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development of negative<br />

countertransference during the treatment<br />

of eating disorders, and the role that<br />

forgiveness can play in the recovery from<br />

eating disorders. Each authors’ article is<br />

well developed and engaging from its<br />

inception until its culmination.<br />

Maine, Davis, and Shure have<br />

successfully put together an informal<br />

handbook for the treatment of eating<br />

disorders in women. Although the book<br />

is made up of articles written by different<br />

clinicians, each chapter consists of an<br />

article that continues to fall under the<br />

larger “Feminist Frame” umbrella,<br />

creating a refreshingly succinct read<br />

without losing the framework’s<br />

cohesiveness and clarity. While it is<br />

understandable that there is no mention<br />

of diagnostic criteria for the different<br />

eating disorder subtypes (as the book is<br />

written for clinicians that presumably<br />

have an understanding of what<br />

constitutes an eating disorder), the<br />

changing scope of eating disorders<br />

through time should warrant clear<br />

definitions. Moreover, the book’s<br />

characterization of women, while it may<br />

not be intended to be rigid, can come<br />

across as somewhat stereotypical,<br />

catering to an American gender binary in<br />

which men are seen as stolid and<br />

independent, and women as emotional<br />

and relational. However, on the whole,<br />

this book reaches a good balance of<br />

theory and practice, making for a good<br />

and informative read for clinicians<br />

working with women struggling to<br />

overcome eating disorders.<br />

50 Strategies to<br />

Sustain<br />

Recovery From<br />

Bulimia<br />

By Jocelyn<br />

Golden. 2011.<br />

Reviewed by:<br />

Mona Zohny,<br />

Hunter College<br />

In Jocelyn Golden's empowering book,<br />

50 Strategies to Sustain Recovery From<br />

Bulimia, she outlines many tactics that<br />

can be used by a recovering bulimic<br />

patient when “the therapist's door<br />

closes...or when the support group breaks<br />

up for the evening” (p. 7). The strategies<br />

discussed revolve around changing one's<br />

negative thoughts to positive thoughts.<br />

Each section covers different aspects of<br />

self-doubt or self-loathing. The common<br />

negative statements that might run<br />

through a patient's head are addressed<br />

and then countered with positive selfaffirmations.<br />

This book serves as a useful<br />

tool for patients who are in the process of<br />

recovering from bulimia. It is meant to<br />

be a “complement to formal treatment<br />

programs” (p. 8). The strategies in this<br />

book are ones that Golden has developed<br />

and used herself in recovering from a 25-<br />

year battle with her eating disorder. This<br />

book is divided into seven sections that<br />

are then divided into chapters. The first<br />

part of the book is about learning to love<br />

and accept one's self unconditionally.<br />

The exercises in this section involve<br />

writing personalized self-affirmations<br />

and making promises to be kinder to<br />

one's self. This unconditional self-love<br />

enables patients to realize that they<br />

deserve to get better and are capable of<br />

it. The second part is about learning more<br />

about bulimia and understanding that this<br />

destructive disease cannot solve any<br />

problems. Educating one's self is<br />

important in realizing there are many<br />

factors involved and thus alleviating selfblame.<br />

The third part is about taking control of<br />

one's recovery and realizing that it must<br />

be a conscious decision. Golden touches<br />

upon different ways that can help one<br />

heal such as religion/spirituality and<br />

therapy. She offers an alternative cycle to<br />

the typical binge-purge cycle that<br />

involves taking control of one's emotions<br />

and dealing with the anxiety that<br />

normally leads to binge eating<br />

specifically by regulating one’s<br />

breathing. However, Golden suggests<br />

that each patient creates an alternative<br />

cycle that works to counter his/her own<br />

typical binge-purge cycle and suggests<br />

that this be done with a therapist. The<br />

fourth part is about interactions with<br />

people and how to change judgmental<br />

behavior towards others and one's self.<br />

The idea is that looking at these<br />

interactions will help the patient discover<br />

the toxic people, places and things that<br />

trigger his/her bulimia in order to remove<br />

them from his/her environment. Part Five<br />

refocuses on one's mindset, addressing<br />

issues like one's relationship with food,<br />

dealing with anger, learning to be<br />

grateful, silencing the “bulimic voice” (p.<br />

175) and ensuring that one has all the<br />

tools of recovery s/he needs. Part Six<br />

addresses concerns about the future and<br />

how to deal with larger issues that can<br />

cause anxiety, such as finding one's<br />

greater purpose in life. Part Seven serves<br />

as a general review of the book, allowing<br />

patients to see how their mentality has<br />

changed before and after using these<br />

strategies to sustain recovery. Golden<br />

also provides a list of fifty things she<br />

used to believe were true and fifty<br />

affirmations to counter them, side by<br />

side.<br />

Each chapter starts off by addressing a<br />

particular issue that a bulimic typically<br />

deals with. Golden acknowledges these<br />

problems and discusses where they stem<br />

from. She then explains what can be<br />

done to change the negative thoughts that<br />

lead to this issue and why it is necessary<br />

to change them. Exercises are then<br />

provided at the end of the chapter for the<br />

reader to complete. For instance, Golden<br />

discusses the idea that everyone deserves<br />

to be happy despite the fact that many<br />

bulimics do not feel that they deserve it.<br />

She points out that bulimics use the<br />

incessant binge-purge cycle as a way to<br />

achieve happiness (which was based on<br />

weight and body image), and yet, it only<br />

seems to cause harm. She encourages the<br />

reader to repeat affirmations such as “I<br />

deserve to be happy” over and over again<br />

(p. 38). While she admits that the selfaffirmations<br />

may seem “ridiculous and<br />

fake” at first, she insists that it important<br />

to repeat them until they become truth (p.<br />

17). She discusses her path to recovery<br />

in great detail throughout the book,<br />

explaining that these affirmations slowly<br />

changed her self-loathing to ambivalence<br />

then self-like, and finally self-love. The<br />

exercises provided at the end of each<br />

chapter really make this book unique.<br />

Some exercises involve repeating<br />

statements given out loud, while others<br />

instruct the patient to write a list of<br />

statements, which can actually be done<br />

right in the book, using the space<br />

provided. These thought provoking<br />

exercises supplement the text, serving to<br />

reinforce the strategies discussed and<br />

ensuring that the patient has mastered<br />

them before moving on. They keep the<br />

reader actively involved in his/her own<br />

recovery.<br />

50 Strategies to Sustain Recovery from<br />

Bulimia is easy to read and to relate to,<br />

as the author has suffered from bulimia<br />

for a quarter of a century, and so she<br />

Continued on the bottom of page 108<br />

Somatic Psychotherapy Today | Fall 2014 | Volume 4 Number 2 | page 106

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