The Last Word: A “Recovered Enough” Therapist

Bloomgarden, Andrea; Gerstein, Fran; Moss, Carol

doi:10.1080/10640260390199370

Cited by 16 publications

(14 citation statements)

References 2 publications

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“…Furthermore, findings indicated that being too detailed about former symptoms (such as current or past weights), and sharing very intimate details should be avoided. These results correspond with those reported by Bloomgarden and colleagues ( 2003 ).…”

Section: Discussionsupporting

confidence: 94%

“…It is estimated that in the addiction field between 37% and 57% of the treatment providers are themselves in recovery or recovered (Knudsen, Ducharme, & Roman, 2006 ; McNulty & Oser, 2007 ). Within the ED field, the range of therapists who have a personal history of an ED is between 24% and 47% (Barbarich, 2002 ; Bloomgarden, Gerstein, & Moss, 2003 ; Costin & Johnson, 2002 ; Johnston et al, 2005 ; Warren, Schafer, Crowley, & Olivardia, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

“…However, little is known about the process of recovered therapists using experiential knowledge in therapy, for instance, by giving patients advice from this knowledge or self-disclosing things about their ED past. Bloomgarden et al ( 2003 ) disseminated a survey to all the staff within their treatment facility, asking about eating disorder histories as well as their observations about how this issue is dealt with during treatment. They found that 67% of the therapists in their survey used self-disclosure in their treatment approach, and that all recovered therapists used it in their therapy in some way (Bloomgarden et al, 2003 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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“…Prior research has consistently revealed an elevated prevalence of mental health issues among counselors and counselor trainees (de Vries & Valadez, 2006; Maeder, 1989; White, 1989). According to global figures, one in every three or four eating disorder practitioners has an eating disorder history (Barbarich, 2002; Bloomgarden, Gerstein, & Moss, 2003). Given the high rates of eating disorder histories among eating disorder practitioners, it is also likely that counselor trainees who plan to work in this area face similar mental health challenges; however, the experiences of counselor trainees might be surrounded by secrecy because of the societal expectation that mental health professionals are free from mental illness.…”

mentioning

confidence: 99%

From Shame to Shame Resilience

2014

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Using narrative analysis, the experiences of 7 Canadian counselor trainees with eating issues were explored for meanings of shame and resilience. Shame was experienced as layers of discounting and disconnection from self and others, which served as barriers to help seeking and recovery. Trainees' attempts to overcome shame were characterized by a dialectic conflict of protecting shame vs. prioritizing recovery. Finding a culture of safety and belonging, invalidating perfection, and redefining ideals emerged as elements that fostered resilience from the layers of shame. Recommendations for future research include exploring the important features of social support and examining how safe disclosure contributes to overcoming shame. Potential implications for counselor education programs include introducing self-care initiatives, discussions about counselor wellness and ethical practice, and education on eating issues.

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“…Empirical evidence has not yet emerged regarding their effects in psychotherapy, but the endorsement of these items suggests that these attributes should be considered in training, evaluation, self-assessment, and guideline development (see Johnston 2000;Johnston, Smethurst, & Gowers, 2005). This is an important area of research, given indications that the estimated lifetime prevalence rate for eating disorders among eating disorder treatment professionals (20%-33%) far exceeds that of the general population (Barbarich, 2002;Bloomgarden, Gerstein, & Moss, 2003;Warren et al, 2009). …”

Section: Therapist Characteristicsmentioning

confidence: 94%

Identifying Critical Competencies for Psychotherapeutic Practice With Eating Disordered Clients: A Delphi Study

Williams

Haverkamp

2010

Eating Disorders

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Mental health professionals lack systematic criteria against which to assess their competence to provide psychotherapy to eating disordered clients. In this Delphi study, a multidisciplinary panel of professionals with expertise in eating disorders treatment reached a consensus on essential eating disorders psychotherapy competencies, which included both literature-derived and participant-generated items. Competency domains included specialized knowledge and skills, professional responsibility, and therapist characteristics. An empirically derived, operational definition of minimum competence in psychotherapy for eating disorders was obtained. The essential competencies have utility for practitioners, novice and experienced, who wish to assess and enhance their ethical practice in psychotherapy for eating disorders.

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The Last Word: A “Recovered Enough” Therapist

Cited by 16 publications

References 2 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

From Shame to Shame Resilience

Identifying Critical Competencies for Psychotherapeutic Practice With Eating Disordered Clients: A Delphi Study

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