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A rationale for adjunctive treatment in responding to eating disorder clients at a university counseling center is presented. The program described provides a highly structured internship experience for paraprofessional psychology trainees who serve as therapeutic aides and peer counselors to eating disorder clients. This collaborative Counseling Center and Psychology Department model emphasizes intern training, close supervision, and professional-paraprofessional cotreatment of anorexic and bulimic clients. Program evaluation methods and therapy outcome data are presented. Advantages of this treatmenttraining program for all participants are discussed.

The Hand Test was administered to 34 eating-disordered and 26 noneating-disordered college-age women to determine discriminating projective personality features. Eating-disordered women scored higher on response time, overall pathology, and passivity. Anorexics present more tension, aggression, and acting out potential whereas bulimics demonstrate significantly more passive responses. The more severely affected women scored higher on crippled, passive, and withdrawal variables. Similarities as well as differences between the groups may have important implications for the diagnosis of subgroups of eating-disordered women and for treatment planning.

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