Eating Disorders and Obesity

Goals for the Book Book Overview Acknowledgments About the Editor About the Contributors Section 1 Foundations Sociocultural Influences on the Development of Eating Disorders and Obesity Sociocultural Models of Eating Disorders and Body Image Dysfunction Macro-Level Influences Specific Sociocultural Risk Factors Media Parents Peers Mediators and Moderators Recommendations for Counselors Conceptualization of Eating Disorders Assessment Case Example Presenting Concern Background Sociocultural Model Applied to Client Recommendations for Treatment Conclusion Highlights Gendered Considerations in the Treatment and Prevention of Eating Disorders Scope of the Problem How Gender Unfolds: Developmental Considerations Risk Factors for Eating Disorders A Perfect Storm: The Media, Sexualization, Objectification, and Eating' Disorders Maintaining Factors for Fating' Disorders Gender, Symptom Manifestation, and Barriers to Treatment Gender-Informed Treatment of Gating Disorders Men in Psychotherapy Case Examples Case 1 Treatment Considerations Case 2 Treatment Considerations Conclusion Highlights Clients of Color and Eating Disorders: Cultural Considerations People of Color in the Paling Disorders Literature African American Women Asian American Women Latina Women Men of Color Summary Potential Risk Factors for Clients of Color Acculturation and Immigration Racial and Ethnic Identity Racism and Oppression Socioeconomic Status Implications for Counseling Case Example Case Conceptualization of Client Course of Treatment Conclusion Highlights Ethical and Legal Issues in Counseling Clients With Eating Disorders Promoting' Client Well-Being' and Protecting From Harm Duty to Protect Versus Client Autonomy Ethical and Legal Decision-Making Processes Ethical Decision-Making Model (Remley & Herlihy, 2010)Case Example Ethical Decision-Making Model Conclusion Highlights Section 2 Assessment and Practice Frameworks for Eating Disorders and Obesity Assessment and Diagnosis of Eating Disorders Diagnostic Criteria for Eating Disorders Integrating Eating Disorders Assessment Into an Unstructured Clinical Interview Screening for Eating Disorders When to Follow Up Eating Disorders Screening With Additional Questions Making Differential Diagnoses Structured Assessments Assessing Psychiatric Risk Assessing Medical Risk Determining Level of Care Special Considerations for Eating Disorders Assessment Inadvertent and Deliberate Minimization Recall Biases Assessment of Eating Disorders in Children and Adolescents Assessment of Eating Disorders With Diverse Client Groups Case Example Discussion Conclusion Highlights Assessment, Consultation, and Intervention for Eating Disorders in Schools Overview of Eating-Related Concerns in Schools Role of the School Counselor Working With Students With Eating-Related Concerns Body Image Dissatisfaction Identification School-Based Assessment and Prevention of Body Image Concerns Disordered Eating Identification Assessment and Consultation Interventions Eating Disorder Identification Intervention Reintegration Case Example Conclusion Highlights Assessment, Conceptualization, and Intervention With Young Adult Women With EDNOS: A Framework for Practice Young' Adult Women and tutting' Disorder Not Otherwise Specified Clinical Snapshot 7.1 Eating Disorder Not Otherwise Specified: The DSM-IV-TR Diagnostic Criteria Clinical Snapshot 7.2 Assessment and Conceptualization: What to Expect in Clients With Eating Disorders Not Otherwise Specified Eating Disorder Diagnostic Features Co-Occurring Features: Depressive and Anxiety Symptoms Common Themes and Stressors: Perfectionism, Low Self-Esteem, and Interpersonal Dependence Help-Seeking Characteristics of Clients With Eating Disorder Not Otherwise Specified: Ambivalence and Hesitation Clinical Snapshot 7.3 Clinical Action: Counseling Responses for Prevention, Early Intervention, and Treatment of Eating Disorder Not Otherwise Specified Preventive Intervention: Responding to Susceptibility Intermediate Intervention: Responding to Moderate Client Needs Psychotherapeutic Intervention: Responding to Entrenched Needs Clinical Snapshot 7.4 Conclusion High lights Section 3 Effective Prevention and Early Intervention for Eating Disorders and Obesity Preventing Childhood Obesity Primary Prevention Public Perceptions of Obesity Prevention Efforts Role of School Systems Role of Government Policy Multicultural Considerations Secondary Obesity Prevention Interdisciplinary Approach Motivational Interviewing Group and School Approaches Family Approaches Other Clinical Considerations for Prevention Conclusion Highlights Prevention of Eating Disorders in Children: The Role of the Counselor Prevalence and Phenomenology of Body Weight and Shape Preoccupation, Disordered Eating Patterns, and Eating Disorders Among Children Understanding Negative Body Image in Context: The Developmental Theory of Embodiment as a Guide for Counselors Physical Domain Social Stereotypes Domain Social Power Domain Early Identification and Intervention Resources for Counselors Highlights Eating Disorders Prevention With Adolescents and Young Adults Importance of Prevention Overview of Effective and Efficacious Eating Disorder Prevention Programs Universal Prevention Programs Selective and Indicated Prevention Programs Guidelines for Counselors Interested in Preventing Pitting Disorders Recruiting Participants Screening and Evaluation of Potential Participants Facilitator Recruitment, Training, and Supervision Recruiting Facilitators Training Facilitators Supervision Securing Administrative Approval Participant Retention Developmental Factors Web-Based Support Resources and Referral Information for Eating Disorders Conclusion Highlights Effective Prevention Programs in College and University Settings Prevalence of Body Image Concerns and Eating Disorders in College Settings Sorority Women Athletes and Eating Disorders Health and Physical Education Majors Prevention in College and University Settings Internet-Based Prevention Programs Eating Disorder Prevention in Sororities Eating Disorder Prevention in College Sports Uniforms Teammates Weight Requirements and Weigh-Ins Coaches Perceived Performance Advantages ATHENA Female Athlete Body Project Eating Disorder Prevention for Health and Physical Education Majors Conclusion Highlights Cognitive-Behavioral Therapy Guided Self-Help for Binge Eating: A Culturally Sensitive Minimal or Early Intervention Program Overview of Cognitive-Behavioral Therapy and Guided Self-Help Cultural Adaptation for Treatment of Eating Disorders Case Example CBT-GSH Intervention Discussion Conclusion Highlights Section 4 ffective Treatments for Eating Disorders and Obesity Enhanced Cognitive-Behavioral Therapy Approach to Counseling Clients With Eating Disorders Why Do Counselors Need to Know About Eating Disorders Treatment?Why Enhanced Cognitive-Behavioral Therapy?What Is the Basis for Enhanced Cognitive-Behavioral Therapy?Enhanced Cognitive-Behavioral Therapy Assessment Therapeutic Alliance and Orientation to Treatment Assessment: Information Gathering Treatment Conclusion Highlights Interpersonal Psychotherapy for Clients With Eating Disorders Interpersonal Psychotherapy Model of hating Disorders Evidence Base for Interpersonal Psychotherapy for Bulimia Nervosa Evidence Base for Interpersonal Psychotherapy for Binge Eating Disorder Considerations When Choosing Treatment Modality Delivering Interpersonal Psychotherapy Interpersonal Problem Areas Triphasic Structure Case Example Future Directions Disseminating and Implementing Interpersonal Psychotherapy in Community Settings Adapting Interpersonal Psychotherapy for the Prevention of Excessive Weight Gain Enhancing Interpersonal Psychotherapy for Bulimia Nervosa and Binge Eating Disorder Testing Efficacy of Interpersonal Psychotherapy for Anorexia Nervosa Adapting Interpersonal Psychotherapy Into Adolescent and Child-Parent Formats Conclusion Highlights Psychosocial Treatments for Obesity and Aberrant Eating Patterns in Youths What Aberrant Eating Patterns Can Promote Overweight in Youths?Binge Eating Loss of Control Eating Eating in Secret or Hiding Food Eating in the Absence of Hunger Emotional Eating Theoretical Conceptualization of Obesity and Aberrant Overeating Patterns Treatment Approaches Targeting Weight Loss in Overweight and Obese Youths Behavioral Weight Loss for Pediatric Obesity Family-Based Treatment of Pediatric Obesity Treatments Targeting Aberrant Eating Patterns in Youths Case Example: Behavioral Weight Loss Highlights Dialectical Behavior Therapy for Clients With Complex and Multidiagnostic Eating Disorder Presentations Dialectical Behavior Therapy for Complex Eating Disorder Presentations: Rationale and Overview Affect Regulation Model and Biosocial Theory Treatment Description and Overview Selected Strategies for Clients With Complex and Multidiagnostic hating Disorder Presentations Therapist Stance and Assumptions About Patients Getting a Commitment Getting in Control: Treatment Targets Shaping Behavior: Contingency Management Strategies Conclusion Highlights Family-Based Therapy for Children and Adolescents With Anorexia Family Factors Implicated in the Pathogenesis of Anorexia Empirical Evidence Supporting Family-Based Treatment Maudsley Family-Based Treatment Theoretical Underpinnings of Family-Based Treatment Treatment Phases Case Example Medical Evaluation and Treatment Assessment Therapeutic Goals and Intervention Levels of Care: Community Versus Hospital Treatment Practice Challenges With Family-Based Therapy Conclusion A Relational-Cultural Approach to Working With Clients With Eating Disorders Relational-Cultural Theory Overview Relational Competence Connections Versus Disconnections Relational Images Cultural Context and Controlling Images Growth-Fostering Relationships Relational-Cultural Theory and the Counseling Relationship Why Use Relational-Cultural Theory in hating Disorder Treatment?Relational-Cultural Theory as a Strategy for Disconnection Mutuality Applying Relational-Cultural Theory to Eating Disorder Treatment Prevention Individual Treatment Strategies Self-Empathy With Clients With Eating Disorders Strategies for Fostering Self-Empathy Increasing Understanding of Eating Disorders Renovating Relational Images Conclusion