Trust has been seen as a lynchpin of therapeutic relationships. Yet due to perceptions that anorexia is one of the most difficult illnesses to treat and that patients are “treatment resistant”, achieving trust between patient and treatment provider may be challenging. This article draws on qualitative data from 14 semi-structured interviews with women who have experience of inpatient treatment for anorexia in order to analyse how trust and distrust figured in treatment contexts. In so doing, the article draws upon feminist approaches which are critical of conceptions of the “devious” “anorexic” and of the clinical discourses within which these constructions are produced. Our analysis suggests a lack of trust shown toward patients in inpatient contexts – particularly a disqualification of “voice” – which has a number of consequences for participants’ subjectivities, including the erosion of self-esteem; demotivation; dropping out/termination of treatment; and triggering experiences of trauma. As such, our analysis raises serious questions about what participants described as routine treatment practices in inpatient treatment for anorexia, and about the serious consequences of constructing “anorexics” as manipulative and untrustworthy.

信任已被视为治疗关系的关键。然而，由于人们认为厌食症是最难治疗的疾病之一，并且患者具有“治疗抗性”，因此在患者与治疗提供者之间建立信任可能是具有挑战性的。本文利用对有住院厌食症治疗经验的女性进行的14次半结构化访谈的定性数据，以分析在治疗环境中如何信任和不信任。这样做，本文借鉴了女权主义的方法，这些方法对“曲折的”，“厌食症”的概念以及产生这些结构的临床论述都持批评态度。我们的分析表明，患者在住院期间缺乏信任，特别是丧失了“声音”资格，这对参与者的主观性产生了许多后果，包括自尊的削弱；动力 退出/终止治疗；并引发创伤经历。因此，我们的分析提出了一个严重的问题，即参与者在厌食症的住院治疗中将其描述为常规治疗方法，以及将“厌食症”建设为操纵性和不可信任的严重后果。