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Megan Knedgen, PsyD, is a 2023 graduate of the PsyD Program in Clinical Psychology at Antioch University, Seattle.

Dissertation Committee

Dana Waters, PsyD, ABPP, Committee Chair

Wendy Oliver-Pyatt, MD, CEDS, Committee Member

Melissa Kennedy, PhD, Committee Member

Keywords

avoidant restrictive food intake disorder, interpretative phenomenological analysis, adults, DSM-5

Document Type

Dissertation

Publication Date

2023

Abstract

This phenomenological study explored the lived experiences of adults with a DSM-5 diagnosis of avoidant restrictive food intake disorder (ARFID) aiming to describe key features of ARFID as it is understood by treatment-seeking adults. Nine treatment-seeking adults with a full-threshold diagnosis of ARFID (aged 20–42) were recruited. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences and perceptions of avoidant and/or restrictive eating. Transcripts were analyzed using interpretative phenomenological analysis, through which three group experimental themes were generated: (a) “A tradeoff between safety and freedom,” (b) “A broken self,” and (c) “Being seen: A double-edged sword.” This study’s findings highlighted participants’ perspectives on ARFID which may help enhance treatment quality, retention, and engagement, as well as inform the development and implementation of future interventions.

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Megan Knedgen, PsyD, 2023

ORCID Scholar ID# 0000-0003-0890-6897

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