In this study of a 12-year-old boy with autism, mental retardation, and a history of severe gastrointestinal problems, who refused liquids and food, backward chaining was used to shape drinking from a cup and a fading procedure was used to increase the water he was required to drink. (Author/CR)

This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1-and 6-month follow-up. Frequency of…

This book is designed to help the parents of overweight children control their child's weight naturally and prevent future weight problems. It uses case stories and examples to illustrate common conditions and situations, along with recommended interventions. Chapters focus on: (1) "Overfatness," including the reasons for excessive…

This article presents principles of behavior therapy that can be used alone to treat minor feeding problems in young children or in conjunction with other modalities to treat serious disorders. The article discusses assessment methods; variables in feeding, including time, space, child, feeder, food, and treatment; methods to increase or decrease…

A study conducted functional analyses of the pica of three young children. The pica of one participant was maintained by automatic reinforcement; that of the other two was multiply-controlled by social and automatic reinforcement. Preference and treatment analyses were used to address the automatic function of the pica. (Author/CR)

In recent years, bulimia nervosa has plagued young women and become a major issue in mental health care. Strategies for training counseling students so as to acquaint them with clinical research on treatments for bulimia are presented in this report. It reviews empirically supported treatments (ESTs) concerning eating disorders in order to…

This report describes a behavior analysis treatment approach to establishing oral feeding in children with multiple developmental disabilities and gastrostomy-tube dependency. Pretreatment screening, functional assessment, and treatment are reported as implemented within a behavioral consultation model. A case study illustrates the sequence and…

A study found verbal reprimands, delivered contingent upon eating prohibited foods, were sufficient to decease the food stealing of a girl (age 14) with Prader-Willi syndrome. Warning stimuli were then successfully used to help her discriminate between permitted/prohibited foods during sessions in which food stealing was not directly observed.…

The therapeutic alliance is an established predictor of psychotherapy outcome. However, alliance research in the treatment of eating disorders has been scant, with even less attention paid to correlates of alliance development. The goal of this study was to examine the relation between specific patient characteristics and the development of the…

Although eating is considered an automatic physiologic process, many children experience feeding difficulties. The purpose of this paper is to provide a framework for assessment, treatment and prevention of feeding difficulties in children. Identification and treatment of any factors actively interfering with feeding success is a critical…

Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

The food refusal of a 6-year-old girl with autism and destructive behavior was treated using stimulus fading, reinforcement, and escape extinction. Intake increased, and compliance with prompting procedures remained relatively stable despite the increased consumption requirement. (Author/CR)

This study of 15 children with feeding disorders investigated identification of effective behavioral reinforcers by comparing outcomes and time requirements of two procedures in which presence in a particular area produced access to a preferred stimulus (i.e., zone discrimination). Both procedures were viable reinforcer identification tools, but…

Evaluated a television-delivered behavioral weight reduction program. Overweight adults (n=71) were randomly assigned to a live-contact weight loss group videotaped for viewing by other groups, a live-contact group not videotaped, a television-delivered group that observed the videotaped weight loss sessions, or a waiting-list control group.…

Because of similarities in age, education, and background, group counselors and members of eating disorders groups may easily identify and connect with each other. A model of supervision based on parallel process is presented to address these issues. In addition, it describes societal values relating to eating disorders, discusses themes in eating…