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The European Eating Disorder Review published two interesting case studies utilizing the NF therapuetic intervention which resulted in some differences (though it appeared both participants found the method beneficial from their personal feedback) which involve three distinct Sessions:
- Session 1 – Neuropsychological Assessment
- Session 2 – Feedback, Formulation & Target Setting
- Session 3 – Reflection
Researches Carolina Lopez, Marion Roberts, Kate Tchanturia and Janet Treasure make clear that these results are preliminary and indeed need further development and study, but that they show promise towards working individually with AN sufferers (I would also think this modality can be implemented and fine-tuned specifically within the other eating disorder spectrum/diagnosis’ as well) and their distinct cognitive processes that can be or become increasingly rigid, singly focused, and inflexible keeping one “stuck” (my words) in a repetitive cycle usually not helpful for an eating disorder sufferer. The “aim of the intervention is to help individuals transcend their information processing styles and develop a more balanced strategy in their relationship with food and shape/weight“.
What stood out positively within the study was pointing out that there is no “right or wrong” in terms of a sufferers cognitive style, and that the emphasis was not to constantly drill a negative personal message of something being “wrong” with an individual. But rather, using the modality to assist in being able to “step back” (where the reflection session comes in) and gain some personal perspective, more reflectively to “problem solve” and restrategize what may be perpetuating a cyclical unhealthy processing in terms of the eating disorder and cognitive-rigidity; and expand a broader scope to better assist and support the sufferer within continued recovery.
What also stood out to me personally in reviewing the case studies was a reflection upon how “acting quickly”, finding treatment, experienced and trained providers, and having a “plan of action” earlier vs later cannot be understated. And sometimes you have to really be a bug up someones arse to get things moving and changing, or finding better care if you’re not getting the services you or your loved one need– so don’t give up, keep plugging forward — everyday is a new beginning.
-shanti
I love how the birth of International No Diet Day began “from a picnic in Mary’s living room” in the early ’90′s and fertilized it’s magnitude world-wide. Ms Evans-Young is herself a recovered anorexic and wrote the book Diet Breaking: Having it all Without Having to Diet and it couldn’t be a better time than now to let the message sink in– deep and with reflection.
Largesse gives the background on the term: size esteem which was initially coined by Richard Stimson, husband to a contributing director/writer at the site, Karen Stimson who explains it perfectly:
- Feeling acceptance of, respect for, and pride in one’s body, whatever its size or shape -
But I like this analogy even more highlighted by Cheri Erdman EdD who wrote the book Live Large! and thought about it as a simple yet poignant equation: Size Acceptance + Self Esteem = SIZE ESTEEM
Either way you think about it, the insanity of dieting, wanting to force our bodies to be a size/shape it was not genetically determined to be– and thankfully so for the beautiful variety of shapes, sizes, colors, we all add to the collage of life, is quite dubious.
It’s even further magnified when you or a loved one suffer from an eating disorder and are trying to regain your health and follow through with recovery and maintaining wellness in a seemingly endless fat-phobic, diet-crazed, fashion-consumed environment. Our daughter at times can take on this incessant self-doubt and accusational inquiries about why she has to eat what she has to when others, her classmates, etc. eat less than she does and are constantly discussing “fat” laden topics— it’s enough to make anyone go a little bonkers. Advertisers, marketing, the health ins field, even health care (hey, let’s face it– those mega-million dollar hospitals that now look more like shopping malls want to treat the ill business) and the all time winner: the diet industry.
Stuffed and Starved is a title from researcher Raj Patel more about food prices, the global-glut, etc. but I had to think about this a little bit more this morning how it really ties into so many other layers of Life– and will be worth dissecting and playing off the similar as well as dissimilar dualities we can only pretend don’t exist, or just think is someone else’s “problem” to fix, get over, medicate– like the cliched remark I’ve heard countless times since our daughter was diagnosed with anorexia- “why doesn’t she just eat?!”, then the instant turn against parents when our children don’t eat = it’s your fault, you did something “wrong”, etc.
Yes, INDD is a day we find relative and meaningful in our family. And with the weather reaching low 70′s, sun shining– I think a picnic is just what we’ll do to celebrate this day!
-shanti
Howard S. Hoffman
We tend to see only what we are prepared to comprehend.
Howard S. Hoffman …On Life
As any writer knows, the power of words can be Herculean.
Reuters Health briefly highlights a ‘applied text analytic methods’ study carried out by Dr Markus Wolf at the University Hospital Heidelberg in Germany that can be helpful towards improved therapeutic treatments, and better understanding of the cognitive processing of the eating disordered brain.
Many of us, as parents with children suffering from an ED might also know how delicate, negative, and self-defeating our childs’ thoughts, behaviors, and words can be to themselves- especially when we know how this illness robs our children of their true selves during treatment and recovery.
That’s why it’s even more vital to remind ourselves first and foremost: we are not to blame or at fault for our childs’ eating disorder; and secondly, to separate your child from the eating disorder/illness, especially at the most difficult moments through refeeding, treatment and recovery when it can be the most challenging thing to remind ourselves of.
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