title: Directives in anorexia nervosa: use of the "Ulysses Agreement".
abstract: The course of anorexia nervosa frequently has episodes of exacerbation during which motivation and insight are reduced, cognition is impaired and treatment resistance is increased. Formalizing a directive to be used during these episodes when the patient has greater motivation and insight is one way of reducing treatment resistance. We describe a form of directive, called the "Ulysses Agreement".
authors.affiliation: Eating Disorders Program, Eating Disorders Clinic, St. Paul's Hospital, Vancouver, Canada.
authors.forename: H
authors.initials: H
authors.lastname: Davidson
authors.forename: C L
authors.initials: CL
authors.lastname: Birmingham
mesh_terms: D000328:Adult; D016223:Advance Directives / Q000523:psychology*; D000856:Anorexia Nervosa / Q000517:prevention & control* / Q000523:psychology*; D003220:Conflict, Psychological; D005190:Family / Q000523:psychology*; D005196:Family Therapy / Q000379:methods; D005260:Female; D006801:Humans; D007389:Internal-External Control; D009042:Motivation; D017008:Negotiating; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010347:Patient Care Planning / Q000458:organization & administration; D012008:Recurrence; D012380:Role; D012944:Social Support; D035502:Trust