Kenny Therese E, Lewis Stephen P
Department of Psychology, University of Guelph, 50 Stone Road E., Guelph, ON, N1G 2W1, Canada.
J Eat Disord. 2023 Mar 22;11(1):45. doi: 10.1186/s40337-023-00768-1.
Eating disorder recovery is a complex phenomenon. While historical understandings focused on weight and behaviours, the importance of psychological factors is now widely recognized. It is also generally accepted that recovery is a non-linear process and is impacted by external factors. Recent research suggests a significant impact of systems of oppression, though these have not yet been named in models of recovery. BODY: In this paper, we propose a research-informed, person-centered, and ecological framework of recovery. We suggest that there are two foundational tenets of recovery which apply broadly across experiences: recovery is non-linear and ongoing and there is no one way to do recovery. In the context of these tenets, our framework considers individual changes in recovery as determined by and dependent on external/personal factors and broader systems of privilege. Recovery cannot be determined by looking solely at an individual's level of functioning; one must also consider the broader context of their life in which changes are being made. To conclude, we describe the applicability of the proposed framework and offer practical considerations for incorporating this framework in research, clinical, and advocacy settings.
饮食失调的康复是一个复杂的现象。虽然过去的理解主要集中在体重和行为上,但现在人们广泛认识到心理因素的重要性。人们也普遍认为康复是一个非线性的过程,并且会受到外部因素的影响。最近的研究表明压迫系统有重大影响,尽管这些在康复模型中尚未被提及。正文:在本文中,我们提出了一个基于研究、以个人为中心且符合生态学的康复框架。我们认为康复有两个基本准则,广泛适用于各种经历:康复是非线性且持续进行的,而且没有一种固定的康复方式。在这些准则的背景下,我们的框架将康复中的个体变化视为由外部/个人因素以及更广泛的特权系统所决定并依赖于它们。康复不能仅通过观察个体的功能水平来确定;还必须考虑他们生活中正在发生变化的更广泛背景。最后,我们描述了所提出框架的适用性,并为将该框架纳入研究、临床和宣传环境提供了实际考虑因素。