ArticleJournal of eating disorders2026
"Invented medicine"? Alliance building in first encounters between clinicians and adolescents with anorexia nervosa: a qualitative study.
Article in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCaring for adolescents with anorexia nervosa (AN) involves gaining patients' and families' trust in a condition fraught with ambivalence. While essential for subsequent care and the development of a therapeutic alliance, the first clinical encounter is also known to be emotionally challenging both for frontline professionals and for families. There are few studies investigating the experience of clinicians working in specialized care settings. Our study aims to explore the challenges experienced by specialized professionals during the initial encounter with patients presenting with AN and their families.
methodsA qualitative study was conducted at the Maison des Adolescents, Cochin Hospital, Paris, a facility specialized in holistic care for adolescents, based on semi-structured interviews using Interpretative Phenomenological Analysis (IPA).
resultsSixteen clinicians with various professional profiles were interviewed between March 15th 2024 and August 5th 2025. Verbatim analysis identified four superordinate themes: (1) The first encounter: a daunting experience. (2) Balancing two divergent clinical postures: empathy and suasion. (3) Strategies for building a therapeutic alliance in the face of reluctance. (4) Building professional legitimacy through experience.
conclusionsThe emotional impact of these initial encounters can remain significant and complex, requiring introspective work and adaptability from professionals in order to promote therapeutic alliance. Developing of a formalized structure for initial interviews could be a possible avenue for improving these encounters.
Indexed as
Identifiers
41689091What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.