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Treatment Manual for Anorexia Nervosa: A Family-Based Approach [Paperback]

James Lock MD PhD (Author), Daniel Le Grange PhD (Author), W. Stewart Agras M.D. (Author), Christopher Dare (Author), James Lock (Author), Daniel le Grange (Author), W. Agras (Author)
4.7 out of 5 stars  See all reviews (9 customer reviews)

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Book Description

August 29, 2002 1572308362 978-1572308367 1
This manual provides an authoritative and detailed description of the Maudsley approach, the leading family-based treatment for adolescents with anorexia nervosa. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Featuring session-by-sesion intervention guidelines and in-depth case illustrations, this book will enhance the clinical armamentaria of child and adolescent psychiatrists, psychologists, family therapists, and others working with patients with eating disorders.

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Editorial Reviews

Review

"This book is an important addition to the literature on the treatment of anorexia nervosa. It provides an authoritative and detailed description of the 'Maudsley method,' the leading family-based treatment for adolescents with anorexia nervosa. The book will be an invaluable resource for clinicians for years to come."--Christopher G. Fairburn, DM, FRCPsych, Professor of Psychiatry, University of Oxford

"Family-based treatment is one of the few demonstrably effective interventions for anorexia nervosa. This treatment manual clearly explains the development of this approach and, even more important, provides a detailed description of how it can be implemented. Lock and his colleagues have provided practitioners with a most useful tool to assist their patients. This book will be required reading for all who treat youngsters with anorexia nervosa."--B. Timothy Walsh, MD, Ruane Professor of Psychiatry, Columbia University College of Physicians and Surgeons; Director, Eating Disorders Research Unit, New York State Psychiatric Institute

"During the past decade, progress in the mental health sciences has been reflected in the increasing refinement of empirically based treatment techniques that can be manualized for general application. This book is a fine example of this type of progress, which has been exciting to witness. Lock and his coauthors are to be congratulated for putting together such an excellent and much-needed treatment manual. The authors manage to compress detailed instruction and rich, relevant case material into a powerful volume that delights by its erudition and persuasiveness. Highly recommended for all who are serious about bringing their therapeutic skills to the cutting edge."--Hans Steiner, MD, Professor of Psychiatry, Stanford University School of Medicine

About the Author

James Lock, MD, PhD, is Assistant Professor of Child Psychiatry in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. He is also the chief of psychiatric inpatient services at Lucile Salter Packard Children's Hospital at Stanford.

Daniel Le Grange, PhD, is Assistant Professor of Psychiatry and Director of the Eating Disorders Program at the University of Chicago.

W. Stewart Agras, MD, is Professor and Associate Chair of the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine.

Christopher Dare, MD, is a Reader in Psychotherapy and Head of the Section of Psychotherapy at the Department of Psychiatry, Institute of Psychiatry, at the Maudsley Hospital in London. He is also Consultant Psychiatrist to the Adolescent Eating Disorder Clinic, South London, and Maudsley NHS Trust.
--This text refers to the Hardcover edition.

Product Details

  • Paperback: 270 pages
  • Publisher: The Guilford Press; 1 edition (August 29, 2002)
  • Language: English
  • ISBN-10: 1572308362
  • ISBN-13: 978-1572308367
  • Product Dimensions: 9.1 x 6 x 0.8 inches
  • Shipping Weight: 13.6 ounces (View shipping rates and policies)
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (9 customer reviews)
  • Amazon Best Sellers Rank: #65,900 in Books (See Top 100 in Books)

 

Customer Reviews

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4 of 4 people found the following review helpful:
5.0 out of 5 stars An Excellent Resource for Clinicians!, May 11, 2008
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This review is from: Treatment Manual for Anorexia Nervosa: A Family-Based Approach (Paperback)
This is an excellent book for clinicians treating teens struggling with Anorexia. This model taps into the power of the family to successfully fight this horrible disorder. I also highly recommend Help Your Teenager Beat An Eating Disorder, a well-written guide for the clinician and an outstanding resource for parents!!
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3 of 3 people found the following review helpful:
5.0 out of 5 stars Excellent manual for evidence based approach, July 6, 2010
This review is from: Treatment Manual for Anorexia Nervosa: A Family-Based Approach (Paperback)
As a child and adolescent psychiatrist with more than 32 years experience treating anorexia nervosa, it's no exaggeration to assert that the Maudesley Model has finally given us a fighting chance of conquering this devastating disorder. It also happens to be the only approach that has a better track record than non-treatment in randomized controlled trials. Moreover now that a session by session manual is available, it becomes possible for psychiatrists, psychologists, social workers and mental health workers with a family therapy background to deliver effect treatment to anorexic teenagers and their families - with minimal additional training.

The approach is very prescriptive - from the initial "intense scene" where the therapist informs the parents that their child has a fair chance of dying unless they both take a leave of absence from work to personally supervize all her meals - to the hard and fast rule that all famiy members participate in all sessions until the patient reaches 95% of her ideal body weight. The emphasis that the father attend all sessions is especially important in families (which happens commonly in families with anorexics) where he has somehow become disengaged from the rest of the family.

The focus throughout the initial phase of treatment is empowering the parents to make appropriate food choices for the teenager, until she frees herself from the spell anorexia holds over her. The second session in this highly structured approach always involves a picnic lunch the family brings to the office - enabling the therapist to "coach" the parents regarding their responsibility to get their daughter to eat. This is followed by weekly visits to ensure the family is continuing to provide close supervision of dietary choices, meals, exercise and purging.

According to the authors, restoring appropriate body weight with the Maudesley Model takes 20-30 weeks, at which point the patient enters Phase 2, a transition phase in which she begins to re-take responsibility for her own eating.

After four to six months of transition, the patient enters Phase 3, in which the patient begins work on social issues linked to anorexia, an all-consuming affliction that leads most teenagers to withdraw from normal healthy relationships.

By Dr Stuart Jeanne Bramhall, author of THE MOST REVOLUTIONARY ACT: MEMOIR OF AN AMERICAN REFUGEE
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3 of 3 people found the following review helpful:
5.0 out of 5 stars For Professionals I'm Afraid!, January 22, 2007
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HJ Dykstra (Amsterdam, The Netherlands) - See all my reviews
(REAL NAME)   
This review is from: Treatment Manual for Anorexia Nervosa: A Family-Based Approach (Paperback)
This treatment manual has an amazingly simple structure for such a complex problem. Keeping to the symptoms at hand, starting with what is attainable and streamlining the treatment are key-words in this book. Although purchased at Amazon, it actually is something for the professional setting though. Excellent book, something to recommend to therapists involved in the treatment of AN.
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Inside This Book (learn more)
First Sentence:
This manual contains background information essential to the understanding of adolescent anorexia nervosa (AN) and its treatment with a family-based approach. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
refeeding efforts, sibling criticism, refeeding process, adolescent anorexia nervosa, therapist undertakes, therapeutic bind, anorexic child, parental dyad, preceding exchanges, steady weight gain, adolescent issues, weight restoration, manualized treatment, weight progress, modeling problem solving, weight behaviors, lead therapist, sibling subsystem, differences between the adolescent, parental criticism, parental management, therapeutic discussion, intense scene, therapist wishes, eating disorder clinic
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Kit Kat, United States, Selvini Palazzoli, Power Bars
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