. Aufl.

von: Greta Noordenbos

37,99 €

Verlag: Wiley-Blackwell
Format: EPUB
Veröffentl.: 04.01.2013
ISBN/EAN: 9781118469187
Sprache: englisch
Anzahl Seiten: 176

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Beschreibungen

<p>With a uniquely perspective on the key factors in recovery from eating disorders, this practical guide for patients and clinicians draws from relevant, real-life case studies.</p> <ul> <li>Focuses on real-life recovery strategies that involve motivational factors, physical and psychological health, and issues such as self-esteem, body attitude, emotion regulation and social relationships.</li> <li>Draws on extensive qualitative research with more than 80 former sufferers</li> <li>Offers experience-based guidance for professionals assisting clients in their recovery process</li> </ul>
About the Author x <p>Foreword xi</p> <p>Acknowledgements xii</p> <p><b>Introduction 1</b></p> <p>When have Eating Disorder Patients Recovered? 2</p> <p>Can All Patients Recover from their Eating Disorder? 3</p> <p>Recovered Patients as Guides and Role Models 3</p> <p>Content of the Book 3</p> <p>A Book for Both Clinicians and Clients 4</p> <p>How Therapists and other Professionals may Use this Book 4</p> <p>How Eating Disorder Patients may Use this Book 5</p> <p>How Parents, Partners and Friends may Use this Book 6</p> <p><b>1 Problems in the Period before the Eating Disorder 7</b></p> <p>Introduction 7</p> <p>Lack of Self-Esteem and Negative Self-Evaluation 8</p> <p>Compliant and Pleasing Behaviour 8</p> <p>Hiding Real Thoughts and Opinions from others 9</p> <p>Sensitivity to the Needs of others 10</p> <p>Perfectionism and Fear of Failure 11</p> <p>Inner Criticism and Negative Self-Evaluation 11</p> <p>Impaired Identity Development 12</p> <p>Stages in the ego and identity development 13</p> <p>Negative Body Attitude 13</p> <p>Questionnaire about problems in the period before the eating disorder 14</p> <p>Questions about problems and risk factors 15</p> <p>Summary 15</p> <p><b>2 First Stage: Extreme Dieting 17</b></p> <p>Introduction 17</p> <p>How does an Eating Disorder Start? 17</p> <p>Differences Between Healthy and Extreme Dieters 19</p> <p>Questions about your reasons for going on a diet 19</p> <p>From Healthy to Extreme Dieting 20</p> <p>Questions about your dieting patterns 21</p> <p>Why Continue Dieting? 22</p> <p>Eating Disorder or Identity Disorder? 23</p> <p>Control over Food and Body 24</p> <p>Denial of Problems 25</p> <p>Summary 26</p> <p><b>3 Negative Consequences of Eating Disorders 27</b></p> <p>Introduction 27</p> <p>Losing Control over Eating Habits 27</p> <p>The Trap of Extreme Dieting 29</p> <p>Eating Disorder: From Friend to Enemy 29</p> <p>Rigid Rules and Obsessive-Compulsive Behaviour 30</p> <p>Indoctrination and Brainwashing 31</p> <p>Inner Criticism and Critical Voices 32</p> <p>The Toxic Effects of Starvation 35</p> <p>Depression and Suicidal Thoughts 36</p> <p>Questionnaire about psychological consequences 37</p> <p>Isolation 38</p> <p>Questionnaire about social consequences 39</p> <p>Physical consequences 39</p> <p>Questionnaire about physical consequences 41</p> <p>Summary 42</p> <p><b>4 Turning Point and Motivation for Recovery 43</b></p> <p>Introduction 43</p> <p>The Deep Pit 44</p> <p>Turning Point 45</p> <p>Ambivalent Motivation for Change 47</p> <p>Fear of Asking for Help 48</p> <p>Questionnaires to Improve Motivation for Treatment 50</p> <p>Questionnaire about improving eating habits 50</p> <p>Motivation for Physical Recovery 51</p> <p>Questionnaire about motivation for physical recovery 51</p> <p>Motivation for More Self-Esteem 52</p> <p>Questionnaire about motivation for more self-esteem 52</p> <p>Motivation for a more Positive Body Attitude 52</p> <p>Questionnaire about motivation to improve body attitude 53</p> <p>Motivation for Better Emotion Regulation 53</p> <p>Questionnaire about motivation for better emotion regulation 53</p> <p>Motivation for Better Social Relationships 54</p> <p>Questionnaire about motivation for improving social relationships 54</p> <p>Motivation for Reducing Financial Problems 55</p> <p>Questionnaire about motivation for reducing financial problems 55</p> <p>Summary 56</p> <p><b>5 Normalizing Eating Habits 57</b></p> <p>Introduction 57</p> <p>Overcoming the Fear of Increasing Food Intake 58</p> <p>Changing Cognitions about Food 60</p> <p>Three Regular Meals a Day 62</p> <p>Regular Mealtimes 63</p> <p>Reduction of Binges 64</p> <p>Reduction of Purging 66</p> <p>Healthy and Sufficient Food 68</p> <p>Reduction of Laxatives, Diuretics and Slimming Pills 69</p> <p>A: Stopping the laxatives immediately 69</p> <p>B: Gradual reduction of laxatives 70</p> <p>Drinking Water and other Liquids 70</p> <p>No Extreme Exercising 71</p> <p>Treatment of Comorbidity 72</p> <p>Questionnaire about improving eating habits 72</p> <p>Summary 73</p> <p><b>6 A Positive Body Attitude 74</b></p> <p>Introduction 74</p> <p>Not Feeling Fat 74</p> <p>No Longer Obsessed by Food and Weight 76</p> <p>Being Able to Listen to Feelings of Hunger and Satiety 77</p> <p>Developing a Positive Body Attitude 79</p> <p>Assignment: Focus on positive aspects of your body 81</p> <p>Assignment: Positive body evaluation 81</p> <p>Learning Defence Strategies against Teasing 82</p> <p>Assignment: Defence against teasing 83</p> <p>Losing the Urge to Diet 84</p> <p>Assignment: Strategies to feel better 85</p> <p>Questionnaire about a better body attitude 86</p> <p>Summary 86</p> <p><b>7 Physical Recovery 88</b></p> <p>Introduction 88</p> <p>Normal and Stable Weight 88</p> <p>Regular Periods 90</p> <p>Normal Body Temperature 91</p> <p>Normal Heartbeat and Pulse 91</p> <p>No Anaemia 92</p> <p>No Constipation 93</p> <p>No Problems with Bowels and Stomach 94</p> <p>No more Swollen Salivary Glands and Sore Throat 94</p> <p>Healthy Skin 95</p> <p>Healthy Teeth 95</p> <p>Enough Sleep 96</p> <p>Enough Energy 97</p> <p>Reduction of Osteoporosis 98</p> <p>Questionnaire about physical recovery 99</p> <p>Summary 100</p> <p><b>8 Developing More Self-Esteem 101</b></p> <p>Introduction 101</p> <p>More Self-Esteem 101</p> <p>Assignment: Training positive thinking 103</p> <p>Empowering Yourself 104</p> <p>Become More Assertive 104</p> <p>Assignment: Becoming more assertive 105</p> <p>Less Emphasis on Pleasing others 106</p> <p>Having Less Fear of Rejection 107</p> <p>Assignment: Defending yourself against critical comments 108</p> <p>Showing Less Compliant Behaviour 108</p> <p>Assignment: Listening to one’s own feelings and desires 109</p> <p>Having Less Perfectionism and Fear of Failure 110</p> <p>Questionnaire about improving psychological well-being 111</p> <p>Summary 112</p> <p><b>9 Expressing Emotions 113</b></p> <p>Introduction 113</p> <p>No Longer Avoiding Negative Emotions 114</p> <p>Assignment: Feeling and expressing emotions 115</p> <p>Reduction of Critical Thoughts and Inner Voices 116</p> <p>Assignment: Defence against inner critical thoughts 118</p> <p>Assignment: Developing ideal compassion image and feelings 119</p> <p>Recognizing and Expressing Emotions 120</p> <p>Dare to Express Different Opinions 122</p> <p>Assignment: Coping with different opinions and conflicts 123</p> <p>No Longer Feeling Depressed 124</p> <p>Questionnaire about improving emotion regulation 126</p> <p>Summary 126</p> <p><b>10 Improving Social Relations 127</b></p> <p>Introduction 127</p> <p>Learning to Trust other People 128</p> <p>Participating in Social Activities 129</p> <p>Education and Career 131</p> <p>Intimate Relations 134</p> <p>Pregnancy and Children 136</p> <p>Questionnaire about developing better social contacts 137</p> <p>Summary 137</p> <p><b>11 The Most Important Questions and Answers about Recovery 139</b></p> <p>Introduction 139</p> <p>When have Eating Disorder Patients Recovered? 139</p> <p>How many Patients Recover from their Eating Disorder? 140</p> <p>Why do Not All Patients Recover? 141</p> <p>How can the Recovery Rate Increase? 142</p> <p>Do All Patients have a Relapse? 142</p> <p>How long does it Take to Recover from an Eating Disorder? 143</p> <p>What are the Important Goals for Treatment? 144</p> <p>Which Treatments are Most Effective? 144</p> <p>What Makes a Good Therapist? 145</p> <p>Summary 146</p> <p><b>12 Checklist for Full Recovery 148</b></p> <p>Introduction 148</p> <p>A. Questionnaire about healthy eating habits 148</p> <p>B. Questionnaire about positive body attitude 149</p> <p>C. Questionnaire about physical recovery 149</p> <p>D. Questionnaire about psychological recovery 150</p> <p>E. Questionnaire about coping better with emotions 150</p> <p>F. Questionnaire about better social relationships 151</p> <p>Conclusion 152</p> <p>References 153</p> <p>Index 159</p>
<p>"Overall, this is a very readable book that will be useful to both early-career and experienced clinical psychologists who want to develop strategies for their clinical work and understand the service-user position whilst benefitting from up-to-date research and developments in the eating disorder field."   (<i>The British Psychological Society</i>, 1 August 2013)</p> <p> </p> <p> </p>
<p><b>Greta Noordenbos</b> is a Senior Researcher in the Department of Clinical Psychology, Leiden University, the Netherlands. Founder of the Dutch Commission for the Prevention of Eating Disorders, she has contributed to health policy in the field and has co-edited Dutch language titles <i>Handbook of Eating Disorders</i> (2008) and <i>The Prevention of Eating Disorders</i> (1998).</p>
<p>Recovering from eating disorders such as anorexia and bulimia nervosa is a long and difficult process, which <i>Recovery from Eating Disorders</i> charts through the testimony of former patients who have battled these conditions – and won. Full of insight and personal revelation, these case histories exemplify above all else that full recovery is possible.</p> <p>Aimed at readers on both sides of the clinical process, whether patients or health professionals, the guide provides a detailed survey of successful approaches to tackling eating disorders, showing how these contribute to finely calibrated strategies for physical, psychological and social recovery. It includes material covering every stage of the eating disorder cycle, from warning signs to the conditions that sustain the improvements in health and quality of life that are in each case so hard-won.</p>
<p>Greta Noordenbos has written a guidebook for the journey of recovery from eating disorder. The road to recovery is often long, arduous, bewildering and frightening.  Patients and their families and friends would be well advised to carry and consult this book along the way.  Like its author, the book is warm and hopeful in tone whilst being knowledgeable and realistic and above all trustworthy.—<b>Professor Bob Palmer, University of Leicester, UK</b></p> <p>Overall I believe this is a wonderful book for both sufferers and their families and it will be very helpful for beating the eating disorder.—<b>Johann Vanderlin,</b> <b>University Psychiatric Center KULeuven, Belgium</b></p> <p>Rather than promoting a particular treatment approach, this book takes us on a journey through stages of an eating disorder, using experiences and insights from those who have successfully emerged from the darkness of their disorder. An excellent resource for those perplexed by eating disorders: professionals, patients and loved ones.—<b>Anthea Fursland, Principal Clinical Psychologist, Eating Disorders Programme, Centre for Clinical Interventions (CCI), Australia</b><b><br /> <br /> </b>This is a remarkable and very valuable book. In the format of an extensive piece of qualitative research, based on many interviews with people with a history of an eating disorder, the author has created an immensely readable account of the genesis, progress and recovery from it. This account is supported by a strongly referenced basis in the research literature. Furthermore the author does not simply describe the process of the eating behaviour, but explores the growth of the person that was missing to begin with and now will be necessary for full recovery. She investigates developing self-esteem, expressing emotions, developing social relationships, providing the template for full recovery, not simply the return to more normal eating patterns. This book is entirely suitable for clients who will certainly recognise themselves in its pages, but is also valuable for clinicians for whom this is as clear an account as you could hope for, of the factors involved in an eating disorder.—<b>Julia Buckroyd, Emeritus Professor of Counselling, University of Hertfordshire</b></p>

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