Abstract
ABSTRACTIn this paper a guide to group therapy for women with chronic concerns about overweight, body image and eating behaviour is described. The first level of therapy constitutes a ten‐week course designed to help women break obsessional preoccupation with eating, weight and body image. A dilemma is posed so that women see themselves struggling paradoxically for social conformity for thinness on the one hand and to provide nurture and food on the other. The contributions of social environment, early learning and family tradition, present family structure and inappropriate treatment modalities are examined.The second level of treatment is designed for severely obese women who have succeeded in breaking the obsessional concern with eating behaviour. This level focuses on family of origin restraints as well as on current family and particularly marital restraints to weight loss. The preliminary outcome studies have been encouraging but long‐term results are not yet available.
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