By Judith Matz
"Beyond a Shadow of a nutrition" is a crucial guidebook for clinicians and therapists. The e-book summarizes and clinically pre-packages the so-called Non-Diet method of supporting consumers deal with their compulsive overeating. The Non-Diet procedure, sometimes called physiologically attuned consuming or "intuitive consuming" (Tribole & Resch) or normal/natural/naturalistic consuming (Craighead), is premised at the idea that folks will be entrusted to self-regulate their consuming on their lonesome with no the exoskeleton of nutritional regulations and constraints. As such, the publication bargains a hugely humanistic course in the direction of non-disordered eating.
The ebook, to my wisdom, is the 1st really entire non-diet process guidebook for clinicians. "Selling" consumers on a non-diet method of coping with compulsive consuming isn't basic scientific job. such a lot consumers looking suggestions with weight concerns were seriously propagandized to think that vitamin is the one solution to get well keep watch over over their consuming.
Matz and Frankely do a properly nuanced activity of highlighting the complex complexity of supporting consumers shift from nutrition mentality to non-diet mentality. And (!) they start this approach at the clinician's aspect of the sofa - of their moment bankruptcy, entitled "The Therapist Trap," the authors advisor clinicians via an overview in their personal (therapists') attitudes concerning the nutrition paradigm. this is not in basic terms a smart narrative perspective at instructing companies and clinicians concerning the pitfalls of food plan. in its place, it's a major fact payment of the subconscious biases that will unwittingly tell medical decision-making.
The major energy of the publication is the wealth of functional suggestions that it bargains clinicians for either expecting and neutralizing conceptual resistance from consumers. in the direction of this finish, the authors hand-hold clinicians in the course of the ebook with providing a operating sub-section entitled "presenting the concept." as well as highlighting numerous subtleties of transitioning - or let's imagine, detoxification - consumers from vitamin mentality, the booklet deals quite a few case vignettes and clinician-client transcripts for processing consumers' ambivalence in addition to consumers' abuses of the proposed techniques. In related vein, the booklet skillfully assists the clinicians in to ensure that the humanistic place of entrusting the customer with self-regulation isn't really misperceived through consumers as a permission to over-indulge.
Perhaps, the most important accomplishment but, for my part, is the truth that the authors have the ability to steer clear of radical non-dietism, to coin a time period. whereas they unequivocally condemn healthy eating plan, additionally they - particularly properly - recognize that "there are consumers who're uncomfortable with a few of the directions steered via non-diet specialists. As social staff, we're educated to `start the place the buyer is.'" (p. 98). during this really enlightened damage relief considering, Matz and Frankel version willingness to be clinically versatile and never pedantic approximately therapy protocols.
In sum, "Beyond a Shadow of a nutrition" is - past a shadow of a doubt - a useful medical software.
Pavel Somov, Ph.D.
Author of "Eating the instant: 141 conscious Practices to beat Overeating One Meal at a Time" (New Harbinger, 2008)
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Additional info for Beyond a Shadow of a Diet: The Therapist's Guide to Treating Compulsive Eating
Binge eating. New York: Guilford, p. 181. qxd 5/28/04 10:52 AM Page 37 CHAPTER 2 THE THERAPIST TRAP You’ve heard it a thousand times at parties, during office conversation, or from your friends. “I’m too fat. I can’t eat this. I’m on a diet. ” Chances are your clients voice similar comments. Therapists, like all members of society, may struggle with their relationship with food and weight. Many years ago, a presenter at an eating disorders conference told a story about a survey she took of therapists during a similar conference.
Again, Cory followed the structure of the program and was able to lose 50 pounds. Unfortunately, the problems continued between Cory and her husband. Of particular concern to her was the increase in his alcohol use. The couple sought marital counseling and eventually decided to divorce. Following the divorce, Cory found her weight at a higher point than ever before. She attempted to follow the diet plans in a few books that her friends had recommended. She also tried another national weight loss program, hoping that prepared food would help her stay in better control.
And it wreaks havoc on moods, lives and emotions. The research supporting this view has been known for decades. Yet there are still plenty of therapists who assume, like mine did, that obesity is a pathological state and the obvious antidote is to diet to lose weight. Year after year, they prescribe hypnosis, nutrition education, appetite suppressants, diets and behavior management, even though study after study has shown that for the vast majority, none of this works for long. Many therapists assume that people must be fat because they were sexually abused as children or have other emotional problems; once those are cleared up, these therapists seem to think, the pounds will melt away.