{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:02:54Z","timestamp":1790802174251,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      The aim of this study was to explore the nature of the relationship between the self and the eating disorder in individuals with a lifetime history of anorexia nervosa (\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative design was used, given the exploratory nature of the study and the need to gain rich and in\u2010depth data regarding the topic under investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Semi\u2010structured interviews were conducted with 11 women with a lifetime history of\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      . Interview transcripts were analysed using constructivist grounded theory methodology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A theoretical framework of the nature of the relationship between the self and\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      was developed, which included five related categories:\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      taking over the self,\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      protecting the self, sharing the self with\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      , being no one without\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      , and discovering the real me (accepting the fear).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Participants described a process of the self being taken over by\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      to the point where it was shared with the eating disorder. This led participants to fear being no one without\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      and to be unable to let go of the disorder, appreciating\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      's ability to protect the self. To recover from\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      , participants had to discover the real self, by accepting the fear of the unknown and separating the self from\n                      <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                      . The findings have important implications for the target of therapeutic interventions to improve recovery rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            The self is shared with the eating disorder in\n                            <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                            , and separating the self from\n                            <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                            is crucial to recover from the disorder.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Therapeutic interventions for\n                            <jats:styled-content style=\"fixed-case\">AN<\/jats:styled-content>\n                            need to target the enmeshed relationship between the self and the eating disorder, as opposed to focusing exclusively on weight and shape concerns.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12068","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T16:03:45Z","timestamp":1436889825000},"page":"211-228","source":"Crossref","is-referenced-by-count":53,"title":["Sense of self and anorexia nervosa: A grounded theory"],"prefix":"10.1111","volume":"89","author":[{"given":"Karen","family":"Williams","sequence":"first","affiliation":[{"name":"IMPACT Pain Service Stoke\u2010on\u2010Trent Partnership NHS Foundation Trust Haywood Hospital Stoke\u2010on\u2010Trent Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"King","sequence":"additional","affiliation":[{"name":"Eating Disorders Service 5 Boroughs Partnership NHS Foundation Trust Knowsley Resource &amp; Recovery Centre Whiston Hospital Merseyside UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R. 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