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Anorexia nervosa and bulimia : how to help

Author: Marilyn Duker; Roger Slade
Publisher: Buckingham : Open University Press, 2002.
Edition/Format:   Print book : English : 2nd edView all editions and formats
Summary:
"This new edition continues the outstanding tradition of excellence for which Duker and Slade's Anorexia Nervosa and Bulimia: How to Help is internationally recognized. Updated to meet contemporary concerns, this book is 'a must' for anyone who wants to do something practical about anorexia nervosa/bulimia." "Its unique contribution is the new widely acknowledged whirlpool theory which unifies the physiological and  Read more...
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Document Type: Book
All Authors / Contributors: Marilyn Duker; Roger Slade
ISBN: 0335212042 9780335212040 0335212034 9780335212033
OCLC Number: 222854002
Description: xii, 274 pages : illustrations ; 23 cm
Contents: 1. Beginning to unravel the problem. Mysteriousness. The illness as a category problem. The physical illness category. The deliberate action category. Recognizing the condition that is anorexia nervosa. Distinguishing the food/body control that is characteristically anorexic. The similarities between anorexia nervosa and bulimia. Some medical and other objections to taking the two conditions as one problem --
2. A path through the theories. Two types of theory. Theories and how they relate to what is seen as needing explanation. The practical significance of the theoretical divide. The psychological effects of starvation. Theories that build on the psychological effects of starvation. The starvation whirlpool. Positive ideas about food and body regulation. Professional objections to the idea of starvation effects. The idea of illness --
3. Control by any other name. The dangers of authoritarian intervention. The anorexia nervosa/bulimia board game. Progression around the board. 'Advantages' of a bulimic pattern of control. Completing the board game. The helper's dilemma --
4. Bad medicine. False leads: appetite and mood. Treatment objectives. Additional medical interventions and their limitations. Taking control of the anorexic patient. Behaviourism: a theoretical rationale for taking control. When black-and-white thinkers meet head on. The use of legal powers to detain and treat the anorexic. The anorexic's alienation from the medical profession. The doctor's point of view. How much weight gain? The tyranny of assumptions --
5. The picture at low weight and foundations for help. The move to low weight. Different approaches and how weight gain is implicated. Different meanings of the same words. Low weight and non-medical help. A stepladder for recovery. Mapping low weight. The sufferer's response to the experience of starvation --
6. Viable weight and the picture that is hidden. ... but ever more came out by the same door as in I went. Being invisible. The key to the self-starvation whirlpool. Morality. Worthlessness. Sensitivity. External control. Hidden feelings --
7. The culture of control. The female role: only part of the explanation. The Protestant or 'work' ethic. The 'therapy culture' in conflict with the sufferer's culture. Social standing. Circumstances that intensify commitment to the work ethic. The transmission of values. Creating the symptoms. Moving the spotlight away from women --
8. On becoming a person: through food control. Being ... ... and nothingness. How is an existential problem to be recognized? Food/body control: a solution to confusion. The difficulty there is in expressing nothingness. The significance of indecisiveness. Sources of confusion. The danger in resolving sufferers' conflict for them --
9. Perspectives that maintain the ability to help. Food/body control and the use of alcohol compared ... ... and contrasted. Symptoms of excessive virtue. The preference for physical explanation. Seeing what is there. Admiring the anorexic. Becoming drawn in and ineffective as help. Intervention: problems and strategies. Self-interpretation and virtue --
10. Getting through. Acknowledging the sufferer's style of thinking. Returning to the stepladder. Adjusting for the centrality of food control. Adjusting for altered thinking. Adjusting for low self-esteem. Adjusting for different physical experiences. Adjusting for different implicit values. Nurturing a sense of self --
11. Good medicine. 50-65 per cent AEBW: emaciation and medical help. 50-65 per cent AEBW: communication. Refeeding the anorexic in hospital. Moderate aims for weight increase. Helping the sufferer feel safe. Refeeding and the need for predictability. Making hospital staff comfortable. The use of sedatives in hospital. Help: dividing the task: providing continuity --
12. Turning around. How to begin working together? Discovering anorexia nervosa is in control. The inescapability of choice. Allowing the necessary time to choose. Choosing to change. Learning points --
13. Transition. Catching the sufferer on the way down. Holding the sufferer on the way up. Getting better feels like getting worse. Giving sufferers the appreciation they need. The constructive use of crisis. Further learning points. Withdrawing from therapy too soon. Acting out the chaos. Help and care at viable weight. Practical responses to the consequences of chaos --
14. Moving towards a real sense of self. Choice, decision and selfhood. Learning to live in the present. Discovering personal rules and core beliefs. Allowing feelings and emotions. Relating to the world. Integrating the experience of self. Signs and sounds of recovery. Further experiment, self-discovery and real development.
Responsibility: Marilyn Duker and Roger Slade.

Abstract:

Contains steps involved in leaving an anorexic/bulimic lifestyle behind. This book is suitable for those who want to do something practical about anorexia nervosa/bulimia.  Read more...

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"This is well written, covering the subject thoroughly. It is clearly the work of caring clinicians rather than dusty academics. I originally intended just to skim this book but found myself so Read more...

 
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