Eating disorders and eating distress are particularly challenging to treat. They are frequently associated with high levels of shame, self-criticism and fear of compassion, which contribute to the development and maintenance of psychological distress. These same processes can make therapy itself feel threatening, which helps explain why drop-outs and treatment failures are common.
Dr. Kenneth Goss, Consultant Clinical Psychologist, pioneered Compassion Focused Therapy for Eating Disorders (CFT-E), a transdiagnostic approach rooted in Compassion Focused Therapy that retains key elements of eating disorder treatment such as structured eating, meal planning and therapeutic weighing. In this on-demand online training, made up of pre-recorded video lessons organised into chapters, he presents the CFT-E model, the research that supports it, and how to implement it in practice, including its more recent development, CFT-E2.
You will learn how to help clients understand their eating disorder as an understandable "safety strategy", how the threat, drive and soothing systems (the "Three Circles") operate in eating disorders, and why biological starvation and the hungerβsatiety system must be addressed during treatment. Dr. Goss also describes the fears of and blocks to compassion that clients often face during recovery, and how these can be worked with.
This training covers:
- The need for compassion in eating disorders/eating distress, and why drop-outs and treatment failures are common
- Research on shame, self-criticism, self-compassion and fear of compassion in eating disorders, eating distress and obesity
- The "eating disorder voice" and its links with self-criticism
- Affect regulation systems (the "Three Circles") in eating disorders, including the role of pride
- Set point theory, the hungerβsatiety system and the effects of biological starvation
- A compassionate model for understanding how eating disorders develop, including their intended and unintended consequences
- The CFT-E model, CFT-E formulation and the CFT-E group program
- Applications of CFT with low-weight clients, obesity, binge eating and carers
- The CFT-E2 model: core assumptions, foci of change, developing capacity for safeness and compassion, and the stages of therapy
- The phases of the CFT-E2 program: psycho-education, skills, recovery and maintenance
- Outcome research on CFT-E and CFT-E2, including an inpatient randomized controlled trial comparing CFT-E with CBT
Throughout the lessons, clinical reflection exercises invite you to apply the material to your own clients and to consider how CFT-E could be integrated into your clinical practice, at your own pace.