Ruppin Academic Center (Clinical Psychology Graduate Program), Emek Hefer, Israel.
Paul Baerwald School of Social Work and Social Welfare, Hebrew University of Jerusalem, Jerusalem, Israel.
Eat Weight Disord. 2021 Aug;26(6):1881-1891. doi: 10.1007/s40519-020-01044-w. Epub 2020 Oct 12.
This study explores the perspectives and opinions towards ED clinicians with lived experience of ED.
Three hundred and eighty-five ED clinicians and 124 non-clinicians from 13 countries, between 18 and 76 years of age completed an online survey about attitudes towards ED clinicians with a personal ED history. Almost half the respondents (n = 242, 47.5%) reported a lifetime ED diagnosis. Survey items included ten multiple-choice and three open questions about clinician disclosure, employer hiring practices, and perceived advantages and disadvantages of clinicians with a personal ED history practicing in the ED field. Multiple-choice responses from clinicians with and without a personal ED history were compared with responses from non-clinicians with and without a personal ED history. Open questions were examined using thematic analysis.
Clinicians with no ED history, whose responses often differed from both ED-history groups (clinicians and non-clinicians), were more likely to indicate that clinicians with an ED should not generally treat ED patients, and that clinicians should self-disclose their ED history to employers but not to their patients. Thematic analysis of the open-ended questions revealed that advantages of having clinicians with an ED history include a deep experiential understanding and the ability to be empathic and non-judgmental, whereas disadvantages include the lack of objectivity and the risk of clinicians being triggered.
Further research informing guidelines for ED clinicians with a personal ED history, their colleagues and employers are needed to protect and empower the significant minority of ED professionals with "lived experience" of EDs.
Level III, case-control analytic study.
本研究探讨了具有 ED 经历的 ED 临床医生的观点和看法。
来自 13 个国家的 385 名 ED 临床医生和 124 名非临床医生（年龄在 18 至 76 岁之间）完成了一项关于 ED 临床医生个人 ED 病史的态度的在线调查。近一半的受访者（n=242，47.5%）报告了终生 ED 诊断。调查项目包括十个多项选择和三个关于临床医生披露、雇主招聘实践以及具有个人 ED 病史的临床医生在 ED 领域行医的优势和劣势的开放性问题。将有和没有个人 ED 病史的临床医生的多项选择回复与有和没有个人 ED 病史的非临床医生的回复进行比较。使用主题分析来检查开放式问题。
没有 ED 病史的临床医生（其回复往往与 ED 病史组（临床医生和非临床医生）不同）更有可能表示，一般来说，患有 ED 的临床医生不应治疗 ED 患者，并且临床医生应向雇主但不应向患者披露其 ED 病史。对开放式问题的主题分析表明，具有 ED 病史的临床医生的优势包括深刻的经验理解和同理心和非评判性，而劣势包括缺乏客观性和临床医生被触发的风险。
需要进一步研究为具有个人 ED 病史的 ED 临床医生、他们的同事和雇主提供指导方针，以保护和增强具有 ED 经历的少数 ED 专业人员的能力。
三级，病例对照分析研究。
