{"title":"安大略省饮食失调治疗的统治关系探讨。","authors":"Sarah Costantini, Carla Rice","doi":"10.1186/s40337-025-01362-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Despite nearly 50 years of calls for change, service users in eating disorder (ED) treatment too often continue to experience care as controlling under time-limited directive models, requiring compliance/adherence to rules that uphold a specific form of recovery. Recently the Government of Ontario released new quality standards for ED treatment, which promise to alter how the system operates. This has occurred against a backdrop of an unprecedented surge in the volume of people with EDs seeking help following the onset of the COVID-19 pandemic which has deepened the strain on an already under-resourced treatment system. As such, we contend there is a need to explore how clinicians do carework in treatment spaces to better understand what organizational, procedural, and discursive factors coordinate/ regulate their capacities to care in the current moment and explore what new pathways might be forged. Taking an Institutional Ethnography (IE) approach, our study explores the ruling relations coordinating clinicians' carework in Ontario inpatient, day-patient, and live-in ED treatment programs.</p><p><strong>Methods: </strong>Methods included in-depth interviews with six clinicians and textual analysis of core documents informing or directing treatment. Clinicians included one psychiatrist, two dieticians, one psychologist, one social worker, and one psychotherapist. Our analysis drew from accepted IE analytic procedures, and included indexing, mapping, and writing accounts.</p><p><strong>Findings: </strong>Our IE identifies a tension experienced by clinicians, particularly in publicly-funded treatment between their desire to practice collaborative care and the demand to enforce stringent mandates in an environment dominated by highly standardized, time-limited treatment directives that seek to ration care. We explicate how the discourses of care-as-cure and gold standard (evidence-based) treatment coordinate clinician's carework in moments of treatment non-adherence, as they operate through practices of informal coercion and the broader politics of evidence-based research.</p><p><strong>Conclusions: </strong>As the first IE in the ED field, our work traces connections between practice, texts, and institutional discourses in a novel way, adding compelling findings to the limited Canadian ED treatment literature and the urgent need for change. Our IE findings underscore the need to de-centre biometrics and recentre relationality by developing alternative care pathways that attend to the diversity of service user needs and address gaps in care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"176"},"PeriodicalIF":4.5000,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351851/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring the ruling relations of eating disorder treatment in Ontario.\",\"authors\":\"Sarah Costantini, Carla Rice\",\"doi\":\"10.1186/s40337-025-01362-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Despite nearly 50 years of calls for change, service users in eating disorder (ED) treatment too often continue to experience care as controlling under time-limited directive models, requiring compliance/adherence to rules that uphold a specific form of recovery. Recently the Government of Ontario released new quality standards for ED treatment, which promise to alter how the system operates. This has occurred against a backdrop of an unprecedented surge in the volume of people with EDs seeking help following the onset of the COVID-19 pandemic which has deepened the strain on an already under-resourced treatment system. As such, we contend there is a need to explore how clinicians do carework in treatment spaces to better understand what organizational, procedural, and discursive factors coordinate/ regulate their capacities to care in the current moment and explore what new pathways might be forged. Taking an Institutional Ethnography (IE) approach, our study explores the ruling relations coordinating clinicians' carework in Ontario inpatient, day-patient, and live-in ED treatment programs.</p><p><strong>Methods: </strong>Methods included in-depth interviews with six clinicians and textual analysis of core documents informing or directing treatment. Clinicians included one psychiatrist, two dieticians, one psychologist, one social worker, and one psychotherapist. Our analysis drew from accepted IE analytic procedures, and included indexing, mapping, and writing accounts.</p><p><strong>Findings: </strong>Our IE identifies a tension experienced by clinicians, particularly in publicly-funded treatment between their desire to practice collaborative care and the demand to enforce stringent mandates in an environment dominated by highly standardized, time-limited treatment directives that seek to ration care. We explicate how the discourses of care-as-cure and gold standard (evidence-based) treatment coordinate clinician's carework in moments of treatment non-adherence, as they operate through practices of informal coercion and the broader politics of evidence-based research.</p><p><strong>Conclusions: </strong>As the first IE in the ED field, our work traces connections between practice, texts, and institutional discourses in a novel way, adding compelling findings to the limited Canadian ED treatment literature and the urgent need for change. Our IE findings underscore the need to de-centre biometrics and recentre relationality by developing alternative care pathways that attend to the diversity of service user needs and address gaps in care.</p>\",\"PeriodicalId\":48605,\"journal\":{\"name\":\"Journal of Eating Disorders\",\"volume\":\"13 1\",\"pages\":\"176\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351851/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Eating Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s40337-025-01362-3\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s40337-025-01362-3","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Exploring the ruling relations of eating disorder treatment in Ontario.
Background: Despite nearly 50 years of calls for change, service users in eating disorder (ED) treatment too often continue to experience care as controlling under time-limited directive models, requiring compliance/adherence to rules that uphold a specific form of recovery. Recently the Government of Ontario released new quality standards for ED treatment, which promise to alter how the system operates. This has occurred against a backdrop of an unprecedented surge in the volume of people with EDs seeking help following the onset of the COVID-19 pandemic which has deepened the strain on an already under-resourced treatment system. As such, we contend there is a need to explore how clinicians do carework in treatment spaces to better understand what organizational, procedural, and discursive factors coordinate/ regulate their capacities to care in the current moment and explore what new pathways might be forged. Taking an Institutional Ethnography (IE) approach, our study explores the ruling relations coordinating clinicians' carework in Ontario inpatient, day-patient, and live-in ED treatment programs.
Methods: Methods included in-depth interviews with six clinicians and textual analysis of core documents informing or directing treatment. Clinicians included one psychiatrist, two dieticians, one psychologist, one social worker, and one psychotherapist. Our analysis drew from accepted IE analytic procedures, and included indexing, mapping, and writing accounts.
Findings: Our IE identifies a tension experienced by clinicians, particularly in publicly-funded treatment between their desire to practice collaborative care and the demand to enforce stringent mandates in an environment dominated by highly standardized, time-limited treatment directives that seek to ration care. We explicate how the discourses of care-as-cure and gold standard (evidence-based) treatment coordinate clinician's carework in moments of treatment non-adherence, as they operate through practices of informal coercion and the broader politics of evidence-based research.
Conclusions: As the first IE in the ED field, our work traces connections between practice, texts, and institutional discourses in a novel way, adding compelling findings to the limited Canadian ED treatment literature and the urgent need for change. Our IE findings underscore the need to de-centre biometrics and recentre relationality by developing alternative care pathways that attend to the diversity of service user needs and address gaps in care.
期刊介绍:
Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice.
The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.