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Discussion Threads

Transcripts of Selected Group Discussions on CYC-Net

Since it's founding in 1997, the CYC-Net discussion group has been asked thousands of questions. These questions often generate many replies from people in all spheres of the Child and Youth Care profession and contain personal experiences, viewpoints, as well as recommended resources.

Below are some of the threads of discussions on varying Child and Youth Care related topics.

Questions and Responses have been reproduced verbatim.

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Eating disorders and disordered eating

Hello, I am a 2nd year Masters student at the University of Victoria in the School of Child and Youth Care. I recently started a practicum where I am tasked to run an psycho-educational group for girls/women ages 19-25 who are interacting with eating disorders and disordered eating. I am interested in knowing about any current resources or programming ideas (art based, interactive, experiential components/resources preferred) that would suit this age and demographic interacting with this issue. I currently run programming for youth ages 11-14 but am not as familiar with an older age group. Please feel free to e-mail me directly at or reply to this thread.

Thank you,

Angela Slade

You might want to investigate the work of the anti-anorexia League

Hans Skott-Myhre
Brock University

Thank you Hans, I am actually working in direct contact with Dena of No Numbers. I saw the premiere at Stephen Madigans TC9 conference. However, was not familiar with this site!

Angela Slade

Hello Angela,

I have pasted some ref below which might interest you. I am completing my thesis too at Child and Youth Care UVIC.

My area of interest is eating disorders and disordered eating but my thesis is on "Body Satisfaction and the risk and protective factors". I gathered my data in Fiji.Your practicum seem quite interesting. Please share more about it.

Talk to you soon


Becker AE, Thomas JJ, Bainivualiku A, Richards L, Navara K, Roberts A, Gilman SE, Striegel-Moore R. Adaptation and Evaluation of the Clinical Impairment Assessment to Assess Disordered Eating Related Distress in an Adolescent Female Ethnic Fijian Population. International Journal of Eating Disorders, 2009. (In press).

Becker AE, Thomas JJ, Bainivualiku A, Richards L, Navara K, Roberts A, Gilman SE, Striegel-Moore R. Validity and Reliability of a Fijian Translation and Adaptation of the Eating Disorder Examination Questionnaire. International Journal of Eating Disorders, 2009. (In press).

Thomas JJ, Roberto CA, & Brownell KD.Eighty-five percent of what?Discrepancies in the weight cut-off for anorexia nervosa substantially affect the prevalence of underweight. Psychological Medicine.
(In press).

Becker AE. Commentary: Maria – Cultural change and posttraumatic stress in the life of a Belizean adolescent girl.In Worthman CM, Plotsky PM, Schechter DS, Cummings CA, eds. Formative experiences: The interaction of caregiving, culture, and developmental psychobiology. New York: Cambridge University Press, 2009. (In press).

Derenne J, Baker CW, Delinsky SS, Becker AE. Clinical Ratings Scales and Assessment in Eating Disorders. In: Blais M, Baer L, eds. Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health.
Humana Press, 2009. (In press).

Becker AE, Baker CW. Eating Disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisinger and Fordtran's Gastrointestinal and Liver Disease, 9th Edition. Philadelphia: Elsevier Inc. 2009. (In press).

Greenberg JL, Delinsky SS, Reese HE, Buhlmann U, Wilhelm S. Body Image. In J. Grant & M. Potenza (Eds.) Young Adult Mental Health. New York: Oxford Press. (In press)

Thomas J.J,Vartanian, LR, & Brownell, KD. The relationship between eating disorder not otherwise specified and officially recognized eating disorders: Meta-analysis and implications for DSM. Psychological Bulletin. (In Press).

Thomas J.J, Schwartz MB, & Brownell KB. Vulnerability to eating disorders in adulthood. In R. Ingram & J. Price (Eds.), Vulnerability to Psychopathology: Risk across the lifespan (2nd ed.). New York: Guilford.
(In press).

Keel PK, Eddy KT, Thomas J.J, & Schwartz MB.Vulnerability to eating disorders across the lifespan.In R. Ingram & J. Price (Eds.), Vulnerability to Psychopathology: Risk across the lifespan (2nd ed.).New
York: Guilford. (In press).

Derenne J, Baker CW, Delinsky SS, Becker AE. Clinical Ratings Scales and Assessment in Eating Disorders. In: Blais M, Baer L.Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health. Humana Press 2008. (In press).


Becker AE, Ferguson L, Iron-Segev S, Kennedy M, Beard B, Kozek L, Scheick E, Gortmaker SL. Dysregulated Eating Patterns Among Graduate Students: Scale Development and Predictors" In: Fuchs JN, ed. Eating Disorders in Adult Women. New York: Nova Science Publishers, 2008.

Becker AE. Nurturing and negligence: Working on Others' Bodies in Fiji. [Adapted republication]. In: Malacrida C, Low J, eds. Sociology of the Body: A Reader. Don Mills, Ontario: Oxford University Press. 2008; pp. 65-72.

Becker AE, Perloe A, Nyquist K, Kaplan LM. Complementary and Alternative Therapy for Weight Management. In Mischoulon D, Rosenbaum JF, eds. Natural Medications for Psychiatric Disorders: Considering the Alternatives. Baltimore, MD: Lippincott Williams & Wilkins, 2008.

Delinsky SS, Derenne J, Becker AE. Eating Disorders. In Quah S, Heggenhougen K, eds. Encyclopedia of Public Health. Philadelphia: Elsevier Inc. 2008.

Becker AE, Mickley DW, Derenne J, Klibanski A. Eating Disorders: Evaluation and Management. In Stern TA, Rosenbaum JF, Fava M, Rauch S, Biederman J. Comprehensive Clinical Psychiatry. Mosby/Elsevier. 2008.

Delinsky SS, Wilson GT.Weight gain, dietary restraint, and disordered eating in thefreshman year of college. Eating Behaviors, 2008; 9: 82-90.

Goebel-Fabbri AE, Pearson K, Fikkan J, AndersonBJ, Franko DL, Weinger K. Insulinrestriction and associated morbidity and mortality in women withType I Diabetes. Diabetes Care, vol 31 (3) March 2008:415-419.

Hrabosky JI, & Thomas JJ. Elucidating the relationship between obesity and depression: Recommendations for future research. Clinical Psychology: Science and Practice, 2008; 15: 28-34.

Thomas JJ.EDNOS. In Keller KL (Ed.) Encyclopedia of Obesity. Thousand Oaks, CA: Sage, 2008; pp. 223-224.

Thomas JJ.Toxic environment. In Keller KL (Ed.) Encyclopedia ofObesity. Thousand Oaks, CA: Sage. 2008; pp. 748-750.


Becker AE. Culture and Eating Disorders Classification. International Journal of Eating Disorders, 2007; 40 Suppl:S111-6.

Miller E, Lasser KE, & Becker AE. Breast and Cervical Cancer Screening for Women with Mental Illness: Patient and Provider Perspectives on Improving Linkages Between Primary Care and Mental Health. Archives of Women's Mental Health, 2007; 10(5):189-97.

Becker AE, Guarnaccia PG, Dumit J, Lewis-Fernandez R. End of an era. [Editorial.] Culture, Medicine and Psychiatry, 2007; 31:127-129.

Thomas JJ & Brownell KD. Obesity. In Ayers S, Baum S, Newman S, Wallston K, Weinman J, & West R (Eds.) Cambridge Handbook of Psychology, Health, and Medicine, 2nd Edition. Cambridge, UK: Cambridge University Press, 2007; pp. 797-800.

Schwartz MB, Thomas JJ, Bohan KM, & Vartanian LR. Intended and unintended effects of an eating disorder educational program: The impact of presenter identity. International Journal of Eating Disorders, 2007; 40: 187-192.

Becker AE, Fay, K, Gilman SE, Striegel-Moore, R. Facets of acculturation and their diverse relations to body concern in Fiji. International Journal of Eating Disorders. 2007; 40:42-50.

Franko DL, Becker AE, Thomas JJ, Herzog DB. Cross-ethnic differences in eating disorder symptoms and related distress. International Journal of Eating Disorders. 2007; 40:156-64.


Becker AE. Eating Disorders. In: World Book Encyclopedia. Chicago, IL: World Book Publishing; 2006:48.

Becker AE, Fay K. Socio-cultural issues and eating disorders. In S. Wonderlich, M. de Zwaan, H. Steiger, J. Mitchell(Eds.), Annual review of eating disorders. Chicago, IL: Academy for Eating Disorders. 2006; pp.

Becker AE, Look A. Eating Disorders. In: Feldman M, Friedman LS, Brandt LJ. Sleisinger and Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia: Elsevier Inc; 2006:383-407.

Delinsky SS, Becker AE. Binge Eating Disorder: A Wealth of Treatment Options. Curbside Consultant. Boston: Massachusetts General Hospital. 2005/2006; 4:1-3.

Delinsky SS, Latner JD, Wilson GT. Binge eating and weight loss in a self-help behavior modification program. Obesity. 2006; 14:1244-1249.

Delinsky SS, Wilson G.T. Mirror exposure for body image disturbance: a preliminary randomized trial.International Journal of Eating Disorders. 2006; 39:108-116.

Derenne JL. The therapist's voice: Junior high, revisited. Brunner-Mazel Eating Disorders Monograph Series. 2006; 14(4):335-9.

Derenne JL, Beresin EV. Body image, media, and eating disorders. Academic Psychiatry. 2006; 30(3):257-61

Judge AM, Thomas JJ, Becker AE. Ethnic Disparities in Overweight and Obesity in the U.S.: A Review of Socio-Cultural Contributions. In: Ditmier LF, ed. New Developments in Obesity Research. New York: Nova Science Publishers; 2006.


Hayaki J, Friedman MA, Whisman MA, Delinsky SS, Brownell KD. Sociotropy and bulimic symptoms in clinical and nonclinical samples. International Journal of Eating Disorders. 2003; 34:172-176.

Marci CD, Riess H. The clinical relevance of psychophysiology: Support for the psychobiology of empathy and psychodynamic process. American Journal of Psychotherapy. 2005; 59:213-226.

Wiseman CV, Sunday SR, Becker AE. Impact of the Media on Adolescent Body Image. Child and Adolescent Psychiatry Clinics of North America. 2005; 14:453-71.

Becker AE, Thomas JJ, Franko DL, Herzog DB. Interpretation and use of weight information in the evaluation of eating disorders: Counselor response to weight information in a national eating disorders educational and screening program. International Journal of Eating Disorders. 2005;37:38-43.

Becker AE, Thomas JJ, Franko DL, Herzog DB. Disclosure Patterns of Eating and Weight Concerns to Clinicians, Educational Professionals, Family, and Peers. International Journal of Eating Disorders. 2005; 38:18-23.


Franko D, Keel PK, Dorer DJ, Blais MA, Delinsky SS, Eddy KT, Charat V, Renn R, Herzog DB. What predicts suicide attempts in women with eating disorders? Psychological Medicine. 2004; 34:1-11.

Becker AE, Franko DL, Nussbaum K, Herzog DB. Secondary prevention for eating disorders: The impact of education, screening, and referral in a college population. International Journal of Eating Disorders, 2004; 36:157-62.

Becker AE. Television, disordered eating, and young women in Fiji: Negotiating body image and identity during rapid social change. Culture, Medicine and Psychiatry. 2004; 28:533-59.

Becker AE, Israel E. Patients with an eating disorder. In: Jellinek MS, Rosenbaum JF, Stern TS, Fricchione G, Cassem NH, eds. Handbook of General Hospital Psychiatry. 5th ed. Mosby; 2004.

Becker AE. Eating disorders. In: Stern T, Herman J, eds. Psychiatry Update and Board Preparation. 2nd ed. New York: McGraw Hill; 2004:165-172.

Becker AE, Keel P, Anderson-Fye EP, Thomas JJ. Genes and/or Jeans? Genetic and socio-cultural contributions to risk for eating disorders. Journal of Addictive Diseases. 2004; 23:81-103.

Becker AE, Keel P, Anderson-Fye EP, Thomas JJ. Genes and/or Jeans? Genetic and socio-cultural contributions to risk for eating disorders. In: Gold MS, ed. Eating Disorders, Overeating, and Pathological Attachment to Food: Independent or Addictive Disorders? [Simultaneous publication with the above referenced paper.] Hayworth Press, Inc; 2004.

Becker AE. New global perspectives on eating disorders [editorial]. Culture, Medicine and Psychiatry. 2004; 28:433-37.


Baker CW, Little TD, Brownell KD. Predicting adolescent eating and activity intentions and behaviors using the Theory of Planned Behavior. Health Psychology. 2003; 22:189-98.

Becker AE , Franko D, Speck A, Herzog DB. Ethnicity and differential access to care for eating disorder symptoms. International Journal of Eating Disorders. 2003; 33:205-12.

Rubin LR, Fitts ML, Becker AE. 'Whatever feels good in my soul': Body Ethics and Aesthetics Among African American and Latina Women. Culture, Medicine and Psychiatry. 2003; 27:49-75.

Becker AE, Burwell RA, Navara K, Gilman SE. Binge-eating and binge-eating disorder in a small-scale indigenous society: The view from Fiji. International Journal of Eating Disorders. 2003; 34:423-431.

Becker AE, Kaplan L. Approach to the obese patient. In: Stern T, Herman J, Slavin P, eds. The MGH Guide to Primary Care Psychiatry. 2nd ed. New York: McGraw Hill; 2003:451-67.

Anderson-Fye E, Becker AE. Eating disorders across cultures. In: Thompson JK, ed. Handbook of Eating Disorders and Obesity. Wiley; 2003:565-89.

Becker AE. Update on the outpatient management of eating disorders in adults. Current Women's Health Reports. 2003; 3:221-29 .

Becker AE. Eating disorders and social transition. Primary Psychiatry. 2003; 10:75-79.


Becker A, Burwell R, Herzog D, Hamburg P, Gilman S. Eating behaviors and attitudes following prolonged exposure to television among ethnic Fijian adolescent girls. British Journal of Psychiatry. 2002; 180(6): 509-514.

Eddy KT, Keel PK, Dorer DJ, Delinsky SS, Franko DL, Herzog DB. Longitudinal comparison of anorexia nervosa subtypes. International Journal of Eating Disorders. 2002; 31: 191-201.

Franko DL, Blais MA, Becker AE, Delinsky SS, Greenwood DN, Flores AT, Ekeblad ER, Eddy KT, Herzog DB. Dr. Franko and colleagues reply. American Journal of Psychiatry. 2002; 159:1250.

Keel PK, Dorer DJ, Eddy KT, Delinsky SS, Franko DL, Blais MA, Keller MB, Herzog DB. Predictors of treatment utilization among with anorexia and bulimia nervosa. American Journal of Psychiatry. 2002; 159:140-142.

Riess H. Integrative time-limited group therapy for bulimia nervosa. International Journal of Group Psychotherapy. 2002; 52(1):1-26.

Riess H. Integrative Group Treatment for Bulimia Nervosa, Columbia University Press; 2002.

Steiner-Adair C, Sjostrom L, Franko D, Pai S, Tucker R, Becker AE , Herzog DB. Primary prevention of eating disorders in adolescent girls: Learning from practice. International Journal of Eating Disorders. 2002; 32:401-11.

Pearson KH, Becker AE. Eating Disorders: Socio-cultural Dimensions in their Pathogenesis and Phenomenology . In: Pearson KH, Sonawalla S, Rosenbaum J, eds. Women's Health in Psychiatry. Baltimore: Lippincott, Williams, & Wilkins; 2002.


Eliot AE, Baker CW. Eating disordered adolescent males. Adolescence. 2001; 36: 535-43.

Franko DL, Blais MA, Becker AE, Delinsky SS, Greenwood DN, Flores AT, Ekeblad ER, Eddy KT, Herzog DB. Pregnancy complications and neonatal outcomes in women with eating disorders. American Journal of Psychiatry. 2001; 158:1461-1466.

Herzog DB, Delinsky SS. Classification of eating disorders. In Striegel-Moore R & Smolak L, eds. Eating Disorders: Innovative Directions for Research in Practice. American Psychological Association Press:
Washington, DC; 2001: 31-50.


Baker CW, Whisman MA, Brownell KD. Studying intergenerational transmission of eating and attitudes and behaviors: Methodological and conceptual questions. Health Psychology. 2000; 19:376-81.

Carter AS, Baker CW, Brownell KD. Body mass index, eating attitudes, and symptoms of depression and anxiety in pregnancy and the postpartum period. Psychosomatic Medicine. 2000; 62:264-70.

Eliot AE, Baker CW. Maternal stressors and eating-disordered adolescent girls. Family Therapy. 2000; 27:165-78.

Becker AE. Eating disorders. In: Stern T, Herman J, eds. Psychiatry Update and Board Preparation. New York: McGraw Hill; 2000.

Blais MA, Becker AE, Burwell RA, Flores AT, Nussbaum KM, Greenwood DN, Ekeblad ER, Herzog DB. Pregnancy: Outcome and impact on symptomatology in a cohort of eating disordered women. International Journal of Eating Disorders. 2000; 27:140-9.


Baker CW, Carter AS, Cohen LR, Brownell KD. Eating attitudes and behaviors in pregnancy and postpartum: Global stability versus specific transitions. Annals of Behavioral Medicine. 1999; 21:143-8.

Herzog DB, Dorer DJ, Keel PK, Selwyn SE, Ekeblad ER, Flores AT, Greenwood DN, Burwell RA, Keller MB. Recovery and relapse in anorexia and bulimia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry. 1999; 38:829-837.

Becker AE, Grinspoon SK, Klibanski A, Herzog DB. Eating disorders. New England Journal of Medicine. 1999; 340:1092-8.

Herzog DB, Becker AE. Eating disorders. In: Nicholi AM, ed. The New Harvard Guide to Psychiatry. Cambridge: The Belknap Press of Harvard University Press; 1999: 400-411.


Becker AE, Hamburg P, Herzog DB. The role of psychopharmacologic management in the treatment of eating disorders. In: Dunner DL, Rosenbaum JF, eds. Psychiatric Clinics of North America: Annual of Drug Therapy. Philadelphia: WB Saunders Company; 1998: 17-51.


Fava M, Abraham ME, Clancy-Colecchi K, Pava JA, Matthews J, Rosenbaum JF. Eating disorder symptomatology in major depression. Journal of Nervous and Mental Disease. 1997; 185:140-144.


Becker AE, Hamburg P. Culture, the media, and eating disorders. Harvard Review of Psychiatry. 1996.

Prior to 1996

Becker AE. Body, Self, and Society: The View from Fiji. Philadelphia: University of Pennsylvania Press; 1995.

Riess H, Rutan JS. Group therapy for eating disorders: a step-wise approach. Group. 1992; 16:79-83.

Fava M, Herzog D, Hamburg P, Riess H, Anfang S, Rosenbaum J. Long-term use of fluoxetine in bulimia nervosa: A retrospective study. Annals of Clinical Psychiatry. 1990; 2:53-56.

Hi Erica

I am currently taking the Child and Youth Care diploma program. I attended a presentation on eating disorders last year and the speaker handed out some information sheets that I found to be really useful. I thought I would share some of what I learned with you.

You wanted to know what kind of problems you might face when working with youth who have eating disorders; I think it depends on which type of eating disorder you are dealing with.

Someone with anorexia strives for thinness, has an unrealistic body image, their self esteem is based on their weight, they experience dramatic weight loss and they have an extreme fear of weight gain. Some of the problem behaviours you may come across are obsessive exercise, calorie counting, starvation and restrictions on food, vomiting, the use of diet pills, laxatives or diuretics, and/or a constant anxiety about their body image. These youth may experience physical consequences such as loss of muscular strength, thinning hair, fainting, or weakness. They may also experience feelings of depression, or low self-esteem. Youth with eating disorders may feel like they have no control over their lives and the only control that they do have is their eating habits.

Youth with Bulimia will eat a large amount of food in a relatively short period of time and then display behaviours such as taking laxatives or self-induced vomiting. Some other behaviour might be rapid food consumption, guilt, purging, lack of control over their eating habits, regular diets and exercise, use of laxatives, diuretics, and/or diet pills, depression, low self esteem and a continual concern with body image.

With both disorders there is really no single cause however here are some ideas that may play a role: negative family influences, poor parenting, parents with substance abuse issues, parents with an eating disorder themselves, a history of abuse, and orobesity within the family, genetic factors, and or cultural pressures such as the medias pressure to be thin. I think looking at all of these areas would be a good starting ground for working with the youth and the family.

According to the National Eating Disorders Association the best thing to do with these youth that are struggling with an eating disorder is learn as much as you can about the disorder; read as many books, articles, and or brochures as you can, watch movies, and/ or talk to people (2005).

Know the distinctions between “facts and myths about weight, nutrition, and exercise” because knowing the facts will help you reason against any wrong ideas that the youth may be using as excuses for their eating habits (National Eating Disorders Association 2005). Genuinely care about the youth, but be firm and consistent and don’t make promises you can’t keep.

Compliment them on their awesome personalities and or accomplishments, role model self acceptance, healthy eating, and exercise yourself (National Eating Disorders Association, 2005).

Lastly and most importantly remind them that you care and want them to be healthy and happy.

Rachel Rowley

The International Child and Youth Care Network

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