|Title:||A Qualitative Analysis of the Family Meal in Family-Based Treatment for Anorexia Nervosa|
|Publisher:||University of Sydney|
Faculty of Science.
School of Psychology.
|Abstract:||A specific model of family-based treatment (FBT) is currently the leading therapeutic intervention for children and adolescents with anorexia nervosa. Recent research into FBT has focused on how the model works in an attempt to improve its efficacy. The family meal is an integral component of FBT, yet it is an area that is missing from the research. The overall aims of this thesis were 1) to critically evaluate the research evidence regarding the relationship between family mealtime interactions during childhood and adolescence and disordered eating, 2) to delineate the processes taking place during the family meal session, and 3) to determine whether there are different types of family meal session and if processes differ according to meal type. The research consisted of two studies. The first study was a systematic review that examined the relationship between family mealtime interactions and disordered eating during childhood and adolescence. Results demonstrated that families of children with disordered eating displayed less positive, more maladaptive interactions during mealtimes. This finding supports the use of family meals as a setting of intervention for disordered eating in children and adolescents. The second study was a qualitative study that examined the processes taking place during the family meal session. Thirty video-recorded family meal sessions from a randomised controlled trial were transcribed and analysed using thematic analysis. Qualitative analyses revealed two main types of family meal. In the first, the patient ate one mouthful more than they were prepared to. This meal type was characterised by processes that were consistent with the FBT model. In the second, the patient ate what was asked of them with little to no difficulty. This meal type was defined by processes that were mixed in terms of their consistency with the FBT model. Therapist and family avoidance differentiated the two meal types, with higher levels of avoidance observed in the second type of meal. Results suggest that strategies are needed to challenge patient, parent and therapist avoidance during the family meal. Overall, the research in this thesis represents the first step towards providing a comprehensive understanding of the family meal. In addition, it calls into question the theoretical tenets of current clinical practice and will hopefully it will inspire further research in this area.|
|Access Level:||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions:||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work:||Masters Thesis|
|Type of Publication:||Master of Science M.Sc.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
|godfrey_ke_thesis_pdf.pdf||MSc Thesis||8.31 MB||Adobe PDF|
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