Managing Severe and Enduring Anorexia Nervosa

A Clinician's Guide

By: Stephen Touyz (Editor), Daniel Le Grange (Editor), Hubert Lacey (Editor)

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Paperback | 22 March 2016

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320 Pages

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29.7 x 19.6 x 9

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Patients with severe and enduring anorexia nervosa have one of the most challenging disorders in mental health care, including the highest mortality rate of any mental illness, high rates of underemployment and unemployment, and often medical complications due to organ failure and osteoporosis. One of the challenges in tailoring treatment for patients with severe and enduring anorexia nervosa is that treatments that focus on both physical and psychological recovery run the risk of misalignment with patient aims and readiness for recovery, resulting in high treatment dropout. Rather than recovery being the basic premise, treatment should focus more on retention, improved quality of life with harm minimization, and avoidance of further failure experiences. This approach needs to take into account the challenges in treating patients with long-standing low levels of motivation for change, neurocognitive deficits, and a self-view and lifestyle dominated by the illness. Based on the only evidence-based randomized controlled trial yet undertaken in patients with severe and enduing anorexia nervosa, A Clinician's Guide to Manage Severe and Enduring Anorexia Nervosa uses the results of the trial to present a new paradigm for the treatment of severe and enduring anorexia nervosa. Moreover, the book assembles the leading scientists across three continents to provide a comprehensive overview and new paradigm for treatment. This book should provide hope for those suffering from severe and enduring anorexia nervosa and also stimulate interest in the development of new psychosocial approaches for its treatment. Students, clinicians, and researchers in the field of eating disorders will find this edited volume a valuable reference handbook in the clinical management of patients with anorexia nervosa.

Industry Reviews

"Stephen Touyz and his co-authors are to be complimented on this, "overdue and timely" textbook shedding light on the neglected area of severe and enduring anorexia nervosa - and stimulating interest in new treatment approaches for this particular patient group."-Professor Stephan Zipfel, Centre of Excellence for Eating Disorders, University of Tuebingen, Germany

"People in the severe enduring stage of anorexia nervosa differ both in the form of presentation and their care needs to people in the early stage of anorexia nervosa . Prolonged malnutrition has severe consequences on brain, body, and social functioning. The enigma posed by this stage of anorexia nervosa is clarified by chapter in this book written by leaders in research and clinical practice which map the underlying maintenance mechanism and treatment targets."-Professor Janet Treasure OBE, PhD, FRCP, FRCPsych. IOPPN, Kings College London and South London and Maudsley Hospital

"This multi-author book made me want to weep with joy. Written by leading authorities in the field it focuses on the plight of a neglected group of patients, and as such it addresses a major gap. Packed with research knowledge, clinical wisdom, and describing the lived experience and journey to recovery of one long-term anorexia sufferer, it provides enlightenment and gives hope to sufferers, families, and clinicians alike. This will be a classic."-Ulrike Schmidt, MD PhD FRCPsych FAED, Professor of Eating Disorders, King's College London, UK

"Touyz, LeGrange, Lacey, and Hay treat what is possibly the most important concern in the eating disorders field in a volume that is sensitive, well-balanced, comprehensive, and (it is no understatement) paradigm shifting. Their book blends attunement to latest evidence with that kind of clinical savvy that is the mark of the most seasoned of clinician-scientists."-Howard Steiger, PhD, Head, Eating Disorders Continuum, Douglas University Institute, Professor, Psychiatry Department, McGill University

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