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消除体重歧视:部分住院及强化门诊饮食失调治疗项目中的团体干预

Dismantling weight stigma: A group intervention in a partial hospitalization and intensive outpatient eating disorder treatment program.

作者信息

Brownstone Lisa M, Kelly Devin A, Ko Shao-Jung Stella, Jasper Margaret L, Sumlin Lanie J, Hall Jessica, Tiede Emily, Dinneen Jamie, Anderson Erin, Goffredi Alicia R

机构信息

Department of Counseling Psychology.

Eating Disorder Care.

出版信息

Psychotherapy (Chic). 2021 Jun;58(2):282-287. doi: 10.1037/pst0000358. Epub 2021 Mar 18.

Abstract

The authors piloted a weight stigma psychotherapy group at an eating disorder partial hospitalization (PHP) and intensive outpatient program (IOP). This was an optional, transdiagnostic eating disorder group for patients with past/present weight stigma experiences related to being in large bodies. A total of 36 individuals participated in the weekly group from June 2018 to June 2019 during their PHP/IOP episode of care. We present the group's overarching framework of destigmatizing language and intersectional discussions of weight stigma. We also discuss clinical processes that unfolded during this group including simulated dialog from the group. Finally, we present relevant client quotes that provide preliminary support for future exploration in this area, as client subjective experiences of the group were positive. Our preliminary pilot experience suggests that delivering a group of this nature in a PHP/IOP eating disorder treatment setting is feasible and that further work is needed to build upon this antiweight stigma framework as a critical piece of eating disorder treatment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

作者在一个饮食失调部分住院治疗(PHP)和强化门诊治疗项目(IOP)中试点了一个体重污名心理治疗小组。这是一个为有过/目前有与身材肥胖相关的体重污名经历的患者设立的可选的、跨诊断饮食失调小组。从2018年6月到2019年6月,共有36人在他们的PHP/IOP护理期间参加了这个每周一次的小组。我们展示了该小组消除污名化语言和体重污名交叉讨论的总体框架。我们还讨论了在这个小组中展开的临床过程,包括小组模拟对话。最后,我们展示了相关的患者引述,这些引述为该领域的未来探索提供了初步支持,并表明患者对该小组的主观体验是积极的。我们初步的试点经验表明,在PHP/IOP饮食失调治疗环境中开展这样一个小组是可行的,并且需要进一步开展工作,以这个反体重污名框架为基础,将其作为饮食失调治疗的关键部分。(PsycInfo数据库记录(c)2021美国心理学会,保留所有权利)

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