More Training Needed in Eating Disorders: A Time Cohort Comparison Study of Canadian Psychiatry Residents

Williams, Meris; Leichner, Pierre

doi:10.1080/10640260600796267

Cited by 33 publications

(30 citation statements)

References 7 publications

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“…Dans une étude canadienne réalisée auprès de médecins résidents en psychiatrie, 28 % ont affirmé avoir été témoins d'attitudes négatives de la part du personnel soignant envers les patients souffrant de TA 11 . Les attitudes négatives rapportées étaient : considérer les patients ayant un TA comme étant difficiles, frustrants et le travail avec eux comme étant épuisant (19,1 %), blâmer les patients d'être responsables de leur TA (17 %), passer des commentaires péjoratifs (12,8 %), faire référence à un diagnostic de l'axe II (par exemple ne pas vouloir travailler avec des troubles de l'axe II) (6,4 %) et considérer les patients comme étant contrôlants ou manipulateurs (6,4 %).…”

Section: Fleming Et Szmuklerunclassified

Le contre-transfert dans le traitement des troubles alimentaires: Recension systématique des écrits

2011

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Objectif : Identifier les manifestations du contre-transfert et leurs causes chez les thérapeutes qui traitent des patients souffrant de troubles alimentaires, et faire état des solutions qui ont été proposées pour surmonter les aspects négatifs du contre-transfert dans le but d'améliorer la qualité du traitement.Méthode : À l'aide des principales banques de données en sciences de la santé et psychologie, nous avons repéré les études traitant du contre-transfert dans le traitement des troubles alimentaires.Résultats : Une diversité de manifestations du contre-transfert sont recensées. Il appert notamment que les thérapeutes ressentent souvent des affects négatifs au cours du traitement des patients souffrant de troubles alimentaires. Le contre-transfert semble influencé par des facteurs en lien tant avec la maladie qu'avec le patient et le thérapeute. De plus, un contre-transfert négatif peut entraîner des conséquences qui entravent le bon déroulement du traitement. Les principales solutions recensées pour y faire face sont la supervision, la consultation auprès de collègues et le travail en équipe. Implications cliniques• Le travail auprès des patients souffrant de troubles alimentaires engendre souvent un contre-transfert négatif.• Les thérapeutes doivent être vigilants face au fait qu'un contre-transfert négatif peut entraîner des conséquences néfastes pour le traitement.• La supervision, la consultation auprès de collègues et le travail en équipe permettraient de mieux gérer les manifestations négatives du contre-transfert. Limites• Les textes recensés portent quasi exclusivement sur les manifestations négatives du contre-transfert; les manifestations positives possibles n'ont donc pu être discutées.• Les textes recensés ne tiennent pas compte de la présence possible de troubles comorbides; le contre-transfert évoqué pouvait donc ne pas être spécifique aux troubles alimentaires.• Le petit nombre d'études empiriques sur la question ne permet pas de conclusions fermes sur les questions traitées; en particulier aucune étude empirique n'a évalué l'efficacité des solutions proposées pour faire face au contre-transfert négatif.

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Section: Fleming Et Szmuklerunclassified

Le contre-transfert dans le traitement des troubles alimentaires: Recension systématique des écrits

2011

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“…It is also a condition that tends to arise during adolescence (Hoek 1993, Fairburn andHarrison 2003), impeding physical and psychosocial development, but it can run a chronic course, with up to 20% of individuals estimated to have an unremitting form (Fairburn and Harrison 2003). It is a condition often regarded as hard to treat (Vitousek et al 1998), accounting for negative views of working in this area articulated by some clinicians (Burkert andSchramm 1995, Williams andLeichner 2006).…”

Section: Introductionmentioning

confidence: 95%

Trapped in a toxic relationship: comparing the views of women living with anorexia nervosa to those experiencing domestic violence

Tierney

Fox

2011

Journal of Gender Studies

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People living with anorexia nervosa (AN) often report experiencing an inner voice that dominates their thinking and behaviour, and prevents them from progressing towards recovery. Little systematic investigation has been made of this entity. A qualitative study was conducted to explore people's experiences of living with an 'anorexic' voice. Data were collected in the form of written reflections produced by those with the condition. A thematic analysis, involving the two authors, was employed, and the computer programme Atlas-ti helped with data management. Poems, letters, and reflective narratives were provided by 21 females with AN. A key theme from these data was the toxic relationship participants described with their inner voice. This idea was explored by considering and comparing their writings with research investigating the perspectives of women enduring domestic violence; parallels between the two groups became clear during analysis. A novel way of considering AN outlined in the paper, as someone entrapped in a toxic relationship, has implications for practice and for further research.

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“…Patients with eating disorders have a notorious reputation for being difficult to treat and undesirable as patients (Hughes, 1997;Kaplan & Garfinkel, 1999;Matz & Frankel, 2005;Williams & Leichner, 2006). In a sample of 225 Canadian psychiatry residents, for example, 28% reported that they had encountered negative attitudes towards patients with eating disorders in their training environment by fellow students, nursing staff, physicians, or other health professionals (Williams & Leichner, 2006).…”

mentioning

confidence: 97%

“…In a sample of 225 Canadian psychiatry residents, for example, 28% reported that they had encountered negative attitudes towards patients with eating disorders in their training environment by fellow students, nursing staff, physicians, or other health professionals (Williams & Leichner, 2006). In a sample of 90 therapists, 31% indicated that they did not want to treat patients with eating disorders (Burket & Schramm, 1995).…”

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confidence: 98%

Treating Patients with Eating Disorders: An Examination of Treatment Providers' Experiences

et al. 2008

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Patients with eating disorders bring unique challenges to treatment providers. The purpose of this study was to explore treatment providers' experiences working with patients with eating disorders. Specifically, we investigated 1) the frequency and management of commentary about the treatment providers' appearance from patients, 2) personal changes in affect, vigilance around appearance, and eating behaviors in treatment providers, and 3) feedback and suggestions about effectively working with these patients. Using quantitative and qualitative methods, 43 professional eating disorder treatment providers attending the Multiservice Eating Disorder Association (MEDA) annual conference completed a questionnaire created for this study. Results suggest that most treatment providers experienced direct and indirect commentary about their appearance from patients and experienced notable changes in their view of food, eating behaviors, and vigilance of their own and others' appearance while working with these patients. Recommendations and suggestions from treatment providers about effectively treating these patients and managing personal changes are explored.

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More Training Needed in Eating Disorders: A Time Cohort Comparison Study of Canadian Psychiatry Residents

Cited by 33 publications

References 7 publications

Le contre-transfert dans le traitement des troubles alimentaires: Recension systématique des écrits

Le contre-transfert dans le traitement des troubles alimentaires: Recension systématique des écrits

Trapped in a toxic relationship: comparing the views of women living with anorexia nervosa to those experiencing domestic violence

Treating Patients with Eating Disorders: An Examination of Treatment Providers' Experiences

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