Recovery from disordered eating: What life histories reveal
Joanna Redenbach
Department of Clinical Nursing, Faculty of Nursing, University of Sydney, NSW
Jocalyn Lawler
Dean, Faculty of Nursing, College of Health Science, University of Sydney, NSW
PP: 148 - 156
Abstract
There are few studies seeking to understand the illness from the experiential perspective of a person who has recovered from an eating disorder. The clinical and research literature shows inconsistencies and varying degrees of support for the risk factors associated with eating disordered behaviour. It is important to note, however, that most contemporary research relies upon brief self-report questionnaires, which may be providing a fragmented picture of the behaviour.
The focus of the current study is to gain a greater understanding of women's perceptions of developing, living with and recovering from an eating disorder. This study reports interviews with five former eating disorder sufferers who were recruited via an advertisement placed in an Eating Disorders Support Network newsletter.
Life histories were gathered from each woman and the paper reports how these women perceive the origins of their illness and what event(s) lead to their recovery. Participants' narratives were analysed to elucidate themes pertaining to the lived experience of illness and recovery. The women talk about a lack of control of their lives and unrealistic family expectations as reasons for the development of their eating disordered behaviour. Recovery was very strongly related to self-determination and self-acceptance. Suggestions concerning new ways of conceptualising recovery from eating disordered behaviour are posited.
Keywords
anorexia nervosa; bulimia; life history; recovery
References
American Psychiatric Association (1994): Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM IV).American Psychiatric Association: Washington DC.
Ben-Tovim D, Walker K, Gilchrist P, Freeman R, Kalucy R, Esterman A (2001): Outcome in patients with eating disorders: a 5-year study. The Lancet, 357, 1254-1257.
Brownell K D & Rodin J (1994): The dieting maelstrom: Is it possible and advisable to lose weight? American Psychologist, 49, 781-791.
Carryer J B (1997): Embodied largeness: A feminist exploration. In M. De Ras & V. Grace (Eds.), Bodily boundaries, sexualized genders, medical discourses (99-109), Palmerston North, New Zealand: Dunmore Press.
Garrett C J (1997): Sociological perspectives on recovery from anorexia nervosa. International Journal of Eating Disorders, 21(3), 261-272.
Garrett C J (1998): Beyond anorexia: Narrative, spirituality and recovery. University Press, Cambridge, UK.
Hawkins A H (1993): Reconstructing illness; Studies in pathography. Purdue University Press, West Lafayette, Indiana.
Jack M S (2000): The social construction of chronic bulimia nervosa. A qualitative investigation of patients, parents, therapists, and psychiatrists. Dissertation Abstracts International (Humanities and Social Sciences) 60(9-A), 3543.
Klump K L, Kaye W H, Strober M (2001): The evolving genetic foundations of eating disorders. Psychiatric Clinics of North America, 24(2), 215-225.
Luborsky L, Singer B, Luborsky E (1975): Comparative studies of psychotherapies: Is it true that -Everybody has won and all must have prizes-? Archives of General Psychiatry, 32, 995-1008.
Miller R L (2000): Researching life stories and family histories. SAGE Publications, London, UK.
Nevonen L, Broberg A G (2000): The emergence of eating disorders: an exploratory study. European Eating Disorders Review, 8, 279-292.
Plummer K (2001): Documents of life 2: An invitation to a critical humanism. SAGE Publications, London, UK.
Richards P S, Baldwin B M, Frost H A, Clark- Sly J B, Berrett M E, Hardman R K (2000): What works for treating eating disorders? Conclusions of 28 outcome reviews. Eating Disorders, 8, 189-206.
Saukko P (2000): Between voice and discourse: quilting interviews on anorexia. Qualitative Inquiry, 6(3), 299-317.
Schmidt U, Tiller J, Blanchard M, Andrews B, Treasure J (1997): Is there a specific trauma precipitating anorexia nervosa? Psychological Medicine, 27(3), 523-530.
Thomsen S R, McCoy J K, Williams M (2001): Internalizing the impossible: Anorexic outpatients' experiences with women's beauty and fashion magazines. Eating Disorders: the Journal of Treatment & Prevention, 9(1), 49-64.
Treasure J, Holland A (1990): Genetic vulnerability to eating disorders: Evidence from twin and family studies. In
Remschmidt, H. & Schmidt, M.H. (eds) Child and Youth Psychiatry: European Perspectives. Lewiston, NY, Hogrefe & Huber.
Troop N A, Treasure J L (1997): Psychological factors in the onset of eating disorders: Responses to life-events and difficulties. British Journal of Medical Psychology, 70(4), 373-385.
White J H (1992a): Women and eating disorders, Part I: Significance and sociocultural risk factors. Health Care for Women International, 13, 351-362.
White J H (1992b): Women and eating disorders, Part II: Developmental, familial, and biological risk factors. Health Care for Women International, 13, 363-373.
Yanovski S Z, Nelson J E, Dubbert B K, Spitzer R L (1993): Association of binge eating disorder and psychiatric comorbidity in obese subjects. American Journal of Psychiatry, 150(10), 1472-1479.

eContent Home




