Total CE Credit Hours: 2
Course Info URL: https://www.ce-credit.com/courses/101702
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About the Course:
Audio presentation from the 2009 International Association of Eating Disorders Professionals Symposium.
Note: For this course there is a small additional fee to obtain the audio presentation. Please see the “Get Course Materials” link in the right sidebar for details.
Eating disorders have proven to be highly refractory to treatment in as many as a third of the patients seen in therapy. There have been a number of attempts to define what maintains a eating disordered behavior even in the face of therapeutic zeal. Most models of eating disorder maintenance, including cognitive-behavioral and psychosocial, omit critical facets of these problems. Using a psychobiological approach, this presentation offers a model of how eating disorders become stably persistent and how elements of newer therapies derived from contextual psychology and attachment theory can intervene to break the maintenance cycle of eating disorders.
II. Models of maintenance of eating disorders
A. Cognitive behavioral
C. Functional contextualist
III. The eating disorder maintenance cycle
A. Elevated emotional drives
B. Unreliable discrimination of safety and danger
C. Chronic anxiety
D. Decreased mentalization and awareness of intrinsic values
E. Increased negative emotions and decreased positive emotions
F. Low self-directedness and emotion-dependent behavior
G. Habitual modulation of emotions with eating disorder
H. Reinforcement of chronic anxiety
IV. The need to elevate character
A. Regulation of emotional drives is a function of character
B. Elevation of character correlates with self-awareness
C. Emotional intelligence correlates with elevation of character
D. Eating disorders impede character growth
V. Values awareness
A. Values provide life direction
B. Values provide a context for actions
C. Values provide a context for emotions
D. Values help determine the utility of emotions and thoughts
E. Self-directedness is difficult, if not impossible, without awareness of values
F. Negative experiences are not tolerated well without a values context
VI. Intrinsic versus instrumental values
A. Intrinsic values are core values emanating from our human nature
B. Instrumental values are a means to getting something else
C. Instrumental values do not pass the “isolation test”
D. Most eating disorder values are instrumental relating to management of negative emotions
VII. Values assessment
A. Intrinsic values are the source of positive emotions
B. Intrinsic values reflect the information already within us (our own nature)
C. Intrinsic values relate to our intuitive senses
D. Values are hierarchical
VIII. Mentalizing—having mindsight
IX. What does non-mentalizing look like?
A. Excessive detail to the exclusion of motivations, feelings, or thoughts
B. Focus on external social factors, such as the school, the government, the neighbors
C. Focus on physical or structural labels
D. Preoccupation with rules, responsibilities, “should” or “should nots”
E. Denial of involvement in problems
F. Blaming or fault finding
G. Expressions of certainty about the thoughts or feelings of others
X. Mentalizing stance of therapy
XI. Summing up Breaking the Maintenance Cycle of Eating Disorders
This course is based on the cassette, Breaking the Maintenance Cycle of Eating Disorders created by Emmett R. Bishop, MD, FAED, CEDS and Kenneth L. Weiner, MD, FAED, DFAPA
Course Material Authors
Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
This course is recommended for health care professionals, especially psychologists, therapists, and counselors who seek to update their research knowledge and competency in treating patients with eating disorders, increase and acquire new skills, learn new intervention strategies, and obtain continuing education credits. It is appropriate for professionals at all levels of knowledge.
After taking this course, you should be able to:
- Following this presentation, participants will be able to explain how temperament elevates emotional drives.
- Following this presentation, participants will be able to explain mentalization.
- Following this presentation, participants will be able to describe the eating disorder maintenance cycle.
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