Cognitive-Behavioral Treatment of Obesity A Clinician's Guide

by Cooper, Zafra; Fairburn, Christopher G.; Hawker, Deborah M.

• ISBN13: 9781572308886
• ISBN10: 1572308885
• Edition: 1st
• Format: Hardcover
• Copyright: 2003-05-22
• Publisher: The Guilford Press

Summary

The first cognitive-behavioral treatment manual for obesity, this volume presents an innovative therapeutic model currently being evaluated in controlled research at Oxford University. From leading clinical researchers, the approach is specifically designed to overcome a major weakness of existing therapies: posttreatment weight regain. The book details powerful ways to help patients not only to achieve weight loss, but also to modify the problematic cognitions that undermine long-term weight control. Drawing on strategies proven effective with such problems as binge eating, the manual contains everything needed to implement the treatment: intervention guidelines, case examples, and reproducible handouts and forms.

Author Biography

Zafra Cooper, DPhil, DipClinPsych, is Principal Research Psychologist and Honorary Senior Clinical Lecturer in Psychiatry at the University of Oxford.

Christopher G. Fairburn, DM, FRCPsych, FMedSci, is Wellcome Principal Research Fellow and Professor of Psychiatry at the University of Oxford. He is the coeditor of [i]Eating Disorders and Obesity, Second Edition,[/i] and [i]Binge Eating[/i], and the author of [i]Overcoming Binge Eating[/i].

Deborah M. Hawker, PhD, DClinPsy, is Research Psychologist and Honorary Principal Clinical Psychologist in the Department of Psychiatry at the University of Oxford.

Table of Contents

Introduction	1	(5)
The Characteristics of Cognitive-Behavioral Therapy	2	(1)
Cognitive-Behavioral Therapy and Obesity	3	(1)
The Problem of Weight Regain	4	(2)
An Overview of the Theory and Treatment	6	(9)
The New Cognitive-Behavioral Treatment	7	(2)
An Overview of the Treatment	9	(4)
The Remainder of the Book	13	(2)
Module I: Starting Treatment	15	(22)
Session 0: Assessment and Orientation	16	(13)
Session 1	29	(8)
Module II: Establishing and Maintaining Weight Loss	37	(26)
Initiating and Maintaining Weight Loss	38	(23)
Determining When to Transfer to Weight Maintenance	61	(2)
Module III: Addressing Barriers to Weight Loss	63	(25)
Identifying Barriers to Weight Loss	63	(2)
Addressing Barriers to Weight Loss	65	(23)
Module IV: Increasing Activity	88	(9)
Determining When to Enter Module IV	89	(1)
Increasing Overall Activity	89	(7)
Increasing Formal Exercise	96	(1)
Module V: Addressing Body Image Concerns	97	(32)
The Role of Body Image in Weight Loss	98	(1)
Determining When to Enter the Body Image Module	99	(1)
Overview of Module V	99	(1)
Introduction: The Concept of Body Image as Distinct from Physical Appearance	100	(1)
Assessment: Identifying Body Image Concerns	100	(2)
Personalized Education about Body Image	102	(5)
Monitoring Body Image Concerns	107	(4)
Addressing Avoidance of Body Shape	111	(2)
Addressing Body Checking	113	(2)
Addressing Social Pressures	115	(1)
Addressing Maintaining Thoughts and Beliefs	116	(11)
Body Image Concerns and Weight-Independent Goals	127	(1)
Positive Acceptance	127	(2)
Module VI: Addressing Weight Goals	129	(17)
A Note on Therapist Style	130	(1)
Determining When to Enter Module VI	130	(1)
Identifying Weight Goals	130	(1)
Questioning the Desired Weight	131	(2)
Identifying Primary Goals	133	(2)
Reviewing the Causes of Poor Weight Maintenance	135	(4)
Identifying the Benefits of Moderate Weight Loss	139	(1)
Emphasizing the Need for Acceptance and Change	140	(3)
Encouraging Acceptance	143	(3)
Module VII: Addressing Primary Goals	146	(6)
General Strategy for Tackling Primary Goals	147	(1)
Common Primary Goals	148	(4)
Module VIII: Healthy Eating	152	(5)
General Strategy for Encouraging Healthy Eating	153	(4)
Module IX: Weight Maintenance	157	(30)
Obesity and Long-Term Care	158	(1)
Determining When to Enter the Weight Maintenance Module	158	(1)
Overview of the Module	159	(1)
Preparing for Weight Maintenance	159	(3)
Defining a Target Weight Range and Establishing a Weight Monitoring System	162	(5)
Interpreting Changes in Weight	167	(1)
Developing Long-Term Weight Maintenance Skills	168	(3)
Responding to Changes in Weight	171	(2)
Reviewing Treatment	173	(1)
Phasing Out Self-Monitoring	173	(3)
Addressing Weight Change in the Future	176	(2)
Addressing Possible Future Attempts to Lose Weight	178	(2)
Preparing a Personal Weight Maintenance Plan	180	(4)
Ending Treatment	184	(3)
Appendix I Patient Handouts	187	(34)
Appendix II Useful Websites	221	(2)
References	223	(6)
Index	229