Clinician's Guide: Getting Better Bit(e) by Bit(e): A Survival Kit for Sufferers of Bulimia Nervosa and Binge Eating Disorders

by Treasure,Janet

• ISBN13: 9780863777301
• ISBN10: 0863777309
• Edition: 1st
• Format: Hardcover
• Copyright: 1997-05-01
• Publisher: Routledge

Summary

The publication 4 years ago ofGetting Better Bit(e) by Bit(e), written by two eating disorder specialists at London's world-famous Maudsley Hospital, was a milestone in the treatment of bulimia. For the first time a self-help book was shown, by rigorous clinical trials, to cure a significant fraction of women suffering from bulimia, and to reduce the therapist contact time needed by others.Getting Better Bit(e) by Bit(e)offered an efficient way of treating bulimic patients, which would be valued by any resource-conscious health service. The authors ofGetting Better Bit(e) by Bit(e)have now written this Clinician's Guide, to help health care professionals maximize the benefit that patients obtain from the self-help book. Based on the authors' wide-ranging experience of treating eating disorder patients, it provides a step-by-step account of how the chapters inGetting Better Bit(e) by Bit(e)can be used to ameliorate various aspects of bulimics' difficulties, withexamples drawn from real patients' case histories. Particular emphasis is given to the problem of motivating patients who are reluctant to change their behavior, using Miller and Rollnick's motivational interviewing approach. The Clinician's Guide to Getting Better Bit(e) by Bit(e)will be invaluable for all those treating sufferers of bulimia.

Table of Contents

Clinician's Guide to Getting Better Bit(e) by Bit(e)	CG11	(66)
Introduction	CG11	(1)
The Therapeutic Relationship	CG12	(2)
Introducing Bit(e) by Bit(e)	CG14	(1)
Theoretical Background About Behaviour Change	CG15	(1)
Facilitating Change	CG16	(1)
Essentials of Motivational Interviewing	CG17	(1)
Guidelines for Motivational Interviewing	CG18	(1)
The Goal of the Therapeutic Alliance	CG19	(2)
The First Meeting	CG21	(4)
Written Feedback	CG25	(2)
Sessions 1-3	CG27	(4)
Difficulties with Change	CG31	(2)
Core Values: Goal Setting	CG33	(1)
Moving into Action	CG34	(2)
Commitment to Change	CG36	(1)
Sessions 4-8: Action	CG37	(4)
Interpersonal Difficulties	CG41	(1)
Termination of Treatment	CG42	(1)
Relapse Prevention	CG43	(1)
Case Report 1.	CG43	(20)
Case Report 2.	CG63	(14)
Appendix: Workbook-Motivational Enhancement Therapy	CG77
Worksheet 1: To Change or Not to Change?	CG77	(1)
Worksheet 2: Is Change Reasonable?	CG78	(1)
Worksheet 3: Difficulties of Change	CG79	(1)
Worksheet 4: Future Times	CG80	(1)
Worksheet 5: Plans for Change	CG81	(1)
Worksheet 6: What Should I Weigh?	CG82	(1)
Worksheet 7: What Do I Need to Eat?	CG83	(1)
Worksheet 8: Stuck in the Dieting Pit	CG84	(1)
Worksheet 9: The Wed of Life-Interpersonal Difficulties	CG85
References	86
Getting Better Bit(e) by Bit(e) A Survival Kit for Sufferers of Bulimia Nervosa and Binge Eating Disorders	1	(143)
Introduction
1. The Way Forward	1	(12)
Do I Suffer from Bulimia?	1	(1)
How to Use this Book	1	(3)
First Steps	4	(2)
Back to the Future	6	(2)
Making Your Decision to Go	8	(3)
How to Stage Your Journey	11	(2)
2. Tools for the Journey	13	(10)
How to Keep a Therapeutic Diary	13	(4)
New Skills to Cope with Old Difficulties	17	(4)
Further Reading	21	(2)
3. Dieting: A Health Warning	23	(12)
Beauty Is in the Eye of the Beholder	23	(1)
What Weight Is Healthy?	24	(3)
The Health Hazards of Dieting	27	(1)
How Much Do I Need to Eat?	28	(1)
Working with Your Body to Obtain Your Optimal Weight and Shape	29	(3)
How to Relearn Eating Control	32	(3)
4. Bingeing, Nibbling, and Compulsive Overeating: The Black Hole of the Never-satisfied Stomach	35	(8)
Why Is My Eating Uncontrolled?	36	(1)
How to Stop Binges	37	(5)
Lapses	42	(1)
5. Vomiting, Laxatives, and Diuretics: Have Your Cake and Eat it-or Not?	43	(8)
Facing the Facts	43	(1)
Why You Are Right to Worry	44	(1)
What Type of Weight Controller Are You?	45	(1)
How to Stop Vomiting	46	(3)
How to Stop Abusing Laxatives, Diuretics and Other Medications	49	(2)
6. Learning to Feel Good about Your Body	51	(8)
Learning about Body Shapes	52	(1)
Getting to Know Your Body	53	(1)
Looking after Your Body	53	(3)
Living with Your Body	56	(1)
Note	57	(1)
Further Reading	57	(2)
7. Jack Spratt's Wife: Being Fatter May be Better	59	(14)
The Health Risks of Being Overweight	60	(1)
Pie in the Sky	60	(2)
Only the Lonely	62	(1)
Shake, Shake, Shake Your Body	62	(9)
Further Reading	71	(2)
8. Relapse: Walking In Circles-Or Not?	73	(4)
Preventing Slips from Occurring	73	(1)
What to Do if a Slip Occurs	74	(1)
A Woman's Work Is Never Done-or Is It?	75	(2)
9. The Wounds of Childhood	77	(12)
Sexual Abuse	79	(1)
Trying to Make Sense of It	80	(4)
Grapple with Guilt and Self-blame	84	(1)
Will the Effects Always Be There?	85	(1)
Get a Toehold onto Trust	85	(1)
Coming to Terms	86	(1)
Further Reading	86	(3)
10. Food for Thought	89	(14)
Toad in a Hole	90	(1)
The Gloom-and-doom Scenario	91	(1)
Isn't Life Dreadful?	91	(1)
Wracked by Guilt	92	(1)
Please, Please Them	93	(2)
The Dictatorship of Control	95	(3)
Over to You	98	(2)
Shake off Shame	100	(1)
Further Reading	101	(2)
11. Finding Your Voice	103	(8)
Learning to Stand Your Ground	104	(1)
Anything for a Quiet Life?	105	(1)
Ground-rules for Assertive Behaviour	106	(1)
How to Put Assertiveness into Practice	107	(2)
Further Reading	109	(2)
12. The Seduction of Self-destruction	111	(10)
The Slippery Slope of Booze and Drugs	111	(2)
Should I be Worried about My Alcohol Intake?	113	(3)
Do You Like Russian Roulette?	116	(1)
If I Were a Rich Man...	117	(2)
Note	119	(1)
Further Reading	119	(2)
13. The Web of Life: Parents, Partners Children, and Friends	121	(12)
Home, Sweet Home	121	(2)
Friends	123	(2)
Sexual Relationships	125	(4)
Children	129	(3)
Further Reading	132	(1)
14. Working to Live, Living to Work	133	(8)
Some Common Work Problems	133	(6)
Further Reading	139	(2)
15. Is this the End of the Journey-Or Not?	141	(3)
But What if You Are Still Stuck?	141	(1)
Dream on, Baby	141	(2)
Recovery: A Trip into Uncharted Territory	143	(1)
Appendix	144	(1)
Some Useful Addresses	145