problems and, 19; events triggering, 42; family concerns and, 4–5; family stress and, 57–58; feminist movement and, xiv–xv; and hunger denial, 18; illnesses comprising, 19; incidence of, xiii; interpersonal psychotherapy and, 121–23; and life decisions, 6; and managed care, 107–10; managed care and, 108–10; multidetermined etiology of, xv; new category of, 3; patient diversity, 4; perspectives on status of, 178–82; precipitating factors, xv, 4; predominance of females with, xiv, xvi; psychotherapy for, 19; recognition of, xiii–xiv; recovery factors, xvii; recovery from, xvi–xvii; recovery prospects, 3–4; social/emotional impact of, 6; speculations about causes of, xiv; and starvation as control, 18; status of field, 181; as symptom, 19; treatment approaches to, xiv–xv; treatment for, 3–4; treatments for anxiety in, 54; treatment team for, 19–20; understanding of, ix–x; value of, 139 <strong>Eating</strong> <strong>Disorders</strong> Awareness and Prevention (EDAP), xiv Eckert, E. D., 180 EDAP. See <strong>Eating</strong> <strong>Disorders</strong> Awareness and Prevention Eisler, I., 180 Eldredge, D., 118 Emery, G., 113 Emetine. See Ipecac Emotional problems: in bulimia, 13; and emotional eating, 30, 38; and nutritional counseling, 20; underlying eating disorders, 19 Employment Retirement Income Index 189 Security Act (ERISA): and denial of services, 109 Engbloom, S., 118 Epstein, L., 138 ERISA. See Employment Retirement Income Security Act Evaluation: of eating disorder patients, 5 Exercise, 28–29; for bulimics, 30 Fairburn, C. G., 112–13, 116, 118–19, 121, 123, 127–29, 131 Fallon, P., 59, 60 Families: depression in, 3; involvement in treatment, 1–2 Family systems: case histories, 65–74; and eating disorders, 57–75; family as system, 58; and family rules, 61–62, 65–66; inherited stress in, 63–65; parental tension in, 65–66; predictable stress in, 62–63; and recovery process, 58–59; stress sources in, 62–65; treatment perspectives, 67; unpredictable stress in, 63. See also Family therapy; Physiological system; Sociocultural system Family therapy, xvi, 19; other modes of treatment, 74–75; treating the symptom, 67–69; treating the underlying stresses, 69–74. See also Family systems Fat: in balanced intake, 26, 32; calories per gram, 28; excess calories and, 31–32; weight loss from, 21. See also Body fat Fat phobia, 25, 32 Fleming, C., 123 Fleming, F., 11 Fluoxetine, 180; for bulimic patients, 127–28. See also Selective serotonin reuptake inhibitors
190 Index Food: patients’ fears about, 77–78; preoccupation with, 8, 118. See also Food obsession Food intake pattern: in anorexics, 33, 35; in bulimics, 33, 36; in recovered patient, 33, 34 Food obsession, 8–9, 77–78; in anorexics, 8; as anorexics’ enemy, 18; eating to end, 40; and recovery, 20; relationship to, 77–88 Food plan: ADA’s system and, 24; bulimics and, 25; and dehydration vs. rehydration, 26–28; goals of, 23–24; patient’s adjustment of, 29; in refeeding plan, 23–24; as weight loss plan, 22 Foppiani, L., 180 Freud, S., 94–95 Friedrich, W. N., 59, 60 Fursland, A., 142 Gabriel, G., 90 Garfinkel, P. E., 22, 59 Garner, D. M., 22, 59, 112, 119–20, 122 Garner, M. V., 112 Geist, R. A., 101 Gesensway,D. B., 99 Goldkopf-Woodtke, M., 159–77 Gonzalez, R. G., 103 Gordon, R. A., 149 Gould, S. J., 98 Grande, F., 60 Greenfeld, D., 14, 49–56 Greenson, R., 95 Grinspoon, S., 11, 13 Gross, J., 122 Group therapy, 19, 42, 99; humor in, 95–96; as springboard, 155. See also Psychoeducational group therapy Gusti, M., 180 Gynecological problems: in bulimia, 14–15 Haig, R. A., 95 Halmi, K. A., 180, 181 Hamburg, P., 99, 100, 102 Hasin, D., 3 Hawton, K., 117 Heebink, D. M., 181 Heinmaa, M., 123 Henschel, A., 8, 21–22 Herman, C. P., 151 Herzog, D. B., 11, 13, 178, 180 Hope, R. A., 121 Horn, R. L., 3 Horney, K., xv Hunger: defined, 31; and eating, 31; and physiology, 31 Hunger pattern: in anorexics, 33, 35; in bulimics, 33, 36; in recovered person, 33, 34 Huse, C. D., 27 Ideal weight, 9 Infertility, 10 Interpersonal psychotherapy (IPT): CBT comparison with, 121; and eating disorders, 121–22; problem areas in, 121 Ipecac abuse, 14 IPT. See Interpersonal psychotherapy Irvine, M. J., 122 Ivey, A., 175 Johnson, C., xvii, 19, 137–38 Jones, D. M., 136, 149 Jones, R., 121 Kahm, A., xvi, 17–47 Kamal, N., 11 Kapp, S. K., 19 Katahn, M., 22
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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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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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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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11 Individual Psychotherapy: A Long
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Individual Psychotherapy 135 Such p
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Individual Psychotherapy 137 empath
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