In this post, we look at how Motivational Enhancement Therapy can be applied to a practical situation. More specifically, we’ll discuss how counsellors can utilise this model to assist clients suffering from eating disorders. To start, consider the Four Fundamental Principles (Lacey & Lister, unpublished) outlined below: The client’s drive towards thinness is ego-syntonic — […]
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Sometimes, the normal mourning process can turn to complicated or abnormal grieving for a number of reasons. These can include the circumstances of the death, the person’s history of grieving experiences, and the personality of the bereaved and the availability of support. We discussed earlier the more common reactions experienced in grief, but in order […]
Melody has come for counselling to deal with the death of her husband. You have been counselling her for four weeks and in that time Melody has reported that she feels “depressed”. In addition, she complains of being constantly tired and lacking motivation to do simple tasks such as showering and cooking for herself. As […]
Sasha is a 60 year old woman who has recently retired from a career in teaching. Working for many years in a secondary school environment, Sasha was confident, motivated and dedicated to her work, but at the same time looking forward to retirement so she and her husband could travel and spend more time with […]
Obviously there may be many different feelings and emotions that a person could experience depending on the situation or circumstances. One person may fear change whilst another may revel in it and enjoy the challenges. A child about to enter early adolescence may also have a sense of fear or anxiety about what changes to […]
Marnie is a 16 year old girl (an only child) who attends a local private girls school in the city. Marnie is always at the top of her class and her report cards are exemplary. Marnie is actively involved with music, drama and dancing in and out of school all of which she excels at. […]
Now that we’ve covered suicide prevention, there are other problems often associated with youth that are a bit more intractable. Eating disorders tend to fall into this category especially amongst adolescent girls. According to Gillis (2000, cited in McMurray, 2003, 147): ‘Adolescents’ images of themselves are embedded in the way they see their own bodies, […]
The essential features of Bulimia Nervosa are binge eating and inappropriate compensatory methods to prevent weight gain at least twice a week for at least three months. The self-evaluation of people with Bulimia Nervosa is excessively influenced by body shape and weight. A binge is defined as eating in a discrete period of time (usually […]
MacLeod (1981) states people with anorexia are notoriously difficult persons who are determined to hang on to their symptoms at all costs. This is a common view throughout the medical profession and related fields, possibly due to the ego-syntonic nature of eating disorders – the person is comfortable with the disorder and views it as […]
One of the most important advancements in the understanding of eating disorders is the recognition that many of the symptoms once thought to be primary features of anorexia nervosa are actually symptoms of starvation. An experimental study, conducted and published 50 years ago by Ancel Keys and his colleagues at the University of Minnesota (Keys, […]
Lemberg (1992) also proposes a model of development whereby a person moves from voluntary dieting through a number of stages to reach a fully entrenched eating disorder. Stage 1: Normal, voluntary dieting behaviour. Unfortunately dieting behaviours have become the “norm”, with 47% of people in Australia having tried to lose weight in the past twelve […]
There are many environmental, cultural, psychological and biological factors which combine in different ways in the development of an eating disorder. These factors can be divided into three factors, as seen below in Figure 1. Important factors which predispose a person to developing an eating disorder include being female, living in Western society, being an […]
Eating disorders are complex, multifaceted physical and mental health problems. Their development usually involves a number of different contributing and perpetuating factors. The exact processes are unclear and is it uncertain how they interact to develop or maintain an eating disorder (Fairburn & Harrison, 2003). Contributing factors could include one or a combination of physical, […]
Brett is a 36 year old man who works as an accountant for a small family business. The business is failing and Brett will probably have to begin the process of “winding it up” in the near future. His commitment to the business and his friends, the business owners, has intensified the level of stress […]
Maggie is a 35 year old woman who came for counselling six months after the break up of her nine year marriage to Michael, the father of her two children, Josh aged 6 and Joseph aged 12 months. Currently both children are in Maggie’s sole care. Maggie has been referred to counselling by her General […]