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Clinical Child Psychology and Psychiatry, Vol. 11, No. 2, 225-237 (2006)
DOI: 10.1177/1359104506061413
© 2006 SAGE Publications

Mechanisms of Action in the Process of Change: Helping Eating Disorder Clients Make Meaningful Shifts in Their Lives

Josie Geller

St. Paul's Hospital, Canada

This article describes a model for change that draws upon motivational and cognitive-behavioural theories. It is suggested that maladaptive beliefs hold individuals captive in destructive self-perpetuating cycles dominated by the illness. In the context of a trusting therapeutic relationship, inquiry and experimentation can lead to the reformulation of maladaptive beliefs, and to the development, reprioritization and/or strengthening of higher values. A clear cohesive system of higher values allows individuals to make autonomous life decisions, which reduces the need for maladaptive coping strategies.

Key Words: eating disorders • motivation • readiness • theory of change • treatment nonnegotiables


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