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2007 harris center newsletter
1. ANNUAL Update
FALL 2007
HARRIS CENTER FOR EDUCATION AND ADVOCACY IN EATING DISORDERS AT MASSACHUSETTS GENERAL HOSPITAL
Message from Dr. Herzog
This has been an energizing year for our Center. While our work includes conducting research, preparing manuscripts, mentoring young scientists,
and raising public awareness, our day-to-day efforts revolve around two main
activities: creating and disseminating knowledge. Our research program keeps
increasing in breadth and depth as each project builds on those that precede it,
paving the way for more to come. Our growing relationships with the many fields
associated with eating disorders make our studies particularly innovative and farreaching.
Our commitment to educating new scientists has taken an exciting step
forward. In addition to the Matina S. Horner, Ph.D. Research Fellowship that we
established in 1997 for college and graduate students, we now have a postdoctoral fellowship. Funded through an anonymous 2007 grant, the David B. Herzog
Fellowship program will train professionals in the specialized treatment of individuals
with eating disorders. In this newsletter, you will meet our first postdoctoral fellow,
Kamryn T. Eddy, Ph.D., who will be a leader in the field of eating disorders.
This issue of “Update” will introduce you to Unlocking the Mysteries of
Eating Disorders, a team effort by the Harris Center and Harvard Medical School.
Aimed at the parents of individuals with eating disorders, this book will also be
useful to educators, coaches, college residence advisors and all who work with
young people. We are deeply grateful to those of you who helped us create this
book by sharing your personal perspectives or reviewing chapters.
Our annual public forums offer the community a setting in which to discuss the media, eating disorders and body image issues. At this year’s forum, we
featured photographer Lauren Greenfield, who treated the audience to a screening of her documentary film Thin. Feedback about the forum from attendees was
uniformly positive.
We would also like to announce the commencement of a $2 million
research center campaign. Such funding will allow us to conduct pilot and novel
treatment projects and support the continuation of the Longitudinal Study.
I envision the Harris Center as a bridge between the academic community and the community at large, not only in outreach and prevention but in research
and training as well. We want to thank each of you for your commitment to this
immensely important endeavor. As you read this
newsletter, we hope you will feel proud of everything your
generosity is doing to keep our Center strong and
vibrant in its pursuit of a cure for eating disorders.
INSIDE THIS ISSUE
Public Forum Features
Award-Winning film, Thin
Hot Off the Press
Update from
DEBRA L. FRANKO
Ph.D.
The Harris Center’s
associate director
continues to play a
vital role in our initiatives. A licensed
clinical psychologist, Dr. Franko is a full
professor in the Department of Counseling and Applied Educational Psychology
at Northeastern University and a visiting scholar in Psychology at Wesleyan
University. In addition to mentoring our
fellows and overseeing the application
process for federal and private grants, she
leads research projects, presents papers
at national and international conferences,
and authors many articles for scientific
journals. Her research covers a wide
range of topics within the field of eating
disorders, including pregnancy, suicide,
psychiatric comorbidity, sociocultural
influences, and ethnic and cultural differences.
Working with Inflexxion, Inc., Dr.
Franko has developed several multimedia
education programs. This past spring,
she examined the effect of a prevention
Web site (Trouble on the Tightrope: In
Search of Skateboard Sam) on body image and knowledge about puberty among
middle school girls and boys. In a field
trial, one group of students used the new
program while another viewed control
Presentations and
Conferences
On the Web
Eating Disorders Coalition
The Center in the Media
Herzog Speaks at Boston
Dr.
Center for the Arts
Office Updates
New England Collaborative
Fellow Updates
Research and Publications
ellowship Program
F
Scenes from Skateboard Sam program.
2. sites. Testing at the end of the study
found that Skateboard Sam participants
knew more about puberty. Overweight
students were more likely to feel better
about their bodies after viewing the
trial program than after seeing control
sites. And girls who had participated in
Skateboard Sam tested higher in selfesteem than those in the control group.
Dr. Franko recently submitted
for publication a study of a nutrition
Web site for college students and completed a commentary for the International Journal of Eating Disorders
on a series of papers examining the
prevalence of these illnesses in ethnic
minority women. She has received
an invitation from the Annual Review
of Clinical Psychology to co-write a
review about binge eating disorder and
plans to propose a grant exploring the
treatment of this condition in ethnic
minorities.
women at the Renfrew Center, a
residential eating disorder treatment
facility in Coconut Creek, Florida. Ms.
Greenfield captures day-to-day life
for these individuals as they struggle
with pressures to maintain their eating
behaviors as well as to move on. Particularly poignant is the role supportive
resident-to-resident interactions and
friendships play in the treatment process.
The film depicts the financial
and emotional hardships that arise
when health insurance companies cut
off payment for residential care before
patients feel well enough for discharge.
The tension between the expectations
of insurance company, treatment center
and patient raises the question of how
to get them all aligned.
Following the screening,
Lauren Greenfield and Dr. Herzog
addressed questions from the audi-
ing disorders. Many individuals have
milder degrees and are treated—often
successfully—as outpatients.
Hot off the Press
We are excited that Unlocking the
left to right: Lauren Greenfield, Dr. Herzog and Nancy Harris at the 2007 Public Forum
Public Forum Features
Award-Winning Film, Thin
On February 27, 2007—in honor
of National Eating Disorders Awareness Week—the Harris Center hosted
Lauren Greenfield for a screening of
her award-winning HBO documentary
film, Thin. Drawing over 300 parents,
clinicians, educators and students, this
event was the 11th in our series of
annual public forums designed to raise
awareness of eating disorders in the
community.
Thin tells the stories of four
2
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ence. When asked about the purpose of
the film, Ms. Greenfield explained, “I
wanted to show what it is really like to
have an eating disorder. This is not an
illness of vanity or an illness of choice
and should not be trivialized. It was
also important to convey that women
with eating disorders have different
body types – they are not all skeletal.”
In mentioning her book Thin—a companion to the film—she emphasized
that eating disorders occur in people
of all ethnicities and socioeconomic
groups.
Dr. Herzog pointed out that
the women in Thin are among the most
severely ill of those afflicted with eat-
Mysteries of Eating Disorders is now
available. Written by Dr. Herzog and
Dr. Franko in conjunction with Harvard
Medical School and Pat Cable—and
published by McGraw-Hill—this book
addresses the questions most frequently
asked by the parents of individuals
with eating disorders. Conversational
text explores why these illnesses are
hard to spot, and delineates key warning signs. Family stories highlight how
it feels to have the illness and undergo
treatment. In particular, these personal
perspectives bring individual and family psychotherapy to life.
Central to the book is a discussion of treatment. In recommending
a comprehensive interdisciplinary
(team) approach, the authors discuss
finding providers, enhancing motivation, and recognizing signs of progress.
Woven throughout is the theme that—with
treatment—many individuals with eating
disorders improve their health and go on to
lead productive, meaningful lives.
3. On May 1, 2007, 76
advocates from across
the country met at the
U.S. Capitol to participate in the Coalition’s
seventh annual Lobby
Day. In visiting state
offices, the lobbyists
shared their personal
perspectives and rallied for Congress’s
influence in supporting
eating disorders legislation. By the day’s
end, many of the activists felt “energized”
and “empowered.” We
encourage you to join
Activists Educate Congress, May 1, 2007: EDC Lobby Day
us in our support of
the Coalition. For
further information,
Eating Disorders Coalition
visit www.eatingdisorderscoalition.org.
Our Center played a founding role
in the Eating Disorders Coalition for
Research, Policy Action (EDC), a
group of professional and advocacybased organizations committed to
bringing eating disorders to the attention of policymakers in Washington,
D.C. Since its inception seven years
ago, the EDC has grown impressively
and is now 35 member-organizations
strong. EDC President Kitty Westin
praises Dr. Herzog’s continuous mentorship and encouragement: “Without
Dr. Herzog, the EDC would never have
been born. He was the organization’s
president for its first five years. His
knowledge about eating disorders and
his tireless efforts to advocate for the
cause are inspiring. I am forever grateful to him for all he has taught me.”
Marching forward under Kitty’s leadership, the EDC is instrumental in educating members of Congress
about eating disorders. Recently, Kitty
testified before the House Ways and
Means Committee on behalf of these
illnesses. She is also working on the
FREED ACT (Federal Response for
Elimination of Eating Disorders), an
exciting initiative that will be introduced to Congress next session.
The EDC brings “citizen lobbyists” to D.C. at least twice a year.
Dr. Herzog Speaks at Boston
Center for the Arts
Dr. Herzog participated in a panel
plus-size. The question is whether he
can confront his own attitudes about
appearance, acknowledge the beauty
he sees in Helen and stand up to his
peers.
In the panel discussion, Dr.
Herzog commended the drama for
campaigning against the media’s
“thin is good, fat is bad” message and
emphasized the importance of encouraging young people to appreciate
themselves and others based on inner
qualities rather than on appearance.
New England Collaborative
Established in early 2006, the New
England Eating Disorders Research
Collaborative is a dynamic partnership between the Harris Center and the
Neuroendocrine Unit at MGH. Several
times a year, the Collaborative hosts
a two-hour symposium for scientists,
educators and clinicians from the
greater Boston area. These meetings
offer participants an opportunity to
exchange ideas, keep abreast of recent
advances in the field, and discuss
future directions in eating disorders
discussion about body image prior to
a March 28, 2007 performance of the
play Fat Pig
at the Boston
Center for
the Arts.
Hosted by
The Boston
Globe, the
reception
also featured
Boston College Professor Sharlene
Hesse-Biber,
Ph.D., the
author of The
Dr. Herzog with Louise Kennedy, the moderator for the panel
Cult of Thindiscussion of Fat Pig
ness, and Globe
drama critic
research. Dr. Franko has presented psyLouise Kennedy, who served as the
chiatric conditions that often co-exist
evening’s moderator.
with eating disorders and Dr. Herzog
Fat Pig focuses on a young
has addressed diagnostic issues related
executive who falls in love with a
to eating disorders and shared results
vivacious, bright librarian, Helen, and
from our Longitudinal Study.
is teased about the relationship by his
friends and co-workers because of her
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3
4. Research and Publications
This year, we have published ten
research articles with an additional
few in press. The following provide
a taste of this work.
Eddy, K.T., Dorer, D.J., Franko, D.L.,
Tahilani, K., Thompson-Brenner, H.,
Herzog, D.B. Longitudinal diagnostic crossover of anorexia and bulimia
nervosa:
Implications for DSM-V. American
Journal of Psychiatry. 2007. [In press].
Franko, D.L, Becker A.E., Thomas,
J.J. Herzog, D.B. Cross-ethnic differences in eating disorder symptoms and
related distress. International Journal
of Eating Disorders. 2007; 40: 156-64.
Presentations and
Conferences
October 23-28, 2007 – Annual meeting of American Academy of Child
Adolescent Psychiatry, Boston. David
B. Herzog, M.D., “Teenage Eating
Disorders.”
September 11, 2007– Children’s
Hospital, Boston. Adolescent Medicine
CORE meeting. David B. Herzog,
M.D., “Developing a Career in Eating
Disorders: A Personal Reflection.”
May 19-24, 2007 – American Psychiatric Association Annual Meeting, San
Diego, California. David B. Herzog,
M.D., “How Stable Are Eating Disorder Diagnoses?”
On the Web
Currently we are adding a comprehen-
sive section on Patient Care to our Web
site (www.harriscentermgh.org). Aimed
at a variety of providers who work with
eating disordered individuals—dentists, psychologists, nurses, nutritionists, social workers, educators, athletic
coaches, college residence advisors,
and youth group leaders—this newest
part of our site will also be helpful to
patients and families struggling with
the illness. Construction of these pages
is moving along well, so stay tuned!
The Center in the Media
To increase public awareness of eat-
ing disorders, we continue to provide
information to a number of media representatives and book authors. Here are
highlights of the Center’s collaboration
Miller, K.K., Wexler, T.L., Zha, A.M.,
with the media from this past year.
Lawson, E.A., Meenaghan, E.M.,
On August 15, 2007, Dr.
Misra, M., Binstock, A.B., Herzog,
Herzog discussed middle-aged women
D.B., Klibanski, A. Androgen deficienwith eating disorders on WCVB-TV
cy: association with increased anxiety
NewsCenter 5.
and depression symptom severity in
On June 27, 2007, Dr. Herzog
anorexia nervosa. The Journal of Clinidid an interview for an article in Marie
cal Psychiatry. 2007; 68: 959-65.
Claire magazine, addressing questions
such as, “Can you ever really recover
Kamryn T. Eddy, Ph.D., “Longitudifrom an eating disorder?”
nal stability and diagnostic crossover
Taylor, C.B., Franko, D.L., Neumark
Debra Franko, Ph.D., contribof anorexia and bulimia nervosa.”
Sztainer, D., Paxton, S.J., Shapiro,
uted to a series of Revolution Health
J.R. Public-health approach to eating
(online) articles on body image.
March 30, 2007 – Society of Adolesdisorders. Lancet. 2007; 369:1928.
Published
in May of
2007, Lying
News Brief: Dr. Herzog has been elected Secretary of the
Thompsonin Weight:
Brenner, H.,
American Academy of Child Adolescent Psychiatry (AAThe Hidden
Eddy, K.T.,
Epidemic of
CAP). This is a two-year, Executive Committee position.
Franko, D.L.,
Eating DisorThe 7,500-member AACAP is the principal international
Dorer, D.J.,
ders in Adult
organization for child and adolescent psychiatrists.
Vashchenko,
Women, by
M.,
Tricia Gura,
Herzog, D.B.
describes findPersonality paings from the Center’s Longitudinal
cent Medicine Conference, Denver,
thology and substance abuse in eating
Study, which tracks the course of eatColorado.
disorders: a
ing disorders in women who initially
Debra L. Franko, Ph.D., “Integrating
longitudinal study. International Jourpresented for treatment during the late
Obesity and Eating Disorders Prevennal of Eating Disorders. 2007. [in
1980s.
tion: The Five Ws for Implementation
press].
The winter, 2007 issue of
in the Field.”
Gürze Books newsletter Eating Dis-
4
www.harriscentermgh.org
May 2-5, 2007 – International Conference on Eating Disorders, Baltimore,
Maryland.
Debra L. Franko, Ph.D., “Using Multimedia Programs to Expand Eating
Disorders Prevention Efforts: Advances
and Future Challenges;” “Examining
the Link between Anorexia Nervosa
and Suicide;” “Increasing Healthy
Behaviors in College Students through
Goal Setting.”
5. orders Today included “Making up
for Lost time: Resuming the Path to
Maturity after an Eating Disorder,” by
Aimee Liu. In this article, Dr. Herzog
addresses perfectionism and delays
in maturity associated with anorexia
nervosa.
Office Updates
Recently we said farewell to two of
our terrific research assistants, Liz Ong
and Kavita Tahilani. Liz is traveling and will return to Boston in the
fall to complete her graduate school
applications, and Kavita is working
as a research coordinator at the Renfrew Center in Philadelphia. We are
delighted for Liz and Kavita, each of
whom made a positive difference at
the Center. We look forward to staying
in touch and wish them the very best
in their educational and professional
pursuits.
In July two new research
assistants, Andrea Kass and Meredith
Sears, joined our team. Andrea graduated from Washington University in St.
Louis, where she majored in Psychology and English Literature. Meredith
earned a B.A. in Psychology from
Brown University. In addition to helping with our research studies, they will
be planning Harris Center events such
as our annual public forum.
We would like to thank our
long-time friend and supporter Nancy
Harris for refurbishing our office.
Fellowship Programs
Meet:
Kamryn Eddy,
Ph.D
It’s our pleasure to
introduce Kamryn
Eddy, Ph.D., our first
postdoctoral fellow. Although the fellowship program is new, the Center’s
relationship with Dr. Eddy goes back
to her two years after college, when
she worked with Dr. Herzog and Dr.
Franko as a research assistant. She
then pursued graduate education at
Boston University (2001-2007), leading to her Ph.D. in clinical psychology. We stayed in touch with Dr. Eddy
throughout, collaborating with her on a
number of important projects.
Dr. Eddy has authored over
20 published papers. Broadly, her
research interests are in understanding
the causes, course, and treatment of
eating disorders. Dr. Eddy’s fellowship research will focus on the issue of
nosology, or diagnostic classification.
She will study how well the current
diagnostic system, which includes
anorexia nervosa, bulimia nervosa and
eating disorder not otherwise specified
(EDNOS), “fits” individuals with disordered eating. “If we haven’t correctly
defined the disorders that we are examining or treating,” she explains, “our
findings might be limited or invalid.”
During her fellowship, Dr.
Eddy will conduct clinical work with
individuals of all ages while receiving
supervision from Dr. Herzog and Dr.
Franko. Her enthusiasm for patient care
is infectious. Recently she said, “I definitely want to provide psychotherapy
for adults with eating disorders, but
I’m also very excited about working
with children and adolescents and
with their families.” Dr. Eddy has had
experience with individuals (both male
and female) in inpatient and outpatient
settings, has learned a variety of approaches to therapy, and has treated the
full range of eating disorders. We are
delighted to have Dr. Eddy aboard.
lished papers. This section introduces
our summer 2007 fellows and provides
updates from fellows past.
Matina S. Horner, Ph.D. Fellowship
Sarah Merhar
Since its inception a decade ago, our
Matina S. Horner, Ph.D., Research
Fellowship program has sponsored 29
superb undergraduate and graduate
students. Each summer, we mentor our
fellows as they pursue independent
research projects and participate in
our current research activities. Many
fellows continue their independent
projects after their fellowships have
ended, often resulting in theses or pub-
Fellow Updates
Stacey DiPalma
I am a medical
student at Brown
University School of
Medicine. My fellowship project is to
determine the current
place of eating disorders in the formal
education of medical students. I plan
to use the findings of my project as
the groundwork for implementing an
eating disorder curriculum at Brown
come spring, with the hopes that this
program can serve as a model for other
medical schools.
Loren Gianini
I am a doctoral
student in clinical
psychology at the
University of New
Mexico. During my
fellowship at the Harris Center, I am
exploring the individual, familial, and
social factors that lead an individual to
internalize the thin ideal. I intend to use
my project as the groundwork for my
dissertation.
I attend Mount Holyoke College. As a
Matina Horner fellow,
I am interning at the
Neuroendocrine Unit
at M.G.H on a study of the occurrence of osteoporosis in women with
anorexia. I assist with many aspects
of the study, including data entry and
analysis, and cognitive testing. This
is a wonderful experience for me, as I
hope to go into neuroscience research.
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5
6. Jolie Weingeroff
I am a third-year
graduate student in
the clinical psychology doctoral program
at Boston University.
During my fellowship at the Harris
Center, I am working on my master’s
thesis, a study of the types of strategies
that individuals with eating disorders
use to manage distress. I plan to continue to explore this area of research, and
the clinical implications of its findings,
in future doctoral work.
S. Bryn Austin,
ScD
I am the Director of
Fellowship Research
Training in the
Division of Adolescent and Young
Adult Medicine at Children’s Hospital,
Boston. In addition, I’m an Assistant
Professor in Pediatrics at Harvard
Medical School and Assistant Professor in Society, Human Development,
and Health at Harvard School of Public
Health. My primary research addresses
social and physical environmental
influences on eating disorders, physical
activity, and nutritional behaviors in
school and community settings.
Valerie Charat
This year I have
worked as a Training and Curriculum
consultant for Kids
Korps USA, a nonprofit organization
that provides volunteer opportunities
for youth. Most importantly, however, I
delivered a healthy baby boy, Cole, on
April 6. Being a mom is a new job that
I am thoroughly enjoying!
Cristina Cruza-Guet
After participating in an Eating Disorders Coalition Lobby Day on Capitol
Hill and attending a National Eating
6
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Disorders Association Conference, I
joined the Lehigh University Body Empowerment Alliance. With this group, I
organized Body Image Awareness week
at Lehigh. I passed my comprehensive
exams last March and taught my first
full course at Muhlenberg College.
Natalie Freed
In June 2007, I completed my 3rd year
of medical school
at the University of
Iowa Carver College
of Medicine. One of
the projects to which
I contributed during my Harris Center
fellowship has been published in the
Journal of Pediatrics and the other has
been submitted to the Journal of Clinical Endocrinology and Metabolism.
Maria Frisch
This has been a year
full of change for
me. Last fall I began
pursuing my Ph.D. in
Counseling Psychology at the University
of Minnesota, but a semester
into the program I realized it was not
the best fit. I have therefore spent
this last semester working on my premed requirements so that I can apply
to medical school.
Dara Greenwood
I’ve just finished my third year as assistant professor in the Communication
Studies department at the University
of Michigan (adjunct in Psychology,
faculty associate at the Institute for Social Research), where I am continuing
to focus on media use and emotional
health and well-being. Currently, I am
investigating how individuals utilize
media in the service of emotion regulation.
Lareina La Flair
I am currently working at the Center
for Evaluation at
Harvard Medical
School and continuing to volunteer as a medical advocate
for survivors of sexual assault. My
Matina Horner Fellowship project on
the relationship between sexual assault
and eating disorders in Asian women is
now under review for publication, and
I am looking forward to studying these
and other cross-cultural psychiatric
issues when I start a Ph.D. program in
Public Health this fall at Johns Hopkins
University.
Rama Mulukutla
I am graduating this year from Medical School, and I am starting a General
Surgery Residency at Vanderbilt University in Nashville, TN. I continue to
appreciate all the tools and knowledge
on research design and clinical research
data evaluation I learned during my
Matina Horner Fellowship.
Lisa Rubin
In 2006, I began a tenure-track position in the Department of Psychology
at The New School for Social Research
in New York City where I teach in the
university’s graduate and undergraduate
programs. I am currently leading an investigation that examines decision-making about breast reconstruction among
Black and Latina breast cancer survivors.
Dana Satir
I am in my third year
of the clinical Ph.D.
program at Boston
University, completing a clinical practicum at the Behavioral Health Partial
Program at McLean Hospital. The
project I worked on during my Matina
Horner Fellowship was presented at the
Academy for Eating Disorders’ annual
conference in Baltimore.
7. Monica Hsiung
Wojcik
I graduated this
spring from Princeton
University, where I
majored in chemistry and minored in
French. At Princeton, I was an Eating
Concerns Peer Educator and served
as the group’s president in 2006. Next
year, I will begin medical school at
Harvard University.
Acknowledgements
Thank you to Christine Lenz, James
Stone and Jenna Zink at Arnold for
their help with our newsletter.
Helen Rose continues to offer valuable
advice for our Web site. Thank you,
Helen.
We extend profound appreciation to all
of our donors for their friendship and
support this year.
Donor List
To protect the privacy
of AES Corporation
The our donors, we have
Alamitos Bay their
removed Productions names from
The A.M. Fund
the on-line version of
The Alperin/Hirsch Family Foundation
Patty
Mel
the andGroupAlperin
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Weingeroff Family Foundation
Maxine and Alan Weinstein
Patricia and Donald Wilks
Wilks Family Foundation
Henriette and Karsten Windeler
Windward Foundation
www.harriscentermgh.org
7
8. MISSION STATEMENT
The Harris Center at MGH focuses on education and advocacy in eating disorders. Through
interdisciplinary research, we seek new knowledge to better
understand eating disorders, their detection, treatment, and prevention and we strive to share that knowledge with the community at
large. At the heart of the Center is the healthy development of children,
women, and all at risk.
The Harris Center for Education and Advocacy in Eating Disorders at
Massachusetts General Hospital
2 Longfellow Place, Suite 200
Boston, MA 02114
617-726-8470
www.harriscentermgh.org
David B. Herzog, M.D.
Debra L. Franko, Ph.D.
Heather Thompson-Brenner, Ph.D.
Pamela K. Keel, Ph.D.
David J. Dorer, Ph.D.
Kamryn T. Eddy, Ph.D.
Andrea Kass, B.A.
Meredith Sears, B.A.
Patti Cable, R.N.
Director
Associate Director
Research Consultant
Research Consultant
Statistician
Postdoctoral Fellow
Research Assistant
Research Assistant
Publications Director
We welcome your comments and suggestions!
For further details on information covered in
this newsletter, please contact us.