Attitudes towards eating disorders clinicians with personal experience of an eating disorder

Bachner‐Melman, Rachel; Vos, Jan Alexander de; Zohar, Ada H.; Shalom, Michal; McGilley, Beth; Oberlin, Kielty; Murray, Leslie; LaMarre, Andrea; Dooley-Hash, Suzanne

doi:10.1007/s40519-020-01044-w

Cited by 9 publications

(37 citation statements)

References 40 publications

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“…POTT is used in this study as a clinical framework to support theory development. Core principles from POTT (relationship, assessment, intervention, self-knowledge, self-access, self-management, identification, differentiation) (Aponte & Kissil, 2016) were held loosely as sensitizing concepts (Bowen, 2006).…”

Section: Methodsmentioning

confidence: 99%

“…The clinical concepts offered in POTT offer a nonstigmatizing approach for therapists to learn how to draw on their lived experiences to strengthen their therapeutic practice. As such, the purpose of this POTT-informed, qualitative investigation is to understand the processes associated with "use of self" (Aponte & Kissil, 2016) in the treatment of EDs by therapists with EDLE.…”

Section: Present Studymentioning

confidence: 99%

“…Despite the importance of self-of-the-therapist work in training and supervision, there are very few comprehensive frameworks that guide this type of professional development (Aponte et al, 2009). The person-of-the-therapist (POTT) training model is one of the few approaches available for teaching therapists how to use themselves purposefully in their work (Aponte & Kissil, 2016). Developed by a pioneer of systemic family therapy, Harry Aponte, POTT takes a relational perspective in viewing therapy as a human-to-human personal encounter and a living process in which therapists and clients are both active participants (Aponte et al, 2009;Aponte & Kissil, 2014.…”

mentioning

confidence: 99%

“…Countertransference may be pronounced among therapists with eating disorder lived experience (EDLE) (Bachner‐Melman et al, 2020; Williams & Haverkamp, 2015). Much of the literature on therapists with EDLE focuses on potential liabilities and ethical concerns including (a) therapist overidentification, (b) making assumptions based on EDLE, (c) therapist relapse, and (d) whether therapists with EDLE are sufficiently recovered (e.g., Bachner‐Melman et al, 2020; Williams & Haverkamp, 2015). Some literature, however, suggests that therapists with EDLE may be particularly resilient to the challenges of working with ED clients (e.g., de Vos et al, 2016; Warren et al, 2013).…”

mentioning

confidence: 99%

“…For example, in their study on ED therapist burnout, Warren et al (2013) found that having EDLE predicted lower chances of burnout. Other studies discuss how having EDLE may lead to (a) increased empathy, (b) hopefulness about recovery, (c) being a role model for ED clients, and (d) having access to experiential knowledge (Bachner‐Melman et al, 2020; Rance et al, 2010; de Vos et al, 2016; Williams & Haverkamp, 2015). While therapists with EDLE may be more vulnerable to overidentifying with their clients, they may also offer a unique contribution to the ED profession.…”

mentioning

confidence: 99%

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“Bringing and Removing Self from the Table”: Therapists’ use and management of eating disorder lived experience in the treatment of clients with eating disorders

King

Russon

2023

J Marital Family Therapy

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Therapists report significant countertransference reactions when treating clients with eating disorders (EDs). Countertransference may be pronounced among therapists with eating disorder lived experience (EDLE). Minimal research examines how therapists with EDLE negotiate their experiences while treating ED clients. Informed by the person‐of‐the‐therapist philosophy, this study sought to understand how therapists use and manage their EDLE when working with ED clients. Using constructivist grounded theory methodology, semistructured interviews (Mtime = 89 min) were conducted with 22 therapists with EDLE. Results revealed that therapists engaged in two interconnected systems. The Central System helps therapists transform their lived experiences into clinical guidance. The Checks and Balances System allows therapists to find a balance between connecting with the client and allowing for differences in experiences to emerge. Lastly, three personal processes existing outside of these systems were found to impact therapists’ use of self. Findings provide novel ways that therapists can use their EDLE.

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Section: Methodsmentioning

confidence: 99%

Section: Present Studymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

“Bringing and Removing Self from the Table”: Therapists’ use and management of eating disorder lived experience in the treatment of clients with eating disorders

King

Russon

2023

J Marital Family Therapy

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The Essentials: Upskilling a National Health Workforce in the Identification and Treatment of Eating Disorders

Maloney,

Ong,

Miskovic‐Wheatley

et al. 2024

Intl J Eating Disorders

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ObjectiveHealth practitioners report limited skills and lack of confidence in managing and treating people with eating disorders. The purpose of this study was to evaluate the national rollout of comprehensive basic training in identification, assessment, treatment, and management of people with eating disorders to clinicians.MethodsThe Essentials: Training Clinicians in Eating Disorders is a core competency eLearning program. As part of a nation‐wide multidisciplinary workforce training strategy, 7500 course places were provided free of charge to public and private health care professionals across all jurisdictions of Australia between January 2020 and March 2022.ResultsA total of 7370 health professionals enrolled during the study period. All learning outcomes showed improvement with large effect (Cohen's d = 1.2–2), with the largest improvements for self‐reported knowledge of requirements for working with children and adolescents. Effects did not depend on years of working with eating disorders suggesting that the training was beneficial across levels of experience. Those who started with very low knowledge of eating disorders or higher willingness to treat eating disorders were most likely to complete the course. Most participants reported that the course was relevant to their clinical practice, that they expected their clinical practices to change, and that they would recommend the course to other health professionals.DiscussionThe strategy to provide government‐funded core competency training in eating disorder care to healthcare professionals met key objectives by reaching health professionals eligible to provide government‐rebated services in public and private settings across all jurisdictions including regional and remote areas.

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Treating eating disorders by professionals with similar experiences: A systematic review

Bijkerk,

Nooteboom,

de Beer

et al. 2024

Euro Eating Disorders Rev

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ObjectiveAlthough a significant number of professionals who provide eating disorder (ED) treatment have lived experience with an ED in the past, there is no consensus on whether these professionals should use these experiences in treatment. This review aims to evaluate current literature on recovered professionals with an ED past treating ED patients, unravelling advantages and disadvantages in treatment, the impact on professionals and their surroundings, and implications for practice.MethodA systematic literature search was conducted which included 10 articles. We analysed qualitative data through a systematic synthesis. Strength of evidence was calculated for each subtheme.ResultsThree themes and 14 subthemes were divided into categories. The category ‘treatment (patient‐professional interaction)’ was divided into: advantages, disadvantages and other implications for treatment. Additionally, the category ‘professionals themselves’ included subthemes that directly impact or relate to ED professionals: recovery as a non‐linear process, the significant role of self‐care and adverse feelings of professionals. Finally, the category ‘work settings’ included: company culture and training, supervision and professional development.DiscussionRecovered ED professionals are a promising addition to ED treatment due to the enhanced expertise of the professional. However, attention should be paid to the risk of distorted boundaries between patient and professional.

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Attitudes towards eating disorders clinicians with personal experience of an eating disorder

Cited by 9 publications

References 40 publications

“Bringing and Removing Self from the Table”: Therapists’ use and management of eating disorder lived experience in the treatment of clients with eating disorders

“Bringing and Removing Self from the Table”: Therapists’ use and management of eating disorder lived experience in the treatment of clients with eating disorders

The Essentials: Upskilling a National Health Workforce in the Identification and Treatment of Eating Disorders

Treating eating disorders by professionals with similar experiences: A systematic review

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