The Questioning Process in Maudsley Family-Based Treatment. Part 1: Deviation Amplification
Maudsley family based treatment (FBT) continues to demonstrate promising evidence in the treatment of adolescent presentations of anorexia nervosa. In the earlier stages of this treatment modality, the process of empowering families, and in particular, helping parent to follow their natural instincts in making united decisions around re-feeding their child is critical. This paper aims to provide FBT practitioners with structured interviewing guidelines around the amplification of familial interactions around food, drawing on existing familial strengths and therefore empowering parents and families in their process of change. The questioning skills outlined are discussed in light of the theoretical tenets of the Maudsley FBT model.
KeywordsAnorexia nervosa Eating disorders Maudsley family based treatment Family therapy
- Couturier, J., Kimber, M., & Szatmari, P. (2012). Efficacy of family-based treatment for adolescents with eating disorders: A systematic review and meta-analysis. International Journal of Eating Disorders. doi:10.1002/eat.22042.
- Eisler, I. (2011). Update on treatment and care pathways for adolescent anorexia nervosa. Keynote presentation at international conference on eating disorders, April 28–30, 2011, Miami, USA.Google Scholar
- Fisher, C. A., Hetrick, S. E., & Rushford, N. (2010). Family therapy for anorexia nervosa (review). The Cochrane Collaboration. The Cochrane Library, Issue 6.Google Scholar
- Gull, W. (1874). Anorexia nervosa (apepsia hysterica, anorexia hysterica). Transactions of the Clinical Society of London, 7, 222–228.Google Scholar
- Lock, J., Le Grange, D., Agras, W. S., & Dare, C. (2001). Treatment manual for anorexia nervosa: A family-based approach. New York: Guilford Press.Google Scholar
- Madanes, C. (1981). Strategic family therapy. San Francisco, CA, and London: Jossey-Bass.Google Scholar
- Minuchin, S., Rosman, B., & Baker, L. (1978). Psychosomatic families: Anorexia nervosa in context. Cambridge, MA: Harvard University Press.Google Scholar
- Rhodes, P. (2003). The Maudsley model of family therapy for children and adolescents with anorexia nervosa: Theory, clinical practice, and empirical support. Australian & New Zealand Journal of Family Therapy, 24, 191–198.Google Scholar
- Selvini Palazzoli, M. (1974). Self-starvation: From the intrapsychic to transpersonal approach. London: Chaucer.Google Scholar
- White, M. (1987). Anorexia nervosa: A cybernetic perspective. Family Therapy Collections, 20, 117–129.Google Scholar