Roberts, Bethan and Simpson, Jane (2015) An exploration of the way in which services support adolescents with eating disorders. PhD thesis, Lancaster University.
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Abstract
This thesis explores the way in which Eating Disorder (ED) services provide and deliver interventions aimed at supporting adolescents with an ED diagnosis. Within the systematic review, a meta-synthesis was conducted exploring eight papers presenting the experiences of parents and carers of family based therapies (FBTs) for people with an ED. Three themes were identified: i) we’re different as a family now; ii) finding strength in interactions with others; and iii) we aren’t all better yet. These results were discussed within the context of existing research, and the implications for services were discussed. The main research paper uses thematic analysis to explore the experiences of 8 adolescents with anorexia nervosa (AN) or eating disorder not otherwise specified – restrictive subtype (EDNOS-R). Semi-structured interviews were held with participants in order to think about their experiences of services alongside their social identity. Three main themes were identified: i) battling with the identity of being having an eating disorder; ii) the ups and downs of deciding to recover; and iii) I want to be treated like a normal person. These results were discussed within the context of existing literature into social identity and of service provision for EDs. Clinical implications are discussed. Within the critical appraisal, reflections of the research process are considered. The appraisal provides a space to reflect upon the process of conducting a thesis, and draws upon reflections documented throughout the research journey. The process of developing a research idea is discussed, as are methodological and ethical issues and other issues which were salient to the project. Overall, the thesis presents an exploration of the services currently available to young people with EDs and their families and considers the importance of taking a holistic approach to service design and provision.