Guided Recovery: An Interpretative Phenomenological Analysis of Service Users' Experiences of Guided Self-Help for Bulimic and Binge Eating Disorders. Issue 2 (May 2018)

• Record Type: Journal Article
• Authors: Plateau, Carolyn R.; Brookes, Faye A.; Pugh, Matthew
• Is Part Of: Cognitive and behavioral practice. Volume 25:Issue 2(2018)
• Page Start: 310
• Page End: 318
• Publication Date: 2018-05
• Subjects: cognitive behavioral therapy -- eating disorder -- low-intensity interventions -- motivation -- satisfaction; Behavior therapy -- Periodicals; Cognitive therapy -- Periodicals; Behavior Therapy -- Periodicals; Cognitive Therapy -- Periodicals; 616.8914205
• DOI: 10.1016/j.cbpra.2017.08.004
• Languages: English
• ISSNs: 1077-7229

Abstract

Abstract: The efficacy of Cognitive Behavioral Therapy–based Guided Self-Help for mild to moderate bulimia and binge eating disorders has been well supported. However, limited research has explored in-depth individual experiences of this treatment approach. In-depth semi-structured interviews were conducted with 4 individuals who had completed Cognitive Behavioral Therapy–based Guided Self-Help (CBT-GSH) for bulimic or binge eating disorders. The interviews were transcribed verbatim and subsequently analyzed using Interpretative Phenomenological Analysis (IPA). Three superordinate themes emerged: Autonomy and volition ; A dynamic relationship: the guided and the guide; and The unwanted friend . The reciprocal nature of the guide/guided relationship was identified as integral to the success of the therapeutic approach. However, participants expressed initial uncertainty towards the therapeutic process, and experienced an uncomfortable dissonance between a lack of volition in therapy seeking and the need to continually self-prescribe CBT-GSH. The findings affirm the central role of the guide in promoting motivation to engage with therapy and highlight the potential benefits of in-session weighing. However, it may be necessary to provide additional support on commencing CBT-GSH to address concerns about the therapeutic approach in this group. Highlights: An in-depth exploration of experiences of guided self-help for eating disorders The guide can promote patient motivation and acceptance of the therapeutic approach Support at the start of therapy could address concerns over value and relevance. In-session weight monitoring is both a therapeutic and valued intervention in CBT-GSH