The
Maudsley Approach is applied to adolescents 18 and under who are living with
their families. It is designed to
intervene aggressively in the first stages of illness and is a short term model
as short as 20 sessions or six months in duration.
The
Maudsley Approach builds on evidence that family therapy approaches are
superior to individual therapy approaches with younger patients. This approach involves the family from the
outset of treatment and relies heavily on patient involvement in the re-feeding
of the child with an eating disorder.
Parents
are empowered to help their adolescent recover from this life threatening
illness, rather than having them watch passively from the sidelines. This treatment involves compassion, yet
persistent and firm expectations that your adolescent eat an amount of food
that can reverse the state of starvation his or her body is in and help them to
gain weight.
In the
first stage of treatment, the therapist plays an active and key role in helping
parents separate their child from the child’s illness. Parents are given the task of re-feeding and
removing the illness from the child.
Re-feeding the patient begins as
the patient usually has just been hospitalized and is medically compromised. This phase focuses exclusively on the re-feeding
of the patient and other psychological issues are not explored. Parents are encouraged to set their own goals
regarding their child’s weight and health, with the emphasis on physical
appearance and menstruation in girls as an indicator rather than precise weight
goals.
Attia, E., & Walsh, B. T. (2009).
Behavioral management for anorexia nervosa.New England Journal of Medicine, 360(5), 500-506.
Couturier, J., Isserlin, L., & Lock, J.
(2010). Family-based treatment for adolescents with anorexia nervosa: a
dissemination study. Eating disorders,18(3), 199-209.
Wallis, A., Rhodes, P., Kohn, M., & Madden,
S. (2007). Five-years of family based treatment for anorexia nervosa: The Maudsley
Model at the Children's Hospital at Westmead. International journal of
adolescent medicine and health,19(3), 277-284.
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