A Perfect Biopsychosocial Storm

Maine, Margo; Bunnell, Douglas W.

doi:10.1016/b978-0-12-375668-8.10001-4

Cited by 21 publications

(9 citation statements)

References 24 publications

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“…Findings from this study further confirm earlier studies indicating that therapist self-insight, regular self-care, a safe work environment, and supervision, training, and support are all necessary aspects when working with recovered therapists (Barbarich, 2002 ; Costin & Johnson, 2002 ; Warren et al, 2013 ). While perspectives from the therapists in this study correspond with previous reports that therapists should be fully recovered from their ED before entering the clinical domain (Costin & Johnson, 2002 ), the ED field still critically lacks consensus on the definition of recovery (Maine, McGilley, & Bunnell, 2010 ; Noordenbos, 2011 ). Additionally, our results suggested that experiential knowledge is most effectively used in an intuitive and empathic way.…”

Section: Discussionsupporting

confidence: 72%

Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Vos¹,

Netten²,

Noordenbos

2015

Eating Disorders

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In the eating disorder (ED) field there is a lack of guidelines regarding the utilization of recovered therapists and the experiential knowledge they can bring to therapy. In this study, a qualitative design was used to examine recovered eating disorder therapists using their experiential knowledge and how this influences therapy and the patients they treat. Respectively, 205 patients (response rate 57%), and 26 recovered therapists (response rate 75%) completed a questionnaire about advantages and disadvantages of the utilization of experiential knowledge in therapy. Results showed that using experiential knowledge can have several advantages and disadvantages in therapy. Therapists can use this knowledge as a therapeutic intervention with specific goals, such as providing the patient with insight into the recovery process, establishing a working relationship, and enhancing hope for recovery. To be effective, self-disclosure and experiential knowledge need to be shared thoughtfully, and should not include specific details about ED symptoms. Other factors noted that enhanced the benefits of experiential knowledge included therapist self-insight and self-care, adequate training and guidance, and a safe work environment. Patients stated that being treated by a recovered therapist had a positive effect on their recovery process. It is advised to establish guidelines in the ED field about working with recovered therapists and the experiential knowledge they might use in therapy. Further research is needed on the process of when, how, and which experiential knowledge is shared by recovered therapists in therapy, and the effects of these interventions on patients and their treatment outcomes.

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Section: Discussionsupporting

confidence: 72%

Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Vos¹,

Netten²,

Noordenbos

2015

Eating Disorders

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“…As pointed out by several scholars, one cannot help but notice some similarities between the "holy anorexia" and "anorexia mirabilis" of the medieval and Victorian eras and EDs seen in the 21st century; for example, asceticism, denial of or ambivalence about sexuality, extreme pursuit of selected cultural ideals, and seeking control and power through food restriction (Bell, 1985;Brumberg, 2000;Bynum, 1987;Huline-Dickens, 2000;Lelwica, 1999;Vandereycken & Van Deth, 1994). Modern-day women with EDs also struggle for control and autonomy in a world that is often still experienced as dominating and patriarchal (Huline-Dickens, 2000; Maine, 2009;Maine & Bunnell, 2010). Women with EDs in the 21st century pursue extreme thinness in a culture in which thinness is sanctified and venerated (Lelwica, 1999(Lelwica, , 2010.…”

Section: Food Restriction As a Pathway To Salvationmentioning

confidence: 99%

Religiousness and spirituality in the etiology and treatment of eating disorders.

Richards

Weinberger-Litman

Susov

et al. 2013

APA Handbook of Psychology, Religion, and Spirituality (Vol 2): An Applied Psychology of Religion and Spirituality.

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Historically, the topics of religiousness and spirituality have received little attention in the eating disorders field. According to a systematic review of two prestigious eating disorder journals, only about 2% of empirical studies published from 1993 to 2004 included a measure of religiousness or spirituality (Richards & Bartz, 2005). Furthermore, most scholarly books about eating disorders have given scant attention to the possible role of religiousness or spirituality in etiology and treatment. Finally, the most recent eating disorder practice guideline monograph published by the American Psychiatric Association (2006) gives only cursory attention to these topics (Berrett, Hardman, & Richards, 2010).Fortunately the neglect of religiousness and spirituality in the eating disorders field appears to be waning as a growing number of studies on this topic have been published recently in professional journals as well as several books and book chapters, all of which are discussed in this chapter. Also, according to an exhaustive Internet search, more than 40% of eating disorder facilities in North America now advertise that they address patients' spiritual needs in their treatment programs (Susov & Richards, 2010).We hope that this chapter will help stimulate further theory, research, and effective practice in this important domain. We begin by providing brief background information about eating disorders, followed by a review of theoretical and empirical evidence that religiousness and spirituality may play a role in the etiology of eating disorders. We also review studies that indicate that religiousness and spirituality may play an important part in eating disorder treatment and recovery. We discuss recent clinical literature that provides insight and guidelines into how to implement spiritual perspectives and interventions during treatment. We conclude by offering some recommendations for future research, training, and practice.Consistent with the integrative paradigm of this handbook, we use the term religiousness in this chapter to refer to beliefs, practices, relationships, or experiences having to do with the sacred that are explicitly and historically rooted in established institutionalized systems (see Volume 1, Chapter 1, this handbook). Many eating disorder patients, similar to the general public, are affiliated with a specific religious denomination, and their beliefs about the sacred are directly grounded in the teachings of their denomination. We use the term spirituality to refer to beliefs, practices, relationships, or experiences having to do with the sacred that are not necessarily linked to established institutionalized systems (see Volume 1, Chapter 1, this handbook). Other eating disorder patients have never been, or no longer are, affiliated with a formal religious denomination, but nevertheless they regard themselves as spiritually inclined with interests in the sacred or divine. In this chapter, we frequently use both terms together because we wish to include both types of patients and bo...

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“…This can be problematic because internalization leads to habitual body monitoring, wherein individuals monitor their bodies as they believe observers do, and place a greater emphasis on how they look rather than on how they feel (Fredrickson & Roberts, 1997). This in turn can lead to feelings of anxiety (Fredrickson & Roberts, 1997), body shame (Fredrickson & Roberts, 1997;Tiggemann & Williams, 2012), and is a risk factor for eating disorders (Fredrickson & Roberts, 1997;Maine & Bunnell, 2010). Further, a recent study showed that selfobjectification is even positively correlated with appearance fixing (i.e., trying to change outward appearance) and avoidance coping (i.e., disengaging in potential body image threat situations), two maladaptive behaviors that have been linked with lowered selfesteem, disordered eating behaviors, and lower quality of life related to body image (Bailey, Lamarch, Gammage, & Sullivan, 2016).…”

Section: Final Thoughtsmentioning

confidence: 99%

Writing Quantitative Empirical Manuscripts With Rigor and Flair (Yes, It’s Possible)

Fallon¹

2018

PsiChiJournal

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A Perfect Biopsychosocial Storm

Cited by 21 publications

References 24 publications

Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Recovered eating disorder therapists using their experiential knowledge in therapy: A qualitative examination of the therapists’ and the patients’ view

Religiousness and spirituality in the etiology and treatment of eating disorders.

Writing Quantitative Empirical Manuscripts With Rigor and Flair (Yes, It’s Possible)

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