Objective
Theory and clinical literature suggest that pride may play an important role in the maintenance of restrictive eating disorders. A grounded theory study explored experiences of, and ...reflections on, pride among women with a current or past diagnosis of anorexia nervosa.
Design
This is a qualitative study using grounded theory.
Method
Semistructured interviews were conducted with 21 women recruited from an eating disorder unit in England, and from a UK self‐help organization. Grounded theory from a constructivist lens was used. Analysis involved coding, constant comparison, and memo‐writing.
Results
Pride evolves over the course of anorexia nervosa. Two overarching conceptual categories were identified: ‘pride becoming intertwined with anorexia’ and ‘pride during the journey towards recovery’. These categories encompassed different forms of pride: ‘alluring pride’, ‘toxic pride’, ‘pathological pride’, ‘anorexia pride’, ‘shameful pride’, ‘recovery pride’, and ‘resilient pride’. Initially, pride contributed to self‐enhancement and buffered negative emotions. As the condition progressed, pride became a challenge to health and interfered with motivation to change. During recovery, perceptions of pride altered as a healthy approach to living ensued.
Conclusions
The evolving nature of pride plays a central role in development, maintenance, and treatment of anorexia nervosa. Understanding of pride and its role in psychotherapeutic work with this client group may increase motivation to change and promote recovery. Future work should investigate whether tackling pride in eating disorders increases treatment efficacy and reduces the risk of relapsing.
Practitioners points
Pride associated with anorexia appeared to evolve in nature.
During early stages of the eating disorder, it stopped people from seeking help. Later on, it prevented them from seeing pride in healthy domains of life (outside anorexia). Over time, pride in anorexia became an overwhelming emotion that interfered with motivation to change.
It is important for practitioners to assess and discuss pride in anorexia and its evolving nature during treatment.
Understanding of pride and its role in psychotherapeutic work with this client group may increase motivation to change and promote recovery.
This study investigated paths to suicidal behavior in 94 civilian participants with chronic posttraumatic stress disorder (PTSD). Two statistical modeling programs, TETRAD II version 2.1 and Mplus ...5.21 were used to construct a working model of suicide in PTSD. Two paths to suicidal behavior were identified. In the first path, suicidal behavior was directly associated with greater life impairment, which in turn was associated with poorer occupational and social functioning. In the second path, suicidal behavior was directly associated with depressive symptoms, which in turn were associated with more severe PTSD symptoms. Psychotropic medication, employment status, and threat to life further contributed to the model. The findings suggest that negative perceptions of functional impairment and depression are strongly associated with suicidal behavior in PTSD.
Traditional and Simplified Chinese s by AsianSTSS
Theoretical perspectives into suicidality have suggested that heightened perceptions of defeat and entrapment lead to suicidality. However, all previous empirical work has been cross‐sectional. We ...provide the first longitudinal test of the theoretical predictions, in a sample of 79 students who reported suicidality. Participants completed self‐report measures of suicidal ideation, depression, defeat, and entrapment at two time points, approximately 12 months apart. People higher in defeat became more suicidal over time (β = .45), with baseline levels of suicidality and depressive symptoms controlled. The current results support the posited role of perceived defeat in driving suicidal ideation.
Abstract Background A growing body of research has highlighted the importance of identifying resilience factors against suicidal behavior. However, no previous study has investigated potential ...resilience factors among individuals with Posttraumatic Stress Disorder (PTSD). The aim of this study was to examine whether perceived social support buffered the impact of PTSD symptoms on suicidal behavior. Methods Fifty-six individuals who had previously been exposed to a traumatic event and reported PTSD symptoms in the past month (n = 34, 60.7% participants met the full criteria for a current PTSD diagnosis) completed a range of self-report measures assessing PTSD symptoms, perceived social support and suicidal behavior. Hierarchical regression analyses were conducted to examine whether perceived social support moderates the effects of PTSD symptoms on suicidal behavior. Results The results showed that perceived social support moderated the impact of the number and severity of PTSD symptoms on suicidal behavior. For those who perceived themselves as having high levels of social support, an increased number and severity of PTSD symptoms were less likely to lead to suicidal behavior. Conclusions The current findings suggest that perceived social support might confer resilience to individuals with PTSD and counter the development of suicidal thoughts and behaviors. The milieu of social support potentially provides an area of further research and an important aspect to incorporate into clinical interventions for suicidal behavior in PTSD or trauma populations.
Development and Validation of the Pride in Eating Pathology Scale (PEP‐S) Faija, Cintia L.; Fox, John R. E.; Tierney, Stephanie ...
Clinical psychology & psychotherapy/Clinical psychology and psychotherapy,
January/February 2017, 2017-Jan, 2017-01-00, 20170101, Letnik:
24, Številka:
1
Journal Article
A difficulty in recalling specific autobiographical memories has been noted as a risk factor for suicidal behaviour. However, the relationship between memory specificity and suicide has not ...previously been investigated in those with non-affective psychosis. It was predicted that in this group, more specific memory recall would be associated with an increased risk of suicide. This is because such specific memories are likely to be associated with greater levels of distress and negative affect than less specific memories. This prediction contradicts the prevailing belief that lower memory specificity is associated with greater suicidality. Sixty participants with schizophrenia spectrum disorders were recruited, 40 of whom reported past suicide attempts. Analyses showed suicide attempters recalled a greater proportion of specific memories, whilst controlling for trait anxiety and depressive symptoms. These results supported the main hypothesis, and suggest non-specific memory may have adaptive qualities in individuals with psychosis.
This study presents a qualitative evaluation of a novel cognitive behavioural therapy targeting suicidal thoughts and behaviours for people experiencing psychosis. Eight participants from four NHS ...Trusts in the northwest of England were interviewed. The interview schedule was collaboratively developed with a Service User Reference Group whose membership included people with experience of psychosis. Thematic analysis captured participants' experiences of recovery from suicidal thoughts and behaviours following therapy. Two themes were identified: "Acceptability" depicted participants' views about the process of therapy and the therapeutic relationship; "In-recovery from suicidality" illustrated participants' views of the impact of the therapy.
Family interventions result in clinical benefits in the treatment of schizophrenia. This report investigates (i) if forensic patients have a need for family intervention, (ii) if staff have the ...skills to deliver family intervention, and (iii) the availability of family intervention on forensic wards. The needs of 137 forensic patients and skills of 318 forensic staff were assessed. Patients showed considerable unmet need and relapses were common. Most forensic patients (72%) had regular contact with their relatives, of whom 56% were involved in the patient's discharge planning. Only 7% of staff felt that they were skilled in family interventions and less than half of these received clinical supervision in its application. Family interventions were infrequently available. The results indicate that the future development of family interventions in forensic services is worthwhile, as the need is apparent and is supported by regular family contact, but that it is currently rarely available.
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