Transforming Emotional Pain and Rediscovering the Self in Anorexia Nervosa: A Clinical Guide
Book Details
- Publisher : Routledge
- Published : April 2025
- Cover : Paperback
- Pages : 222
- Category :
Forthcoming - Category 2 :
Individual Psychotherapy - Catalogue No : 98030
- ISBN 13 : 9781032741727
- ISBN 10 : 1032741724
Also by Helen Startup
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This book presents the SPEAKS approach, an innovative treatment model for Anorexia Nervosa that primarily combines aspects of Emotion Focused Therapy and Schema Therapy to target struggles with emotion expressed as a “Lost Emotional Self.”
An important development for eating disorder treatment models over the last decade is the recognition of difficulties with emotions. This book offers a clear rationale for why emotion is critical in the understanding of Anorexia, the blocks to emotional experiencing, as well as how this plays out in regard the development and experience of Anorexia. Structured around five core phases, the treatment framework equips clinicians with practical tools and core therapy tasks designed to help clients reconnect with their emotions. By empowering individuals to articulate their emotional needs, this guide fosters healthier relationships with food and self, ultimately reducing reliance on maladaptive behaviours associated with Anorexia.
Transforming Emotional Pain and Rediscovering the Self in Anorexia Nervosa is an essential resource for helping any clinician working in the eating disorder field guide their clients toward emotional healing and self-acceptance.
Reviews and Endorsements
Wow! This guidebook on SPEAKS, a new and evidence-based theory and treatment for adults with anorexia nervosa is a triumph. It takes therapeutic understanding and working with emotion to a whole new level. In accessible prose and via helpful diagrams the reader is shown very practically, how to help patients find, use and strengthen their emotional selves to facilitate change and recovery. Whatever your therapeutic orientation, this book will be an extremely useful resource. I learnt so much from it.
Ulrike Schmidt OBE, Professor of Eating Disorders, King's College London and Consultant Psychiatrist, Maudsley Hospital
Here is a book that is simultaneously scientifically rigorous, theoretically rich and highly practical. It provides the reader with everything one needs to know to apply this approach. It offers a novel emotion based theory based on the facilitation of the experience of emotion and emotional vulnerability to regain a lost sense of an emotional self. It doesn’t stop here but offers a highly detailed treatment manual, tested it in a feasibility trial based on connecting with and resolving core pain by transforming emotion with new adaptive emotions. This is a must read for anyone interested in the treatment of Anorexia Nervosa and would be an interesting, clinically, and theoretically rich, worthwhile read for practitioners of all persuasions.
Leslie Greenberg, Distinguished Research Professor Emeritus, Dept. of Psychology, York University, Toronto, Ontario, Canada
This book presents a guide that has been needed for a long time: an integrated treatment (Emotion Focused Therapy and Schema Therapy) for one of the most severe and difficult to treat mental health presentations, Anorexia Nervosa. Instead of primarily targeting the over control of weight, this new treatment focuses on the underlying emotional issues, which in most treatments to date are not seriously addressed. An absolute must for any clinicians working in this field!
Arnoud Arntz, professor emeritus, University of Amsterdam
The first line treatments for anorexia nervosa have been established for over fifty years. However, the second step for those with a more complex form of illness including forms of neurodiversity has been uncertain. SPEAKS fills this gap by combining strategies developed to shift unhelpful beliefs and emotional reactions that lead development to become stuck and entangled with the eating disorder. This book provides clear illustrations and guidance derived from clinical expertise and research wisdom.
Janet Treasure, OBE PhD FRCP FRCPsych, Professor of Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King’s College London
Over half of people with AN do not find treatment that helpful. Addressing cognitions and behaviour in CBT helps some but not all, and a different model is needed. Enter the emotion-focused therapies. SPEAKS is one of these, along with MBT, CFT, ICAT, CAT and FPT. This guidebook provides a really clear and effective guide for potential practitioners. It embodies many elements familiar to experienced therapists: Formulating the problem, motivational enhancement, accessing and resolving trauma or pain and what might be called the butterfly effect, in which the person at last goes forward to a more liberated future. Future RCTs should evaluate therapies such as SPEAKS and broaden the evidence base for treatment of Anorexia Nervosa.
Prof Paul Robinson, Consultant Psychiatrist, University College London and Orri
Table of Contents
Section I
1. Anorexia and a ‘lost emotional self’
2. Theory and Conceptualisation of SPEAKS Therapy
3. Testing SPEAKS
Section II
4. SPEAKS Therapy Overview
5. Phase 1: Engagement and Formulation
6. Phase 2: Seeing through and moving past the Façade
7. Phase 3: Deepening to Core Pain
8. Phase 4: Resolving Core Pain
9. Phase 5: The “Real Me”
About the Author(s)
Dr Anna Oldershaw is a clinical psychologist and Reader in Clinical Psychology at the Salomons Institute for Applied Psychology, Canterbury Christ Church University. She has 20 years of clinical and research experience in the field of eating disorders and has published widely in academic journals and books. Anna is an accredited Emotion Focused Therapist, supervisor and international trainer (isEFT), as well as an accredited Schema Therapist (ISST). Anna is Director of the Emotion Focused Therapy Institute of England at Salomons, an isEFT accredited training institute
Dr Helen Startup is a Consultant Clinical Psychologist with over 20 years of experience working in the field of eating disorders both as a clinician and researcher. She is an accredited CBT therapist (BABCP), and a teacher/trainer of Schema Therapy (ISST) and co-directs her own schema therapy training school (www.schematherapyschool.co.uk). She has published widely in academic journals and was co-author of the treatment manual for a NICE recommended AN treatment called MANTRA.
Professor Tony Lavender is a Clinical Psychologist with over 40 years of experience working with a range of client groups and a Professor (Emeritus) at Salomons Institute for Applied Psychology, Canterbury Christ Church University. He was the Programme Director for the Clinical Psychology Doctorate at Salomons for 21 years before taking up roles as Dean and Pro-Vice Chancellor (Research). He has published extensively on services and therapies in the areas of psychosis and personality disorder, workforce planning, the history of clinical psychology and more recently anorexia.
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