Preferred therapist characteristics in treatment of anorexia nervosa: The patient's perspective

Abstract

There is accumulating evidence that across treatment modality, the manner in which treatment is delivered is critical to therapeutic change. Our findings increase the understanding of factors that may be associated with treatment retention, further help seeking, and overall treatment outcome. These exploratory and informant-centered results could guide clinicians in developing a strong therapeutic alliance with AN-patients and promote increased knowledge about the mechanisms that engage this population.

Syömishäiriöpotilaiden ravitsemushoidon potilastyytyväisyyskysely – kehittäminen ja pilotointi

“…Syömishäiriötä sairastavien hoitotyytyväi-syyttä on tutkittu aiemmin (2,3), mutta ravitsemushoitoa koskevat potilastyytyväisyystut kimuk set puuttuvat. Ravitsemusterapeutin to teuttamalla hoidolla on kuitenkin tärkeä merki tys syömis häiriötä sairastavien moniammatillisessa hoidossa (4,5).…”

“…Terapeutin antama emotionaalinen tuki (ymmärtäväisyys, tuomitsemattomuus, lämminhenkisyys), ammattitaito (joustavuus, perehtyneisyys syömishäiriöi-den hoitoon, hoidon kokonaisvaltaisuus) sekä asiakaslähtöisyys ja läheisten huomioiminen hoidossa ovat edistäneet potilastyytyväisyyttä. Sitä ovat puolestaan heikentäneet esimerkiksi voimakas painokeskeisyys ja hoidon saamisen vaikeus (2,3,17).…”

“…(2010) ja Gulliksenin ym. (2012) tutkimustulosten kanssa (2,3). Tulosten vertailua vaikeuttaa kuitenkin se, että em.…”

The Patient’s Perspective: Exploring Factors that Contribute to Recovery from Eating Disorders

“…Furthermore, the way that the therapist interacts with the patient plays a major role in the treatment's success, according to patient opinion. A positive encounter with the therapist can make the patient feel understandable, less alone, safe, valuable and in a better mood; a negative encounter can increase self-blame, loss of feeling of identity and desire to prove that she/he is "really sick," as well as decreased willingness to disclose, which can eventually lead to dropping out of therapy [20]. The "good" therapist characteristics can be summarized in four factors: "acceptance" of the individual's personality, preferences and difficulties; "vitality" in showing active interest in the patient's ideas, thoughts and problems; "challenging" the situation created by the ED symptomatology, focusing on the patient's resources, and offering active support while not pampering him/her and finally, "expertise" in the area of ED treatment so that he/she can offer security and guidance during therapy [19].…”

Psychopathology of Eating Disorders According to Neurobiology of Attachment: An Instrument to Overcome Resistances to Treatment?

“…They need to build a vicarious relationship with the new caregivers who are the therapists (Gulliksen et al, 2012) [20] to complete their Self-development, but their brain structures which are modeled by their early attachment relations obstacle them in building new and more effective relationships. These subjects are often scared by their perception of the others, and the interiorized image of devaluating and unfaithful caregivers produces transferal reactions which are highly ambivalent and often obstacle the caring relationship (Vitousek and Watson, 1998) [21].…”