Resolving a disagreement in a clinical team: Overcoming conflicting views about the role of family therapy in an outpatient treatment programme for anorexia nervosa

2006 ◽  
Vol 11 (4) ◽  
pp. 185-194 ◽  
Author(s):  
Nathalie Godart ◽  
F. Perdereau ◽  
Z. Rein ◽  
F. Curt ◽  
I. Kaganski ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Family Therapy ◽  
Outpatient Treatment ◽  
Clinical Team ◽  
Treatment Programme

A Behavioural Programme for the Management of Anorexia Nervosa

1978 ◽  
Vol 12 (1) ◽  
pp. 49-53 ◽  
Author(s):  
A. Desmond Poole ◽  
R. W. Sanson-Fisher ◽  
Pauline Young
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Family Therapy ◽  
Treatment Planning ◽  
Eating Behaviour ◽  
Active Participation ◽  
Treatment Programme ◽  
Contingent Reinforcement ◽  
Response Cost

A treatment programme, based on the use of behavioural principles, is described. Important components of the programme include the active participation of the patient in all phases of treatment planning, the use of contingent reinforcement for weight gain rather than eating behaviour, the provision of frequent feedback regarding progress and the lowering of the ‘response cost’ for eating. In addition contracting, and the use of random scheduling of follow-up contacts, along with family therapy, are employed to maintain weight gain following discharge. The results achieved with an initial group of 5 female patients are briefly discussed.

Interpersonal Psychotherapy for the Treatment of Eating Disorders

2010 ◽  
pp. 347-372 ◽  
Author(s):  
Marian Tanofsky-Kraff ◽  
Denise E. Wilfley
Keyword(s):  
Anorexia Nervosa ◽  
Clinical Care ◽  
Interpersonal Psychotherapy ◽  
Future Research ◽  
Cognitive Behavior ◽  
Research Directions ◽  
Routine Clinical Care ◽  
Interpersonal Factors ◽  
Future Research Directions

Interpersonal psychotherapy (IPT) is a focused, time-limited treatment that targets interpersonal problem(s) associated with the onset and/or maintenance of EDs. IPT is supported by substantial empirical evidence documenting the role of interpersonal factors in the onset and maintenance of EDs. IPT is a viable alternative to cognitive behavior therapy for the treatment of bulimia nervosa and binge eating disorder. The effectiveness of IPT for the treatment of anorexia nervosa requires further investigation. The utility of IPT for the prevention of obesity is currently being explored. Future research directions include enhancing the delivery of IPT for EDs, increasing the availability of IPT in routine clinical care settings, exploring IPT adolescent and parent–child adaptations, and developing IPT for the prevention of eating and weight-related problems that may promote full-syndrome EDs or obesity.

Facilitating Change in Anorexia Nervosa: The Role of Occupational Therapy

1992 ◽  
Vol 55 (9) ◽  
pp. 334-339 ◽  
Author(s):  
Priscilla Harries
Keyword(s):  
Anorexia Nervosa ◽  
Occupational Therapy ◽  
Multidisciplinary Approach ◽  
Projective Art

Patients with anorexia nervosa benefit from a multidisciplinary approach. This article gives a brief description of, first, the illness and its treatment and, secondly, the occupational therapy techniques used at the Maudsley Unit. It then demonstrates the progress of patients through examples of projective art.

Dysfunctional Eating Behaviour and Leptin in Middle-Aged Women: Role of Menopause and a History of Anorexia Nervosa

2021 ◽  
Author(s):  
Suzana Stojiljkovic-Drobnjak ◽  
Susanne Fischer ◽  
Myrtha Arnold ◽  
Wolfgang Langhans ◽  
Ulrike Kuebler ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Eating Behaviour ◽  
Middle Aged ◽  
History Of

Anorexia Nervosa in a Black Zimbabwean

1984 ◽  
Vol 145 (3) ◽  
pp. 326-330 ◽  
Author(s):  
T. Buchan ◽  
L. D. Gregory
Keyword(s):  
Anorexia Nervosa ◽  
Special Reference ◽  
Diagnostic Criteria ◽  
Traditional Healer ◽  
Clinical Symptoms ◽  
The Social ◽  
Speculative Hypothesis ◽  
African Patients

SummaryIn spite of the comparative rarity of anorexia nervosa in African patients, the case of a young black Zimbabwean woman which fulfils Feighner's diagnostic criteria is presented. Special reference is made to several unusual features which include the social and psychological conflicts engendered by changes of culture, the clinical symptoms, and the role of a traditional healer in her recovery. A speculative hypothesis concerning aetiology is suggested.

The Role of Olanzapine in the Treatment of Anorexia Nervosa

2007 ◽  
Vol 41 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Kaelen C Dunican ◽  
Dana DelDotto
Keyword(s):  
Anorexia Nervosa

scholarly journals Plasma Obestatin, Ghrelin, and Ghrelin/Obestatin Ratio Are Increased in Underweight Patients with Anorexia Nervosa But Not in Symptomatic Patients with Bulimia Nervosa

2008 ◽  
Vol 93 (11) ◽  
pp. 4418-4421 ◽  
Author(s):  
Palmiero Monteleone ◽  
Cristina Serritella ◽  
Vassilis Martiadis ◽  
Pasquale Scognamiglio ◽  
Mario Maj
Keyword(s):  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Energy Homeostasis ◽  
Physiological State ◽  
Blood Levels ◽  
Women Patients ◽  
Underweight Patients ◽  
Positive Correlations ◽  
Clinical Measures

Introduction: Peptides of the gut-brain axis have a pivotal role in the regulation of energy homeostasis. Obestatin, a sibling of ghrelin derived from preproghrelin, is thought to oppose ghrelin effects on food intake. Because changes in ghrelin levels have been associated with anorexia nervosa (AN) and bulimia nervosa (BN), the investigation of obestatin production may further contribute to understanding the role of peripheral peptides in patients with eating disorders. Methods: In the present study, we measured circulating blood levels of obestatin and ghrelin and assessed their relationships with anthropometric and clinical measures in 20 AN patients, 21 BN patients, and 20 appropriate healthy controls. Results: Compared with healthy women, patients with BN showed no significant differences in plasma obestatin and ghrelin concentrations and in the ghrelin/obestatin ratio, whereas underweight AN patients displayed significantly increased circulating levels of both obestatin (P < 0.009) and ghrelin (P < 0.002) and an increased ghrelin/obestatin ratio (P < 0.04). Moreover, in AN women, positive correlations emerged between the ghrelin/obestatin ratio and current body weight and body mass index. Conclusions: Underweight AN patients are characterized by increased concentrations of ghrelin and obestatin and a higher ghrelin to obestatin ratio. No changes in circulating ghrelin or obestatin as well as in ghrelin to obestatin ratio seem to occur in acutely ill patients with BN. Although those changes likely reflect the physiological state of symptomatic AN individuals, they may also contribute to the pathophysiology of the disorder.

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