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About This Book
A Process-Focused Guide to Treating Eating Disorders with ACT
At some point in clinical practice, most therapists will encounter a client suffering with an eating disorder, but many are uncertain of how to treat these issues. Because eating disorders are rooted in secrecy and reinforced by our culture''s dangerous obsession with thinness, sufferers are likely to experience significant health complications before they receive the help they need. Acceptance and Commitment Therapy for Eating Disorders presents a thorough conceptual foundation along with a complete protocol therapists can use to target the rigidity and perfectionism at the core of most eating disorders. Using this protocol, therapists can help clients overcome anorexia, bulimia, binge eating disorder, and other types of disordered eating.
This professional guide offers a review of acceptance and commitment therapy (ACT) as a theoretical orientation and presents case conceptualizations that illuminate the ACT process. Then, it provides session-by-session guidance for training and tracking present-moment focus, cognitive defusion, experiential acceptance, transcendent self-awareness, chosen values, and committed action-the six behavioral components that underlie ACT and allow clients to radically change their relationship to food and to their bodies. Both clinicians who already use ACT in their practices and those who have no prior familiarity with this revolutionary approach will find this resource essential to the effective assessment and treatment of all types of eating disorders.
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Table of contents
- Acknowledgments
- Letter From the Series Editor
- Preface
- Introduction: New Perspectives on the Treatment of Disordered Eating
- Part 1: Foundations of ACT
- 1. What Is ACT?
- 2. What Are Eating Disorders?
- 3. Where Do Eating Disorders Come From and How Do They Work?
- 4. The Goals and Targets of ACT for Eating Disorders
- Part 2: Delving into ACT
- 5. Training Present-Moment Focus
- 6. Training Cognitive Defusion
- 7. Training Experiential Acceptance
- 8. Training Transcendent Self-Awareness
- 9. Training Valued Living
- 10. Training Committed Action
- 11. Measuring and Making Change
- Part 3: Sample Protocol (What This Work Might Look Like)
- 12. Phase 1: Choosing Direction
- 13. Phase 2: Building Flexibility in the Therapy Session
- 14. Phase 3: Bringing Flexibility to Bear in Daily Life
- Conclusion: What Now? Integration and Reconceptualization
- Appendix A: Body ImageâAcceptance and Action Questionnaire (BI-AAQ)
- Appendix B: Process Notes
- Appendix C: Template for Assessment Plan
- Appendix D: Template for Self-Monitoring Food Diary
- Appendix E: Blank Hexaflex
- Appendix F: Hexaflex Functional Diagnostic Experiential Interview (HFDEI)
- Appendix G: Example Narrative Conceptualization
- Resources
- References