The Remuda Review
The Christian Journal of Eating Disorders
This quarterly journal offers a Biblically-based and scientifically-valid approach to the integration of Christianity and patient care in the treatment of eating disorders. The goal is to present practical information for those who provide eating disorder treatment from a Christian perspective or who work with Christian patients. As a registered member on Remuda's professional network, you will be receiving the Remuda Review on a quarterly basis.
Electronic versions of the articles are listed here. For a printed version, please call 1-800-445-1900 or
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With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our ninth topic: narcissism and eating disorders. In our experience, a surprisingly large percentage of patients with eating disorders have narcissistic issues. Yet full-blown narcissistic personality disorder is rarely diagnosed in those with eating disorders. This may lead to a lack of clinician awareness of the subtler forms of narcissistic wounding in eating disorder patients. Such wounding greatly complicates eating disorder treatment, and, if not recognized, will often lead to power struggles with patients and premature termination of treatment. As such, there is a clear need to understand the co-occurrence of narcissistic wounding and eating disorders, and methods for addressing this complex situation. Toward this end, we hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this co-occurrence.
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Volume 7, Issue 1
A. David Wall, PhD
Remuda Ranch Programs for Eating Disorders
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Volume 7, Issue 1
Sherrie L. Maher, PhD
Remuda Ranch Programs for Eating Disorders
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With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self-injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our eighth topic: body dysmorphic disorder (BDD) and eating disorders. A surprisingly large percentage, 39%, of patients with eating disorders have BDD. Yet BDD is rarely diagnosed in those with eating disorders, due to diagnostic and symptomatic overlap, as well as lack of clinician awareness. Comorbid BDD intensifies patient distress and suicidality, and complicates treatment. As such, there is a clear need to understand the co-occurrence of BDD and eating disorders, and the best, evidence-based methods for addressing this dual diagnosis. Toward this end, we hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this co-occurrence.
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Volume 6, Issue 3
Eileen Adams, MS, LMSW
Marian C. Eberly, RN, MSW, LCSW, DAPA
Kevin Wandler, MD
Yong Lee, MD
Remuda Ranch Programs for Eating Disorders
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Volume 6, Issue 3
Eileen Adams, MS, LMSW
Marian C. Eberly, RN, MSW, LCSW, DAPA
Remuda Ranch Programs for Eating Disorders
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With the current issue of The Remuda Review, we continue our series of articles on common co-occurring problems faced by eating disorder patients. Throughout this series, we are considering the assessment, conceptualization, and treatment of self injurious behavior, anxiety disorders, mood disorders, substance use, trauma, personality disorders, and other co-occurring issues within Remuda’s bio-psycho-social-spiritual model. In each article, we consider how these co-occurring issues relate to eating disorder development, symptoms, and maintenance, and, where relevant, variable manifestations based on age, development, and culture.
The present issue focuses in depth on our seventh topic: suicidality and eating disorders. Patients with eating disorders have the highest suicide risk of all psychiatric disorders, including disorders of established high suicide risk such as major depression, sedative abuse, mixed drug abuse, and bipolar disorder. As such, there is a clear need to understand this co-occurrence and the best, evidence-based methods for addressing it. Toward this end, we hope the article and case study in this issue of The Remuda Review will serve as a short primer on best practices for understanding, assessing, and treating this potentially dangerous co-occurrence.
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Volume 6, Issue 2
Amy N. Spahr, MSW, LCSW, A. David Wall, PhD, and Kevin R. Wandler, MD
Remuda Ranch Programs for Eating Disorders
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