"Without this part, it's hard to truly recover": adults' experiences of body compassion in eating disorder recovery-a reflexive thematic analysis.

BACKGROUND

Eating disorder recovery can be complex, with high relapse rates despite various therapeutic approaches. Recent research suggests body compassion may play a protective role in recovery, but studies remain limited. This study aims to explore adults' experiences of body compassion in their eating disorder recovery journey.

METHODS

Ten adults aged between 19 and 49, self-identified as recovered or 'in recovery' from anorexia nervosa, bulimia nervosa, and/or binge eating disorder, and who had received therapeutic support, participated in online semi-structured interviews. Following ethical approval, data were analysed using Reflexive Thematic Analysis (RTA).

ANALYSIS: Participants described body compassion's development as a dynamic process captured through five interrelated themes: Foundation, Confusion, Growth, Reconnection, and Resistance. Foundation highlights body compassion's central role in sustaining recovery. Confusion reflects its initially elusive nature. Growth covers factors and practices supporting its development. Reconnection describes a new relationship with the body through caring actions. Resistance represents a shift toward challenging internalized ideals and societal pressures. These themes inform a tentative model outlining body compassion's role and progression in recovery.

CONCLUSION

This research frames body compassion as a dynamic, reparative force supporting a more holistic, inclusive, and compassionate approach to eating disorder recovery. These findings highlight the need for person-centred treatment models viewing the body as a site of healing, not just symptom management. Clinicians should integrate clear definitions and targeted body compassion practices while addressing broader sociocultural influences, including social media.