University of Southern Denmark, Odense, Denmark.
Capital Region of Denmark, Stolpegaard, Denmark.
Qual Health Res. 2019 Mar;29(4):597-608. doi: 10.1177/1049732318764874. Epub 2018 Apr 11.
Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant observations to gain insight into experiences and processes related to weight and body issues in three treatment contexts that addressed weight stability, weight acceptance, and weight loss. Using systems theory, the study proposed that embeds feelings of non-acceptance due to weight, a merge of weight and identity, and an internalized body- and weight-critical gaze of others. Contrary to critical claims that weight acceptance discourages people with obesity from engaging in weight loss efforts, this study suggests that acceptance and a disentanglement of weight and identity are prerequisites for weight loss for this group.
暴食障碍（BED）是一种严重的饮食障碍，与肥胖密切相关。治疗方法难以提供安全有效的方法来解决 BED 患者的体重问题。本研究探讨了丹麦一家主要的门诊饮食障碍服务机构开发的两阶段 BED 治疗方法。该研究使用访谈和参与者观察，深入了解与体重和身体问题相关的三种治疗环境中的经验和过程，这些治疗环境分别针对体重稳定、体重接受和体重减轻。该研究运用系统理论提出，这种融合是由于体重而产生的不接受感、体重和身份的融合以及内化的他人的身体和体重批判目光所致。与批评性主张相反，即体重接受会阻止肥胖者进行减肥努力，本研究表明，对于这一群体来说，接受和解除体重与身份的关系是减肥的前提。
