{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:14:03Z","timestamp":1787015643224,"version":"build-2736575974"},"reference-count":5,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2025,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n In this text, the author\u2019s lived experiences as a youth with anorexia nervosa, anxiety, and depression are explored. Experiences with accessing North American health services, both in specialized eating disorder (ED) and disordered eating (DE) settings, as well as in healthcare more broadly are shared.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n This work seeks to shed light on a patient perspective in mental health and to draw attention to some of the ways that the current framings of EDs and DE within the biomedical system might perpetuate harm.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this piece, a collection of the author\u2019s lived\u2010experiences and interactions with the healthcare system are explored.<\/jats:p>\n <\/jats:sec>\n \n Findings<\/jats:title>\n The medical framing of EDs as a defect of both mind and body can jeopardize one\u2019s autonomy and contribute to a sense of hopelessness. As mental health treatment increasingly prioritizes evidence\u2010based approaches and standardized practices, there is a growing concern that this shift risks undermining the autonomy of those it aims to support. The dualistic conceptualizations of mental and physical health in ED\/DE treatment, at times, can cause harm, particularly for those who do not present with the physical manifestations of an ED\/DE but remain largely affected in day\u2010to\u2010day life.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n The imposition of rigid treatment regimens can inadvertently diminish personal agency, overshadowing the nuanced, individualized needs and preferences of patients. Lived experience narratives encompass the personal, subjective insights of individuals navigating mental health challenges, in turn, providing invaluable insight that conventional methods may overlook.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpm.13132","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T08:44:11Z","timestamp":1730450651000},"page":"482-486","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Loss of Autonomy in Eating Disorder Treatment: A Patient Perspective"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1244-6648","authenticated-orcid":false,"given":"Hannah","family":"Healey","sequence":"first","affiliation":[{"name":"Health and Rehabilitation Sciences Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ap.12171"},{"key":"e_1_2_11_3_1","volume-title":"\u2018Maybe I Really am Too Fat to Have an Eating Disorder\u2019: A Mixed Methods Study of Weight Stigma and Healthcare Experiences in a Diverse Sample of Patients With Atypical Anorexia","author":"Harrop E. N.","year":"2020"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2023.04.008"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22846"},{"issue":"3","key":"e_1_2_11_6_1","first-page":"197","article-title":"Food for Thought: A Dissonance Between Healthcare Utilization Costs and Research Funding for Eating Disorders in Canada","volume":"30","author":"Stone K. D.","year":"2021","journal-title":"Journal of the Canadian Academy of Child and Adolescent Psychiatry"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.13132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T17:40:52Z","timestamp":1741714852000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.13132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jpm.13132"],"URL":"https:\/\/doi.org\/10.1111\/jpm.13132","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}