Understanding the phenomenological experiences of schema therapy for those with an eating disorder

Schema therapy expands traditional cognitive-behavioral models, weakening early maladaptive schemas and schema modes while strengthening adaptive modes. This study investigated participant experiences of schema therapy for eating disorders, focusing on schema modes and the eating disorder voice, ho...

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Main Authors: Alice Cunningham, Marie Reid, Stephanie Sayan, Richard Hammersley
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-09-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://www.pagepressjournals.org/qrmh/article/view/11376
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author Alice Cunningham
Marie Reid
Stephanie Sayan
Richard Hammersley
author_facet Alice Cunningham
Marie Reid
Stephanie Sayan
Richard Hammersley
author_sort Alice Cunningham
collection DOAJ
description Schema therapy expands traditional cognitive-behavioral models, weakening early maladaptive schemas and schema modes while strengthening adaptive modes. This study investigated participant experiences of schema therapy for eating disorders, focusing on schema modes and the eating disorder voice, how these maintained disordered eating, and how therapy helped. Semistructured online video interviews with clients receiving schema therapy for eating disorders (N=10) were analyzed using interpretative phenomenological analysis. Four group experiential themes were developed: (1) adverse experiences, typically in childhood and adolescence, (2) interpersonal relationships, especially with primary caregivers and the benefits of a good therapeutic relationship, (3) self-awareness of schema modes and the eating disorder voice and their impact on participants’ eating disorders, and (4) recovery using schema concepts, including finding one’s inner child, better self-management, and ambivalence about recovering. Overall, schema therapy was perceived as beneficial, specifically regarding participants’ awareness of their inner child, development of their eating disorder, and awareness of their eating disorder voice. Participants expressed a growing positive sense of agency, connecting with their inner child’s needs and developing a connection to their healthy adult mode. They also felt that schema therapy had equipped them with the tools to strengthen their healthy adult mode, while simultaneously weakening their maladaptive modes.
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spelling doaj-art-edab56f341d349458d3ee5f09cede7cb2025-08-02T22:48:06ZengKeAi Communications Co., Ltd.Qualitative Research in Medicine & Healthcare2532-20442024-09-018210.4081/qrmh.2024.11376Understanding the phenomenological experiences of schema therapy for those with an eating disorderAlice Cunningham0Marie Reid1Stephanie Sayan2Richard Hammersley3School of Psychology and Social Work, University of Hull, HullSchool of Psychology and Social Work, University of Hull, HullSchool of Psychology and Neuroscience, University of Glasgow, GlasgowSchool of Psychology and Social Work, University of Hull, Hull Schema therapy expands traditional cognitive-behavioral models, weakening early maladaptive schemas and schema modes while strengthening adaptive modes. This study investigated participant experiences of schema therapy for eating disorders, focusing on schema modes and the eating disorder voice, how these maintained disordered eating, and how therapy helped. Semistructured online video interviews with clients receiving schema therapy for eating disorders (N=10) were analyzed using interpretative phenomenological analysis. Four group experiential themes were developed: (1) adverse experiences, typically in childhood and adolescence, (2) interpersonal relationships, especially with primary caregivers and the benefits of a good therapeutic relationship, (3) self-awareness of schema modes and the eating disorder voice and their impact on participants’ eating disorders, and (4) recovery using schema concepts, including finding one’s inner child, better self-management, and ambivalence about recovering. Overall, schema therapy was perceived as beneficial, specifically regarding participants’ awareness of their inner child, development of their eating disorder, and awareness of their eating disorder voice. Participants expressed a growing positive sense of agency, connecting with their inner child’s needs and developing a connection to their healthy adult mode. They also felt that schema therapy had equipped them with the tools to strengthen their healthy adult mode, while simultaneously weakening their maladaptive modes. https://www.pagepressjournals.org/qrmh/article/view/11376Eating disorderschema therapyschema modesearly maladaptive schemaeating disorder voiceinterpretative phenomenological analysis
spellingShingle Alice Cunningham
Marie Reid
Stephanie Sayan
Richard Hammersley
Understanding the phenomenological experiences of schema therapy for those with an eating disorder
Qualitative Research in Medicine & Healthcare
Eating disorder
schema therapy
schema modes
early maladaptive schema
eating disorder voice
interpretative phenomenological analysis
title Understanding the phenomenological experiences of schema therapy for those with an eating disorder
title_full Understanding the phenomenological experiences of schema therapy for those with an eating disorder
title_fullStr Understanding the phenomenological experiences of schema therapy for those with an eating disorder
title_full_unstemmed Understanding the phenomenological experiences of schema therapy for those with an eating disorder
title_short Understanding the phenomenological experiences of schema therapy for those with an eating disorder
title_sort understanding the phenomenological experiences of schema therapy for those with an eating disorder
topic Eating disorder
schema therapy
schema modes
early maladaptive schema
eating disorder voice
interpretative phenomenological analysis
url https://www.pagepressjournals.org/qrmh/article/view/11376
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