'Communities of concern' in the family-based treatment of anorexia nervosa: Towards a consensus in the Maudsley model

The Maudsley model of family-based treatment for anorexia nervosa, first developed in the mid-1980s, has been the subject of a number of randomized controlled trials over the past 20 years, each demonstrating its efficacy. In the past 5 years, the model has developed into two streams with the emergence of a multiple family therapy format in the United Kingdom and Europe and the consolidation of single family practice in the United States, including the publication of a treatment manual. While the benefits of multiple family therapy have not yet been experimentally demonstrated, its potential lies in the solidarity that can be promoted between families in their fight against the anorexia. In this paper, we will argue that the standard manualized version of the Maudsley model might also be augmented to incorporate strategies that introduce a role for a wider community, specifically by employing practices derived from a model of generic family therapy called narrative therapy.