This book reviews the theoretical underpinnings and practice of dialectical behavior therapy (DBT), a radical treatment developed by Marsha Linehan to treat borderline personality disorder (BPD). DBT has proven to be effective with a wide range of mental health problems, including self-harm, suicidality, substance abuse, and eating disorders that…

In 1994, binge eating disorder (BED) was introduced as a disorder requiring further study in the "American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders", fourth edition ("DSM-IV"). It is now listed as a distinct eating disorder in the "DSM-5", along with bulimia nervosa and anorexia…

This paper takes Betty Joseph's concept of "addiction to near death," which describes a clinical situation in which sadism and masochism dominate the relationships of a particular group of patients, and applies it specifically to the case material of a girl in adolescent psychotherapy treatment. A link is made between the patient's retreat from…

The author describes a sub-group of anorexic patients who present themselves clinically as "invisible" and "insubstantial". The concept of "invisibility" is understood in terms of primitive object relations. The underpinning of this dynamic is a lack of separation and differentiation from mother and a consequent effort to live inside her skin. The…

This article aims to demonstrate that it is not only the mind that needs to have the capacity to hold and transform, but also the body. Fordham's concept of the "primary self" emphasises the unity between the body and emotional states in infancy. The self is expressed through actions that bring the infant into contact with the mother and the…

This paper describes the struggle to develop a female sexual identity and the importance of the roles of the father and mother in this struggle. The clinical illustration is taken from the psychotherapy of an anorectic adolescent.

Research shows that half of all lifetime cases of mental illness begin by age 14. Scientists are discovering that changes in the body leading to mental illness may start much earlier, before any symptoms appear. Through greater understanding of when and how fast specific areas of children's brains develop, we are learning more about the early…

Discusses eating disorders in college females, recommending use of the Eating Disorder Not Otherwise Specified framework to identify and target various eating concerns for intervention. The paper also suggests using a multiple-level, developmental-intervention model to conceptualize preventive, educational, and remedial responses to eating…