(Dis-)solving the Weight Problem in Binge-Eating Disorder

Systemic Insights From Three Treatment Contexts With Weight Stability, Weight Loss, and Weight Acceptance

Lene Bomholt Meyer*, Mette Waaddegaard, Marianne Engelbrecht Lau, Tine Tjørnhøj-Thomsen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant observations to gain insight into experiences and processes related to weight and body issues in three treatment contexts that addressed weight stability, weight acceptance, and weight loss. Using systems theory, the study proposed a relational weight problem that embeds feelings of non-acceptance due to weight, a merge of weight and identity, and an internalized body- and weight-critical gaze of others. Contrary to critical claims that weight acceptance discourages people with obesity from engaging in weight loss efforts, this study suggests that acceptance and a disentanglement of weight and identity are prerequisites for weight loss for this group.

Original languageEnglish
JournalQualitative Health Research
Volume29
Issue number4
Pages (from-to)597-608
ISSN1049-7323
DOIs
Publication statusPublished - Mar 2019

Fingerprint

Weights and Measures
Denmark
Outpatients
Interviews

Keywords

  • binge-eating disorder
  • body image
  • body therapy
  • Europe
  • interviews
  • obesity
  • overvaluation of weight and shape
  • participant observations
  • psychology
  • psychotherapy
  • qualitative
  • systems theory
  • weight loss
  • weight stigma

Cite this

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title = "(Dis-)solving the Weight Problem in Binge-Eating Disorder: Systemic Insights From Three Treatment Contexts With Weight Stability, Weight Loss, and Weight Acceptance",
abstract = "Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant observations to gain insight into experiences and processes related to weight and body issues in three treatment contexts that addressed weight stability, weight acceptance, and weight loss. Using systems theory, the study proposed a relational weight problem that embeds feelings of non-acceptance due to weight, a merge of weight and identity, and an internalized body- and weight-critical gaze of others. Contrary to critical claims that weight acceptance discourages people with obesity from engaging in weight loss efforts, this study suggests that acceptance and a disentanglement of weight and identity are prerequisites for weight loss for this group.",
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author = "Meyer, {Lene Bomholt} and Mette Waaddegaard and Lau, {Marianne Engelbrecht} and Tine Tj{\o}rnh{\o}j-Thomsen",
year = "2019",
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language = "English",
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(Dis-)solving the Weight Problem in Binge-Eating Disorder : Systemic Insights From Three Treatment Contexts With Weight Stability, Weight Loss, and Weight Acceptance. / Meyer, Lene Bomholt; Waaddegaard, Mette; Lau, Marianne Engelbrecht; Tjørnhøj-Thomsen, Tine.

In: Qualitative Health Research, Vol. 29, No. 4, 03.2019, p. 597-608.

Research output: Contribution to journalJournal articleResearchpeer-review

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