Negotiating Maternal Identity: Mothers With Eating Disorders Discuss Their Coping.

Negotiating maternal identity: mothers with eating disorders discuss their coping.

Filed under: Eating Disorders

Eat Disord. 2013 Jan; 21(1): 37-52
Tuval-Mashiach R, Ram A, Shapiro T, Shenhav S, Gur E

This qualitative study used a focus group methodology to examine how mothers with ED perceive the impact their eating disorder has on their children and their relationships with them, as well as how their illness is impacted by motherhood. Through 10 session group meetings with 13 mothers, several themes emerged: (a) concerns about not being a “good enough” mother; (b) the child’s involvement in his/her mother’s eating disorder; and (c) strategies mothers employed to manage these challenges. Participants’ discussions illustrated how motherhood could positively affect one’s illness by acting as a normalizing experience and inspiring motivation to recover. Being aware of the distinct challenges and possible benefits of ED motherhood can help guide treatment plans that consider one’s illness and parenting role.
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Perceptions of carer burden: differences between individuals with an eating disorder and their carer.

Filed under: Eating Disorders

Eat Disord. 2013 Jan; 21(1): 26-36
Coomber K, King RM

Carer burden in eating disorders is considerable, but to date no research has examined carer burden from the perspective of the person with an eating disorder. The current brief report assessed carer burden with a short questionnaire, as perceived by 20 matched pairs of sufferers and their carers. Those with an eating disorder significantly underestimated the overall burden experienced by their carer, particularly in relation to nutritional difficulties and conflict within the family. Domains where carers and sufferers had high agreement may be useful in facilitating collaborative involvement between sufferers and carers in treatment, such as multi-family therapy.
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Review of staff and client experiences of a motivational group intervention: meeting the needs of contemplators.

Filed under: Eating Disorders

Eat Disord. 2013 Jan; 21(1): 16-25
Jakubowska A, Woolgar MJ, Haselton PA, Jones A

This descriptive article outlines the processes undertaken by the STEPS Unit when designing a new group for people with anorexia nervosa, bulimia nervosa, and EDNOS. The group was designed to help clients explore their eating disorders in an environment where change was not required. A retrospective follow-up of the clients’ treatment pathway, and the experiences of the facilitators and clients, is presented. Each group ran for 12 weeks, with 16 different groups of people. A total of 101 clients completed the 12 week program. A follow-up of the clients showed that 41% of those who completed the group moved from a contemplative stage into therapy involving behavioural change. The results are promising and of clinical relevance. This work adds to the existing literature in this field in that it includes a paradoxical emphasis on the positives of the eating disorder unlike traditional motivational interviewing techniques, resulting in a deeper commitment to change.
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