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Conceptualising,designing and drafting a monthly multi-family therapy programme and manual for adolescents with anorexia nervosa
Authors:Lisa Minier  Benjamin Carrot  Solange Cook-Darzens  Sophie Criquillion-Doublet  France Boyer  Vesper Barton-Clegg  Mima Simic  Stamatoula Voulgari  Nathalie Godart  Jeanne Duclos  the THERAFAMBEST group
Affiliation:1. Psychiatric Unit, Institut Mutualiste Montsouris, Paris, France;2. Psychiatric Unit, Institut Mutualiste Montsouris, Paris, France

CESP, INSERM, UMR 1018, University Paris-Sud, UVSQ, University Paris-Saclay, Villejuif, France;3. Affiliée au Service de Psychopathologie de l'enfant et de l'adolescent, Hôpital Robert Debré, Paris, France;4. Affiliée à la CMME, Sainte Anne Hospital, GHU Psychiatry and Neurosciences, Paris, France;5. Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED), Maudsley Hospital, London, UK;6. Univ. Lille, CNRS, UMR 9193 – SCALab – Cognitive and Affective Sciences, Lille, France

Abstract:The written transmission of therapists' expertise in manuals is an important issue which is highlighted in the literature. Manuals are essential for research, training and therapeutic guidance. However, the conceptualisation, design and drafting of therapy manuals have received little attention. Our team conceptualised and designed a 10-monthly session multi-family therapy programme for adolescents suffering from anorexia nervosa. This paper presents the methodology used to evolve from training and theoretical models to designing a programme and drafting the accompanying manual. We then describe how our team reached a consensus regarding the role to be attributed to food-related symptoms in the programme. These arduous tasks were rewarded by fruitful discussions among team members, which led to a shared theory of treatment. The methodology presented here is drawn from both the experience of specialised teams and from that of families in providing care to adolescents with anorexia nervosa.
Keywords:anorexia nervosa  families' experience  family therapy  multi-family therapy  therapy manual
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