{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:58:28Z","timestamp":1790884708903,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Externalisation is a therapeutic approach that separates the problem from the person, widely used in treating anorexia nervosa (AN) to help young people understand their illness and to collaborate with their families against the disorder. Whilst adult and clinician perspectives on externalisation are well documented, young people's experiences remain underexplored. This study addresses that gap, examining how young people experience AN in relation to their identity and the therapeutic use of externalisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Ten older adolescents and young adults (aged: 15\u201321) who had received treatment for AN or atypical AN as an adolescent, participated in semi\u2010structured interviews. Interviews were transcribed and recorded verbatim, then analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic analysis identified three key themes: \u201cIdentity fusion\u201d \u201cEmpowerment through externalisation\u201d and \u201cSustaining the battle.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that although young people may initially resist externalisation, viewing it as a threat to their identity, the technique helps them and their families better understand the illness, reducing feelings of blame and guilt. Over time, externalisation enables young people to reclaim their identity and redefine themselves beyond AN. The study highlights implications for clinical practice and future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70196","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T20:03:11Z","timestamp":1785182591000},"page":"1822-1829","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIt Was Something Outside of Me, Controlling Me\u201d: Young People's Perspectives on the Role of Externalisation in Recovery From Anorexia Nervosa"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-1274","authenticated-orcid":false,"given":"Alex","family":"Skolnick","sequence":"first","affiliation":[{"name":"Department of Psychology University of Surrey Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucinda J.","family":"Gledhill","sequence":"additional","affiliation":[{"name":"Maudsley Centre for Child and Adolescent Eating Disorders South London and Maudsley NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7535-2292","authenticated-orcid":false,"given":"Rosie","family":"Satherley","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Surrey Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2017.1308729"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcap.12173"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12248"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-8525.1995.tb00459.x"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2652"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10720537.2016.1251366"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00496-4"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465811000658"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-01087-9"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.newideapsych.2023.101060"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732314524029"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24144"},{"key":"e_1_2_16_16_1","unstructured":"Eating Disorders: Recognition and Treatment.2017. 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