Need a literature review Draft completed

Southern New Hampshire University

January 6th, 2019

Research question: “Does self-disclosure of the therapist improve eating disorder treatment.” 

Hypothesis: Self-disclosure of the therapist improves eating disorder treatment.

Information On Research

The key variables for this research are self-disclosure of the therapist and eating disorder treatment. This research will focus on online research whereby participants will be recruited from an eating disorder charity database. The participants will be asked about the status of their condition and how they feel about having the disorder. The neutral condition will be that the therapists will disclose their sexuality and their feelings towards the patients’ conditions and personality (Marziliano, Pessin, Rosenfeld, & Breitbart, 2018). 

Process of Study

The study will continue for two months with the therapists making contact with the participants once every week. These conditions will form the independent variables. The dependent variable would be participants continued to receive positive self-disclosures from the therapist leading to a greater level of patient self-disclosure, which lowered their shame, and encouraged the participants to continue with the treatment process. The participants will also be asked if they have been involved in any treatment before, and how they could describe their therapeutic alliance (Fuertes, Moore, & Ganley, 2018). 

A longitudinal study and the rate of drop-out will be used to gather more information about the participants. The collected data will then be analyzed in relation to the independent variables by the end of the study. One of the ethical issues, which will be looked into while conducting the study, is informed consent. Participants will be informed about the purpose of the research and will have the right to participate or not participate in it. Secondly, the research will ensure the privacy and confidentiality of every participant. 

Annotated Bibliography:

Secrecy and concealment are typical behaviors in individuals with eating problems. In the article titled “ Self-Disclosure in eating disorders,” researchers examined women with greater related eating issues and determined whether or not, these women would be willing to disclose information. In this study, different types of disclosure were calculated considering the body appearance of the individual and to restrained eating. This article would benefit my research because it provides great information that will confirm my theory and test my hypothesis.

Abstract 1.

Those who suffer from eating disorders are very emotional beings. Often times, some may not feel a need to express their need to not eat foods. Many women become self-conscious about their weight and find it hard to share their feelings about their bodies. Compulsive exercising, eating healthy, and extreme dieting has become the norm for the everyday American. Having so much focus on these things can make it difficult for one not to struggle with eating disorders. In addition, it can become quite difficult for one to share their struggle with family, friends, or a professional. These insights provide how it may be difficult for individuals to disclose information on their issue.

Tantillo, M. (2004). The Therapists Use of Self-Disclosure in a Relational Therapy Approach for Eating Disorders. Eating Disorders,12(1), 51-73. doi:10.1080/10640260490267760

Annotated Bibliography:

This article examines Relational Therapy (RT) as a treatment for eating disorders. According to the author, this RT sets itself apart from other treatments owing to the application of self-disclosure by the therapist, thus allowing better representation by the professional to create a better restorative relationship to cultivate movement and growth that is connected to it. The piece then compares this treatment to other treatment forms testing the same factors. The research will help to support my hypothesis by providing an insight on the best therapy treatment.

Abstract 2.

Eating disorders are serious psychiatric conditions hence the need for evidence-based intervention. The evaluation of treatment is hence done across diagnoses. There are those that show promise when certain approaches are applied. There is therefore need to consider their long-term outcomes, use of new methods, and personalized extension to suit particular profiles of the various patients.

Kass, A., Kolko, R., & Wilfley, D. (July 14, 2015). Psychological Treatments for Eating Disorders. PMC. Doi:10.1097/YCO.0b013e32865a30e

Annotated Bibliography

This article offers a summary of the latest facts concerning psychological treatments on eating disorders. One of the major setbacks that affects this process is the limitations to the access of eating disorder treatments, which if attained, could help in increasing access to care and lower the load of these conditions. This article will help to build my argument in support of my hypothesis.

Abstract 3.

It is common for adolescents to experience eating disorder psychiatric conditions. As such, there are few conditions whose treatments have been identified. The self disclosure of the therapist is considered effective and can help in lowering this issue.

Lock, J. (September 2010). Treatment of Adolescent Eating Disorders: Progress and Challenges. PMC, 51(3): 207–216. Pmcid: PMC3083856

Annotated Bibliography:

This article takes a unique approach by examining eating disorders in adolescents as well as the impact of self-disclosure by the therapist and will therefore contribute immensely in supporting my hypothesis claim.

Abstract 4

Treatment skills are essential in mental health practice in order for therapists to be able to meet the increasing demand and prerequisites for eating disorder problems. A therapist must therefore be committed to using a uniquely tailored approach for each patient.

Natenshon, A. (2017). Eating Disorders: A Treatment Apart. The Unique Use of the Therapist’s Self in the Treatment of Eating Disorders. DOI: 10.5772/65697.

Annotated Bibliography:

This article covers the issue of eating disorders from a detailed scope, thus helping the reader to better understand this problem. It then offers suggestions on the process of treating the condition whilst encouraging therapists to keep committed.

Abstract 5.

The study of therapist self-disclosure on eating disorders helps to improve the patient self-disclosure as well as the therapy relationship. The success of such a therapeutic alliance is vital for promoting patient disclosure a well as reducing the shame and eating difficulties.

Simonds, L. & Spokes, N. (2017). Therapist self-disclosure and the therapeutic alliance in the treamtment of eating problems, Eating Disorders, 25:2, 151-164, doi:10.1080/10640266.2016.1269557

Annotated Bibliography:

This article discusses therapist self-disclosure and therapeutic alliance in managing eating disorder issues. There is great importance for the development of a strong therapeutic alliance with a potential of improving the patient’s experience. This study will therefore be significant as it offers support on the helpfulness of therapist self-disclosure in strengthening a therapeutic alliance.

Abstract 6

Eating disorders are a serious mental and physical health problem that can be life-threatening. In a general population, women are more affected than their male counterparts owing to the dieting trends that have become the norm, hence the importance of studying the effectiveness of self-disclosure in the therapeutic relationship.

Young, Melissa A.. (2012). Eating Disorder Clinicians: From Personal Recovery to Supporting Others. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/msw_papers/108

Annotated Bibliography:

This article is a qualitiative study that looks at the experience of clinicians working in clinics that handle eating disorders who have previously undergone through an eating disorder and eventually recovered from it. Their experience will be significant in listing general misconceptions regarding the effectiveness of self-disclosure in the therapeutic relationship.

References

Fuertes, J. N., Moore, M., & Ganley, J. (2018). Therapists’ and clients’ ratings of real relationship, attachment, therapist self-disclosure, and treatment progress. Psychotherapy Research, 1-13.

Kass, A., Kolko, R., & Wilfley, D. (July 14, 2015). Psychological Treatments for Eating Disorders. PMC. Doi:10.1097/YCO.0b013e32865a30e

Lock, J. (September 2010). Treatment of Adolescent Eating Disorders: Progress and Challenges. PMC, 51(3): 207–216. Pmcid: PMC3083856

Marziliano, A., Pessin, H., Rosenfeld, B., & Breitbart, W. (2018). Measuring Cohesion and Self-Disclosure in Psychotherapy Groups for Patients with Advanced Cancer: An Analysis of the Psychometric Properties of the Group Therapy Experience Scale. International Journal of Group Psychotherapy, 1-21.

Natenshon, A. (2017). Eating Disorders: A Treatment Apart. The Unique Use of the Therapist’s Self in the Treatment of Eating Disorders. DOI: 10.5772/65697.

Simonds, L. & Spokes, N. (2017). Therapist self-disclosue and the therapeutic alliance in the treamtment of eating problems, Eating Disorders, 25:2, 151-164, doi:10.1080/10640266.2016.1269557

Young, Melissa A.. (2012). Eating Disorder Clinicians: From Personal Recovery to Supporting Others. Retrieved from Sophia, the St. Catherine University repository website: https://sophia.stkate.edu/msw_papers/108