Patients With Anorexia Nervosa Who Self-Injure: A Phenomenological Study

Auteurs
Alexandra Dingemans, Nienke Kool, B.K.G. (Berno) van Meijel, Claudia Gamel, Suzanne Verschueren, Annemarie van Elburg, Tamara Berends en Erwin van Huigenbosch
Onderzoekslijn
Soort object
Artikel
Datum
2014
Samenvatting
PURPOSE: This study investigates self-injury fromthe perspective of patients with anorexia nervosa. DESIGN AND METHODS: A phenomenological design was used. Twelve patients participated. Data were collected using a semi-structured interview guide. FINDINGS: Participants display self-injurious behavior predominantly in situations when they are forced to eat. They are terrified of gaining weight and use selfinjurious behavior to copewith their anxiety. Self-injury is envisioned as a technique to regain control of their own eating pattern without bothering anyone. They feel shame for not controlling their emotions more constructively. PRACTICE IMPLICATIONS: Healthcare professionals should systematically observe signals and explore less harmful strategies that help to regulate overwhelming feelings