'It's Always About the Eating Disorder': Finding the Person Through Recovery-Oriented Practice for Bulimia.

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  • Additional Information
    • Affiliation:
      Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Rd, 2109, North Ryde, NSW, Australia
      Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW, Australia
    • Abstract:
      Bulimia is an eating disorder characterised primarily by binging and 'inappropriate' compensatory behaviours, such as purging or excessive exercise. Many individuals with bulimia experience chronic disordered eating, dissatisfaction with treatment, and difficulty establishing a 'new life'. Recovery-oriented practice, which focuses holistically on the person and their own aspirations for treatment, has recently been advocated in the treatment of eating disorders in Australia and other countries. However, questions have been raised about how this practice might be integrated into existing treatment approaches. Taking a social constructionist approach and using a case study of one woman's account, together with literature on patients' treatment experiences, we examined recovery from bulimia. Three themes were identified: bulimia was constructed as 'consuming one's life', an experience protracted through treatment ('treatment and becoming the eating disorder'), which makes life 'beyond treatment and attempting to live without bulimia' challenging. Based on this analysis, we argue that recovery-oriented practice, while seemingly commensurate with patients' needs, may be challenged by long-standing meanings of mental illness and experience of bulimia specifically.
    • Journal Subset:
      Biomedical; Continental Europe; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed
    • ISSN:
      0165-005X
    • MEDLINE Info:
      PMID: NLM31602551 NLM UID: 7707467
    • Grant Information:
      Australian Postgraduate Award//Australian Government/
    • Publication Date:
      In Process
    • Publication Date:
      20200508
    • DOI:
      http://dx.doi.org/10.1007/s11013-019-09654-5
    • Accession Number:
      142942874
  • Citations
    • ABNT:
      CHURRUCA, K. et al. “It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia. Culture, Medicine & Psychiatry, [s. l.], v. 44, n. 2, p. 286–303, 2020. DOI 10.1007/s11013-019-09654-5. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142942874. Acesso em: 4 ago. 2020.
    • AMA:
      Churruca K, Ussher JM, Perz J, Rapport F. “It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia. Culture, Medicine & Psychiatry. 2020;44(2):286-303. doi:10.1007/s11013-019-09654-5.
    • AMA11:
      Churruca K, Ussher JM, Perz J, Rapport F. “It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia. Culture, Medicine & Psychiatry. 2020;44(2):286-303. doi:10.1007/s11013-019-09654-5
    • APA:
      Churruca, K., Ussher, J. M., Perz, J., & Rapport, F. (2020). “It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia. Culture, Medicine & Psychiatry, 44(2), 286–303. https://doi.org/10.1007/s11013-019-09654-5
    • Chicago/Turabian: Author-Date:
      Churruca, Kate, Jane M. Ussher, Janette Perz, and Frances Rapport. 2020. “‘It’s Always About the Eating Disorder’: Finding the Person Through Recovery-Oriented Practice for Bulimia.” Culture, Medicine & Psychiatry 44 (2): 286–303. doi:10.1007/s11013-019-09654-5.
    • Harvard:
      Churruca, K. et al. (2020) ‘“It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia’, Culture, Medicine & Psychiatry, 44(2), pp. 286–303. doi: 10.1007/s11013-019-09654-5.
    • Harvard: Australian:
      Churruca, K, Ussher, JM, Perz, J & Rapport, F 2020, ‘“It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia’, Culture, Medicine & Psychiatry, vol. 44, no. 2, pp. 286–303, viewed 4 August 2020, .
    • MLA:
      Churruca, Kate, et al. “‘It’s Always About the Eating Disorder’: Finding the Person Through Recovery-Oriented Practice for Bulimia.” Culture, Medicine & Psychiatry, vol. 44, no. 2, June 2020, pp. 286–303. EBSCOhost, doi:10.1007/s11013-019-09654-5.
    • Chicago/Turabian: Humanities:
      Churruca, Kate, Jane M. Ussher, Janette Perz, and Frances Rapport. “‘It’s Always About the Eating Disorder’: Finding the Person Through Recovery-Oriented Practice for Bulimia.” Culture, Medicine & Psychiatry 44, no. 2 (June 2020): 286–303. doi:10.1007/s11013-019-09654-5.
    • Vancouver/ICMJE:
      Churruca K, Ussher JM, Perz J, Rapport F. “It’s Always About the Eating Disorder”: Finding the Person Through Recovery-Oriented Practice for Bulimia. Culture, Medicine & Psychiatry [Internet]. 2020 Jun [cited 2020 Aug 4];44(2):286–303. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=142942874