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Read or Download Eating Disorders: Cognitive Behavioural Therapy with Children and Young People (Cbt With Childrenm Adolescents and Familes) PDF
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Extra resources for Eating Disorders: Cognitive Behavioural Therapy with Children and Young People (Cbt With Childrenm Adolescents and Familes)
As is usually the case, although Fiona felt some frustration at seeing the cycle she had got into with her eating, she felt a sense of relief at seeing this in black and white. 1 Fiona’s initial bulimia nervosa formulation Formulations should be simple and clear and highlight key relationships Formulating anorexia nervosa cases The same principles described above apply to case formulation in restricting cases. The main diﬀerence tends to be the emphasis on the eﬀects of starvation (emotional, cognitive and behavioural), which the therapist should have elicited during the assessment.
They can also be powerful in enabling access to specialist services or additional support. However, they oﬀer a limited understanding of individual complexities, as they tend not to take into account the heterogeneous nature of diﬃculties. A case formulation model enables moods, cognitions and behaviours that contribute to these types of diﬃculties to be fully understood. Such an understanding not only enables therapists to treat unusual or atypical problems that may be aﬀecting the eating disorder but also helps them understand and manage more general diﬃculties that arise in treatment (such as resistance to homework), in the same way that those making up the ‘problem’ being treated are understood.
It can be argued that a degree of cognitive sophistication is required to develop and maintain an eating disorder. The ﬁnding that eating disorders are very rare before pubescence can be seen as indicating that a combination of physical, social and cognitive maturity is required. That is to say, some cognitive awareness of how others see you and how your future might be shaped by life choices is probably necessary to form concerns about shape and how these aﬀect relationships. Furthermore, a belief about how eating behaviour might inﬂuence thoughts, feelings and relationships often underlies dieting choices.