Dismantling Weight Stigma: A Group Intervention in a Partial Hospitalization and Intensive Outpatient Eating Disorder Treatment Program

被引:9
作者
Brownstone, Lisa M. [1 ,2 ]
Kelly, Devin A. [1 ]
Ko, Shao-Jung ''Stella'' [1 ]
Jasper, Margaret L. [2 ]
Sumlin, Lanie J. [2 ,3 ]
Hall, Jessica [2 ]
Tiede, Emily [1 ]
Dinneen, Jamie [1 ]
Anderson, Erin [2 ,4 ]
Goffredi, Alicia R. [2 ,5 ]
机构
[1] Univ Denver, Morgridge Coll Educ, Dept Counseling Psychol, 1999 East Evans Blvd,Room 253, Denver, CO 80210 USA
[2] Eating Disorder Care, Denver, CO USA
[3] Univ Colorado, Sch Educ & Human Dev Counseling Psychol & Counsel, Denver, CO USA
[4] Communitas Movement, Glendale, CO USA
[5] Lantern Psychol LLC, Denver, CO USA
关键词
weight stigma; eating disorder; social justice; group psychotherapy; intersectionality; AT-EVERY-SIZE; BEHAVIORS; CORTISOL; BIAS;
D O I
10.1037/pst0000358
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The authors piloted a weight stigma psychotherapy group at an eating disonler partial hospitalization (PHP) and intensive outpatient program (IOP). This was an optional, transdiagnostic eating disorder group for patients with past/present weight stigma experiences related to being in large llodies. A total of 36 individuals participated in the weekly group from June 2018 to June 2019 during their PHP/IOP episode of care. We present the group's overarching framework of destigmatizing language and intersectional discussions of weight stigma. We also discuss clinical processes that unfolded during this group including simulated dialog from the group. Finally, we present relevant client quotes that provide preliminary support for future exploration in this area. as client subjective experiences of the croup were positive. Our preliminary pilot experience suggests that delivering a group of this nature in a PHP/IOP eating disonier treatment setting is feasible and that further work is needed to build upon this antiweight stigma framework as a critical piece of eating disorder treatment.
引用
收藏
页码:282 / 287
页数:6
相关论文
共 27 条
[1]  
APA, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-V, V5th
[2]  
Ashmore Jamile A, 2008, Eat Behav, V9, P203, DOI 10.1016/j.eatbeh.2007.09.006
[3]   Weight Science: Evaluating the Evidence for a Paradigm Shift [J].
Bacon, Linda ;
Aphramor, Lucy .
NUTRITION JOURNAL, 2011, 10
[4]   Implicit, explicit, and internalized weight bias and psychosocial maladjustment among treatment-seeking adults [J].
Carels, R. A. ;
Wott, C. B. ;
Young, K. M. ;
Gumble, A. ;
Koball, A. ;
Oehlhof, M. W. .
EATING BEHAVIORS, 2010, 11 (03) :180-185
[5]  
Chastain R., POSTS
[6]   OCCUPATIONAL SCIENCE - ACADEMIC INNOVATION IN THE SERVICE OF OCCUPATIONAL THERAPYS FUTURE [J].
CLARK, FA ;
CARLSON, ME ;
JACKSON, J ;
WOLFE, RJ ;
PARHAM, D ;
FRANK, G ;
PIERCE, D ;
ZEMKE, R .
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 1991, 45 (04) :300-310
[7]   The dietitians' philosophy and practice in multidisciplinary weight management [J].
Dalton, S .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 1998, 98 (10) :S49-S54
[8]   Social Justice in Counseling Psychology: Then, Now, and Looking Forward [J].
DeBlaere, Cirleen ;
Singh, Anneliese A. ;
Wilcox, Melanie M. ;
Cokley, Kevin O. ;
Delgado-Romero, Edward A. ;
Scalise, Dominick A. ;
Shawahin, Lamise .
COUNSELING PSYCHOLOGIST, 2019, 47 (06) :938-962
[9]   Addressing the complexities of culture and gender in counseling [J].
Hays, PA .
JOURNAL OF COUNSELING AND DEVELOPMENT, 1996, 74 (04) :332-338
[10]   Weight Stigma Predicts Poorer Psychological Well-Being Through Internalized Weight Bias and Maladaptive Coping Responses [J].
Hayward, Lydia E. ;
Vartanian, Lenny R. ;
Pinkus, Rebecca T. .
OBESITY, 2018, 26 (04) :755-761