OBJECTIVE Although self-compassion has been shown to facilitate eating disorder (ED) remission, significant barriers to acquiring this skill have been identified. This is particularly true for tertiary care populations, where ED behaviours provide a valued identity and readiness issues are highly salient. In this research, the voices and perspectives of patients who have recovered as well as those in later stages of tertiary care treatment were captured using qualitative methods. METHODS Seventeen individuals with a lengthy ED history (seven fully recovered, 10 currently in recovery-focused residential treatment) participated in audio recorded interviews. Using a visual timeline, participants described the development of their understanding of self-compassion, barriers to self-compassion and how these barriers were overcome. RESULTS Three processes were identified, reflecting different levels of readiness. Challenging my beliefs involved overcoming cognitive barriers to the concept of self-compassion (i.e. coming to see self-compassion as helpful), and set the stage for dealing with the world around me and rolling up my sleeves, which reflected preparatory (i.e. freeing oneself from difficult life circumstances) and active (i.e. having the courage to do the work) change efforts, respectively. CONCLUSIONS These findings may help patients embarking on tertiary care treatment to envision a roadmap of supportive processes and help clinicians tailor interventions to patient level of readiness for self-compassion.

中文翻译：

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在三级饮食失调治疗计划中练习自我同情的途径：定性分析。

目标 虽然自我同情已被证明有助于缓解进食障碍 (ED)，但已经确定了获得这种技能的重大障碍。对于三级护理人群尤其如此，其中 ED 行为提供了有价值的身份，准备问题非常突出。在这项研究中，使用定性方法捕捉了康复患者以及处于三级护理治疗后期的患者的声音和观点。方法 17 名 ED 病史较长的人（7 人完全康复，10 人目前正在接受以康复为重点的住院治疗）参加了录音采访。使用视觉时间线，参与者描述了他们对自我同情的理解、自我同情的障碍以及如何克服这些障碍。结果 确定了三个流程，反映了不同的准备程度。挑战我的信念涉及克服自我同情概念的认知障碍（即开始认为自我同情是有帮助的），并为与我周围的世界打交道和卷起袖子做好准备（即释放自己）从困难的生活环境中）和积极的（即有勇气去做工作）改变努力，分别。结论 这些发现可能有助于开始三级护理治疗的患者设想支持过程的路线图，并帮助临床医生根据患者自我同情的准备程度调整干预措施。e. 开始看到自我同情是有帮助的），并为与周围的世界打交道和卷起袖子做好准备，这反映了准备（即使自己摆脱困难的生活环境）和积极（即有勇气去做工作） ) 改变努力，分别。结论 这些发现可能有助于开始三级护理治疗的患者设想支持过程的路线图，并帮助临床医生根据患者自我同情的准备程度调整干预措施。e. 开始看到自我同情是有帮助的），并为与周围的世界打交道和卷起袖子做好准备，这反映了准备（即使自己摆脱困难的生活环境）和积极（即有勇气去做工作） ) 改变努力，分别。结论 这些发现可能有助于开始三级护理治疗的患者设想支持过程的路线图，并帮助临床医生根据患者自我同情的准备程度调整干预措施。