The Overweight Patient


Book Description

The book explores the underlying beliefs and behaviours that may contribute to obesity, including psychological needs, addiction, fear of deprivation, parental influences and sexual fears. The author draws a useful distinction between the need to eat and the need to maintain a large body size, and addresses both LT obesity and ST weight gain.




The Overweight Patient


Book Description

`Kathy Leach provides a thoughtful, well-written text that addresses the `great weight debate' in an engaging and compassionate way.' -The Psychologist, Vol. 20, March 2007 `The main body of the book focuses on clinical work, offering insightful ways of thinking about and working with obese individuals. The text is punctuated with some very useful case examples and transcripts which guide and enlighten the readers thinking.' -The Psychologist, Vol.20, March 2007 `An excellent, clear and accessible introduction to basic transactional analysis theory and principles, providing useful examples of how this form of therapy can be particularly useful and effective when working with people who overeat.' -The Psychologist, Vol.20, March 2007 `An important contribution in helping clinicians and clients understand the psychological aspects that prevent people form losing weight or maintaining weight loss. It is a `must-have' text for anybody working with this client group.' -The Psychologist, Vol.20, March 2007 `The Overweight Patient provides a practical framework to psychological management of obesity. Kathy Leach employs a model of Transactional Analysis psychotherapy to the treatment of obesity. She clearly writes from her considerable clinical experience. The factual information presented in this interesting book conveys the sense of someone steeped in that patient population. It is well written, with a light touch, and I found myself reading it in a single sitting. To any practitioner of transactional analysis, this will be a `must read.'' -European Eating Disorders Review, 2007 `The Overweight Patient explores the underlying beliefs and behaviours that may contribute to obesity, including psychological needs, addiction, fear of deprivation, parental influences and sexual fears. Kathy Leach draws a useful distinction between the need to eat and the need to maintain a large body size, and addresses the reasons for both long-term obesity and short-term weight gain. She provides a clear and accessible introduction to the psychoanalytic theory of Transactional Analysis and details how this approach can be used with overweight people, and as a self-help methodology. Kathy Leach offers sensitive advice on methods to help clients increase their self - esteem, self- awareness and motivation to develop healthier lifestyles.' -Transactions (TSTA) `Illustrated with patient histories, exercises and worked examples of techniques, this book enables therapists and health practitioners to help obese people to understand why they reach for food or maintain a large body weight, and to change their eating behaviour or live more comfortably with their size.' -Transactions (TSTA) This practical guide approaches obesity and overeating from a psychological perspective, and offers sensitive methods to increase patients' sense of self-worth, self-knowledge, and motivation to lose weight. The Overweight Patient explores the underlying beliefs and behaviours that may contribute to obesity, including psychological needs, addiction, fear of deprivation, parental influences and sexual fears. Kathy Leach draws a useful distinction between the need to eat and the need to maintain a large body size, and addresses the reasons for both long-term obesity and short-term weight gain. She provides a clear and accessible introduction to the psychoanalytic theory of Transactional Analysis and details how this approach can be used with overweight people. Illustrated with patient histories, exercises and worked examples of techniques, this book enables therapists and health practitioners to help obese people come to terms with their size, or to support their decision to change their behaviour and reduce their need to eat.




Fat Nation


Book Description

The diet and weight-loss industry is worth $66 billion – billion!! The estimated annual health care costs of obesity-related illness are 190 billion or nearly 21% of annual medical spending in the United States. But how did we get here? Is this a battle we can’t win? What changes need to be made in order to scale back the incidence of obesity in the US, and, indeed, around the world? Here, Jonathan Engel reviews the sources of the problem and offers the science behind our modern propensity toward obesity. He offers a plan for helping address the problem, but admits that it is, indeed, an uphill battle. Nevertheless, given the magnitude of the costs in years of life and vigor lost, it is a battle worth fighting. Fat Nation is a social history of obesity in the United States since the second World War. In confronting this familiar topic from a historical perspective, Jonathan Engel attempts to show that obesity is a symptom of complex changes that have transpired over the past half century to our food, our living habits, our life patterns, our built environments, and our social interactions. He offers readers solid grounding in the known science underlying obesity (genetic set points, complex endocrine feedback loops, neurochemical messengering) but then makes the novel argument that obesity is a result of the interaction of our genes with our environment. That is, our bodies have always been programmed to become obese, but until recently never had the opportunity to do so. Now, with cheap calories ubiquitous (particularly in the form of sucrose), unwalkable physical spaces, deteriorating rituals and norms surrounding eating, and the withering of cooking skills, nearly every American daily confronts the challenge of not putting on weight. Given the outcomes, though, for those who are obese, Engel encourages us to address the problems and offers suggestions to help remedy the problem.




Pharmacological Basis of Acute Care


Book Description

This book is the 4th in a series of Acute Care books written with the aim to address the NEEDS of health care providers when handling the acutely ill patients. Globally it has become apparent that the study of pharmacology and subsequent clinical training has not always adequately equipped young doctors with the ability to administer drugs to their patients safely and confidently, particularly in the critically ill patient. Compounding this issue is the lack of resource material related to these pharmacological concepts contained in one book that can help health care providers to understand and manage drug therapy in the acute situation. In spite of progressively newer and more developed protocols, guidelines, algorithms and many other books addressing the technical aspects of what needs to be done, most health care providers still find it difficult to grasp the basic pharmacological knowledge and rationally deliver the CARE that is required in the acute phase of patient management. The editors/authors have therefore aimed for a book that highlights topics and pharmacological issues pertinent to management of patients in their hour of need. This is a multi-author book but the style has been guided by 3 editors. The editors have used a different perspective – that of normalizing abnormal physiological processes with pharmacological agents – to address the GAPS in a bedside to bench approach. The details are pared down but important principles/concepts are emphasized.




Rehabilitation interventions in the patient with obesity


Book Description

This book has a unique focus on physiotherapy techniques and training methods that are ideally suited for the obese patient. Despite its related comorbidities and disability, not to mention its pandemic proportions, the impact of obesity on individual capacities and rehabilitative outcomes is often neglected by physiotherapists and physical trainers alike. The number of disabled subjects who are also obese is now increasing worldwide, as is the rate of obese patients admitted to post-acute rehabilitation units. The effective rehabilitative treatment of these patients involves special multidisciplinary considerations. This book fills that gap, by gathering evidence-based chapters addressing not only the physiological limitations of obese subjects but also state-of-the-art, novel and specific treatment and training modalities suited for these patients. Though the content is primarily intended for rehabilitation practitioners (physiotherapists, nutritionists, dieticians, psychologists, PRM specialists), it will also benefit students and researchers engaged in this particular multidisciplinary field. The book’s ultimate goal is to increase professionals’ awareness of this multidisciplinary area, and to provide a pragmatic guidebook for those who want to engage in the rehabilitation of patients who are also obese.




A Clinical Guide for Management of Overweight and Obese Children and Adults


Book Description

While unhealthy diet and sedentary behaviors are second only to smoking as the leading preventable cause of death in the U.S., less than 45 percent of adult and pediatric obese patients received any prior advice from a physician to lose weight. The low rate of identification and treatment of obesity by physicians can often be attributed to lack of




The Overweight Mind and Body


Book Description

The Overweight Mind and Body is a self-help guide to understanding the psychological issues that lead to overeating and weight gain. The book enables the reader to discover the psychological drives that lead to unwanted weight and to find ways of meeting those drives other than with food. It introduces a simple, user-friendly theory of Transactional Analysis to promote weight-related self-awareness. The author includes exercises that empower readers to uncover their own stories. She understands that, for many, carrying extra weight is emotionally and physically painful and so gently encourages readers to explore at their own level. She uses case studies to demonstrate the many unconscious influences on one’s eating and how, when people discover and resolve these influences, they no longer need extra food. Reading them shows that "you are not alone". This book will also be of interest to, and a useful guide for, practitioners in the caring professions who work with clients struggling with eating and overweight.




Practical Manual of Clinical Obesity


Book Description

Practical Manual of Clinical Obesity provides practical, accessible and expert advice on the clinical diagnosis and management of obesity and will be your perfect go-to tool in the management of your patients. Information is clear, didactic and attractively presented, with every chapter containing plenty of engaging text features such as key points, pitfall boxes, management flowcharts and case studies to enable a rapid understanding of obesity diagnosis and management. Key clinical trials and major international society guidelines are referred to throughout. Topics covered include: • Assessment of the patient, including patient history, examination and investigations • Patterns, risks and benefits of weight loss • Evaluation of management options: diet, exercise, drugs, psychological treatments, and surgery • Management of obesity related co-morbidities Practical Manual of Clinical Obesity is ideal reading for endocrinologists of all levels, as well as all other health professionals who manage obese patients such as specialist nurses, dieticians, and GP’s with an interest in obesity management.




Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults


Book Description

Of evidence-based recommendations -- Introduction -- Overweight and obesity: background -- Examination of randomized controlled trial evidence -- Treatment guidelines -- Summary of recommendations -- Future research.




Rethinking Causality, Complexity and Evidence for the Unique Patient


Book Description

This open access book is a unique resource for health professionals who are interested in understanding the philosophical foundations of their daily practice. It provides tools for untangling the motivations and rationality behind the way medicine and healthcare is studied, evaluated and practiced. In particular, it illustrates the impact that thinking about causation, complexity and evidence has on the clinical encounter. The book shows how medicine is grounded in philosophical assumptions that could at least be challenged. By engaging with ideas that have shaped the medical profession, clinicians are empowered to actively take part in setting the premises for their own practice and knowledge development. Written in an engaging and accessible style, with contributions from experienced clinicians, this book presents a new philosophical framework that takes causal complexity, individual variation and medical uniqueness as default expectations for health and illness.