Unrecoverable? Prescriptions and Possibilities for Eating Disorder Recovery

LaMarre, Andrea; Rice, Carla; Bear, Merryl

doi:10.1007/978-3-319-17326-9_10

Cited by 8 publications

(3 citation statements)

References 41 publications

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“…If providers, loved ones, and people with living or lived experience all hold varying ideas about what recovery ‘is’ or could be, making decisions about the possibility of and/or capacity for recovery becomes challenging. A person may be rendered ‘unrecoverable’ by clinical discourses that write their future based on preconceived notions about the kinds of lives they can or cannot live [ 26 , 27 ]. Remarkably, discussions about what recovery is – and how to ‘get there’ – remain curiously absent from many discussions about terminality.…”

Section: Defining Recovery: Elusive Standards and Variable Contextsmentioning

confidence: 99%

“…Greater consensus on the definitions of recovery, its assessment, and outcome measures may help determine a standard for the data that services and studies collect [ 39 – 41 ]. On the other hand, it is possible that by focusing on sameness rather than difference, the individual nuances of experienced recovery may be drawn into a singular ‘way’ of ‘being recovered’ that may be inaccessible to some [ 26 , 31 , 42 ]. Importantly, inaccessible standards of recovery may disincentivise engaging in treatment or initiating behavioural change by further entrenching feelings of hopelessness and futility in some individuals with EDs.…”

Section: Defining Recovery: Elusive Standards and Variable Contextsmentioning

confidence: 99%

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Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality

Elwyn,

Adams,

Sharpe

et al. 2024

J Eat Disord

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Eating disorders (EDs) are complex, multifaceted conditions that significantly impact quality-of-life, often co-occur with multiple medical and psychiatric diagnoses, and are associated with a high risk of medical sequelae and mortality. Fortunately, many people recover even after decades of illness, although there are different conceptualisations of recovery and understandings of how recovery is experienced. Differences in these conceptualisations influence categorisations of ED experiences (e.g., longstanding vs. short-duration EDs), prognoses, recommended treatment pathways, and research into treatment outcomes. Within recent years, the proposal of a ‘terminal’ illness stage for a subset of individuals with anorexia nervosa and arguments for the prescription of end-of-life pathways for such individuals has ignited debate. Semantic choices are influential in ED care, and it is critical to consider how conceptualisations of illness and recovery and power dynamics influence outcomes and the ED ‘staging’ discourse. Conceptually, ‘terminality’ interrelates with understandings of recovery, efficacy of available treatments, iatrogenic harm, and complex co-occurring diagnoses, as well as the functions of an individual’s eating disorder, and the personal and symbolic meanings an individual may hold regarding suffering, self-starvation, death, health and life. Our authorship represents a wide range of lived and living experiences of EDs, treatment, and recovery, ranging from longstanding and severe EDs that may meet descriptors of a ‘terminal’ ED to a variety of definitions of ‘recovery’. Our experiences have given rise to a shared motivation to analyse how existing discourses of terminality and recovery, as found in existing research literature and policy, may shape the conceptualisations, beliefs, and actions of individuals with EDs and the healthcare systems that seek to serve them.

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Section: Defining Recovery: Elusive Standards and Variable Contextsmentioning

confidence: 99%

Section: Defining Recovery: Elusive Standards and Variable Contextsmentioning

confidence: 99%

Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality

Elwyn,

Adams,

Sharpe

et al. 2024

J Eat Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…Critical feminist, anti-psychiatry, and mad studies perspectives on what is understood as disordered eating identify the root 'problem' of EDs in society rather than frame them as illnesses, diseases, or individual pathologies (LaMarre et al, 2015(LaMarre et al, , 2019LaMarre & Rice, 2017;Rinaldi et al, 2016;N. Schott, 2015;N.…”

Section: Cultivatingmentioning

confidence: 99%

Fat Liberation or Co-healthist Cooptation? Exploring the Liberatory Potential of the Health at Every Size Framework

Stadnyk

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This thesis interrogates the liberatory potential of Health at Every Size (HAES), a popular framework of care within fat activism. It is a feminist-of-colour disability studiesoriented critical discourse analysis of 100 popular TikToks. The analysis demonstrates that HAES meets some peoples' urgent needs for care and healing from fatmisia, particularly those who identify with disordered eating and movement. At the same time, the blurry aggregation of health enhancement and social justice in HAES discourse allows health to be weaponized to justify eugenic projects aimed at proliferating perfectible and standardized ('healthy') bodies and eliminating bodies marked as deviant or 'unhealthy.' The thesis concludes that HAES needs to decentre 'health' and instead focus on care to cultivate a fat liberationist and disability justice aligned politic of care and healing as world-building that dismantles health as a prerequisite for worth. A new framework called Care at Every Size (CAES) is proposed.

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Eating Disorders Among Second-Generation Canadian South Asian Female Youth: An Intersectionality Approach Toward Exploring Cultural Conflict, Dual-Identity, and Mental Health

Mustafa

Khanlou

Kaur

2018

Today’s Youth and Mental Health

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Unrecoverable? Prescriptions and Possibilities for Eating Disorder Recovery

Cited by 8 publications

References 41 publications

Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality

Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality

Fat Liberation or Co-healthist Cooptation? Exploring the Liberatory Potential of the Health at Every Size Framework

Eating Disorders Among Second-Generation Canadian South Asian Female Youth: An Intersectionality Approach Toward Exploring Cultural Conflict, Dual-Identity, and Mental Health

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