ABSTRACT

The publication four years ago of Getting Better Bit(e) by Bit(e), written by two eating disorder specialists at London's world-famous Maudsley Hospital, was a milestone in the treatment of bulimia.

For the first time a self-help book was shown, by rigorous clinical trials, to cure a significant fraction of women suffering from bulimia, and to reduce the therapist contact time needed by others. Getting Better Bit(e) by Bit(e) offered an efficient way of treating bulimic patients, which would be valued by any resource-conscious health service.

The authors of Getting Better Bit(e) by Bit(e) have now written this Clinician's Guide, to help health care professionals maximize the benefit that patients obtain from the self-help book. Based on the authors' wide-ranging experience of treating eating disorder patients, it provides a step-by-step account of how the chapters in Getting Better Bit(e) by Bit(e) can be used to ameliorate various aspects of bulimics' difficulties, with examples drawn from real patients' case histories. Particular emphasis is given to the problem of motivating patients who are reluctant to change their behaviour, using Miller and Rollnick's motivational interviewing approach.

The Clinician's Guide to Getting Better Bit(e) by Bit(e) will be invaluable for all those treating sufferers of bulimia.

chapter

Introduction

chapter Chapter One|11 pages

The Way Forward

chapter Chapter Two|9 pages

Tools for the Journey

chapter Chapter Three|12 pages

Dieting: A Health Warning

chapter Chapter Six|7 pages

Learning to Feel Good about Your Body

chapter Chapter Seven|13 pages

Jack Spratt's Wife: Being Fatter May be Better

chapter Chapter Eight|4 pages

Relapse: Walking In Circles—Or Not

chapter Chapter Nine|11 pages

The Wounds of Childhood

chapter Chapter Ten|13 pages

Food for Thought

chapter Chapter Eleven|7 pages

Finding Your Voice

chapter Chapter Twelve|9 pages

The Seduction of Self-destruction

chapter Chapter Fourteen|7 pages

Working to Live, Living to Work

chapter Chapter Fifteen|3 pages

Is this the End of the Journey—Or Not?