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Hunger for Understanding
A Workbook for helping young people to understand and overcome anorexia nervosa

Alison Eivors (Author), Sophie Nesbitt (Author)

9780470021286, Wiley

Paperback / softback, published 1 April 2005

192 pages
24.6 x 17.6 x 1.1 cm, 0.369 kg

"...a wonderful workbook as a therapeutic tool for work with young people referred with eating disorders." (International Journal for Adolescent Health, Vol 17 (4) 2005)

"...easy to understand and accessible..." (Infant and Child Development, Dec 05)

"...an important tool for the therapist..." (International Journal of Adolescence Med Health, vol 17, no.4, 2004)

Research suggests that anorexia nervosa and other eating disorders, whilst not prevalent in the population, have the highest mortality rate of all psychological problems. The development of effective treatment programs is therefore an important priority for health care professionals. This flexible book has been designed for use by therapists as part of a programme when working with young people with eating disorders. The aim is to help young people understand more about their own experience, and alongside guidance ofr therapists it includes a complete workbook for use by the young persons themselves. This presents tasks ranging from reflective thinking to drawing to promote engagement with difficulties as a first step to overcoming them.

About the authors vii

Foreword ix

Acknowledgements xi

1 The purpose of the workbook 1

Who is Hunger for Understanding for? 2

Who can use Hunger for Understanding? 3

When and how should Hunger for Understanding be used? 3

Accessing the workbook electronically 4

Issues of confidentiality 5

2 Psychological interventions for anorexia nervosa and the role of psycho-education 7

Psychological interventions 8

Motivational-enhancement therapy (MET) 9

Cognitive-behavioural therapy (CBT) 10

Psycho-education in anorexia nervosa 11

The psychological symptoms of starvation 12

The cultural context of eating disorders 12

Set-point theory 12

The physical effects of starvation 13

3 Therapeutic challenges, skills and techniques 15

Challenges of work with people with anorexia nervosa 15

Physical issues 15

Psychological issues 16

Therapeutic skills and techniques 17

Externalisation 17

Instilling hope 17

Empathy 17

Developing emotional awareness 18

Rolling with resistance 18

Dealing with distress 18

Managing relapses 18

4 The contents of the workbook and guidelines for use 21

Section 1 What is anorexia nervosa? 21

Section 2 What causes anorexia? 22

Section 3 How does dieting affect us? 25

Section 4 How does anorexia affect you? 25

Section 5 What keeps anorexia going? 26

Section 6 The tricks anorexia plays 27

Section 7 Thinking about change 27

Section 8 Getting better 29

Section 9 Teamwork 30

Section 10 Becoming assertive 30

Section 11 Myths and questions about anorexia nervosa 31

Some good advice and messages of support 31

Ending the workbook 31

The Workbook 33

Useful contacts 161

References 163

Index 167

Subject Areas: Psychology [JM]

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