In this article, we portray women's experiences of long-term recovery from anorexia and compulsive overeating. Semistructured interviewing and an interpretive biographical method were used to coconstruct accounts of each participant's transition to wellness. Thick descriptions of self-identified turning points on the path to recovery are framed in terms of the concept of personal positioning in relation to cultural master narratives. The narratives suggest that long-term recovery involves spiritual or political commitment and purposeful engagement with communities larger than the self.
Ethical dilemmas frequently arise in the treatment of clients with eating disorders, and clinicians regularly encounter an array of ethical challenges related to whether or not overt and covert coercive tactics should be implemented. In this paper, the authors provide an overview of perplexing ethical questions relevant to medical, nutritional and psychological treatment of clients with eating disorders including imposed treatment, enforced feeding, the duty to protect minors and adults, the determination of competence and capacity among medically comprised clients, and the effectiveness of coercive treatment for clients with eating disorders. The processes of ethical decision-making in terms of ethical principles, professional codes of conduct, the existing empirical literature and the use of a decision-making framework are explored. Taking a collaborative and client-sensitive approach, the authors outline and apply an integrative ethical decision-making model to facilitate clinicians' decision-making process.
This online study explored gender differences in affective reactions to sexual refusal during hookups and whether state or trait measures were the best predictors of verbal coercion. The Midwestern U.S. undergraduate sample included 220 men and 50 women previously in situations where they wanted more sexual contact than their heterosexual partner desired. Women reported stronger negative responses on several affect variables, suggesting that such refusals might have resulted in significant expectancy violations. Men reported more experience in handling refusals, consistent with traditional sexual scripts. Logistic regression analyses revealed that dominant men were more likely to coerce when angry or confused, whereas hostile women were more likely to coerce when feeling rejected. The results have important implications for sexual coercion prevention efforts.
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