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In this case study, a patient's sense of agency in relation to symptoms of bulimia nervosa was assessed during 3 years of psychotherapy. Five distinct phases of agency in relation to eating disorder symptoms were identified: A false sense of agency or no agency at all, a weak sense of agency, a nascent sense of agency, a wavering sense of agency, and a strong sense of agency. A better understanding of patient agency can facilitate adapting approaches and methods best suited for the patient's capacity for change throughout treatment.<\/jats:p>","DOI":"10.1002\/jclp.22787","type":"journal-article","created":{"date-parts":[[2019,4,13]],"date-time":"2019-04-13T05:47:31Z","timestamp":1555134451000},"page":"1415-1428","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Changes in the sense of agency: Implications for the psychotherapy of bulimia nervosa\u2010 A case study"],"prefix":"10.1002","volume":"75","author":[{"given":"Gudrun","family":"Kristmannsdottir","sequence":"first","affiliation":[{"name":"Private Practice  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Keski\u2010Rahkonen","sequence":"additional","affiliation":[{"name":"Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsti\u2010Liisa","family":"Kuusinen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Jyv\u00e4skyl\u00e4 Jyv\u00e4skyl\u00e4 Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,12]]},"reference":[{"key":"e_1_2_3_1_2_1","volume-title":"Mentalizing in clinical practice","author":"Allen J. 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