bulimia

Posted by on Sep 17, 2016 in | 0 comments

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  • From ‘disorder’ to political action: conversations that invite collective considerations to individual experiences of women who express concerns about eating and their bodies — Kristina Lainson

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    This article describes an interweaving of narrative practices which has proved helpful for a number of women experiencing concerns about eating and its effects on their bodies. Through the stories of two young women, this paper illustrates how, by inviting collective ideas to individual experiences, and by recognising and naming their own commitments and agentive responses to societal expectations, the women became able to move away from ideas of ‘stuckness’ towards a sense of themselves as influential both in their own lives and possibly in the lives of others similarly concerned.

  • Uncovering Bulimia’s demanding voice: Challenges from a narrative therapist’s perspective— Kassandra Pedersen

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    This paper presents responses to a series of challenges faced during work with a 17-year-old girl who sought to reclaim her life from bulimia’s demanding voice. Kiki was at first unwilling to participate in therapeutic conversations, and initial contact occurred through her boyfriend, who became part of an anti-bulimia team. Encouraged by her boyfriend, Kiki, who was determined to ‘stop throwing up at last’, decided to attend sessions. Through externalising conversations, bulimia was personified as ‘The Guy’, who ruled her daily life with judgements. Kiki described The Guy’s effect on her life and developed a stance resisting his influence. The process of working with Kiki raised a number of challenges: assisting a person who initially declined to participate, overcoming pathologising discourses, resisting the tactics of the problem and its allies, supporting a preferred identity in an unsupportive environment, and keeping Kiki’s preferences and beliefs at the centre of our work. This paper explores the use of narrative practices, including externalising conversations, double listening, identifying unique outcomes, and the failure conversations map, to address these issues and support resistance to bulimia.

  • Every Conversation Is an Opportunity: Negotiating Identity in Group Settings— Ali Borden

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    Therapy within the context of a treatment centre can spread and confirm stories of deficit, or it can be an opportunity in which preferences and skills reverberate within a community and enable preferred reputations to be born. In a group setting, every conversation is an opportunity to negotiate meaning, and every group provides a stage for the performance of identity. This paper describes some ways that we at the Eating Disorder Center of California day treatment program guide some of that performance, including how we seek to take apart assumptions about eating problems and recovery, what is relevant to share, and what people have in common. Our intention is to open space for women to share their experiences as rich and complicated; their preferences as diverse, varied, and dynamic; and at the same time encourage points of connection, camaraderie, and community.

  • The Interplay of Substance Misuse and Disordered Eating Practices in the Lives of Young Women— Christine Dennstedt

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    Many young women struggle with problems of substance misuse and disordered eating practices. However, programs and ways of working when both issues are present are not common. This article explores the similarities and interplays of substance misuse and disordered eating, drawing on interviews with young women, and discusses some implications for therapy and residential programs.

  • Narrative Therapy, ‘Eating Disorders’, and Assessment: Exploring Constraints, Dilemmas, and Opportunities— Mim Weber

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    This paper is a work in progress. It is an exploration of the usefulness of an eating disorders assessment and referral service to the people who consult it; and whether such a service can avoid practices which could be experienced as reinforcing of the eating disorder, pathologising, or blaming. It also looks at the possibility of working with narrative therapy ideas in an environment which does not necessarily subscribe to those ideas.

2,023 Comments

  1. I’m Clayre Sessoms from Vancouver, BC, Canada, traditionally known as Coast Salish Territories. I acknowledge that my work takes place on the ancestral, unceded, and occupied territories of the xʷməθkwəy̓əm (Musqueam), səl̓ílwətaʔɬ (Tsleil-Waututh), Skwxwú7mesh (Squamish), Nations of the Coast Salish People whose relationship with the land is ancient, primary, and enduring. I’m an uninvited settler in what is colonially known as Vancouver. Because my place of work is on stolen land I commit to support a reconciliation, which includes reparations and the return of land. Here I study counselling psychology and art therapy, and I get to incorporate narrative therapy at my practicum placement, a site that provides free counselling services for LGBTQ2S individuals.

    These materials help me to begin to wrap my head around the complexities of narrative therapy. I especially enjoyed learning about how others have used narrative therapy in practical counselling settings.

    I’m moved by how we often tend to hear, accept, or retell the thinnest stories of our lives and the lives of others. I imagine that not valuing the richness of an individual’s diverse range of stories, perhaps, it has been much easier to cling to tired old preconceived notions about others, which can cause undue harm.

    I’m left thinking about the TEDTalk by Chimamanda Adichie about the dangers of accepting a singular story of someone else, rather than leaning in and committing to understand the wholeness of that person’s narrative.

    I look forward to continuing to learn. Thank you to The Dulwich Centre for providing this accessible forum. <3

  2. in what ways have you entered into collaborations before? What made these collaborations possible?

    As a peer worker most of my work was entering into collaborations with young people. I would use curiosity to further inquire into their experience, and looking back wow these narrative practices would have been amazing to use in our youth group discussions! We would use art mostly in telling stories. Many of the young people heard voices and saw characters only they could see. They would enjoy painting these voices, externalising the character, giving it a name and talking about the story and nature of the relationship between the voice and the character. I also enjoyed illiciting these stories, as I could tell they would begin to separate themselves from the voices, allowing for guilt and shame to reduce.

    What might make it hard to enter into these practices?

    The one difficult way of entering into these practices was the note writing. The managerial culture of my last workplace meant it was not considered good practice to have clients sit with us to write notes. In fact most clients probably were unaware that workers did regularly make notes each time they had contact with the centre. We were a strengths based centre that thrived on person centred practice. I think there is a bit of a stereotype that note writing is quite clinical and removed from person centred practice, hence a certain avoidance of bringing up notes in front of clients.

    If these ways of working fit for you, what next steps could you take to build partnerships/collaborations in your work?

    I definitely believe I could continue to use art to help young people tell their alternative stories. In mental health many workers draw thin conclusions of clients – bipolar, poor attachment, violent, with even their strengths really talked about in third person. It would be great to start drawing peoples strengths out with the use of story telling, so that clients can start to own their strengths, rather than have clinicans cherry pick these out.

  3. Thank you to Tileah for a wonderful presentation. I love hearing the word “yarn” used in this powerful way (Americans also have that term). The practice of “translating”, of shifting concepts into language that can be more usefully heard, is very powerful. As coaches we can make good use of this to help clients uncover their hidden or forgotten resources.

  4. These stories are amazing examples of what we can discover when we hold onto our “beginner’s mind” and remember that the other person (client, patient) has the information and understanding, not us. We talk a lot in leadership development about “co-creating” and I think this is a beautiful example of two very complementary roles: the person who has the story and the person who helps to explore and shape it.

  5. I like the idea of narrative – there is something about giving people the power to create a narrative, rather than simply appearing in a story told by someone else. Within the narrative metaphor, I especially enjoy the fabric metaphor – the idea of strands. These may touch each other, or not, may go well together in tone or color, or not. But again, there is some power in creating and weaving the narrative.
    In my own work with coaching and leadership development, I find that the emphasis on narrative(s) helps make things more tangible, and therefore brings them to their true scale, instead of letting them take on imaginary and unclearly described proportions.

  6. I love this. Telling our stories in ways that make us stronger. Such a powerful sentiment. Sometimes through trauma, it is hard to access the words that really encapsulate that experience – though using the written word does help us access those hard to utter parts of our memories … in those cases though perhaps the story we tell ourselves is not one that makes us feel strong in the first instance – so finding a way to tell that story in a way that focuses on the strength of surviving to tell that story is just amazing!

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