在三级饮食障碍治疗项目中练习自我同情的途径:定性分析

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Clinical Psychology Pub Date : 2022-04-12 DOI:10.1111/bjc.12370
Josie Geller, Avarna Fernandes, Suja Srikameswaran, Rachelle Pullmer, Sheila Marshall
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引用次数: 2

摘要

目的尽管自我同情已被证明有助于进食障碍(ED)的缓解,但获得这项技能的重大障碍已被发现。对于三级护理人群来说尤其如此,ED行为提供了一种有价值的身份认同,准备问题非常突出。在这项研究中,使用定性方法捕捉了康复患者以及三级护理治疗后期患者的声音和观点。方法17名有长期ED病史的患者(7人完全康复,10人目前正在以康复为重点的住院治疗)参加了录音访谈。参与者使用视觉时间线描述了他们对自我同情的理解发展、自我同情的障碍以及如何克服这些障碍。结果确定了三个过程,反映了不同的准备水平。挑战我的信念包括克服自我同情概念的认知障碍(即开始认为自我同情是有帮助的),并为应对周围的世界和卷起袖子搭建舞台,这反映了准备(即从困难的生活环境中解放自己)和积极(即有勇气做工作)的变革努力,分别地结论这些发现可能有助于开始三级护理治疗的患者设想支持过程的路线图,并帮助临床医生根据患者的自我同情准备程度调整干预措施。
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Path to practising self-compassion in a tertiary eating disorders treatment program: A qualitative analysis

Objective

Although self-compassion has been shown to facilitate eating disorder (ED) remission, significant barriers to acquiring this skill have been identified. This is particularly true for tertiary care populations, where ED behaviours provide a valued identity and readiness issues are highly salient. In this research, the voices and perspectives of patients who have recovered as well as those in later stages of tertiary care treatment were captured using qualitative methods.

Methods

Seventeen individuals with a lengthy ED history (seven fully recovered, 10 currently in recovery-focused residential treatment) participated in audio recorded interviews. Using a visual timeline, participants described the development of their understanding of self-compassion, barriers to self-compassion and how these barriers were overcome.

Results

Three processes were identified, reflecting different levels of readiness. Challenging my beliefs involved overcoming cognitive barriers to the concept of self-compassion (i.e. coming to see self-compassion as helpful), and set the stage for dealing with the world around me and rolling up my sleeves, which reflected preparatory (i.e. freeing oneself from difficult life circumstances) and active (i.e. having the courage to do the work) change efforts, respectively.

Conclusions

These findings may help patients embarking on tertiary care treatment to envision a roadmap of supportive processes and help clinicians tailor interventions to patient level of readiness for self-compassion.

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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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