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The role of pride in women with anorexia nervosa : a grounded theory study
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Faija, Cintia L., Tierney, Stephanie, Gooding, Patricia A., Peters, Sarah and Fox, John R. E. (2017) The role of pride in women with anorexia nervosa : a grounded theory study. Psychology and Psychotherapy: Theory, Research and Practice . doi:10.1111/papt.12125 ISSN 1476-0835.
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Official URL: http://doi.org/10.1111/papt.12125
Abstract
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: Semi-structured interviews were conducted with 21 women recruited from an eating disorders 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. 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. 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 if tackling pride in eating disorders increases treatment efficacy and reduces the risk of relapsing.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Eating disorders -- Psychological aspects, Anorexia nervosa, Body image disturbance, Shame, Perfectionism (Personality trait) | ||||||
| Journal or Publication Title: | Psychology and Psychotherapy: Theory, Research and Practice | ||||||
| Publisher: | John Wiley & Sons Ltd. | ||||||
| ISSN: | 1476-0835 | ||||||
| Official Date: | 3 May 2017 | ||||||
| Dates: |
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| DOI: | 10.1111/papt.12125 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 11 April 2017 | ||||||
| Date of first compliant Open Access: | 3 May 2018 | ||||||
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