Re: [eatingconcernsandcontextualpsychology] Re: Research in ACT and Eating Disorders
Hi All,
Nice to hear all the conversation about
using ACT with eating disorders!
I am currently using ACT with my patients
at the Duke Eating Disorders Program (indv and group). I agree they
pose some unique challenges -- and so the more discussion the better! In
terms of research, I am currently running an ACT body image group with
a mixed clinical sample (both in an outpatient setting and at a residential
treatment facility) and, as Alix mentioned, we have a grant submitted for
using ACT with adolescents with anorexia nervosa (separated family therapy
format)-- So there should be some data emerging soon! I also have a couple
of laboratory-based studies in the hopper that examine avoidance of affective
arousal (as well as some survey-based research on experiential avoidance
in this population). Fun stuff! I'll keep everyone posted as things roll
out....
Cheers,
R
_______________________________________
Rhonda M. Merwin, Ph.D.
Assistant Professor
Licensed Clinical Psychologist
Department of Psychiatry and Behavioral Sciences
Duke University Medical Center
PO Box 3842, Durham NC 27710
TEL: 919.681.7231 FAX: 919.681.7347
Pager: 919.970.2761
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Matt Boone <saddmjv@...> Sent by: eatingconcernsandcontextualpsychology@yahoogroups.com
02/06/2009 10:01 AM
Please respond to
eatingconcernsandcontextualpsychology@yahoogroups.com
[eatingconcernsandcontextualpsychology]
Re: Research in ACT and Eating Disorders
Hello Thomas, Carla, &
Alix,
I'm thrilled to hear this research is going
on. About 1/3 of the work I do is with eating disorders and disordered
eating generally. I find implementing "full-ACT" particularly
difficult with this group. What I mean is this: with anxiety clients, it's
easy to jump right into all of the processes. It makes a lot of intuitive
sense to the clients and gains appear almost immediately, usually in the
areas of diminished control, hope, and a willingness to have some anxiety.
But with eating disorder clients, I have to start very slow. The motivation
for change is low. Any sort of mindfulness needs to be done very tentatively.
It's very difficult to lead someone through any kind of mindfulness exercise.
Usually I just start with short periods of physicalizing. Values conversations
bring up tons of fusion and a lack of willingness.
I'm curious to hear how it goes for you all.
I also would love to see some of your materials if you're willing to offer
them. More than anything, I like to start a conversation on this list about
working with eating disorders and ACT.
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