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1 results

  • Chapter 12 - Eating Disorders

  • from Part III - Application and Adaptations for Mental Health Presentations
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book:
    Cambridge Guide to Mentalization-Based Treatment (MBT)
    Published online:
    18 May 2023
    Print publication:
    01 June 2023, pp 298-318

  • Summary

    There is considerable evidence of mentalizing problems in patients with eating disorders, with non-mentalizing modes, especially in relation to body weight and shape, being dominant. The mentalizing model assumes the existence of developmental vulnerabilities, especially during adolescence, and that the range of different symptoms associated with eating disorders may have the common function of being attempts at social self-regulation. Controlling eating is a way of managing social and emotional developmental milestones that the person perceives as insuperable. Patients with eating disorders become stuck in a low mentalizing experience of themselves and their bodies. Clinical treatment based on this formulation is discussed as it is applied in a combined program of individual and group psychotherapy, together with psychoeducation.