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part of a treatment team where the collaborative aspect is unique in an outpatient setting. As a therapist working with an individual, I have ready access to the physician, nutritionist, family therapist, group therapist, and psychiatrist (when applicable), all of whom may be working with my patient. We have all become accustomed to making ourselves available to one another, having had this precedent set by the director, who medically monitors and assesses each patient. We work as a team. Our patients know this. It becomes increasingly important to them as their treatment progresses. We as practitioners are all aware of the splitting that can occur in the treatment process, as reflected in one practitioner being “all good” one week, and another “all bad”; these same roles can reverse the very next week. An open communication line between members of the treatment team is a mandatory part of our philosophy. Although we continue to evolve daily, this essential aspect of our treatment approach remains a solid and consistent base for all our efforts to promote recovery. References Young Adult Women 157 Bruch, Hilde. 1982. “Psychotherapy in Anorexia Nervosa.” International Journal of Eating Disorders 1 (summer): 3–14. As cited in Dan W. Reiff and Kathleen Kim Lampson. 1992. Eating Disorders: Nutrition Therapy in the Recovery Process, 469. Aspen, Md.: Aspen Institute Publications. Dickstein, Leah J. 1989. “Current College Environments: Do These Communities Facilitate and Foster Bulimia in Vulnerable Students?” In Leighton C. Whitaker and William N. Davis, eds., The Bulimic College Student: Evaluation, Treatment, and Prevention, 107–33. New York: Haworth. Gordon, Richard A. 1989. “Bulimia: A Sociocultural Interpretation.” In Leighton C. Whitaker and William N. Davis, eds., The Bulimic College Student: Evaluation, Treatment, and Prevention, 41–55. New York: Haworth. Jones, D. M. 1985. “Bulimia: A False Self-Identity.” Clinical Social Work Journal 13:305–16. As cited in Richard A. Gordon. 1989. “Bulimia: A Sociocultural Interpretation,” in Leighton C. Whitaker and William N. Davis, eds., The Bulimic College Student: Evaluation, Treatment, and Prevention, 41–55. New York: Haworth.
158 Young Adult Women Lonergan, Elaine Cooper. 1992. “Using Group Therapy to Foster the Psychosexual Development of Patients with Eating Disorders.” Group 16 (summer): 85–94. Wolf, Naomi. 1991. The Beauty Myth: How Images of Beauty Are Used against Women. New York: Morrow.
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editor BARBARA P. KINOY EATING DISO
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Eating Disorders New Directions in
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To our patients’ children and gra
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viii Contents 3. Psychiatric Consul
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x Foreword Although serious deficie
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preface In 1994, in the first editi
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Preface xv psychological hazards to
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Preface xvii partial, complete, or
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acknowledgments We wish to acknowle
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contributors Debra Bader, CSW, BCD:
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Eating Disorders
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Introduction diane w. mickley I am
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Introduction 3 needs of patients wh
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Introduction 5 therapy or on medica
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1 Medical Aspects of Anorexia and B
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Medical Aspects of Anorexia and Bul
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2 Recovery Through Nutritional Coun
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Recovery Through Nutritional Counse
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Lesson 1: Daily Caloric Need and Me
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ical activity to a normal level. If
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patient who binges, it may be helpf
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and allowing herself to consume a l
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Figure 2.3 Typical Hunger and Food
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herself. She frequently feels hopel
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3 Psychiatric Consultation with Eat
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Psychiatric Consultation 51 standab
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Psychiatric Consultation 53 difficu
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Psychiatric Consultation 55 Obsessi
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4 A Family Systems Perspective on R
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A Family Systems Perspective on Rec
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she calls her mother and tells her
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5 Relationship to Food as to the Wo
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iors—somehow to integrate the fra
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treatment, Theresa wanted to see an
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Relationship to Food as to the Worl
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6 The Therapeutic Use of Humor in t
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The Therapeutic Use of Humor 91 Amy
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The Therapeutic Use of Humor 93 was
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The Therapeutic Use of Humor 95 ass
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The Therapeutic Use of Humor 97 Ron
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Jodie’s Story 99 capacity to make
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Jodie’s Story 101 house and a ter
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Jodie’s Story 103 She did not do
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adness. The dream also revealed tha
Page 132 and 133: 8 Eating Disorders and Managed Care
Page 134 and 135: Eating Disorders and Managed Care 1
Page 136 and 137: Eating Disorders and Managed Care 1
Page 138 and 139: Cognitive-Behavioral Therapy and Ot
Page 152 and 153: 10 The Nurse’s Role in a Pilot Pr
Page 154 and 155: The Nurse’s Role in a Pilot Progr
Page 156 and 157: The Nurse’s Role in a Pilot Progr
Page 158 and 159: 11 Individual Psychotherapy: A Long
Page 160 and 161: Individual Psychotherapy 135 Such p
Page 162 and 163: Individual Psychotherapy 137 empath
Page 164 and 165: weight and shape, as well as change
Page 166 and 167: Individual Psychotherapy 141 vomiti
Page 168 and 169: Individual Psychotherapy 143 During
Page 170 and 171: Individual Psychotherapy 145 and re
Page 172 and 173: Individual Psychotherapy 147 Mitche
Page 174 and 175: Young Adult Women 149 to surface an
Page 176 and 177: Young Adult Women 151 with their at
Page 178 and 179: Young Adult Women 153 ing; in fact,
Page 180 and 181: Young Adult Women 155 doomed, and a
Page 184 and 185: 13 Recovery margaret goldkopf-woodt
Page 186 and 187: Recovery 161 I can appreciate both
Page 188 and 189: Recovery 163 meant. I certainly cou
Page 190 and 191: Recovery 165 ate other uncomfortabl
Page 192 and 193: Recovery 167 connection between my
Page 194 and 195: Recovery 169 safe place, and our ow
Page 196 and 197: Recovery 171 My pregnancies and mot
Page 198 and 199: Recovery 173 They seem to be living
Page 200 and 201: Recovery 175 Self-disclosure remain
Page 202 and 203: nel. All that I feared, the hurts I
Page 204 and 205: Afterword 179 surprisingly rapidly
Page 206 and 207: Afterword 181 With eating disorders
Page 208 and 209: Treatment helped me to face life, i
Page 210 and 211: AA/BA. See American Anorexia/Bulimi
Page 212 and 213: 37; prevention of, 29-31; rigid die
Page 214 and 215: problems and, 19; events triggering
Page 216 and 217: Keel, P. K., 180 Keller, H., 133 Ke
Page 218 and 219: Psychoeducational group therapy, 12
Page 220: 112-20; IPT, 121-22; psychoeducatio
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