Illness Experience and Group Process in Patients with Eating Disorders: A Qualitative Study

Year 2018, Volume: 2 Issue: 4, 307 - 318, 24.12.2018

F. Elif Ergüney Okumuş , Nur Başer Baykal , Ezgi Deveci , Selin Karaköse

https://doi.org/10.31461/ybpd.472118

Abstract

The aim of this study is to understand the
illness experience and describe the common themes in the group process with a qualitative
research method. Four women with an eating
disorder diagnosis from the Eating Disorders Unit in Istanbul University, Psychiatry
Department attended eight sessions group psychotherapy. Group process was
examined with a phenomenological research design. According to the results, two major themes were found; illness
experience and group process. Illness experience includes food, body image,
impact of disorder, cognitive factors, emotional factors, prognosis, preoccupation,
denial of femininity, weight and thinness, attitudes towards illness, exercise
and self-othering. Group process includes; here and now, universality,
relationship with therapist, anxiety toward group, instillation of hope, group cohesiveness
and group efficacy. Major themes about
illness experience and group process are consistent with the eating disorders
literature.  It is assumed that research findings could
contribute clinical practices in the field of eating disorders in terms of
understanding the disease and the development of effective treatments. 

Keywords

Eating disorders, phenomenological research, group process

Yeme Bozukluğu Vakalarında Hastalık Yaşantısı ve Grup Süreci: Nitel Bir Çalışma

Abstract

Bu çalışmada yeme bozukluğu vakalarında hastalık yaşantısını anlamak ve grup
sürecinde yaşanan ortak deneyimleri nitel yöntemle incelemek amaçlanmıştır. İstanbul Üniversitesi İstanbul Tıp Fakültesi Psikiyatri
Anabilim Dalı Yeme Bozukluğu Birimi’ne başvurarak yeme bozukluğu tanısı almış dört
kadın vakayla yapılan sekiz seanslık grup psikoterapi süreci fenomenolojik araştırma
deseni kullanılarak incelenmiştir. Verilerin analizi sonucunda yeme bozukluğu
vakalarının paylaştıkları ortak deneyimler; hastalık yaşantısı ve grup süreci
olmak üzere iki ana tema altında toplanmıştır. Hastalık yaşantısı; yemek, beden
imgesi, hastalığın hayata etkisi, bilişsel faktörler, duygusal faktörler,
hastalık seyri, hastalıkla ilgili zihni meşguliyet, kadınlığın inkarı, kilo ve
zayıflık, hastalığa yönelik atıflar, egzersiz ve kendini ötekileştirme alt
temalarından oluşmaktadır. Grup süreci ise; şimdi ve burada, evrensellik,
terapistle ilişki, gruba yönelik kaygılar, umut aşılama, gruba bağlılık ve
grubun etkisi alt temalarını kapsamaktadır. Çalışmamızdaki vakaların hastalık
yaşantısı ve grup süreciyle ilgili yaşantılarında ortaya çıkan temaların yeme
bozukluğu literatürüyle tutarlı olduğu görülmektedir. Araştırma bulgularının
yeme bozukluğu alanında hem hastalığın anlaşılması hem de etkili tedavilerin
geliştirilmesi açısından klinik uygulamalara katkı sağlayacağı düşünülmektedir. 

Keywords

Yeme bozuklukları, fenomenolojik araştırma, grup süreci

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