“Bringing and Removing Self from the Table”: Therapists’ use and management of eating disorder lived experience in the treatment of clients with eating disorders

IF 1.8 3区 心理学 Q2 FAMILY STUDIES
Ashley A. King PhD, Jody M. Russon PhD
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引用次数: 1

Abstract

Therapists report significant countertransference reactions when treating clients with eating disorders (EDs). Countertransference may be pronounced among therapists with eating disorder lived experience (EDLE). Minimal research examines how therapists with EDLE negotiate their experiences while treating ED clients. Informed by the person-of-the-therapist philosophy, this study sought to understand how therapists use and manage their EDLE when working with ED clients. Using constructivist grounded theory methodology, semistructured interviews (Mtime = 89 min) were conducted with 22 therapists with EDLE. Results revealed that therapists engaged in two interconnected systems. The Central System helps therapists transform their lived experiences into clinical guidance. The Checks and Balances System allows therapists to find a balance between connecting with the client and allowing for differences in experiences to emerge. Lastly, three personal processes existing outside of these systems were found to impact therapists’ use of self. Findings provide novel ways that therapists can use their EDLE.

“把自我带离餐桌”:治疗师在治疗饮食失调患者时对饮食失调的使用和管理的生活经验
治疗师报告称,在治疗饮食失调(ED)患者时,会出现显著的反移情反应。在有饮食障碍生活经验的治疗师中,反移情可能很明显。最低限度的研究考察了患有EDLE的治疗师在治疗ED客户时如何协商他们的经验。在治疗师哲学的指导下,本研究试图了解治疗师在与ED客户合作时如何使用和管理EDLE。采用建构主义的理论方法,半结构化访谈(Mtime = 89 min)与22名患有EDLE的治疗师一起进行。结果显示,治疗师参与了两个相互关联的系统。中央系统帮助治疗师将他们的生活经验转化为临床指导。检查和平衡系统使治疗师能够在与客户联系和允许出现体验差异之间找到平衡。最后,发现存在于这些系统之外的三个个人过程会影响治疗师对自我的使用。研究结果为治疗师使用EDLE提供了新的方法。
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来源期刊
CiteScore
4.10
自引率
9.10%
发文量
56
期刊介绍: The Journal of Marital & Family Therapy (JMFT) is published quarterly by the American Association for Marriage and Family Therapy and is one of the best known and most influential family therapy journals in the world. JMFT is a peer-reviewed journal that advances the professional understanding of marital and family functioning and the most effective psychotherapeutic treatment of couple and family distress. Toward that end, the Journal publishes articles on research, theory, clinical practice, and training in marital and family therapy.
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