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Body Image Problems Structure What it means to be me, is predominantly what I look like and what I look like is wrong or substandard in some way. Types and definitions BDD: Extreme preoccupation with body that is not noticeable to others Skin disorders and disfigurements Trichotillomania.: repeated hair pulling Anorexia: keeping body weight low by restricting what is eaten or conceivably high levels of gym work. The a sense where the patient feels fat but others don’t notice this Bulimia: binge eating following by purging. So the primary problem of all body image problems is High identification of my body with my self image Seeing my body as defective The secondary which splits the group is do others think my body is defective and do I What keeps a body image problem going? Thoughts Time spent thinking about body problem that is disliked Triggers to thinking about body problem Distinction between thoughts as cognitions\images Perceptions Focus on the negative aspects of   body Trea...

Perfectionism Perfectionism Definition Defined as setting high standards which are pursued despite any problems created whilst following them plus having self worth being dependent   with achievement of these standards. Symptoms Procrastination ·                            doing things at the last moment means there a good reason why its not perfect ·                            starting something that is realised to be less than the required standards is painful ·                            Putting off something that is going to take an awful lot effort to do because of the standards that may be a...

Contents Part 1. Context    2 Chapter 1. Why do people change    2 What is motivation?    2 Chapter 2. Ambivalence    3 Conflict and ambivalence    3 Chapter 3. Facilitating change    4 Change talk    5 Part 2. Practice    5 Chapter 4. What is motivational interviewing    5 Chapter 5 Change and resistance    6 Consonance and Dissonance    6 Change talk and resistance    6 Counsellors role in resistance    7 Chapter 6 Phase 1    Building motivation for change    7 Importance and confidence    7 Some Early traps to avoid    8 About the first Session    8 Chapter 7 Responding to Change talk    9 Directive MI    9 Non directive MI    10 Chapter 8 Responding to Resistance ...