title: I know what you did last summer (and it was not CBT): a factor analytic model of international psychotherapeutic practice in the eating disorders.
abstract: OBJECTIVE
  Although several studies have shown that eating disorders clinicians do not generally use treatment manuals, findings regarding what they do use have typically been vague, or closely linked to a particular theoretical approach. Our goal was to identify what eating disorder clinicians do with their patients in a more theoretically neutral context. We also sought to describe an empirically defined approach to psychotherapeutic practice as defined by clinicians via factor analysis.
  
  
  METHODS
  A survey developed for this study was administered to 265 clinicians recruited online and at regional and international meetings for eating disorders professionals.
  
  
  RESULTS
  Only 6% of respondents reported they adhered closely to treatment manuals and 98% of the respondents indicated they used both behavioral and dynamically informed interventions. Factor analysis of clinicians' use of 32 therapeutic strategies suggested seven dimensions: Psychodynamic Interventions, Coping Skills Training, Family History, CBT, Contracts, Therapist Disclosure, and Patient Feelings.
  
  
  CONCLUSIONS
  The findings of this study suggest that most clinicians use a wide array of eating disorder treatment interventions drawn from empirically supported treatments, such as CBT-BN, and from treatments that have no randomized controlled trial support. Factor analysis suggested theoretically linked dimensions of treatment, but also dimensions that are common across models.
authors.affiliation: Tufts University School of Medicine, Springfield, Massachusetts, USA. dvto2@aol.com
authors.forename: David L
authors.initials: DL
authors.lastname: Tobin
authors.forename: Judith D
authors.initials: JD
authors.lastname: Banker
authors.forename: Laura
authors.initials: L
authors.lastname: Weisberg
authors.forename: Wayne
authors.initials: W
authors.lastname: Bowers
mesh_terms: D001315:Australia; D001521:Behavior Therapy / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D003625:Data Collection; D019348:Empiricism; D005163:Factor Analysis, Statistical; D001068:Feeding and Eating Disorders / Q000628:therapy*; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D020407:Internet; D008370:Manuals as Topic; D009656:North America; D011575:Psychoanalytic Therapy / Q000706:statistics & numerical data*; D011613:Psychotherapy / Q000706:statistics & numerical data*