SPT-Fall2014
SPT-Fall2014
SPT-Fall2014
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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