-IBIS-1.5.0-
rx
issues and approaches
treatment approaches
psychospiritual approaches
definition
Treatment is multimodal and individually tailored to patient's behavioral style of eating, personal meaning of overeating and being overweight, personality, and methods of processing information and stress:
PHYSICAL: physical reasons for weight gain, contraindications for dieting, choosing nutritional diet, reinforce ultimate goal of eating normally rather than being on a perpetual diet.
COGNITIVE: what is patient's understanding of weight problem and of meaning of losing weight, give information on weight loss process (plateaus, exercise, relaxation, imagery, psychotherapy as tools)
AFFECTIVE: encourage enlargement of affective pleasures from other sources, recognition of difference between hunger and other feeling states, anticipate affective changes (despair, discouragement) and educate patient regarding changes in feeling states.
BEHAVIORAL: diet diary, reward system as goals attained, instructions on eating smaller amount and more slowly, always sitting down to eat and doing nothing else, eating 3 meals a day, picture on refrigerator of oneself as overweight or at ideal weight.
IMAGERY: self-image exercise (strong and in control, happy, successful), body image (patient sees self slowly losing weight, experiences feelings as he begins to lose weight), images of enjoyment of less food and feeling full, healthy food images.
(Zahourek, p. 244)
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