eating disorders

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.

  • Sharing sadness and finding small pieces of justice: Acts of resistance and acts of reclaiming in working with women who’ve been subjected to abuse— Loretta Pederson

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    This paper describes work with women who have been subjected to sexual and physical abuse. Ideas of searching for small pieces of justice through thickening stories of resistance to abuse and of reclaiming life from the ongoing effects of abuse, are explored through women’s stories.

  • 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.

  • A Service-user and Therapist Reflect on Context, Difference, and Dialogue in a Therapy for Anorexia— Tracy Craggs and Alex Reed

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    This article was co-authored by the participants in a therapeutic process which occurred within a specialist eating disorders service in a hospital setting. One of us was seeking assistance in their struggle with anorexia, and the other was a therapist working in this field. In addition to our encounters in the therapy process, we share in common a background in research and an orientation towards postmodern research methodologies. We became interested in how this shared research interest might provide an additional resource towards creating new knowledges and change. Through a process of shared inquiry, we sought to explore, from our different positions, the therapeutic process that we were engaged in by attending to the different narratives that shaped our experiences, understandings and actions. In particular, the influence of the clinical context on our respective experiences of the therapeutic process was examined. Some tentative reflections are offered regarding the potentially fruitful inter-relationship between therapy and research activities, and the transformative potential of this kind of shared inquiry.

  • 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.

1,959 Comments

  1. Thank you for this overview of Narrative Therapy. I am returning to practice after some time away, and these reminders are timely and appreciated.

  2. Hi Chris

    I really enjoyed watching your video about Narrative Walks. My project is based in Blaenau Gwent, in South Wales, Uk. I’m wondering whether I might use such an approach in my work with our Youth Service, who support young people between the ages of 11 and 25. Have you any thoughts on this? Are there any resources available, either free or to purchase?

    Best wishes

    Paul

    • Hi Paul, m

      Much of my early attempts of the program were with the 15-20 year old age bracket and I found it worked really well. When I recently had an opportunity to run the program again with this age bracket – I extended the finish time so that could spend more time at the stop points and have a fire at the last resting place to talk about our intentions after the walk. This meant that we used head torches for the 2km which added a bit of a sense of theatre to the day. It was pretty cool.

      If you email me on hello@embarkpsych.com I can send you the manual. Or ask any other questions via this page so others might share in the answers.

      CD

  3. Thank you for sharing your insights. This has been very enlightening as a student studying post-grad social work. Recently my tutorial group was discussing how professionals often use their interpretation and that clients may not get to see how some professionals interpret their stories, in this way many things can be missed especially what the client sees as being important.

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