Chubinidze Dimitri, Zesch Elisa, Sarpong Amanda, Li Zhuo, Baillie Claire, Tchanturia Kate
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London SE5 8AB, UK.
National Eating Disorder Service, South London and Maudsley NHS Foundation Trust, London SE5 8AZ, UK.
J Clin Med. 2024 Nov 26;13(23):7172. doi: 10.3390/jcm13237172.
: Anorexia nervosa (AN) is a complex eating disorder that often requires inpatient care, where treatment experiences are influenced by both the illness and the surrounding environment. Sensory issues in AN are increasingly acknowledged for their impact on treatment engagement and outcomes. Despite this, the ways in which the sensory landscape of inpatient settings shapes patients' lived experiences and meaning-making processes remain underexplored. : This study employed collaborative sensory ethnography to explore how the sensory environment of an inpatient eating disorder ward shapes patients' lived experiences. Drawing on multimodal and embodied approaches, a novel proof-of-concept method was developed, combining sensory-attuned guided reflection with AI-assisted visualization. This framework supported patients in exploring and articulating their embodied sensory experiences, linking their emotional and physical states to the ward's sensory environment through metaphorical reasoning. : The findings reveal two central themes: a sense of entrapment within the illness and its treatment, and ambivalence toward both. The study highlights how the sensory environment and spatial layout of the ward amplify these experiences, demonstrating the tension between strict safety protocols and patients' needs for agency and autonomy. : This study illustrates the role of the sensory landscape in shaping treatment experiences and contributing to the broader lived experiences of individuals with AN. The experience of sensory cues in inpatient settings is closely intertwined with contextual and embodied meanings, often evoking complex feelings of entrapment and ambivalence toward both the illness and its treatment. These findings highlight the potential for holistic sensory and spatial adaptations in therapeutic interventions to alleviate such feelings and, consequently, improve patient engagement and well-being.
神经性厌食症(AN)是一种复杂的饮食失调症,通常需要住院治疗,而治疗体验会受到疾病和周围环境的影响。AN中的感官问题对治疗参与度和治疗效果的影响日益受到认可。尽管如此,住院环境的感官氛围塑造患者生活体验和意义构建过程的方式仍未得到充分探索。
本研究采用协作性感官民族志方法,探究住院饮食失调病房的感官环境如何塑造患者的生活体验。借鉴多模态和具身化方法,开发了一种新颖的概念验证方法,将感官调适引导反思与人工智能辅助可视化相结合。该框架支持患者探索和阐述其具身化的感官体验,通过隐喻推理将他们的情感和身体状态与病房的感官环境联系起来。
在疾病及其治疗中陷入困境的感觉,以及对两者的矛盾心理。该研究强调了病房的感官环境和空间布局如何加剧这些体验,展示了严格安全协议与患者对自主性和自主权需求之间的紧张关系。
本研究阐明了感官氛围在塑造治疗体验以及对AN患者更广泛生活体验的贡献方面的作用。住院环境中感官线索的体验与情境和具身化意义紧密相连,常常引发对疾病及其治疗的复杂的被困感和矛盾心理。这些发现凸显了在治疗干预中进行整体感官和空间调适以减轻此类感受从而提高患者参与度和幸福感的潜力。