Treatment manual for anorexia nervosa : a family-based approach

목차 (Table of Contents)

• CONTENTS
• CHAPTER 1. Introduction and Background Information on Anorexia Nervosa = 1
• Purpose of This Manual = 1
• Overview of Anorexia Nervosa in Adolescents = 3
• Outcomes for Patients with Anorexia Nervosa = 10
• Summary = 11
• CHAPTER 2. Family-Based Treatment for Anorexia Nervosa = 13
• Specific Review of Family Therapy Literature = 13
• Family-Based Treatment and the Evolution of This Manual = 16
• Introduction to Family-Based Treatment = 21
• Appropriate Candidates for This Therapy = 24
• Who Is Qualified to Use This Manual? = 27
• The Treatment Team = 27
• Summary = 29
• CHAPTER 3. PhaseⅠ : Initial Evaluation and Setting Up Treatment = 34
• Evaluation and Assessment of Adolescents with Anorexia Nervosa = 34
• Setting Up Treatment = 44
• Summary = 48
• CHAPTER 4. Session 1 : The First Face-to-Face Meeting = 49
• Weighing the Patient = 51
• Greeting the Family in a Sincere but Grave Manner = 53
• Taking a History That Engages Each Family Member in the Process = 54
• Separating the Illness from the Patient = 56
• Emphasizing the Seriousness of the Illness and the Difficulty in Recovering = 59
• Charging the Parents with the Task of Weight Restoration = 61
• Preparing for the Next Session's Family Meal and Ending the Session = 63
• End-of-Session Review = 63
• Common Questions for Session 1 = 63
• CHAPTER 5. Session 1 in Action = 67
• Clinical Background = 68
• Weighing the Patient = 68
• Greeting the Family in a Sincere but Grave Manner = 68
• Taking a History That Engages Each Family Member in the Process = 70
• Separating the Illness from the Patient = 76
• Emphasizing the Seriousness of the Illness and the Difficulty in Recovering(and Continuing to Separate the Illness from the Patient) = 78
• Charging the Parents with the Task of Weight Restoration = 80
• Preparing for the Next Session's Family Meal and Ending the Session = 82
• CHAPTER 6. Session 2 : The Family Meal = 84
• Weighing the Patient = 85
• Taking a History and Observing the Family Patterns during Food Preparation, Food Serving, and Family Discussions about Eating, Especially as They Relate to the Patient = 85
• Helping Parents Convince Their Child to Eat More Than She Is Prepared to, or Helping to Set Parents on Their Way to Working Out How They Can Best Go about Helping Their Child Gain Weight = 87
• Aligning the Patient with Her Siblings for Support Outside Mealtimes = 90
• Closing the Session = 91
• End-of-Session Review = 92
• Common Questions for Session 2 = 92
• CHAPTER 7. Session 2 in Action = 96
• Clinical Background = 97
• Weighing the Patient = 97
• Taking a History and Observing the Family Patterns during Food Preparation, Food Serving, and Family Discussions about Eating, Especially as They Relate to the Patient = 97
• Helping Parents Convince Their Child to Eat More Than She Is Prepared to, or Helping to Set Parents on Their Way to Working Out How They Can Best Go about Helping Their Child Gain Weight = 110
• Supporting the Child's Autonomy and Adolescent Development = 118
• Closing the Session = 121
• CHAPTER 8. The Remainder of PhaseⅠ(Sessions 3-10) = 122
• Weighing the Patient at the Beginning of Each Session = 123
• Directing, Redirecting, and Focusing the Therapeutic Discussion on Food and Eating Behaviors and Their Management until Food, Eating, and Weight Behaviors and Concerns Are Relieved = 125
• Discussing, Supporting, and Helping the Parental Dyad's Efforts at Weight Restoration = 127
• Discussing, Supporting, and Helping the Family to Evaluate Efforts of Siblings to Help Their Affected Sister = 128
• Continuing to Modify Parental and Sibling Criticisms = 130
• Continuing to Distinguish the Adolescent Patient and Her Interests from Those of Anorexia Nervosa = 132
• Reviewing Progress with the Treatment Team = 133
• Common Questions for Sessions 3-10 = 135
• CHAPTER 9. Session 8 in Action = 148
• Clinical Background = 149
• Weighing the Patient at the Beginning of Each Session = 149
• Discussing, Supporting, and Helping the Parental Dyad's Efforts at Weight Restoration = 151
• Directing, Redirecting, and Focusing the Therapeutic Discussion on Food and Eating Behaviors and Their Management until Food, Eating, and Weight Behaviors and Concerns Are Relieved = 153
• Continuing to Modify Parental and Sibling Criticisms = 158
• Continuing to Distinguish the Adolescent Patient and Her Interests from Those of Anorexia Nervosa = 161
• Discussing, Supporting, and Helping the Family to Evaluate Efforts of Siblings to Help Their Affected Sister = 166
• Closing All Sessions with a Recounting of Progress = 176
• CHAPTER 10. Beginning PhaseⅡ : Helping the Adolescent Eat on Her Own(Sessions 11-16) = 177
• Summary of PhaseⅡ = 177
• How the Therapist Assesses the Family's Readiness for PhaseⅡ = 179
• How the Treatment Team Changes in PhaseⅡ = 180
• Weighing the Patient = 181
• Continuing to Support and Assist the Parents in Management of Eating Disorder Symptoms until the Adolescent Is Able to Eat Well on Her Own = 182
• Assisting the Parents and Adolescent in Negotiating the Return of Control of Eating Disorder Symptoms to the Adolescent = 183
• Encouraging the Family to Examine Relationships between Adolescent Issues and the Development of Anorexia Nervosa in Their Adolescent = 184
• Continuing to Modify Parental and Sibling Criticism of the Patient, Especially in Relation to the Task of Returning Control of Eating to the Patient = 185
• Continuing to Assist Siblings in Supporting TheirⅢSister = 186
• Continuing to Highlight the Differences between the Adolescent's Own Ideas and Needs and Those of Anorexia Nervosa = 187
• Closing Sessions with Positive Support = 187
• End-of-Session Review = 188
• Common Questions for PhaseⅡ = 188
• Concluding PhaseⅡ = 191
• CHAPTER 11. PhaseⅡ in Action = 192
• Clinical Background = 192
• Weighing the Patient = 193
• Continuing to Support and Assist the Parents in Management of Eating Disorder Symptoms until the Adolescent Is Able to Eat Well on Her Own = 194
• Assisting the Parents and Adolescent in Negotiating the Return of Control of Eating Disorder Symptoms to the Adolescent = 196
• Continuing to Highlight the Differences between the Adolescent's Own Ideas and Needs and Those of Anorexia Nervosa = 200
• Encouraging the Family to Examine Relationships between Adolescent Issues and the Development of Anorexia Nervosa in Their Adolescent = 204
• Closing Sessions with Positive Support = 207
• CHAPTER 12. Starting PhaseⅢ : Adolescent Issues(Sessions 17-20) = 208
• Readiness for PhaseⅢ = 209
• Primer on Adolescent Development and Anorexia Nervosa = 211
• Teamwork in PhaseⅢ = 213
• Reviewing Adolescent Issues with the Family and Modeling Problem Solving of These Types of Issues = 214
• Involving the Family in "Review" of Issues = 215
• Delineating and Exploring Adolescent Themes = 216
• Checking on How Much the Parents Are Doing as a Couple = 217
• Planning for Future Issues = 218
• Terminating Treatment = 218
• Common Questions for PhaseⅢ = 220
• CHAPTER 13. PhaseⅢ in Action = 221
• Clinical Background = 221
• Reviewing Adolescent Issues with the Family and Modeling Problem Solving of These Types of Issues = 224
• Involving the Family in "Review" of Issues = 228
• Delineating and Exploring Adolescent Themes = 231
• Checking on How Much the Parents Are Doing as a Couple = 236
• Planning for Future Issues = 239
• Summarizing the Session = 241
• CHAPTER 14. Summary of a Completed Case = 242
• Case Illustration = 242
• Clinical Issues and Summary = 255
• CHAPTER 15. Where Are We Going from Here? : Training, Dissemination, Clinical Practice, and Research = 256
• Training = 256
• Dissemination and Implementation of Family-Based Treatment in Clinical Settings = 259
• Next Steps in Research for Family-Based Treatment = 264
• Family-Based Treatment and Advocacy = 265
• References = 267
• Index = 281