PMID- 29642775 OWN - NLM STAT- MEDLINE DCOM- 20200928 LR - 20200928 IS - 1049-7323 (Print) IS - 1049-7323 (Linking) VI - 29 IP - 4 DP - 2019 Mar TI - (Dis-)solving the Weight Problem in Binge-Eating Disorder: Systemic Insights From Three Treatment Contexts With Weight Stability, Weight Loss, and Weight Acceptance. PG - 597-608 LID - 10.1177/1049732318764874 [doi] AB - Binge-eating disorder (BED) is a severe eating disorder strongly associated with obesity. Treatments struggle to provide safe and effective ways of addressing weight in a BED context. This study explored a two-phased treatment for BED developed at a major out-patient eating disorder service in Denmark. The study used interviews and participant observations to gain insight into experiences and processes related to weight and body issues in three treatment contexts that addressed weight stability, weight acceptance, and weight loss. Using systems theory, the study proposed a relational weight problem that embeds feelings of non-acceptance due to weight, a merge of weight and identity, and an internalized body- and weight-critical gaze of others. Contrary to critical claims that weight acceptance discourages people with obesity from engaging in weight loss efforts, this study suggests that acceptance and a disentanglement of weight and identity are prerequisites for weight loss for this group. FAU - Meyer, Lene Bomholt AU - Meyer LB AUID- ORCID: 0000-0002-9546-155X AD - University of Southern Denmark, Odense, Denmark. AD - Capital Region of Denmark, Stolpegaard, Denmark. FAU - Waaddegaard, Mette AU - Waaddegaard M AD - Capital Region of Denmark, Stolpegaard, Denmark. FAU - Lau, Marianne Engelbrecht AU - Lau ME AD - Capital Region of Denmark, Stolpegaard, Denmark. FAU - Tjornhoj-Thomsen, Tine AU - Tjornhoj-Thomsen T AD - University of Southern Denmark, Odense, Denmark. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180411 PL - United States TA - Qual Health Res JT - Qualitative health research JID - 9202144 MH - Adult MH - Binge-Eating Disorder/*psychology/*therapy MH - *Body Image MH - Body Weight MH - *Body Weight Maintenance MH - Counseling MH - Denmark MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - Obesity/psychology MH - *Weight Loss MH - Young Adult OTO - NOTNLM OT - Europe OT - binge-eating disorder OT - body image OT - body therapy OT - interviews OT - obesity OT - overvaluation of weight and shape OT - participant observations OT - psychology OT - psychotherapy OT - qualitative OT - systems theory OT - weight loss OT - weight stigma EDAT- 2018/04/13 06:00 MHDA- 2020/09/29 06:00 CRDT- 2018/04/13 06:00 PHST- 2018/04/13 06:00 [pubmed] PHST- 2020/09/29 06:00 [medline] PHST- 2018/04/13 06:00 [entrez] AID - 10.1177/1049732318764874 [doi] PST - ppublish SO - Qual Health Res. 2019 Mar;29(4):597-608. doi: 10.1177/1049732318764874. Epub 2018 Apr 11.