chapter  6
56 Pages

Management and finding common ground

ByKathleen M Berg, Dermot J Hurley, James A McSherry, Nancy E Strange, ‘Rose’

This chapter provides an in-depth look at the work of four key clinicians who deal with eating-disordered patients and their families. Perspectives are offered from psychology, family therapy, nutrition and family medicine. Nutritional management is then reviewed in detail, with the goal of normalizing eating habits and reviewing barriers to normal eating. An overview of management from the family physician’s perspective is provided which looks first at medical complications that arise in the management of patients with eating disorders. Helping affected individuals engage in therapy is one of the most challenging aspects of eating-disorders management. Didactic approaches concentrate on imparting information and teaching specific skills such as assertion, normalization of eating patterns/nutrition counseling and stress management. Interactional approaches are insight-oriented, longer-term and tend to focus more on underlying psychological and interpersonal issues than on the management of eating, weight and physiological symptoms.