Interviewing anorexia: How do individuals given a diagnosis of anorexia nervosa experience Voice Dialogue with their eating disorder voice? A qualitative analysis
Abstract
A proportion of individuals given an eating disorder diagnosis describe the experience of an eating disorder ‘voice’ (EDV). However, methods for working with this experience are currently lacking. Voice Dialogue (Stone & Stone, 1989) involves direct communication between a facilitator and parts of the self to increase awareness, understanding, and separation from inner voices. Adapted forms of this method have shown promise in working with voices in psychosis. This study aimed to explore the experience and acceptability of Voice Dialogue amongst individuals with anorexia nervosa who experience an EDV. Nine women participated in a semistructured interview following a single Voice Dialogue session. Interview transcripts were analysed using interpretative phenomenological analysis (IPA). Three overarching themes were identified as follows: (i) “separating from the EDV”; (ii) “better understanding of the EDV”; and (iii) “hopeful, motivated, and afraid of recovery”. The majority of participants found Voice Dialogue acceptable and helpful for exploring their EDV. Whilst preliminary, the results suggest that Voice Dialogue has potential in terms of helping individuals establish a more constructive relationship with their EDV and motivating change. Further research is needed to build upon these findings. Implications for addressing the EDV using voice‐focused interventions are explored.
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Some individuals experience AN as a voice, person or alternate self, and externalisation may be an important step in dialogical connection with the 'healing/recovered' self.
“Some individuals experience AN as a voice, person or alternate self [196–198], and externalisation may be an important step in dialogical connection with the ‘healing/recovered’ self”
From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [198]
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- Authors
- Chua, N., Serpell, L., Burnett‐Stuart, S., & Pugh, M.
- Affiliations
- University College London (GB)
- Central and North West London NHS Foundation Trust (GB)
- Corresponding author
- Pugh, Matthew
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2021-07-29
- Volume
- 29
- Issue
- 2
- Pages
- 600-610
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W3179000010
- Cited by
- 21
- References
- 82
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Update notices
- correction (2022-10-26)
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Keywords
- anorexia nervosa, voice dialogue, inner speech, eating disorder diagnosis, recovery motivation, women with eating disorders
- MeSH terms
- Anorexia, Anorexia Nervosa, Feeding and Eating Disorders, Female, Humans, Voice
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