By Janet Treasure
Recorded Monday 15 May
Hilde Bruch’s Foundation lecture in 1982 is a milestone from which to survey current theory and treatment for anorexia nervosa. Bruch described key clinical problems in body perception, emotion processing and interpersonal relationships. She used these to build her theoretical model and also drew on animal studies which showed the long term consequences of early attachment. Bruch also noted that many psychological problems result as consequence of starvation. In this lecture I will examine the evidence for the components of Bruch’s model by examining what is now known about neuropsychology (disturbances in body perception, attachment, emotion expression, perception and regulation, social comparison, interpersonal, family and therapeutic relationships) in order to assemble and update the model. I also extend her description of three core targets of treatment: family relationships, patient’s inner confusion and nutritional restoration and how we can combine these in treatment.
A paper based on this lecture is published in European Eating Disorder Review
Professor Janet Treasure has more than 30 years of experience in the treatment and study of eating disorders. She is currently Director of the Eating Disorders Service in the South London and Maudsley Hospital, which is a world epicentre for developing better treatment and training clinicians in the management of eating disorders. She is also Professor of Psychiatry at King’s College London, and a fellow of the Academy of Eating Disorders.
Professor Treasure has been active in a number of research projects and has over 150 peer reviewed papers in print; she has also supervised over 20 PhD students in eating disorders research. Much of her research into and development of new treatments has been carried out collaboratively with, and has inspired by, patients and their families.
During her illustrious career, Janet has edited seven academic texts on eating disorders and authored three self-help books.