Cognitive Behavior Therapy with Body Image Exposure for Bulimia Nervosa: A Case Example

Autor/inn/en	Delinsky, Sherrie S.; Wilson, G. Terence
Titel	Cognitive Behavior Therapy with Body Image Exposure for Bulimia Nervosa: A Case Example
Quelle	In: Cognitive and Behavioral Practice, 17 (2010) 3, S.270-277 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2010.02.004
Schlagwörter	Self Concept; Eating Disorders; Behavior Modification; Patients; Therapy; Cognitive Restructuring; Symptoms (Individual Disorders); Intervention; Outcomes of Treatment; Compliance (Psychology); Psychological Patterns; Case Studies + Suchen Sie Ihr Suchwort? Selbstkonzept; Appetite disorder; Essstörung; Behaviour modification; Verhaltensänderung; Patient; Therapie; Psychiatrische Symptomatik; Case study; Fallstudie; Case Study
Abstract	Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more effective body image interventions led to the development of mirror exposure, which focuses on encouraging patients to view themselves in a holistic, nonjudgmental, mindful fashion. Behavioral manifestations of body image disturbance--body checking and avoidance--are also targeted in order to reduce and eliminate such behaviors and their associated preoccupation and distress. A preliminary trial of Body Image Exposure has shown promise, but it has not yet been tested in the context of CBT for BN. The case of "Sara" illustrates the application of this targeted treatment for body image disturbance. Central clinical issues around the perceptual, cognitive, and behavioral components of body image are delineated as they arose in treatment, as are issues of motivation and compliance. Treatment was associated with improvement in eating symptoms, body image, and mood. (Contains 1 table.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10