Burnett-Stuart, Sarah;
(2021)
Interviewing 'Ana': Thematic analysis of voice dialogues with the internal anorexic voice.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
Overview Many individuals experiencing eating disorders (EDs) describe an internal ‘eating disorder voice’ (EDV) or ‘self’. Preliminary studies link the EDV with development, maintenance and ambivalence to recover from EDs. This thesis aims to develop an in-depth understanding of the EDV, its role in EDs and implications for recovery. Part 1 is a meta-ethnography of experiences of EDVs, involving 19 qualitative studies. The results indicate that experiences of the EDV can have a pervasive impact over the course of EDs. There were common experiences, such as escalating EDV power and malignancy through ED development, and idiosyncratic aspects, for example the EDV’s relations to the self and ED. In recovery, the EDV was framed as both a source of ambivalence and an opportunity for change. Part 2 is an empirical paper, presenting a thematic analysis of voice dialogues with the anorexic voice (AV). This was a joint project. Nine women with anorexia nervosa (AN) participated. ‘Chairwork’ was used to interview participants’ AVs. The analysis describes an interdependent relationship, whereby the person ‘needs’ the AV as it promises to solve their problems, a valued but fraught relationship develops, and the AV ‘needs’ to preserve its influence over the person for its own survival. Where relevant, exploring individuals’ EDV experiences could highlight obstacles to recovery and tailor treatments, but further research is needed to establish effective ways of working with EDVs. Part 3 provides a critical appraisal, focused on experiences of the ethical review process and the dynamic interplay between research and researcher.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Interviewing 'Ana': Thematic analysis of voice dialogues with the internal anorexic voice |
| Event: | UCL |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| Keywords: | Anorexic voice, anorexia nervosa, eating disorders, eating disorder voice, internal voice, voice dialogue, chairwork |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10135630 |
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