‘The cloud that distills a mirror’1: eating disorder states of mind in parents who have a child hospitalised with an eating disorder

O’Dwyer, Louise

doi:10.1080/0075417x.2021.1934717

Cited by 2 publications

(11 citation statements)

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“…Studies reported that parents generally attributed the cause of anorexia nervosa to either themselves or their child (Carpinelli & Watzlawik, 2023; Cottee‐Lane et al, 2004; Engman‐Bredvik et al, 2016; Honey & Halse, 2005, 2006; Hoskins & Lam, 2001; McMahon et al, 2022; O'Dwyer, 2021; Svensson et al, 2013; Tuval‐Mashiach et al, 2014; Whitney et al, 2005). For instance, parents reported feeling responsible for their child illness (Carpinelli & Watzlawik, 2023; Cottee‐Lane et al, 2004; Engman‐Bredvik et al, 2016; Hanson, 2019; Hoskins & Lam, 2001; McMahon et al, 2022; McMullen, 2018; O'Dwyer, 2021; Svensson et al, 2013; Tuval‐Mashiach et al, 2014; Whitney et al, 2005; Whitney et al, 2023). They thought that their passion for food (e.g., cooking, reading, and writing food books) might have influenced their parenting style and therefore the development of anorexia nervosa (Hoskins & Lam, 2001).…”

Section: Resultsmentioning

confidence: 99%

“…Another study suggested that parents believed that their lack of awareness regarding early signs of anorexia nervosa, and therefore poor efforts to prevent it, contributed to the development of anorexia nervosa (Cottee‐Lane et al, 2004). Five studies reported instances of parents attributing anorexia nervosa to child‐internal factors (Carpinelli & Watzlawik, 2023; Honey & Halse, 2005, 2006; O'Dwyer, 2021; Whitney et al, 2005). For instance, parents believed their child had a hereditary illness or had a predisposing vulnerability to anorexia nervosa (Cottee‐Lane et al, 2004; Honey & Halse, 2005).…”

Section: Resultsmentioning

confidence: 99%

“…Studies reported that some parents perceived anorexia nervosa as a temporary condition (Engman‐Bredvik et al, 2016; Thomson et al, 2014), while other parents viewed anorexia nervosa as a long‐term condition (Engman‐Bredvik et al, 2016; Karlstad et al, 2021) or a chronic disorder (Whitney et al, 2005; Wufong et al, 2019). Almost a third of the studies (30%) described the symptoms of anorexia nervosa as cyclical where their child's recovery was followed by a lapse or a relapse episode (O'Dwyer, 2021; Wufong et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Parental control. In general, findings indicated that parents were powerless over the symptoms of anorexia nervosa (Coelho et al, 2021;O'Dwyer, 2021;Robinson et al, 2020;Tierney, 2005).…”

Section: Control and Curementioning

confidence: 97%

“…They were unsure how to prevent, manage, or control anorexia nervosa (Coelho et al, 2021;O'Dwyer, 2021;Robinson et al, 2020;Tierney, 2005). Furthermore, some studies reported how treatment influenced parental control (Honey & Halse, 2006;Whitney et al, 2012;Williams, Wood, & Plath, 2020).…”

Section: Control and Curementioning

confidence: 99%

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Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

Marchetti,

Sawrikar

2023

Intl J Eating Disorders

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ObjectiveResearch indicates that parents experience distress while caring for a child with anorexia nervosa. Applying the Common Sense Model of Self‐Regulation (CSM), a framework to describe responses to illness may help to understand the antecedents of parental distress, which could inform how to support parents in treatment. The aim of this systematic review was to synthesize outcomes from qualitative research in relation to parents' experiences of caring for a child with anorexia nervosa using the CSM.MethodSystematic search of four electronic databases (psychINFO, MEDLINE, EMBASE, ProQuest Dissertation, and Theses Database) alongside a two‐way screening process was used to identify eligible studies. Qualitative themes were synthesized using a “best fit” framework analysis and reported according to CSM dimensions of cognitive and emotional illness representations.ResultsA total of 32 studies published between 1970 and 2023 were eligible for inclusion for review. Parents perceived their child's anorexia nervosa as a major health threat observable by illness representations that anorexia nervosa was uncontrollable, incomprehensible, chronic, and associated with negative consequences. The themes also suggested parents take responsibility for causing anorexia nervosa. These illness representations were linked with emotional representations of fear, anxiety, shame, guilt, loneliness, and depression.ConclusionsThe findings provide evidence of the utility of using the CSM to understand the antecedents of parents' distress and negative impacts of caring for a child with anorexia nervosa. Recommendations for future research and clinical practice are discussed emphasizing the need to understand parents' perceptions of their child's illness to putatively maximize treatment benefits for families.Public SignificanceThis review emphasizes the salience of understanding parents distress while caring for a child with anorexia nervosa. The findings present opportunities to best support parents in treatment, with a focus on addressing their cognitive and emotional representations of their child's illness. A multicomponent treatment regimen may be required to support parents if they present with illness representations that negatively affect their well‐being and ability to cope with distress.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Parental control. In general, findings indicated that parents were powerless over the symptoms of anorexia nervosa (Coelho et al, 2021;O'Dwyer, 2021;Robinson et al, 2020;Tierney, 2005).…”

Section: Control and Curementioning

confidence: 97%

Section: Control and Curementioning

confidence: 99%

See 3 more Smart Citations

Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

Marchetti,

Sawrikar

2023

Intl J Eating Disorders

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Understanding and Treating Eating Disorders in a Psychoanalytic Approach

Tian

2023

LNEP

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Eating disorders are mental illnesses, including anorexia nervosa, bulimia nervosa, and binge-eating disorder. Psychoanalysis is a common approach applied in psychotherapies, which focuses on peoples unconsciousness. Projection, transference, and countertransference are defense mechanisms identified by psychoanalysis. This review mainly discusses the role of the psychoanalytic approach in understanding and treating eating disorder patients. The likelihood of developing eating disorders is closely related to peoples personalities, current life situations, and interpersonal relationships. Through early observational learning, young children tend to regulate their emotions in a similar manner to their parents. People form a secure attachment or an insecure attachment mainly in childhood. The attachment types are likely to predict ones probability of developing eating disorders in later life. The majority of patients experience eating disorders due to certain unconscious reasons. To treat eating disorders that are caused by past experiences, the key is to identify the meaning underlying their issues in eating that are related to their childhood. This review can provide some guidance to the development of parent education programs.

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‘The cloud that distills a mirror’1: eating disorder states of mind in parents who have a child hospitalised with an eating disorder

Cited by 2 publications

References 11 publications

Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

Parents' illness representations of their child with anorexia nervosa: A systematic review of qualitative studies using the common‐sense model

Understanding and Treating Eating Disorders in a Psychoanalytic Approach

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