PSYCHOLOGICAL RESPONSES TO EATING DISORDERS AND OBESITY Psychological Responses to Eating Disorders and Obesity: Recent and Innovative Work Edited by Julia Buckroyd and Sharon Rother © 2008 John Wiley & Sons, Ltd ISBN: 978-0-470-06163-3 http://avaxhome.ws/blogs/ChrisRedfield PSYCHOLOGICAL RESPONSES TO EATING DISORDERS AND OBESITY Recent and Innovative Work Edited by Julia Buckroyd and Sharon Rother UniversityofHertfordshire John Wiley & Sons, Ltd (cid:2) Copyright C 2008 JohnWiley&SonsLtd,TheAtrium,SouthernGate,Chichester, WestSussexPO198SQ,England Telephone (+44)1243779777 Email(forordersandcustomerserviceenquiries):[email protected] VisitourHomePageonwww.wiley.com AllRightsReserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystemor transmittedinanyformorbyanymeans,electronic,mechanical,photocopying,recording,scanning orotherwise,exceptunderthetermsoftheCopyright,DesignsandPatentsAct1988orunderthe termsofalicenceissuedbytheCopyrightLicensingAgencyLtd,90TottenhamCourtRoad,London W1T4LP,UK,withoutthepermissioninwritingofthePublisher.RequeststothePublishershouldbe addressedtothePermissionsDepartment,JohnWiley&SonsLtd,TheAtrium,SouthernGate, Chichester,WestSussexPO198SQ,England,[email protected],orfaxedto (+44)1243770620. 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CONTENTS AbouttheEditors ........................................... vii ListofContributors.......................................... ix PARTI OVERVIEW...................................... 1 Introduction–PsychologicalResponsestoEatingDisordersand Obesity:AnOverview ................................... 3 JuliaBuckroydandSharonRother 1 TheManyMeaningsofFoodandtheirImpactonEating Behaviour.............................................. 17 JaneOgden PARTII ANOREXIANERVOSA.......................... 37 2 UsinganEvidence-BasedApproachtoDevelopNewTailored TreatmentforAnorexiaNervosa........................... 39 CarolinaLopez,MarionRoberts,AnaSepulvedaandJanetTreasure 3 EatingDisorders:BreakingtheIntergenerationalCyclethrough GroupTherapy–TheEffectsoftheGroupExperience........ 55 SarahBarnett,JuliaBuckroydandKarenWindle PARTIII BULIMIANERVOSA........................... 73 4 CurrentThinkingonWorkingwithPeoplewithBulimia NervosaandBulimicDisorders ........................... 75 GlennWaller 5 AddressingEmotionsintheEatingDisorders:Schema ModeWork ............................................ 85 EmmaCorstorphine vi CONTENTS PARTIV OBESITYANDBINGEEATING................. 101 6 PsychologicalGroupTreatmentforObeseWomen........... 103 JuliaBuckroydandSharonRother 7 FoodfortheSoul:SocialandEmotionalOriginsofComfort EatingintheMorbidlyObese............................. 121 PatriciaGoodspeedGrant 8 CognitiveBehaviourGroupTherapyforObesityandBinge EatingDisorder......................................... 139 SaskiaKeville,VerityByrne,MadeleineTathamandGerryMcCarron 9 A Feminist, Psychotherapeutic Approach to Working with WomenwhoEatCompulsively............................ 159 ColleenHeenan 10 Changes in Eating Behaviour following Group Therapy for WomenwhoBingeEat:APilotStudy ...................... 169 DeborahSeamoore,JuliaBuckroydandDavidStott Index...................................................... 187 ABOUT THE EDITORS JuliaBuckroydisProfessorofCounsellingattheUniversityofHertfordshire and Director of the Obesity and Eating Disorders Research Unit. The Unit was established in 2005 and focuses on the development of psychological responses to disordered eating of all kinds. She trained first as a counsellor andthenasapsychotherapistandhasworkedclinicallyinthefieldofeating disorderssince1984.Herinterestinobesitygrewoutofherworkwitheating disordered young women and she has brought to it many of the psycholo- gicalperspectivescurrentinthatfield.Shebegancarryingoutresearchinto the treatment of obesity in 1999 and has developed an ongoing portfolio of researchprojects.Shehasco-authored,withSharonRother,TherapeuticGroups forObeseWomen(2007). SharonRotherisaLecturerinCounsellingattheUniversityofHertfordshire and Research Coordinator for the Obesity and Eating Disorders Research Unit.ShecompletedanMAinCounsellingInquiryforwhichsheinvestigated recoveryinanorexics.Shetrainedasacounsellorandcurrentlycontinuesa practice, specialising in working with eating disordered and obese people. She has worked in the field of obesity research with Julia Buckroyd since 2002.Shehasco-authored,withJuliaBuckroyd,TherapeuticGroupsforObese Women(2007). LIST OF CONTRIBUTORS SarahBarnetthaspractisedasaCounsellor,inprivatepractice,since1994.She specialisesinworkingwithpeoplewhohaveeatingdisorders.Hermainre- searchinterestconcernsthewayinwhicheatingdisordersarepassedthrough thegenerationsbytheinternalisationofdysfunctionaleatingbehaviour.Her researchforaPhDattheUniversityofHertfordshiredevelopedfromworking with people with eating disorders and the evidence of repeating behaviour inclientsandtheirmothers. VerityByrneisaSeniorDieticianworkingatStAnn’sEatingDisorderUnit, NorthLondon.Shehasbeenworkinginthespecialistfieldofeatingdisorders foroverfiveyears,managingaworkloadofin-patientsandout-patientswith anorexia,bulimiaandbingeeatingdisorder.Withintheservicesheisalsothe leaddieticianintherehabilitationunitandforstudenttraining.Herspecial interestinobesityledhertoco-facilitatetheObesityandBingeEatingDisorder Group,whichwassetupin2001. EmmaCorstorphineisaClinicalPsychologistwhohasworkedwithpatients with eating disorders since qualifying from the University of East London in 2001. She is an Honorary Research Fellow at the Institute of Psychiatry, London, has published a number of papers in the field of eating disorders and has spoken at various national and international conferences on the cognitivebehaviouraltreatmentofeatingdisorders.Sheisalsoco-authorof Cognitive Behavioural Therapy for Eating Disorders: A Comprehensive Treatment Guide(2007). Patricia Goodspeed Grant is an Assistant Professor of Counseling at the State University College at Brockport, USA. She has an MS in Industrial/Organizational Psychology from Springfield College (Mas- sachusetts) and a doctorate in counseling and human development from the University of Rochester. She is a qualitative researcher, with expertise inhermeneuticphenomenology.Shehasmadeseveralinternationalpresen- tationsinherareasofresearchandpractice,includingthemeaningofwork, unemploymentandthelossofrelationshipsthroughdeathanddivorce.Her currentresearchinterestsfocusonthepsychological,socialandculturalas- pectsoffood,eatingandmorbidobesity.