Hello _ I am doing an administrative (not clinical) service review of the London based Adult Eating Disorder service in London, Ontario. I have found good evidence based literature coming from the UK and Ireland but not from Canada at this point. I am very interested in your thoughts regarding the above question. I am also working on a tight time line so would appreciate your response by March 26th if possible _ thank you in advance for your kind attention to this request.
Deborah J. Corring, PhD
Hi Dr. Corring!
Unfortunately, it does not appear as though there is as much research done in Canada to ascertain important components of adult services for eating disorder treatment. It is certainly a gap in the literature. At least from my knowledge, there also seems to be a lack of common structure in the various eating disorder programs across Canada. In a brief scan of the literature just now, I primarily found exploratory studies or pilot studies examining the implementation of certain therapeutic interventions/groups in adult eating disorder services in Canada (e.g., Mac Neil et al., 2016a; Mac Neil et al., 2016b; Mac Neil et al., 2018). I also found an article that examined residential treatment, though the study examined emerging adults (aged 16-24; Williams et al., 2020), so I am not entirely certain whether this will be of use to you given the age range. However, Williams et al. (2020) do briefly describe the treatment that was provided and offer a very useful account of what patients perceived as the most helpful components of treatment, so perhaps that might be fruitful to consider. I have attached all of these articles to my comment here. Given that this is a topic that interests me as well, I may take some time to dig further and see what else I come across. I will let you know if I find anything that might be useful!
Kind regards,
Laura
The essentials are:
-Congnitive Behavioral Treatment to combat altered / delirious perception of one's own body scheme and self-image
-Intervention "ad hoc", including with Systematic Desensitization and Reciprocal Inhibition for Dysmorphophobia.
-Implementation of Self-esteem and Self-concept.
-If necessary, a system -in an institutionalized intervention- of absolute elimination of positive reinforcements and of any "reward" or, even, attention to be achieved through programmed weight gain.
-Absolute prohibition of mirrors.
-Premack techniques to acquire desirable behaviors.
Training in Social Skills and Assertiveness.
-Individualized psychotherapy
-Control and advice from expert Nutritionists ... In any case, without any desire for prominence, you can see contributions in this regard here in "RG" of my Research Team and mine.
- Badges
- Science topic
- Similar topics
- Filing