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E-grāmata: Adolescent-Focused Therapy for Anorexia Nervosa: A Developmental Approach

3.83/5 (12 ratings by Goodreads)
(Stanford University School of Medicine , United States)
  • Formāts: 228 pages
  • Izdošanas datums: 01-Apr-2020
  • Izdevniecība: Guilford Press
  • Valoda: eng
  • ISBN-13: 9781462542857
  • Formāts - PDF+DRM
  • Cena: 123,98 €*
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  • Formāts: 228 pages
  • Izdošanas datums: 01-Apr-2020
  • Izdevniecība: Guilford Press
  • Valoda: eng
  • ISBN-13: 9781462542857

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"From pioneering family-based treatment developer James Lock, this is the first comprehensive guide to adolescent-focused therapy (AFT) for anorexia nervosa (AN), an evidence-based individual approach. AFT is an effective alternative to family-based treatment that may be a better fit for some patients. Lock explains how AN serves as a maladaptive response to developmental challenges of adolescence. He presents a manualized framework for helping adolescents find more adaptive coping strategies, manage difficult emotions, and develop greater autonomy and a stronger sense of self, while reducing risky behaviors and restoring weight. AFT emphasizes the therapist/n-/patient alliance and involves parents in a supportive role. Rich case material and sample dialogues illustrate how to implement each phase of the approach. AFT is recognized as a best practice for the treatment of anorexia nervosa in adolescents by the U.K. National Institute for Health and Care Excellence (NICE)"--

This guide describes adolescent-focused therapy for anorexia in adolescents. The approach is based on psychological, behavioral, and developmental theories and emphasizes the relationship between the therapist and adolescent as the primary driver of therapeutic change. Chapters address how anorexia typically presents in adolescents, diagnostic criteria, and the medical and psychological problems associated with it, as well as risk factors and comorbidity; adolescent-focused therapy, its theoretical basis in psychodynamic and developmental theory, and its main phases; diagnostic assessment for adolescents with anorexia; adolescent development as it impacts case conceptualization, treatment goals, and intervention style and techniques; therapeutic tools; evaluative procedures used in developing a case conceptualization; how the therapy is different for each of the four main types of case conceptualizations, namely adolescents with anger and control issues, depressive symptoms and poor self-esteem, deficits in identity formation, and fears of growing up; and challenges in disseminating and implementing the therapy for anorexia. Annotation ©2020 Ringgold, Inc., Portland, OR (protoview.com)

Clinical psychologists, psychiatrists, social workers, psychiatric nurses, dietitians, and other health professionals who treat patients with eating disorders. May serve as a supplemental text in graduate-level courses.
 

Recenzijas

"Although family-based treatment is the first-line approach to adolescent AN, not all parents are comfortable with it, and some prefer an individually focused treatment. AFT, shown to be effective in clinical trials, is a useful alternative to family-based treatment. Lock presents the main elements of AFT clearly and effectively, with helpful clinical vignettes. All those who treat AN should read this book in order to provide the full range of treatments for their patients."--W. Stewart Agras, MD, Department of Psychiatry and Behavioral Sciences (Emeritus), Stanford University

"AFT is supported by empirical evidence, but, until now, only limited resources were available to guide clinicians in implementation. This much-needed manual provides a detailed description of AFT, replete with case material that brings the approach to life. The book will be of use to a wide range of readers, from students who want to learn more about this evidence-based treatment to seasoned therapists seeking to add another effective treatment to their clinical repertoires. The availability of a treatment manual can also facilitate clinical research, ultimately adding to our understanding of adolescent eating disorders."--Renee D. Rienecke, PhD, FAED, Director of Research, Eating Recovery Center/Insight Behavioral Health Centers; Department of Psychiatry and Behavioral Sciences, Northwestern University

"Perhaps not surprisingly, families have proven to be the most valuable resource in helping adolescents with AN. However, there are situations where an individual treatment strategy may be more appropriate and helpful. Moye and Robins early work on ego-oriented individual therapy put individual treatment for AN on the map, and AFT represents this approach's further refinement. Lock, a leading treatment developer for eating disorders in young people, provides an excellent clinical guide to the practical steps required to implement AFT."--Daniel Le Grange, PhD, Benioff UCSF Professor in Childrens Health, Department of Psychiatry, University of California, San Francisco; Emeritus Professor of Psychiatry and Behavioral Neuroscience, The University of Chicago

"Lock provides a rationale and a step-by-step approach for using AFT. The manual describes AFT from a biopsychosocial perspective that takes stages of adolescent development into account to tailor treatment according to individual needs. While AFT has its roots in developmentalpsychodynamic theory, it nevertheless can be aligned with the assumptions of the medical model. This is key to reduce stigma and introduce more transparency to treatment of AN. The well-structured manual provides detailed examples of how AFT can target specific problems in meeting developmental milestones during adolescence. This is a very useful guide for applying AFT with adolescents for whom family-based therapy has not been a feasible option."--Guido K. W. Frank, MD, Department of Psychiatry, University of California, San Diego; UCSD Eating Disorder Center for Treatment and Research-This is a well done and timely book.It is well laid out, well presented, and has, especially in the latter chapters, a great deal of dialogue between therapist and patient to clarify and highlight points made. Even though AFT has developed from a psychodynamic base, it will be comfortable reading for those with a more behavioral background.This book could be used in any graduate program where eating disorders are part of the curriculum. The book could also be helpful reading for any practitioner currently involved with or with an interest in developing increasing expertise in this field.--Child and Family Behavior Therapy, 4/1/2021 "Although family-based treatment is the first-line approach to adolescent AN, not all parents are comfortable with it, and some prefer an individually focused treatment. AFT, shown to be effective in clinical trials, is a useful alternative to family-based treatment. Lock presents the main elements of AFT clearly and effectively, with helpful clinical vignettes. All those who treat AN should read this book in order to provide the full range of treatments for their patients."--W. Stewart Agras, MD, Department of Psychiatry and Behavioral Sciences (Emeritus), Stanford University

"AFT is supported by empirical evidence, but, until now, only limited resources were available to guide clinicians in implementation. This much-needed manual provides a detailed description of AFT, replete with case material that brings the approach to life. The book will be of use to a wide range of readers, from students who want to learn more about this evidence-based treatment to seasoned therapists seeking to add another effective treatment to their clinical repertoires. The availability of a treatment manual can also facilitate clinical research, ultimately adding to our understanding of adolescent eating disorders."--Renee D. Rienecke, PhD, FAED, Director of Research, Eating Recovery Center/Insight Behavioral Health Centers; Department of Psychiatry and Behavioral Sciences, Northwestern University

"Perhaps not surprisingly, families have proven to be the most valuable resource in helping adolescents with AN. However, there are situations where an individual treatment strategy may be more appropriate and helpful. Moye and Robins early work on ego-oriented individual therapy put individual treatment for AN on the map, and AFT represents this approach's further refinement. Lock, a leading treatment developer for eating disorders in young people, provides an excellent clinical guide to the practical steps required to implement AFT."--Daniel Le Grange, PhD, Benioff UCSF Professor in Childrens Health, Department of Psychiatry, University of California, San Francisco; Emeritus Professor of Psychiatry and Behavioral Neuroscience, The University of Chicago

"Lock provides a rationale and a step-by-step approach for using AFT. The manual describes AFT from a biopsychosocial perspective that takes stages of adolescent development into account to tailor treatment according to individual needs. While AFT has its roots in developmentalpsychodynamic theory, it nevertheless can be aligned with the assumptions of the medical model. This is key to reduce stigma and introduce more transparency to treatment of AN. The well-structured manual provides detailed examples of how AFT can target specific problems in meeting developmental milestones during adolescence. This is a very useful guide for applying AFT with adolescents for whom family-based therapy has not been a feasible option."--Guido K. W. Frank, MD, Department of Psychiatry, University of California, San Diego; UCSD Eating Disorder Center for Treatment and Research-This is a well done and timely bookā¦.It is well laid out, well presented, and has, especially in the latter chapters, a great deal of dialogue between therapist and patient to clarify and highlight points made. Even though AFT has developed from a psychodynamic base, it will be comfortable reading for those with a more behavioral backgroundā¦.This book could be used in any graduate program where eating disorders are part of the curriculum. The book could also be helpful reading for any practitioner currently involved with or with an interest in developing increasing expertise in this field.--Child and Family Behavior Therapy, 4/1/2021

Introduction 1(6)
Chapter 1 What Is the Problem?: Anorexia Nervosa
7(7)
Etiology and Risk Factors
8(1)
Clinical Presentation and Course
9(1)
Differential Diagnosis and Comorbidity
10(1)
A Brief History of AN Treatment
11(2)
Outcomes in AN
13(1)
Chapter 2 What Is AFT and Why Should You Use It?: An Overview
14(11)
The Evidence Base for AFT
17(3)
Phase I of AFT
20(2)
Phase II of AFT
22(1)
Phase III of AFT
23(2)
Chapter 3 A Primer on Diagnostic Assessment for Adolescents with Anorexia Nervosa
25(11)
The Medical Assessment
26(1)
The Nutritional Assessment
27(1)
Interview with the Adolescent
28(2)
Interview with the Parents
30(1)
Structured Assessments
31(1)
Communication of Diagnostic and Clinical Recommendations
32(1)
The Treatment Team in AFT
33(3)
Chapter 4 Overview of Adolescent Development to Guide
36(18)
Case Conceptualization in AFT How Does Adolescent Development Impact Delivering AFT?
37(4)
Early Adolescence
41(4)
Middle Adolescence
45(4)
Late Adolescence
49(5)
Chapter 5 AFT Toolbox for Therapists
54(27)
The Authoritative--Nurturing Stance in AFT
54(6)
Therapeutic Tools to Maintain Firmness in AFT
60(9)
Therapeutic Tools to Nurture and Support Exploration in AFT
69(12)
Chapter 6 Phase I of AFT: What's Going On Here?
81(24)
Identifying Maintaining Factors
82(7)
Understanding Problem-Solving Skills
89(3)
Identifying Learning Styles
92(3)
Understanding Adolescent Culture
95(3)
Parental Collaterals
98(4)
The Four Main Conceptualizations in AFT
102(3)
Chapter 7 AFT for Adolescents with Anger and Control Issues
105(20)
Phase I Case Conceptualization
106(6)
Phase II Of AFT for Anger and Control Issues
112(7)
Phase III Of AFT for Anger and Control Issues
119(6)
Chapter 8 AFT for Adolescents with Depressive Symptoms and Poor Self-Esteem
125(23)
Phase I Case Conceptualization
127(6)
Phase II Of AFT for Depressive Mood
133(8)
Phase III Of AFT for Depressive Mood
141(7)
Chapter 9 AFT for Adolescents with Deficits in Identity Formation
148(23)
Phase I Case Conceptualization
151(4)
Phase II Of AFT for Poor Identity Formation
155(13)
Phase III Of AFT for Poor Identity Formation
168(3)
Chapter 10 AFT for Adolescents with Fears of Growing Up
171(27)
Phase I Case Conceptualization
177(3)
Phase II Of AFT to Promote Separation and Individuation
180(17)
Phase III Of AFT When AN Is Interfering with Separation and Individuation
197(1)
Chapter 11 Concluding Comments: Challenges in Disseminating and Implementing AFT for Anorexia Nervosa
198(7)
References 205(15)
Index 220
James Lock, MD, PhD, is Professor of Child Psychiatry and Pediatrics in the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine. He is also Director of the Stanford Child and Adolescent Eating Disorders Program. The author of numerous scientific publications on eating disorders in youth, Dr. Lock is a Distinguished Fellow of the American Psychiatric Association and of the American Academy of Child and Adolescent Psychiatry. He is a recipient of awards including the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association, the Price Family Foundation Award for Research Excellence from the National Eating Disorder Association, the Leadership Award in Research from the Academy of Eating Disorders, and Early and Mid-Career Development Awards from the National Institute of Mental Health.