Test sample

1
The Vicious Cycle of An Eating Disorder

• Fear of obesity, loss of control and distorted
  body image lead to

Starvation
Preoccupation with food
Harder attempts at thinness
Increased anxiety depression
Greater feelings of fear loss of control
Medical problems
2
Determinants of Self-regulation
Individual Emotional Vulnerability
Social- Culture
Developmental Demands
Invalidate
------------------------
Validate
------------------------------------------
Family
Learning Opportunities
Individual Psychological Resources
3
Why have a broad focus? Pathways to Recovery
The Patient and Family
Patient Self-Regulation
Self-Efficacy
Culture
Family Relations
Family Involvement
Family Self Regulation
Symptoms
Society and Community
4
Family A Systemic View
Social/ Cultural Context
Family
Client
At Each Level The Patient Is Interacting With
The System
5
Behavior Change
Quality Of Living Life
1st Order
2nd Order
3rd Order
Positive Symptoms
Negative Symptoms
ASSIMILATING
ACCOMODATING
LEARNING
INTEGRATING
Focus On Reducing Negative Symptoms
Focus On Developing Positive Symptoms
Building On Positive Skill-Base
Living Life Strategies
6
Practice PointsThe Structural-Process Model

• Therapeutic Concepts
• Holding environment
• Deficits in, or problems with, effective
  Self-regulation
• Repetition phenomena (reenactments)
• Self-integration functions
• Automatic responses
• Therapist survival!

7
Self-Regulation Dimensions of Treatment
Self-Care
Self-Determination
Self-Awareness
8
Self-Regulation Dimensions of Treatment

• Self-Determination
• Actions
• Giving Direction To Ones Life
• Having Purpose In What One Does
• Actively Participating In Ones Life Challenges
  And Opportunities