Cognitive Analytical Therapy in the Treatment of Anorexia Nervosa

Treasure, Janet; Ward, Anne

doi:10.1002/(sici)1099-0879(199703)4:1<62::aid-cpp114>3.0.co;2-y

Cited by 24 publications

(3 citation statements)

References 8 publications

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“…We agree with Dr Morris that the important ‘take-home message’ is that specialised therapists following a specific therapeutic approach offer the best outcome in anorexia nervosa. This complements the analysis made by Nielsen et al (1998), in which he found that mortality was lower in regions of the country with specialised services. It is, therefore, of concern that such skills are in limited supply.…”

supporting

confidence: 84%

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Treasure¹

2001

Br J Psychiatry

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supporting

confidence: 84%

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Treasure¹

2001

Br J Psychiatry

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“…There are also suggestions that very poor self-esteem and impulsive behaviors are predictive of failure with this approach (e.g., . We recommend that such cases should be considered for other therapies that have a clear and overt structure such as cognitive analytic therapy (e.g., Treasure & Ward, 1997), interpersonal psychotherapy (e.g., Agras, Walsh, et al, 2000;Fairburn et al, 1995) or structured focal dynamic psychotherapy with a behavioral element (e.g., Murphy, Russell, & Waller, 2005). Although the evidence base for such therapies is less extensive than that for cognitive-behavioral approaches, they each have the strength of emphasizing the interpersonal issues that are commonly found to be relevant to eating pathology (e.g., Steiger, Gauvin, Jabalpurwala, Seguin, & Stotland, 1999).…”

Section: Preliminary Considerationsmentioning

confidence: 99%

Schema-Focused Cognitive-Behavioral Therapy for Eating Disorders.

Waller

Kennerley

Ohanian

2007

Cognitive Schemas and Core Beliefs in Psychological Problems: A Scientist-Practitioner Guide.

100

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Up until the mid-1990s, conventional cognitive-behavioral therapy (CBT) for the eating disorders (e.g., Fairburn, 1997) was based largely on models of psychopathology that were developed 2 decades ago (e.g., Fairburn, 1981;Garner & Bemis, 1982). These were largely maintenance models, which address the factors that sustain the eating disorder once it has developed but do not attempt to explain its etiology. Trials of CBT based on such models have demonstrated an impressive effectiveness rate among relatively specific groups, particularly bulimia nervosa and binge-eating disorder (

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“…The types of psychotherapy that are useful vary. Cognitive analytic therapy has been shown to be of benefit in anorexia nervosa (Treasure & Ward, 1997a). Work from the Maudsley Hospital (London, England) has documented the value of family therapy for young patients with restricting anorexia (Russell, Dare, Eider, & LeGrange, 1992).…”

mentioning

confidence: 99%

Improving understanding and care for the eating disorders.

Garfinkel¹,

Dorian²

Eating Disorders: Innovative Directions in Research and Practice.

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The eating disorders anorexia nervosa and bulimia nervosa have assumed an increased importance over the past two decades, as clinicians and investigators have recognized their prevalence and alarming rates of morbidity and mortality. At the same time, great strides have been made in providing treatment for patients with these disorders. Future developments may be anticipated in seven areas: treatments, diagnosis, understanding mechanisms, prevention, the consumer movement, changing knowledge and attitudes of health professionals, and the public trust. In this chapter, we consider these seven core areas. TREATMENTSTreatments for the eating disorders are hardly recognizable from 30 years ago. This is a consequence of real progress in clinical science. In the 1960s, it was common to have treatment for anorexia nervosa based on a long-term psychoanalytic model, which was ineffective, or on combinations of potentially harmful medications. Today, there is general acceptance of the value of nutritional restoration or stabilization before people with the disorder can meaningfully benefit from psychotherapy. The types of psychotherapy that are useful vary. Cognitive analytic therapy has been shown to be of benefit in anorexia nervosa (Treasure & Ward, 1997a). Work from the Maudsley Hospital (London, England) has documented the value of family therapy for young patients with restricting anorexia (Russell, Dare, Eider, & LeGrange, 1992). Older patients with anorexia or bulimia benefit from cognitive-behavioral therapy, but this has been much more carefully described for bulimia nervosa. This latter group has also been shown to benefit from interpersonal therapy (Fairburn et al., 1995

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Cognitive Analytical Therapy in the Treatment of Anorexia Nervosa

Cited by 24 publications

References 8 publications

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Authors' reply

Schema-Focused Cognitive-Behavioral Therapy for Eating Disorders.

Improving understanding and care for the eating disorders.

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