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Experiences of enhanced cognitive behaviour therapy for Bulimia Nervosa

Onslow, Louise, Woodward, Debbie, Hoefkens, Toni and Waddington, Louise 2016. Experiences of enhanced cognitive behaviour therapy for Bulimia Nervosa. Behavioural and Cognitive Psychotherapy 44 (02) , pp. 168-178. 10.1017/S135246581400068X

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Background: Recent quantitative studies provide support for an “enhanced” transdiagnostic approach of Cognitive Behaviour Therapy (CBT-E) for eating disorders; however it is not yet known how recipients of CBT-E experience therapy. Aims: The current study used a qualitative approach to explore service users’ experiences of CBT-E. Method: Individuals with a diagnosis of bulimia nervosa and who had completed CBT-E from one service in Wales were invited to participate. Semi-structured interviews were completed with eight individuals and analysed using Interpretative Phenomenological Analysis (IPA). Results: Participants valued both specific and non-specific elements of CBT-E. Therapist specialism in eating disorders was considered to enhance therapist empathy. The most helpful aspects specific to CBT-E were gaining insight into maintenance cycles and experiential learning. The most challenging aspects of CBT-E were changing behaviours and cognitions “in the moment” and in the longer-term. Conclusions: The implication of therapist specialism and empathy is further discussed, as well as the difficulty for CBT-E in changing service users’ long-standing core beliefs.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Publisher: Cambridge University Press
ISSN: 1352-4658
Last Modified: 12 Mar 2019 13:39

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