37; prevention of, 29–31; rigid dieting and, 116; situations triggering, 115; SSRIs and, 52; suggestions for prevention of, 30. See also Bulimia Black, M. J., 134 Body fat: measurement of, 24–25; minimum food intake and, 26; percentage, 25–26 Body image, 39; distortion of, 46–47, 137 Boris, H. N., 103 Bowen, M., 61 Brisman, J., 69 Broden, S., 89–96 Brozek, J., 8, 21–22 Bruch, H., xiv, 136–37, 156, 170 Bugenthal, J. F., 169 Bulimarexia, 92–93 Bulimia: anorexia overlap with, 13, 136; antidepressant treatment for, 50–53, 180; CBT and, 112–18; criteria for, x; dental problems in, 14, 19; gynecological problems in, 14–15; and hunger denial, 18; incidence of, xiii–xiv; incidence of medical difficulties in, 13; ITP for, 121; laxatives and, 14; medical monitoring and, 15; myopathy in, 14; NIH study of, 127–28; nonpurging type, 13; and incidence of medical/psychiatric difficulties, 13–15; impact on gastrointestinal system, 13; physical tolls of, 13–15; psychiatric difficulties incidence in, 13; purging type, 13–14; recognition of, xiii–xiv; response prevention treatment for, 122; risks in, 19; as search for solace, 100; SSRIs and, 52; starting from anorexia, 40; starting with anorexia, 40; and starvation as Index 187 control, 18; symptoms suffered in, 13, 19. See also Anorexia nervosa; <strong>Eating</strong> disorders, Case histories Bulimics: antidepressant medication for, 50; behavior modification for, 30–31; destructive behaviors of, 13–14, 20; emotional discomforts of, 13; exercise and, 30; food plan for, 25; hunger/food intake pattern of, 36; Ipecac abuse by, 14; and laxative abuse, 14, 19; and substance abuse, 15; and time to master problem, 37–38 Burros, M., 27 Burton, J., 121 BuSpar, 54 Caloric intake: average daily need, 21; and metabolic rate, 21–24; for normal metabolism, 26–27; preferred sources, 27; in refeeding plan, 23–24; symptoms following reduction in, 60; and weight maintenance, 22–23 Caloric restriction: and personality traits, 151 Carbohydrates: calories per gram of, 28; as calories source, 27; and craving for sweets, 27–28, 37; results of high c. experiment, 28 Carr, S. J., 121 Carter, B., 62, 75 Case histories, 65–67; bulimarexia, 92–93; family therapy, 65–74; individual psychotherapy, 139–46; nutritional counseling, 40–47; psychotherapy, 139–46; relationship to food, 79–87; symptom signs, 99–105; symptom-signs, 99–105; therapeutic use of humor, 92–93; treating the symptom, 67–69; treating the underlying
188 Index Case histories (continued) stresses, 69–74; treatment perspectives, 67 CBT. See Cognitive-behavioral therapy Ceasar, M. A., 99 Chambers, J. B., 11 Chami, T., 11 Chernin, K., 159 Chevron, E. S., 121 Clark, D. M., 117 Cognitive-behavioral therapy (CBT), xvi; and anorexia nervosa, 112, 119–20; anorexics/bulimics difference in, 119–20; and binge-eating disorders, 118; and bulimia nervosa, 112–18; comorbidity considerations in, 113–14; complications in, 119–20; description of, 114; with dietitian, 5; in eating disorders treatment, 112–13, 123; and individual psychotherapy, 134–35; nurse’s role in, 127–32; and other psychological treatments, 122–23; outcome studies of, 134–35; preliminary considerations, 113–14; self-monitoring in, 114–15; stage 1, 114–15; stage 2, 116–17; stage 3, 117–18; and symptom management, 134 Cognitive testing: in anorexia, 11 Coker, S., 123 Cole, A. G., 121–22 Comorbid illness, 54–55; examples of, 53; substance abuse as, 113–14 Connor, S., 21 Connor, W., 21 Connors, M. E., xvii, 19, 137 Cooke, R. A., 11 Cooper, P. J., 119, 123 Crisp, A. H., xiv Critical weight, 9 Czyzewski, D., 168 Dancyger, I. F., 180 Dare, C. 11, 180 Davis, R., 112, 123 DBT. See Dialectical behavioral therapy Dehydration, 26–27 Depression: as comorbid illness, 53; in eating disorder patients, 3 Derrida, J., 99 Devlin, M., 3 Diagnostic and Statistical Manual of Mental <strong>Disorders</strong> (DSM-IV), x Dialectical behavioral therapy (DBT), 181 Dickstein, L. J., 150 Diet: caloric intake for balanced d., 21–22; high carbohydrate, 28; and metabolic rate, 22, 26; as setup for failure, 131. See also Nutritional balance education Dietary restriction: factors obscuring impact of, 8–10; impact of, 8–9 Dietitian, 19 Dodge, E., 180 Driscoll, R., 94 DSM-IV,seeDiagnostic and Statistical Manual of Mental <strong>Disorders</strong> Dysphoria, 99, 136 Eagle, M., 112, 122 <strong>Eating</strong> disorders: ancient reports of, ix; antidepressants for, 179–80; APA criteria for, x; binge eating disorder, 3–4; brain mass recovery in, 11; causes of, ix; CBT and, 112; and comorbid illnesses, 53–54; complexity of, 4–5; as coping mechanisms, 156; depression in, 3; DSM-IV recognition of, x; early approach to, 1; emotional
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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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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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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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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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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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10 The Nurse’s Role in a Pilot Pr
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11 Individual Psychotherapy: A Long
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Individual Psychotherapy 135 Such p
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