Doing the Impossible": The Process of Recovery From Chronic Anorexia

被引:88
作者
Dawson, Lisa [1 ]
Rhodes, Paul [1 ]
Touyz, Stephen [1 ]
机构
[1] Univ Sydney, Sydney, NSW 2006, Australia
关键词
anorexia; bulimia; eating disorders; narrative inquiry; psychology; recovery; research; qualitative; EATING-DISORDERS; TRANSTHEORETICAL MODEL; NERVOSA; INDIVIDUALS; MOTIVATION; READINESS; RELAPSE; WEIGHT;
D O I
10.1177/1049732314524029
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In this study, we aimed to explore the process of recovery over time from the perspective of those who had fully recovered from chronic anorexia nervosa (AN), using stringent recovery criteria. Eight women, assessed as fully recovered from chronic AN, told their story of the process of recovery. Data were analyzed using the qualitative method, narrative inquiry. Recovery was identified as a long and complex process that spanned four phases: from being unable or unready to change, to experiencing a tipping point where motivation increased and changed in quality, allowing the women to take action against the AN and finally allowing them to reflect and rehabilitate. Results provide a framework for understanding this complex process. Findings suggest that full recovery from chronic AN is possible and emphasize the importance of hope, motivation, self-efficacy, and support from others in the recovery process.
引用
收藏
页码:494 / 505
页数:12
相关论文
共 55 条
  • [1] [Anonymous], 2000, Diagnostic and Statistical Manual of Mental Disorders, DOI DOI 10.1176/DSM10.1176/APPI.BOOKS.9780890420249.DSM-IV-TR
  • [2] A recovery-oriented service system: Setting some system level standards
    Anthony, WA
    [J]. PSYCHIATRIC REHABILITATION JOURNAL, 2000, 24 (02) : 159 - 168
  • [3] Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity
    Bardone-Cone, Anna M.
    Harney, Megan B.
    Maldonado, Christine R.
    Lawson, Melissa A.
    Robinson, D. Paul
    Smith, Roma
    Tosh, Aneesh
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 2010, 48 (03) : 194 - 202
  • [4] Beumont P., 2003, EUROPEAN CHILD ADOLE, V12, P20, DOI DOI 10.1007/S00787-003-1103-Y
  • [5] Clandinin DJ., 2000, Narrative inquiry: Experience and story in qualitative research
  • [6] What is remission in adolescent anorexia nervosa? A review of various conceptualizations and quantitative analysis
    Couturier, J
    Lock, J
    [J]. INTERNATIONAL JOURNAL OF EATING DISORDERS, 2006, 39 (03) : 175 - 183
  • [7] Struggling with recovery: Participant perspectives on battling an eating disorder
    D'Abundo, M
    Chally, P
    [J]. QUALITATIVE HEALTH RESEARCH, 2004, 14 (08) : 1094 - 1106
  • [8] All Better? How Former Anorexia Nervosa Patients Define Recovery and Engaged in Treatment
    Darcy, Alison M.
    Katz, Shaina
    Fitzpatrick, Kathleen Kara
    Forsberg, Sarah
    Utzinger, Linsey
    Lock, James
    [J]. EUROPEAN EATING DISORDERS REVIEW, 2010, 18 (04) : 260 - 270
  • [9] The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior
    Deci, EL
    Ryan, RM
    [J]. PSYCHOLOGICAL INQUIRY, 2000, 11 (04) : 227 - 268
  • [10] Is the transtheoretical model and motivational interviewing approach applicable to the treatment of eating disorders? A review
    Dray, Jayne
    Wade, Tracey D.
    [J]. CLINICAL PSYCHOLOGY REVIEW, 2012, 32 (06) : 558 - 565