• A qualitative exploration into the impact that working as a nurse in a children's hospice has on one's thoughts and feelings surrounding personal mortality

      Gubi, Peter M.; Livesey, Catherine S. R. (University of Chester, 2014-11)
      This research study explores four nurse’s experiences of working in a children’s hospice and uncovers hospice experiences that contribute to personal mortality exploration. The study investigates how these experiences impact the nurses’ thoughts and feelings surrounding their comprehension of their own life and death. The study addresses if a counselling service would be viewed as a beneficial resource in supporting hospice nurses explore their mortality, and where appropriate, also offers recommendations for additional emotional support for nurses. The study is qualitative in nature and uses Interpretative Phenomenological Analysis (IPA) as its mode of inquiry and analysis. Following interviews, transcription took place before carrying out a detailed analysis of the data. The study revealed that the nurses hold extensive knowledge in their field of work and possess a considerable appreciation of their own mortality. However, there was a clear avoidance for most of the participants in discussing personal mortality in any significant emotional depth. A reoccurring link was discovered between being a children’s hospice nurse and the mortality of the nurses’ own children. This link proved to provoke the most significant emotional response within the nurses. Finally the research found that children’s hospice nurses would find a staff counselling service beneficial to support them in their role. The study concludes that further research into the link between children’s hospice nursing and personal mortality wishes would be helpful in creating a solid body of literature within this field. It is also suggested that research with hospice nurses who have been witness to what they perceive as ‘traumatic’ experiences and whom have engaged in counselling as a result of these traumas may be another area worthy of research.
    • A qualitative exploration of counsellors' experiences of working therapeutically with international students

      Wagg, Paul; Shannon, Elisabeth (University of Chester, 2014-11)
      In recent decades there has been a considerable increase in the number of international students enrolled in British universities, the greatest proportion originating from Asia. Despite the changing nature of the student population, there seems to be a scarcity of counselling research in this field, particularly from counsellors’ perspectives. The main focus of this research study is on counsellors’ experiences of working therapeutically with international students. It is a qualitative study which uses Interpretative Phenomenological Analysis (IPA) as its mode of inquiry and analysis. Data was collected via semi-structured interviews, with four counsellors from differing therapeutic orientations, all working in Higher Education Institutions (HEIs). Three super-ordinate themes and ten sub-ordinate themes emerged from the data which was collected and subsequently analysed. The findings indicate a number of issues, challenges and strategies which are corroborated by the literature on counselling international students. Although specific groups were perceived as being more challenging than others, the findings suggest that first and foremost international students are to be seen by counsellors as unique individuals, regardless of their nationality. In addition awareness of cultural difference, personal biases and knowledge of the students’ contexts were considered important. Academic risk, isolation and access to support systems were also identified by most participants as key elements when working therapeutically with international students. This study has highlighted the need for further research to be undertaken among counsellors who are actively involved in management endorsed initiatives aimed at responding more effectively to international students’ needs.
    • A qualitative exploration of grieving counsellors' monitoring of fitness to practice

      Mintz, Rita; Johnson, Pamela H. (University of Chester, 2011-11)
      This small-scale qualitative study explores grieving counsellors’ monitoring of their fitness to practise. The data was collected from seven co-researchers using semi-structured interviews and analysed using the constant comparative method. Analysis of the data suggests that grief experiences before counsellor training were formative in the development of the participants’ philosophical approach to life and loss. Following their loss all participants made a personal exploration of their fitness to practise prior to meeting with their supervisors. When the deaths were in old age and/or expected counsellors resumed practising within a month. Counselling during anticipatory grief was helpful as was practising following their losses and this is consistent with the Dual Process of Coping with Bereavement (Stroebe & Schut, 2001). Experiencing grief in practice appeared to have a positive impact on personal and professional development.
    • A qualitative exploration of risk perceptions, health beliefs and health behaviours in women with previous history of gestational diabetes

      Sharma, Manisha (University of Chester, 2015-11)
      Women with previous history of gestational diabetes (GD) remain at high risk of developing diabetes which can be delayed or avoided by adopting a healthy life style. Low risk perception has been recognised as a barrier to the adoption of positive health behaviour. The current qualitative study aimed to explore the risk perception and awareness of follow up screenings and life style changes amongst the women with a previous history of gestational diabetes, living in the Merseyside area. Seven women were recruited and qualitative data was collected using face to face interviews with the help of a semi-structured interview schedule which was voice-recorded and transcribed for thematic analysis. Eight major themes emerged as the result of data analysis. Five themes provided direct answers to the research questions while the others provided additional relevant information. The findings showed a low risk perception of developing diabetes in the future. Patients who knew about the risk believed that their risk of developing type 2 diabetes was no different from that of women with no history of GD. The study highlighted a significant contrast in antenatal and postnatal health behaviour. Women were consulted regarding the immediate effects of gestational diabetes on pregnancy and foetal health and as a result, patients followed the expected health behaviours. Whereas, GD was perceived as a temporary condition and participants were not fully convinced about the future health risk of developing diabetes. Participation in postpartum screening was high. However, participants were unaware of annual screening requirements as recommended by NICE guidelines and they were not offered any post delivery health intervention or counselling. This study warrants a need for developing a long term intervention programme which should include an early intervention to prevent initial shock and anxiety during pregnancy, and a long term follow up incorporating life style advice and a reminder for annual screening.
    • A qualitative exploration of the concept of dehumanisation as experienced by nurses within the context of information systems

      Keen, Adam (University of Liverpool (Chester College of Higher Education)Chester College of Higher Education, 2003)
      The aim of the presented research project was to begin an exploration of the concept of dehumanisation within the context of Information Systems (IS). Dehumanisation is presented as a high level concept that is normally associated with negative connotations. A qualitative survey is presented based on an interpretivist research paradigm. Analysis was based on the various strategies of grounded theory; this was limited to the application of microanalysis and axial coding. Data codes identified from microanalysis were collated into thirty-five sub-categories and grouped into eight abstract data categories. Links within and between the data categories were identified. The study found that nurses as a subset of IS users perceived IS and dehumanisation in a variety of ways. This has potentially far reaching consequences including a direct correlation to an increase in clinical risk. The study also identified IS as having a dehumanising effect, correlating well with the themes identified within the cognitive framework devised for interviews. Further secondary themes were identified as being associated with dehumanisation within the context of IS.
    • A qualitative exploration of the impact of person-centred counselling training on friendship

      Swinton, Valda; Hackland, Kathryn (University of Chester, 2013-10)
      This qualitative research is an exploration of the impact of person centred training on our important friendships. The data was gathered from four practicing person-centred counsellors using semi-structured interviews and subsequently analysed using Interpretive Phenomenological Analysis. Findings from the data showed that our friendships are impacted both negatively but largely positively by our training. Emerging themes include notions such as outgrowth and the collision of worlds as we try to integrate our changes into our lives. A major theme was that we become enriched by our new ways of relating and seek this out from all our friendships and that our friendship landscape necessarily changes as we consciously engage with the core conditions. These findings support other work in this area.
    • A qualitative exploration of the impact of personal development in counselling training on the student counsellor's significant relationships: Should counsellor training come with a stronger warning or more support?

      Le'Surf, Anne; Collins, Karen A. (University of Liverpool (University of Chester), 2008-11)
      A small scale qualitative research study set out to explore the impact of the personal development element of counsellor training on the student counsellors’ significant relationship. Six qualified counsellors shared their own experiences of training, and the impact it had on their relationships, in a semi-structured, one to one interview. The data gathered was subjected to a form of grounded theory. The study concluded that the personal development element does have an impact on students’ relationships; some survived and others ended. Whilst this was generally perceived by the participants as positive, the study found a number of factors, resulting from personal development in counselling training, which did contribute to various stresses being placed on the participants’ relationships.
    • A qualitative exploration of therapists’ experience of working therapeutically pre-trial within the Crown Prosecution Service guidelines with adult clients who have reported sexual violence

      Kiyimba, Nikki; Nixon, Madelyn A. (University of Chester, 2019-01-24)
      This research is one of the first qualitative studies to explore the lived experience of therapists who were working pre-trial, within the Crown Prosecution Service guidelines with adult clients who had reported sexual assault. The aim of the study was to obtain a detailed account of the therapists’ experience in order to acquire a deeper understanding of how the participants created meaning from their practice. Interpretive Phenomenological Analysis was chosen as an appropriate approach to analyse the data gathered. Semi-structured interviews took place with six therapists. Upon analysis five super-ordinate themes emerged which were, i) the differences between pre-trial therapy and generic therapy, ii) the psychological impact of working with this client group, iii) the complexity of the work, and competency of the therapists, iv) the dilemmas and conflicts inherent in the work, and v) an expression of a loss of faith in the Criminal Justice System. These findings illustrated the complexities that therapists are faced with when working with clients’ pre-trial. A discussion is provided relating to the extensive research that has been carried out since the Crown Prosecution Service (CPS) guidelines were written in 2001 into the fallibility of memory following a traumatic incident, and the developments that have taken place in therapeutic techniques. In light of recent research and developments in therapy, it is suggested that there is potentially an argument for the need for a review and update into the current CPS guidelines into the provision of therapy for vulnerable or intimidated adults prior to trial. It is also recommended that further research is needed into whether the fallibility of memory following a traumatic incident improves after the person has undertaken an appropriate evidence-based trauma-specific treatment, and the possible need for a central register of therapists that are qualified to offer pre-trial therapy.
    • A qualitative investigation into mitigating the impact of vicarious trauma on counsellors dealing with traumatic client material

      Parnell, Tony; Collins, Pamela S. (University of Chester, 2010-11)
      This qualitative research study investigates mitigating the impact of vicarious trauma on counsellors who have experience of working with traumatic client material. The data was gathered from six participants, using semi-structured interviews and analysed by the constant comparative method, an adapted form of grounded theory. Analysis of the data established that all participants had mitigated against the effects of vicarious trauma by adopting their own personal strategies to limit the effects of working with traumatic client material. A major theme to emerge was the ineffectiveness of supervision to meet the expectations of most participants. This challenges relevant research in this area. Other strategies identified were talking to others, writing and physical activity. All participants commented on how they could make a difference and this seemed to be a mitigating factor in itself.
    • A qualitative study of counsellors’ experience of compassion fatigue

      Mintz, Rita; Lowther, Marilyn L. (University of Chester, 2012-06)
      According to Figley (1995) there is a cost to caring and professional carers who listen to the traumatic accounts of others’ emotional pain and suffering may feel similar suffering. The purpose of this phenomenological qualitative research study is to explore counsellors’ experience of possible compassion fatigue. For the purpose of this investigation semi-structured interviews were conducted as a method of data collection. The constant comparative method was utilised to analyse the data. Findings reveal that despite the overlap, ambiguity and critique found between the terms and components all participants in this study experienced impact or signs that relate to aspects of the compassion fatigue spectrum. Six main categories were identified relating to the: impact, causes, supervision and support, training and continuing professional development, counsellor self-care, and finally issues that arose during counsellors’ reflection following the research interview. Counsellors experienced impact of behavioural, cognitive, emotional and somatic nature, having sense of doubt and issues related to attachment and detachment. Positive impact was experienced by counsellors relating to compassion satisfaction and personal growth. A variety and combination of perceived causes were identified. Positive and negative experiences of supervision and support and training and continuing professional development were experienced. Counsellors’ self-care included methods of distraction, balance and self awareness as being important for the prevention and amelioration of compassion fatigue. Upon reflection counsellors identified a number of significant issues including organisational responsibility for staff welfare, working conditions, employment and financial security.
    • A qualitative study of counsellors’ experiences and perceptions of the evolving political and professional environment

      Parnell, Tony; Mintz, Rita; Johnson, Geraldine (University of Chester, 2013-12)
      Since the early 1990s, the counsellor’s world has become increasing professionalised and politicised requiring counsellors to fulfill ever more increasing obligations and responsibilities in order to practice. Counsellors undergo extensive training, adopt ‘ethical frameworks for practice’, are insured for purpose, commit to regular supervision and undergo regular CPD. They often volunteer or work with marginalised clients from some of the hardest to reach communities. There is a huge demand for counselling, yet career prospects for counsellors are both bleak and at the mercy of government policy and national economics. Using the data from 8 semi-structured interviews, this qualitative, phenomenological research explored counsellors’ experiences and perceptions of the evolving political and professional climate. The data was transcribed and analysed using the constant comparative method and found counsellors entered training from a position of confidence believing themselves to be the right type of person for a career in counselling. However, the training process was difficult to manage, with many strands to the learning and they felt unsupported and overwhelmed. Counsellors had polarised experiences of placements, finding unprofessional practice in some placements, whilst others were reported to be very professional, exceptionally well run and emotionally supportive to them. Counsellors struggled to find paid employment, exacerbated by government’s massive funding of IAPT to the Health Service. They saw their own voluntary organisations lose funding, apply redundancy measures and reduce counsellor delivery hours. The government’s planned statutory regulation of counsellors and psychotherapists however, was viewed with optimism, anticipating that it would provide them the necessary validity to work professionally as a counsellor. The research offers the opportunity for a longitudinal study, to explore participants’ existing experience within the current political and professional climate. It also contributes to the body of research tracking the trajectory of the political and professional development of the counselling profession.
    • A qualitative study of counsellors’ personal experiences of alcoholism

      Mintz, Rita; Roberts, Tracey (University of Chester, 2011-11)
      This dissertation aimed to provide an understanding of the impact of alcoholism and how it has affected counsellors who are in recovery from alcoholism. The research also focused on how the participants’ lives are different today, being in recovery. This small scale qualitative phenomenological research study was undertaken using six semi-structured face to face interviews. Counsellors were asked about their experiences of alcoholism and recovery and what impact their experiences may have had on their decision to train as counsellors. The sample included three females and three males who had a minimum of five years of sobriety. Data were analysed using the constant comparative method. The findings from this research indicated a number of factors that contributed to the development of alcohol dependency, including a family history of alcoholism. The outcomes also highlighted the debilitating psychological, physical and social impact of alcoholism. The process of recovery, often preceded by a ‘spiritual awakening,’ reflected the joy of being in recovery and how participants’ lives are different today. Participants predominantly had a positive outlook on life. The findings of this research help to confirm that being in recovery from alcoholism had a major impact on the decision to become a counsellor and also was perceived as having a positive impact on the counsellors’ practice.
    • A qualitative study of men’s perceptions and attitudes towards weight management and weight management services

      Ellahi, Basma; Thorp, Paula (University of Chester, 2011-10)
      This study investigated men’s perceptions and attitudes to weight management and weight management services. A qualitative study design used one-to-one interviews to gain insight into the thoughts and feelings of the participants involved. A semi-structured topic guide was prepared to help guide the encounter. The interviews were tape recorded and transcribed verbatim. Framework analysis was used to make sense of themes that emerged. An article was circulated on the intranet at a single local government workplace in Chester in the north west of England inviting men to take part in the study. Eleven white British men aged between 27 and 59 years of age were recruited. The study found that weight management was viewed as important for health but the pursuit of a healthy body mass index was not a consideration for the majority of the men who set their own paramaters for a healthy weight. Appearance and image were important motivators but the men noted that there did not seem to be pressure to conform to a particular ideal. Being able to take part in sports or activity to maintain fitness were very important to the participants and this became a problem when injuries were sustained, especially recurring ones. Changing priorities along the lifecourse presented individuals with different challenges for managing their weight. An interesting concept raised was that maintaining one’s health through a diet and exercise regime was seen as ‘work’. The men viewed weight management as a personal responsibility and would not attend the health service for support unless it was associated with other symptoms. They viewed traditional weight management practices such as calorie counting and weighing oneself in public as being aimed at women and preferred to put the emphasis on physical activity rather than diet when managing their weight. Flexible and expert services were a key theme with the men seeking a personalised service that went beyond the general healthy eating and exercise messages in order to make it worth their while to attend. This study illustrates that a ‘one size fits all’ approach will not be sufficient if services are to attract and engage men in health behaviour change. Implications for practice are that weight management services should be accessible without the need for a health referral and offer a range of services to allow men to find the best fit for their lifestyle. They should make the most of current technology using the internet, mobile phone apps and other forms of communication. Services should be marketed creatively to remove the stigma from attending weight management services which are seen to be for women only. Whilst developing services for men practitioners should consider the differences in men and women’s attitudes to food and activity and tailor services accordingly. For example, focusing on body composition and fat loss rather than weight alone and consider using incentives in some settings. Three main areas for further research were identified. These were exploring further men’s views on appearance and body image because this was a strong motivator for weight management; the implications of long term injuries caused by exercising on men’s ability to manage their weight along the life course and the concept of health as work.
    • A qualitative study of the impact on the counsellor of engagement in long term empathic relationships with survivors of childhood sexual abuse

      Le'Surf, Anne; Watkin, Howard E. (University of Liverpool (University College Chester), 2004-10)
      This dissertation is a qualitative study of the impact on the counsellor of engagement in long term relationship with survivors of childhood sexual abuse. Five counsellors, experienced in working with adult survivors, were interviewed. Discussion focused on questioning their training and preparation for working with the particular needs of adult clients seriously damaged by traumatic child abuse; the counsellor's experiencing of long term empathic engagement; the quality and availability of supervision and other means of supporting the counsellor; the impact on counsellors exceeding their emotional and physical limitations; and changes caused by the nature of this work in the counsellor's perceptions of the world, their feelings, and the impact on their domestic, social and spiritual life. The study examines the particular nature of childhood abuse and the circumstances that arise working with survivors which may put the counsellor at risk. The results of the study indicate that careful preparation and appropriate training are required for counsellors who wish to be involved in this work, and that constant awareness of the potential dangers combined with self-care and experienced support will help the counsellor to avoid or lessen the risks involved.
    • A qualitative study to explore factors that influence the vocabulary used by Cancer Nurse Specialists in a District General Hospital

      Boothman, Helen C. (University of Chester, 2014-03)
      There are 1.6 million people living with a diagnosis of cancer. A plethora of reports and studies have demonstrated that effective communication between health professionals and patients forms the foundation for caring for people with cancer. Effective communication has been shown to reduce levels of depression and anxiety, improve levels of self-esteem and well-being, reduce psychological morbidity and increase survival. Despite this there are ongoing concerns regarding the language used by health professions and the impacts on people with cancer. The literature search reveals there is research available concerning the language used by professionals and the effect upon people with cancer however there does not appear to be any research on factors that have influenced the vocabulary and language used. The sample population consists of 14 CNS’s across a range of cancer specialities. All 14 CNS’s were invited to participate; the eight respondents form the study sample. The setting is a DGH in the North West of England. Qualitative data was collected via digitally recorded semi-structured interviews using an interview guide. The recordings were transcribed verbatim and analysed using the framework of Cohen, Kahn and Steeves. Four broad themes representing four key factors that influence CNS’s vocabulary emerged; people with cancer, personal, process and publicity. Each of the four themes encompasses sub themes. ‘People with cancer’ includes the vocabulary of people with cancer, non-verbal language, narrative and the influence of relatives. The ‘personal experience’ of the CNS includes level of experience in the role, knowledge of speciality, confidence, personal experience of cancer, reflection and listening and learning. The third theme ‘process’ includes themes concerning consultants, stage of the patient journey, training courses, cancer type, environment, terminology, policy and team working. The fourth theme ‘publicity’ includes the influence media awareness, the internet and literature. The study reveals multiple factors influence the vocabulary CNS’s in a DGH use when communicating with people with cancer. The study provides new insight into how CNS’s form and choose their vocabulary in response to the stimuli and influences of the people they care for and work with. The findings reveal new data on the interaction and interconnectedness of the experience, knowledge and confidence of the CNS and how these factors influence vocabulary and communications with people with cancer.
    • A quantitative and qualitative evaluation of a 10 week play touch rugby league programme for improving physical activity in adult men and women

      Ashton, Ruth (University of Chester, 2015-09)
      Government guidelines recommend all healthy adults (18-65 years) complete 150-minutes moderate-intensity aerobic activity weekly (Department of Health, 2011a; Department of Health, 2011b; Garber et al., 2011; Haskell et al., 2007; Nelson et al., 2007) with the aim of expending ~1000 k/cal to lower the risk of cardiovascular disease (CVD; Department of Health, 2011b; Garber et al., 2011). Team sport activity, when sustained for ~8-24-weeks, elicits changes in risk factors of CVD (Barene, Krustrup, Jackman, Brekke & Holtermann, 2014b; Krustrup et al., 2009; Mendham, Duffield, Marino & Coutts, 2014). The Government does not focus on recreational team sport, but physical activity (PA) as a whole, despite the potential of recreational team sports to promote health and reduce disease. Modified versions of team sports, such as walking football and Touch Rugby League, have emerged to encourage individuals to engage in PA. Numerous leagues have resulted from the Play Touch Rugby League (PTRL) initiative developed in 2013 by the Rugby Football League (RFL). Touch Rugby League is a modified version of Rugby League and is an intermittent team activity (Beaven, Highton, Thorpe, Knott & Twist, 2014). Touch allows players some degree off-pitch recovery however, it is dependent upon the context of the match. A Touch Rugby League match consists of 2 x 20 minute halves, with a single or mixed sex team of 6 players on the pitch at any given time. A tackle is made by touching the ball carrying player therefore reducing risks of repeated high-impact collisions. Accordingly the aim of this review is to provide an overview of modified versions of team sports and the benefits to be gained from participating.
    • A questionnaire survey to determine the effectiveness of the “Making a Difference” weight management programme on the lifestyle choices of the whole family unit

      Coogan, Aine (University of Chester, 2013-09)
      The health, social and economic implications of childhood obesity are well documented(Lobestein, Baur & Uauy, 2004). However, little effective action has been taken to address the childhood obesity epidemic. The global concern over the rising prevalence of overweight and obesity has been the focus of researchb and debate over the past three decades. Feasible and sustainable approaches to prevent further increases in childhood overweight and obesity, to date, have remained mostly elusive. Conversely, there is a consensus regarding the role of the living environment as a determinant of obesity. Recent research provides strong evidence of the importance of living environments as determinants of obesity (Rosenkranz & Dzewaltowski, 2008; Kumanyika, Parker & Sims, 2010). As a result, it is essential to explore and assess practical family based interventions that are effective to understand the parental influences that may contribute to the development of childhood obesity.
    • Reading between the blurred lines: A discussion into the representation of rape and rape culture in contemporary fiction

      Rees, Emma L. E.; Davies, Alice L. (University of Chester, 2013-09)
      In this dissertation, the focus will be on the representation of rape and rape culture within contemporary fiction; the aim of this is to discover how prevalent rape and rape culture is within this particular area. The thesis is split into three chapters, the first of which discusses the depictions of male rape and gender shifts in contemporary fiction, focusing on Lisbeth Salander as a rapist in The Girl with the Dragon Tattoo. The second chapter follows on from this, discussing the portrayal of victims of rape within contemporary fiction; and the last chapter debates whether or not a perpetuating rape culture means that women cannot be as sexually experimental as they wish to be. The aim of the dissertation is to focus on how authors depict rape, and whether or not this depiction is perpetuating rape culture, or simply addressing the issue within fiction. The introduction is a larger part of the dissertation, setting up exactly what rape and rape culture is, and how rape myths prevail in modern western society. There are certain areas that the dissertation has not addressed, such as race, because they are such complex issues that merely by giving them a single chapter within the dissertation would not be enough. The dissertation’s main purpose, and main area of focus, is to illustrate the perpetuating rape culture in western societies through gender inequality.
    • A realistic evaluation of an NHS community weight management programme

      Ellahi, Basma; Hogg, Samantha (University of ChesterNHS Ashton, Leigh and Wigan, 2010-11)
      The “Lose Weight, Feel Great” (LWFG) pathway was commissioned by NHS Ashton, Leigh & Wigan with the aim to reduce the rising tide of obesity within the Wigan Borough (Hogg et al. 2010). The Community Weight Management Programme (CWMP) is one of the services offered and involves dietary advice, physical activity sessions and methods for behavioural change. Approximately 35% of service users are successful at losing 5% or more of their initial body weight; however other service users are not as successful. The aim of this dissertation was to understand the context and mechanisms which may facilitate or impede success. Method: Following a framework of Realistic Evaluation (Pawson & Tilley, 1997), 25 semi-structured telephone interviews where undertaken with people who had previously accessed CWMP. The interviews where transcribed verbatim and then analysed using Thematic Analysis to identify common themes (Howitt & Cramer, 2007). Findings: Seven Themes emerged from the interviews. Four themes related to mechanisms of CWMP, two themes related to contexts surrounding CWMP and one theme related to outcomes from CWMP. Mechanisms involved: group sessions; Slimming World consultant & Wigan Leisure Culture Trust activity officers; physical activity sessions; the Slimming World Eating Plans. Contexts involved: the Healthy Foundations Segmentation Model; motivation & Readiness to Change. Outcome: Change in Lifestyle. Conclusion: Changes could be made to CWMP, such as increasing the number of free sessions, offer other LWFG services if CWMP does not appear to be appropriate, and provide more extensive information during the induction sessions. However, it is also important to take into account people’s motivation to change, the segment that they may fit into and that changes to lifestyle are not just limited to the service users, but also family members. Changes to the programme will improve success rate and ensure that resources are used effectively.
    • Recovery is a constant battle: Online exploration of sufferers' perspectives on anorexia and bulimia

      Sorfova, E. (University of Chester, 2016)
      Research into the problem of anorexia nervosa (AN) and bulimia nervosa (BN) has previously focused predominantly on perspectives of these eating disorders from an external point of view. The subjective experiences of AN or BN sufferers, however, have not been sufficiently explored. Experiences, shared online, provide a rich source of data to provide a comprehensive understanding of eating disorders and their treatment. This study provides an insight into how individuals with AN/BN make sense of their eating disorder in the online world. Data were collected retrospectively from three online pro-recovery forums. Thematic Analysis revealed three inter-related themes: Paradox of control, Challenges, and Ambivalence, all of which describe the lives of individuals with eating disorder (ED), and demonstrate how they made sense of their eating disorder. Moreover, this study further shows differences between individuals with AN and BN that occurred within the key themes. Implications of the findings for clinical practice are discussed.