I’d like to offer the point here that Maudsley has hardly been supported or evaluated as strongly and long as evolution. I think this is a bad comparison. What frustrates me often is when Maudsley advocates pretend that Maudsley is some god-sent treatment. It is not. And it has hardly been supported by “a wealth of scientific literature”. On the contrary, Maudsley has been supported by some literature, and this is definitely a plus, considering it is the only treatment that has been shown effective in the ED literature, but it hardly stands to be compared to evolution. Evolution is known scientific phenomenon that has been proven over and over again. Maudsley is a treatment approach in a field that is (sadly enough) still very under researched and is relied upon as the only evidence based treatment simply because there is basically nothing else.

The second I saw the title to this post–without even reading–was the evolution vs. creationism debate. And you brought it up for me! That so-called debate is the one thing that gets my blood boiling faster than non-evidence-based views on EDs. (This is also the second most popular subject area for me to read about, behind EDs. I have a huge collection of evolution lit and Darwiniana on my bookshelf!). It’s also a debate I tend to charge into head-first, for better or worse.

LOVE this post!
Carrie

People are often conscious of their body image especially in this era when wellness and a healthy lifestyle is a concern. Fitness centers, spas, dance clubs and diets are popular since men and women alike search for various ways to be physically fit. H…

Your response to Julie is excellent. I hope it is published. I’m so glad your daughter has been able to recover through FBT. I wonder if the author may consider writing a similar article on FBT for young adults?

I sent this response to Julie. http://www.aroundthedinnertable.org/post/show_single_post?pid=40786312&postcount=13

I think attitudes about eating disorders have been entrenched for a long time.
If it takes a bit of “controversy” starts to stir the pot…so be it!

Thanks so much for your support for evidence based care. Patients deserve no
less!!!

Lydia

I found your entry interesting do I’ve added a Trackback to it on my weblog …

I share your dream of the ideal residential treatment, and Fiona’s hope that there be step-down (and step-up) during transition between there and home.

I see NO REASON why this center would be different for young patients and adults and it perplexes me why people think it would.

PTC, of course you have to reach your body’s normal, optimal body composition to recover. You know that being below that is holding you in ED thoughts and behaviors and keeping you from achieving the insight you need to stay well. The idea that you would be “huge” at a normal weight is something the malnourished brain does to people. We need to let doctors set the targets, nutritionists help us get there, and therapists teach us how to get there and stay there. ED doesn’t like any of the above and should not, in my opinion, get a vote!