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Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual [Paperback / softback]

, (South London and Maudsley Hospital and Professor at Kings College London, UK),
  • Format: Paperback / softback, 436 pages, height x width: 297x210 mm, weight: 1088 g, 50 Tables, black and white; 12 Line drawings, black and white; 33 Halftones, black and white
  • Pub. Date: 27-Nov-2018
  • Publisher: Routledge
  • ISBN-10: 081537836X
  • ISBN-13: 9780815378365
  • Paperback / softback
  • Price: 68,94 €
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  • Format: Paperback / softback, 436 pages, height x width: 297x210 mm, weight: 1088 g, 50 Tables, black and white; 12 Line drawings, black and white; 33 Halftones, black and white
  • Pub. Date: 27-Nov-2018
  • Publisher: Routledge
  • ISBN-10: 081537836X
  • ISBN-13: 9780815378365
Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual provides a framework for carer skills workshops which can be used by anyone working with these conditions.

Based on the successful New Maudsley Model, which equips carers with the knowledge and skills needed to support those with an eating disorder, the book consists of two sections which will help facilitators to deliver skills workshops to carers. The first section provides the theoretical background, while the second uses exercises to bring the New Maudsley Model to life. The skills workshops provide a much-needed lifeline, giving carers an opportunity to meet in a safe, non-judgemental and confidential environment, and to learn to recognise that changes in their own responses can be highly beneficial.

With session-by-session guidelines and handouts for participants, Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual will be of aid to anyone working with someone coping with these conditions.

Reviews

"Caring for someone with an eating disorder is, without a doubt, a critical part in support of the recovery of the sufferer. Therefore, guiding and taking care of the carer have taken front-row seats in this process. The authors are leading authorities in this domain and Caring for a Loved One with an Eating Disorder, based on their The New Maudsley Model, is a very helpful session-by-session guide to participants and facilitators of skills workshops in order to train, equip, and support carers in their difficult task. This book is not only an outstanding go-to guide for carers and those who support carers, but it also will provide much-needed information to all clinicians who wish to better understand and support families and friends who are taking care of a loved one with an eating disorder." - Daniel Le Grange, Ph.D., FAED, Benioff UCSF Professor in Children's Health, Director, Eating Disorders Program, Department of Psychiatry and UCSF Weill Institute for Neurosciences, University of California, San Francisco, Emeritus Professor of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL.

"Recognition of the importance of bringing carers and loved ones into treatment and attending to the burden on close family members has transformed the care of people with eating disorders across the age range and across the stages of the illness. This manual, born of years of personal and clinical experience of working with adults with eating disorders and substantiated by research, is an accessible guide for facilitators keen to put this knowledge into action through support of parents and carers based on the highly acclaimed Skills Based Caring for a Loved one with an Eating Disorder (The New Maudsley Method). Bursting with practical and creative ideas, peppered with top tips to help negotiate the challenging emotional nature of the work, and all underpinned by theory and research evidence in an easy to understand form, it provides a step by step yet flexible guide and toolkit for practitioners in delivering skills workshops for carers." - Dr Dasha Nicholls, Reader in Child Psychiatry, Imperial College London Chair, Eating Disorders Faculty, Royal College of Psychiatrists

"The New Maudsley Model of sharing skills with carers has the potential to transform services and improve clinical outcomes. Building on the self help book, this is a brilliantly concise guide to delivering carer skills workshops, with session by session facilitator crib sheets, exercises and worksheets. More than anything, its the collaborative, empathic & non-judgemental style of delivery and interaction that matters - and it is this style that is described and attended to invaluably throughout the book. Helpful to all of us in our day to day work with carers." - Dr Frances Connan, PhD, Consultant Psychiatrist and Clinical Director for Vincent Square Eating Disorder Service

"This ground-breaking book fills an important gap by providing a step by step guide for initiating and facilitating a skills workshop for caregivers of people of all ages living with eating disorders. With compassion, warmth, straightforward & non-blaming language, this must-read book provides both professional and non-professional carers with theories, practical strategies and hands on exercises to enhance communication and promote relational change. It brings hope about the possibility of transformation for all affected by eating disorders."- Gina Dimitropoulos, MSW, PhD, RSW, RMFT, social worker, family therapist and professional carer, University of Calgary

"This is a book that the field has desperately neededa clear yet comprehensive guide to navigating an area too often relegated to being overwhelming in its complexity. With the key element of empowering carers, championed by Langley and her co-authors, it provides a set of tools that professionals, carers, and sufferers may all use to steer and enhance recoveryconcrete steps and worksheet-guided exercises, backed by research and theory, and delivered with understanding and compassion. Highly recommended." - Dr Joanne Dolhanty, PhD, CPsych, Developer of Emotion Focused Skills Training for Parents & Families.

"The New Maudsley Skills-Based Training Manual is THE game changer for carers, clinicians and multi-family group leaders. The modules truly bring The New Maudsley Approach to life and I cant wait for our team to try out all the new exercises in our multi-family program." - Roxanne Rockwell, PhD. Licensed Clinical Psychologist, Assistant Clinical Professor and Director of Adolescent Eating Disorder Services at the University of California, San Diego.

"Caring for a Loved One with an Eating Disorder: The New Maudsley Skills-Based Training Manual is the new and exciting companion to Skills-based Learning for caring for a loved one with an Eating Disorders. It is exactly what you need if you are training and supporting carers of sufferers with eating disorders. Based on research and the unique expertise of Janet Treasure, Jenny Langley and Gillian Todd this manual provides ideas and exercises that are user-friendly and invaluable." - Dr Nadia Micali MD, MRCPsych, PhD, FAED, Senior Lecturer and Honorary Consultant Psychiatrist, Eating disorders and Adolescent Mental Health (ED&AMH) research team , Child and Adolescent Mental Health, Palliative Care and Paediatrics Section, Population, Policy and Practice Research Theme, UCL Institute of Child Health

"In this book, Janet, Jenny and Gill gather many years of experience working with carers in workshops and other settings and bring a comprehensive theoretical and experiential background based on the New Maudsley Model for professional and non-professional carers to effectively support someone with an eating disorder in their path to recovery. Through the contents of each chapter of the book, carers will be able to acquire theoretical and practical abilities from a unique approach that includes skills from the transtheoretical model of change, motivational enhancement therapy, cognitive behavioural therapy and emotional processing techniques to help their loved one to be able to overcome this illness and deal with the setbacks. Caring for a Loved One with an Eating Disorder: The New Maudsley Skills Based Training Manual is a "must have" for anyone who is part of the "care team": it is a step-by-step guide to implement carer workshops and also a treasure of useful tools that gently leads carers to transform their caregiving experience into the main healing resource to support their sufferers and make their change possible." - Carolina López, PhD, Clinical Psychologist, Assistant Professor of the Department of Pediatrics and Child Surgery, East Division, Faculty of Medicine, University of Chile.

"We have successfully used and tested the "New Maudsley Model" in a German-speaking Austrian population with anorexia nervosa including the Succeed DVD. This new manual will extremely foster a quick dissemination of this successful treatment model to all supporting carers in need, giving them step-by-step advice how to care best. Warmly recommended!" - Prof Andreas Karwautz, MD, Vienna, Austria

"When faced with the often frightening and daunting task of caring for a loved one with an eating disorder, there is no better resource than this which explains how to help others to do so in such a clear and thoughtful way. The authors outline how to set up workshops which share information and professional skills with carers, provide practical solutions to challenges based on their extensive experience of delivering these workshops and offer a thorough template for a series of workshops which have in the past received excellent feedback from carers in attendance. I shall be drawing on this resource in my own practice." - Dr Amy Harrison, Family Therapist, South London and Maudsley NHS Trust Eating Disorder Service

Preface xv
Section One
1(38)
Chapter 1 Introduction and background to skills-based caring
3(11)
Chapter 2 Practical issues for running the workshops
14(8)
Chapter 3 Facilitator delivery style, values and spirit
22(5)
Chapter 4 Facilitator guide to Motivational Interviewing and emotional processing
27(12)
Section Two
39(373)
Introduction
39(6)
Module 1 Starting off and setting the scene for recovery
45(15)
1.1 Welcoming the carers
45(2)
1.2 Introductions
47(1)
1.3 Agreeing ground rules for the group
48(2)
1.4 Emotional response to caregiving
50(2)
1.5 The Readiness Ruler
52(1)
1.6 Working with a joint understanding -- basic facts and recovery
53(3)
Worksheets
56(4)
Module 2 Psychoeducation and developing empathy
60(30)
2.1 Considering causes and maintaining factors
61(4)
2.2 Considering ambivalence with a focus on the benefits of an ED
65(1)
2.3 Understanding the trap of an eating disorder: the toxic effect of prolonged starvation and repeated habits
66(3)
2.4 Building empathy for the challenges of weight restoration - the metabolism effect
69(2)
2.5 Building empathy for the sufferer -- coping strategies and the crap day exercise
71(1)
2.6 Externalising the illness, part one: how have Edi's personality traits changed through ED?
72(1)
2.7 Externalising the illness, part two: introducing the red balloon/blue balloon metaphor
73(1)
2.8 Building empathy for the sufferer -- popping the balloon
74(1)
2.9 Externalising the illness, part three: visual exercise
75(4)
Worksheets
79(11)
Module 3 How the eating disorder impacts on interpersonal relationships
90(18)
3.7 Exploring the animal metaphors
94(1)
3.2 Which `animals' does Edi interact with at home and outside the home?
94(1)
3.3 Considering how Edi responds to the animals
95(1)
3.4 Creating productive partnerships
96(4)
Worksheets
100(8)
Module 4 The cycle of change and introduction to communication skills
108(45)
4.1 Stages of Change Model
108(4)
4.2 Decisional balance
112(2)
4.3 Readiness Ruler and DARN-C
114(1)
4.4 OARS (including LESS is more)
115(13)
4.5 Advice giving
128(3)
Worksheets
131(22)
Module 5 Advanced communication skills
153(43)
5.7 Emotional intelligence
154(2)
5.2 Emotion-focused relationships using attend, label, validate, soothe (ALVS)
156(5)
5.3 The reassurance trap and rolling with resistance
161(4)
5.4 Five key principles: DEARS, developing discrepancy, expressing empathy, amplifying ambivalence, rolling with resistance, supporting self-efficacy
165(4)
5.5 Ambivalence: empowering carers when Edi is in pre-contemplation or facing a lapse when in recovery
169(6)
5.6 Hopelessness: empowering carers when Edi feels it is all too much and may be expressing suicidal ideation
175(4)
Worksheets
179(17)
Module 6 Working as a herd of elephants -- collaboration between all carers
196(43)
6.7 Making the most of your family and friends network
197(4)
6.2 Partners, single parents and the exhausted, isolated carer
201(1)
6.3 Siblings and peers
202(2)
6.4 Making the most of the GP appointment
204(3)
6.5 Going to A&E in an emergency -- including medical risk assessment
207(3)
6.6 Collaborating with school/work/university
210(2)
6.7 Building empathy with the care team -- the changing places task
212(2)
6.8 Encouraging collaborative care using motivational language with the care team
214(3)
6.9 Letter-writing to repair ruptured relationships
217(5)
Worksheets
222(17)
Module 7 Exercises for carers to plan for change
239(50)
7.1a Simple reflection exercise
240(1)
7.1b Carers reflecting on the impact of ED on their everyday lives and role modelling self-care using SMART baby steps
240(5)
7.2 A five-step approach to planning for change, incorporating using a spider diagram and planning SMART baby steps
245(1)
7.3 Completing the Accommodation and Enabling Scale for Eating Disorders
246(3)
7.4 Accommodating scenario -- using OARS and the ABC model
249(5)
7.5 Enabling scenario -- using the ABC model to create a menu of options
254(2)
7.6 Carers managing their own emotional responses
256(3)
7.7 Considering the concept of reasonable risk
259(2)
7.8 Coping strategies for carers -- maintaining a healthy balance
261(4)
Worksheets
265(24)
Module 8 Coaching Edi to make their own changes
289(34)
8.1 A five-step approach to plan for behaviour changes
289(3)
8.2 Using the ABC model to understand a behaviour and consider a menu of options
292(3)
8.3 Using DARN-C to elicit change talk
295(3)
8.4 SMART planning for behaviour change
298(5)
8.5 When the carers face unexpected resistance
303(2)
8.6 When the carers face chronic and unrelenting resistance
305(4)
Worksheets
309(14)
Module 9 Reclaiming core family values and house rules and boundaries
323(16)
9.7 Reclaiming normal core family values
324(1)
9.2 Considering house rules and boundaries that are non-negotiable
325(2)
9.3 Talking is a good consequence
327(2)
9.4 Core values and boundaries -- adult sufferers
329(4)
Worksheets
333(6)
Module 10 Managing undereating, re-feeding and overeating
339(44)
10.1 Eating is non-negotiable for everyone
340(2)
10.2 Carers understanding that re-feeding is a huge task
342(2)
10.3 The key steps to restoring regular eating patterns
344(1)
10.4 The Nutritional Risk Ruler
345(2)
10.5 The Nutritional Risk Ruler -- when medical risk is very high
347(1)
10.6 Talking about gaining weight
348(1)
10.7 Communication around mealtimes -- calm and warm
349(1)
10.8 Meal support
350(1)
10.9 Communication and coaching for rigid rules and compensatory behaviours including overeating and purging
351(7)
10.10 Refusal to eat with the family -- using the ABC model to create a menu of options
358(3)
Worksheets
361(22)
Module 11 Managing longer-term difficult behaviours and stumbling blocks
383(16)
11.1 Tolerance of a healthy weight
384(2)
11.2 Body image issues
386(4)
11.3 Self-harm
390(3)
Worksheets
393(6)
Module 12 Relapse, contingency planning and moving on
399(13)
12.7 Timeline example for Edi
399(2)
12.2 Forward planning for difficult life events, the carer perspective
401(2)
12.3 Ups and downs of recovery
403(2)
12.4 Looking forward and stepping back
405(2)
Worksheets
407(5)
Index 412
Jenny Langley is an experienced carer, trained by Gill Todd RMN, MSc to deliver the New Maudsley Carer Skills workshops in the community. She was awarded the Royal College of Psychiatrists Carer Contributor of the Year in 2016.

Gill Todd was Clinical Nurse Leader for Eating Disorders at the Bethlem and Maudsley NHS Foundation Trust. Now retired from the NHS, she runs carers' skills workshops and trains facilitators to run the workshops.

Janet Treasure is a leading figure in the field of eating disorders. She is a psychiatrist at South London and Maudsley Hospital, and is an international expert with extensive academic and clinical experience.