A proportion of individuals given an eating disorder diagnosis describe the experience of an eating disorder ‘voice’ (EDV). However, methods for working with this experience are currently lacking. Voice Dialogue (Stone & Stone, 1989) involves direct communication between a facilitator and parts of the self to increase awareness, understanding, and separation from inner voices. Adapted forms of this method have shown promise in working with voices in psychosis. This study aimed to explore the experience and acceptability of Voice Dialogue amongst individuals with anorexia nervosa who experience an EDV. Nine women participated in a semistructured interview following a single Voice Dialogue session. Interview transcripts were analysed using interpretative phenomenological analysis (IPA). Three overarching themes were identified as follows: (i) “separating from the EDV”; (ii) “better understanding of the EDV”; and (iii) “hopeful, motivated, and afraid of recovery”. The majority of participants found Voice Dialogue acceptable and helpful for exploring their EDV. Whilst preliminary, the results suggest that Voice Dialogue has potential in terms of helping individuals establish a more constructive relationship with their EDV and motivating change. Further research is needed to build upon these findings. Implications for addressing the EDV using voice-focused interventions are explored.

中文翻译：

---

采访厌食症：被诊断为神经性厌食症的人如何体验与饮食失调声音的语音对话？定性分析

一部分被诊断为饮食失调的人描述了饮食失调“声音”（EDV）的经历。然而，目前缺乏处理这种经验的方法。语音对话 (Stone & Stone, 1989) 涉及引导者与自我的一部分之间的直接沟通，以提高意识、理解和与内心声音的分离。这种方法的改编形式在处理精神病的声音方面显示出了希望。本研究旨在探讨在经历过 EDV 的神经性厌食症患者中语音对话的体验和可接受性。在一次语音对话会议之后，九名女性参加了半结构化访谈。使用解释性现象学分析（IPA）分析采访记录。确定了三个总体主题如下：(i) “与 EDV 分离”；(ii) “更好地理解 EDV”；(iii) “有希望、有动力并害怕康复”。大多数参与者认为语音对话可以接受并且有助于探索他们的 EDV。虽然初步结果表明，语音对话在帮助个人与他们的 EDV 建立更具建设性的关系和激励变革方面具有潜力。需要进一步研究以建立在这些发现的基础上。探讨了使用以语音为重点的干预措施解决 EDV 的影响。结果表明，语音对话在帮助个人与他们的 EDV 建立更具建设性的关系和激励变革方面具有潜力。需要进一步研究以建立在这些发现的基础上。探讨了使用以语音为重点的干预措施解决 EDV 的影响。结果表明，语音对话在帮助个人与他们的 EDV 建立更具建设性的关系和激励变革方面具有潜力。需要进一步研究以建立在这些发现的基础上。探讨了使用以语音为重点的干预措施解决 EDV 的影响。