Repetitive negative thinking in eating disorders: Identifying and bypassing over-analysing coping modes and building schema attunement

Publisher:
Routledge
Publication Type:
Chapter
Citation:
Schema Therapy for Eating Disorders: Theory and Practice for Individual and Group Settings, 2020, pp. 69-81
Issue Date:
2020-09-09
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Research into the cognitive behavioural treatment of eating disorders (EDs) has largely focused on the content of cognitions and their relation to ED pathology. Yet recent research has demonstrated the relevance of negative cognitive processes in the experience of EDs (Smith, Mason, & Lavender, 2018); in particular, the repetitive, abstract and negative way in which individuals with EDs commonly process cognitions, termed Repetitive Negative Thinking (RNT). Theory and research suggest that RNT processes represent an important transdiagnostic maintenance factor across EDs, which may function to block emotional processing.We review a body of research that outlines the potential importance of RNT processes to ED pathology, and present a schema mode conceptualisation of RNT in which high levels of RNT are conceptualised as maladaptive coping (mode) behaviour. Specific therapeutic strategies for bypassing RNT coping in schema therapy (ST) are discussed, including a process-focused approach to building schema attunement.
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