The publication in 1993 of Getting Better Bit(e) by Bit(e), written by two eating disorder specialists at London's world-famous Maudsley Hospital, was a milestone in the treatment of bulimia.
For the first time a self-help book was shown, by rigorous clinical trials, to cure a significant fraction of women suffering from bulimia, and to reduce the therapist contact time needed by others. Getting Better Bit(e) by Bit(e) offered an efficient way of treating bulimic patients, which would be valued by any resource-conscious health service.
The authors of Getting Better Bit(e) by Bit(e) have now written this Clinician's Guide, to help health care professionals maximize the benefit that patients obtain from the self-help book. Based on the authors' wide-ranging experience of treating eating disorder patients, it provides a step-by-step account of how the chapters in Getting Better Bit(e) by Bit(e) can be used to ameliorate various aspects of bulimics' difficulties, with examples drawn from real patients' case histories. Particular emphasis is given to the problem of motivating patients who are reluctant to change their behaviour, using Miller and Rollnick's motivational interviewing approach.
The Clinician's Guide to Getting Better Bit(e) by Bit(e) will be invaluable for all those treating sufferers of bulimia.
"… clearly written, from a wealth of practical experience, and does indeed provide the sufferer with a 'survival kit' on the road to recovery. It can be recommended not only to sufferers, but to professionals dealing with these patients, and to family and friends who wish to become involved in the recovery process." - Anne Ward, Behaviour Research Therapy
"… an excellent book, and a model for self-help manuals. The basics of bulimia nervosa and other binge eating disorders are explained in clear and simple language."- Padma de Silva, Sexual and Marital Therapy
"… offers both practical and emotional support and advice, and successfully combines being challenging whilst remaining sensitive… Written in a clear, easy to read style, the book is enriched with a wide range of case reports which readers will be able to identify with." - Denise Riordan and Simon Gowers, Journal of Adolescence
Introduction.The Therapeutic Relationship. Introducing Bit(e) by Bit(e). Theoretical Background About Behaviour Change. Facilitating Change. Essentials of Motivational Interviewing. Guidelines for Motivational Interviewing. The Goal of the Therapeutic Alliance. The First Meeting. Written Feedback. Sessions 1-3. Difficulties With Change. Core Values: Goal Setting. Moving into Action. Commitment to Change. Sessions 3-8: Action. Interpersonal Difficulties. Termination of Treatment. Relapse Prevention. Case Report 1. Case Report 2. Appendix: Workbook - Motivational Enhancement Therapy.
Please note: The full text of Getting Better Bit(e) by Bit(e) is included in this Guide.