Overcoming Body Image Disturbance: A Programme for People with Eating Disorders

by Bell; Lorraine

• ISBN13: 9780415423304
• ISBN10: 0415423309
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2008-04-25
• Publisher: Routledge

Summary

People with eating disorders often exhibit serious misconceptions about their own body image. Overcoming Body Image Disturbance provides a treatment programme (piloted by the authors) for people with eating disorders who have a negative body image. The manual offers advice for therapists, enabling them to deliver the programme, as well as practical guidance for the sufferer, encouraging them to learn the appropriate skills to change their attitude towards their body. Alongside the programme, this treatment manual provides: an introduction to the concept of body image and body image disturbance worksheets and homework assignments for the client recommendations of psychometric measures to aid assessment and evaluation coverage on innovative techniques and approaches such asmindfulness. This manual - intended to be used with close guidance from a therapist - will be essential for all therapists, mental health workers and counsellors working with clients who have negative body images.

Author Biography

Lorraine Bell is a Consultant Clinical Psychologist who specialises in the treatment of people with eating disorders or borderline personality disorders. She is a fellow of the British Psychological Society Jenny Rushforth is currently training to be a Clinical Psychologist and has a particular interest in people with eating disorders

Table of Contents

Introduction	p. viii
Acknowledgements	p. ix
Body image and body image disturbance	p. 1
What is body image?	p. 1
Concern about appearance	p. 2
What do we call body image problems?	p. 2
How body image disturbance develops	p. 3
Trauma, childhood abuse and body image	p. 8
What reduces the risk of developing body image disturbance?	p. 10
Body image disturbance and psychological disorders	p. 16
Body image and eating disorders	p. 16
Body Dysmorphic Disorder	p. 18
What works? The design of this programme	p. 24
Research evidence for improving body image	p. 24
What an effective body image programme needs to address	p. 24
Rationale for this programme	p. 27
Outline of this programme	p. 29
Aids to assessment and outcome measurement	p. 30
Therapist skills needed for this programme	p. 35
Assumptions and tenets	p. 35
Prioritising tasks in session	p. 35
Collaborative working	p. 37
Guided discovery and socratic questioning	p. 38
Mindfulness and the three Cs	p. 39
Maintaining a therapeutic alliance	p. 39
Using similes, analogies, metaphors and stories	p. 41
Balancing acceptance and change	p. 43
Validation	p. 44
Dialectical and commitment strategies	p. 44
Setting homework tasks	p. 47
The programme	p. 49
Programme timetable	p. 49
Assessment	p. 50
Discussion of psychometric scores and personalised formulation	p. 55
Mindfulness 1	p. 57
Mindfulness 2	p. 62
Changing unhelpful habits	p. 64
Non-judgemental stance	p. 68
The media	p. 71
Preparation for exposure	p. 74
Mirror exposure 1	p. 77
Mirror exposure 2	p. 80
Review, consolidating change and troubleshooting	p. 82
Optional additional work on 'Self-worth and body image investment'	p. 84
Optional additional work on 'Compassion'	p. 86
Continuation plan	p. 89
Review at 6 weeks	p. 91
A psycho-biosocial model of body image disturbance and eating disorders	p. 93
How I feel about my body (Body Image Continuum Scale)	p. 94
Handouts	p. 95
Template for farewell letter	p. 136
Scoring instructions and norms for body image measures	p. 137
Index	p. 145
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