RC552.O25C66

Includes bibliographical references (p. 223-228) and index Introduction -- An overview of the theory and treatment -- Module I: Starting treatment -- Module II: Establishing and maintaining weight loss -- Module III: Addressing barriers to weight loss -- Module IV: Increasing activity -- Module V: Addressing body image concerns -- Module VI: Addressing weight goals -- Module VII: Addressing primary goals -- Module VIII: Healthy eating -- Module IX: Weight maintenance

CHAPTER I Introduction I The Characteristics of Cognitive-Behavioral Therapy, 2 Cognitive-Behavioral Therapy and Obesity, 3 The Problem of Weight Regain, 4 CHAPTER 2 An Overview of the Theory and Treatment 6 The New Cognitive-Behavioral Treatment, 7 An Overview of the Treatment, 9 The Remainder of the Book, 13 CHAPTER 3 Module I: Starting Treatment 15 Session 0: Assessment and Orientation, 16 Session 1, 29 CHAPTER 4 Module II: Establishing and Maintaining Weight Loss 37 Initiating and Maintaining Weight Loss, 38 Determining When to Transfer to Weight Maintenance, 61 CHAPTER 5 Module III: Addressing Barriers to Weight Loss 63 Identifying Barriers to Weight Loss, 63 Addressing Barriers to Weight Loss, 65 CHAPTER 6 Module IV: Increasing Activity 88 Determining When to Enter Module IV, 89 Increasing Overall Activity, 89 Increasing Formal Exercise, 96  CHAPTER 7 Module V: Addressing Body Image Concerns 97 The Role of Body Image in Weight Loss, 98 Determining When to Enter the Body Image Module, 99 Overview of Module V, 99 Introduction: The Concept of Body Image as Distinct from Physical Appearance, 100 Assessment: Identifying Body Image Concerns, 100 Personalized Education about Body Image, 102 Monitoring Body Image Concerns, 107 Addressing Avoidance of Body Shape, 111 Addressing Body Checking, 113 Addressing Social Pressures, 115 Addressing Maintaining Thoughts and Beliefs, 116 Body Image Concerns and Weight-Independent Goals, 127 Positive Acceptance, 127 CHAPTER 8 Module VI: Addressing Weight Goals 129 A Note on Therapist Style, 130 Determining When to Enter Module VI, 130 Identifying Weight Goals, 130 Questioning the Desired Weight, 131 Identifying Primary Goals, 133 Reviewing the Causes of Poor Weight Maintenance, 135 Identifying the Benefits of Moderate Weight Loss, 139 Emphasizing the Need for Acceptance and Change, 140 Encouraging Acceptance, 143 CHAPTER 9 Module VII: Addressing Primary Goals 146 General Strategy for Tackling Primary Goals, 147 Common Primary Goals, 148 CHAPTER 10 Module VIII: Healthy Eating 152 General Strategy for Encouraging Healthy Eating, 153 CHAPTER 11 Module IX: Weight Maintenance 157 Obesity and Long-Term Care, 158 Determining When to Enter the Weight Maintenance Module, 158 Overview of the Module, 159 Preparing for Weight Maintenance, 159 Defining a Target Weight Range and Establishing a Weight Monitoring System, 162 Interpreting Changes in Weight, 167  Developing Long-Term Weight Maintenance Skills, 168 Responding to Changes in Weight, 171 Reviewing Treatment, 173 Phasing Out Self-Monitoring, 173 Addressing Weight Change in the Future, 176 Addressing Possible Future Attempts to Lose Weight, 178 Preparing a Personal Weight Maintenance Plan, 180 Ending Treatment, 184 APPENDIX I Patient Handouts 187 APPENDIX II Useful Websites 221 References 223 Index 229

The first cognitive-behavioral treatment manual for obesity, this volume delineates an innovative therapeutic model currently being evaluated in controlled research at Oxford University. From leading clinical researchers, the approach is specifically designed to overcome a major weakness of existing therapies: posttreatment weight regain. The book details powerful ways to help patients not only to achieve weight loss, but also to modify the problematic cognitions that undermine long-term weight control. Drawing on strategies proven effective with such problems as binge eating, the manual contains everything needed to implement the treatment: intervention guidelines, case examples, and reproducible handouts and forms.