Turning Points in Eating Disorder Recovery Among Individuals From Marginalised Communities Using Objects: A Qualitative Study

Abstract

Eating disorder (ED) recovery narratives provide valuable insights into the recovery process. While existing research identifies key turning points in ED recovery, most studies focus on majority populations, neglecting the experiences of minoritised individuals. This study aimed to explore the turning points in ED recovery among diverse individuals and examine the role of symbolic objects in understanding recovery processes. English-speaking adults with lived experiences of ED who identify as part of underserved groups were recruited for an adapted photovoice study involving individual interviews (n = 11) and two subsequent focus group discussions (n = 4 per group). Participants shared objects symbolising their recovery journeys. Using reflexive thematic analysis, we generated three themes: (1) Up, Down, and Around: Recovery was described as non-linear, with positive and negative turning points; (2) Growing awareness and readiness of recovery; and (3) From feeling disconnected to belonging. The findings show that recovery was often non-linear for these individuals, with social belonging and identity integration being crucial. The study also illuminates how everyday objects can be used as a research method to encapsulate turning points in recovery by representing progress and offering motivation. The findings are also consistent with minority stress theory which shows how one’s mental health intersects with social stressors and marginalisation.