Hunger for Understanding (PDF)

About the authors. Foreword. Acknowledgements. 1 The purpose of the workbook. Who is Hunger for Understanding for? Who can use Hunger for Understanding? When and how should Hunger for Understanding be used? Accessing the workbook electronically. Issues of confidentiality. 2 Psychological interventions for anorexia nervosa and the role of psycho-education. Psychological interventions. Motivational-enhancement therapy (MET). Cognitive-behavioural therapy (CBT). Psycho-education in anorexia nervosa. The psychological symptoms of starvation. The cultural context of eating disorders. Set-point theory. The physical effects of starvation. 3 Therapeutic challenges, skills and techniques. Challenges of work with people with anorexia nervosa. Physical issues. Psychological issues. Therapeutic skills and techniques. Externalisation. Instilling hope. Empathy. Developing emotional awareness. Rolling with resistance. Dealing with distress. Managing relapses. 4 The contents of the workbook and guidelines for use. Section 1: What is anorexia nervosa? Section 2: What causes anorexia? Section 3: How does dieting affect us? Section 4: How does anorexia affect you? Section 5: What keeps anorexia going? Section 6: The tricks anorexia plays. Section 7: Thinking about change. Section 8: Getting better. Section 9: Teamwork. Section 10: Becoming assertive. Section 11: Myths and questions about anorexia nervosa. Some good advice and messages of support. Ending the workbook. The Workbook. Useful contacts. References. Index.

Alison Eivors qualified as a clinical psychologist in 1999.
During her training she developed an interest in eating disorders
and completed her doctorate in this area. She conducted a
qualitative study that investigated reasons for dropout from
services for anorexia nervosa. This gave her the opportunity to
interview women about the meaning of their eating difficulties and
gave her an invaluable insight into the very functional role
anorexia can play in people's lives and the enormous battle
they face to overcome the disorder.

Alison currently works as Principal Clinical Psychologist at a
specialist adolescent mental health service in Leicester. This post
has provided her with the opportunity to work clinically with young
women suffering from eating disorders.

For the past two years Alison has been part of a multidisciplinary
team to review her local service for young people with eating
disorders. The review involved researching the evidence base,
interviewing previous clients and visiting other specialist units
around the country. This has drawn her attention to the need for
creative and varied therapeutic techniques (such as
psychoeducation, motivational-enhancement and cognitive-behavioural
techniques) in the treatment of young people with anorexia.

Sophie Nesbitt developed a special interest in working
with young people with eating disorders while working as a trainee
clinical psychologist. Her doctorate research investigated the role
of exercise as a risk factor in the development and maintenance of
eating disorders. She was also able to work clinically with young
people with eating disorders at an inpatient unit. Much of this
work involved working and communicating effectively with young
people, and she developed a particular interest in the development
of psycho-education information for this client group.

Sophie is currently working in a multidisciplinary outpatient team.
This provides her with the opportunity to work

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