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

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  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 2008-04-25
  • Publisher: Routledge

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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

Introductionp. viii
Acknowledgementsp. ix
Body image and body image disturbancep. 1
What is body image?p. 1
Concern about appearancep. 2
What do we call body image problems?p. 2
How body image disturbance developsp. 3
Trauma, childhood abuse and body imagep. 8
What reduces the risk of developing body image disturbance?p. 10
Body image disturbance and psychological disordersp. 16
Body image and eating disordersp. 16
Body Dysmorphic Disorderp. 18
What works? The design of this programmep. 24
Research evidence for improving body imagep. 24
What an effective body image programme needs to addressp. 24
Rationale for this programmep. 27
Outline of this programmep. 29
Aids to assessment and outcome measurementp. 30
Therapist skills needed for this programmep. 35
Assumptions and tenetsp. 35
Prioritising tasks in sessionp. 35
Collaborative workingp. 37
Guided discovery and socratic questioningp. 38
Mindfulness and the three Csp. 39
Maintaining a therapeutic alliancep. 39
Using similes, analogies, metaphors and storiesp. 41
Balancing acceptance and changep. 43
Validationp. 44
Dialectical and commitment strategiesp. 44
Setting homework tasksp. 47
The programmep. 49
Programme timetablep. 49
Assessmentp. 50
Discussion of psychometric scores and personalised formulationp. 55
Mindfulness 1p. 57
Mindfulness 2p. 62
Changing unhelpful habitsp. 64
Non-judgemental stancep. 68
The mediap. 71
Preparation for exposurep. 74
Mirror exposure 1p. 77
Mirror exposure 2p. 80
Review, consolidating change and troubleshootingp. 82
Optional additional work on 'Self-worth and body image investment'p. 84
Optional additional work on 'Compassion'p. 86
Continuation planp. 89
Review at 6 weeksp. 91
A psycho-biosocial model of body image disturbance and eating disordersp. 93
How I feel about my body (Body Image Continuum Scale)p. 94
Handoutsp. 95
Template for farewell letterp. 136
Scoring instructions and norms for body image measuresp. 137
Indexp. 145
Table of Contents provided by Ingram. All Rights Reserved.

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