Practitioners' perceptions of implementing psychotherapeutic weight loss groups in a culturally diverse, deprived area: working with differences.

We describe the implementation of psychotherapeutic weight loss groups involving an intuitive eating approach, carried out within a deprived area with a highly diverse population. Challenges to implementation were identified through thematic analysis of data from the group facilitators' reflexive practice meetings. These challenges included: attending to power processes related to culture and gender, respecting cultural norms around familial eating and ideal weight, acknowledging group participants' stress, and accommodating group participants' employment and caring responsibilities. We offer some practice recommendations, highlighting facilitators' adoption of the non-expert stance, and explicit acknowledgement of differences as well as commonalities. We argue for the need for sensitively tailored psychotherapeutic interventions for weight loss when working with differences among diverse populations in deprived areas. [ABSTRACT FROM AUTHOR]