A Tale of Childhood Loss, Conditional Acceptance and a Fear of Abandonment: A Qualitative Study Taking a Narrative Approach to Eating Disorders

Qual Health Res. 2023 Mar;33(4):270-283. doi: 10.1177/10497323231152142. Epub 2023 Jan 18.

Abstract

Eating disorders (EDs) are serious mental health illnesses, yet there is a need to better understand the illness experience to improve treatment outcomes. Qualitative research, and narrative approaches in particular, can elicit life stories that allow for the whole illness journey to be explored. This study aimed to explore the experiences of women with a history of an ED, identifying the life events they perceived were relevant to the onset of their ED through to recovery. Interviews were conducted with 18 women with lived experience of an ED. Through structural narrative analysis, an overarching storyline of childhood loss contributing to a belief of conditional acceptance, fear of abandonment and struggle to seek emotional support due to the fear of being a burden was identified. Negative experiences with the health sector were common. These findings have implications for the way medical professionals respond to help seeking and deliver treatment.

Keywords: childhood loss; conditional acceptance; eating disorders; qualitative research; structural narrative analysis.

MeSH terms

  • Adolescent
  • Adult
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy
  • Binge-Eating Disorder / psychology
  • Binge-Eating Disorder / therapy
  • Bulimia Nervosa / psychology
  • Bulimia Nervosa / therapy
  • Child
  • Child, Abandoned* / psychology
  • Emotions
  • Fear*
  • Feeding and Eating Disorders* / psychology
  • Feeding and Eating Disorders* / therapy
  • Female
  • Help-Seeking Behavior
  • Humans
  • Interviews as Topic
  • Middle Aged
  • Narrative Medicine*
  • Qualitative Research*
  • Young Adult