<p>This book review considers Federici and Wisniewski’s <i>Treating Eating Disorders with DBT: The MED-DBT Protocol (Guildford Press, 2026)</i>. Drawing on their lived experiences, the authors examine the book’s unique approach to complex and multidiagnostic eating disorders, particularly its adapted biosocial model, account of invalidation and use of dialectical dilemmas. The book offers a humane and clinically credible alternative to prevailing treatment models and overly-individualising concepts such as “treatment resistance”. The development of additional patient- and caregiver-facing resources could extend its value as an important contribution to contemporary eating disorder care.</p>

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Book Review: Multidiagnostic Eating Disorder Dialectical Behavior Therapy: an innovative treatment for complex eating disorders

  • Marissa Adams,
  • James Downs

摘要

This book review considers Federici and Wisniewski’s Treating Eating Disorders with DBT: The MED-DBT Protocol (Guildford Press, 2026). Drawing on their lived experiences, the authors examine the book’s unique approach to complex and multidiagnostic eating disorders, particularly its adapted biosocial model, account of invalidation and use of dialectical dilemmas. The book offers a humane and clinically credible alternative to prevailing treatment models and overly-individualising concepts such as “treatment resistance”. The development of additional patient- and caregiver-facing resources could extend its value as an important contribution to contemporary eating disorder care.