남성의 신경성 폭식 경험 및 극복에 대한 질적 사례연구

Abstract

A Qualitative Case Study on the Male's Experience and Overcoming of Bulimia Nervosa NAM GEUM KIM Advisor : Prof. Na-Rae Kim, Ph. D Department of Counseling Psychology Graduate School of Chosun University The purpose of this study was to explore the process of bulimia nervosa from initiation to recovery, in order to better understand men who have experienced and recovered from bulimia nervosa and to provide a basis for interventions to prevent relapse and for men who maintain bulimia nervosa. To this end, in-depth interviews were conducted with three men in their twenties who had experienced bulimia nervosa in the past and were currently in a state of remission, and analyzed using Cresswell's (2013) case study method. The findings revealed four dimensions, 16 common themes, and 38 individual themes. The participants' triggers for bulimia nervosa included insecure attachment to their parents, academic stress, emotional dysregulation, and judgment and criticism from others. To compensate for these negative emotions, they engaged in compensatory behaviors such as starvation, vomiting, taking diet supplements, and excessive exercise. Participants also lacked awareness that binge eating and compensatory behaviors were maladaptive, thus maintaining their bulimia nervosa. Factors associated with overcoming bulimia nervosa included social support, concerns about poor health, reduction of existing binge eating triggers, and changes in body appearance. After overcoming bulimia nervosa, participants reported positive changes in their perceptions of themselves. Implications and limitations are presented based on the findings. Key word: Bulimia nervosa in males, Overcoming Bulimia Nervosa