bethanbloodrose (bethanbloodrose) wrote in ed_ucate,
bethanbloodrose
bethanbloodrose
ed_ucate

Following on from this post.



1. Understanding Women's Journey of Recovering From Anorexia Nervosa

MCN, The American Journal of Maternal/Child Nursing
(C) 2005 Lippincott Williams & Wilkins, Inc.
Volume 30(4), July/August 2005, p 274

Understanding Women's Journey of Recovering From Anorexia Nervosa

Hayman, Laura L. PhD, RN, FAAN; Callister et al
Weaver, K., Wuest, J., & Ciliska, D. (2005). Qualitative Health Research, 15(2),
188-206.


Using feminist methods to explore the perceptions of 12 women recovering from
anorexia nervosa, a grounded theory was generated that provides a self-development
model for recovery from this eating disorder, moving from perilous self-soothing
("not knowing myself and losing myself to an obsession") to informed self-care
(including "taking care of myself" and "celebrating myself"). Self-soothing
included behaviors in addition to eating disorder symptoms such as bingeing,
smoking, and suicide attempts, which are risk-taking behaviors in and of
themselves. The only positive self-soothing behavior was reflection. Listening
to the voices of women suffering from this disorder is imperative. Interventions
that focus on the strengths of these women seem to be more effective, because
women "finding themselves" seems to be the turning point-study participants
spoke of "seeing the big picture," "encountering self," and "getting everything
on my shoulders" as they assume responsibility for overcoming anorexia nervosa.
"Celebrating myself" occurs when the woman is at peace with who and what she is
and moves from being a victim to being an active participant in a healthy
lifestyle, including restructuring relationships and having an enhanced sense of
self-worth.

Findings from this study document that women's recovery from anorexia nervosa is
impaired when there is a lack of social or therapeutic support. It is suggested
that care should be focused on self-definition and skills development rather
than setting weight goals and monitoring dietary intake. More research is needed
to explore women's perceptions of institutionally based care to provide
outcomes-focused data for clinicians and health policy makers that can inform
prevention and recovery efforts. This explanatory framework demonstrates the
utility of qualitative inquiry in making a difference in women's health.
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