Tài liệu TREATMENT OF EATING DISORDERS ppt

TREATMENT

OF EATING

DISORDERS

Bridging the Research - Practice Gap

Edited by

MARGO MAINE

BETH HARTMAN MCGILLEY

DOUGLAS W. BUNNELL

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Biographies

Senior Editor

Margo Maine, PhD, FAED, cofounder of

the Maine & Weinstein Specialty Group, is

a clinical psychologist who has specialized

in eating disorders and related issues for 30

years. Author of: Effective Clinical Practice in

the Treatment of Eating Disorders: The Heart of

the Matter, co-edited with William Davis

and Jane Shure (Routledge, 2009); The Body

Myth: Adult Women and the Pressure to Be

Perfect (with Joe Kelly, John Wiley, 2005);

Father Hunger: Fathers, Daughters and the

Pursuit of Thinness (Gurze, 2004); and Body

Wars: Making Peace With Women’s Bodies

(Gurze, 2000), she is a senior editor of Eating

Disorders: The Journal of Treatment and Preven￾tion and vice president of the Eating Disor￾ders Coalition for Research, Policy, and

Action. A Founding Member and Fellow of

the Academy for Eating Disorders and

a member of the Founder’s Council and

past president of the National Eating Disor￾ders Association, she is a member of the

psychiatry departments at the Institute of

Living/Hartford Hospital’s Mental Health

Network and at Connecticut Children’s

Medical Center, having previously directed

their eating disorder programs. Dr Maine is

the 2007 recipient of The Lori Irving Award

for Excellence in Eating Disorders Aware￾ness and Prevention, given by the National

Eating Disorders Association. She lectures

nationally and internationally on topics

related to the treatment and prevention of

eating disorders, female development, and

women’s health.

Editors

Douglas W. Bunnell, PhD, FAED, is

a graduate of Yale University and received

his doctoral degree from Northwestern

University. He is a clinical psychologist and

Vice President and Director of Outpatient

Clinical Services for The Renfrew Center,

overseeing the clinical programming and

training for Renfrew’s eight outpatient treat￾ment centers. He is the editor of Renfrew’s

professional newsletter, Perspectives, and co￾chairs their research committee. He serves

on the editorial board of Eating Disorders:

The Journal of Treatment and Prevention. A

Fellow of the Academy for Eating Disorders,

he is a former board president of the

National Eating Disorders Association,

a member of National Eating Disorder Asso￾ciation’s Founders Council, and is the clin￾ical advisor for the National Eating

Disorder Association’s Navigator program

which trains parents and family members

as resources for newly diagnosed patients

and families. Dr. Bunnell also remains active

in eating disorders advocacy and awareness.

He has written and lectured, nationally and

internationally, on eating disorders treat￾ment, research, professional training, eating

disorders in men, and the challenges of inte￾grating science and practice. He is also

a member of the Academy for Eating Disor￾ders credentialing committee, working to

develop practice standards for residential

treatment of patients with eating disorders.

In addition to his work with Renfrew, the

Academy for Eating Disorders and National

ix

Eating Disorder Association, Dr. Bunnell

maintains a private practice in Wilton, Con￾necticut specializing in the treatment of

eating disorders, chronic illness, and the

psychological aspects of Lyme Disease.

Beth Hartman McGilley, PhD, FAED,

Associate Professor, University of Kansas

School of Medicine-Wichita, is a psychologist

in private practice, specializing in the treat￾ment of eating and related disorders, body

image, athletes, trauma, and grief. A Fellow

of the Academy for Eating Disorders, she

has practiced for 25 years, writing, lecturing,

supervising, directing an inpatient eating

disorders program, and providing indi￾vidual, family and group therapy. She has

published in academic journals and the

popular media, as well as having contrib￾uted chapters to several books. She is an

editor for Eating Disorders: The Journal of

Treatment & Prevention, and is working on

her first book, a tribute to the patients she

has served over the course of her career.

Dr. McGilley also specializes in applica￾tions of sports psychology and performance

enhancement techniques with athletes at the

high school, collegiate, and professional

levels. She was the sports psychology consul￾tant for the Wichita State University Wom￾en’s Basketball team from 2005 to 2008, and

serves as the co-chair of the Association for

Applied Sports Psychology (AASP) Eating

Disorders Special Interest Group.

Dr. McGilley co-founded and is the current

President of the Healing Path Foundation,

a non-profit foundation dedicated to the

prevention and treatment of eating disorders

in Kansas. She is a recent graduate of the

Kansas Health Foundation Leadership Fellows

Training program. Her hobbies include

competitive cycling, hiking, and writing.

Contributors

Diann M. Ackard, PhD, LP, FAED, is

passionate about helping us be the best that

we can be. She is a licensed psychologist in

private practice, and is an Adjunct Assistant

Professor in the Division of Epidemiology

and Community Health at the University

of Minnesota, and a Research Scientist at

Melrose Institute in St Louis Park, Minnesota.

She sits on the Boards for the Academy for

Eating Disorders and Break the Cycle, and

co-founded the Trauma and Eating Disor￾ders Special Interest Group of the Academy

for Eating Disorders. She regularly publishes

articles in peer-reviewed journals and

frequently contributes at meetings and

conferences.

Drew Anderson, PhD, is an Associate

Professor in the Department of Psychology

at the University at Albany, State University

of New York. His research focuses on assess￾ment and treatment of eating disorders,

body image disturbance, and psychological

and medical problems associated with

obesity.

Amy Baker Dennis, PhD, FAED, is a clin￾ical and research psychologist who has

maintained a clinical practice over 36 years.

She was the founding Board Secretary and

served on the Board of the Academy for

Eating Disorders (AED) for 11 years. She is

also a founding member of the Eating

Disorder Research Society (EDRS), founding

Board President of the Eating Disorder

Awareness and Prevention (EDAP) and a

member of the Founders Council, and

currently serves on the Board of the National

Eating Disorder Association (NEDA). She

has published and lectured extensively and

received numerous awards for her contribu￾tions to the field, including the Lifetime

x BIOGRAPHIES

Achievement Award givn by NEDA. She is

a certified cognitive therapist and has served

on the faculties of University of South Flor￾ida, Department of Psychiatry and Behav￾ioral Sciences, the Hamilton Holt graduate

school at Rollins College in Orlando, Florida,

and Wayne State University Department of

Psychiatry in Detroit.

Judith Banker, MA, LLP, FAED, is the

founder and executive director of the Center

for Eating Disorders, a non-profit outpatient

treatment center in Ann Arbor, Michigan.

She is a Past President of the Academy for

Eating Disorders and served as chair of the

Academy for Eating Disorders Psychody￾namic Psychotherapy Special Interest Group

for 10 years. With over 35 years of clinical

and training experience, Judith’s teaching

and writing focuses on the integrative clin￾ical treatment of eating disorders and on

research-practice integration in the eating

disorders field.

Michael E. Berrett, PhD, received his PhD

in Counseling Psychology in 1986 from

Brigham Young University. He is CEO,

Director, and Co-founder of Center For

Change in Orem, Utah. Dr. Berrett has served

as Chief of Psychology at Utah Valley

Regional Medical Center and as Clinical

Director of Aspen Achievement Academy.

He has 25 years experience in the treatment

of those struggling with eating disorders.

He is co-author of the American Psycholog￾ical Association book Spiritual Approaches in

the Treatment of Women With Eating Disorders

and multiple articles in professional journals.

Timothy D. Brewerton, MD, DFAPA,

FAED, is Clinical Professor of Psychiatry

and Behavioral Sciences at the Medical

University of South Carolina in Charleston.

He is triple board certified in general psychi￾atry, child/adolescent psychiatry and

forensic psychiatry, Distinguished Fellow of

the American Psychiatric Association and

Founding Fellow of the Academy of Eating

Disorders. Dr. Brewerton has published

over 115 articles and book chapters, is editor

of the book, Clinical Handbook of Eating Disor￾ders: An Integrated Approach, and serves on

the Editorial Boards of the International Jour￾nal of Eating Disorders and Eating Disorders:

The Journal of Treatment and Prevention.

Judith Brisman, PhD, is Director and

Co-Founder of the Eating Disorder Resource

Center in New York City. She is co-author of

Surviving an Eating Disorder: Strategies for

Family and Friends (Collins Living, 2009, third

edn), is an associate editor of Contemporary

Psychoanalysis and is on the editorial board

of the journal Eating Disorders: The Journal of

Treatment and Prevention. Dr. Brisman is

a supervisor of psychotherapy and a member

of the teaching faculty of the William

Alanson White Institute. She has published

and lectured extensively regarding the inter￾personal treatment of eating disorders and

currently maintains a private practice in

Manhattan, New York.

Deborah Burgard, PhD, specializes in the

treatment of eating disorders and body

image. She created www.BodyPositive.com

and is one of the founding proponents of

the Health at Every Size model. She co-wrote

Great Shape: The First Fitness Guide for Large

Women, and chapters in Effective Clinical

Practice in the Treatment of Eating Disorders:

The Heart of the Matter, Feminist Perspectives

on Eating Disorders, and The Fat Studies

Reader. Dr. Burgard is also a co-author of

the Academy for Eating Disorder’s “Guide￾lines for Childhood Obesity Programs” and

co-leads the Sustainable Health Practices

Registry, research on how people create

ongoing practices that support their health.

BIOGRAPHIES xi

Rachel Calogero, PhD, completed her

M.A. at The College of William and Mary,

and her doctoral and postdoctoral work in

social psychology at the University of Kent

in Canterbury, England. Currently, she is

Assistant Professor of Psychology at Virginia

Wesleyan College. Her primary interests

cover a spectrum of socio-cultural factors

that affect women’s health and well-being,

including the role of exercise in eating disor￾ders treatment and recovery, the impact of

sexual and self-objectification in girls’ and

women’s daily lives, and the perpetuation

of fat prejudice and stigmatization. She has

published her research widely in peer￾reviewed journals and book chapters, and

is senior editor of the book, Self-Objectifica￾tion in Women: Causes, Consequences, and

Counteractions (APA, 2010). She presents

her research frequently in Europe and North

America, and offers workshops on mindful

excercise in various clinical and community

contexts.

Nancy Cloak, MD, attended medical

school at the University of South Florida

and did her psychiatric residency at the

Menninger Clinic, where she was also

a candidate in the Topeka Institute for

Psychoanalysis. Following residency, she

worked with eating disorder patients in

a university health center, and then

completed a fellowship in eating disorders

at Sheppard-Pratt Hospital, after which she

returned to Oregon to become the medical

director of RainRock Treatment Center. Her

professional interests include psychody￾namic psychotherapy with eating disorder

patients, the neurobiology of weight, appe￾tite, and eating disorders, and medical

complications of eating disorders.

Jillian Croll, PhD, MPH, RD, LD, is the

Director of Communications, Outreach, and

Research for the Emily Program. She is an

Adjunct Assistant Professor in Department

of Food Science and Nutrition at the Univer￾sity of Minnesota. She completed her MPH

and PhD in Public Health Nutrition and

Epidemiology at the University of Minne￾sota, and her MS in Nutritional Science at

the University of Vermont. Her work in

eating disorders includes program develop￾ment, community education, teaching,

research, clinical work, and advocacy.

Kimberly Dennis, MD, is the Medical

Director at Timberline Knolls Residential

Center for women with eating disorders

and co-occurring disorders, and has a private

practice with Working Sobriety Chicago. She

specializes in group and individual treat￾ment for patients with co-occurring eating

and substance use disorders. She maintains

a holistic perspective, and brings an aware￾ness of the benefits of storytelling, creativity,

and play in the recovery process. Dr. Dennis

is a member of IAEDP, Academy for Eating

Disorders, and ASAM. She is an editorial

board member for Eating Disorders: The Jour￾nal of Treatment & Prevention.

Kyle P. De Young, MA, is currently an

advanced graduate student in clinical

psychology at the University at Albany, State

University of New York. His research inter￾ests include the course and outcome of eating

disorders, exercise, and assessment of eating

and exercise-related constructs.

Richard A. Gordon, PhD, is Professor of

Psychology at Bard College and a clinical

psychologist in independent practice. He

has treated patients with eating disorders

for over 25 years. He is author of Eating Disor￾ders: Anatomy of a Social Epidemic, Second

Edition (Blackwell, 2000), and with Melanie

Katzman and Mervat Nasser, Eating Disorders

and Cultures in Transition (Brunner Routledge,

2001). He was made Honorary Fellow of the

American Psychiatric Association for his

xii BIOGRAPHIES

contributions to the social understanding of

eating disorders.

Randy K. Hardman, PhD, worked as

a psychologist for 26 years. He was

a co-founder and director of Center for

Change, where he worked for 11 years. Dr.

Hardman is currently working with students

in the Counseling Center at Brigham Young

University-Idaho in Rexburg, Idaho. He is

a co-author of the book, Spiritual Approaches

in the Treatment of Women with Eating Disor￾ders (American Psychological Association,

2007). He has written and published articles

on spirituality and other related eating

disorder topics.

Bethany Helfman, PsyD, is a clinical

psychologist who has practiced in the field

for over 18 years. She is currently at Dennis &

Moye & Associates in Bloomfield Hills,

Michigan where she specializes in the treat￾ment of adolescents, adults, and families

affected by eating disorders and their comor￾bidities. She is a member of the Academy for

Eating Disorders and the National Eating

Disorder Association. Dr. Helfman super￾vises other professionals in the field, writes,

lectures, and advocates for change related

to the factors that make recovery from

mental illness more difficult.

Anita Johnston, PhD, is Director of the

Anorexia & Bulimia Center of Hawaii, which

she co-founded in 1982, Clinical Director and

Founder of Ai Pono Eating Disorders

Programs in Honolulu, and Senior Advisor

and Clinical Consultant for Focus Center

for Eating Disorders in Tennessee. In 1986,

she developed Hawaii’s first in-patient

eating disorders treatment program at Kahi

Mohala Hospital. Dr. Johnston is the author

of Eating in the Light of the Moon: How Women

Can Transform Their Relationships with Food

Through Myth, Metaphor, and Storytelling

(Gurze, 2000) and an international speaker

and workshop leader with a private practice

in Kailua, Hawaii.

Kathy Kater, LICSW, is a St. Paul, Minne￾sota psychotherapist and an internationally

known author, speaker, and consultant

with over 30 years of experience specializing

in the treatment and prevention of body

image and eating-related disorders. Frus￾trated that progress in understanding these

problems has not been matched by effective

prevention, she authored Healthy Body Image:

Teaching Kids to Eat and Love Their Bodies Too,

a primary prevention curriculum for upper

elementary school children, and Real Kids

Come in All Sizes; Ten Essential Lessons to Build

Your Child’s Body Esteem, a companion guide

for parents.

Susan Kleinman, MA, BC-DMT, NCC, is

the dance/movement therapist for The Ren￾frew Center of Florida. She is a trustee of the

Marian Chace Foundation, a past president

of the American Dance Therapy Association,

and a past Chair of The National Coalition

for Creative Arts Therapies. She is a co￾editor of The Renfrew Center Foundation’s

Healing Through Relationship, serves on the

editorial board of the Journal of Creativity in

Mental Health, and has published extensively

on the use of dance/movement therapy in

the treatment of eating disorders. She was

the American Dance Therapy Association

recipient of the 2009 Outstanding Achieve￾ment Award.

Kelly L. Klump, PhD, FAED, is an Asso￾ciate Professor of Psychology at Michigan

State University. Her research focuses on

genetic and biological risk factors for eating

disorders. Dr. Klump has published over 90

papers and has received a number of federal

grants for her work. She has been honored

with several awards including the David

Shakow Award for Early Career Contribu￾tions to Clinical Psychology from the

BIOGRAPHIES xiii

American Psychological Association and

New Investigator Awards from the World

Congress on Psychiatric Genetics and the

Eating Disorders Research Society. Dr.

Klump is a Past President of the Academy

for Eating Disorders.

Francine Lapides, MFT, writes and

teaches from attachment and psycho￾neurobiological theories (including the

arousal and regulation of affect) and their

applications to relational and psychody￾namic psychotherapy and adult romantic

relationships. She supervised and taught

psychotherapy through the 1970s and has

been in private practice in Santa Cruz,

California since 1980. She has trained with

Daniel Siegel, is a member of Allan Schore’s

Berkeley study group, and has been strongly

influenced by relational principles devel￾oped at The Stone Center at Wellesley

College. She teaches workshops and confer￾ences across the United States and provides

an online seminar at www.PsyBC.com.

Jason M. Lavender, MA, is currently an

advanced graduate student in clinical

psychology at the University at Albany. His

research interests include the functions of

eating disorder behaviors, the course and

outcome of eating disorders, and the assess￾ment of body image and eating disorder

behaviors.

Martha M. Peaslee Levine, MD, is Assis￾tant Professor of Pediatrics, Psychiatry, and

Humanities and the Director of the Partial

Hospitalization and Intensive Outpatient

Programs at Penn State Milton S. Hershey

Medical Center.

Michael P. Levine, PhD, FAED, is Samuel

B. Cummings Jr. Professor of Psychology at

Kenyon College in Gambier, Ohio. His

special interest is body image and eating

problems and their links with preventive

education, developmental psychology, and

community psychology. His most recent

book is Levine and Smolak’s (2006) The

Prevention of Eating Problems and Eating Disor￾ders: Theory, Research, and Practice (Lawrence

Erlbaum). Dr. Levine is a Fellow of the

Academy for Eating Disorders. In June

2006 he received the Meehan-Hartley Award

for Leadership in Public Awareness and

Advocacy from the Academy for Eating

Disorders.

Richard L. Levine, MD, is Professor of

Pediatrics and Psychiatry and is the Chief

of the Division of Adolescent Medicine and

Eating Disorders at Penn State Milton S.

Hershey Medical Center.

Kimberli McCallum, MD, CEDS, is

a Fellow of the American Psychiatric Associ￾ation and Associate Professor of Clinical

Psychiatry at Washington University School

of Medicine. She is a psychotherapist with

a broad range of therapy skills, including

dialectic behavior therapy, cognitive

behavior therapy, family-based treatment,

Family Systems Therapy, and psychoanal￾ysis. She received her MD from Yale, general

psychiatric training at UCLA, and child/

adolescent training at Washington Univer￾sity. Dr. McCallum has co-founded several

specialized eating disorders units, including

inpatient, partial hospital, residential, and

intensive outpatient programs. Her current

programs include McCallum Place Treat￾ment Center in St. Louis, MO, and Cedar

Springs Treatment Center in Austin, TX.

Elisa Mott, MEd/EdS, a certified yoga

teacher and graduate of University of Flori￾da’s Counselor Education program, also

holds a Spirituality in Health Certificate.

She was awarded an International Excel￾lence in Counseling Research Grant from

Chi Sigma Iota honor society for her study

evaluating the use of yoga to improve well￾ness among females and presented this

xiv BIOGRAPHIES

research at the 2010 ACA conference. She

served as CSI’s Wellness Committee chair

and has presented on the use of yoga in the

treatment of eating disorders at the Interna￾tional Association for Eating Disorder

Professionals Conference and the University

of Florida’s Professional Development Day.

Robbie Munn, MA, MSW, is a clinical

social worker who has spoken and written

widely about the chaotic impact of eating

disorders upon families and the challenges

families face in obtaining appropriate treat￾ment. Many women in her family have

been affected by eating disorders, including

her mother and daughter, nieces, and

cousins. In 2000 she joined the Board of the

National Eating Disorders Association

(NEDA) as one of its first family members.

In 2003 she helped to create and co-chair

the first conference in the field to include

families and individuals along with clini￾cians. This has become the esteemed annual

conference hosted by NEDA.

Kelly N. Pedrotty-Stump, MS, is a high￾school guidance counselor and an Exercise

Consultant at the Renfrew Center. She co￾developed the exercise program at Renfrew.

Kelly is an experienced speaker on exercise

and the treatment of eating disorders and

has presented at national conferences

including National Eating Disorder Associa￾tion, Academy for Eating Disorders, and

MEDA. She has taught workshops on

various topics at West Chester University,

Temple University and Philadelphia College

of Osteopathic Medicine. She has published

on the topic of exercise abuse and eating

disorders. Kelly is also a certified yoga

instructor.

Pauline Powers, MD, FAED, graduated

from the University of Iowa College of Medi￾cine and completed her residency at the

University of California at Davis. She is

Professor of Psychiatry and Behavioral

Medicine in the Clinical and Translational

Science Institute at the University of South

Florida, Tampa, Florida. She was the Found￾ing President of the Academy for Eating

Disorders and was President of the National

Eating Disorders Association 2005e2006.

She has published three books on eating

disorders and has reported research in

several journals. She is currently Director of

the University of South Florida Center for

Eating and Weight Disorders and the

Director of the USF Hope House for Eating

Disorders.

Adrienne Ressler, MA, LMSW, CEDS,

the National Training Director for The Ren￾frew Center Foundation, is the 2008e2010

president of the International Association

for Eating Disorder Professionals board.

She attended the University of Michigan

and served as a faculty member in the School

of Education. Her nationally renowned

seminars reflect her background in gestalt,

transactional analysis, psychodrama, bio￾energetic analysis, and Alexander technique.

She is published in the International Journal of

Fertility and Women’s Medicine, Social Work

Today and authored the chapter BodyMind

Treatment in Effective Clinical Practice in the

Treatment of Eating Disorders. She is the

featured body-image expert for documen￾taries on both cosmetic surgery and

menopause.

P. Scott Richards, PhD, is a Professor of

Counseling Psychology at Brigham Young

University. He received his PhD in Coun￾seling Psychology in 1988 from the Univer￾sity of Minnesota. He is the co-author of

the book, Spiritual Approaches in the Treatment

of Woman with Eating Disorders (American

Psychological Association, 2007). He is also

co-author of the book, A Spiritual Strategy

for Counseling and Psychotherapy, which was

BIOGRAPHIES xv

published in 1997 and 2005 (2nd ed.) by the

American Psychological Association. Dr.

Richards has published on the topics of spir￾ituality and eating disorders, religion and

mental health, and spiritual issues in

psychotherapy.

Jennifer Sanftner, PhD, is a Clinical

Psychologist and tenured Associate

Professor of Psychology at Slippery Rock

University. She has been teaching in the areas

of abnormal, clinical, health, and gender

psychology, and directing the undergraduate

practicum program at SRU for the last 8½

years. She has researched eating disorders

for 19 years, resulting in publications in

peer-reviewed journals and chapters. Her

research focuses on the application of Rela￾tional Cultural Theory to understanding the

etiology and maintenance of eating disor￾ders. She is interested in using RCT to under￾stand women’s relationships with their

bodies, with others, and with food, and to

applying our understanding of RCT to

treatment.

Lori A. Sansone, MD, is a civilian family

medicine physician and the Medical Director

for the Primary Care Clinic at Wright￾Patterson Air Force Base in Dayton, Ohio.

She has published over 100 refereed articles

and 24 book chapters; co-authored the

book, Borderline Personality Disorder in the

Medical Setting; co-developed the Self-Harm

Inventory; co-authors a professional column,

The Interface, for the journal Psychiatry, and

co-authors a local monthly newsletter,

Mental Health Issues in Primary Care.

Randy A. Sansone, MD, is a professor

at Wright State University School of Medi￾cine in Dayton, Ohio, and Director of

Psychiatry Education at Kettering Medical

Center. He has published over 225

refereed articles and 33 book chapters;

co-edited the books, Self-Harm Behavior

and Eating Disorders and Personality Disor￾ders and Eating Disorders; co-authored the

book, Borderline Personality Disorder in

the Medical Setting; co-developed the

Self-Harm Inventory; and co-authors

a professional column, The Interface, for

the journal Psychiatry. Dr. Sansone is also

the editor of the borderline personality

module for the Physician Information and

Education Resource and is on six journal

editorial boards, including Eating Disor￾ders: The Journal of Treatment and

Prevention.

Doris and Tom Smeltzer, are career

educators with master’s degrees in educa￾tion and counseling psychology, respec￾tively. Tom is a college professor and Doris

has taught throughout the K-12 spectrum.

When their 19-year-old daughter Andrea

died after 13 months of bulimic behaviors,

Doris chose to leave her teaching position

and has devoted her life to eating disorder

prevention through Andrea’s Voice Founda￾tion, the non-profit organization she and

Tom co-founded. Doris is the author of

Andrea’s Voice: Silenced by Bulimia and Gurze

Books’ “Advice for Parents” blog and is devel￾oping an educational curriculum for the ED

field based on her Internet radio show.

Jacqueline Szablewski, MTS, MAC,

LAC, is a psychotherapist and licensed

addictions counselor who resides in Boulder,

Colorado. Combining study in psychology,

counseling, and world religions with a self￾designed concentration in pastoral coun￾seling, Jackie earned her Masters degree in

Theological Studies from Harvard Univer￾sity. She has worked along the continuum

of care in agency and hospital settings.

Specializing in eating disorders, addiction

recovery, and life transitions, particularly

with individuals challenged by concomitant

mood disorders, trauma, and grief issues,

xvi BIOGRAPHIES

Jackie has worked in the field for nearly two

decades. She has maintained a private prac￾tice in Boulder, Colorado for the last

14 years.

Mary Tantillo, PhD, RN, CS, FAED, is the

Director of the Western New York Compre￾hensive Care Center for Eating Disorders,

an Associate Professor of Clinical Nursing

at the University of Rochester School of

Nursing, a Clinical Associate Professor in

the Department of Psychiatry at the Univer￾sity of Rochester School of Medicine, and

CEO/Clinical Director of a free-standing

Eating Disorders Partial Hospitalization

Program, The Healing Connection, LLC.

She is a fellow of the Academy for Eating

Disorders, as well as a previous board

member, present chairperson for the

Academy for Eating Disorders Credentialing

Task Force, and co-chairperson for the

Patient/Carer Task Force.

Edward P. Tyson, MD, has been treating

eating disorders for more than 20 years and

is board certified in both Family Medicine

and Adolescent Medicine. After serving as

Director of Adolescent Clinics for the

Department of Pediatrics at Children’s

Hospital of Oklahoma, he opened a private

practice in Austin, Texas specializing in

eating disorders. Dr. Tyson is an active

member and frequent presenter at the

professional eating disorder organizations.

He is an advocate for those with eating disor￾ders and teaches residents and medical

students, as well as undergraduate and

graduate classes, at the University of Texas

about eating disorders.

Kitty Westin is the founder and former

President of the Anna Westin Foundation,

which has now merged with the Emily

Program Foundation. The Anna Westin Foun￾dation was started by Anna’s family after

Anna died in 2000 as a direct result of

anorexia. The Westins also started the first

and only residential program to treat people

with eating disorders in Minnesota. Kitty is

also the past President of the Eating Disorders

Coalition for Research, Policy & Action and

she serves on the Academy for Eating Disor￾ders Patient/Carer Task Force, and is the

Co-chair of the Academy for Eating Disorders

Advocacy/Communications Committee.

Jancey Wickstrom, AM, LCSW, is the

Milieu Manager and DBT Specialist at

Timberline Knolls Residential Center for

women with eating disorders and co￾occurring disorders. While a student at

University of Chicago, she received training

in DBT at the Emotion Management

Program, and maintains a group and indi￾vidual DBT practice there. Ms. Wickstrom

firmly believes in the powerful effects of

mindfulness meditation to help every

person create a meaningful life.

BIOGRAPHIES xvii

Abbreviations

AA, Alcoholics Anonymous

ACC, anterior cingulate cortex

ACT, acceptance commitment therapies

ACTH, adrenocorticotropic hormone

ADHD, attention-deficit/hyperactivity

disorder

AN, anorexia nervosa

ANBP, anorexia nervosa, binge purge

subtype of anorexia nervosa

ANS, autonomic nervous system

BED, binge eating disorder

BMI, body mass index

BN, bulimia nervosa

BPD, borderline personality disorder

CAT, cognitive analytic psychotherapy

CBC, complete blood cells

CBT, cognitive behavior therapy

CPT, cognitive processing therapy

CRF, corticotrophin releasing factor

DBT, dialectical behavior therapy

DE, disordered eating

DEX, dysfunctional exercise

DEXA, dual energy X-ray absorptiometry

DMT, dance/movement therapy

DSM, Diagnostic and Statistical Manual

EBP, evidence-based practice

EBT, evidence-based treatment

ED, eating disorder

EDI, Eating Disorder Inventory

EDNOS, eating disorder not otherwise

specified

EST, empirically supported treatments

FBT, family-based treatment

fMRI, functional magnetic resonance

imaging

fNIRS functional near-infrared spectroscopy

FTT, failure to thrive

GABA, gamma-aminobutyric acid

GERD, gastroesophageal reflux disease

HPA, hypothalamic pituitary axis

IFT, internal family therapy

IPT, interpersonal psychotherapy

LH, left hemisphere

MAOI, monoamine oxidase inhibitors

MBCT, mindfulness-based cognitive

therapy

MB-EAT, mindfulness-based eating disorder

training

MBSR, mindfulness-based stress reduction

MET, motivational enhancement therapy

MI, motivational interviewing

MPC, medial prefrontal cortex

NA, narcotics anonymous

NES, night eating syndrome

OA, overeaters anonymous

OCD, obsessive-compulsive disorder

OFC, orbital frontal cortex

OTC, over the counter

PET, positron emission tomography

PFC, prefrontal cortex

PM, perceived mutuality

PPI, proton pump inhibitors

PTSD, post-traumatic stress disorder

RBC, red blood cells

R/M, relational/motivational approach

RCT, relational-cultural theory

RCTs, randomized controlled trials

RFS, refeeding syndrome

RH, right hemisphere

SD, standard deviation

SIV, self-inflicted violence

SMA, superior mesenteric artery

xix

SOC, stage of change

SOCT, stages of change theory

SNRI, serotonin and norepinephrine

reuptake inhibitors

SRED, sleep-related eating disorder

SSRI, selective serotonin reuptake inhibitor

SUD, subjective units of distress

TCA, tricyclic antidepressants

WBC, white blood cells

xx ABBREVIATIONS

Introduction

Eating Disorders as Biopsychosocial Illnesses

The point is that profound but contradictory

ideas may exist side by side, if they are con￾structed from different materials and methods

and have different purposes. Each tells us

something important about where we stand in

the universe and it is foolish to insist that they

must despise each other. Postman, 1995, p. 107

The idea for this volume, Treatment of

Eating Disorders: Bridging the Research/Practice

Gap, emanated from our experiences as clini￾cians facing the challenge of helping patients

and their loved ones back from the precipice

of self-destruction brought on by eating

disorders (EDs). While we are each very

active in our professional development and

ongoing education, every day we experience

the impact of the significant gap between

what the research in journals, books, and

conference presentations provides and how

our patients present clinically. Their needs

rarely match the theories or studies intended

to explain them.

For example, although Eating Disorders

Not Otherwise Specified (EDNOS) is the

most commonly diagnosed ED in clinical

settings, ranging from 50 to 70% of all ED

cases (Walsh & Sysko, 2009), research studies

rarely include this diagnostic category.

While more recent research is beginning to

explore the complexities of EDNOS (Agras,

Crow, Mitchell, Halmi & Bryson, 2010;

Walsh, 2009; Wildes & Marcus, 2010), little

is yet known about how this largest

subgroup of ED patients progresses through

the illness, responds to treatment, and fares

in terms of outcome. Recent data seem to

confirm what we have known clinically:

many patients with EDNOS actually have

poorer outcomes and higher mortality rates

than patients with AN or BN (Crow, Peter￾son, Swanson, Raymond & Specker, 2009).

A multitude of other factors contribute to

the research/practice gap. Despite the fact

that many of our patients suffer from comor￾bid conditions, treatment research in our

field tends to look at these problems

more singularly (Haas & Clopton, 2003;

Thompson-Brenner & Westen, 2005; Tobin,

2007). In clinical practice, it is often these

comorbid factors, including depression,

anxiety, and post-traumatic stress disorder,

that dominate the process of therapeutic

engagement. The process of engagement is

known to be difficult in patients with ED,

and adapting to the special demands of

a patient’s comorbidities makes each treat￾ment relationship unique. This sense of

uniqueness can create the perception that

research does not easily, or often, apply to

the individual patient with whom we sit.

Furthermore, in clinical research trials, “rela￾tively ‘pure’ groups of homogenous patients

are selected for study, and are offered stan￾dardized treatment based on structured

manuals. Everyone knows that therapy in

the real world is far messier” (Herbert,

Neeren & Lowe, 2007, p. 15). We designed

this book with the clear intention of trying

to bridge such gaps so that research can

better inform clinical work, and clinical

work can better inform the research agenda

and process.

xxi