Attitudes towards psychotherapy manuals among clinicians treating eating disorders

Glenn Waller*, Victoria A. Mountford, Madeleine Tatham, Hannah Turner, Chloe Gabriel, Rebecca Webber

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Clinicians have relatively low uptake and implementation of evidence-based psychotherapies for the eating disorders, and this problem appears to be associated with low use of manualized approaches. This study examines clinicians' positive and negative attitudes to manuals, and possible beliefs and emotional factors that might drive those attitudes. The participants were 125 psychological therapists working with eating-disordered patients. Each completed standardised measures of attitudes to manuals and emotional states. A number of beliefs about the content of manuals were associated with both positive attitudes to the outcome of treatment and negative attitudes to their impact on the treatment process. In addition, a more positive mood was associated with more positive attitudes. Suggestions are made regarding how attitudes might be made more positive, in order to facilitate the use of evidence-based therapies for eating disorders.

Original languageEnglish
Pages (from-to)840-844
Number of pages5
JournalBehaviour Research and Therapy
Issue number12
Publication statusPublished - Dec 2013


  • attitudes
  • depression
  • eating disorders
  • evidence-based therapy
  • manuals


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