chapter  13
22 Pages


Introduction This chapter describes our Parent-Assisted Meals and Snacks (PAMS) approach, a nutrition-counseling approach derived from the family-based treatment (FBT) research first conducted at the Maudsley Hospital in London in the 1980s and 1990s. Beginning in the mid-1990s, Stanford University launched a research initiative on FBT also known as the Maudsley approach or the Maudsley method. Published studies demonstrate the effectiveness of FBT for anorexia nervosa (AN) in children and adolescents, with full remission at both 12 months and 5 years (Lock, Le Grange, Agras, Moye, Bryson, & Jo, 2010). Recent studies show that the most powerful aspects of FBT lie in the parents taking control, being united, not criticizing the patient, and externalizing the ED (Ellison et al., 2012). The publication of several FBT treatment manuals for AN and bulimia nervosa (BN; Lock, Le Grange, Agras, & Dare, 2001; Le Grange & Lock, 2007) led to the establishment of FBT programs in university centers in the United States, Canada and Australia. FBT is a based on the five tenets listed in Box 13.1 (Lock, 2011, p. 232).