AA/BA. See American Anorexia/Bulimia Association Abraham, S., 10 Acrocyanosis, 11 ADA. See American Dietetic Association Agras, W. S., 112–14, 117–18, 121–22 Alcoholism, 4; in bulimia, 15; in patients and families, 3. See also Substance abuse Alexithymia, 136, 143 American Anorexia/Bulimia Association (AA/BA), xix American Dietetic Association (ADA), 24 index American Psychiatric Association (APA): DSM-IV, x; and eating disorders criteria, x; official treatment recommendations, 178 Andersen, A. E., 11, 19, 109 Andreasen, N. C, 11 Anemia: in anorexic patients, 12 Anorexia-Bulimia: description in case history by nutritionist, 42–47 Anorexia nervosa: and acrocyanosis, 11; American lead in, 150; and brain tissue loss, 11; bulimia overlap with, 13, 136; CBT and, 112, 119–20; cognitive testing results in, 11; and complications in CBT,
186 Index Anorexia nervosa (continued) 119–20; criteria for, x; and defense against starvation, 8; food obsession in, 8, 18; toll on heart of, 11; hospitalization for, 12; and hunger denial, 18; incidence of, xiii–xiv, 119; and malnutrition effects, 11–12, 19; medical aspects of, 7–12; medical monitoring and, 15; medication ineffectiveness in, 53; and menstruation, 10; and need for nutritional counseling, 12; and dangers of low weight, 8–9; and osteoporosis, 10–11; patients’ selfview in, 7–8; personal perspective of recovery, 159–77; physical dangers in, 15; physical tolls of, 10–12; as psychiatric problem, 1–2; and need for psychotherapy, 12; recognition of, ix, xiii–xiv; recovery from, 12; and reproductive system, 10; and starvation, 8, 18; and stomach function, 11; and stomach function impairment, 11; without weight loss, 10. See also Bulimia; <strong>Eating</strong> disorders Anorexics: bulimic symptoms in, 13; cardiovascular impairment in, 11; dehydration in, 27; destructive behaviors of, 20; and emotional restricting, 30; and food obsession, 18; hunger/food intake pattern of, 35; and infertility, 10; miscarriage rate in, 10; obsessivecompulsive behavior in, 55; SSRIs for, 52–53; and time to master problem, 37–38 Antidepressants, 51–52, 54; for binge reduction, 50, 52; in bulimia treatment, 52, 179–80; for purge reduction, 50, 52. See also Selective serotonin reuptake inhibitors Anxiety disorders, 54; and eating disorders, 54; medications for, 54 APA. See American Psychiatric Association Apple, R. F., 114, 117–18 Arndt, S., 11 Arnow, B., 112, 118, 122, 135 Ativan, 54 Bader, D., 98–105 Barber, N., xiv Bauers, C. M., 19 Bayer, L., 19 The Beauty Myth, 150 Beck, A. T., 113 Becker, A. E., 13 Behavior modification: for bulimics, 30–31. See also Cognitive-behavioral therapy Bemis, K. M., 119 Bergmann, M. V., 101 Bernardot, D., 28 Beyond Diet, 22 Biely, J., xiv Binge-eating disorder, 3–4; CBT and, 118; and hunger denial, 18; IPT for, 121–22; psychoeducational group therapy for, 122; and starvation as control, 18. See also <strong>Eating</strong> disorders Bingeing: activities substituting for, 41; amount of food as, 43; antidepressant medication for, 50; binge characteristics, 129; as bulimic behavior, 20; carbohydrates and, 27; denial of, 43; as escape, 41; factors triggering, 113, 116–17; and fear of weight gain, 25, 40; and food discrimination, 78; and metabolic rate, 21; patient understanding of, 29; physical problems associated with, 129; PMS and,
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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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Medical Aspects of Anorexia and Bul
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Medical Aspects of Anorexia and Bul
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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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Recovery Through Nutritional Counse
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Recovery Through Nutritional Counse
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Recovery Through Nutritional Counse
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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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Recovery Through Nutritional Counse
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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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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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Relationship to Food as to the Worl
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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
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8 Eating Disorders and Managed Care
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Eating Disorders and Managed Care 1
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Eating Disorders and Managed Care 1
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Cognitive-Behavioral Therapy and Ot
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Cognitive-Behavioral Therapy and Ot
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Cognitive-Behavioral Therapy and Ot
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Cognitive-Behavioral Therapy and Ot
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Cognitive-Behavioral Therapy and Ot
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Cognitive-Behavioral Therapy and Ot
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10 The Nurse’s Role in a Pilot Pr
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The Nurse’s Role in a Pilot Progr
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The Nurse’s Role in a Pilot Progr
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11 Individual Psychotherapy: A Long
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