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Abigail Natenshon, MA, LCSW, GCFP
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Press Release
New Book Publication

Doing What Works: An Integrative System for the Treatment of Eating Disorders from Diagnosis to Recovery

November, 2009

Anorexia nervosa and bulimia nervosa are not only the most lethal of all the mental health disorders, but also carry the dubious distinction of being amongst the most tenacious, misunderstood, under-diagnosed and difficult to treat. Early diagnosis and timely sustainable recovery all too frequently evade patients and families, as experts in the field struggle to reach consensus about much contested "best practice" protocols. In Doing What Works: an Integrative System for the Treatment of Eating Disorders from Diagnosis to Recovery, author Abigail Natenshon combines the best of diverse treatment approaches… including linear, evidence-based, cognitive-behavioral techniques, as well as mindful/relationship-based and holistic practices…into a practicable, reader-friendly and innovative system of care "that works."

Natenshon's seasoned, compassionate and optimistic voice advocates for an action-based and change-oriented pursuit of innovative solutions for familiar treatment challenges. Having specialized in the treatment of eating disorders for four decades, the author systematically shepherds clinicians through the treatment process from start to finish, speaking with expertise and authority to all members of the eating disorder multi-disciplinary treatment team, including psychotherapists, nutritionists, physicians, and educators, as well as to parents and families advocating for their loved ones in recovery. Simultaneous attention to all aspects of eating disorders… biological, physiological, nutritional, emotional, cognitive, behavioral and social… results in comprehensive recovery changes that facilitate effective functioning in every life sphere.

Doing What Works highlights the eating disorder clinician's uniquely versatile use of self in managing counter transference, patient resistance, the complexity of co-occurring conditions, and the fluxing demands of the ever-changing treatment moment and therapeutic connection. Natenshon makes liberal use of actual case examples to illustrate teaching points, inviting the reader to assess and upgrade the quality of his or her own personal responsiveness to challenging professional demands. By providing clinical applications for the proliferation of evidence-based eating disorder research, the book bridges the chasm that exists between proponents of treatment based on the "pure" evidence-based science versus the relational "art" of clinical practice. Though the quality of the treatment relationship has traditionally been considered by researchers and academics to be too random, unquantifiable and unteachable to qualify as a legitimate intervention, Natenshon points to evidence from recent brain research demonstrating that the therapy relationship is the most significant and predictable (and now evidence-based) factor in the creation of personal change, a phenomenon which applies across the board to all types of treatment methodologies. In conjunction with knowledge and skill mastery, it is the right-brain to right-brain therapist/patient connection, created through mindfulness in practice, which evokes and enhances the patient's capacity for self- regulation and well-being.

Bringing the eating disorder field into the 21st century, Doing What Works not only discusses brain neuroplasticity as it impacts human change within eating disorder recovery, but offers holistic non-traditional/adjunctive treatments such as the Feldenkrais Method and EMDR among other mind/ body connection techniques that address and heal body image concerns and sensory processing distortions. Another significant contribution of this book to the field is an in-depth discussion of the increasingly prevalent and typically unrecognized, under-diagnosed, and misunderstood trauma of early childhood feeding and eating disorders, along with recommendations for response.

It has been said that "eating disorders are not about food;" never has there been a book that describes more explicitly the breadth and profundity of this statement. Fortunately, most generalist psychotherapists have already mastered the skill sets required to treat eating disorders; they simply need to learn which to use, when, and how. Doing What Works trains practitioners to utilize, integrate and expand their existing skills, through knowledge and intention, to accommodate the unique requirements of eating disorder care. By offering a treatment model that taps existing strengths and resources, and by enlisting these assets to inspire a vision of possibility, the author does for the reader and for the eating disorder field what clinical practitioners seek to do for their patients.

 


Abigail Natenshon, MA LCSW, GCFP is a psychotherapist who has specialized in the treatment of eating disorders with individuals and families for the past 37 years. Natenshon is the founder and director of Eating Disorder Specialists of Illinois, and the author of the book When Your Child Has An Eating Disorder: A Step-by-Step Workbook for Parents and Other Caregivers. As a Guild Certified Feldenkrais Practitioner, Natenshon pioneers in using body-centered techniques to augment and promote body image awareness, acceptance and healing. For free articles and resources, to have Abigail speak at your next parental or professional group, for information about Abigail's new 6-part audio CD "workshop" for parents of children with eating disorders, and/or to sign up for her live educative/support Internet "webinars" for parents, go to http://www.empoweredparents.com
 

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