From failed fixes to feeling seen: client and clinician experiences of temperament-informed schema therapy for binge eating disorder.
ObjectiveMethodResultsConclusions\nKEY POINTSThis exploratory qualitative study examined how clients and clinicians experienced a temperament‑informed schema therapy intervention for binge eating disorder (ST-BED-TI), with particular attention to perceived change processes and contextual factors sha...
| Publicado en: | Clinical Psychologist pp. 1 - 17 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=197260061&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 197260061 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13284207 V1U jtl: Clinical Psychologist issn: 13284207 maglogo: Y pubinfo: dt: Sep2026 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 197260061 10.1080/13284207.2026.2733231 197260061 ppf: 1 ppct: 16 formats: tig: atl: From failed fixes to feeling seen: client and clinician experiences of temperament-informed schema therapy for binge eating disorder. aug: au: Joshua, Phoebe R. Simpson, Susan Lewis, Vivienne Kelty, Sally F. affil: University of Canberra sug: ab: ObjectiveMethodResultsConclusions\nKEY POINTSThis exploratory qualitative study examined how clients and clinicians experienced a temperament‑informed schema therapy intervention for binge eating disorder (ST-BED-TI), with particular attention to perceived change processes and contextual factors shaping treatment experience in a small subgroup of chronic, complex presentations.Semi‑structured interviews were conducted with three adult women with longstanding, clinically complex binge eating disorder (BED) who received 25–35 sessions of outpatient ST-BED-TI, and four clinical psychologists who delivered the intervention. Interviews were conducted online, transcribed verbatim, and analysed using reflexive thematic analysis. This trial was pre-registered on the Australian New Zealand Clinical Trials Register (ID: ACTRN12623001259639).Three overarching themes with eight subthemes were generated. Participants described moving from symptom‑focused “failed fixes” experienced as unhelpful, invalidating or insufficient towards feeling deeply understood within a formulation that reconceptualised binge eating as a survival‑based coping mode. Corrective attachment experiences, inner child work, grief for unmet childhood needs, and interoceptive awareness were described as central therapeutic processes to reducing binge eating. Trauma‑informed and neuro‑affirming flexibility, a strong therapeutic alliance, and sufficient time emerged as key facilitating factors for change.Findings suggest that ST-BED-TI may provide a relational, developmental, and embodied adaptation to unmet needs in longstanding and complex BED presentations. ST-BED-TI may be a useful treatment pathway for these populations by prioritising attachment repair, embodied safety, and neurodiversity‑sensitive flexibility. Interpretation should remain cautious given the small sample of treatment recipients and a lack of systematic neurodivergence assessment.What is already known about this topic: (1) Binge eating disorder (BED) is one of the most prevalent eating disorders globally, causing significant psychological distress, impaired functioning, and high rates of psychiatric comorbidity.(2) BED populations often experience trauma exposure and neurodivergence, with many reporting early emotional neglect, parentification, and insecure attachment, alongside difficulties identifying and tolerating internal states.(3) While cognitive behavioural therapy and behavioural interventions are effective for many, some individuals with adverse childhood experiences, neurodivergence, and other comorbidities may not achieve remission.(1) Binge eating disorder (BED) is one of the most prevalent eating disorders globally, causing significant psychological distress, impaired functioning, and high rates of psychiatric comorbidity.(2) BED populations often experience trauma exposure and neurodivergence, with many reporting early emotional neglect, parentification, and insecure attachment, alongside difficulties identifying and tolerating internal states.(3) While cognitive behavioural therapy and behavioural interventions are effective for many, some individuals with adverse childhood experiences, neurodivergence, and other comorbidities may not achieve remission.What this study adds: (1) This study explored the experiences of three adults with long‑term BED who received a temperament‑informed schema therapy treatment and four psychologists who delivered the temperament‑informed schema therapy treatment.(2) The therapy understood binge eating as a survival coping strategy linked to unmet emotional needs from early life.(3) Clients and therapists reported that feeling genuinely understood, healing early attachment wounds, and learning to trust body signals were key to reducing binges.(1) This study explored the experiences of three adults with long‑term BED who received a temperament‑informed schema therapy treatment and four psychologists who delivered the temperament‑informed schema therapy treatment.(2) The therapy understood binge eating as a survival coping strategy linked to unmet emotional needs from early life.(3) Clients and therapists reported that feeling genuinely understood, healing early attachment wounds, and learning to trust body signals were key to reducing binges. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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