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'Everyone here wants everyone else to get better': the role of social identity in eating disorder recovery

机译:“这里的每个人都希望其他人变得更好”:社会认同在饮食失调恢复中的作用

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摘要

Retention of a positively valued illness identity contributes to poor outcomes for individuals with eating disorders. Consequently, dis-identification from the illness identity and the adoption of a recovery identity is vital for successful recovery. While social identity processes have been shown to influence eating disorder maintenance, their role in recovery is rarely considered. This study explores how a sense of shared identity helps individuals with eating disorders manage their condition and promotes recovery. Transcripts from 18 online support sessions involving 75 participants were thematically analysed. Our findings suggest that the illness identity initially operates as a social identity that forms the basis for connections with similar others. For thoseudwishing to recover, identity-based support is then perceived to be more effective than that found outside the group. Online interactions also facilitate construction of a new shared recovery identity which promotes a shift from the illness identity as a primary source of definition and endorses group norms of illness disclosure and treatment engagement. While in the clinical literature, eating disorder identity is seen as problematic and interventions are targeted at challenging an individual’s self-concept, we suggest that interventions could instead harness identity resources to support a transition to a recovery identity.
机译:保持正值的疾病身份会导致饮食失调的人的不良结局。因此,与疾病身份的区别以及采用恢复身份对于成功恢复至关重要。虽然社会认同过程已显示出影响进食障碍的维持,但很少考虑其在康复中的作用。这项研究探讨了一种共享身份感如何帮助饮食失调的人控制其状况并促进其康复。主题分析了来自18个在线支持会议的笔录,涉及75名参与者。我们的发现表明,疾病身份最初是一种社会身份,构成了与其他相似人际关系的基础。对于那些希望恢复的人,基于身份的支持被认为比小组之外的更有效。在线互动还有助于构建新的共享恢复身份,从而促进从疾病身份作为定义的主要来源的转变,并认可疾病披露和治疗参与的团体规范。尽管在临床文献中,饮食失调的身份被认为是有问题的,并且干预措施的目标是挑战个人的自我概念,但我们建议干预措施可以利用身份资源来支持向恢复身份的过渡。

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    McNamara N; Parsons H;

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  • 年度 2016
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