A behavioural programme for the management of anorexia nervosa

A treatment programme, based on the use of behavioural principles, is described. Important components of programme include the active participation of the patient in all phases of treatment planning, the use of contingent reinforcement for weight gain rather than eating behaviour, the provision of frequent feedback regarding progress and the lowering of the "response cost" for eating. In addition contracting, and the use of random scheduling of follow-up contacts, along with family therapy, are employed to maintain weight gain following discharge. The results achieved with an initial group of 5 female patients are briefly discussed.