ISSN 2043-8087
Journal of Experimental Psychopathology
 Volume 3, Issue 2, 243-257, 2012
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Feeling good about being hungry: food-related thoughts in eating disorder

Authors
Joanna F. Blackburn (a), Andrew R. Thompson (b), Jon May (c)
(a) School of Health and Related Research, University of Sheffield
(b) Department of Psychology, University of Sheffield
(c) School of Psychology, University of Plymouth

Volume 3, Issue 2, 2012, Pages 243-257
DOI: http://dx.doi.org/10.5127/jep.018711

Abstract
Objectives: This study explores the relationships to food and hunger in women living with anorexic type eating difficulties and asks how imagery-based elaborations of food and eating thoughts are involved in their eating restraint, and recovery. Design: The qualitative idiographic approach of Interpretative Phenomenological Analysis (IPA) was used. Four in-depth semi-structured interviews were conducted with women self-selected as having experienced anorexia or anorexic like behaviour. Methods: The data was analysed using IPA and an audit of the analysis was conducted to ensure that the process followed had been systematic and rigorous and appropriately considered reflexivity. Results: Hunger was perceived positively by participants as confirmation that they were achieving their goal of losing weight, or avoiding weight gain. Hunger conferred a sense of being in control for the participants. Intrusive thoughts about food were reported as being quickly followed by elaborative mental imagery of the positive aspects of weight loss, and the negative consequences of eating. Imagery appeared to serve to maintain anorexic behaviours rather than to motivate food seeking. However, negative imagery of the consequences of anorexia were also described as supporting recovery. Conclusions: The finding that physiological sensations of hunger were experienced as positive confirmation of maintaining control has potentially important clinical and theoretical implications. It suggests further attention needs to be focused upon how changes in cognitive elaboration, involving mental imagery, are components of the psychological changes in the development of, maintenance of, and recovery from, anorexia.

Table of Contents
Introduction
Method
Participants
Data collection
Data analysis and Interpretation
Results
Fragile sense of recovery
Fears associated with food and weight gain.
Awareness of disorder.
Reasons for change.
Relationships with food
Ambivalence.
Development of feeling ill
Life experiences.
Perceived body image.
Emotional and physical consequences of illness
Physical effects of illness.
Emotional consequences of illness.
Discussion
Acknowledgements
References

Correspondence to
Jo Blackburn, ScHARR, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA.

Keywords
Mental Imagery; UK; Eating Disorder; Anorexia Nervosa, Craving; Hunger; Intrusive thoughts; Interpretative Phenomenological Analysis

Dates
Received 1 Mar 2011; Revised 30 May 2011; Accepted 13 Sep 2011; In Press 5 Feb 2012







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