Synopses & Reviews
This practical manual offers a step-by-step guide to the treatment of anorexia nervosa in adolescents. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Intervention is divided into three clearly defined phases. Using such innovative methods as a family meal, the clinician first learns strategies for helping families gain immediate control over the adolescent's eating behaviors. Once the patient accepts parental demands to eat, related family problems are addressed in the second phase. The third and final phase of treatment aims toward getting adolescent development back on track and establishing family relationships that do not revolve around the eating disorder. Featuring detailed guidelines for conducting each family session, the manual is illustrated with extensive clinical transcripts and vignettes.
"This book is an important addition to the literature on the treatment of anorexia nervosa. It provides an authoritative and detailed description of the 'Maudsley method,' the leading family-based treatment for adolescents with anorexia nervosa. The book will be an invaluable resource for clinicians for years to come."--Christopher G. Fairburn, DM, FRCPsych, Professor of Psychiatry, University of Oxford
"Family-based treatment is one of the few demonstrably effective interventions for anorexia nervosa. This treatment manual clearly explains the development of this approach and, even more important, provides a detailed description of how it can be implemented. Lock and his colleagues have provided practitioners with a most useful tool to assist their patients. This book will be required reading for all who treat youngsters with anorexia nervosa."--B. Timothy Walsh, MD, Ruane Professor of Psychiatry, Columbia University College of Physicians and Surgeons; Director, Eating Disorders Research Unit, New York State Psychiatric Institute
"During the past decade, progress in the mental health sciences has been reflected in the increasing refinement of empirically based treatment techniques that can be manualized for general application. This book is a fine example of this type of progress, which has been exciting to witness. Lock and his coauthors are to be congratulated for putting together such an excellent and much-needed treatment manual. The authors manage to compress detailed instruction and rich, relevant case material into a powerful volume that delights by its erudition and persuasiveness. Highly recommended for all who are serious about bringing their therapeutic skills to the cutting edge."--Hans Steiner, MD, Professor of Psychiatry, Stanford University School of Medicine
"The efficacy of this form of treatment has now been established--it has become the first-choice intervention for adolescents with AN. Containing clear guidance and numerous examples, this book is required reading for all clinicians who treat young people with this disorder."--B. Timothy Walsh, MD, Department of Psychiatry, Columbia University; Director, Division of Clinical Therapeutics, New York State Psychiatric Institute
"Now in an updated second edition, this is arguably the most important book on the treatment of younger patients with AN to be published in the last 20 years. Clinicians who work with this patient population and their family members need to read--and use--this manual."--James E. Mitchell, MD, Lee A. Christoferson MD Professor and Chair of Clinical Neuroscience, University of North Dakota School of Medicine and Health Science
"An important milestone in the development of effective treatments for adolescent AN. The publication of the second edition is timely, reflecting the growing evidence base and the widespread acceptance that active involvement of families in treatment is a key ingredient in recovery. The authors' ability to combine sound empirical knowledge and clinical wisdom makes this book a 'must' for practitioners."--Ivan Eisler, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, United Kingdom
"This manual has been an invaluable tool for our clinical practice. Lock and Le Grange have produced the authoritative guide to FBT for AN. Their evidence-based approach has made conversations with parents about how to address this debilitating illness much more collaborative and hopeful."--Leslie A. Sim, PhD, Clinical Director, Mayo Clinic Eating Disorders Program
"In writing and updating their treatment manual, Lock and Le Grange demonstrate an exemplary respect for the bidirectional relationship between research and practice. The second edition incorporates more than a decade's worth of additional clinical trials and clinical experience, yielding a rich description of a powerful intervention for a notoriously difficult-to-treat disorder. This manual is an essential resource for therapists and a cornerstone text for a graduate-level course or practicum in eating disorders interventions."--Katharine L. Loeb, PhD, School of Psychology, Fairleigh Dickinson University; Department of Psychiatry, Mount Sinai School of Medicine
"This book—the first specific manualized approach available—is highly recommended for all professionals engaged in work with adolescents suffering from anorexia nervosa."--Journal of Clinical Psychiatry
"This work was designed to be most valuable to psychotherapists, and it succeeds well in this mission."--Journal of Developmental and Behavioral Pediatrics
This manual provides an authoritative and detailed description of the Maudsley approach, the leading family-based treatment for adolescents with anorexia nervosa. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Featuring session-by-sesion intervention guidelines and in-depth case illustrations, this book will enhance the clinical armamentaria of child and adolescent psychiatrists, psychologists, family therapists, and others working with patients with eating disorders.
This practical manual offers a step-by-step guide to the treatment of anorexia nervosa in adolescents. Unique in its focus on mobilizing parents and siblings as a resource in treatment, the approach is ideal for short-term treatment and has demonstrated effectiveness in controlled clinical trials. Featuring detailed guidelines for conducting each family session, the manual is illustrated with extensive clinical transcripts and vignettes.
This indispensable manual presents the leading empirically supported treatment approach for adolescents with anorexia nervosa (AN). What sets family-based treatment apart is the central role played by parents and siblings throughout therapy. The book gives practitioners a clear framework for mobilizing parents to promote their child's weight restoration and healthy eating; improving parent/n-/child relationships; and getting adolescent development back on track. Each phase of therapy is described in session-by-session detail. In-depth case illustrations show how to engage clients while flexibly implementing the validated treatment procedures.
New to This Edition *Reflects the latest knowledge on AN and its treatment, including additional research supporting the approach. *Clarifies key concepts and techniques. *Chapter on emerging directions in training and treatment dissemination. *Many new clinical strategies.
About the Author
James Lock, MD, PhD, is a child psychiatrist and Professor of Child Psychiatry and Pediatrics in the Division of Child and Adolescent Psychiatry and Child Development, Department of Psychiatry and Behavioral Sciences, at Stanford University. He is also Director of the Eating Disorders Program in the Division of Child Psychiatry and Psychiatric Director of the Comprehensive Care Program, an inpatient eating disorder program for children and adolescents, at Lucile Salter Packard Children's Hospital at Stanford. The author of numerous scientific publications on eating disorders in youth, Dr. Lock is a recipient of the Price Family Foundation Award for Research Excellence from the National Eating Disorders Association and Early Career and Mid-Career Development Awards from the National Institute of Mental Health.
Daniel Le Grange, PhD, is the Benioff UCSF Professor in Children’s Health in the Departments of Psychiatry and Pediatrics and Joint Director of the Eating Disorders Program at the University of California, San Francisco. He trained at the Institute of Psychiatry, University of London, where he was a member of the team at the Maudsley Hospital that developed family-based treatment for anorexia nervosa. He served on the faculty of the University of Chicago for over 16 years, and is now Emeritus Professor. The author of over 350 articles, books, book chapters, and published abstracts, Dr. Le Grange is a recipient of the Leadership Award in Research from the Academy of Eating Disorders and an NIMH Early Career Development Award. He is currently principal investigator for studies on treatment of both bulimia nervosa and anorexia nervosa.
Table of Contents
1. Introduction and Background Information on Anorexia Nervosa2. Family-Based Treatment for Anorexia Nervosa3. Phase I: Initial Evaluation and Setting Up Treatment4. Session 1: The First Face-to-Face Meeting5. Session 1 in Action6. Session 2: The Family Meal7. Session 2 in Action8. The Remainder of Phase I (Sessions 3–10)9. Session 8 in Action10. Beginning Phase II: Helping the Adolescent Eat on Her Own (Sessions 11–16)11. Phase II in Action12. Starting Phase III: Adolescent Issues (Sessions 17–20)13. Phase III in Action14. Summary of a Completed Case 15. Where Are We Going from Here?: Training, Dissemination, Clinical Practice, and Research