Treatment non-negotiables: why we need them and how to make them work

In this paper, we define mandatory treatment components as ‘treatment non‐negotiables’ and suggest that the manner in which non‐negotiables are set and implemented has a significant impact on therapeutic alliance and outcome in the eating disorders. Common non‐negotiable difficulties are reviewed an...

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Bibliographic Details
Published in:European eating disorders review 2006-07, Vol.14 (4), p.212-217
Main Authors: Geller, Josie, Srikameswaran, Suja
Format: Article
Language:English
Subjects:
collaborative stance
Eating disorders
mandatory treatment components
Mental health care
non-negotiables
Therapist patient relationships
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Summary:In this paper, we define mandatory treatment components as ‘treatment non‐negotiables’ and suggest that the manner in which non‐negotiables are set and implemented has a significant impact on therapeutic alliance and outcome in the eating disorders. Common non‐negotiable difficulties are reviewed and a philosophy is provided that can be applied to all stages of treatment: non‐negotiables need to have a sound rationale, be consistently implemented, not take the client by surprise, and maximize client autonomy. We do not believe that a given non‐negotiable is ‘right’ or ‘wrong’, but rather that treatment non‐negotiables are optimally developed in response to the client population, treatment setting, clinician values and beliefs about change, and client and clinician input and experience. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.
ISSN:1072-4133
1099-0968
DOI:10.1002/erv.716