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Externalizing your eating disorder: a qualitative interview study
BACKGROUND: Anorexia nervosa (AN) is a psychiatric disorder with an ego-syntonic nature, causing many patients to perceive their AN as part of their personal identity. Therefore, an important part of treatment is the externalization of the eating disorder, in order to help patients to perceive AN as...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518211/ https://www.ncbi.nlm.nih.gov/pubmed/34654484 http://dx.doi.org/10.1186/s40337-021-00486-6 |
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author | Voswinkel, Marthe M. Rijkers, Cleo van Delden, Johannes J. M. van Elburg, Annemarie A. |
author_facet | Voswinkel, Marthe M. Rijkers, Cleo van Delden, Johannes J. M. van Elburg, Annemarie A. |
author_sort | Voswinkel, Marthe M. |
collection | PubMed |
description | BACKGROUND: Anorexia nervosa (AN) is a psychiatric disorder with an ego-syntonic nature, causing many patients to perceive their AN as part of their personal identity. Therefore, an important part of treatment is the externalization of the eating disorder, in order to help patients to perceive AN as an external influence. Studies on patient experiences of externalization in treatment for AN are sadly missing. The aims of this study were to investigate, first, patients’ perspectives on the relation between identity and anorexia nervosa (AN) and second, their experiences of an externalizing approach during treatment. METHOD: A qualitative interview study was conducted including fourteen patients with AN in either Family Based Treatment, the Maudsley Model for Anorexia Nervosa Treatment for Adults, Specialist Supportive Clinical Management-Severe Enduring or Cognitive Behavioural Therapy-Enhanced. RESULTS: There are important differences in participants’ perceptions on how AN is related to identity. AN was perceived as part of identity, as alien or as a different side of the self. Patients’ experiences towards an externalizing approach were ambivalent. Externalization was considered helpful, whilst also evoking a negative response. Participants reported feeling as if all their behaviour was referred to as part of AN, which elicited feelings of not being taken seriously or being wrongfully accused of being dishonest. CONCLUSIONS: First, there is considerable variation in the perceived relation between AN and identity. Second, an externalizing approach within treatment may lead to so called epistemic injustice. Awareness of these two facts is of importance for clinicians and the therapeutic relationship because that will help them to refrain from actions that can be perceived as epistemic injustice. |
format | Online Article Text |
id | pubmed-8518211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85182112021-10-20 Externalizing your eating disorder: a qualitative interview study Voswinkel, Marthe M. Rijkers, Cleo van Delden, Johannes J. M. van Elburg, Annemarie A. J Eat Disord Research Article BACKGROUND: Anorexia nervosa (AN) is a psychiatric disorder with an ego-syntonic nature, causing many patients to perceive their AN as part of their personal identity. Therefore, an important part of treatment is the externalization of the eating disorder, in order to help patients to perceive AN as an external influence. Studies on patient experiences of externalization in treatment for AN are sadly missing. The aims of this study were to investigate, first, patients’ perspectives on the relation between identity and anorexia nervosa (AN) and second, their experiences of an externalizing approach during treatment. METHOD: A qualitative interview study was conducted including fourteen patients with AN in either Family Based Treatment, the Maudsley Model for Anorexia Nervosa Treatment for Adults, Specialist Supportive Clinical Management-Severe Enduring or Cognitive Behavioural Therapy-Enhanced. RESULTS: There are important differences in participants’ perceptions on how AN is related to identity. AN was perceived as part of identity, as alien or as a different side of the self. Patients’ experiences towards an externalizing approach were ambivalent. Externalization was considered helpful, whilst also evoking a negative response. Participants reported feeling as if all their behaviour was referred to as part of AN, which elicited feelings of not being taken seriously or being wrongfully accused of being dishonest. CONCLUSIONS: First, there is considerable variation in the perceived relation between AN and identity. Second, an externalizing approach within treatment may lead to so called epistemic injustice. Awareness of these two facts is of importance for clinicians and the therapeutic relationship because that will help them to refrain from actions that can be perceived as epistemic injustice. BioMed Central 2021-10-15 /pmc/articles/PMC8518211/ /pubmed/34654484 http://dx.doi.org/10.1186/s40337-021-00486-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Voswinkel, Marthe M. Rijkers, Cleo van Delden, Johannes J. M. van Elburg, Annemarie A. Externalizing your eating disorder: a qualitative interview study |
title | Externalizing your eating disorder: a qualitative interview study |
title_full | Externalizing your eating disorder: a qualitative interview study |
title_fullStr | Externalizing your eating disorder: a qualitative interview study |
title_full_unstemmed | Externalizing your eating disorder: a qualitative interview study |
title_short | Externalizing your eating disorder: a qualitative interview study |
title_sort | externalizing your eating disorder: a qualitative interview study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518211/ https://www.ncbi.nlm.nih.gov/pubmed/34654484 http://dx.doi.org/10.1186/s40337-021-00486-6 |
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