Formulation and Anorexia Nervosa

Section A
This is a systematic literature review of empirical research investigating the use of formulation in different models of therapy within the treatment of Anorexia Nervosa. The review summarises and critiques 10 studies and clinical and research implications are discussed.

Section B
A mixed-methods study of data from 26 individuals with Anorexia Nervosa who undertook SPEAKS therapy as part of a feasibility trial. Data were collected from formulation maps and narratives for the qualitative analysis and outcome measures for the quantitative analysis.
The study explored schema modes (SMS) in both formulations and questionnaire data. The findings suggested that participants had high levels of internal Critic Modes and suggested that acting on the Angry Child modes could negatively predict outcomes. Results suggest that there is an increased endorsement of the Healthy Adult SM over therapy and that this leads to improvements in clinical functioning and symptoms of AN. Strengths, limitations, and clinical and research implications are discussed.

Section C
Is an appendix of material from the research study.