@article{ref1,
title="Patients with anorexia nervosa who self-injure: A phenomenological study",
journal="Perspectives in psychiatric care",
year="2014",
author="Verschueren, Suzanne and Berends, Tamara and Kool-Goudzwaard, Nienke and van Huigenbosch, Erwin and Gamel, Claudia and Dingemans, Alexandra and van Elburg, Annemarie and van Meijel, Berno",
volume="51",
number="1",
pages="63-70",
abstract="PURPOSE: This study investigates self-injury from the perspective of patients with anorexia nervosa. DESIGN AND METHODS: A phenomenological design was used. Twelve patients participated. Data were collected using a semi-structured interview guide. FINDINGS: Participants display self-injurious behavior predominantly in situations when they are forced to eat. They are terrified of gaining weight and use self-injurious behavior to cope with their anxiety. Self-injury is envisioned as a technique to regain control of their own eating pattern without bothering anyone. They feel shame for not controlling their emotions more constructively. PRACTICE IMPLICATIONS: Healthcare professionals should systematically observe signals and explore less harmful strategies that help to regulate overwhelming feelings.<p /> <p>Language: en</p>",
language="en",
issn="0031-5990",
doi="10.1111/ppc.12061",
url="http://dx.doi.org/10.1111/ppc.12061"
}