研究生: |
李御儂 Yunung Lee |
---|---|
論文名稱: |
台灣厭食症女性之復原經驗:多個案研究 Taiwanese Women’s Experiences in Recovery from Anorexia Nervosa: A Multiple-Case Study |
指導教授: |
陳秉華
Chen, Ping-Wha |
學位類別: |
碩士 Master |
系所名稱: |
教育心理與輔導學系 Department of Educational Psychology and Counseling |
論文出版年: | 2016 |
畢業學年度: | 104 |
語文別: | 英文 |
論文頁數: | 209 |
中文關鍵詞: | 神經性厭食症 、雙向性 、跨文化心理學 、飲食疾患 、人類發展之生態模式 、家庭動力 、本土心理學 、多個案研究 、復原 、西方文化涵化 |
英文關鍵詞: | anorexia nervosa (AN), bidirectionality, cross-culture psychology, eating disorder, ecological model of human development, family dynamics, indigenous psychology, multiple case study, recovery, western acculturation |
DOI URL: | https://doi.org/10.6345/NTNU202204309 |
論文種類: | 學術論文 |
相關次數: | 點閱:353 下載:0 |
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在台灣,學界與實務界對厭食症的理解,相當受西方個人主義與後實證典範之醫療觀點所限,而缺乏對本土文化背景之敏感度。本研究意在理解:台灣女性厭食症案主在當代華人社會文化脈絡下的 1)主觀復原經驗、2)對自身罹病與復原經驗之理解。本研究採用Bronfenbrenner的人類發展之生態模式為主要理論視框,輔以華人本土心理學、跨文化心理學之重要理論概念為資料分析參照。
本研究採多個案研究法,依照研究參與者所能提供之復原經驗豐富程度,一共探究三名女性厭食症復原者之生活/生命經驗。三名研究參與者各自經歷不同之厭食症亞型、罹病時間長短不一、研究進行當下亦處於不同復原階段,以求提升研究結果之多元性與全面性,本研究依循個案研究法蒐集多元形式的質性資料,以豐厚研究所能呈現之參與者經驗,資料來源有:半結構回溯式深度訪談、受訪者復原期間所紀錄之個人生活札記、飲食日誌、圖像創作等;所有非語言資料,皆由參與者在訪談過程中描述解說,化為可分析之文字資料。資料分析過程如下:三位受訪者的經驗先被視為三個各自獨立的單一個案來分析,接著進行跨個案間比較分析。資料分析法採主題分析,首先,依人類發展之生態理論為模型,用演繹式(上而下)分析法將所有原始資料略分類於不同生態系統層次;再者,以歸納式(下而上)分析法,辨識出三位參與者在各層系統中的顯著主題;最後,比對與對比三位參與者之間相似與殊異之主題。
跨個案分析結果揭示12項三位受訪者共享之顯著主題:個人層次有「人格特質乃雙面刃」、「自助」;微系統層次有「厭食症的發展和復原與家庭動力有關」、「關係上的支持」、「專業協助與治療關係」;宏觀系統層次有「西方文化涵化與厭食症及復原」、「華人文化價值觀念對厭食與復原的影響」、「社會價值觀與厭食症之間的雙向性」;受訪者對厭食與復原之理解有「賦予復原經驗正面意義」、「個人復原經驗乃獨一無二」、「復原乃一系統性、多面向、整體性的轉化與蛻變」、「復原是連續性的歷程,並有其進程與階段性」。
本研究發現:厭食症復原乃當事人與所身處的脈絡之間的互動歷程,當事人的復原經驗在特定系統層次內、跨系統層次間,持續交互作用與共同建構。研究結果亦指出:當事人的復原經驗與當代台灣社會文化歷史脈絡 (如:西方涵化;關係主義社會強調和諧、家族、面子等;心理疾病之汙名化;成長中的心理衛生專業等) 密切相關。
本研究結果提供本土厭食症臨床工作與研究,一有別於現行西方個人主義心理學與後實證醫療取徑之替代性觀點。研究結果可用於:1) 台灣心理衛生專業人員對主流厭食症理論與處遇模式之反思;2) 賦能女性厭食者解構主流社會所認定之「女性特質」,拾回復原之主體性;3) 協助研究者與實務工作者發展對當代台灣厭食症案主與案家,較具文化適切性與敏感度之處遇模式。
In Taiwan, understandings surrounding Anorexia are primarily limited to the western psycho-medical perspectives, which are based on a both European individualism and post-positivism paradigm. The current study takes a context-informed and culturally-sensitive perspective in order to comprehend women’s subjective experiences and sense-making during recovery from anorexia in contemporary Taiwan. Bronfenbrenner’s ecological model of human development served as the primary theoretical framework and theories and constructs derived from Chinese indigenous psychology and cross-culture psychology were drawn on as conceptual and analytical references.
This study followed a multiple case study design where three women, subject to different subtypes of anorexia for various lengths of time and at different stages of recovery, were selected due to the information richness of their experiences. Multiple forms of data were collected from retrospective in-depth semi-structural interviews, journal entries, eating diaries, pictorial records, which were made during recovery. Each participant’s experiences were treated as a single case followed by cross-case comparisons and contrasts. Data were analyzed using a mixture of inductive and deductive thematic analysis, within each case, to identify salient themes in each ecological system. Afterward, salient themes across all three cases were recorded as well as those distinctive to any of them.
Cross-case analysis revealed 12 merged themes: personality traits as a double edged sword and self-help within the individual system, anorexia and recovery associated with family dynamics, relational supports, professional help and therapeutic relationship on the micro-system, anorexia and recovery under western acculturation, Chinese cultural values/constructs interrelated with anorexia and recovery, and bidirectional influences between societal values and anorexia on the macro-system; positive meaning making of recovery, recovery is idiographic in its nature, recovery entailed systemic, multifaceted, and integral transformations, recovery is progressive and stage-like with regard to sense-making of recovery.
Overall, findings suggested the interactive nature of anorexia recovery as a reciprocal process between persons and their contexts, within and among various ecological systems. Results also indicated participants’ experiences were related to the specific social, cultural, and historical contexts associated with Taiwan (e.g., western acculturation, emphasis of a relational society on harmony, family, face, stigmatization of the mentally ill, and mental health profession maturity).
This research provides an alternative to existing theories and clinical works in anorexia that are mainly based on European individualistic psychology and post-positivistic medical perspectives. Results may be used (a) to encourage mental health professionals in Taiwan to reflect on dominant theories and conventional interventions, (b) to empower women with anorexia to deconstruct dominant social values on femininity and to take on an agent role in recovery, (c) to help researchers and practitioners to develop more culturally-appropriate interventions for Taiwanese individuals and families who live with anorexia in contemporary Taiwanese contexts.
Anderson-Fye, E. P. & Becker, A. E. (2003). Sociocultural Aspects of Eating Disorders. In J. K. Thompson(Eds.), Handbook of Eating Disorders and Obesity (pp. 565-589). New York: John Wiley & Sons, Inc.
Andersson, M. (1995). Mother-Daughter Connection. Journal of Feminist Family Therapy, 6(4), 3-19.
Axelsen, M. (2009). The power of leisure: 'I was an anorexic; I'm now a healthy triathlete.'. Leisure Sciences, 31(4), 330-346.
Bachar, E. (1998). The contributions of self psychology to the treatment of anorexia and bulimia. American Journal Of Psychotherapy, 52(2), 147-165.
Bardone-Cone, A. M., Harney, M. B., Maldonado, C. R., Lawson, M. A., Robinson, D. P., Smith, R., & Tosh, A. (2010). Defining recovery from an eating disorder: Conceptualization, validation, and examination of psychosocial functioning and psychiatric comorbidity. Behaviour Research and Therapy, 48(3), 194-202.
Baxter, P. & Jack, S. (2008). Qualitative case study methodology: study design and implementation for novice researchers. The Qualitative Report, 13, 544-559.
Becker, A. E. (2007). Culture and eating disorders classification. International Journal of Eating Disorders, 40(S3), S111-S116.
Berry, J. W. (1990). Psychology of acculturation: Understanding individuals moving between cultures. In Brislin, Richard W. (Ed), Applied Cross-cultural Psychology, 14 (pp. 232-253). Thousand Oaks, CA: Sage Publications, Inc.
Björk, T. & Ahlström, G. (2008). The patient's perception of having recovered from an eating disorder. Health Care for Women International, 29(8/9), 926-944.
Bordo, S. (1993). Unbearable Weight. Los Angeles, University of California Press.
Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Braun, V. & Clarke, V. (2012). Thematic analysis. In H. Cooper, P. M. Camic, D. L. Long et al. (Eds.), APA Handbook of Research Methods in Psychology, Research designs: Quantitative, qualitative, neuropsychological, and biological (Vol. 2, pp. 57-71). Washington, DC: American Psychological Association.
Bronfenbrenner, U. (1994). Ecological models of human development. In T. Husen and T. N. (Ed.). International Encyclopedia of Education. (Vol. 3, pp. 1643-1647) Postlethwaite Oxford: Pergammon Press.
Bruch, H. (1974). Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within. New York: Basic Books.
Bruch, H. (2001). The Golden Cage: The Enigma of Anorexia Nervosa. Harvard University Press.
Castro, J., et al. (2004). Perfectionism dimensions in children and adolescents with anorexia nervosa. Journal of Adolescent Health, 35(5), 392-398 397.
Chen, P. H. (2009). A Counseling Model for Self-Relation Coordination for Chinese Clients with Interpersonal Conflicts. Counseling Psychologist, 37(7), 987-1009.
Cheng, H. L. (2014). Disordered Eating Among Asian/Asian American Women: Racial and Cultural Factors as Correlates. The Counseling Psychologist, 42(6), 821-851.
Chen, C. (2013). A Study of Body Image of Senior High School Students-- Taking the Dancing-talented Class of National Tainan Chia-Chi Girls' Senior High School as an Example (Unpublished master's thesis). National Taiwan Normal University, Taipei. 陳嘉靖 (2013)。高中舞蹈班學生身體意象之研究--以國立臺南家齊女中舞蹈班為例(未出版之碩士論文)。國立臺灣師範大學,臺北市。
Chien, Y. L. (2003). The unbearable fatness of being-the mind body politics of the woman with bulimia nervosa (Unpublished master's thesis). Soochow University, Taipei. 簡憶鈴 (2003)。生命中不可承受之重-「暴食症」女性的身心政治(未出版之碩士論文)。東吳大學,臺北市。
Cottone, R. R. (1992). Theories and Paradigms of Counseling and Psychotherapy. Allyn and Bacon.
Creswell, J. W. (2013). Qualitative inquiry and research design : choosing among five approaches. Los Angeles: SAGE Publications.
Cummins, L. H., Simmons, A. M., & Zane, N. W. S. (2005). Eating Disorders in Asian Populations: A Critique of Current Approaches to the Study of Culture, Ethnicity, and Eating Disorders. American Journal of Orthopsychiatry, 75(4), 553-574.
D'Abundo, M. & Chally, P. (2004). Struggling with recovery: Participant perspectives on battling an eating disorder. Qualitative Health Research, 14, 1094-1106.
De la Rie, S., Noordenbos, G., Donker, M., & Van F. E. (2008). The quality of treatment of eating disorders: A comparison of the therapists' and the patients' perspective. International Journal of Eating Disorders, 41(4), 307-317.
Demarque, M., Guzman, G., Morrison, E., Ahovi, J., Moro, M. R., & Blanchet-Collet, C. (2015). Anorexia nervosa in a girl of Chinese origin: Psychological, somatic and transcultural factors. Clinical Child Psychology And Psychiatry, 20(2), 276-88.
Eastland, T. (n.d.). Eating disorders a feminist issue. Retrieved from www.vanderbilt.edu/AnS/psychology/healthipsychology/feminist.htm
Eisler, I. (1995). Family models of eating disorders. In G. I. Szmukler, C. Dare and J. Treasure (Eds.), Handbook of eating disorders: Theory, treatment and research (pp. 155-176). Oxford: John Wiley & Sons.
Eisler, I. (2005). The empirical and theoretical base of family therapy and multiple family day therapy for adolescent anorexia nervosa. Journal of Family Therapy, 27(2), 104-131.
Espíndola, C. R. & Blay, S. L. (2009). Anorexia nervosa treatment from the patient perspective: a metasynthesis of qualitative studies. Annals Of Clinical Psychiatry: Official Journal Of The American Academy Of Clinical Psychiatrists, 21(1), 38-48.
Garfinkel, P. E., & Gamer, D. M.(1982). Anorexia nervosa: A multidimensional perspective. New York: Brunner/Mazel.
Garner, D. M., Rosen, L. W., Barry, D. (1998). Eating disorders among athletes. Research and recommendations. Child and Adolescence Psychiatric Clinic North America, 7(4), 839-857.
Garrett, C. J. (1996). Transformations in time and space: Social theory and recovery from eating disorders. Eating Disorders: The Journal of Treatment & Prevention, 4(3), 245-255.
Gergen, K. J. (2009). An Invitation to Social Construction, SAGE Publications.
Gilgun, J. (2010). Reflexivity and Qualitative Research. Current Issues in Qualitative Research, 1(2), 1-8.
Goodsitt, A. (1985). Self psychology and the treatment of anorexia nervosa. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of Psychotherapy for Anorexia Nervosa and Bulimia (pp. 7-18). New York:The Guilford Press
Green, E. L. (2001). Cognitive occupational hazards and psychopathology of the artist. Occupational Medicine, 16(4), 679-687.
Guba, E. G. & Y. S. Lincoln (1985). Naturalistic Inquiry. Los Angeles: SAGE Publications.
Gulliksen, K. S., Espeset, E. M., Nordbø, R. H., Skårderud, F., Geller, J., & Holte, A. (2012). Preferred therapist characteristics in treatment of anorexia nervosa: The patient's perspective. International Journal of Eating Disorders, 45(8), 932-941.
Herzog, D. B., Nussbaum, K. M., Marmor, A. K. (1996). Comorbidity and outcome in eating disorders. Psychiatric Clinics of North America, 19(4), 843.
Hesse-Biber, S. (1997). Am I Thin Enough Yet?: The Cult of Thinness and the Commercialization of Identity. Oxford University Press.
Hsu, W. l. (2004). The experiences of illness and coping methods from bulimics. (Unpublished master thesis). National Taiwan Normal University, Taipei. 徐偉玲 (2004)。暴食症患者的生病經驗與因應方式之敘說研究 (未出版之碩士論文)。國立臺灣師範大學,臺北市。
Hwang, K. K. (1997). Guanxi and Mientze: Conflict Resolution in Chinese Society. Intercultural Communication Studies, 7(1), 17-39.
Hwang, K. K. (2009). The Development of Indigenous Counseling in Contemporary Confucian Communities. Counseling Psychologist, 37(7), 930-943.
Isono, M. (2003). Thinness in Asia: eating disorders in Singapore as seen through anthropological eyes.(Master's thesis) Retrieved from http://ir.library.oregonstate.edu/xmlui/handle/1957/28622
Jenkins, J. & J. Ogden (2012). Becoming 'whole' again: a qualitative study of women's views of recovering from anorexia nervosa. European eating disorders review: the journal of the Eating Disorders Association, 20(1), s23-31.
Kao, J. Y. (2011). A study to explore the process for bulimic tendencies recovering from bulimia behavior. (Unpublished master thesis) National Taiwan University. Tainan. 高嘉嬴 (2011)。暴食症傾向者復原歷程之研究 (未出版之碩士論文)。國立臺南大學,臺南市。
Kawamura, Y., K. (2011). Asian American body images. Body image. In T. F. Cash & L. Smolak (Eds.), A handbook of science, practice, and prevention (pp. 229-236). New York: NY Guilford Press.
Keski-Rahkonen, A. & F. Tozzi (2005). The process of recovery in eating disorder sufferers' own words: an Internet-based study. The International journal of eating disorders, 37, 80-87.
Kuo, C. H., Hsu, W. S., & Lai, N. H. (2011). Indigenous Crisis Counseling in Taiwan: An Exploratory Qualitative Case Study of an Expert Therapist. International Journal for the Advancement of Counselling, 33(1), 1-21.
Lai, K. Y. C. (2000). Anorexia Nervosa in Chinese Adolescents: Does Culture Make a Difference? Journal of Adolescence, 23(5), 561-568.
Lake, A. J., et al. (2000). Effect of Western culture on women's attitudes to eating and perceptions of body shape. International Journal of Eating Disorder, 27(1), 83-89.
Lee, S. (1996). Reconsidering the status of anorexia nervosa as a western culture-bound syndrome. Social Science & Medicine, 42(1), 21-34.
Lee, S., Chan, Y. Y., Kwok, K., & Hsu, L. K. (2005). Relationship between control and the intermediate term outcome of anorexia nervosa in Hong Kong. Australian & New Zealand Journal of Psychiatry, 39(3), 141-145.
Lee, S. & Lee, A. M. (2000). Disordered eating in three communities of China: a comparative study of female high school students in hong kong, Shenzhen, and rural hunan. International Journal of Eating Disorders, 27(3), 317-327.
Li, Li-J., Peng, K. P., & Nisbett, R. E. (2000). Culture, Control, and Perception of Relationships in the Environment. Journal of Personality & Social Psychology, 78(5), 943-955.
Li, J., Wang, L.Q., & Fischer, K. W. (2004). The organisation of Chinese shame concepts? Cognition & Emotion 18(6), 767-797.
Liao, T. A. (2013). Beyond the diagnosis of “eating disorder”, who am “I”?– An autoethnography of the lived experience of eating and suffering (Unpublished master tesis). National DongHua University, Hualien County. 廖得安 (2013)。返回「飲食疾患」之前,「我」是誰?–飲食問題之受苦者的自傳民俗誌研究 (未出版之碩士論文)。國立東華大學,花蓮縣。
Lin, L. W. (2009). A hermeneutics analysis of the recovery process of a female bulimia nervosa patient (Unpublished master thesis). National Taipei University of Education, Taipei. 林麗文 (2009)。「從覺察、分化到行動」-暴食症女性患者復原歷程之詮釋研究 (未出版之碩士論文)。國立臺北教育大學,臺北市。
Lin, Y. J. (2010). The process of giving birth to self: loss of love, pursuit of love, and retrieval of love (Unpublished master thesis). National Taipei University of Education, Taipei. 林羿汝(2010)。「生」:失愛、尋愛、拾回愛的生命歷程 (未出版之碩士論文)。國立臺北教育大學,台北市。
Liu, A. (2007). Gaining: The Truth About Life After Eating Disorders. New York: Grand Central Publishing.
Lock, J., et al. (2012). Treatment Manual for Anorexia Nervosa, Second Edition: A Family-Based Approach. New York: Guilford Publications.
Luepnitz, D. A. (2002). The Family Interpreted: Psychoanalysis, Feminism, and Family Therapy. New York: Basic Books.
Ma, J. L. (2005). Family treatment for a Chinese family with an adolescent suffering from anorexia nervosa: A case study. The Family Journal,13(1), 19-26.
Ma, J. L. (2007). Journey of acculturation: developing a therapeutic alliance with Chinese adolescents suffering from eating disorders in Shenzhen, China. Journal of Family Therapy, 29(4), 389-402.
Ma, J. L. C. (2005). The diagnostic and therapeutic uses of family conflicts in a Chinese context: the case of anorexia nervosa. Journal of Family Therapy, 27(1), 24-42.
Ma, J. L. C. (2007). Meanings of eating disorders discerned from family treatment and its implications for family education: the case of Shenzhen. Child & Family Social Work, 12(4), 409-416.
Ma, J. L. C. (2011). Anorexia nervosa and family therapy in a Chinese context. Hong Kong: Hong Kong Chinese University Press.
Mahowald, M. B. (1992). To be or not be a woman: anorexia nervosa, normative gender roles, and feminism. The Journal Of Medicine and Philosophy, 17(2), 233-251.
Markey, C. N. (2004). Culture and the development of eating disorders: A tripartite model. Eating Disorders, 12(2), 139-156.
Markus, H. R. & S. Kitayama (1991). Culture and the Self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224-253.
Matusek, J. A. (2005). Overcoming an eating disorder: A narrative approach to long-term recovery (Unpublished master thesis). Retrived from https://etd.ohiolink.edu/pg_10?0::NO:10:P10_ACCESSION_NUM:miami1185928602
Merriam, S. B. (2009). Qualitative research: a guide to design and implementation. San Francisco: Jossey-Bass.
Ritenbugh, C., Shisslak, C., Teufel, N., & Leonard-Green, T. K(2002). A cross-cultural review of eating disorders: In regard to DSM-IV. In J.E. Mexxich, A. Kleinman, H. Fabrega, & D. Parron (Eds.), Culture & psychiatric diagnosis: A DSM-IV perspective. Washington DC: American Psychiatric Press Inc.
Minuchin, S., Nichols, M. P.&, Lee, W-Y (2007). Assessing Families and Couples: From Symptom to System. Boston: Allyn and Bacon.
Minuchin, S., Rosman, B.L., & Baker, L. (2009). Psychosomatic Families: Anorexia Nervosa in Context. Boston: Harvard University Press.
Morris, B. (1985). The phenomenon of anorexia nervosa: A feminist perspective. Feminist Issues, 5(2), 89-99.
Mumford, D. B., Whitehouse, A. M., & Platts, M. (1991). Sociocultural correlates of eating disorders among Asian schoolgirls in Bradford. British Journal of Psychiatry, 158, 222-228.
Nasser, M. & Katzman, M. (1999). Eating disorders: Transcultural perspectives inform prevention. Preventing Eating Disorders. In Piran, N., Levine, M. P., & Steiner-Adair, C.(Eds.), A Handbook of interventions and special challenges (pp. 175-193).
Noordenbos, G. (2011). Which Criteria for Recovery Are Relevant According to Eating Disorder Patients and Therapists? Eating Disorders, 19(5), 441-451.
Noordenbos, G. & Seubring, A. (2006). Criteria for Recovery from Eating Disorders According to Patients and Therapists. Eating Disorders, 14(1), 41-54.
Ogden, J. (2011). The Psychology of Eating: From Healthy to Disordered Behavior. New York: Wiley-Blackwell.
Orb, A., Eisenhauer, L., & Wynaden, D. (2001). Profession and society. Ethics in qualitative research. Journal of Nursing Scholarship, 33(1), 93-96.
Patching, J. & Lawler, J. (2009). Understanding women’s experiences of developing an eating disorder and recovering: A life-history approach. Nursing Inquiry, 16(1), 10-21.
Pettersen, G. & Rosenvinge, J. H. (2002). Improvement and Recovery from Eating Disorders: A Patient Perspective. Eating Disorders, 10(1), 61-71.
Pike, K. M. & Borovoy, A. (2004). The Rise of Eating Disorders in Japan: Issues of Culture and Limitations of the Model of “westernization”. Culture, Medicine & Psychiatry, 28(4), 493-531.
Polivy, J. & Herman , C. P. (2002). Causes of eating disorders. Annual Review Of Psychology, 53, 187-213.
Reid, M., Burr, J., Williams, S., & Hammersley, R. (2008). Eating disorders patients' views on their disorders and on an outpatient service: a qualitative study. Journal of health psychology, 13(7), 956-960.
Russell, C. J. & Keel, P. K. (2002). Homosexuality as a specific risk factor for eating disorders in men. International Journal of Eating Disorders, 31(3), 300-306.
Saccamani, L., Savoini, M., Cirrincione, M., & Ravena, G. (1998). Long-term outcome of children and adolescents with anorexia nervosa: Study of comorbidity. Journal of Psychosomatic Research, 44, 565-571.
Soh, N., Surgenor, L. J., Touyz, S., & Walter, G. (2007). Eating disorders across two cultures: does the expression of psychological control vary? Australian & New Zealand Journal of Psychiatry, 41(4), 351-358.
Stake, R. E. (2005). The Art of Case Study Research. Thousand Oaks, Calif: Sage publications.
Stake, R. E. (2013). Multiple Case Study Analysis. New York: Guilford Publications.
Steinhausen, H. C. (2011). Course and outcome. In D. Le Grange, J. Lock, D. Le Grange and J. Lock (Eds.), Eating disorders in children and adolescents: A clinical handbook (pp. 90-104). New York, NY: Guilford Press.
Stice, E., et al. (1994). Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms. Journal of Abnormal Psychology, 103(4), 836-840.
Striegel-Moore, R. H., Wilfley, D. E., Caldwell, M. B., Needham, M. L., & Brownell, K. D. (1996). Weight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dieters. Obesity Research & Clinical Practice, 4(2), 109-116.
Tseng, W. S. (2004). Culture and psychotherapy: Asian perspectives. Journal of Mental Health, 13(2), 151-161.
Vanderlinden, J., Buis, H., Pieters, G., & Probst, M. (2007). Which elements in the treatment of eating disorders are necessary 'ingredients' in the recovery process? – A comparison between the patient's and therapist's view. European Eating Disorders Review, 15(5), 357-365.
Walsh, T. (2010). UPDATE: Anticipated DSM-V Changes Will Enhance Eating Disorders Diagnosis. Eating Disorders Review, 21(4), 2.
Wang, J. Y. (2007). Who cares for people with long-term mental illness? Mental health services in Taiwan. paper presented at the Forth Annual International Conference of East Asian Social Policy research network (EASP). University of Tokyo, Tokyo, Japan.
Wolf, N. (1991). The Beauty Myth. NewYork: Doubleday.
Wong, S. S. (2004). The study of anorexia nervosa patients’ family system operation (Published doctoral dissertation). National Taiwan Normal University of Changhwa, Changhwa. 翁樹澍 (2004)。厭食症患者觀點中家庭系統運作之探討 (出版之博士論文)。國立彰化師範大學,彰化市。
Wong, Y. & Tsai, J. (2007). Cultural models of shame and guilt. In J. L. Tracy, R. W. Robins, & J. P. Tangney (Eds.), The self-conscious emotions: Theory and research (pp. 209-223). New York, NY: Guilford Press.
Woods, S. (2004). Untreated recovery from eating disorders. Adolescence, 39(154), 361-371.
Yin, R. K. (2014). Case study research: design and methods. Los Angeles: SAGE publications.