“…An initial report focused on behavioral outcomes indicated that subjects who received CBT showed more rapid improvement in binge eating and purging, and were more likely to achieve remission from those symptoms, though observed improvements in general functioning were more similar between groups (Poulsen et al, 2014). Additional research has focused on the therapeutic alliance, attachment, and reflective functioning among patients in the trial, with findings suggesting that there were no observed treatment group differences in the therapeutic alliance (Folke, Daniel, Poulsen, & Lunn, 2015); that client attachment security predicted therapeutic alliance across treatment groups (Folke et al, 2015); that client attachment was associated with therapist feelings (Daniel, Lunn, & Poulsen, 2015); that decrease of ED symptoms was associated with an increase in attachment security in PP but not in CBT (Daniel, Poulsen, & Lunn, 2016); that reflective functioning was highly variable among patients in the trial (Pedersen, Lunn, Katznelson, & Poulsen, 2012); and that low reflective functioning was linked to higher levels of alexithymia (Mathiesen et al, 2015).…”