A Narrative Approach to So-Called Anorexia/Bulimia

Epston, David; Morris, Fran; Maisel, Rick

doi:10.1300/j086v07n01_08

Cited by 20 publications

(22 citation statements)

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“…The implications of such a view for the treatment of AN have been extensively addressed by Epston and colleagues (Epston, Morris, & Maisel, 1995;Lock, Epston, & Maisel, 2004). According to these authors, patients should be stimulated in engaging in externalizing conversations about AN to create a "narrative space" that allows them to view the problem from a different (i.e., external) perspective by means of a reflexive attitude, which in turn allows them to deconstruct the foundational beliefs ("truths") around which their "anorexic life" is organized.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Psychopathology as Social Construction: The Case of Anorexia Nervosa

Gelo

Vilei

Maddux

et al. 2014

Journal of Constructivist Psychology

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Changes to definitions and theories of psychopathology result less from scientific advances and more from changes in social and cultural values. Herein, the historical and contemporary diversity in definitions and theories of anorexia nervosa is used to illustrate this point. First, we offer a discussion of diachronic diversity (diversity over time) and synchronic diversity (diversity at a given point in time) in conceptions and theories of psychopathology in general. Second, we elaborate a social constructionist perspective on psychopathology in general. Third, to illustrate this perspective, we provide a diachronic and synchronic analysis of definitions and theories of anorexia nervosa. Fourth, we discuss the implications of this analysis for clinical practice. We conclude that whatever view eventually prevails will depend not on which one is better at rooting out some hidden truth about anorexia nervosa but, rather, on which one is viewed as more compatible with evolving social and cultural standards, views, and norms regarding health and illness in general and self-starvation in particular.

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Section: Implications For Clinical Practicementioning

confidence: 99%

Psychopathology as Social Construction: The Case of Anorexia Nervosa

Gelo

Vilei

Maddux

et al. 2014

Journal of Constructivist Psychology

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“…AN is given a voice. By externalizing the disorder and separating it from the client, a space emerges that can be used to evaluate the rules and messages of AN as a separate entity (Epston, Morris, & Maisel, 1995). This distancing process shifts the perspective, and thus the disorder can be viewed and treated in a new, somewhat objective way.…”

Section: Narrative Therapy and The Power Of Externalizationmentioning

confidence: 99%

“…Members accomplish this while beginning to create alternate stories that offer hope, empowerment, and change. Similarly, Epston et al (1995), founders of and contributors to the AntiAnorexia/Anti-Bulimia League, suggest the importance of externalizing AN for effective treatment. They note that this process undermines guilt and selffault, creating a subtle yet powerful shift toward blaming AN instead.…”

Section: Narrative Therapy and The Power Of Externalizationmentioning

confidence: 99%

“…Specifically, as a result of being treated in a holistic manner, women report experiencing increased motivation and willingness to change, decreased self-blame, increased expression regarding the influence of AN on their lives, and increased willingness to engage in therapy. (Epston et al, 1995;Kraner & Ingram, 1997;Madigan & Goldner, 1998). Although these studies do not quantify recovery rates, their common finding of women's increased motivation to change is important, considering the necessity of this motivation to aid lifelong recovery and the current trend toward evaluation of the stages of change used in motivational approaches to therapy.…”

Section: Narrative Therapy and The Power Of Externalizationmentioning

confidence: 99%

“…More has been written about the use of narrative therapy in the treatment of young women with AN than the use of poetry therapy, which is likely due to David Epston's widely circulated writings and representation of the AntiAnorexia/Anti-Bulimia League (Epston et al, 1995). With the formation of the National Association for Poetry Therapy (NAPT), more has been written on the use of poetry therapy in the treatment of a variety of concerns, but the literature regarding treatment of AN with this modality remains scarce.…”

Section: Poetry Therapymentioning

confidence: 99%

See 2 more Smart Citations

Anorexia Nervosa: A Synthesis of Poetic and Narrative Therapies in the Outpatient Treatment of Young Adult Women

Robbins

Pehrsson

2009

Journal of Creativity in Mental Health

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Parental efficacy in the family-based treatment of anorexia: preliminary development of the Parents Versus Anorexia Scale (PVA)

Rhodes

Baillie

Brown

et al. 2005

Eur. Eat. Disorders Rev.

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Objective: This paper aims to describe the preliminary development of a scale of parental efficacy for parents participating in the Maudsley model of family-based treatment. The purpose of this scale is to provide a means of testing the effect of new and augmentative therapeutic strategies in the Maudsley model on the development of parental efficacy over time. Method: Forty-nine parents of patients with anorexia nervosa completed a preliminary version of the Parents Versus Anorexia Scale (PVA). They also completed the Rotter I/E Scale and the Family Adaptability and Cohesion Evaluation Scale II (FACES II) as comparison measures. Measures of total increase in percentage ideal body weight (%IBW) were taken for the children of 34 of these parents who were participating in family-based treatment. Comparisons were also made between mean PVA scores of parents waiting for treatment and those whose children had gained significant weight as a result of treatment. Results: The Cronbach's alpha for the final seven items of the PVA was 0.78. The scale also has a significant positive correlation with internal control as measured by the Rotter I/E Scale and with the total increase in %IBW that parents had been able to achieve for their children in the process of treatment. FACES II was not sensitive enough to measure differences in family structure for the purpose of this study. A significant difference was found between PVA scores of parents waiting for treatment and those of parents of patients who had gained greater than 10% of ideal body weight as a result of treatment.

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A Narrative Approach to So-Called Anorexia/Bulimia

Cited by 20 publications

References 0 publications

Psychopathology as Social Construction: The Case of Anorexia Nervosa

Psychopathology as Social Construction: The Case of Anorexia Nervosa

Anorexia Nervosa: A Synthesis of Poetic and Narrative Therapies in the Outpatient Treatment of Young Adult Women

Parental efficacy in the family-based treatment of anorexia: preliminary development of the Parents Versus Anorexia Scale (PVA)

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