Introduction: What is ACT?
1. The Phenomenology and Conceptualization of Anorexia Nervosa from
an ACT Perspective
2. Overview, Orienting Clients to Treatment, and Forming a
Therapeutic Alliance
3. ACT Case Formulation, Assessment, and Treatment Planning
4. Weight Restoration
5. Working with Parents, Partners, or Other Family Members of
Individuals with Anorexia Nervosa
6. Creating a Context for Change
7. Acceptance: Allowing Unwanted Internal Experiences
8. Helping Clients Author and Engage Personal Values
9. Defusing Language and Contacting the Present Moment
10. Sensing the Self
11. Treatment Progress and Termination and Final Thoughts for the
Therapist
Rhonda M. Merwin, PhD, is Associate Professor in the Department
of Psychiatry and Behavioral Sciences at Duke University Medical
Center. She is Director of the ACT at Duke Program, which conducts
training, clinical services, and research in acceptance and
commitment therapy (ACT), and is a core clinical, research, and
teaching faculty member at the Duke University School of Medicine.
Dr. Merwin’s career has focused on using contextual behavioral
science to understand and treat anorexia nervosa and maladaptive
eating and weight control among individuals with type 1 diabetes.
Dr. Merwin is recognized as an ACT trainer and has collaborated
with the Duke Center for Eating Disorders since 2006.
Nancy L. Zucker, PhD, is Associate Professor in the Department of
Psychiatry and Behavioral Sciences at Duke University Medical
Center. She is Director of the Duke Center for Eating Disorders and
a core clinical, research, and teaching faculty member at the Duke
University School of Medicine. Widely published, Dr. Zucker is an
author of the American Psychiatric Association's revised practice
guidelines for the treatment of eating disorders, currently under
development. Dr. Zucker's clinical work and research focus on how
to help young people develop a healthy awareness of their bodies’
signals, and learn to match these signals to actions that allow
them to flourish.
Kelly G. Wilson, PhD, is Professor of Psychology at the University
of Mississippi. He is a codeveloper of acceptance and commitment
therapy (ACT). Dr. Wilson is coauthor of Acceptance and Commitment
Therapy, Second Edition, and has published numerous other books,
articles, chapters, treatment manuals, and technical reports. Dr.
Wilson trains and consults internationally on the design and
implementation of behavioral treatments. His work includes the
investigation of acceptance, mindfulness, and values-oriented
strategies in the treatment of a variety of problems in living, as
well as in the basic behavioral science underlying therapeutic
change.
"A treasure trove of clinically useful material aimed at helping
individuals change restrictive eating patterns. The principles of
ACT, including the use of patients' own values and beliefs to
inform their behavioral choices, are well matched to the needs of
individuals with AN. With clarity and compassion, the authors offer
the clinician practical strategies to help patients move toward
health."--Evelyn Attia, MD, Department of Psychiatry, Columbia
University Medical Center; Director, Center for Eating Disorders,
New York Presbyterian Hospital
"This book sits atop a growing body of evidence that psychological
flexibility is of direct relevance to patients struggling with AN.
It is one thing to know that a set of change processes are
relevant, and another to learn how best to target them. This book
is the first comprehensive attempt to teach providers how to treat
AN using a rich variety of techniques drawn from ACT and the third
wave of cognitive-behavioral therapy. ACT is early in its journey
as an evidence-based approach in this area, but this well-written
book opens up new pathways to explore when existing gold-standard
approaches are not enough. Highly recommended."--Steven C. Hayes,
PhD, codeveloper of ACT; Foundation Professor of Psychology
Emeritus, University of Nevada, Reno
"This book is a gift--it is an accessible read that offers a wealth
of new ways to respond to the unrelenting rigidity that can
characterize restrictive eating behaviors. Extensive
client–therapist dialogues and clinical metaphors help clinicians
decode the atypical thinking that supports excessive restriction
and illustrate a fresh approach to treatment. The authors are
highly experienced, and their personal responses throughout the
manual provide much-needed validation for therapists working to
manage their own reactions to these challenging clients."--Linda W.
Craighead, PhD, Department of Psychology, Emory University
“This book gives us the rarest of combinations--authors with a
strong command of assessment and treatment of AN, and a stunning
array of clinician support tools that allow even the novice
therapist to execute the ACT approach with a high degree of
fidelity. The writing style is intensely practical; many highly
informative case examples and clinical dialogues demonstrate the
core features of ACT. The authors do a wonderful job of
constructing a biopsychosocial treatment framework that flawlessly
balances the role of psychological and medical
interventions."--Kirk Strosahl, PhD, co-developer of ACT
“The authors have provided an invaluable volume for those
interested in understanding or treating this vexing, challenging
illness. ACT is particularly well suited to address the cognitive
rigidity, avoidance of emotion, and narrowing of experience that
characterize AN, and to promote the clarification of personal
values needed to build a meaningful life. The book is rich with
clinical examples and transcripts, as well as therapist resources
and reproducible tools."--Marsha D. Marcus, PhD, Department of
Psychiatry, University of Pittsburgh School of Medicine -
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