Skip to main content

Occupational Therapy Treatment of Anorexia Nervosa

  • Chapter
  • 433 Accesses

Abstract

Anorexia nervosa affects the biological, social, and emotional competence of the patient. This eating disorder which affects young women is multifaceted, and requires a global approach to treatment intervention. The occupational behavior model proposed by Reiley is such an intervention.’ It is based on Adolph Meyer’s continuum of the balance between work, rest, play, and sleep.2 Occupation means not only employment but also includes all other activities that occupy a person’s time. In anorexia nervosa there is an unhealthy imbalance of time directed towards weight loss, exercise, and food related issues. This chapter uses the occupational behavior paradigm as a foundation for exploring occupational deficits and discusses treatment interventions for anorexia nervosa.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Reilly M. A psychiatric occupational therapy program as a teaching model. Am J Occup Ther 1966; 20: 61–67.

    PubMed  Google Scholar 

  2. Meyer A. Philosophy of occupational therapy. Arch Occup Ther 1922; 1: 6.

    Google Scholar 

  3. Reilly M. Occupational therapy can be one of the greatest ideas of 20th century medicine. Am J Occup Ther 1962; 16: 300–308.

    Google Scholar 

  4. Reilly M. The educational process. Am J Occup Ther 1969; 23: 299–307.

    PubMed  Google Scholar 

  5. Zellner DA, Harner DE, Adler RL. Effects of eating abnormalities and gender on perceptions of desirable body shape. J Abn Psychol 1989; 98: 93–96.

    Article  Google Scholar 

  6. Humphrey LL. Observed family interactions among subtypes of eating disorders using structural analysis of social behavior. J Consult Clin Psychol 1986; 37: 206–214.

    Google Scholar 

  7. Sykes DK. Preliminary findings of demographic variables in patients suffering from anorexia nervosa and bulimia. Int J Psychosom 1986; 33 (4): 27–30.

    PubMed  Google Scholar 

  8. Rumpling D. Ascetic ideals and anorexia nervosa. Psychiatric Research 1985; 19 (2–3): 89–94.

    Google Scholar 

  9. Dura JR, Bornstein RA. Differences between IQ and school achievement in anorexia nervosa. J Clin Psychol 1989; 45 (3): 433–435.

    Article  PubMed  Google Scholar 

  10. Kielhofner G, Burke J. Components and determinants of human occupation. Baltimore, Williams and Wilkins, 1986.

    Google Scholar 

  11. Eckert ED. An overview of treatment of anorexia nervosa. Psychiatric Medicine 1989; 7 (4): 293–315.

    PubMed  Google Scholar 

  12. Bruch H. Four decades of eating disorders. In Garner D, Garfinkel D (eds): Handbook of Psychotherapy for Anorexia and Bulimia. New York, Guilford Press, 1985.

    Google Scholar 

  13. Herzoy DB, Keller MB, Lavori PW. Outcome in anorexia nervosa and bulimia nervosa. Nery Ment Dis 1988; 176 (3): 131–143.

    Article  Google Scholar 

  14. Wolman BB. Dictionary of Behavior Science. New York, Von Nostrand Reinhold, 1973.

    Google Scholar 

  15. Bruch H. Eating Disorders. New York, Basic Books, 1973.

    Google Scholar 

  16. Strickland BR. Internal-external expectancies and health related behavior. J Consulting and Clin Psychol 1978; 46: 1192–1211.

    Article  Google Scholar 

  17. Hamilton LH, Brooks-Gunn J, Warren MP, Hamilton WG. The role of selectivity in the pathogenesis of eating problems in ballet dancers. Medicine and Science In Sports and Exercise 1988; 20 (6): 560–565.

    PubMed  Google Scholar 

  18. Folts D, Giannini J. The Functional Eating Disorder Evaluation (unpublished instrument).

    Google Scholar 

  19. Gross M. Aspects of the family with anorexia nervosa or bulimia. Int J Psychosom 1986; 33 (3): 3–8.

    PubMed  Google Scholar 

  20. Good-Ellis M, Fine SB, Spencer JH Jr. The Role of Performance Scale (unpublished instrument).

    Google Scholar 

  21. Hultsch D. Personal time perspective in adulthood. A time sequencial study. Dev Psychol 1974; 10: 835.

    Article  Google Scholar 

  22. Jones D. Structural discontinuity and the development of anorexia nervosa. Sociological Focus 1981; 3: 233–247.

    Google Scholar 

  23. Reker GT, Peacock EJ. The life attitude profile: A multidimensional instrument for assessing attitudes towards life. J Behav Sci 1981; 13: 264–273.

    Google Scholar 

  24. Riople NJ. An examination of the occupational behavior and life satisfaction of the elderly. 1982. Unpublished master’s project. Virginia Commonwealth University, Richmond, VA.

    Google Scholar 

  25. Nowell R. The role of therapeutic recreation with eating disorder patients. Psychiatric Medicine 1989; 7 (4): 285–292.

    PubMed  Google Scholar 

  26. Beard JG, Ragheb MG. Measuring leisure satisfaction J Leisure Research 1980; 12: 20–33.

    Google Scholar 

  27. Mackenzie JR, LaBan MM, Sackegfio AH. The prevalence of peripheral neuropathy in patients with anorexia nervosa. Arch Phys Med Rehabil 1989; 70: 827–830.

    PubMed  Google Scholar 

  28. Askevold F. Measuring body image. Psychother Psychosom 1975; 26: 71–77.

    Article  PubMed  Google Scholar 

  29. Hood J, Moore TE, Garner DM. Locus of control as a measure of ineffectiveness in anorexia nervosa. J Con Clin Psychol 1982; 50: 3–13.

    Article  Google Scholar 

  30. Harding TP, Lachenmeyer JR. Family interaction patterns and locus of control as predictions of the presence and severity of anorexia nervosa. J Clin Psychol 1986; 42 (3): 440–447.

    Article  PubMed  Google Scholar 

  31. King M. Locus of control in women with eating pathology. Psychol Medicine 1989; 19: 183–187.

    Article  Google Scholar 

  32. Rotter J. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr 1966; 80: 1–28.

    PubMed  Google Scholar 

  33. Reid DW, Ware EE. Multidimensionality of internal versus external control. Can J Behav Sci 1973; 5: 264–271.

    Google Scholar 

  34. Giannini AJ, Folts DJ. Impaired reception of nonverbal cues in anorexia. J Abn Psychol (submitted).

    Google Scholar 

  35. Bolzani R, Matinelli P, Falmigni C. Gaze and eye contact with anorexia adolescents. J Med Psychol 1989; 62: 365–369.

    Article  Google Scholar 

  36. Brunner RL, Maloney MJ, Daniel S, et al. A controlled study of Type A behavior and psychophysiologic responses to stress in anorexia nervosa. Psych Research 1989; 30: 223–230.

    Article  Google Scholar 

  37. Swift WJ, Bushell MS, Hanson D, et al. Self concept in adolescent anorexics. Am Acad Child Psychiatry 1986; 12: 826–834.

    Article  Google Scholar 

  38. Garner DM, Garfinkle PE, Bemis KM. A multidimensional psychotherapy for anorexia nervosa. Int J Eating Disord 1982; 1 (2): 1–15.

    Article  Google Scholar 

  39. Jenkins ME. An outcome study of anorexia nervosa in an adolescent unit. J Adolesc 1987; 10 (1): 71–81.

    Article  PubMed  Google Scholar 

  40. Collins ME. Education for healthy body weight: Helping anorexics exercise. J Sch Health 1988; 58 (6): 227–231.

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Folts, D.J., Tigges, K., Jackson, G. (1993). Occupational Therapy Treatment of Anorexia Nervosa. In: Giannini, A.J., Slaby, A.E. (eds) The Eating Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8300-0_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8300-0_19

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8302-4

  • Online ISBN: 978-1-4613-8300-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics