1. The Role of Food in the Family Relationships of Adolescents With Anorexia Nervosa and Bulimia in Northeastern Brazil: A Qualitative Study Using Photo Elicitation
- Author
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Juniana de Almeida Mota Ramalho, Mayssa' El Husseini, Lucas Bloc, Julia Sursis Nobre Ferro Bucher-Maluschke, Marie Rose Moro, Jonathan Lachal, Unité Transversale de Recherche Psychogenèse et Psychopathologie (UTRPP), Université Paris 13 (UP13)-Université Sorbonne Paris Nord, Laboratoire Inter-universitaire de Psychologie : Personnalité, Cognition, Changement Social (LIP-PC2S), Université Savoie Mont Blanc (USMB [Université de Savoie] [Université de Chambéry])-Université Grenoble Alpes (UGA), Centre d'Histoire des Sociétés, des Sciences et des Conflits - UR UPJV 4289 (CHSSC), Université de Picardie Jules Verne (UPJV), Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Maison de Solenn [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Universidade de Fortaleza Endereço (UNIFOR ), Centro de Ensino Unificado de Brasília (UniCEUB), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Université de Versailles Saint-Quentin-en-Yvelines - UFR Sciences de la santé Simone Veil (UVSQ Santé), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), CHU Clermont-Ferrand, Université Clermont Auvergne (UCA), and DESSAIVRE, Louise
- Subjects
050103 clinical psychology ,photo elicitation ,family ,030309 nutrition & dietetics ,media_common.quotation_subject ,[SDV.MHEP.PSM] Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,Photo elicitation ,RC435-571 ,[SHS.PSY]Humanities and Social Sciences/Psychology ,bulimia nervosa ,anorexia nervosa ,Developmental psychology ,[SHS.PSY] Humanities and Social Sciences/Psychology ,03 medical and health sciences ,[SDV.MHEP.PED] Life Sciences [q-bio]/Human health and pathology/Pediatrics ,medicine ,0501 psychology and cognitive sciences ,Nuclear family ,Original Research ,media_common ,Psychiatry ,[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics ,0303 health sciences ,Interpretative phenomenological analysis ,Bulimia nervosa ,food ,05 social sciences ,digestive, oral, and skin physiology ,medicine.disease ,[SDV.AEN] Life Sciences [q-bio]/Food and Nutrition ,Psychiatry and Mental health ,Eating disorders ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Anorexia nervosa (differential diagnoses) ,[SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health ,adolescent ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Psychology ,[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition ,Autonomy ,Qualitative research - Abstract
International audience; Family components can play roles both as protective factors and maintenance mechanisms of eating disorders. We aimed to investigate the role of food in the family relationships of adolescents with anorexia nervosa and bulimia in northeastern Brazil. Using photo elicitation, a visual narrative method that gives insight into the participants' perspective through photograph, we conducted semi-structured interviews with 26 people: four teenage girls with anorexia, four with bulimia, eight mothers, four fathers, five grandmothers, and one sister. Data were analyzed using the principles of Interpretative Phenomenological Analysis, which highlighted the following themes: control of the parent-adolescent relationship through food; food as a mean of experiencing parental presence-absence; food as the focus of conflict in the nuclear family, and food as a source of three-generational conflict. Food seemed to be a means for teens and parents to express physical suffering and psychological violence. Moreover, mourning appeared to influence the girls' relationships with food. Conflict in these families is not focused solely on food, but extends to other subjects, and teenagers' emotional reactivity concerning their relationship with their parents and food during family mealtimes varied. These features reinforced the cultural aspect and influences of eating experiences among adolescent girls with eating disorders. Remarkable disparities exist in the generations' views on what rules and rituals these adolescents must follow at meals. These disparities can obfuscate generational boundaries in these families. Our data reinforce the need to focus on the adolescent's autonomy in the family setting and on family identity as related to food among three generations. These findings necessitate a reorganization of boundaries between these generations.
- Published
- 2021