Treatment of Eating Disorders in Women

Stein, Richard I.; Saelens, Brian E.; Dounchis, Jennifer Zoler; Lewczyk, Caroline M.; Swenson, Anne K.; Wilfley, Denise E.

doi:10.1177/0011000001295004

Cited by 27 publications

(30 citation statements)

References 107 publications

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“…This was not always successful, but it appeared crucial to the cases that did go well. Although family visits are often included in intensive outpatient and inpatient programs (Costin, 1999), and others have suggested that family therapy is suited to clients from collectivistic cultures (Stein et al, 2001;Ting & Hwang, 2007), the present study is the only one we know of that describes Asian parents' involvement in treating EDs. Perhaps the most important clinical skill here was flexibility and openness to, for example, seeking out the one parent who was more accessible, or permitting unorthodox arrangements such as a mother sitting in on sessions, even as issues of autonomy were being addressed.…”

Section: Discussion and Implications For Practicementioning

confidence: 99%

Therapists' experiences treating Asian American women with eating disorders.

Smart¹,

Tsong²,

Mejía³

et al. 2011

Professional Psychology: Research and Practice

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How do psychologists treat eating disorders (EDs) and subclinical issues in Asian American women in a culturally competent manner? Disordered eating and body dissatisfaction are so common in women that most therapists work with the issues to some degree, and it is increasingly likely they will see women of color. Asian American women are at significant risk and yet little treatment literature exists. Twelve therapists with experience in ED treatment were interviewed about their work with Asian American women. Grounded theory and consensual qualitative analysis methods were used to analyze the data, resulting in two central domains of conceptualization within the cultural context and treatment approach. Therapists reported that their clients were mostly first-and second-generation Americans who experienced acculturation stress and cultural conflict, particularly with elders. Other results suggested therapists perceived a strong connection between clients' desires to be thin and successful, and clients' efforts to conform to traditional Asian cultural values and fit in with U.S. mainstream culture. Therapists emphasized the cultural contextualization of family dynamics, developmental processes (e.g., individuation), and intergenerational conflicts. They viewed EDs as providing clients with culturally congruent coping strategies to affectively disconnect and to express distress. Treatment themes centered on psychoeducation and the importance of including parents in the treatment of their adult daughters. Helping clients navigate autonomy within the family and cultural context, and challenging clients and parents on the cultural (both Asian and mainstream U.S.) pressures regarding achievement and beauty were particularly important. Implications for therapy are discussed.

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Section: Discussion and Implications For Practicementioning

confidence: 99%

Therapists' experiences treating Asian American women with eating disorders.

Smart¹,

Tsong²,

Mejía³

et al. 2011

Professional Psychology: Research and Practice

View full text Add to dashboard Cite

show abstract

“…Within the eating disorder field, many recovered patients subsequently resume their binge and/or purge behaviors and individuals with AN often do not complete treatment, dropping out prematurely 37,75,103. Family-based behavioral treatment for obesity has been shown to be successful in the short-term 87, but the targeted healthy behaviors are difficult to sustain over time.…”

Section: From a Clinical Perspective: Extending Beyond The Individualmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Weight Management and Eating Disorders in Children and Adolescents

Wilfley¹,

Kolko²,

Kass³

2011

Child and Adolescent Psychiatric Clinics of North America

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SynopsisEating disorders and obesity in children and adolescents involve harmful behavior and attitude patterns that infiltrate daily functioning. Cognitive behavioral therapy (CBT) is well-suited to treat these conditions, given the emphasis on breaking negative behavior cycles. This article reviews the current empirically-supported treatments and the considerations for youth with weight control issues. New therapeutic modalities (i.e., Enhanced CBT and the socio-ecological model) are discussed. Rationale is provided for extending therapy beyond the individual treatment milieu to include the family, peer network, and community domains to promote behavior change, minimize relapse, and support healthy long-term behavior maintenance. Keywordscognitive behavioral therapy; eating disorders; obesity; weight control Children and adolescents who struggle with eating disorders and obesity require clinical attention. Eating-and weight-related difficulties are characterized by maladaptive daily patterns, involving distorted cognitions and problematic behavior cycles. The treatment of weight control issues requires a comprehensive approach, as disordered eating permeates the individual, home, and social environments. Cognitive behavioral therapy (CBT) emphasizes the process of changing habits and attitudes that maintain psychological disorders. Given this focus, CBT is an appropriate treatment approach for eating disorders and obesity. By restructuring the harmful patterns that infiltrate daily functioning, youth will be better

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“…The research on the treatment of eating disorders for women of color is limited (Stein, Saelens, Dounchis, Lewczyk, Swenson, & Wilfley, 2001). The following will address general treatment considerations and then provide perspectives on multiculturally-informed feminist approaches to the treatment of body image and eating disorder issues for Asian American women.…”

Section: Treatment Considerationsmentioning

confidence: 99%

The Double Binds of Our Bodies

Yokoyama¹

2007

Women & Therapy

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In the dominant culture of the United States (U.S.), Asian American women contend with racial and gender-specific stereotypes that relate specifically to the images of the Asian American woman's body. Recent literature on the body image and eating disorders of Asian American women reveals that beyond the issues of body shape, weight, and traditional diagnoses, issues of racism, racially specific parts of the body, and eating disturbance beyond the traditional diagnostic categories may hold significance. A review of the literature and multiculturally-informed feminist therapy approaches to addressing issues of body image

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Treatment of Eating Disorders in Women

Cited by 27 publications

References 107 publications

Therapists' experiences treating Asian American women with eating disorders.

Therapists' experiences treating Asian American women with eating disorders.

Cognitive-Behavioral Therapy for Weight Management and Eating Disorders in Children and Adolescents

The Double Binds of Our Bodies

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