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Can Family-Based Treatment of Anorexia Nervosa Be Manualized?

Received May 8, 2001; accepted July 3, 2001. From the Department of Psychiatry, Stanford University School of Medicine, Palo Alto, California, and the Department of Psychiatry, University of Chicago, Chicago, Illinois. Address correspondence to Dr. Lock, Department of Psychiatry, Stanford University Medical Center, 401 Quarry Road, Stanford, CA 94305-5719.

The authors report on the development of a manual for treating adolescents with anorexia nervosa modeled on a family-based intervention originating at the Maudsley Hospital in London. The manual provides the first detailed account of a clinical approach shown to be consistently efficacious in randomized clinical trials for this disorder. Manualized family therapy appears to be acceptable to therapists, patients, and families. Preliminary outcomes are comparable to what would be expected in clinically supervised sessions. These results suggest that through the use of this manual a valuable treatment approach can now be tested more broadly in controlled and uncontrolled settings.

Key Words: Family Therapy • Eating Disorders • Manualized Treatments