-IBIS-1.5.0-
rx
issues and approaches
treatment phases
psychospiritual approaches
definition
(1) ESTABLISH GOALS (contracts, timetables):
Patient observes eating behavior by keeping a diet diary (time of day, kind of food, and feeling state are recorded before eating.) Reframe the situation of weight loss by focussing on learning about pattern rather than weight loss, and encourage patient to eat enough to maintain weight (important as this is the ultimate goal later after weight loss occurs). May even encourage patient to gain five pounds, or explore what satiety is.
(2) CHANGING BEHAVIOR (losing weight, dealing with plateaus, slips):
Explore how life is different, how others respond to patient, how they feel about themselves. May incorporate imagery exercises about self-image and developing new behaviors in various situations, Plateaus are potential problems as are periods of discouragement due to weight gain.
(3) MAINTENANCE (self-esteem, self-control); give reinforcement
and methods of maintaining through behavioral, relaxation, and imagery skills.
(Zahourek, p. 199)
see:
addiction: psychosocial approach
affirmations: guidelines and precautions
behavior modification techniques
emotional tone scale
exploratory or mechanistic?
obesity: behavioral affirmations
obesity: checklist
obesity: treatment approaches
obesity: treatment phases
process paradigm
reframing
self-hypnosis
recovery: twelve step programs
imagery: bear journey
imagery: Mut and crone journey
imagery: over-eating
footnotes