Based on the only evidence-based randomized controlled trial yet undertaken in patients with severe and enduing anorexia nervosa, Managing Severe and Enduring Anorexia Nervosa uses the results of that trial to present a new paradigm for treatment. Moreover, this informative new text assembles the leading scientists across three continents to provide a comprehensive overview and new paradigm for treatment and stimulate interest in the development of new psychosocial approaches. Students, clinicians, and researchers in the field of eating disorders will find this edited volume a valuable reference handbook in the clinical management of patients with anorexia nervosa.
“Stephen Touyz and his co-authors are to be complimented on this, “overdue and timely“ textbook shedding light on the neglected area of severe and enduring anorexia nervosa – and stimulating interest in new treatment approaches for this particular patient group.”—Professor Stephan Zipfel, Centre of Excellence for Eating Disorders, University of Tuebingen, Germany
“People in the severe enduring stage of anorexia nervosa differ both in the form of presentation and their care needs to people in the early stage of anorexia nervosa . Prolonged malnutrition has severe consequences on brain, body, and social functioning. The enigma posed by this stage of anorexia nervosa is clarified by chapter in this book written by leaders in research and clinical practice which map the underlying maintenance mechanism and treatment targets.”—Professor Janet Treasure OBE, PhD, FRCP, FRCPsych. IOPPN, Kings College London and South London and Maudsley Hospital
“This multi-author book made me want to weep with joy. Written by leading authorities in the field it focuses on the plight of a neglected group of patients, and as such it addresses a major gap. Packed with research knowledge, clinical wisdom, and describing the lived experience and journey to recovery of one long-term anorexia sufferer, it provides enlightenment and gives hope to sufferers, families, and clinicians alike. This will be a classic.”—Ulrike Schmidt, MD PhD FRCPsych FAED, Professor of Eating Disorders, King’s College London, UK
“Touyz, LeGrange, Lacey, and Hay treat what is possibly the most important concern in the eating disorders field in a volume that is sensitive, well-balanced, comprehensive, and (it is no understatement) paradigm shifting. Their book blends attunement to latest evidence with that kind of clinical savvy that is the mark of the most seasoned of clinician-scientists.”—Howard Steiger, PhD, Head, Eating Disorders Continuum, Douglas University Institute, Professor, Psychiatry Department, McGill University
1 What Do We Know About Severe and Enduring Anorexia Nervosa? 2 Quality of Life and Psychosocial Functioning in Severe and Enduring Anorexia Nervosa. 3 Perpetuating Factors in Severe and Enduring Anorexia Nervosa. 4 How Does Anorexia Nervosa Become Resistant to Change? 5 Treating Severe and Enduring Anorexia Nervosa: A Randomized Control Trial. 6 Managing the Patient with Severe and Enduring Anorexia Nervosa. 7 Specialist Supportive Clinical Management for Severe and Enduring Anorexia Nervosa (SSCM-SE): A Clinician’s Manual. 8 Cognitive Behavioral Therapy for Severe and Enduring Anorexia Nervosa. 9 Administering Treatments for SE-AN: Examples from Treatment Experiences. 10 Who is Best Placed to Treat Clients with Severe and Enduring Anorexia Nervosa? 11 Hospital Admissions in Severe and Enduring Anorexia Nervosa: When to Admit, When Not to Admit, and When to Stop Admitting. 12 Is Involuntary (Compulsory) Treatment Ever Justified in Patients with SE-AN: An International Perspective. 13 Severe and Enduring Anorexia Nervosa: A New Approach to its Diagnosis, Features, and Treatment. 14 The Role of Palliative Care in Severe and Enduring Anorexia Nervosa. 15 Treating Males with SE-AN: Different than Females? 16 Pharmacotherapy and Novel Biological Approaches in SE-AN: Helpful or Harmful? 17 A Life Wasted: The Patient Perspective.