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Cited by 16Eating Disorders and BehaviorsNutrition, Health and Food BehaviorSocial Representations and Identity

Understanding ‘Ed’: A theoretical and empirical review of the internal eating disorder ‘voice’

Pugh, Matthew·2020·Psychotherapy Section Review
DOI 10.53841/bpspsr.2020.1.65.12
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Abstract

Many individuals with eating disorders make reference to an internal eating disorder ‘voice’ or ‘self’ (EDV/S): a phenomenon which is poorly understood. This paper reviews conceptual and empirical literature relating to the EDV/S. Criticisms and controversies surrounding such experiences are also discussed with reference to current research. In order to clarify how and why internal voices contribute to disordered eating, four theoretical frameworks which help contextualise the EDV/S are presented: cognitive theories of voices; interpersonal theories of voices; trauma-based theories of voices; and dialogical self theory. The paper concludes by proposing a preliminary, multifactorial model of the EDV/S which is composed of four maintaining factors: EDV/S dialogical patterns, EDV/S appraisals, EDV/S relating styles, and early trauma and associated interpersonal schemata. Directions for treatment and future research are discussed.

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Authors
Pugh, M.
Affiliations
Central and North West London NHS Foundation Trust (GB)
Corresponding author
Pugh, Matthew
ORCID
Pugh, Matthew
Venue
Psychotherapy Section Review
Publisher
British Psychological Society
Published
2020
Volume
1
Issue
65
Pages
12-23
ISSN
  • 1747-1761 (ISSN-L)
  • 2396-958X
DOI
10.53841/bpspsr.2020.1.65.12
OpenAlex
W4315840535
Cited by
16
References
58
Citations by year
2026: 5 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 1
FWCI
0.60
Type
journal article
Language
en
Open access
closed
Locations
Psychotherapy Section Review (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 › Social Psychology › Social Representations and Identity
Keywords
inner speech, eating disorders, dialogical self theory, early trauma, disordered eating

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