"New Directions for the Home Treatment of Eating Disorders"

This is the title of a lecture given by Janet Treasure at Gresham College in the UK. The entire transcript is online, and so is the audio file. I didn't listen to the audio version, and so I can't tell you what the quality is.

But it is an enlightening lecture, and I'm really glad the folks at Gresham put it up online.

Several interesting parts:

What we now need to do, very urgently, is to try and find treatments for people who are treatment-resistant: people who have had treatment for a long time, or had the family treatment, and it has not really helped. The most important thing though is that we tailor our treatments, rather than just taking off-the-peg treatments, therapies, that are used for other conditions, because if we can know what is keeping the illness going, we might be able to specifically work on that and produce change.

We try and help people with anorexia nervosa develop these traits and behaviours that go against some of the things that make them at risk, and so help them to be more flexible, help them to be more emotionally intelligent, help them to be less rigid, and not to focus on detail or to avoid emotions.

I hope I have shown you how we can now be developing new treatments for eating disorders by focusing on these factors that can keep the eating going, and we are now developing workshops where we can teach carers the skills that we have learnt in the specialist units, so we hope that family members can deliver early interventions which we know are so important, because once the illness has progressed for a long time, you get a lot of secondary effects, changes in the brain, for example, that make change difficult. We need to concentrate not just on the content of what people say, but how they think; to try to enable them to have different strategies of thinking, and use remediation in this, and show them how to use their emotions. Culture does shape the form and behaviour of discontent, and that very much has shaped the development of bulimia nervosa that started mainly in women born after the Fifties. It can have a big impact on the maintenance of anorexia nervosa, but what we now think is that the main mechanisms causing these eating disorders are interactions between the genes and the environment that can interact with brain mechanisms, or produce brain mechanisms, that can keep the illness going.

This is thinking that is very clear and very holistic. Not holistic as in sniff-some-patchouli-and-go-home-dear, but holistic as Treasure looks at the problem of eating disorders from a personal, psychological, biological, and societal viewpoint. It's a fairly quick read, and I had to restrain myself from posting the whole thing verbatim.

Off to bed!

posted under , , |

13 comments:

Anonymous said...

Very nice. Thanks for posting this.

Anonymous said...

Carrie-

Thanks for sharing this excellent transcript.

I have only skimmed thus far-- will dig in more later, but I really resonate with Ms Treasure's metaphorical descriptives and utility within working with both patients and assisting families. Makes it very user-friendly for parents and caregivers-- which is always a plus.

The idea of being "more like the Sun" vs the North Wind (well, I know I've blown quite a few gusty winds, but have also let the Sun shine too!)

"Motivational Interviews"... I like that, but since I haven't fully read the article, did I miss what specifically what is meant by this other than the Columbo analogy? Hmmm... like it!

Isn't it both interesting and annoying that this transcript is from '06 and you really don't hear, read or see the majority of this being offered up to parents and families in a much wider and broader scope? Either I'm living under a rock (not!) or many of us have been doing much of this on our own regardless of the lag.

Clinicians need to be working with families much more and making sure the resources, literature and info is amply available. It's not going to do much good if all the researchers are merrily going about publishing to only peer reviews, etc. and basically only circulating within narrow and limited audiences/readership. It doesn't stop there...

Some things are always the most basic though:

*CALM*COMPASSIONATE&CONSISTENT*
as well as plenty of nutrition.

Oh... I sense my North Wind is blowing again!

ciao-

Carrie Arnold said...

Jane,

Why you're welcome.

Tracey,

I'm the queen of metaphor. I don't believe that anorexia itself is a metaphor for anything, but that the use of metaphor can be so beneficial to helping sufferers and their families.

I was wondering about the motivational interviews, too. Maybe I'll email Stephanie about that, and troll through PubMed.

(...wait...did I feel a breeze?)

Carrie

Anonymous said...

Dank Dr. Ofemo Botaniker, die völlig dieses Virus aus dem Körper zu behandeln konnte mittlerweile sah ich so viele Beweise und viele Zeugnisse Wirkung que. Ein Freund verwies mich an Dr. Ofemo aus Afrika, der ihn von Herpes-Virus geheilt und sagte mir, que er mich von HERPES heilen konnte. Zuerst dachte ich nie, bis ich mit ihm Kontakt hergestellt hatte und sagte mir keine Sorgen zu machen que er mir helfen wird, erhielt ich die Heilung von ihm durch DHL LIEFERN. Aber zu meiner Überraschung es funktioniert und mein Arzt bestätigt es auch die que glauben konnte, Kräutermedizin Herpes heilen kann also, wenn Sie irgendein Problem Herpes, HIV, Herpes, Krebs, ALS, Hepatitis B, diabetische, ist mein Rat an Sie alle, die denkt, que ihr ist keine Heilung für Herpes Das ist nur ihm und Heilung von Dr. Ofemo Kräuter aller Art von Krankheit Heilung Heilung bekommen Kontakt nicht wahr ist, dass Sie Verzögerung bei der Behandlung zum Tode führt have.Remember kann drofemospelltemple@yahoo.com eine E-Mail oder rufen Sie ihn oder WhatsApp + 2348163387496.for mehr Informationen Sie sind seine E-Mail kontaktieren: drofemospelltemple@gmail.com

rosesharon said...

God bless Dr.Edidia for his marvelous work in my life,my name is rose
sharon I was diagnosed of HERPES since 2012 and I was taking my
medications, I wasn't satisfied i needed to get the HERPES out of my
system, I searched about some possible cure for HERPES i saw a comment
about Dr Edidia how he cured HERPES with his herbal medicine, I contacted
him and he guided me. I asked for solutions, he started the remedy for my
health, he sent me the medicine through UPS SPEED POST. I took the medicine
as prescribed by him and 14 days later i was cured from HERPES, Dr.edidia
truly you are great, do you need his help also? Why don't you contact him
through dredidiaherbalhome@gmail.com or whatsapp him with +2349074505296 and you can also contact me to know more about him on my email rosesharon915@gmail.com DOCTOR EDIDIA CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HIV/AIDS 2. HERPES 3. CANCER
4. ALS 5. Hepatitis B 6. Diabetes 7. Athrux, 8. trypophobia 9.hpv 10 pregnacy spell and bring back your ex back 11 scabies 12. STD 13. trichomoniasis. 14. parasitic and protozoa disease................

rosesharon said...

God bless Dr.Edidia for his marvelous work in my life,my name is rose
sharon I was diagnosed of HERPES since 2012 and I was taking my
medications, I wasn't satisfied i needed to get the HERPES out of my
system, I searched about some possible cure for HERPES i saw a comment
about Dr Edidia how he cured HERPES with his herbal medicine, I contacted
him and he guided me. I asked for solutions, he started the remedy for my
health, he sent me the medicine through UPS SPEED POST. I took the medicine
as prescribed by him and 14 days later i was cured from HERPES, Dr.edidia
truly you are great, do you need his help also? Why don't you contact him
through dredidiaherbalhome@gmail.com or whatsapp him with +2349074505296 and you can also contact me to know more about him on my email rosesharon915@gmail.com DOCTOR EDIDIA CAN AS WELL CURE THE FOLLOWING DISEASE:- 1. HIV/AIDS 2. HERPES 3. CANCER
4. ALS 5. Hepatitis B 6. Diabetes 7. Athrux, 8. trypophobia 9.hpv 10 pregnacy spell and bring back your ex back 11 scabies 12. STD 13. trichomoniasis. 14. parasitic and protozoa disease................

Fethiye Flensburg said...

Hi Friends i am so glad to writing this article today to tell the world how Dr odugu cured my HSV VIRUS,i have been detected with HSV-1 AND HSV-2 since five years ago, ever since then my life has been in complete bizarre and agony,i have used so many drugs that was prescribed to me by several doctors,but it didn’t cure my HSV VIRUS neither did it reduce the pain,until a certain i was checking for solution in the internet,then miraculously came across Dr Oduguthe powerful herbalist that cure numerous individuals HSV-1 AND HSV-2 INFECTION,then i contacted his email: oduguspellcaster@gmail.com i explained everything to him and prepared a cure that cure my HSV-1 AND HSV-2 disease totally after receiving his herbal medicine, so my friends viewers why wait and be suffer when there is someone like Dr Oduguthat can cure any disease HIV/ CANCER/ HEPATITIS B VIRUS, you can contact his via:oduguspellcaster@gmail.com

Fethiye Flensburg said...

Hello, my name is Oliver Macr Thomas, I was diagnosed of herpes in 2014 and I have tried all possible means to get cure but all to no avail, so luckily one day as i was browsing through the Internet searching for remedy on herpes, and i saw comment of people talking about how DR. ODUGU cured them,so I contacted him base on the testimonies I’m seeing about him on the internet, I was cured too by him, kindly contact him today through his email he can help you oduguspellcaster@gmail.com OR you can also whatsap him on +2348151761795 and so he can cure all types of diseases like HIV/AIDS,HEPATITIS B,DIABETICS,CANCER,HERPES,LOW SPERM CAM. Thank you Dr.ODUGU, for saving my life.

Unknown said...

Still don’t know the right words to express my Gratitude to the Great Traditional Herbal Healing Centre After been diagnosed of hepatitis B in 2014, i was given so many health prescription and advice with no improvement, I totally lost hope, until i found testimonies of Traditional Herbal Healing Centre in an online research and on Facebook, Like anybody would be, I was very skeptical about contacting them, but i later did email them and they started the remedies for my health. Thank God, i was cured from hepatitis by the herbal medication I received from Traditional Herbal Healing Centre. I never thought that hepatitis can be cured, from the bottom of my heart I’m truly grateful,Contact Traditional Herbal Healing Centre, Email: traditionalherbalhealingcentre(at)gmail(dot)com you can reach me for WhatsApp in case you need more tip about doctor Emmanuel in my life at +1(267)527-3606........

Unknown said...

God bless Dr. Bude for his marvelous work in my life, I was diagnosed of Hepatitis B Disease since 2014 and I tried several medications hoping it could cure me but it didn't, I needed to get these Hepatitis B disease out of my system, I searched about some possible cure for the disease and i saw some amazing comments about Dr. Bude herbal home and how he cured others of Hepatitis B Disease with his herbal medicine, I contacted him for help and he guided me. I immediately asked for a herbal cure option of Hepatitis B solutions, and he started the remedy for my health, he sent me the medicine through Dhl Delivery Service. I took the medicine as prescribed by him and 1 week and 5days later i was cured from Hepatitis B disease, thank you sir for all your help that you have given to me to be cured. Contact Dr Bude on his Email:Email:budespelltemple@hotmail.com or budespelltemple@gmail.com and his contact +2348138666235

RODGERS said...

I was haven herpes 2 on my private part. I have had them for about 2 and a
bit years. I am so scared what my mates are going to says if there should
fined out i have herpes on my private part and due to the virus my
girlfriend broke up with me. I have been to the Doctors 9 times to get it
treated. They all come back. I have been using Tee Tree Oil and Wartner
(You freeze them at home) and they seem to be keeping the smaller herpes
small but they can't seem to treat the larger ones. They don't get any
bigger, but then they can't shrink as much. They get smaller a little part
at a time. At least they are getting smaller! As soon as I see a new herpes
appearing, then I treat it. At the moment I have been using Tee Tree twice
a week and then using Wartner every 2 weeks. I was wondering if there was
any other information about how to get rid of it. I am only a teenager and
I hate it most when it get pi-chins me to scratch it, it get sweets when
scratching it most times! I want to get rid of it so bad! DR.ONOMEN website
has been a huge help and has helped me realize a lot more about me and my
family of genital herpes! so that was when i switch for natural remedy to
see if there could be any help by herbal remedy, i search and i saw a great
posts by Sarah devise adebayo ehijactor and shanttel Merritt on about the
great herbal doctor that get them rid of there disease infection. and this
great herbal doctor was called DR.ONOMEN so that was when i contacted him
for my own treatment and he prepared me some herbs which i takes for some
couples of days, and i take it as he says before i am to no me and my
family was perfectly cure for it and never experience it again. please
friends if you have herpes virus and you really wants to get rid of it,
please contact this great DR.ONOMEN for herbal treatment and you will get
rid of it. EMAIL. [dr.onomenspellhome@gmail.com]


cell phone contact +2349060414377
his whatsapp contact is +2349060414377


THANK TO YOU ALL FOR YOUR TIME OF READY MY TESTIMONY AND MOST ESPECIALLY
YOU DR. ONOMEN I PRAY TO GOD TO NEVER LET ME AND MY FAMILY FORGET YOU IN
OUR LIFE'S

rebecaa alix said...

God bless Dr. abaka for his marvelous work in my life, I was diagnosed of HERPES since 2013 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. abaka, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the herbal medicine through UPS SPEED POST. I took the medicine as prescribed by him and 14 days later i was cured from HERPES, Dr.abaka truly you are great, do you need his help also? Why don't you contact him through email:{drabakaspelltemple@gmail.com} thanks

lucia rice said...

God bless Dr. abaka for his marvelous work in my life, I was diagnosed of HERPES since 2013 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr. abaka, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the herbal medicine through UPS SPEED POST. I took the medicine as prescribed by him and 14 days later i was cured from HERPES, Dr.abaka truly you are great, do you need his help also? Why don't you contact him through email:{drabakaspelltemple@gmail.com} thanks

Post a Comment

Newer Post Older Post Home

ED Bites on Facebook!

ED Bites is on Twitter!

Search ED Bites

People's HealthBlogger Awards 2009
People's HealthBlogger Awards 2009 - Best 100 Winner!
Wellsphere

About Me

My photo
I'm a science writer, a jewelry design artist, a bookworm, a complete geek, and mom to a wonderful kitty. I am also recovering from a decade-plus battle with anorexia nervosa. I believe that complete recovery is possible, and that the first step along that path is full nutrition.

Drop me a line!

Have any questions or comments about this blog? Feel free to email me at carrie@edbites.com



nour·ish: (v); to sustain with food or nutriment; supply with what is necessary for life, health, and growth; to cherish, foster, keep alive; to strengthen, build up, or promote



Archives

Popular Posts

Followers


Recent Comments