The history of the diagnosis bulimia nervosa begins as recently as 1979. Now, three decades later... more The history of the diagnosis bulimia nervosa begins as recently as 1979. Now, three decades later, the diagnosis bulimia nervosa is included in both DSM-IV(4) and ICD-10,(5) its prevalence is established, aspects of its aetiology are beginning to be understood, and much has been learned about its treatment. The chapter classification and diagnosis, clinical features, relationship to other disorders, distribution, aetiology, assessment, treatment, and course and outcome.
The eating disorders provide one of the strongest indications for cognitive behaviour therapy. Th... more The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.
British journal of medical psychology, Mar 1, 1985
Hetherington has recently argued that psychology's concern with anecdotal evidence, intro... more Hetherington has recently argued that psychology's concern with anecdotal evidence, introspective data and rare or one-off events renders the methodology and explanatory model of the natural sciences inappropriate and inadequate; and as such psychology needs to develop its own methods of inquiry. However, an examination of his arguments reveals that psychological data do not require explanation of a radically different kind from that employed in the natural sciences. Hetherington is correct in emphasizing that what is distinctive about the subject matter of psychology is its concern with intentional content; however, the conclusions he draws about the special nature of psychological explanation are unwarranted.
ObjectiveEating disorders are associated with significant illness burden and costs, yet access to... more ObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence‐based care is limited. Greater use of programme‐led and focused interventions that are less resource‐intensive might be part of the solution to this demand‐capacity mismatch.MethodIn October 2022, a group of predominantly UK‐based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme‐led and focused interventions for eating disorders in an attempt to bridge the demand‐capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme‐led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully consid...
Current methods of classifying eating disorders are concerned with the distinctions between the v... more Current methods of classifying eating disorders are concerned with the distinctions between the various clinical presentations within the eating disorders. Anorexia nervosa, bulimia nervosa, and binge eating disorder are regarded as distinct clinical states and, as such, each requires its own form of treatment. In this chapter, we argue for an alternative transdiagnostic approach, which might better reflect clinical reality. The transdiagnostic treatment derived from this theory is described in outline together with its numerous extensions and variations. Evidence supporting both the theory and the treatment is presented, and future directions for research are identified.
The history of the diagnosis bulimia nervosa begins as recently as 1979. Now, three decades later... more The history of the diagnosis bulimia nervosa begins as recently as 1979. Now, three decades later, the diagnosis bulimia nervosa is included in both DSM-IV(4) and ICD-10,(5) its prevalence is established, aspects of its aetiology are beginning to be understood, and much has been learned about its treatment. The chapter classification and diagnosis, clinical features, relationship to other disorders, distribution, aetiology, assessment, treatment, and course and outcome.
The eating disorders provide one of the strongest indications for cognitive behaviour therapy. Th... more The eating disorders provide one of the strongest indications for cognitive behaviour therapy. This bold claim arises from the demonstrated effectiveness of cognitive behaviour therapy in the treatment of bulimia nervosa and the widespread acceptance that cognitive behaviour therapy is the treatment of choice. Cognitive behaviour therapy is also widely used to treat anorexia nervosa although this application has not been adequately evaluated. Recently its use has been extended to ‘eating disorder not otherwise specified’ (eating disorder NOS), a diagnosis that applies to over 50 per cent of cases, and emerging evidence suggests that it is just as effective with these cases as it is with cases of bulimia nervosa. In this chapter the cognitive behavioural approach to the understanding and treatment of eating disorders will be described. The data on the efficacy and effectiveness of the treatment are considered in the chapters on anorexia nervosa and bulimia nervosa (see Chapters 4.10.1 and 4.10.2 respectively), as is their general management.
British journal of medical psychology, Mar 1, 1985
Hetherington has recently argued that psychology's concern with anecdotal evidence, intro... more Hetherington has recently argued that psychology's concern with anecdotal evidence, introspective data and rare or one-off events renders the methodology and explanatory model of the natural sciences inappropriate and inadequate; and as such psychology needs to develop its own methods of inquiry. However, an examination of his arguments reveals that psychological data do not require explanation of a radically different kind from that employed in the natural sciences. Hetherington is correct in emphasizing that what is distinctive about the subject matter of psychology is its concern with intentional content; however, the conclusions he draws about the special nature of psychological explanation are unwarranted.
ObjectiveEating disorders are associated with significant illness burden and costs, yet access to... more ObjectiveEating disorders are associated with significant illness burden and costs, yet access to evidence‐based care is limited. Greater use of programme‐led and focused interventions that are less resource‐intensive might be part of the solution to this demand‐capacity mismatch.MethodIn October 2022, a group of predominantly UK‐based clinical and academic researchers, charity representatives and people with lived experience convened to consider ways to improve access to, and efficacy of, programme‐led and focused interventions for eating disorders in an attempt to bridge the demand‐capacity gap.ResultsSeveral key recommendations were made across areas of research, policy, and practice. Of particular importance is the view that programme‐led and focused interventions are suitable for a range of different eating disorder presentations across all ages, providing medical and psychiatric risk are closely monitored. The terminology used for these interventions should be carefully consid...
Current methods of classifying eating disorders are concerned with the distinctions between the v... more Current methods of classifying eating disorders are concerned with the distinctions between the various clinical presentations within the eating disorders. Anorexia nervosa, bulimia nervosa, and binge eating disorder are regarded as distinct clinical states and, as such, each requires its own form of treatment. In this chapter, we argue for an alternative transdiagnostic approach, which might better reflect clinical reality. The transdiagnostic treatment derived from this theory is described in outline together with its numerous extensions and variations. Evidence supporting both the theory and the treatment is presented, and future directions for research are identified.
Uploads
Papers by Zafra Cooper