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40 - Educational interventions for eating disorders
- from Part III - Specific treatments
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- By Mima Simic, Institute of Psychiatry Department of Child and Adolescent Psychiatry De Crespigny Park London UK, Pauline S. Powers, University of South Florida College of Medicine Department of Psychiatry and Behavioural Medicine Tampa, FL USA, Yvonne Bannon, University of South Florida College of Medicine Department of Psychiatry and Behavioural Medicine Tampa, FL USA
- Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
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- Book:
- Cambridge Textbook of Effective Treatments in Psychiatry
- Published online:
- 12 May 2010
- Print publication:
- 24 January 2008, pp 637-641
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- Chapter
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Summary
Editor's note
Despite being relatively small in numbers, specialists in eating disorders have researched their subject more than those in some more established parts of psychiatry and this chapter on educational interventions, including some quite sophisticated studies, illustrates this well. So much of the increasing incidence of eating disorders has been put down to the faulty education of the media and so-called nutrition experts, and whilst the rise is not inexorably upwards as many have suggested, it is more than likely that the slave of fashion combined with the rapid growth of absolutely terrible fast food has promoted fear and wariness in so many people. ‘I am afraid to eat’, is a statement heard by so many with eating disorders, as though the fact of eating will set free a Pandora's box of conflicting desires and emotions that point towards catastrophe. So there is a clear need for corrective psychoeducation and the beginnings of the evidence base for this are in this chapter.
Educational interventions
Introduction
Educational interventions in medicine involve providing information about risk factors, causes, symptoms, or implications of a disorder, as well as focusing on psychosocial pressures that might influence development or maintenance of a disorder. Target populations may be those at risk of a disorder, people with a disorder or their families/significant others. Psychoeducation aims to prevent, or improve symptomatology of a mental disorder, engage people in treatment, or improve their adherence to treatment.
41 - Alternative treatments for eating disorders
- from Part III - Specific treatments
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- By Pauline S. Powers, University of South Florida College ofMedicine Department of Psychiatry and Behavioural Medicine Tampa, FL USA, Yvonne Bannon, University of South Florida College of Medicine Department of Psychiatry and Behavioural Medicine Tampa, FL USA, Adrienne J. Key, Department of Psychiatry St. George's Hospital Medical School Tooting London UK
- Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
-
- Book:
- Cambridge Textbook of Effective Treatments in Psychiatry
- Published online:
- 12 May 2010
- Print publication:
- 24 January 2008, pp 642-646
-
- Chapter
- Export citation
-
Summary
Editor's note
This chapter is another illustration for the need for proponents of evidence-based medicine to get over its main message to the wider public. The ability of highly determined and intelligent people to thwart the aims of conventional therapy is very well illustrated in this account. At the same time, there are some useful hints that some of the approaches may be worth investigating further.
Complementary–alternative treatments
Introduction
Both the lay public and identified specialists/practitioners have practised alternative medicine strategies for the treatment of numerous maladies for centuries. Alternative medicinal compounds, a variety of physical treatments, other ‘mind’ based approaches and spiritual/faith healing are all examples. If we use the definition that an alternative or complementary treatment is one that has not been scientifically validated by randomized controlled trials (RCTs) (but see Chapter 7 to show that this is changing), most treatments in use today for eating disorders would be considered complementary or alternative treatments, including weight restoration programmes and individual psychotherapy for adult anorexia nervosa patients. Another paradox of this definition is that some treatments that have been found to be at least marginally effective in randomized controlled trials, have, nonetheless, not found general acceptance. Examples would include cyproheptadine in hospitalized anorexia nervosa patients (Goldberg et al., 1979) and naltrexone in the outpatient treatment of anorexia or bulimia nervosa (Marrazzi et al., 1995) (see Chapter 37).