Anorexia Nervosa - Clinician's Pack: (1) Guidelines for Assessment and Treatment in Primary and Secondary Care (2) The Wish to Change (3) Patient's Log Book, 1st Edition (Paperback) book cover

Anorexia Nervosa - Clinician's Pack

(1) Guidelines for Assessment and Treatment in Primary and Secondary Care (2) The Wish to Change (3) Patient's Log Book, 1st Edition

By Professor A H Crisp, Lisa McClelland, Neil Joughin, Chris Halek, Carol Bowyer

Psychology Press

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Paperback: 9780863774126
pub: 1996-03-28
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Anorexia Nervosa: Guidelines for Assessment and Treatment in Primary and Secondary Care" is based on Professor Crisp's long-standing views which came to be known as the "St George's" approach to anorexia nervosa. The book aims to outline in a clear, practical way the minimum intervention necessary within primary and secondary care settings if the psychopathology of this serious and life-threatening illness is first to be identified and then treated with some hope of success.; The approach outlined in the book is an attempt at a time-limited and meaningful intervention in the assessment and care of anorexia nervosa. The approach involves concurrent use by both patient and therapist and also, to some extent, the family of the "self-help" book "Anorexia Nervosa: The Wish to Change" and the "Patient's Log Book". Together, the three books form this clinician's pack. "Anorexia Nervosa: The Wish to Change" and the "Patient's Log Book" are also available separately.


A sufferer writes: This book [The Wish to Change], I can safely say, changed my entire life. I read it over and over again and I could not put it down. It all made so much sense. For the first time in my life, I could really relate to it and understand why and how I was feeling this way and most of all how I could overcome this disease.

Table of Contents

Book I: Guidelines for Assessment and Treatment in Primary and Secondary Care


I Introduction

The Nature of the Psychopathology - Differential Diagnosis

II Approach to the Assessment

Psychopathology, Physical Findings, Investigations, Pregnancy and Motherhood in Anorexia Nervosa

III Treatment

Assessment, Intervention 1, Interventions 2-15, Interventions 6-9, Interventions 10-13, Planning follow-up, When to admit to hospital, Use of the Mental Health Act, Physical treatments

IV Tertiary Referral

Relationship to specialist centres, Indications for referral



Appendices 1-3

Book II: The Wish to Change


Chapter 1 - What is Anorexia Nervosa? Our view and our messages

Chapter 2 - How to change the 30 steps

Chapter 3 - Work Section

Chapter 3a - Exploratory Exercises

Chapter 3b - On-going exercises

Chapter 4 - Practical Information Section

Book III: Patient's Log Book

This is your Log Book, Reading List, Overall Treatment Programme, Target Weight Programme (Self-Evaluation sessions and tables), At and After Target Weight, Continued growth, struggle and fulfilment, Personal Diary.

About the Authors

Arthur Crisp is emeritus professor of psychological medicine in the University of London's St George's Hospital Medical School. He has treated patients suffering from Anorexia Nervosa for over 35 years and has researched the condition extensively.

Lisa McLelland was lecturer in psychiatry at St George's and worked with Professor Crisp in the Anorectic Unit. The other authors all worked in his team at St. George's for some years and are recognised authorities in their respective eating disorders fields.

Neil Joughin is now a consultant psychiatrist working independently and continuing to develop his interest in eating disorders.

Chris Halek is currently senior nurse practitioner, ANNEX Nursing Development Unit, which provides out-patient services for people with eating disorders at Pathfinder Mental Health Services NHS Trust.

Carol Bowyer is now working as a dietician for an eating disorders service within the private sector.

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