The Renfrew Unified Treatment for Eating Disorders and Comorbidity: An Adaptation of the Unified Protocol, Therapist Guide (TREATMENTS THAT WORK)

The majority of individuals who suffer from severe eating disorders also experience symptoms of anxiety, depression, post-traumatic reactions, and/or obsessive-compulsive disorders. Unfortunately, most empirically supported treatments for eating disorders fail to adequately account for such comorbidities. The Renfrew Unified Treatment for Eating Disorders and Comorbidity was developed to help practitioners serve individuals who struggle with any type of eating disorder as well as intense emotions like anxiety, sadness, anger, and guilt. This Therapist Guide provides guidance on a unified set of interventions that can address both eating issues and co-occurring emotional disorders using the same set of tools. The guide includes direction for use in both individual and group settings, as well as case studies describing the experiences of patients with a diverse set of symptoms, demographics, and backgrounds. Components of the treatment are intended to help identify and explain how eating and emotional issues interact, to address automatic and core thoughts, to change patterns of behavior, and to develop new flexibility and capacity in areas of life that have been affected. The guide also includes instruction on how to provide unified exposure therapy for co-occurring problems. The Renfrew Unified Treatment for Eating Disorders and Comorbidity is based largely on common principles found in existing empirically supported psychological treatments, and has been tested in extensive research summarized in this book. Taking its title from The Face of Battle , John Keegan's canonical book on the nature of warfare, The Other Face of Battle illuminates the American experience of fighting in "irregular" and "intercultural" wars over the centuries. Sometimes known as "forgotten" wars, in part because they lacked triumphant clarity, they are the focus of the book. David Preston, David Silbey, and Anthony Carlson focus on, respectively, the Battle of Monongahela (1755), the Battle of Manila (1898), and the Battle of Makuan, Afghanistan (2020)--conflicts in which American soldiers were forced to engage in "irregular" warfare, confronting an enemy entirely alien to them. This enemy rejected the Western conventions of warfare and defined success and failure--victory and defeat--in entirely different ways. Symmetry of any kind is lost. Here was not ennobling engagement but atrocity, unanticipated insurgencies, and strategic stalemate. War is always hell. These wars, however, profoundly undermined any sense of purpose or proportion. Nightmarish and existentially bewildering, they nonetheless characterize how Americans have experienced combat and what its effects have been. They are therefore worth comparing for what they hold in common as well as what they reveal about our attitude toward war itself. The Other Face of Battle reminds us that "irregular" or "asymmetrical" warfare is now not the exception but the rule. Understanding its roots seems more crucial than ever. About TREATMENTS THAT WORK Contents Acknowledgments PREPARING FOR TREATMENT 1 Introduction 2 How to Use This Manual 3 Therapist Materials for Preparing for Treatment MODULE 1: MOTIVATION AND GOALS 4 Therapist Materials for Motivation and Regular Eating 5 Therapist Materials for Regular Eating MODULE 2: UNDERSTANDING EMOTION 6 Therapist Materials for the Natural Function of Emotions 7 Therapist Materials for the Three Parts of Emotions (3- Component Model) 8 Therapist Materials for Tracking Emotions over Time (the “ARC”) MODULE 3: MINDFUL EMOTION AWARENESS 9 Therapist Materials for Mindful Emotion Awareness 10 Therapist Materials for Mood Induction 11 Therapist Materials for Automatic Thoughts and Thinking Traps 12 Therapist Materials for Core Beliefs MODULE 5: BEHAVIORAL FLEXIBILITY 13 Therapist Materials for Countering Avoidant Behaviors 14 Therapist Materials for Countering Emotion-Driven Behaviors MODULE 6: CONFRONTING PHYSICAL SENSATIONS 15 Therapist Materials for Interoceptive Exposures MODULE 7: EMOTION EXPOSURES 16 Therapist Materials for Skills for Emotion Exposures RELAPSE PREVENTION 17 Therapist Materials for Continuing Progress into the Future Appendix A Appendix B "The Renfrew Unified Treatment for Eating Disorders and Co-occurring Emotional Disorders is an integrative, transdiagnostic, principle-based approach to address patterns of emotional avoidance, emotion sensitivity, and negative affect that produce and maintain the symptoms of eating disorders and co-occurring emotional disorders. The Renfrew Unified Treatment Model (UT) was developed through an extensive process of adapting the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) for use with patients with severe and diverse eating disorders. The modules of the UT are distinct from other approaches due to their cohesive (internal and collective) focus on how each module addresses these shared maintaining mechanisms. There is extensive evidence that eating disorders typically co-occur with other emotional disorders. There is also extensive evidence that eating disorders and other emotional disorders share common maintaining mechanisms, reflecting aspects of emotional functioning"-- Provided by publisher Focusing on three battles, each reflective of asymmetrical, intercultural, and irregular warfare, this provocative, harrowing, and illuminating book shows how American soldiers have experienced combat in which the "standard" rules of engagement did not apply.