Attitudes towards psychotherapy manuals among clinicians treating eating disorders
Abstract
Clinicians have relatively low uptake and implementation of evidence-based psychotherapies for the eating disorders, and this problem appears to be associated with low use of manualized approaches. This study examines clinicians' positive and negative attitudes to manuals, and possible beliefs and emotional factors that might drive those attitudes. The participants were 125 psychological therapists working with eating-disordered patients. Each completed standardised measures of attitudes to manuals and emotional states. A number of beliefs about the content of manuals were associated with both positive attitudes to the outcome of treatment and negative attitudes to their impact on the treatment process. In addition, a more positive mood was associated with more positive attitudes. Suggestions are made regarding how attitudes might be made more positive, in order to facilitate the use of evidence-based therapies for eating disorders.
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Therapists have negative attitudes towards manuals that interfere with treatment delivery.
“Second, therapists have negative attitudes towards manuals, that interfere with treatment delivery (Waller et al., 2013).”
From To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do (2018) · cites this paper as Waller et al., 2013
When delivering CBT itself, there is no difference between the genders in reported use of core techniques or attitudes to manuals.
“However, when delivering CBT itself, there is no difference between the genders in reported use of core techniques or attitudes to manuals”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Waller et al., 2013
Therapists who report higher levels of depression are likely to hold more negative attitudes to manualised approaches to therapy.
“Waller et al. (2013) have shown that therapists who report higher levels of depression are likely to hold more negative attitudes to manualised approaches to therapy.”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Waller et al. (2013)
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References 14 · Cited by 22
- Authors
- Waller, G., Mountford, V. A., Tatham, M., Turner, H., Gabriel, C., & Webber, R.
- Affiliations
- University of Sheffield (GB)
- King's College London (GB)
- Southern Health NHS Foundation Trust (GB)
- Aston University (GB)
- Corresponding author
- Waller, Glenn
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 51
- Issue
- 12
- Pages
- 840-844
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2000910063
- Cited by
- 22
- References
- 14
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2018: 4 · 2016: 1 · 2015: 5
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- psychotherapy manual, eating disorders, clinician attitudes, manualized treatment, evidence-based psychotherapy, treatment uptake, psychotherapists, mood, evidence-based practice implementation
- MeSH terms
- Adult, Aged, Feeding and Eating Disorders, Attitude of Health Personnel, Emotions, Female, Humans, Male, Manuals as Topic, Middle Aged, Professional Practice, Psychiatric Status Rating Scales, Psychotherapy, Cognitive Behavioral Therapy, Young Adult
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