Not Quite this and not Quite that: Anorexia Nervosa, Counselling Psychology, and Hermeneutic Inquiry in a Tapestry of Ambiguity
DOI:
https://doi.org/10.11575/jah.v0i0.53321Keywords:
ambiguity, anorexia nervosa, hermeneutic inquiry, counselling psychologyAbstract
As a group of researchers exploring how to best understand the complex topic of families discovering their loved one has anorexia nervosa (AN), we found that we had to weave ambiguity into our design. Embracing ambiguity allowed us to create a tapestry that acknowledges the ambiguity of AN, counselling psychology (and other helping professions), and hermeneutic inquiry. In fact, the “not quite this and not quite that” features of these three constructs emerged as the thread that holds the inquiry together. We review the topic of AN through a lens of ambiguity. Further, we position both the field of counselling psychology and the research method of hermeneutic inquiry as compatible frameworks in the study of AN, in both practice and research. By acknowledging, and at times even embracing, ambiguity, we respect the complexity of the situation we are studying.
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http://www.etymonline.com/index.php?term=discover
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Forney, K.R., Brown, T.A., Holland-Carter, L.A., Kennedy, G.A., & Keel, P.K. (2017). Defining "significant weight loss" in atypical anorexia nervosa. International Journal of Eating Disorders, 50, 952-962. doi: 10.1002/eat.22717
Franko, D.L., Keshaviah, A., Eddy, K.T., Krishna, M., Davis, M.C., Keel, P.K., & Herzog, D.B. (2013). A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa. American Journal of Psychiatry, 170, 917-925. https://doi.org/10.1176/appi.ajp.2013.12070868
Gadamer, H-G. (2013). Truth and method (Bloomsbury revelations; J. Weinsheimer & D. G. Marshall, Trans.). London, UK: Bloomsbury.
George, L., Thornton, C., Touyz, S.W., Waller, G., & Beumont, P.J.V. (2004). Motivational enhancement and schema-focused cognitive behavior therapy in the treatment of chronic eating disorders. Clinical Psychologist, 8, 81-85. doi: 10.1080/13284200412331304054
Gilbert, N., Arcelus, J., Cashmore, R., Thompson, B., Langham, C., & Meyer, C. (2012). Should I ask about eating? Patients' disclosure of eating disorder symptoms and help-seeking behaviour. European Eating Disorders Review, 20, 80-85. doi:10.1002/erv.1143
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Gull, W.W. (1997). V. - Anorexia nervosa (Apepsia Hysterica, Anorexia Hysterica). Obesity, 5, 498-502. (Reprinted from Transactions of the Clinical Society of London, pp. 22-28, by W. W. Gull, 1874.) doi: 10.1002/j.1550-8528.1997.tb00677.x
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Halmi, K.A. (2005). A complicated process: Diagnosing and treating anorexia nervosa and bulimia. Psychiatric Times, 22, 59-59. Retrieved from http://go.galegroup.com.ezproxy.lib.ucalgary.ca/ps/i.do?p=HRCA&u=ucalgary&id=GALE|A132920473&v=2.1&it=r&sid=summon&authCount=1#
Hoek, H.W. (2006). Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Current Opinion in Psychiatry, 19, 389-394.
doi: 10.1097/01.yco.0000228759.95237.78
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