dc.contributor.author | Olofsson, Malin E. | |
dc.contributor.author | Vrabel, KariAnne R. | |
dc.contributor.author | Hoffart, Asle | |
dc.contributor.author | Oddli, Hanne W. | |
dc.date.accessioned | 2022-03-22T06:03:10Z | |
dc.date.available | 2022-03-22T06:03:10Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Journal of Eating Disorders. 2022 Mar 21;10(1):42 | |
dc.identifier.uri | http://hdl.handle.net/10852/92719 | |
dc.description.abstract | Method
To uncover therapeutic micro-processes from the perspectives of eating disorder (ED) treatment non-responders with childhood trauma (CT) late effects, we explored in-session experiences of poor long-term outcome patients. Female inpatients aged 28–59 (M = 40.2, SD = 5.0) from a randomised trial comparing Compassion Focused Therapy for EDs (n = 3) with Cognitive Behavioural Therapy for EDs (n = 3) were interviewed with video-assisted recall about a self-selected session. Data were analysed through Interpretative Phenomenological Analysis (IPA) with Grounded Theory (GT) elements.
Results
Covert patient strategies included self-effacement, regulating therapeutic distance to open up, and engaging with reflective rather than experiential interventions. First, self-effacement included submissive, passive or pretend responses to perceived criticising or violating therapist behaviours as well as other orientation and submission for approval. Second, some preferred a close patient–therapist alliance with therapist self-disclosure and reciprocity was a requirement for opening up; others required distance. Third, informants detached from experiential trauma work while engaging in joint reflection on post-trauma responses.
Conclusion
Informants were preoccupied with calibrating the emotional–relational landscape in session; we hypothesized that psychological insecurity and affective intolerance from CT limit their freedom to explore own in-session experiences. | |
dc.language.iso | eng | |
dc.rights | The Author(s); licensee BioMed Central Ltd. | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Covert therapeutic micro-processes in non-recovered eating disorders with childhood trauma: an interpersonal process recall study | |
dc.type | Journal article | |
dc.date.updated | 2022-03-22T06:03:10Z | |
dc.creator.author | Olofsson, Malin E. | |
dc.creator.author | Vrabel, KariAnne R. | |
dc.creator.author | Hoffart, Asle | |
dc.creator.author | Oddli, Hanne W. | |
dc.identifier.doi | https://doi.org/10.1186/s40337-022-00566-1 | |
dc.identifier.urn | URN:NBN:no-95296 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/92719/1/40337_2022_Article_566.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 42 | |