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了解女性饮食失调及康复经历:一种生命史研究方法。

Understanding women's experiences of developing an eating disorder and recovering: a life-history approach.

作者信息

Patching Joanna, Lawler Jocalyn

机构信息

Faculty of Nursing and Midwifery, University of Sydney, NSW, Australia.

出版信息

Nurs Inq. 2009 Mar;16(1):10-21. doi: 10.1111/j.1440-1800.2009.00436.x.

Abstract

Qualitative inquiry into eating disorders is burgeoning, offering valuable and innovative insights into various aspects of the condition. This study used life-history interviews with 20 women who had recovered from anorexia nervosa, bulimia nervosa or both and who had remained healthy. The interviews focused on the women's narratives and experience rather than a diagnostic therapeutic model. Three themes of control, connectedness and conflict emerged as significant in the development, experience of, and recovery from an eating disorder. The development of the condition was attributed to a lack of control, a sense of non-connectedness to family and peers and extreme conflict with significant others. Recovery occurred when the women re-engaged with life, developed skills necessary for conflict resolution and rediscovered their sense of self. Rather than viewing the development of, and recovery from an eating disorder as separate and discrete events, the data from the life-history interviews suggest they are better viewed as one entity - that is, the journey of an individual attempting to discover and develop their sense of self. This perspective challenges some current constructs of eating disorders; it is not a condition in and of itself but a symptom of deeper issues that if addressed, when the individual is 'ready' to make that choice, will lead to recovery.

摘要

对饮食失调的定性研究正在蓬勃发展,为该病症的各个方面提供了有价值的创新见解。本研究对20名从神经性厌食症、神经性贪食症或两者兼具中康复且保持健康的女性进行了生活史访谈。访谈聚焦于这些女性的叙述和经历,而非诊断治疗模式。控制、联系和冲突这三个主题在饮食失调的发展、经历及康复过程中显得尤为重要。该病症的发展归因于缺乏控制、与家人和同龄人缺乏联系感以及与重要他人的极端冲突。当这些女性重新融入生活、培养解决冲突所需的技能并重新找回自我意识时,康复便发生了。生活史访谈的数据表明,与其将饮食失调的发展和康复视为相互独立的事件,不如将它们更好地看作一个整体——即个体试图发现和培养自我意识的历程。这一观点挑战了当前对饮食失调的一些认知;饮食失调本身并非一种病症,而是更深层次问题的症状,若在个体“准备好”做出选择时加以解决,将有助于康复。

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