E1 - Elective Module One - Addictions and Eating Disorders
E1 - Addictions and Eating Disorders
Content Level: Advanced
Contributors: Su Baker, MEd and Joan Turkus, MD
Of the many co-morbid conditions that pose enormous challenges in treating clients with complex posttraumatic and dissociative disorders, addictions and eating disorders are among the most common, and the most difficult to treat. Understanding the role of childhood trauma, abuse and neglect in the etiology of addictions and eating disorders is of paramount importance.
In this module, we examine research into the childhood antecedents of addictions, as well as what posttraumatic symptoms are significant in the development of addictions and substance abuse in our patients. Treatment needs of dissociative patients with substance abuse problems will be discussed as well as outcomes of those in residential treatment facilities whose trauma histories are addressed. Equally important are the significant determinants of eating disorders in samples of women with histories of trauma and abuse, and the implications for treatment. The need for strategies for self-regulation is highlighted in the survivor’s use of substances and eating behaviours. The relationship of dissociation and eating disorders is explored, especially its relevance to binge eating.
1. Discuss the role of early childhood trauma on the etiology of substance abuse and eating disorders
2. Discuss the role of dissociation in eating disorders, and in particular binge eating and/or bulimia
3. Address the need to develop trauma-informed programs and methods of treatment of patients with addictions and eating disorders
A. Brewerton, T.D. and Brady, K (2014). The role of stress, trauma, and PTSD in the etiology and treatment of eating disorders, addictions, and substance use disorders. In T. D. Brewerton and A. B. Dennis (eds.), Eating Disorders, Addictions and Substance Use Disorders, pp. 379-404, Berlin, Heidelberg: Springer-Verlag.
B. Najavits, L.N, Hyman, S.M, Ruglass, L.M, Hien, D.A and Read, J.P. (2017) Substance Use Disorder and trauma. In Gold, S.N. (ed) APA Handbook of Trauma Psychology, Vol. 1: Foundations in Knowledge. pp. 195-213, Washington, DC: American Psychological Association.
C. Sacks, J. Y., McKendrick, K., Banks, S. (2008). The impact of early trauma and abuse on residential substance abuse treatment outcomes for women. Journal of Substance Abuse Treatment, 34, 90–100.
D. Covington, S. S. (2008). Women and addiction: a trauma-informed approach. Journal of Psychoactive Drugs, 40, 377-385.
E. Palmisano, G. L., Innamorati, M., Susca, G., Traetta, D., Sarracino, D., & Vanderlinden, J. (2018). Childhood traumatic experiences and dissociative phenomena in eating disorders: level and association with the severity of binge eating symptoms. Journal of Trauma & Dissociation, 19(1), 88-107.
45 minutes: Discussion of Readings A and B
30 minutes: Discussion of Reading E ¬
45 minutes: Discussion of Readings C and D
30 minutes: Discussion of student’s disguised cases, or further discussion of readings A, B, C, D and E if no case material available.
- 2.50 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.