A feeling that treatment was “never enough.”
Currently, there are several ethical concerns regarding care for participants with both eating disorders and BPD and pathology. For instance, there is a high relapse rate for these individuals, who will often struggle with ED behaviors on and off for the remainder of their lives. The Miller et. al. (2025) research offers qualitative insight into the why behind these relapses. All 14 of their participants express their fear of relapse after treatment and acknowledged that they will likely resort to ED behaviors because, without the safety net a therapist provides, they begin to feel hopeless and out of control, so the ED behaviors comfort them (Miller et al. 2025). One participant stated, “I see myself relapsing… so that I'll get referred back to the [ED Clinic] because like I can't be without, like, anything at all… my brain can't compute that, like to just be completely on my own… I don't feel safe.” (Miller et al., 2025). This research shows that there needs to be a change in either the treatment process or the accessibility to treatment.
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Related
Perception of BPD in ED maintenance and treatment.
A Qualitative Study of the Lived Treatment Experiences of Women With an Eating Disorder and Comorbid Borderline Personality Disorder.
Relational dynamics faced by patients with both BPD and ED during treatment.
A feeling that treatment was “never enough.”
Brokering Authenticity: Borderline Personality Disorder and the Ethics of Care in an American Eating Disorder Clinic. Current Anthropology
The central role of emotions in the relationship between EDs and BPD.
The importance of addressing ED and BPD symptoms simultaneously.