Andrea LaMarre

Background: Early intervention (EI) for eating disorders (EDs) has been recognised as important for interrupting the onset of ED symptoms and improving outcomes. Despite growing evidence for EI models of service delivery in community‐based settings, there is limited clarity on which specific interventions might best suit young people in these contexts. In this rapid review, we aimed to identify and explore the evidence for programme‐led and focused interventions applicable to an EI service delivery model for youth with EDs in community‐based settings.Methods: A systematic search was conducted in MEDLINE, Web of Science, and PsycINFO databases, focusing on interventions that maximise the use of resources, namely guided self‐help and group approaches, for individuals under age 30. Studies were screened for eligibility based on intervention brevity (12 sessions or fewer) and relevance to EI models.Results: Findings indicated that while many interventions reduced ED symptoms, few were explicitly designed for EI. Notably, interventions are skewed towards young adult populations, with fewer interventions addressing paediatric needs. Further, the strength of evidence for interventions varied, with many articles reporting on studies with small sample sizes or results illustrating non‐superiority to comparison or control.Conclusion: This review highlights the need for further research on programme‐led and focused interventions tailored to EI, particularly for younger populations, to build an evidence base and improve early‐stage ED treatment options in resource‐limited community‐based settings.

Type 2 Diabetes is highly prevalent across Aotearoa New Zealand, and South Asian people have a disproportionately high burden of disease. This research aimed to improve understanding of South Asian Muslim people's experiences navigating New Zealand's diabetes healthcare to promote cultural responsiveness and equitable outcomes. We conducted semi-structured interviews with 10 South Asian Muslim individuals with Type 2 Diabetes. Interviews explored how participants made sense of their diabetes in relational and cultural contexts, and the healthcare barriers and facilitators they experienced. Reflexive thematic analysis was used to develop themes from the interview transcripts. Three key themes were developed: the feeling, managing, and reflecting on diabetes worry in relational contexts; the cultural and relational challenges of enacting self-control and discipline; and how diabetes is a family experience, for better or for worse. These themes illustrated the multifaceted relational dynamics of navigating diabetes healthcare. Several avenues to consider for developing culturally sensitive diabetes care were suggested. This included: practitioners exploring dynamics of worry, shame and self-blame, building upon family supports, supporting reducing family-facilitated health barriers, addressing power dynamics which facilitate institutional distrust, and funding culturally appropriate, accessible community health interventions.

Eating disorders (EDs) are complex, multifaceted conditions that significantly impact quality-of-life, often co-occur with multiple medical and psychiatric diagnoses, and are associated with a high risk of medical sequelae and mortality. Fortunately, many people recover even after decades of illness, although there are different conceptualisations of recovery and understandings of how recovery is experienced. Differences in these conceptualisations influence categorisations of ED experiences (e.g., longstanding vs. short-duration EDs), prognoses, recommended treatment pathways, and research into treatment outcomes. Within recent years, the proposal of a ‘terminal’ illness stage for a subset of individuals with anorexia nervosa and arguments for the prescription of end-of-life pathways for such individuals has ignited debate. Semantic choices are influential in ED care, and it is critical to consider how conceptualisations of illness and recovery and power dynamics influence outcomes and the ED ‘staging’ discourse. Conceptually, ‘terminality’ interrelates with understandings of recovery, efficacy of available treatments, iatrogenic harm, and complex co-occurring diagnoses, as well as the functions of an individual’s eating disorder, and the personal and symbolic meanings an individual may hold regarding suffering, self-starvation, death, health and life. Our authorship represents a wide range of lived and living experiences of EDs, treatment, and recovery, ranging from longstanding and severe EDs that may meet descriptors of a ‘terminal’ ED to a variety of definitions of ‘recovery’. Our experiences have given rise to a shared motivation to analyse how existing discourses of terminality and recovery, as found in existing research literature and policy, may shape the conceptualisations, beliefs, and actions of individuals with EDs and the healthcare systems that seek to serve them.

Care has been theorised in relationship to eating disorders as a central consideration across diagnoses. In the context of avoidant restrictive food intake disorder (ARFID) specifically, there is room to further develop the nuances around layers of care involved in working towards well-being. In this paper, we engage with the stories of 14 caregivers of people with ARFID, exploring their pathways to care (or lack thereof) through the healthcare system in Aotearoa New Zealand. We explore the material, affective and relational aspects of care and care-seeking, engaging with the power and politics of care as it flows through care-seeking assemblages. Using postqualitative methods of analysis, we discuss how while participants were seeking care, they received (or, at times, did not receive)treatment, and unpack how care and treatment are not always synonymous. We work up extracts from parents’ stories surrounding their caring for their children and how their actions were, at times, interpreted in ways that made them feel blame and shame rather than care. Participants’ stories also offer glimmers of care within a resource-strapped healthcare system, which invite us to consider the potentiality of a relational ethics of care as an assemblage-shifting moment.

What would it look like to honour differences in eating disorder recovery? Recoveries from eating disorders and eating distress are enacted in relation to discursive, material, and affective flows that open and constrain different possibilities for differently embodied people. Yet, the pull toward establishing consensus on “what recovery is” continues to dominate the landscape of both qualitative and quantitative eating disorder recovery work. While researchers from a variety of perspectives, disciplines, and methodological traditions have sought to establish consensus on what recovery “is”, a singular definition remains elusive. Indeed, when researchers continue to adopt the same methodologies—which largely emphasize establishing patterns of sameness—the opportunity to dig into contradictions and tensions that enliven recoveries is missed. In this paper, we reflect on our experiences conducting creative, collaborative, generative research to re-write, re-design, re-draw, and otherwise re-imagine recoveries. The knowledge generated in our research is co-constructed with people with living experience of disordered/distressed eating/eating disorders who spoke back to mainstream recovery discourses (e.g., the idea that recovery is about perfection, that recovery is linear, that one is either recovered or not, that the word “recovered” encapsulates the experience, etc.). We engaged with 12 participants: four in an online group workshop and eight in individual online sessions. Participants held a variety of experiences and backgrounds from Canada, the United States, and Aotearoa New Zealand. We explored their journeys into this conversation with us, the meaning of recovery, and their thoughts on what makes recovery im/possible. Participants were offered several options for creative engagement and took up the idea of “creativity” in ways as different as the stories they shared. Participants created collages, short stories, poems, drawings, and told stories about their experiences. Here, we discuss methodological insights gained from asking participants to lead the creative process. We also explore how this project potentially enables different ways of thinking about and doing eating disorder recovery. Delving into the differences in both method and content opens up opportunities to take seriously the different relational, material, and affective constellations of participants’ living experiences of eating distress/disorder “recovery”.

Engaging with the encounters and interactions people have on social media opens the opportunity to think differently about eating disorder (ED) recoveries. We used narrative thematic analysis to explore the experiences of eight participants who regularly use Instagram and who are in recovery from EDs. Our analyses illustrate how participants engaged with Instagram in an active and agentic way, navigating discourses about EDs including who is impacted by EDs and who has access to ED recovery. Participants’ stories illustrate how engaging with Instagram in recovery sometimes meant disengaging from content that was not helpful in their lives and recoveries. They discussed the agency of algorithms and how unexpected content could derail them from using Instagram for connection and community. Participants’ stories also demonstrate how healthist discourses infuse social media content ostensibly about recovery in a way that requires the user to be active in moderating the content they engage with. Grounding our conclusions in work on healthism and biopedagogies, we encourage a systemic approach that focuses on what shifts might be made to reduce the need for people in recovery to be hypervigilant about the content they consume in recovery. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/doi/suppl/10.1177/03616843231166378 .

The ballet institution is known for its aesthetic and performative standards. In professional dancers’ everyday lives, self-improvement and body awareness entwine with striving for artistic excelle...