Attitudes towards anorexia nervosa: The impact of framing on blame and stigma

Crisafulli, Michele A.; Holle, Ann Von; Bulik, Cynthia M.

doi:10.1002/eat.20507

Cited by 100 publications

(124 citation statements)

References 23 publications

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“…Studies conducted in the United States and the United Kingdom suggest that people with EDs are viewed negatively by the public (Crisp, 2005;Stewart et al 2008). Specifically, compared with other mental and physical illnesses, EDs are more often seen as self-inflicted or reflecting attention-seeking (Crisp, 2005;Stewart et al 2006;Crisafulli et al 2008;Roehrig & McLean, 2010;Ebneter & Latner, 2013;McLean et al 2014). These negative projections may result in dissociation from individuals with EDs (Crisp, 2005;Stewart et al 2008;Zwickert & Rieger, 2013), which can foster a sense of isolation among those affected and a reluctance to disclose their illness.…”

Section: Healthcare Professionals' Attitudes Towards Edsmentioning

confidence: 99%

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Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

McNicholas

O’Connor²,

O’Hara

et al. 2015

Ir. j. psychol. Med.

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Objectives. This study examines aspects of healthcare professionals' knowledge and attitudes about eating disorders (EDs), which might impede the effective detection or treatment of EDs in Ireland.Methods. A total of 1,916 healthcare professionals were invited to participate in a web-based survey. Participants were randomly allocated to view one of five vignettes depicting a young person with symptoms consistent with anorexia nervosa, bulimia nervosa, binge-eating disorder, depression or type 1 diabetes. Study-specific questions examined participants' responses to the vignettes and ED knowledge and experience. Conclusions. This study recommends that specific attention should be given to EDs in professional educational programmes across healthcare disciplines. This training should not be restricted to improving healthcare professionals' knowledge of EDs, but should also strive to increase service-providers' awareness of how their own potentially stigmatising attitudes can undermine engagement with treatment.

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Section: Healthcare Professionals' Attitudes Towards Edsmentioning

confidence: 99%

“…A perception that ED patients have personal control over their disorder, which is linked to a sense of blame, is also evident within clinician populations (Currin et al 2009). Moreover, some medical experts may attribute EDs to defects of personality or character, such as vanity (Crisafulli et al 2008).…”

Section: Healthcare Professionals' Attitudes Towards Edsmentioning

confidence: 99%

Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

McNicholas

O’Connor²,

O’Hara

et al. 2015

Ir. j. psychol. Med.

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show abstract

“…Research has highlighted the stigmatization of AN both by the public, who appear likely to blame the patient for her illness and to believe she could ''pull herself together'' if she so desired, [52][53][54] and by medical professionals. 51,70 Thus, the term ''refusal'' may have unintended and misleading consequences in framing this symptom as a ''choice'' of action under voluntary control.…”

Section: Patient Capacity And/or Willingness To Endorse Symptoms Are mentioning

confidence: 99%

Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM‐V

Becker

Eddy

Perloe

2009

Intl J Eating Disorders

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Objective: This article reviews literature relevant to challenges in clinical ascertainment of cognitively-based diagnostic criteria of anorexia nervosa (AN) and bulimia nervosa (BN) to examine whether revision might enhance their clinical utility.Method: We performed a systematic literature search to identify publications relevant to clinical evaluation of cognitive symptoms of AN and BN.Results: The literature supports several reasons that individuals with an eating disorder may not endorse cognitive symptoms, despite their presence. These include limited insight, minimization, or denial, as well as intentional concealment related to perceived stigma, social desirability, or investment in maintaining behavioral symptoms. We also identified reasons that the word ''refusal'' in AN criterion A may render its application problematic.Discussion: We conclude that specific guidance for ascertainment of cognitive signs for AN and BN in the absence of patient disclosure or endorsement, longitudinal evaluation, and/or collateral data may improve clinical utility of these diagnostic criteria. V

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“…Brownell, 1991). Topics such as responsibility and blame are also found in the discourses surrounding eating disorders (Crisafulli, Holle, & Bulik, 2008;Crisp, 2005;Crisp et al, 2000;Giles, 2006).…”

Section: Introductionmentioning

confidence: 96%

Social identity in eating disorders

Ison

Kent

2010

Euro Eating Disorders Rev

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This qualitative study examines social identity in eating disorders. Semi-structured interviews were conducted with eight females with an eating disorder diagnosis. Interpretative phenomenological analysis (IPA) was used to analyse the data. Three superordinate themes emerged from participants' accounts: (1) Shifts in social identity; (2) Outgroup perceptions and influences and (3) Eating disorders as an ingroup. The findings suggested that a person's social identity can change during the course of having an eating disorder, and an interaction between social identity and a person's recovery from an eating disorder was proposed. Clinical implications, methodological issues, and directions for future research were discussed.

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Attitudes towards anorexia nervosa: The impact of framing on blame and stigma

Abstract: If these results are replicated in larger, population-based samples, wider dissemination of information regarding the biological and genetic underpinnings of AN should be considered as a possible pathway in decreasing the blame-based stigma associated with AN.

Cited by 100 publications

References 23 publications

Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

Stigma and treatment of eating disorders in Ireland: healthcare professionals’ knowledge and attitudes

Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM‐V

Social identity in eating disorders

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