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Attitudes towards psychotherapy manuals among clinicians treating eating disorders
Authors:Glenn Waller  Victoria A Mountford  Madeleine Tatham  Hannah Turner  Chloe Gabriel  Rebecca Webber
Institution:1. Clinical Psychology Unit, Department of Psychology, University of Sheffield, Western Bank, Sheffield S10 2NT, UK;2. South London and Maudsley Eating Disorder Service, South London and Maudsley NHS Foundation Trust, London, UK;3. Institute of Psychiatry, King''s College London, London, UK;4. Norfolk Community Eating Disorders Service, Norwich, UK;5. Southern Health Eating Disorders Service, Southern Health NHS Foundation Trust, Southampton, UK;6. Department of Psychology, Aston University, Birmingham, UK
Abstract:Clinicians have relatively low uptake and implementation of evidence-based psychotherapies for the eating disorders, and this problem appears to be associated with low use of manualized approaches. This study examines clinicians' positive and negative attitudes to manuals, and possible beliefs and emotional factors that might drive those attitudes. The participants were 125 psychological therapists working with eating-disordered patients. Each completed standardised measures of attitudes to manuals and emotional states. A number of beliefs about the content of manuals were associated with both positive attitudes to the outcome of treatment and negative attitudes to their impact on the treatment process. In addition, a more positive mood was associated with more positive attitudes. Suggestions are made regarding how attitudes might be made more positive, in order to facilitate the use of evidence-based therapies for eating disorders.
Keywords:Manuals  Eating disorders  Evidence-based therapy  Attitudes  Depression
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