The Use of Team Treatment Reviews in Eating Disorder‐Focused Family Therapy: Why, When and How?

ABSTRACT This article explores the use of team treatment reviews in eating disorder‐focused family therapy. It examines how this approach may enhance therapeutic engagement, relational understanding and change processes, especially when progress in treatment feels stalled or ‘stuck’. Drawing on systemic, dialogical and relational theories, team treatment review sessions are conceptualised as a way of understanding and addressing dominant problem narratives, disrupted engagement and therapeutic ruptures, amplifying multiple perspectives, and softening entrenched interactional patterns commonly observed in eating disorder‐focused family therapy. The article outlines core principles for the use of team treatment reviews, including careful attention to safety, containment, power dynamics and the emotional impact of treatment both on the family and on the treating systems. Consideration is given to the use of review meetings in working with adolescents, where issues of shame, secrecy and control are often prominent. The article concludes by discussing potential risks, ethical considerations and areas for future development. Team treatment reviews are proposed as a flexible and potentially powerful addition to eating disorder‐focused family therapy when used thoughtfully and reflexively.

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Publication Details

Journal
Australian and New Zealand Journal of Family Therapy
Published
2026-11-08
DOI
https://doi.org/10.1002/anzf.70101
Primary Topic
Counseling, Therapy, and Family Dynamics
Type
article
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article

The Use of Team Treatment Reviews in Eating Disorder‐Focused Family Therapy: Why, When and How?

Stamatoula Voulgari, Gladys Ellis, Julian Baudinet, Esther Blessitt et al.
1 links
Australian and New Zealand Journal of Family Therapy
Counseling, Therapy, and Family Dynamics
article

The Use of Team Treatment Reviews in Eating Disorder‐Focused Family Therapy: Why, When and How?

Stamatoula Voulgari, Gladys Ellis, Julian Baudinet, Esther Blessitt, Mima Simic, Stella Giatra
article en

Abstract

ABSTRACT This article explores the use of team treatment reviews in eating disorder‐focused family therapy. It examines how this approach may enhance therapeutic engagement, relational understanding and change processes, especially when progress in treatment feels stalled or ‘stuck’. Drawing on systemic, dialogical and relational theories, team treatment review sessions are conceptualised as a way of understanding and addressing dominant problem narratives, disrupted engagement and therapeutic ruptures, amplifying multiple perspectives, and softening entrenched interactional patterns commonly observed in eating disorder‐focused family therapy. The article outlines core principles for the use of team treatment reviews, including careful attention to safety, containment, power dynamics and the emotional impact of treatment both on the family and on the treating systems. Consideration is given to the use of review meetings in working with adolescents, where issues of shame, secrecy and control are often prominent. The article concludes by discussing potential risks, ethical considerations and areas for future development. Team treatment reviews are proposed as a flexible and potentially powerful addition to eating disorder‐focused family therapy when used thoughtfully and reflexively.

Australian and New Zealand Journal of Family TherapyVol. 47(4)
King's College London (GB), South London and Maudsley NHS Foundation Trust (GB), Maudsley Hospital (GB)
Good health and well-being
Counseling, Therapy, and Family Dynamics
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