Anorexia Nervosa - Clinician's Pack
(1) Guidelines for Assessment and Treatment in Primary and Secondary Care (2) The Wish to Change (3) Patient's Log Book
Published March 28th 1996 by Psychology Press
Anorexia Nervosa: Guidelines for Assessment and Treatment in Primary and Secondary Care" is based on Professor Crisp's long-standing views which came to be known as the "St George's" approach to anorexia nervosa. The book aims to outline in a clear, practical way the minimum intervention necessary within primary and secondary care settings if the psychopathology of this serious and life-threatening illness is first to be identified and then treated with some hope of success.; The approach outlined in the book is an attempt at a time-limited and meaningful intervention in the assessment and care of anorexia nervosa. The approach involves concurrent use by both patient and therapist and also, to some extent, the family of the "self-help" book "Anorexia Nervosa: The Wish to Change" and the "Patient's Log Book". Together, the three books form this clinician's pack. "Anorexia Nervosa: The Wish to Change" and the "Patient's Log Book" are also available separately.
A sufferer writes: This book [The Wish to Change], I can safely say, changed my entire life. I read it over and over again and I could not put it down. It all made so much sense. For the first time in my life, I could really relate to it and understand why and how I was feeling this way and most of all how I could overcome this disease.
Book I: Guidelines for Assessment and Treatment in Primary and Secondary Care
The Nature of the Psychopathology - Differential Diagnosis
II Approach to the Assessment
Psychopathology, Physical Findings, Investigations, Pregnancy and Motherhood in Anorexia Nervosa
Assessment, Intervention 1, Interventions 2-15, Interventions 6-9, Interventions 10-13, Planning follow-up, When to admit to hospital, Use of the Mental Health Act, Physical treatments
IV Tertiary Referral
Relationship to specialist centres, Indications for referral
Book II: The Wish to Change
Chapter 1 - What is Anorexia Nervosa? Our view and our messages
Chapter 2 - How to change the 30 steps
Chapter 3 - Work Section
Chapter 3a - Exploratory Exercises
Chapter 3b - On-going exercises
Chapter 4 - Practical Information Section
Book III: Patient's Log Book
This is your Log Book, Reading List, Overall Treatment Programme, Target Weight Programme (Self-Evaluation sessions and tables), At and After Target Weight, Continued growth, struggle and fulfilment, Personal Diary.
Arthur Crisp is emeritus professor of psychological medicine in the University of London's St George's Hospital Medical School. He has treated patients suffering from Anorexia Nervosa for over 35 years and has researched the condition extensively.
Lisa McLelland was lecturer in psychiatry at St George's and worked with Professor Crisp in the Anorectic Unit. The other authors all worked in his team at St. George's for some years and are recognised authorities in their respective eating disorders fields.
Neil Joughin is now a consultant psychiatrist working independently and continuing to develop his interest in eating disorders.
Chris Halek is currently senior nurse practitioner, ANNEX Nursing Development Unit, which provides out-patient services for people with eating disorders at Pathfinder Mental Health Services NHS Trust.
Carol Bowyer is now working as a dietician for an eating disorders service within the private sector.