Mindfulness and Acceptance for Treating Eating Disorders and Weight Concerns , livre ebook

“Acceptance- and mindfulness-based methods are having a big impact on the understanding and treatment of eating disorders and weight concerns. This groundbreaking volume is the very first to cover this cutting-edge work in a comprehensive way. Containing the most current thinking of some of the most active researchers and practitioners in this growing area, it will fundamentally change how you think about these critically important areas, and empower new approaches to old problems. Highly recommended.”
— Steven C. Hayes, PhD , Foundation Professor in the Behavior Analysis program at the University of Nevada, Reno, and codeveloper of acceptance and commitment therapy (ACT)
“This new book, Mindfulness and Acceptance for Treating Eating Disorders and Weight Concerns , brings together contributions by the major groups working in these relatively new, yet exciting areas. The chapters are well chosen, clinically informed, and provide a comprehensive survey of the important advances in these fields. This work is highly recommended to clinicians, students, and scholars working in these areas.”
—James E. Mitchell, MD , Christoferson Professor of clinical neuroscience at Chester Fritz, Distinguished Professor of psychiatry and behavioral science at the University of North Dakota School of Medicine and Health Sciences, and research scientist at the Neuropsychiatric Research Institute
“For so many people who struggle with obesity and eating disorders, traditional approaches to treatment have been ineffective, leading to frustration and a sense of futility for patients and clinicians alike. Mindfulness- and acceptance-based treatment approaches offer hope for nearly half of the people who fail to benefit from traditional treatment by integrating strategies and skills that directly address their challenges and barriers. This excellent book, edited and written by leaders in the fields of obesity and eating disorders, is the first to bring together cutting-edge, evidence-based approaches that incorporate mindfulness- and acceptance-based principles. Clinicians, educators, and researchers alike will find this volume extremely useful in advancing their knowledge and practice for addressing the vexing challenges of obesity and eating disorder treatment.”
—Nancy E. Sherwood, PhD , senior investigator and director of scientific development research at HealthPartners Institute for Education and Research
“This excellent volume provides health professionals a front-row seat to examine third-wave cognitive behavioral therapies for eating disorders and obesity. Practitioners will appreciate the detailed clinical descriptions of acceptance and commitment therapy (ACT), mindfulness-based approaches, and related interventions. Researchers will find the volume balanced in its assessment of the benefits of these new approaches, as well as of what remains to be learned of their long-term efficacy and mechanisms of action. Make space on your book shelf for this welcomed contribution!”
—Thomas A. Wadden, PhD , Albert J. Stunkard Professor of psychology in psychiatry, and director of the Center for Weight and Eating Disorders at the Perelman School of Medicine, University of Pennsylvania
“Researchers and clinicians alike struggle to make interventions for eating disorders and obesity more effective. This book is the first to bring together thought leaders from around the globe in order to consider innovative acceptance- and mindfulness-based approaches for the management of eating behavior and body image. I strongly recommend this unique resource.”
—Lucene Wisniewski, PhD, FAED , Chief Clinical Integrity Officer of The Emily Program
“This innovative book brings together an international collection of clinical researchers who can knowledgably speak to the issue of introducing “third-wave” models to our understanding of eating disordered individuals. Carefully weaving constructs such as mindfulness, acceptance, awareness, and tolerance into their chapters, the authors astutely enhance conceptual understanding through their theories, and also introduce useful clinical techniques and strategies for clinicians. Focusing on both eating disorders and weight management, the book covers an extremely broad range of scientific and clinical topics that will be useful to clinical researchers and clinicians alike. This book goes a long way in terms of refining ideas that will ultimately enhance scientific studies of mindfulness and acceptance techniques for eating disordered individuals in the future!”
—Stephen Wonderlich, PhD , Chester Fritz Distinguished Professor and associate chairman in the department of psychiatry and behavioral science at University of North Dakota School of Medicine and Health Sciences, and chair of eating disorders at Sanford Health

-->
Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright © 2016 by Ann F. Haynos, Evan M. Forman, and Jason Lillis
Context Press
An imprint of New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
The Stanford model DBT for BED Diary Card in chapter 3 is reprinted from DIALECTICAL BEHAVIOR THERAPY FOR BINGE EATING AND BULIMIA, copyright © 2009 Debra L. Safer, Christy F. Telch, and Eunice Y. Chen, by permission of The Guilford Press.
Cover design by Amy Shoup
Acquired by Catherine Meyers
Edited by James Lainsbury
Indexed by James Minkin
All Rights Reserved
Library of Congress Cataloging-in-Publication Data on file
Contents
Introduction: Mindfulness and Acceptance for Treating Eating Disorders and Weight Concerns: Background and Rationale
The Tremendous Scope and Impact of Eating Disorders and Weight Concerns
Treatment for Eating Disorders and Weight Concerns: The Current State of the Evidence
A New Generation of Treatment Targeting Mindfulness and Acceptance
Why Apply Mindfulness and Acceptance to the Treatment of Eating Disorders and Weight Concerns?
Mindfulness: Combatting Problematic Defaults
Acceptance: Combatting the Tendency Toward Avoidance and Judgment
The Purpose of this Book: A Collection of Evidence-Based Mindfulness and Acceptance Treatments for Eating Disorders and Weight Concerns
Simultaneously Addressing Eating Disorders and Weight Concerns
Looking Ahead: The Contents of This Book
Conclusion
References
Part 1: Mindfulness and Acceptance Interventions for Eating Disorders
Chapter 1: Acceptance and Commitment Therapy for Anorexia Nervosa and Bulimia Nervosa
Introduction
Theoretical Background
Experiential Acceptance
Defusion
Present-Moment Awareness
Self-as-Context
Values and Committed Action
Description of the Treatment
Experiential Acceptance
Defusion
Present-Focused Awareness
Self-as-Context
Values
Committed Action
Empirical Support
Mindfulness- and Acceptance-Based Treatments
Evidence for ACT
Limitations to Previous Research
Conclusion
References
Chapter 2: Emotion Acceptance Behavior Therapy for Anorexia Nervosa
Introduction
Theoretical Background
Description of the Treatment
Phase 1
Phase 2
Mindfulness Skills
Metaphors
Distress Tolerance Skills
Behavioral Techniques
Implementation of Individualized Weight-Gain Protocol
Phase 3
Medical Monitoring
Empirical Support and Future Directions for Research
Conclusion
EABT Therapist Checklist
References
Chapter 3: Dialectical Behavior Therapy for Binge Eating
Introduction
Description of Standard DBT
Stages of Treatment and Targets
Structure of Treatment
Treatment Strategies
Dialectical Strategies
Core Strategies
Stylistic Strategies
Case Management Strategies
Theoretical Model of DBT-BED
DBT for BED with Comorbid Borderline Personality Disorder (DBT for BED-BPD)
Target Hierarchy
Treatment Structure
Individual DBT
DBT Skills Group
Twenty-Four-Hour Phone Consultation
Ancillary Treatment
Treatment Strategies
Dialectical Strategies
Core Strategies
Stanford DBT Model for BED
Target Hierarchy
Treatment Structure
Pretreatment Interview
Sessions 1–20: Format of Group Sessions—Combining Elements of the Individual and Skills Groups
Therapist Consultation Team
Telephone Consultation
Ancillary Treatments
Treatment Strategies
Dialectical Strategies
Core Strategies
Available Resources
Empirical Support
Conclusion
References
Chapter 4: Appetite Awareness Training: A Mindfulness-Based Approach for Normalizing Eating
Introduction
Theoretical Background of AAT
CBT Strategies Adapted for AAT
Mindfulness- and Acceptance-Based Strategies Integrated in AAT
Description of the Treatment
Stage 1: Psychoeducation
Stage 2: Behavioral Changes
Stage 3: Problem Solving
Stage 4: Preparing for Maintenance
Empirical Support
Appetite Awareness Training for BED
Appetite Awareness Training for BN
Appetite Awareness Training for Individuals at Risk for Weight Gain or Eating Disorders
Appetite Awareness Training for Overweight and Obese Individuals
Limitations and Future Directions
Conclusion
References
Chapter 5: Using Acceptance to Improve Body Image Among Individuals with Eating Disorders
Introduction
Theoretical Background
Affective Model
Cognitive Dissonance Model
Information Processing Model
Description of the Treatment
Evidence for Acceptance-Based Body Image Treatments
Other Acceptance-Based Body Image Treatments
Limitations in Existing Research
Conclusion
References
Part 2: Mindfulness and Acceptance Interventions for Weight Concerns
Chapter 6: Acceptance-Based Behavioral Treatment for