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Johnston, Sabrina. "Using the principles of existential psychotherapeutic theory to enrich understanding of eating disorder etiology a theoretical study : a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/984.
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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 112-119).
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Thomas, Michael. "Existential interventions in eating disorders." Thesis, University of Nottingham, 2001. http://eprints.nottingham.ac.uk/11482/.
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This study provides the result of a doctorate research into the impact of existential psychotherapeutic interventions with people experiencing chronic eating disorders. The results indicate that positive outcomes are correlated to therapeutic interventions which concentrate on the clients own perception of control and choice over their own eating habits. The research aim was to explore both the effects and the effectiveness of existential therapy in altering the individuals subjective interpretation of their Self when they are deeply immersed in the experience of disordered eating. Interventions went beyond the cognitive-behavioural approaches into the implementation of existential psychotherapy which helped individuals to explore the existential concerns of life, choice, hope, social inclusion and love within the context of their own sense of Being. This focus led to an improvement in all study subjects and a reduction in the use of mental health resources. All individuals entered the study following assessment criteria which included chronicity, lengthy use of mental health services and past therapeutic interventions. Three diagnostic criteria were included, Anorexia Nervosa, Bulimia Nervosa and Morbid Obesity. Data presented in the study supported the original premise that all three eating disorders share underlying similarities and justify the inclusion of the diagnostic criteria of morbid obesity within the study. Therapy was either in closed groups or individual and consisted of a fixed number of one-hour sessions. Therapeutic techniques included cognitive-behavioural therapy and person-centred counselling focusing on self-esteem and self-assertion, as well as an existential focus on dualistic perception of the mind/body, the conscious sense of the present and the affective bond with food itself. A series of therapeutic phases were structured to demonstrate the progress from interventions in self-esteem and self-assertion to existential concerns and principles. Taking therapy beyond cognitive-behavioural techniques involved the application of Yaloms' (1980) and Strasser and Strassers' (1997) Existential Therapy and an exploration of Duker and Slades' (1988) concepts of the fragmentation of the sense of Self in individuals experiencing eating disorders. The research demonstrated important differences between the professional perception of appropriate eating and alteration in weight as successful clinical outcomes, and the clients’ dependency on disordered eating as a source of release from interacting with others. Mental health interventions were perceived by clients as attempts to stop such a release without providing a substitute. A clear sense of loss was presented by all study subjects when eating was controlled by others. In most cases disordered eating was habitual and the emotional effects of raised or lowered glucose levels gave a sense of numbness and nothingness which was actively pursued. This was also attained when disordered eating was combined with other self-harm behaviours. Mental health practitioners inadvertently prevented the attainment of a sense of numbness by their focus on eating and body weight. The encouragement of food regimes causes increased anxiety for all clients leading to poor compliance levels. The research results have the potential to impact on mental health education and clinical services as the data indicates that individuals with disordered eating gain more benefit when the therapeutic focus is less on restoring appropriate eating habits and more on the individuals sense of Self; the importance of food intake as a source of escape from others and escape from the internal awareness of Self.
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Hubbard, Julia Bryn. "Psychotherapy Outcome for Eating Disorders: A Meta-Analysis." BYU ScholarsArchive, 2013. https://scholarsarchive.byu.edu/etd/3641.
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The purpose of this project was to summarize psychotherapy outcomes for eating disorders using meta-analysis. Psychotherapy was defined as any psychosocial treatment including face-to-face therapy, self-help, and Internet approaches. All primary studies, meeting inclusion/exclusion criteria from 1980 to 2010, were included. Results suggested that individuals treated with active treatments demonstrate better outcomes than those in control conditions (d= 0.33, p <.01, 95% CI [0.19-0.46]). CBT was the most often occurring treatment in the primary studies and a small effect, favoring CBT, was found when the treatment was compared to all other active treatments (d = 0.16, p = .02, 95% CI [0.03-0.28]). Internet and self-help approaches continue to show promise with Internet treatments demonstrating superior outcomes to control conditions (d = 0.54, p <.01, 95% CI [0.19-0.90]). More research is needed to determine whether these approaches can suffice as stand-alone treatments or if they are best used in addition to already well-established approaches (i.e., individual CBT). The meta-analysis also explored whether treatment type, outcome measure, diagnosis, attrition, and diagnostic severity moderate treatment effect. Finally, the meta-analysis updated and improved upon previous meta-analyses by focusing on randomized controlled trials, including all diagnoses of eating disorder, only combining effect sizes from similar conditions, including all possible studies that meet inclusion criteria, computing and comparing effect sizes for outcome measures beyond those considered primary to eating disorder treatment, and also addressing outcomes for all brands of psychotherapy including traditional talk therapy, self-help, and Internet approaches.
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Lefebvre, Diana Barbara. "Client Perspectives of Psychotherapy for Eating Disorders in Community Practice Settings." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/34130.
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This qualitative study explores client experiences to further understand psychotherapy for the treatment of eating disorders in community practice settings. Eight participants shared their experiences of individual psychotherapy, where eating disorders were the primary focus, during minimally-structured and open-ended interviews. Data were analyzed using interpretive phenomenological analysis. Analysis resulted in 20 themes representing what participants described as meaningful in their experience of therapy. These themes are organized in five broader thematic categories: Goals and Expectations of Therapy, Therapist Way of Being, Session Process, Eating Disorder Specific Interventions, and Non-Eating Disorder Specific Interventions. Each thematic category and theme is described in detail, including verbatim quotes from participant accounts, and depicting points of agreement or divergence among participant experiences. The constructivist orientation, principles of hermeneutic phenomenology, and helpful factors design forefront participant perspectives and allow for elucidation of nuances in which therapy and therapeutic interventions unfold. The findings reinforce and expand upon scholarly literature, including ways that participants find it helpful when therapists consider the client’s context, but also value direction provided by therapists who have eating disorder expertise. Implications of the study for research, practice, and training are discussed.
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Sivyer, Katy. "Mediators of transdiagnostic psychological treatments for eating disorders." Thesis, University of Oxford, 2017. http://ora.ox.ac.uk/objects/uuid:42b0ec86-7fca-42ee-948b-74b77e5e6db4.
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Cognitive behaviour therapy and interpersonal psychotherapy are the leading treatments for eating disorders. Little is understood regarding their mechanisms of action. The research described in this thesis investigated the purported mechanisms of action of two transdiagnostic versions of these treatments; enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy for eating disorders (IPT-ED). A series of mediation studies were embedded within a randomised controlled trial comparing CBT-E and IPT-ED in a transdiagnostic sample of patients with eating disorders. An analytic strategy using multilevel and structural equation modelling was used to assess for statistical mediation. Three of the key purported mediators of action of CBT-E (regularity of eating, frequency of weighing, and frequency of shape checking) and the key purported mediator of IPT-ED (interpersonal problem severity) were studied. Only regularity of eating demonstrated a strong case for being a mediator of the effect of CBT-E (on frequency of binge eating). The findings were inconclusive regarding other putative mediators of the effect of CBT-E, and for interpersonal problem severity being a mediator of the effect of IPT-ED. Limitations of the research included the non-optimal choice of measures and non-optimal timing of measurements for establishing temporal precedence. Future research should investigate the mediating role of both cognitive (e.g. interpretation of weight) and behavioural processes (e.g. frequency of weighing) in CBT-E, and the role of interpersonal functioning in CBT-E and IPT-ED. Research should use daily, or session by session measurement to better assess the temporal relationship between the purported mediator/s and the outcome/s. Experimental designs comparing dismantled versions of treatment would also help determine the relative effects that different treatment procedures have on treatment outcome/s.
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Dunn, Elizabeth. "Clinician experiences of treating eating disorders and the use of clinical supervision." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16422/.
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Objective: Clinicians working with individuals with eating disorders encounter unique emotional, cognitive and behavioural responses. Such responses may impact on clinician self-care and wellbeing, and are linked to clinician burnout and poor treatment outcomes. Supervision can protect against such deleterious consequences. At present there is limited theoretical literature and no empirical literature relating to the supervision of eating disorder clinicians. Method: A three round Delphi Methodology was employed to explore the experiences of clinicians from a range of professional backgrounds who work therapeutically with individuals with anorexia nervosa, along with the role of supervision and relevant key supervision requirements. Results: Positive experiences were more frequently reported than negative experiences. Key negative emotions comprised sadness, anxiety, frustration and inadequacy. The impact on clinicians thinking about food and their own body-image were divergent. A large number of statements reflecting the core elements of supervision including areas of discussion, reflection, outcomes, supervisor qualities, the supervisory relationship, barriers and facilitators reached consensus. No consensus was reached regarding discussing clinicians’ thoughts about food, body-image or personal eating disorder history. Discussion: Implications for clinical practice include using these findings to challenge persistent beliefs that individuals with anorexia nervosa are undesirable to treat, and to help identify appropriate support where challenging experiences arise. Results relating to supervision can form the basis of future supervision guidelines in this field. Study limitations and implications for future research are discussed.
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Gorman-Ezell, Kathleen Elizabeth. "Eating Disorder Professionals and the Relationship Between Countertransference, Eating Attitudes, Body Image, and Self-Esteem." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1257454991.
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Leichtman, Robin. "Men Making Meaning of Eating Disorders: A Qualitative Study." Cleveland State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=csu1412671510.
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Boone, Anthony. "Awakened to a life| an existential-phenomenological examination of the lived experience of recovery from eating disorders." Thesis, Duquesne University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3632869.
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Eating disorders have become an ever-increasing phenomenon in the cultural landscape. The irony of a culture of abundance that produces either abnormally abstemious or indulgent food practices is staggering. This study is a qualitative analysis of recovery from three major eating disorders: anorexia nervosa, bulimia nervosa, and binge eating disorder. It is a phenomenological and existential analysis of the lifeworld of those who have had relief from the symptoms for three years or longer. The Maintenance phase recovery in the Stages of a Change model is used as criteria for participation in this study. Terror Management Theory was used as one lens to elucidate that experience to better understand the psychological and emotional changes the subjects encountered throughout their recovery process, Additionally, Van Manen's (1997) four lifeworld existentials defined the phenomenological glance that the study sought to understand the experience of recovery. Five main themes emerged from the data. These themes characterized the experience of the recovered person. These main themes were 1) a change in self-esteem based on honesty towards self and others, 2) a new relationship with the body, 3) a positive change in family relationships, 4) a new autonomy and competence/spirituality, and 5) optimism in the face of adversity/spirituality. A discussion of implications for and uses in counseling and of further research possibilities conclude this dissertation.
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Heenan, Mary Colleen. "The application of discourse analysis to a feminist psychodynamic psychotherapy group for women with eating disorders." Thesis, Manchester Metropolitan University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.361972.
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Tebbutt, Hayley Lynne. "Psychodynamic case formulations : reflections of a neophyte therapist's experiences of how developing and using a psychodynamic formulation may have influenced treatment?" Thesis, Rhodes University, 2013. http://hdl.handle.net/10962/d1006812.
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Although it is generally acknowledged and accepted that case formulations are useful in psychotherapy treatment, there is significantly little research illustrating how case formulations are useful in treatment. Research also suggests that case formulations are seldom used in practice after initial training (Eells, 1997; Sim, Gwee, & Bateman, 2005). This research was premised on a particular case study which appeared to highlight shifts in psychotherapy treatment in the sessions directly after the writing or revising of the case formulation, thus prompting the inquiry into the influence of the case formulation on therapeutic work. The research utilised a qualitative methodology and focused on a single case which was a 19 year old university student who expressed a problem with binge eating. The data was drawn from five original and revised case formulations. The participant was seen for 27 therapy sessions, over which time five case formulations were developed and revised. The findings in this study highlight the process of how a psychodynamic case formulation can influence therapeutic work, as reflected in three broad themes of adherence to the case formulation, the confidence of the therapist, and using the formulation as an intervention. The study contributes to arguments for the revival of the case formulation as a necessary therapeutic tool.KMBT_363
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Lounes, Naima S. "Cognitive remediation therapy in anorexia nervosa : implications for treatment developments and research trials." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12809/.
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Though Cognitive Remediation Therapy (CRT) for anorexia nervosa shows promising evidence, questions remain regarding specific mechanisms of change. This mixed methods study aimed to explore both longitudinal patient data (neuropsychological and self-report measures, before and after CRT) and therapist experiences of delivering CRT and their perceptions regarding what it offers. All patients had received treatment in a specialist inpatient unit. Complete data were available for both individual (n=56) and group (n=43) CRT; clinical audit data were also available. Semi-structured interviews of 11 therapists were analysed using Thematic Analysis. Statistically significant improvements were found in cognitive flexibility task performance for individual CRT (medium effect) and in self-reported cognitive flexibility for group CRT (medium effect). Three main themes were identified from the therapist interviews: “Anorexia and its treatment”, “CRT - its characteristics and delivery” and “CRT and its effectiveness”. The quantitative findings replicated some previous results and the therapist interviews provided insights regarding not only CRT’s delivery but adaptations made according to individual need and complexity. Both individual and group CRT appear to be feasible interventions for future trials but questions remain around CRT’s specific effects. Recommendations are made for future research studies on this complex intervention.
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Ruangsri, Tassaya. "Why food? an exploration of the psychodynamics of the use of food in eating disordered clients and the implications for treatment : dissertation submitted to Auckland University of Technology in partial fulfilment of the degree of Masters of Health Science in Psychotherapy, 2009 /." Click here to access this resource online, 2009. http://hdl.handle.net/10292/753.
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Bhatnagar, Kelly Anne Constant. "Effectiveness and Feasibility of a Cognitive-Behavioral Group Intervention for Body Image Disturbance in Women with Eating Disorders." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1264038517.
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Celio, Angela Ann. "Early intervention of eating and weight-related problems via the internet in overweight adolescents : a randomized controlled trial /." Diss., Connect to a 24 p. preview or request complete full text in PDF format. Access restricted to UC campuses, 2005. http://wwwlib.umi.com/cr/ucsd/fullcit?p3170272.
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Oldershaw, Anna V. "The role of socio-emotional and neurocognitive functioning in anorexia nervosa." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10322/.
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Section A is a systematic review of emotional processing in people with Anorexia Nervosa (AN). By drawing together all self-report research, it outlines the specific emotional processing difficulties experienced by this population. It concludes that theoretical assertions that poor emotional processing maintains AN are tentatively empirically supported, but data is limited and largely cross-sectional. Section B Background. Effective treatments for AN in adults remain elusive. Recent research suggests poor socio-emotional and neurocognitive functioning may act as underpinning maintaining mechanisms for AN. These difficulties are therefore indicated as treatment targets; however, their roles as maintaining factors and the benefits of including socio-emotional and neurocognitive difficulties as foci for therapy lack empirical evidence. Methods. A randomised control trial design was employed to compare the Maudsley AN Treatment for Adults (MANTRA) based on a novel maintenance model of AN seeking to target key socio-emotional factors (maladaptive emotion beliefs and over-control of emotion, alongside poor social cognition) and neurocognitive factors (poor set-shifting and extreme detail-focus), against a control treatment mimicking treatment as usual (specialist supportive clinical management; SSCM). It was hypothesised that: (1) baseline socio-emotional and neurocognitive difficulties would predict outcomes, highlighting their role as maintenance factors; and (2) MANTRA would significantly improve these factors over SSCM leading to better clinical outcomes, therefore confirming them ‘causal’ maintenance factors. Results. Emotional avoidance (behavioural/cognitive avoidance, low acceptance) and some other elements of control (submissive behaviour) predicted clinical outcomes. Social cognitive (emotion recognition, emotional Theory of Mind) and neurocognitive functioning (set-shifting, detail-focus) had limited predictive ability. There were socio-emotional (social comparison, cognitive avoidance) and neurocognitive (set-shifting) improvements following MANTRA over SSCM, but no clinical advantage. Conclusions. Emotional avoidance and submissive behaviours may represent maintenance factors for AN. Social cognitive and neurocognitive variables appear less important. No ‘causal’ maintenance factors could be concluded from the data. Implications for adapting MANTRA are discussed. Section C is a critical appraisal of this research reflecting on key learning points and the limitations of the study, as well as the impact of the study on clinical work and in planning future research.
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Brauhardt, Anne, Zwaan Martina de, and Anja Hilbert. "Der Psychotherapeutische Prozess in der Behandlung von Essanfällen." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-212705.
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Während Leitlinien „Gold-Standards“ für die Psychotherapie bei bulimischen Essstörungen (Bulimia Nervosa und Binge-Eating-Störung) empfehlen, ist über psychotherapeutische Prozessfaktoren bei Essstörungen wenig bekannt. Ziel war es, mit Hilfe des etablierten Generic Model of Psychotherapy zur Systematisierung psychotherapeutischer Prozessfaktoren die aktuelle Literatur zum Einfluss dieser Faktoren auf den Therapieerfolg, operationalisiert als Symptomreduktion oder -remission, auf Basis einer systematischen Datenbanksuche zu sichten. Während der Einfluss des therapeutischen Settings nach bisheriger Forschungslage kaum Schlüsse hinsichtlich des Therapieerfolgs zulässt, konnte dieser durch spezifische Interventionen, frühe Symptomreduktionen und eine gute therapeutische Beziehung vorhergesagt werden. Weitere Forschung zu Prozessfaktoren bei bulimischen Essstörungen erscheint notwendig, um die praktische psychotherapeutische Arbeit zu unterstützen und Behandlungen effektiver gestalten zu könnenWhile guidelines recommend gold standards for psychotherapy in bulimic eating disorders (bulimia nervosa and binge eating disorder), less is known about psychotherapeutic process aspects. We aimed to summarize the current literature on the impact of process aspects on significant symptom reductions and/or abstinence as treatment outcome using the Generic Model of Psychotherapy. A systematic literature search was conducted. While effects of treatment settings can not yet be estimated, specific interventions, rapid response, and the therapeutic bond repeatedly predicted outcome. Process-outcome research in bulimic eating disorders will be necessary to support clinical practice and to enhance treatment efficacy
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Hilbert, Anja. "Psychotherapie bei Essstörungen." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-211408.
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Essstörungen sind prävalente psychische Störungen mit schwerwiegenden, oftmals langfristigen Auswirkungen auf die psychische und körperliche Gesundheit. Eine zunehmende Anzahl von klinischen Studien dokumentiert die Wirksamkeit verschiedener psychotherapeutischer Ansätze für spezifische Essstörungen. Im vorliegenden Themenheft 5 werden die Wirksamkeit von neuen Ansätzen zur Einzeltherapie und zur internet-basierten Rückfallprophylaxe, die Patientensicht auf die Therapie sowie die Relevanz von Faktoren des therapeutischen Prozesses bei verschiedenen Essstörungen beleuchtet. Weiterer Forschungsbedarf besteht insbesondere hinsichtlich des Prozesses und der Dissemination evidenzbasierter Psychotherapie für EssstörungenEating disorders are prevalent psychiatric disorders with severe and longstanding 15 implications for mental and physical health. An increasing number of clinical studies documents the efficacy of certain psychotherapeutic approaches for specific eating disorders. This special issue addresses the efficacy of novel approaches in face-to-face individual therapy and Internet-based relapse prevention, patient views of treatment, and the relevance of therapeutic process factors for diverse eating disorders. Further research is particularly 20 warranted regarding the process and dissemination of evidence-based psychotherapy for eating disorders
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Adams, Peter J. "The thin ideal and its relationship to depression and eating disorders: A cross-sectional study of 5th, 8th, and 12th graders." Scholarly Commons, 1992. https://scholarlycommons.pacific.edu/uop_etds/2952.
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The "thin ideal" and its relationship to depression and eating disorders was investigated in a cross-sectional study of 599 students in the 5th, 8th, and 12th grades. Endorsement of the "thin ideal," socioeconomic status (SES), body image, depression, and eating disorders were measured to test McCarthy's (1990) model for eating disorders. An important variable in this model, SES, was unevenly distributed with an under-representation of high SES participants. Thus, the model was not fully tested. However, an important finding from this study was a "normative" body dissatisfaction and preoccupation with eating and weight concerns among the post-menarche, female participants. This suggests a pervasive condition that challenges the validity of McCarthy's model for eating disorders.
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Culuko, Gayle Diane. "Epidemiological classification of the DSM-III-R for bulimia." Scholarly Commons, 1995. https://scholarlycommons.pacific.edu/uop_etds/2767.
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The purpose of this study is to operationalize the DSM-III-R criteria for bulimia. This study shows how the lack of DSM-III-R quantification results in high within-group sample variability for bulimic symptomatology and greatly reduces the validity of research outcomes. The study problem for this research is: How can the DSM-III-R criteria for bulimia be measured and quantified in order to procure a more valid sample of bulimics for research and treatment? The first DSM-III-R criterion for bulimia is: "Recurrent episodes of binge eating." This criterion was operationalized using the Binge Eating Quiz and by calculating the mean daily binge caloric consumption of 108 female subjects who met the DSM-III-R criteria for bulimia. The second DSM-III-R criterion for bulimia is: "A strong feeling of lack of control over eating behavior during the eating binges." This criterion was operationalized by administering the Eating Attitude Test to 108 individuals who met the DSM-III-R criteria for bulimia. The third DSM-III-R criterion for bulimia is: "The person regularly engages in either self-induced vomiting, use of laxatives or diuretics, strict dieting or fasting, or vigorous exercise in order to prevent weight gain." Of these several purging variables, the one most commonly used by bulimics in this study (N = 108), and in all previous research studies was self-induced vomiting. Self-induced vomiting was measured by giving 108 female subjects devices to be attached to their toilets in order to measure vomit in cubic centimeters. The fourth DSM-III-R criterion for bulimia is: "Persistent overconcern with body shape and weight." This criterion was operationalized by a test designed and tested by this researcher, the Body Image Scale (BIS). The BIS was administered to 108 female subjects who met the DSM-III-R criteria for bulimia. The fifth DSM-III-R criterion for the diagnosis of bulimia is: "A minimum average of two binge eating episodes a week for at least three months." This criterion is especially vague because a binge to one person may merely infer one candy bar; while to another individual, a binge may suggest a dozen donuts. Although vomiting frequency is also a vague unit of measurement for bulimia, it is perhaps less so than bingeing. Consequently, "a minimum average of two vomiting episodes a week for at least three months" may be a better measurable characteristic for this DSM-III-R criterion. When the DSM-III-R criteria for bulimia was operationalized on 108 female subjects who answered "yes" to the five DSM-III-R criteria, only 46.30% (N = 50) scored significantly on the BEQ, Binge Caloric Value Count, EAT, Vomit Count, and the BIS. Consequently, only 50 out of 108 potential subjects would render valid research subject inclusion in bulimic research. Thus, this study shows that the DSM-III-R criteria for bulimia should only be used as an initial screening device for subject inclusion and treatment in research studies. Other tools, such as those used in this study, should then be employed in order to obtain a more valid study sample in order to procure more empirical research outcomes. (Abstract shortened by UMI).
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Brauhardt, Anne, Zwaan Martina de, and Anja Hilbert. "Der Psychotherapeutische Prozess in der Behandlung von Essanfällen." Zeitschrift für Psychiatrie, Psychologie und Psychotherapie (2014) 62, S. 9 - 17, 2015. https://ul.qucosa.de/id/qucosa%3A15035.
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Während Leitlinien „Gold-Standards“ für die Psychotherapie bei bulimischen Essstörungen (Bulimia Nervosa und Binge-Eating-Störung) empfehlen, ist über psychotherapeutische Prozessfaktoren bei Essstörungen wenig bekannt. Ziel war es, mit Hilfe des etablierten Generic Model of Psychotherapy zur Systematisierung psychotherapeutischer Prozessfaktoren die aktuelle Literatur zum Einfluss dieser Faktoren auf den Therapieerfolg, operationalisiert als Symptomreduktion oder -remission, auf Basis einer systematischen Datenbanksuche zu sichten. Während der Einfluss des therapeutischen Settings nach bisheriger Forschungslage kaum Schlüsse hinsichtlich des Therapieerfolgs zulässt, konnte dieser durch spezifische Interventionen, frühe Symptomreduktionen und eine gute therapeutische Beziehung vorhergesagt werden. Weitere Forschung zu Prozessfaktoren bei bulimischen Essstörungen erscheint notwendig, um die praktische psychotherapeutische Arbeit zu unterstützen und Behandlungen effektiver gestalten zu können.While guidelines recommend gold standards for psychotherapy in bulimic eating disorders (bulimia nervosa and binge eating disorder), less is known about psychotherapeutic process aspects. We aimed to summarize the current literature on the impact of process aspects on significant symptom reductions and/or abstinence as treatment outcome using the Generic Model of Psychotherapy. A systematic literature search was conducted. While effects of treatment settings can not yet be estimated, specific interventions, rapid response, and the therapeutic bond repeatedly predicted outcome. Process-outcome research in bulimic eating disorders will be necessary to support clinical practice and to enhance treatment efficacy.
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Hilbert, Anja. "Psychotherapie bei Essstörungen." Zeitschrift für Psychiatrie, Psychologie und Psychotherapie (2014) 62, S. 5-7, 2014. https://ul.qucosa.de/id/qucosa%3A14982.
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Essstörungen sind prävalente psychische Störungen mit schwerwiegenden, oftmals langfristigen Auswirkungen auf die psychische und körperliche Gesundheit. Eine zunehmende Anzahl von klinischen Studien dokumentiert die Wirksamkeit verschiedener psychotherapeutischer Ansätze für spezifische Essstörungen. Im vorliegenden Themenheft 5 werden die Wirksamkeit von neuen Ansätzen zur Einzeltherapie und zur internet-basierten Rückfallprophylaxe, die Patientensicht auf die Therapie sowie die Relevanz von Faktoren des therapeutischen Prozesses bei verschiedenen Essstörungen beleuchtet. Weiterer Forschungsbedarf besteht insbesondere hinsichtlich des Prozesses und der Dissemination evidenzbasierter Psychotherapie für Essstörungen.Eating disorders are prevalent psychiatric disorders with severe and longstanding 15 implications for mental and physical health. An increasing number of clinical studies documents the efficacy of certain psychotherapeutic approaches for specific eating disorders. This special issue addresses the efficacy of novel approaches in face-to-face individual therapy and Internet-based relapse prevention, patient views of treatment, and the relevance of therapeutic process factors for diverse eating disorders. Further research is particularly 20 warranted regarding the process and dissemination of evidence-based psychotherapy for eating disorders.
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Hackett, Jennifer Parker. "AN EXAMINATION OF THE IMPACT TRAUMATIC EVENTS HAS ON PSYCHOSOCIAL IMPAIRMENT IN EATING DISORDER PATIENTS." CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/664.
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Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to have the strongest impact on psychosocial functioning.
A quantitative design was used for this investigation, using measurement scales that have been shown to be valid and reliable in measuring the constructs of trauma and psychosocial functioning among individuals with an eating disorder. Participants completed a single survey of the combined measurement scales. A non-random purposive sample was collected from online social media cites Tumblr, Facebook, eating disorder message boards, and an outpatient eating disorder treatment center. Using a study sample of N= 2,319 descriptive and inferential statistics were conducted using SPSS. Based on the results of correlation and multiple regression analyses, a statistically significant relationship was found between traumatic life events and psychosocial impairment among those with eating disorders. The findings of this study have the potential to impact the way social work policies address the relationship between trauma and eating disorders, and influence the way social work clinicians implement strategies to treat both trauma and eating psychopathology.
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Neveu, Rémi. "From the mechanisms of cognitive control involved in binges to the development of a new behavioral therapy." Thesis, Lyon 1, 2012. http://www.theses.fr/2012LYO10034.
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La crise de boulimie est vécue comme une perte de contrôle par les patientes atteint de boulimie (BN), d’anorexie avec crise de boulimie (ANB) et d’hyperphagie boulimique. Si ces patientes présentent effectivement des performances dégradées aux tâches neuropsychologiques évaluant les mécanismes du contrôle cognitif modulant la tendance à s’engager dans des actions sans prendre en compte leurs conséquences, la méthodologie employée ne permet pas de séparer les mécanismes propres à la crise de boulimie de ceux plus généraux du trouble. La comparaison des performances à une batterie de tâches évaluant les différents mécanismes du contrôle cognitif, de patientes BN, ANB, anorexiques restrictives avec des sujets sains en conditions alimentaire et neutre révèle que les crises de boulimie seraient liées à un contrôle cognitif perturbé par un surplus attentionnel vers les stimuli alimentaires lors de la réalisation de tâches intuitives, déséquilibrant la modulation de ce contrôle sur la tendance générale à choisir des options risquées ou immédiates explicites. En modifiant la séquence d’ingestion des aliments au cours de la crise de boulimie pour augmenter leurs compétences de contrôle faisant défaut en situation alimentaire, des patientes répondant faiblement à la thérapie comportementale et cognitive ont diminué spontanément de 44% les quantités ingérées et la moitié d’entre elles a guéri. Si ces résultats nécessitent confirmation par une étude en imagerie fonctionnelle, ils montrent l’utilité de modéliser finement les mécanismes de traitement automatique de l’information pour améliorer les thérapies actuellesBinge eating episodes are experienced by bulimic (BN), anorexic binging subtype (ANB) and binge eating disorder (BED) patients as periods of loss of control. This feeling is corroborated by the impaired behavioral performances to neuropsychological tasks assessing cognitive control but these results do not allow separating the mechanisms that are specific to the binge from those related to the whole psychopathology of the disorder. The goal of this thesis is to identify these mechanisms, to build a model explaining the occurrence of binges and to design and test a new behavioral intervention to treat directly binges. BN, ANB and anorexic restrictive subtype patients as well as matched controls underwent a battery of neuropsychological tasks performed in food and neutral conditions. Comparison of performances between the two conditions exhibited an impairment in food condition of intuitive mechanisms of cognitive control due to a higher attention paid to food stimuli. This results in an unbalanced modulation of the general trend to choose risky or immediate options when explicitly mentioned. Another group of ANB, BN and BED patients modified the sequence of ingestion of foods during the binge in order to train themselves to recruit the impaired mechanisms of cognitive control identified at the previous step. They experienced a spontaneous reduction of 44% of food intake during binges and half of them recovered from binges. While these results need to be confirmed by a functional neuroimaging study, they stress the importance of modeling precisely the instantaneous automated mechanisms that mediate behavior in order to improve current therapies
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Zsembery, Celeste Lloyd. "Rhetoric in Dialectical Behavior Therapy: Healing Minds Through Argumentation." BYU ScholarsArchive, 2012. https://scholarsarchive.byu.edu/etd/3093.
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The fields of psychology and rhetoric share the goal of improving human mental health and behavior through persuasion. This thesis traces the history of rhetoric and psychology theory, focusing on the parallel theories of Nienkamp's internal rhetoric and Herman's dialogical self. Both theories model the human mind as having multiple psyches that actively interact to interpret human experience and project human behavior. I conclude with a case study of anorexic patients using ethos, pathos, and logos in dialectical behavior therapy (DBT), arguing that principles of rhetoric can help patients with mental disorders cognitively realign their thinking more effectively than drug treatments can.
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Carlson, Jill Marie Goodman Shirley Mae. "Outpatient treatment of bulimia exposure and response prevention intervention in a group format /." 1985. http://catalog.hathitrust.org/api/volumes/oclc/12412797.html.
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Thesis (M.S.)--University of Wisconsin--Madison, 1985.Typescript (photocopy). eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 66-74).
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Ivanova, Iryna. "The "How" of Change in Emotion-focused Group Therapy for Eating Disorders." Thesis, 2013. http://hdl.handle.net/1807/43601.
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Currently, there is a limited understanding of change mechanisms across all treatment approaches for eating disorders (ED), particularly with regard to group psychotherapy. This presents one of the major obstacles in the development of more effective treatments. The purpose of this study was to extend current understanding of therapeutic processes in group psychotherapy for bulimic disorders. Thirty-one women were randomly assigned to either 16-weeks of Emotion-Focused Therapy (EFT) or Motivation/Education and Skill Building (M/ESB) as part another study at a participating outpatient ED program. The goals of this study were to: (1) evaluate the relationship between in-session processes; (2) compare these processes between two group treatments; (3) examine in-session differences as a function of client activity in group EFT; (4) and identify a pathway to change. As expected, the findings demonstrated that mid therapy emotional arousal was associated with higher levels of insight, and an increase in insight overtime was associated with an increase in therapeutic alliance. Arousal was not positively correlated with alliance. There was a significant interaction between group treatment x time: clients in EFT reported gains in insight overtime, as measured by post-session change measure, whereas clients’ scores in M/ESB did not change over the course of psychotherapy. Alliance increased significantly over the course of therapy in both groups. Contrary to expectations, clients in the EFT group did not report higher levels of arousal compared to the M/ESB group. The limited sample size in the control group precludes firm conclusions about group comparisons. When examining client activity within EFT, the results demonstrated that clients that were actively engaged in the chair-tasks reported higher post-session change scores, arousal, and alliance compared to when they were in the observing role; however, there was a significant upward trend on post-session change scores regardless of the client role. The pathway to change was partially supported: the observer-rated degree of resolution scores predicted a third of variance in post-session change scores; controlling for pre-treatment outcome scores, post-session change scores predicted variance at the outcome on several EDI-3 subscales. These preliminary findings are discussed in the context of psychotherapy process literature, highlighting limitations and future directions.
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Setterfield, Melanie. "Cognitive specificity in the treatment of Bulimia nervosa." Thesis, 2014. http://hdl.handle.net/10210/10532.
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M.A. (Clinical Psychology)The relatively rapid development of cognitive-behavioural approaches to various psychological conditions, has prompted clinicians and researchers to investigate the effects of this therapeutic modality on Bulimia Nervosa sufferers more closely. Research has evidenced the complexity and uniqueness of this disorder and much speculation still remains with regard to the etiology, description and treatment of Bulimia. Of the various treatments proposed, the cognitive~behavioural approaches have appeared to be most effective. Latest developments in this modality emphasize cognitive factors like content-specific cognitions and Early maladaptive schemas. These factors are important for psychotherapeutic purposes. The hypothesis formulated for this study, stated broadly that cognitive-behavioural approaches would result in equal treatment efficacy, whether process(schema) or content based interventions. This was investigated in the context of a pilot clinical trial with four selected subjects. Apart from measures for depression and cognitive processes associated with eating and self image in Bulimia, a depth-of processing task and a schema questionnaire were used in investigating the hypothesis. These measures, in addition to the CB interventions were applied to a small group of carefully selected Bulimics ,diagnosed acccording to the DSM III-R. The findings supported the basic hypothesis of the study, and demonstrated that cognitive-behavioural approaches of either content or process types are equally efficacious in the treatment of Bulimia Nervosa.
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Pollack, Deborah. "Negotiating boundaries from within a feminist-psychodynamic investigation of bulimia and emotional expression in context /." 2005. http://digital.library.duq.edu/u?/etd,73325.
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Vavrušková, Marie. "Poruchy příjmu potravy ve spojitosti s jinými diagnózami." Master's thesis, 2016. http://www.nusl.cz/ntk/nusl-345663.
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Poruchy příjmu potravy ve spojitosti s jinými diagnózami. Eating Disorders in Connection with other Diagnoses Bc. Marie Vavrušková The aim of this thesis, which focuses on the topic "Eating Disorders in Connection with Other Diagnoses," is to introduce the different types of eating disorders that have been previously diagnosed (anorexia nervosa, bulimia nervosa, psychogenic overeating and new forms of eating disorders), to specify the medical treatment offered to patients in the Czech Republic, and in particular to describe what other mental or somatic disorders are most commonly associated with eating disorders. The empirical part of the thesis presents a questionnaire which analyses the following aspects: type of eating disorder from which the clients of Centrum Anabell Praha suffer most frequently, where their medical treatment takes place, whether they suffer from another mental or somatic disorder associated with eating disorders, and whether eating disorders have a negative impact on their lives. The empirical part also presents a case report, which describes the life story, history and prognosis of a man who suffers from an eating disorder and other associated disorders.