It's literally like been life-changing: An Interpretative Phenomenological Analysis of a novel motivational chairwork intervention for the treatment of Anorexia Nervosa

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Authors

McKenzie, C.
Rowley, Lauren
Pugh, Matthew
Oldershaw, Anna

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03/12/2024

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Journal article

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Specialist and Integrated

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Abstract

Objective: Many people with Anorexia Nervosa experience ambivalence and impoverished motivation to change, yet current motivation enhancing interventions require improvements. Chairwork is a collection of therapeutic methods that incorporate movement and dialogue between chairs to elicit change. The “future selves” chairwork intervention (FSCI) is a novel chairwork task that aims to increase motivation by enacting and interacting with future ‘non-recovered’ and ‘recovered’ version of the self in different chairs. Method: Nine people living with Anorexia Nervosa completed the FSCI and were interviewed about their experience of the task. An interpretative phenomenological analysis was conducted, using change process research methods to explore acceptability, feasibility, and associated change processes. Results: The following Group Experiential Themes (GETs) were identified: ‘Delivery and Task factors’, ‘Motivation towards a demanding recovery journey’, ‘Intense and strange emotions led to realisations’ and ‘Living as the future self”. Conclusions: The findings suggest that FSCI is acceptable and feasible, although more research would be beneficial. Changes in motivation were facilitated through experiencing emotion and embodiment of future selves. Participants described an emotionally evocative response, which led to realisations and new understanding.

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Authorea. December 03, 2024. DOI: 10.22541/au.173320923.32150232/v1

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Authorea

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