Department of Psychology, Royal Holloway, University of London, Egham, UK.
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Clin Psychol Psychother. 2019 Nov;26(6):707-716. doi: 10.1002/cpp.2393. Epub 2019 Aug 29.
People with anorexia nervosa (AN) often report experiencing a highly critical inner voice (AV) focused on their eating, shape, and weight. There are promising preliminary findings for its role in the treatment of AN, and the support of staff is vital for the AV to be embedded in treatment, but their views remain unknown. The aims of this study were to undertake a qualitative exploration of the perceptions of the AV among health care professionals (HCPs) in specialist eating disorder services. A thematic analysis was applied to interviews with 15 HCPs, including nurses, therapists, psychiatrists, health care assistants, psychologists, and dietitians. Two overarching themes were identified: "The AV is a vehicle for increasing compassion" and "It's not a one-size-fits-all." The AV was seen as a means of developing and sustaining compassion, but participants noted that it does not resonate for all clients. All HCPs in this study believed that there was potential benefit in utilizing the AV in their work with people with AN, and it is likely that doing so would help to reduce burnout and frustration within clinical teams.
神经性厌食症（AN）患者常报告称，他们经历着一种高度批判的内在声音（AV），这种声音专注于他们的饮食、体型和体重。AV 在 AN 治疗中的作用有一些很有前景的初步发现，并且工作人员的支持对于将 AV 嵌入治疗中至关重要，但他们的观点尚不清楚。本研究的目的是对专门的饮食失调服务机构中的医疗保健专业人员（HCPs）对 AV 的看法进行定性探索。对包括护士、治疗师、精神科医生、医护助理、心理学家和营养师在内的 15 名 HCPs 进行了访谈，并应用主题分析方法。确定了两个总体主题：“AV 是增加同情心的工具”和“它不是一刀切的”。AV 被视为培养和维持同情心的一种手段，但参与者指出，它并不适用于所有客户。本研究中的所有 HCP 都认为，在与 AN 患者的工作中利用 AV 具有潜在的益处，并且这可能有助于减少临床团队中的倦怠和沮丧。
