| The Eating Disorder Journal (June 2020, Vol. 21, No.6)
This Journal is emailed to over 115,234 readers HELPING
PEOPLE FIND TREATMENT FOR EATING DISORDERS SINCE
1999 Contents: For Professionals - Calendar of Events Continuing Education and Other Resources Weighing In on Eating Disorder Issues How to add a submission to The Eating Disorder Journal Instructions on how to unsubscribe to The Eating Disorder Journal
Current Research and News: We examine the clinical research and current happenings in the eating disorder field to find the most interesting and useful current information available.
Treatment of Bulimia Nervosa in a Primary Care Setting. Objective: The authors' goal was to determine whether treatments known to be effective for bulimia nervosa in specialized treatment centers can be used successfully in primary health care settings. They examined the benefits of two treatments for bulimia: 1) fluoxetine, an antidepressant medication, and 2) guided self-help, an adaptation of cognitive behavior therapy. Method: Ninety-one female patients in two primary care settings were randomly assigned to receive fluoxetine alone, placebo alone, fluoxetine plus guided self-help, or placebo and guided self-help. Results: The majority of the patients did not complete the treatment trial; many patients found the treatment program too demanding, but others indicated it was not sufficiently intensive. Patients assigned to fluoxetine attended more physician visits, exhibited a greater reduction in binge eating and vomiting, and had a greater improvement in psychological symptoms than those assigned to placebo. There was no evidence of benefit from guided self-help. Conclusions: The treatment of patients with bulimia nervosa in a primary care setting is hampered by a high dropout rate. Guided self-help, a psychological treatment based on cognitive behavior therapy, appears ineffective, but treatment with fluoxetine is associated with better retention and substantial symptomatic improvement. PMID: 14992983 DOI: https://doi.org/10.1176/appi.ajp.161.3.556
Posting edited photos of the self: Increasing eating disorder risk or harmless behavior? Objective: Social media use has been implicated as a correlate and a cause of increased disordered eating (DE), but little is known about the impact of specific aspects of social media use, such as posting edited photos of the self. Utilizing a two-stage design, the present study sought to determine how posting edited photos relates to DE, as well as anxiety and depression symptoms, in male and female college students. Method: Stage 1 examined concurrent associations between posting edited photos and mental health measures in 2,485 undergraduates (76% female). Stage 2 examined causal associations between posting edited photos and eating disorder (ED) risk factors in 80 undergraduates (93% female) who endorsed posting edited photos in Stage 1 and volunteered for the experimental portion of the study. Results: In Stage 1, those who endorsed posting edited photos (n = 660; 27%)reported greater eating pathology and anxiety than those who did not, but no differences were found for depressive symptoms. In Stage 2, posting edited photos caused increased weight/shape concerns. Posting photos reinforced urges to exercise and restrict food intake and anxiety. Editing photos without posting caused an immediate decrease in weight/shape concerns and a delayed decrease in sadness. Discussion: Results support a consistent and direct link between posting edited photos and ED risk factors, suggesting that this is not a harmless behavior. Future work should explore the cumulative effects of this link to determine how specific uses of social media contribute to clinically meaningful outcomes. https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.23263
Children with autism face higher risk of eating disorders, study finds: Children with autistic traits are more likely than their peers to develop an eating disorder, according to a May 12, 2020 University College London led study. Previous research has found that autism and eating disorders can occur together, as 20-30% of adults with eating disorders have autism, and 3-10% of children and young people with eating disorders. However, it has not been clear whether autistic traits result from eating disorders or precede them. This new longitudinal study, published in the Journal of Child Psychology and Psychiatry, finds that autistic traits in childhood come before behaviours characteristic of eating disorders, and so could be a risk factor for developing eating disorders. Lead author Dr Francesca Solmi (UCL Psychiatry) said: "We have found that young children with autistic traits at age seven are more likely than their peers to end up developing eating disorder symptoms in adolescence. "Most other studies looked at snapshots in time, rather than tracking people over multiple years, so it wasn't clear whether autism increases the risk of eating disorders, or if symptoms of eating disorder could sometimes resemble autistic traits." The study involved 5,381 adolescents who have been participating in longitudinal research from birth as part of the University of Bristol's Children of the 90s cohort study. For the complete study visit: https://www.sciencedaily.com/releases/2020/05/200512205555.htm
Self-defining memories in female patients with anorexia nervosa. OBJECTIVE: Overgeneral autobiographical memory (AM) was reported in patients with anorexia nervosa (AN) using AM cueing tasks that did not directly indexes memories that are personally important to the individual, that is, self-defining memories (SDMs). The aim of this study is to investigate characteristics of SDMs in females with AN. METHOD: A total of 46 outpatients with chronic AN and 52 healthy controls (HC) were asked to recall three SDMs. RESULTS: Compared to HC, patients with AN presented less specific SDMs, but have preserved ability to give meaning to their memories. Patients' SDMs were associated with more negative emotions, more tension (i.e. explicit expression of discomfort, disagreement or unease) and more contamination (i.e. transformation in the memory narrative from a positive to a negative affective state). Content of SDMs differed between patients with AN and HC. Finally, no difference was found in SDMs characteristics between the two subtypes of anorexia nervosa (restricting type and binge eating / purging type). DISCUSSION: Patients with AN recalled overgeneral SDMs with negative content and emotions. In this context, a clinical intervention based on SDMs together with cognitive and emotional remedial therapies could help patients with AN to improve emotion processing and redefine their identity in a more positive way. Eur Eat Disord Rev. 2020 May 3. doi: 10.1002/erv.2739. [Epub ahead of print]
ABC News: TikTok weight-loss videos fuelling eating disorders amid coronavirus lockdowns, health experts say. Young users of a major video-sharing social media platform are creating and distributing a huge amount of content promoting "extremely unsafe" weight-loss techniques, eating disorder experts have warned. Since its launch by a Chinese company in 2016, TikTok has grown a worldwide user base of more than 800 million people, about half of whom are estimated to be under the age of 34. It is primarily known for its young users' videos of dance challenges, animals and humorous lip sync takes on politics. To read more visit: https://www.abc.net.au/news/2020-05-13/experts-concerned-tiktok-content-fuelling-eating-disorders/12215986
Calendar of Events for Professionals: September 2020 Save The Date for the 9th Annual Veritas Collaborative Symposium on Eating Disorders – Together We Are Stronger: Treatment Considerations for Diverse Eating Disorder Populations. The Symposium will be held September 17-18th, 2020 at the Westin Perimeter North in Atlanta, GA. T Professionals attending will have the opportunity to learn from experts in the field, while earning up to 13.5 continuing education credits. This year’s content is focused on treatment considerations for diverse eating disorder populations, including presentations on Treating Black Women with Eating Disorders, Eating Disorders in the Male Population, Eating Disorders in Gender Diverse Youth, Confronting the Eating Disorder Stereotype and Food Insecurity, and much more. A Pre-Symposium Ethics Workshop will be held on September 16th, 2020, offering 3.0 continuing education credits, followed by a free Community Event featuring mental health and eating disorder advocates. We are taking all the necessary precautions to ensure attendee safety during the Symposium – and are going above and beyond the CDC’s official guidelines for mass gatherings. Early Bird Registration has begun – used code EDREFERAL for a 10% discount. For more information or to register, please visit: symposium.veritascollaborative.com/.
November 2020 Save The Date - The Renfrew Center Foundation Virtual Conference for Professionals – November 2020. During these unprecedented times and with the safety and well-being of our attendees, presenters and staff being of upmost importance to us, we have moved The Renfrew Center Foundation’s Conference to a virtual platform this year. We will kick off the event on Friday, November 13, 2020 with featured Keynote, Lori Gottlieb, MFT, The New York Times best-selling author of Maybe You Should Talk to Someone. We will offer additional Keynote presentations and breakout sessions designed to appeal to those who treat eating disorders, no matter their discipline or level of expertise. Furthermore, virtual networking opportunities will be available for all attendees to connect with one another. More details will be coming soon! We are committed to maintaining our longstanding legacy of excellence by providing cutting-edge learning opportunities and fresh voices to engage you. For more information, please visit www.renfrewcenter.com or contact Kelly Krausz at 1-877-367-3383 or kkrausz@renfrewcenter.com.
Multiple State Locations: Treatment Center News – The Renfrew Center, the Nation’s First Residential Eating Disorder Treatment Facility, announces it's Day Treatment and Intensive Outpatient Programming has shifted temporarily to a virtual platform that is fully accessible to patients from the safety and comfort of their own homes. This virtual programming simulates the evidence-based, in-person clinical services we have provided for over 35 years. With the largest network of eating disorder treatment centers, Renfrew has treated more than 85,000 adolescent girls and women with eating disorders and provides a comprehensive range of services in California, Florida, Georgia, Illinois, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania and Tennessee. Programs and services vary by site and include: Residential; Day Treatment; Intensive Outpatient; Group Therapy; Individual, Family, and Couples Therapy; Virtual Group Therapy; and Nutrition Therapy. The Renfrew Center Unified Treatment Model for Eating Disorders® integrates an emphasis on the healing potential of empathic relational connection with evidence-based emotion-focused treatment interventions. The Renfrew Center is a preferred provider for most health insurance and managed care companies and works with individuals to create a financial plan that meets the need of each prospective Renfrew patient. Renfrew’s training programs have reached more than 45,000 healthcare professionals to date and are designed to enhance the knowledge and skills needed to treat these complex disorders. Call 1-800-RENFREW or visit www.renfrewcenter.com for more information about The Renfrew Centers.
Veritas Collaborative provides a full continuum of care for individuals of all ages, including Inpatient, Acute Residential, Partial Hospitalization, Intensive Outpatient, and Outpatient levels of care – supporting their belief that access to the right level of care at the right time is key to lasting recovery. Throughout these difficult times, Veritas Collaborative remains strongly committed to providing access to care for individuals, their families, and communities of support, and providing support and resources to providers. Inpatient and Acute Residential levels of care are available for adults, children and adolescents in Durham, NC and for children, adolescents, and young adults in Atlanta, GA. Partial Hospitalization and Intensive Outpatient programming have transitioned to telehealth at their Hospitals and Centers in North Carolina, Georgia, and Virginia, with a focus on keeping patients safe while allowing them to receive the ongoing support they deserve during this unprecedented time. Veritas Collaborative’s Intake & Admissions Team, consisting of Masters-level clinicians, is available 7-days a week to provide an assessment, and ensure you are receiving the right level of care at the right time. For more information or to schedule an assessment, please visit veritascollaborative.com or call 855-875-5812.
At Alsana, we recognize that vegan clients deserve a safe and welcoming place to begin or continue their recovery journey. For a client with an eating disorder, a commitment to veganism may precede or intertwine with eating disorder behaviors. Alsana offers a vegan menu with balance and variety to fully nourish the body while honoring client beliefs that transcend eating disorder behaviors and work together to separate and heal those that do not. In a survey we conducted with hundreds of dietitians who specialize in eating disorders, we found that 98% of eating disorder dietitians saw clients who followed a vegan eating style. Of these, 75% of vegan clients realized that their eating disorder was enmeshed with veganism, while 25% of clients realized the eating disorder was separate and veganism was a true value in their belief system. Without a higher level of care option for vegan clients, that 75% didn’t have a place to learn that veganism is keeping them trapped in the eating disorder, while the 25% who found it is a true value didn’t have a place to recover. Spearheaded by Tammy Beasley, our Alsana leadership team worked tirelessly for over 1.5 years to create a robust program for vegan clients that integrates our high culinary standards within our in-depth treatment process. This carefully and lovingly thought-out process has allowed us to confidently open our doors to clients with eating disorders who are also following a vegan lifestyle. To learn more, call us today at (855) 915-0213.
Florida: Tallahassee, FL: Canopy Cove, Christian-Based Eating Disorder Treatment for Women and Girls. All major insurances accepted, 30 years’ experience in the field of eating disorders. A boutique program with an immense focus on individualized treatment. They provide each and every client with a great deal of attention and care. A beautiful, serene healing environment located on 55-acres of private land with 6 horses on site. Clinicians on campus during the day, in the evenings, and on weekends. Warm weather in a beautiful, home-like setting. They have a high number of clinical staff and small group sizes. Evidenced Based Treatment. Individualized Treatment Planning. Equine Therapy. Family-Based Program. 24/7 Supervision. Compassionate and Caring Staff. CARF Accredited. For further information call 888-245-6555, email admissions@canopycove.com or visit www.canopycove.com.
Indiana: Anderson, IN: Selah House is committed to providing clinically excellent and Christ-centered care for girls and women, ages 12 and over who struggle with an eating disorder such as anorexia, bulimia, and binge eating disorder. Selah's program provides medical monitoring, psychiatric care, individual therapy, family therapy, groups, equine-assisted psychotherapy, art therapy, nutritional counseling, spiritual counseling, and more. Our levels of care include inpatient, residential, and a partial hospitalization program. At Selah House, we also have an Adolescent Program, dedicated to treating adolescent and teen girls who struggle with an eating disorder. We take pride in understanding every teen’s academic growth, overall wellbeing, and safety should be the top priority. Therefore, our teacher on-staff will work with you and your child’s school to implement a continuing education plan during treatment. The common thread that runs through all Selah programs is our love for our clients and their families, and our complete dedication to their healing. We provide a safe place for clients to explore the truth of who they are and who God is without feeling pressured to believe a certain way. We value and respect each person's unique faith. Clients from a variety of faiths and backgrounds have been through our programs and have felt seen, heard, understood, and comfortable while participating in our program. Selah House is a stable, loving, and comfortable environment for healing. Our path together begins with a phone call to schedule a free assessment through our Intake Coordinator. www.selahhouse.com
Ohio: Toledo, OH: At Toledo Center for Eating Disorders, we take an innovative approach to guide you on your journey. Backed by evidence-based outcomes and compassion for each client, Toledo Center meets clients where they are, with an up-front, honest approach to treatment. We treat all genders, ages 10 and over, helping them to reclaim their lives, health, and futures. Our mission is to provide specialized and cost-effective treatment for those suffering from eating disorders, such as anorexia nervosa, bulimia nervosa, and ARFID. We follow a well-established therapy model that integrates individual, group, and family therapy. Since each eating disorder is unique, an individualized treatment plan is developed and customized for each client. Treatment plans are tailored to meet client's specific needs, based on the initial assessment, then applied within the framework of evidence-based treatment principles, and periodically revised as changes occur during treatment. Our levels of care include an adolescent residential program and an adolescent and adult partial hospitalization program. At Toledo Center, we are dedicated to helping adolescents in our program continue their education while in treatment. We provide tutoring and coordinate with schools, so clients can continue their academic growth while in eating disorder treatment. We work clients and families to set realistic treatment goals and guide them through the treatment process. Clients learn how to address symptoms and how to identify and resolve the emotional issues that have contributed to unhealthy coping behaviors. The Toledo Center is located in a modern, spacious and tranquil setting in Sylvania, Ohio. www.toledocenter.com
Oklahoma: Tulsa, OK: The internationally recognized Laureate Eating Disorders Program in Tulsa, Oklahoma, is personalized to meet the individual needs of women and girls from all over the world. With a therapist-to-patient ratio of 1:3, program participants experience intentionally small milieus, allowing for meaningful connection with peers and clinicians. Because Laureate philosophy centers on the healing power of relationships, patients work with the same physician, therapist and dietitian through acute, residential and partial levels of care. As a not-for-profit organization, Laureate provides values- and mission-driven care in a peaceful, nature-focused campus on 47 private acres. Experienced eating disorder specialists provide evidence-based care and an experience tailored to your unique needs that includes individual or group sessions utilizing principles of DBT, CBT, ACT, IPT, EMDR, IFS and relational-cultural theory. Other group or individual experiences include exploring spirituality, sexuality, relapse prevention, gratitude, yoga and movement, art process, body image, cooking, shopping and therapeutic swimming exposure. Appropriate patients may be eligible to participate in ongoing eating disorders research studies conducted by the Laureate Institute for Brain Research, whose teams focus on identifying new, effective treatments for eating disorders. Current studies include the impact of floatation therapy on body image. Adult women are eligible to apply for Magnolia House, Laureate’s group home focusing on independent living for women in recovery from eating disorders. The first thirty days of Magnolia House are provided at no cost to residents. To learn more about Laureate Eating Disorders Program, call 800-322-5173 or visit saintfrancis.com/laureate/eating-disorders-program/.
Tennessee: Chattanooga, TN: Focus Treatment Centers specializes in eating disorder treatment, as well as dual diagnosis treatment for eating disorders and addictions. Located in the beautiful Blue Ridge mountains of Chattanooga, Tennessee, Focus offers a cozy and home-like setting within a medically and clinically safe environment with experienced therapists, dietitians, and 24-hour medical care. Focus offers Residential, Partial Hospitalization (PHP), and Intensive Outpatient (IOP) levels of care for adults (18+) struggling with binge-eating disorder, anorexia, bulimia, and other eating disorders. Co-occurring issues, including underlying trauma, mental health concerns, and substance use disorders are individually assessed for patient-centered, individualized care. At Focus, we recognize that food and body struggles emerge for a reason, yet life events, genetics, and brain chemistry differ for each unique person. Through sound treatment approaches, including individual and group therapies as well as family programming, Focus offers a safe healing environment. Focus Treatment Centers is a Center of Excellence, is accredited by the Joint Commission, and accepts all major insurance plans. Ashley Fairbanks is the Eating Disorder Treatment Liaison and is personally available to chat or text at 423-380-8007. To schedule a tour or to learn more, visit www.focustreatmentcenters.com/eating-disorders.
Continuing Education and Other Resources: The National Association of Social Work Press (NASW) announces the publication of Mary Anne Cohen’s third book: Treating the Eating Disorder Self: A Comprehensive Model for the Social Work Therapist. Mary Anne Cohen, Director of the New York Center for Eating Disorder, integrates over 200 case examples from her practice to demonstrate what works and why in resolving binge eating, bulimia, anorexia, chronic dieting and body image dissatisfaction. This book will help all clinicians – not just social workers – as well as those who struggle with eating disorders. Ms. Cohen explores both the inner and outer worlds of the emotional eater. The inner world discusses the treatment of emotional eating and body image distress and examines frozen grief, depression, abuse, early attachment issues, overcoming the fear of success, and the role of medication. The outer world offers a multicultural perspective on eating disorders, as well as exploring gender and sexual identity and social media influence. The author believes “everyone’s eating struggle is unique as a fingerprint,” and she demonstrates how to create an individualized and comprehensive treatment approach for each person. She explains how for some clients, trusting food is safer than trusting people and discusses how to create the healing ingredients in the therapeutic relationship. Most of all, this a book about hope – hope that clinicians can become more empathically attuned to our clients, hope our clients can become more trusting of human relationships to heal their inner selves so that they can ultimately declare peace with emotional eating. To view the Table of Contents, read the first chapter, and order the book: http://www.naswpress.org/publications/profession/treating-eating-disorder-self.html
Online: Register Now for The Renfrew Center Foundation’s Free Virtual 2 CE Trainings. The Renfrew Center Foundation is dedicated to eliminating eating disorders by advancing education, prevention, advocacy, research and treatment. Navigating Complexity: Ethical Considerations in the Treatment of Eating Disorders on Friday, June 12th from 11:45am – 2:00pm for Charlotte, NC professionals. Helping Families Navigate Their Emotions to Enhance Recovery Support on Friday, June 19th for Chicago, IL professionals and Friday, June 26th for Southern New Jersey professionals. Both seminars will be held from 8:45am – 11am and offer 2 CE credits. Additionally, join us online for The Renfrew Center Foundation’s Free Professional Webinars, hosted by Chelsea Woodard, LPC-MHSP, Site Director, The Renfrew Center of Nashville. Enhancing Positive Body Image in Adolescent Clients: Providing Effective Care in Today’s Image-Focused Culture on Wednesday, June 10th from 12:00 pm - 1:00 pm (EST/EDT). For more information or to register for these events, please call 1-800-RENFREW (736-3739) or visit www.renfrewcenter.com.
Live/Online Course: (27 CEs) Neuroscience Advances Eating Disorder Recovery—The Behavior Decoding Method™ (BDM™) for Clinicians: An evidenced-based system of tools and strategies that quickly reveal the deeper meaning, messages, and intended positive outcome in a client’s current unwanted or detrimental, but survival-based behaviors. Clients begin to easily re-wire neuro-patterning for safety and survival, allowing for new beliefs, behaviors and identity to form and sustainably replace the disordered ones. A decoding tool that would uncover how a client may disengage and be resistant to treatment and how to turn it around. Imagine clients discovering their own unique solutions that engage and keep them empowered to stay in treatment for full recovery. Dr. Barbara Birsinger, creator of the BDM™, a 27-CE Program and Certification for Licensed Professionals, is offering an innovative live/online course with client video demonstrations and consultations on how to create T-NLP-informed, brain-based transformation of disordered eating and weight-related behaviors, across the spectrum, in a Health At Every Size® context. Dr. Birsinger presents a system of simple yet comprehensive, take-away, hands-on tools that therapists, nutritionists and treatment teams can implement with their clients right away. Live Consultation/Q+A sessions with Barbara Birsinger, ThD, MPH, CEDRD, and special guests Ellyn Herb, PhD, CEDS and Anita Johnston, PhD, CEDS, and others on: Food Cravings in Emotional/Binge Eating; Food Restriction/Anxieties; Weight/Size Obsession; Body Judgments; Other’s Comments on Food and Body (new!); Exercise Resistance; Compulsive Over-Exercise; and Bulimia. Click here for a Video Demonstration and more details. Contact Dr. Birsinger: 707-799-2982 or research@BarbaraBirsinger.com.
New Online Graduate Options: Plymouth State University offers the nation’s only master’s program with a 15-credit focus on eating disorders as well as the premier eating disorders certificate program of its type, and both options are now offered totally online. The University’s Eating Disorders Institute courses are approved by the International Association of Eating Disorder Professionals (IAEDP) for its certification exam, and a 120-hour clinical/capstone experience is also required by Plymouth State. The program, offered since 2003, may be completed as a standalone 15-credit graduate certificate or as an MEd degree, and completed by either taking courses online and on-campus (hybrid) in seven months or in approximately 11–12 months by online only. A 33-credit graduate degree in health education with an Eating Disorders Institute specialization can be completed in as little as 18 months. Apply by February 28 for the next class starting in May 2020. For more information contact Program Director Dr. Mardie Burckes-Miller, CEDS, FAED, margaret@plymouth.edu; (603) 381-4802. https://www.plymouth.edu/academics/graduate-academic-programs/certificates/eating-disorders/
Lenox, MA: Eastover is a 600 acre holistic retreat center only minutes away from the center of downtown Lenox, ideal for teachers, groups, organizations and companies to host retreats, workshops, and group events. It offers spacious studio facilities including yoga studios, meditation rooms, outdoor spaces, conference meeting rooms, and even a commercial kitchen for cooking classes. Eastover is eco-friendly with a new water treatment facility that reclaims every drop of water at the retreat center without chemicals before its being send to the ground. Eastover is unique in that it offers three components that create a well-rounded lifestyle and help achieve optimal mental and physical states of being: (1) Rejuvenating through healthy food and its innate nutritional energy. (2) Learning the healing powers of Taichi or Qigong to create a healthy, energetic lifestyle. (3) Healing through Qi energy and Chinese medicinal treatments. For information visit http://www.eastover.com/upcoming-retreats.html, call 866-264-5139 or email events@eastover.com.
Books and Book Reviews: The Disappearing Sister by Elizabeth Cummings. There are very few books written for children who live with a sibling with an eating disorder. We know that these kids are often filled with fear, anger, resentment, guilt, and the pressure to “be good” so as not to give the parents any extra burden. Since eating disorders are truly a family affair – affecting the patient, the parents, the siblings, and maybe grandparents – the “well kids” often get short shrift. Elizabeth Cummings’ illustrated picture book describes a child’s perspective on dealing with her sister’s anorexia nervosa. Eva loves her older sister Anna very much but begins watching her “disappear” due to self-starvation. Her parents attribute Anna’s changed behavior to her simply being a teenage who is preoccupied with her studies. Eva is not convinced or satisfied with that answer and confides in her friend Jennie who speaks to the girls’ parents. When the entire family finally accompanies Anna to the doctor, the physician reports that the girl’s heart is wasting away from lack of nutrition. Eva begins to worry about Anna: “Why is she not better? When will she get better? How long will it take?” The book ends with Anna making efforts to recover, and Eva acknowledging it may take a long time. This reviewer would have appreciated a more “fleshed out” story perhaps with another chapter or two. We would like to know how Anna made the decision to get better because the way it is written now her decision to recover feels too abrupt. Also, we’d like to know what kind of treatment Anna receives and how Eva learns to move on with her own life despite her worries about her sister’s illness. We’d like to know what caused Anna’s anorexia and whether the family learned more helpful communication skills. This picture book with illustrations by Johanna Roberts is a “bare bones” portrayal of a girl witnessing her sister’s descent into anorexia. Perhaps the author and illustrator would consider a more in-depth version. Elizabeth Cummings studied psychology in Edinburgh University and now lives in Australia working with people who suffer trauma and health issues. Visit her at Elizabethmarycummings.com. Book review submitted by Mary Anne Cohen at www.EmotionalEating.Org. Mary Anne's two books are available in paperback and Kindle: French Toast for Breakfast: Declaring Peace with Emotional Eating and Lasagna for Lunch: Declaring Peace with Emotional Eating. To read the Introductions to both books, click: http://www.emotionaleating.org/lasagna-sample.html and http://www.emotionaleating.org/sample.html. These books are available for continuing education credits for mental health professionals through https://secure.ce-credit.com/courses. Have Your Book Reviewed - We are actively looking for good eating disorder books to review. Mary Anne Cohen is the EDReferral.com professional book reviewer. One book will be reviewed each month. There is a small fee but the journal insertion is included at no additional cost. If you want your eating disorder related book reviewed in this journal and for more details, contact Mary Anne Cohen at the following: macohen490@aol.com. Find these and other eating disorder-related books here: EDReferral.com Books
Weighing In on Eating Disorder Issues: A Model for Challenging Internalized Weight Stigma in Therapy by Karen R. Koenig, M.Ed., LCSW. To help clients stop internalizing negative feelings about higher weights, I teach them about cultural factors that promote weight stigma. I describe why diets fail at long-term weight-loss and often generate weight gain because they slow down metabolism, raise set points, cause feelings of deprivation and unfairness, generate rebound eating, encourage over-focus on food, and produce weight-cycling which is harmful to mental and physical health. By understanding this process, clients relinquish old, false beliefs about their size and deal with sadness, regret and anger at the media, healthcare providers, their families, and our culture for encouraging dieting. Understandably, most clients feel scared and helpless that without diets they’ll remain stuck in dysregulated eating and at a high weight. They benefit from learning about mindful, intuitive eating and focusing on health rather than weight-loss goals. I explain cultural origins of weight stigma: living in the most thin-obsessed, fat phobic culture in history while being, paradoxically, over-focused on food that is delicious, abundant and accessible. Cultural factors include viewing gluttony as a sin, valuing a one-size-fits-all body for everyone, feeling free to demonize and stigmatize higher weight people, and the belief that we all grow up on an equal playing field and that if one person loses weight, so can everyone. Understanding the origins of weight stigma helps clients stop blaming and shaming themselves for their size. Using curiosity and compassion, they can then create true narratives of how their eating problems developed because they were trying to improve their lives through dieting and can block out society’s weight stigmatizing introjects. With increased body and self-acceptance, they can learn to become “normal” eaters, value their bodies, and live healthier lives. [Editor: The first part of Ms. Koenig’s article can be accessed in the September 2019 issue of EDReferral Journal]. Karen R. Koenig, MEd, LCSW, an expert in eating psychology, is an award-winning, international author of seven books with another due out in 2021. She is a health educator and practices in Sarasota, Florida. https://www.karenrkoenig.com/ EDReferral.com's monthly column is entitled “Weighing In On Eating Disorder Issues.” If you would like to share an innovative concept/treatment strategy/case example that you are working on, please forward it to us for possible inclusion. Our Eating Disorder Treatment Community is a vibrant source of knowledge and expertise that we can all learn from. This is a forum of ideas not a professional profile about your practice, and we offer it free of charge. Your submission should be a maximum of 300 words including a one sentence bio sketch. Please send to Mary Anne Cohen, Editor, at macohen490@aol.com.
Job Openings: Anderson, IN: Selah House is a Christ-Centered Residential Treatment Facility for ladies and young girls with Eating Disorders. We are currently recruiting for a PRN Staff Nurse to care for our clients. This position performs nurse functions in a house setting on a beautiful property in Anderson Indiana. We provide many different therapies including equine therapy with horses onsite. To apply visit https://www.selahhouse.com/contact-selah-house/career-opportunities/
Rockville, MD and Virtual Worldwide: The Eating Disorder Center in Rockville, MD is seeking 2 exceptional contractors to join their team for the following positions: Part Time Eating Disorder Recovery Coach (virtual worldwide) and Part Time Eating Disorder Therapist (out of Rockville, MD office — or will also consider virtual candidates in DMV area). If you are interested in the position, you can learn more and fill out an application on their website: https://www.theeatingdisordercenter.com/join-our-team.html
EDReferral.com would like to help during these tough economic times. Since many individuals are looking for employment, EDReferral.com would like to offer eating disordered related employers a complimentary job listing in the July EDReferral.com Eating Disorder Journal. Email edreferral@gmail.com by June 20th a few sentences with the job specifics that will benefit professionals in the treatment and prevention of eating disorders. EDReferral.com lists all the eating disorder related job openings for free on our site at https://www.edreferral.com/classifieds.
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