Keel, P. K., 180 Keller, H., 133 Keller, M. B., 178, 180 Kennedy, S., 123 Kerr, M. E., 61 Keys, A., 8, 21–22, 60 King, N., 148–58 Kinoy, B. P., xiii–xvii, 107, 156 Kirk, J., 117 Klerman, G. L., 121 Klibanski, A., 11, 13 Krueger, D., 99 Kubie, L., 95 Lavori, P. W., 178, 180 Laxative abuse, 14 le Grange, D., 180 Leitenberg, H., 122 Leukopenia, 12 Levenkron, S., 43, 136 Llewellyn-Jones, D., 10 Lonergan, E. C., 153, 156 Low weight: and eating disorders, 3; effects of, 8–9; hospitalization for, 12. See also Critical weight; Ideal weight; Overweight Lucas, A., 27 Luise, L., 180 Malnutrition: of anorexia, 12; and depression, 8; effects of, 19; and metabolic rate, 21–24. See also Starvation Managed behavioral health companies (MBHCs): and confidentiality, 109–10; ethical issues for, 108; growth of, 108; impact on eating disorders, 109 Managed care: MBHCs, 108; and patient-therapist relationship, 108 Marcus, M. D., 3, 113, 116, 118 Marmor, A. K., 180 Index 191 Marnell, M., 118 MBHCs. See Managed behavioral health companies McCann, U. D., 3 McDougall, J., 136, 143 McGoldrick-Orfanidis, M., 62, 75 McVey, G., 123 Medications: antidepressants, 50–53; for anxiety disorders, 54; and obsessive-compulsive disorder, 55; patients’ concerns about, 50–51; psychiatric, 52 Menichini, U., 180 Menstruation: anorexia and, 10 Metabolic rate: bulimic behavior and, 21; caloric intake and, 21–24; diet and, 22, 26; malnutrition and, 21–24; and physiological changes, 21; starvation and, 40 Mickelsen, O., 8, 21–22 Mickley, D. W., xv–xvi, 19, 44–45, 127; medical aspects, 7–15; outcomes and outlook, 178–83; Wilkins Center, 1–6 Miller, J. P., 118 Miller, S., 57 Mira, M., 10 Mitchell, J. E., 3, 180–81 Mitchell, J. W., 118 Mitchell, S. A., 134 Mussell, M. P., 118 Myopathy, 14 National Institute of Health (NIH), 127–28 Norring, C. E. A., 178, 180 Nudelman, S., 122 Nugent, S., 118 Nussbaum, K. M., 180 Nutritional assessment, 46–47; and eating patterns, 24–25; and moti
192 Index Nutritional assessment (continued) vation, 25; and pubertal development, 24–26 Nutritional balance education, 17; ADA food group exchange system, 24; on prevention of bingeing/purging, 29–31; on body image, 39–40; on caloric need, 21–24; on carbohydrates, 27–28; on dehydration vs. rehydration, 26–28; on emotional eating, 38; on exercise, 21, 28–29; on fat intake, 32; on hunger, 31–33, 34; on metabolic rate, 21–24; on nutritional assessment, 24–26; on patients’ expectations, 20, 37–38; on PMS effects, 33, 37; on pubertal development, 24–26; on realistic body weight, 39–40; refeeding plan in, 22–23. See also Food plan, Nutritional counseling Nutritional counseling, 19, 99; in anorexia, 12; and behavior, 20, 29–30; and carbohydrate education, 27–28; case histories, xvi, 40–42, 42–47; emotions and, 20; expectations from, 20; philosophy and approach to, 20; physiology considerations, 20; for recovery, 17–20; in treatment plan, 20–24; treatment team in, 19–20; and weight control, 17; in weight restoration, 12. See also Nutritional balance education Obsessive-compulsive disorder: eating disorders and, 55; medication for, 55 O’Connor, M. E., 121 Oliner, M. M., 102 Olmstead, M. P., 112, 122 O’Neill, J., 108 “One Stone Solution,” 151 Orbach, S., 59 Ortmeyer, I. S., xvi, 107–10, 133– 46 Osteoporosis: of anorexia, 10–11; in male anorexics, 11 Outcome Study, 17 Overeaters: and binge eating disorder, x, 3; and response to hunger, 31; similarity to bulimics, 3; suggestions for, 30; and time to master problem, 37–38 Overeaters Anonymous, 3 Overweight: and eating disorders, 3; and weight loss, 10. See also Low weight Paul, I., 95 Pear, R., 109 Peterson, C. B., 118, 181 Peveler, R. C., 121, 123 Physiology, 60–61; hunger and, 31; and nutritional counseling, 20; vomiting effects on, 14 Pike, K. M., 112, 119, 120 PMS. See Premenstrual syndrome Polivy, J., 151 Premenstrual syndrome (PMS): and eating disorders attitudes, 33, 37; effect of, 33, 37 Prozac. See Selective serotonin reuptake inhibitors Psychiatric consultation, 50–56; with bulimics, 50; with eating disordered patients, 49–56; in evaluation of patients, 49; with family, 49–50; for medication, 50–55; with therapist, 55–56; in treatment plan, 49, 50 Psychiatrist: and medications, 50–56; as treatment consultant, 50–56; in treatment plan, 19, 50
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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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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 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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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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Individual Psychotherapy 137 empath
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weight and shape, as well as change
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