Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: A case example

Heffner, Michelle; Sperry, Jeannie A.; Eifert, Georg H.; Detweiler, Michael F.

doi:10.1016/s1077-7229(02)80053-0

Cited by 129 publications

(75 citation statements)

References 8 publications

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“…(5) Addictions have been also studied in relation to mindfulness (Chiesa and Serretti, 2014), especially alcohol addiction (Marlatt and Chawla 2007), craving reduction (Witkiewitz and Bowen 2010) and relapse prevention (Bowen et al 2014). (6) Mindfulness has been examined in relation to eating disorders (Mateos Rodríguez et al 2014), for compulsive over-eating (Kristeller and Wolever 2011;Telch et al 2001), bulimia nervosa (Tapper et al 2009) and to a lesser extent for anorexia nervosa (Heffner et al 2002). (7) Psychotic disorders have also been treated with mindfulness techniques, even if some clinicians have expressed reservations about using such methods with this group of patients (Shonin et al 2014).…”

Section: Research Findings and Research Dilemmasmentioning

confidence: 99%

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Škodlar

2016

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Mindfulness has without doubt been the fastest spreading and most popular concept in psychotherapy in the last two decades. Its influence exceeds that of any other individual concept or approach in modern psychotherapy. However, there are many dilemmas, open questions and controversies related to this rapid, almost fanatic spread, which obviously compensates for a certain lack in modern Euro-and Americo-centric societies. Similarly, we are witnessing in the West a lack of reflection, a process of limitless idealization, and the search for a panacea. This all flows with a tint of colonialism, presumptuously taking over ideas, concepts and techniques without a proper study of the primary sources, and with all the accompanying negative side-effects: profiteering, self-promotion, unethical conduct, empty promises of instant rewards, and so on. In the present paper, the development of interest in mindfulness in psychotherapy, as well as the research findings and dilemmas, and concepts and mechanisms of applying mindfulness in psychotherapy, will be reviewed. The main purpose of the paper is to contribute to the critical reflection in studying and applying mindfulness in psychotherapy. Keywords: mindfulness, meditation, psychotherapy, psychotherapy research IzvlečekČuječnost je v zadnjih dveh desetletjih zagotovo koncept, ki se najhitreje širi in je najbolj odmeven v psihoterapiji. Je vplivnejši od kateregakoli drugega posameznega koncepta ali pristopa v sodobni psihoterapiji. Vendar so ob tem hitrem, skoraj fanatičnem širjenju, ki očitno nadomešča določena pomanjkanja v sodobnih evropskih ali ameriških družbah, prisotne številne dileme, odprta vprašanja in razhajanja. Prav tako smo na Zahodu priča pomanjkanju refleksije, procesu brezmejne idealizacije in iskanju panaceje. Vse to poteka z določeno stopnjo kolonialistične naravnanosti, ki samozaverovano jemlje ideje, koncepte in tehnike, brez poglobljenega študija primarnih virov in z vsemi negativnimi stranskimi učinki, kot so dobičkarstvo, samo-promocija, neetično ravnanje, prazne obljube o takojšnjem uspehu ipd. V pričujočem besedilu so predstavljeni razvoj zanimanja za čuječnost v psihoterapiji, izsledki raziskav in dileme v raziskovanju ter koncepti in mehanizmi * Borut ŠKODLAR, Associate Professor, University Psychiatric Clinic Ljubljana.

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Section: Research Findings and Research Dilemmasmentioning

confidence: 99%

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Škodlar

2016

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“…The participant also reported having an easier time avoiding snacking between meals, an increased ability to make healthier food choices, and expand his palette (Singh et al, 2008). (Heffner et al, 2002). The result of the treatment was a reposted increase in accepting thoughts regarding the patient's body dissatisfaction and a significant reduction in typical anorexic symptoms, such as fear of weight gain (Heffner et al, 2002).…”

Section: Mindfulnessmentioning

confidence: 99%

“…(Heffner et al, 2002). The result of the treatment was a reposted increase in accepting thoughts regarding the patient's body dissatisfaction and a significant reduction in typical anorexic symptoms, such as fear of weight gain (Heffner et al, 2002). Similarly, Chen and Safer (2010) examined the effectiveness of different models of DBT (e.g., University of Washington and Stanford models of DBT) in treating different BN symptoms.…”

Section: Mindfulnessmentioning

confidence: 99%

“…The program's main focus was to create a more "curious, interested, aware, open, gentler, kinder, and more authentic" sense of self in the patient who struggled with negative body dissatisfaction (Proulx, 2008, p.69). These mindfulness-based interventions exemplify the utility of these programs with various eating disorders while diversely addressing each population and the unique struggles associated with each eating disorder (Chen & Safer, 2010;Heffner et al, 2002;Proulx, 2008).…”

Section: Lastly Proulx (2008) Developed a Program Using Mindfulness-mentioning

confidence: 99%

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Mindfulness-Based Intervention for the Treatment of Binge Eating: A Single Case Design

2011

PsycEXTRA Dataset

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In this thesis I examined the utility of a mindfulness-based intervention to individually treat in a woman in her late 40's with a subthreshold binge eating disorder. The intervention used was an adapted protocol from an eight-week group format to treat an individual client over the course of 16 weeks. Clinically significant improvements were found in frequency of binge episodes, depression symptoms, eating concerns, and dietary restraint. Although they were in the expected direction, the improvements in anxiety, overall eating disorder symptoms, weight concern, and shape concern were not clinically significant. Additionally, the client's mindful awareness actually decreased slightly over the course of treatment. Future research should include dismantling studies to investigate the impact of the various techniques used in mindfulness-based interventions for eating disorders, and explore the differences in effectiveness between mindfulness-based interventions conducted in group versus individualized formats. Degree Type Thesis RightsTerms of use for work posted in CommonKnowledge.This thesis is available at CommonKnowledge: http://commons.pacificu.edu/spp/144 Copyright and terms of useIf you have downloaded this document directly from the web or from CommonKnowledge, see the "Rights" section on the previous page for the terms of use.If you have received this document through an interlibrary loan/document delivery service, the following terms of use apply:Copyright in this work is held by the author(s). You may download or print any portion of this document for personal use only, or for any use that is allowed by fair use (Title 17, §107 U.S.C.). Except for personal or fair use, you or your borrowing library may not reproduce, remix, republish, post, transmit, or distribute this document, or any portion thereof, without the permission of the copyright owner. In this thesis I examined the utility of a mindfulness-based intervention to individually treat in a woman in her late 40's with a subthreshold binge eating disorder. The intervention used was an adapted protocol from an eight-week group format to treat an individual client over the course of 16 weeks. Clinically significant improvements were found in frequency of binge episodes, depression symptoms, eating concerns, and dietary restraint. Although they were in the expected direction, the improvements in anxiety, overall eating disorder symptoms, weight concern, and shape concern were not clinically significant. Additionally, the client's mindful awareness actually decreased slightly over the course of treatment. Future research should include dismantling studies to investigate the impact of the various techniques used in mindfulness-based interventions for eating disorders, and explore the differences in effectiveness between mindfulness-based interventions conducted in group versus individualized formats.

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“…Instead of acting impulsively to quell distressing feelings, mindfulness encourages individuals to engage in the present moment and identify potential triggers (Kristeller, Baer, & Quillian-Wolever, 2006). Recent years have witnessed a growing interest in the application of mindfulness-based interventions as a treatment for EDs, including AN (Heffner, Sperry, Eiferts, & Detweiler, 2002), BN (Safer, Telch, & Agras, 2001;Proulx, 2008), and BED (Safer, Lock, & Couturier, 2007;Kristeller & Hallett, 1999;Baer, Fischer, & Huss, 2005), with results demonstrating effectiveness in eating disorder (ED) symptom reduction. Hepworth (2011) conducted an influential study in the area of mindfulness-based eating awareness and its application as an adjunct to outpatient ED treatment.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Group Approach for Undergraduate Students with Disordered Eating or Body Image Issues: A Case Study

Stumpf¹

2017

BHAC

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Background: Mindfulness can be defined as "consciously bringing awareness to the present moment by focusing non-judgmentally on cognitions, emotions, and physical sensations" (Kabat-Zinn, 1994). This technique is applicable to patients with disordered eating, body image issues, or eating disorders (EDs) because these individuals have a tendency to become detached from their emotions and use the over or under consumption of food to regulate their internal state (Corstorphine, 2006). Mindfulness techniques are used to create a connection between thoughts, feelings and physical sensations, and external experiences. Practicing mindful eating is one way undergraduate students can be attentive to hunger cues and ensure balanced nutrition amidst a full academic schedule. Aim: The aim of the study was to develop and evaluate a mindfulness-based group approach to managing eating disorders in college students with disordered eating or body image issues. Methods: Undergraduate students ages 18 to 22 years old who were already receiving treatment for ED symptomatology from a university Counseling & Psychological Services Center were recruited to participate in a six-week mindfulness-based group approach to eating awareness. Results from the progress of two participants' process observations are shared. Results: Increases were seen in participants' confidence in using mindfulness-based practices to foster a sense of acceptance, nurturance, and adaptive behaviors. Conclusions: A mindfulness-based group approach to treatment of disordered eating or body image issues shows promise for improving the quality of life for college-aged students. Undergraduate institutions have the advantage of using social interaction to facilitate healthy behavioral change. Future research with larger and more diverse samples is suggested, and implications regarding practice and education are also discussed.

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Acceptance and commitment therapy in the treatment of an adolescent female with anorexia nervosa: A case example

Cited by 129 publications

References 8 publications

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Applications of Mindfulness in Psychotherapy – Contemporary Dilemmas

Mindfulness-Based Intervention for the Treatment of Binge Eating: A Single Case Design

Mindfulness-Based Group Approach for Undergraduate Students with Disordered Eating or Body Image Issues: A Case Study

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