Reid Marie, Burr Jennifer, Williams Sarah, Hammersley Richard
Queen Margaret University, Edinburgh, UK.
J Health Psychol. 2008 Oct;13(7):956-60. doi: 10.1177/1359105308095070.
The objective of the study was to determine sufferers' views of outpatient treatment for eating disorders and provide practical recommendations for treatment practice. Twenty NHS outpatients participated in semi-structured interviews, which were subjected to thematic analysis. Respondents expressed ambivalence about whether their eating disorder is a way of exerting control or a disorder that controls them and this leads to them seeking treatment. Sufferers preferred a practical and sensitive approach and began to rely on treatment for recovery. Treatment needs to facilitate sufferers' need for control by striking a balance between practical and empathetic approaches that both involve patients in treatment decisions and give authoritative guidance.
该研究的目的是确定饮食失调患者对门诊治疗的看法，并为治疗实践提供切实可行的建议。20名国民保健服务体系（NHS）的门诊患者参与了半结构化访谈，并对访谈进行了主题分析。受访者对于他们的饮食失调是一种施加控制的方式还是一种控制他们的疾病表达了矛盾心理，而这导致他们寻求治疗。患者更喜欢一种切实可行且体贴入微的方法，并开始依赖治疗来实现康复。治疗需要通过在切实可行和富有同理心的方法之间取得平衡来促进患者对控制的需求，这两种方法既要让患者参与治疗决策，又要给予权威性的指导。
