The lived experience of working with people with eating disorders: A meta-ethnography.

OBJECTIVE: Working with people with eating disorders (EDs) is known to elicit strong emotional reactions, and the therapeutic alliance has been shown to affect outcomes with this clinical population. As a consequence, it is important to understand healthcare professionals' (HCPs') experien...

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Main Authors: Graham, MR, Tierney, S, Chisholm, A, Fox, JRE
Format: Journal article
Language:English
Published: Wiley 2020
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author Graham, MR
Tierney, S
Chisholm, A
Fox, JRE
author_facet Graham, MR
Tierney, S
Chisholm, A
Fox, JRE
author_sort Graham, MR
collection OXFORD
description OBJECTIVE: Working with people with eating disorders (EDs) is known to elicit strong emotional reactions, and the therapeutic alliance has been shown to affect outcomes with this clinical population. As a consequence, it is important to understand healthcare professionals' (HCPs') experiences of working with this client group. METHOD: A meta-synthesis was conducted of qualitative research on HCPs' lived experiences of working with people with EDs. The results from the identified studies were analyzed using Noblit and Hare's meta-ethnographic method. Data were synthesized using reciprocal translation, and a line of argument was developed. RESULTS: Thirty-seven studies met the inclusion criteria. Reciprocal translation resulted in a key concept: "Coping with caring without curing." This was underpinned by the following third-order concepts: (a) "The dissonance and discomfort of being a helper struggling to help," (b) "Defending against the dissonance," and (c) "Accepting the dissonance to provide safe and compassionate care." These concepts were used to develop a line-of-argument synthesis, which was expressed as a new model for understanding HCPs' experiences of working with people who have an ED. DISCUSSION: Although the conflict associated with being a helper struggling to help led some HCPs to avoid and blame people with EDs, others adopted a compassionate stance characterized by humanity, humility, balance, and awareness.
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spelling oxford-uuid:ac8bba82-0abf-4752-80ea-d8b4bcd9dd7e2022-03-27T03:29:54ZThe lived experience of working with people with eating disorders: A meta-ethnography.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ac8bba82-0abf-4752-80ea-d8b4bcd9dd7eEnglishSymplectic Elements at OxfordWiley2020Graham, MRTierney, SChisholm, AFox, JREOBJECTIVE: Working with people with eating disorders (EDs) is known to elicit strong emotional reactions, and the therapeutic alliance has been shown to affect outcomes with this clinical population. As a consequence, it is important to understand healthcare professionals' (HCPs') experiences of working with this client group. METHOD: A meta-synthesis was conducted of qualitative research on HCPs' lived experiences of working with people with EDs. The results from the identified studies were analyzed using Noblit and Hare's meta-ethnographic method. Data were synthesized using reciprocal translation, and a line of argument was developed. RESULTS: Thirty-seven studies met the inclusion criteria. Reciprocal translation resulted in a key concept: "Coping with caring without curing." This was underpinned by the following third-order concepts: (a) "The dissonance and discomfort of being a helper struggling to help," (b) "Defending against the dissonance," and (c) "Accepting the dissonance to provide safe and compassionate care." These concepts were used to develop a line-of-argument synthesis, which was expressed as a new model for understanding HCPs' experiences of working with people who have an ED. DISCUSSION: Although the conflict associated with being a helper struggling to help led some HCPs to avoid and blame people with EDs, others adopted a compassionate stance characterized by humanity, humility, balance, and awareness.
spellingShingle Graham, MR
Tierney, S
Chisholm, A
Fox, JRE
The lived experience of working with people with eating disorders: A meta-ethnography.
title The lived experience of working with people with eating disorders: A meta-ethnography.
title_full The lived experience of working with people with eating disorders: A meta-ethnography.
title_fullStr The lived experience of working with people with eating disorders: A meta-ethnography.
title_full_unstemmed The lived experience of working with people with eating disorders: A meta-ethnography.
title_short The lived experience of working with people with eating disorders: A meta-ethnography.
title_sort lived experience of working with people with eating disorders a meta ethnography
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