ABSTRACT

Given the limited efficacy of maintenance models such as cognitive behavioural therapy (CBT) in the treatment of eating disorders (EDs), there has been increased attention dedicated to exploring the role of deeper level factors such as core beliefs and schemas in the eating disorders literature. One model, which integrates both developmental and deeper level personality factors, is the schema model developed by Jeffrey Young. Schema therapy (ST) has shown promising outcomes in recent randomised trials for a range of personality disorders and other complex psychological problems. On this basis it appears to be ideally suited to working with the ED population. This chapter introduces the reader to what ST is, highlighting the most prevalent modes in this population, and articulating why this treatment should be considered as a second line of treatment for adults with eating disorders who either have not responded to CBT or have stopped making progress. The aim of this book is to encourage further clinical research on the schema mode model, and to guide individuals to deliver ST for EDs confidently and successfully.