From Multidisciplinary to Transdisciplinary Care in Eating and Feeding Disorders: A Mechanism-Based Framework for Psychotherapeutic Practice
Eating and Feeding Disorders (ED/FD) are multi-level conditions arising from dynamic interactions among biological, psychological, relational, and nutritional processes. Despite advances in multidisciplinary and interdisciplinary care, treatment remains fragmented, with parallel interventions and limited mechanistic integration.
This paper proposes a trans-disciplinary, mechanism-based framework that reorganises ED/FD care around shared constructs, coordinated mechanisms of change, unified outcome systems, and joint clinical decision-making. The model targets core transdiagnostic processes, including interoceptive dysregulation, avoidance, cognitive–affective rigidity, and relational dynamics, enabling synchronised intervention across domains and enhancing clinical coherence and continuity of care. Moving beyond role coordination, the framework shifts integration toward mechanism alignment, conceptualising treatment as a unified therapeutic system rather than a set of parallel inputs. To support real-world implementation, the model incorporates CFIR and RE-AIM frameworks, providing a structured approach to evaluating feasibility, fidelity, and sustainability.
This approach offers both a conceptual and operational advancement, with implications for service design, professional training, and outcome standardisation. Beyond ED/FD, it provides a scalable model for complex psychiatric conditions characterised by multi-level maintaining mechanisms.
© The Author(s) 2025. Published by RITHA Publishing. This article is distributed under the terms of the license CC-BY 4.0., which permits any further distribution in any medium, provided the original work is properly cited maintaining attribution to the author(s) and the title of the work, journal citation and DOI.
Article’s history: Received 17th of October, 2025; Revised 20th of November, 2025; Accepted for publication 20th of December, 2025; Available online: 27th of December, 2025; Published as research article in Volume III, Issue 3, 2025.
Bonaccorsi, V., Riscica, B. (2025). From Multidisciplinary to Transdisciplinary Care in Eating and Feeding Disorders: A Mechanism-Based Framework for Psychotherapeutic Practice. Journal of Contemporary Approaches in Psychology and Psychotherapy, Volume III, Issue 3, 81 – 109. https://doi.org/10.57017/jcapp.v3.i3.05
Conflict of Interest Statement: The authors declare that there are no conflicts of interest regarding the publication of this paper.
Acknowledgement/ Funding: The authors would like to acknowledge the contributions of clinicians and researchers working in the field of eating and feeding disorders, whose ongoing work has informed the development of integrative and mechanism-based approaches to care. This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Data Availability Statement: No datasets were generated or analysed during the current study. The manuscript is based on a conceptual and theoretical synthesis of previously published literature.
Ethical Approval Statement: Not applicable. This study does not involve human participants, animal subjects, or identifiable personal data.
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