Exploring positive and negative aspects of eating disorders
Eating disorders are notoriously difficult to treat, and anorexia nervosa has the highest mortality rate of all the psychiatric illness (Gremillion, 2003). Therefore this client group can present challenges to clinicians working with them. Those working in the area of eating disorders require research with clear clinical implications, to improve treatment and outcomes. The thesis will attempt to provide such research, with clearly stated clinical implications for treatment. The first paper in this thesis reviews the literature on the link between shame and eating disorders. This paper defines shame, then explores studies identifying the differences or similarities between shame and other self-conscious emotions, such as guilt, embarrassment and humiliation. The paper then explores the link between shame and eating disorders. The second and main paper is an empirical paper exploring shame and pride in a clinical population with a diagnosed eating disorder. The third paper explores 'pro-anorexia' websites to access whether such sites offer any advice or support that could be considered positive. The final paper is a reflective paper which explores my research journey.
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ABSTRACT: This article outlines specific developments in compassion-focused therapy (CFT) for the treatment of patients with an eating disorder. The article provides a narrative review based on the existing literature and current practices of CFT for eating disorders (CFT-E). The role of shame, self-criticism, self-directed hostility, and difficulties in generating and experiencing affiliative emotion in patients with an eating disorder is highlighted. The article describes how CFT-E uniquely addresses these issues and discusses the current evidence base for CFT-E. It also provides an outline of recent and potential future developments in CFT-E. CFT-E offers a promising treatment for adult outpatients who present to specialist eating disorder services with restricting and binge/purging eating disorders. Recent developments include treatment protocols for patients who are low weight and have an eating disorder and for those presenting with obesity. CFT-E is a group-based treatment for adult outpatients with restricting or binge/purging eating disorders attending specialist services. CFT-E has a specific protocol and interventions to address the biological, psychological, and social challenges of recovery from an eating disorder. CFT-E specifically addresses the high levels of shame and self-criticism commonly experienced by patients with an eating disorder.British Journal of Clinical Psychology 03/2014; 53(1):62-77. DOI:10.1111/bjc.12039 · 1.90 Impact Factor
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ABSTRACT: Key practitioner message: The PEP-S is a valid, reliable, quick and easy to administer self-report questionnaire that measures pride related to eating pathology. The PEP-S assesses four clinically relevant dimensions: (1) pride in weight loss, food control and thinness, (2) pride in healthy weight and healthy eating, (3) pride in outperforming others and social recognition and (4) pride in capturing other people's attention due to extreme thinness. The PEP-S has very good internal and test-retest reliability, and very good convergent and discriminant validity. The PEP-S distinguishes between women with higher and lower levels of eating psychopathology. The PEP-S makes an important contribution to understanding pride in eating psychopathology, which is essential from both clinical and theoretical perspectives.Clinical Psychology & Psychotherapy 10/2015; DOI:10.1002/cpp.1988 · 2.59 Impact Factor
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