An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma

Abstract Background Current research on the transmission of trauma and eating disorders across generations is limited. However, quantitative studies suggest that the influence of parents’ and grandparents’ eating disorders and their prior exposure to trauma are associated with the development of eat...

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Main Authors: Jennifer Barry, John O’Connor, Harriet Parsons
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-024-01177-8
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author Jennifer Barry
John O’Connor
Harriet Parsons
author_facet Jennifer Barry
John O’Connor
Harriet Parsons
author_sort Jennifer Barry
collection DOAJ
description Abstract Background Current research on the transmission of trauma and eating disorders across generations is limited. However, quantitative studies suggest that the influence of parents’ and grandparents’ eating disorders and their prior exposure to trauma are associated with the development of eating disorders in future generations. Qualitative research exploring personal accounts of the impact of transgenerational trauma on the development of eating disorders has been largely unexplored. The aim of the current qualitative study was to explore the meaning that participants ascribed to their eating disorders in the context of transgenerational trauma across three generations. Methods Six adult female participants who had received a diagnosis of anorexia nervosa and/or bulimia nervosa completed multiple unstructured interviews, informed by a psychoanalytical methodology. Results Four themes were developed from the material that emerged from the interviews: (1) The toll of undigested emotions (2), A need for safety (3), “It’s not just me” – making connections with the past, and (4) “Last link” in the chain? Conclusions The themes were discussed in respect of previous literature, with a particular emphasis on Gerson’s concept of the dead third, which emphasises an unconscious compulsion to repeat unprocessed transgenerational traumas. Clinical implications of the research underscores the importance of a holistic approach to the treatment of eating disorders, recognising both individual and familial traumas within the family system. Moreover, the research demonstrates the significant impact that mental health clinicians can have in eating disorder treatment by fostering a supportive, safe and trusting therapeutic relationship.
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spelling doaj-art-2b6aa0cfb9484cecad46b92253a1e6452025-01-26T12:09:56ZengBMCJournal of Eating Disorders2050-29742025-01-0113111610.1186/s40337-024-01177-8An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational traumaJennifer Barry0John O’Connor1Harriet Parsons2School of Psychology, Trinity College DublinSchool of Psychology, Trinity College DublinBodywhys - The Eating Disorders Association of IrelandAbstract Background Current research on the transmission of trauma and eating disorders across generations is limited. However, quantitative studies suggest that the influence of parents’ and grandparents’ eating disorders and their prior exposure to trauma are associated with the development of eating disorders in future generations. Qualitative research exploring personal accounts of the impact of transgenerational trauma on the development of eating disorders has been largely unexplored. The aim of the current qualitative study was to explore the meaning that participants ascribed to their eating disorders in the context of transgenerational trauma across three generations. Methods Six adult female participants who had received a diagnosis of anorexia nervosa and/or bulimia nervosa completed multiple unstructured interviews, informed by a psychoanalytical methodology. Results Four themes were developed from the material that emerged from the interviews: (1) The toll of undigested emotions (2), A need for safety (3), “It’s not just me” – making connections with the past, and (4) “Last link” in the chain? Conclusions The themes were discussed in respect of previous literature, with a particular emphasis on Gerson’s concept of the dead third, which emphasises an unconscious compulsion to repeat unprocessed transgenerational traumas. Clinical implications of the research underscores the importance of a holistic approach to the treatment of eating disorders, recognising both individual and familial traumas within the family system. Moreover, the research demonstrates the significant impact that mental health clinicians can have in eating disorder treatment by fostering a supportive, safe and trusting therapeutic relationship.https://doi.org/10.1186/s40337-024-01177-8Transgenerational traumaEating disordersAdultsLived experienceQualitative research
spellingShingle Jennifer Barry
John O’Connor
Harriet Parsons
An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
Journal of Eating Disorders
Transgenerational trauma
Eating disorders
Adults
Lived experience
Qualitative research
title An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
title_full An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
title_fullStr An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
title_full_unstemmed An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
title_short An (un)answered cry for help: a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
title_sort un answered cry for help a qualitative study exploring the subjective meaning of eating disorders in the context of transgenerational trauma
topic Transgenerational trauma
Eating disorders
Adults
Lived experience
Qualitative research
url https://doi.org/10.1186/s40337-024-01177-8
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