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This book tells the story of what happens in the brain when an eating disorder develops and what has to happen to bring an eating disorder to an end. It describes a new way of thinking about and treating eating disorders, ILET (Internal Language Enhancement Therapy), that brings together recent research in neurobiology with psychodynamic and cognitive behaviour therapy techniques. The focus of this approach is on what happens to our ability to think when anxiety cannot be managed. Most importantly it explains that eating disorders actually have nothing to do with either food or bodies. They are a manifestation of the brain triggering a pathway that stops us being able to think about the meaning of our emotional experience but instead traps us in the world of the body and what goes into it and comes out of it.By integrating the seemingly irreconcilable fields of neuroscience and psychoanalysis with cognitive behavioural techniques, we can gain a deeper and broader understanding of the workings of the mind in eating disorders and how to treat them.
This book tells the story of what happens in the brain when an eating disorder develops and what has to happen to bring an eating disorder to an end. It describes a new way of thinking about and treating eating disorders, ILET (Internal Language Enhancement Therapy), that brings together recent research in neurobiology with psychodynamic and cognitive behaviour therapy techniques. The focus of this approach is on what happens to our ability to think when anxiety cannot be managed. Most importantly it explains that eating disorders actually have nothing to do with either food or bodies. They are a manifestation of the brain triggering a pathway that stops us being able to think about the meaning of our emotional experience but instead traps us in the world of the body and what goes into it and comes out of it.By integrating the seemingly irreconcilable fields of neuroscience and psychoanalysis with cognitive behavioural techniques, we can gain a deeper and broader understanding of the workings of the mind in eating disorders and how to treat them.
Table of Contents
Acknowledgements
Foreword
Preface
Chapter 1 Introduction
Chapter 2 The Neurobiological Contribution to Understanding the Development of an Eating Disorder: Neurobiological Underpinnings of Eating Disorders
Chapter 3 A Conceptual Gap: Current Ideas in Eating Disorders and the Need for a New Treatment Approach
Chapter 4 Filling the Conceptual Gap: The Development of Symbolisation from a Developmental Neuropsychoanalytic Perspective
Chapter 5 Proposing A New Model of the Mind in Eating Disorders
Chapter 6 Theory and Practice
Chapter 7 The Problem With CBT
Chapter 8 ILET Therapy With ‘Emily’
Chapter 9 Conclusions
Postscript
Appendices
A: Glossary of Abbreviated Terms
B: The ILET Protocol
C: History Template
D: Information for Patients
E: Emotional Events Questionnaire (EEQ)
F. Baseline Measurements Pre- and Post-Treatment
G. Measures for Randomised Clinical Trials of ILET versus Treatment as Usual, CBT and/or IPT
References
Bibliography
Index
Barbara Pearlman, Consultant Clinical Psychologist, is an Honorary Fellow at the Centre for Clinical Neuropsychology Research, University of Exeter. In 2010, she was awarded a PhD for her theoretical work on the neurobiology of how emotions and language are processed in eating disorders, which lead to the creation of a new treatment: internal language enhancement therapy.
"What’s your gut feeling about this book?Here’s mine: this is an extraordinary book. It draws together an impressive literature spanning developmental neurobiology, neuropsychoanalysis, Kleinian theory and the latest eating disorder treatment outcome data. In this regard alone, the book offers an impressive distillation of some very diverse theory and research findings.However, it goes much further than presenting a novel intersection of theory and practice representing the first serious attempt to develop a neuroscientifically-based treatment for people with eating disorders. It introduces Internal Language Enhancement Therapy (ILET) which covers all the major bases of contemporary eating disorders neuroscience and incorporates this knowledge into the treatment model. Recent work on mentalizing fits neatly with the ILET model; and in this regard the current model is in the ‘good company’ of Winnicott, Fonagy, Target and Skådarud."Dr. Ian Frampton, Senior Lecturer in Developmental Neuropsychology, Centre for Clinical Neuropsychology Research, University of Exeter
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