Harm Reduction Models: Roadmaps for Transformative Experiences

  title={Harm Reduction Models: Roadmaps for Transformative Experiences},
  author={Kit Rempala and Marley Hornewer and Maya Roytman and Sydney Samoska and Rohan Meda and Joseph Vukov},
  journal={The American Journal of Bioethics},
  pages={63 - 65}
Patients with severe and enduring anorexia nervosa (SEAN) have a relatively low chance of attaining the symptom-free recovery that traditional eating disorder treatment programs endorse (Bianchi, Stanley, and Sutandar 2021). In light of this, Bianchi et al. argue that “The goals for a person with SEAN may need to be different than a person without SEAN” (51). As an alternative, they offer a harm reduction model: “a philosophy and an approach to policy, programs, and practices that aims to… 
1 Citations

A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope

  • Rosiel Elwyn
  • Psychology, Medicine
    Journal of Eating Disorders
  • 2023
This author utilises their personal lived experience to reflect on the issues raised, including: treatment refusal, iatrogenic harm, suicidality and desire to end suffering, impact of diagnosis/prognosis, schemas, alexithymia, countertransference, ambivalence, and holding on to hope.



The Ethical Defensibility of Harm Reduction and Eating Disorders

It is argued that a harm reduction philosophy may be similarly ethically defensible for treating persons with SEAN in some circumstances.

Reconceptualizing ‘Psychiatric Futility’: Could Harm Reduction, Palliative Psychiatry and Assisted Dying Constitute a Three-Component Spectrum of Appropriate Practices?

  • Jeffrey Kirby
  • Psychology
    The American journal of bioethics : AJOB
  • 2021
This chapter discusses the ethical defensibility of harm reduction and eating disorders in the context of eating disorders, and investigates the role of social media in the development of transformative experience.

Expanding transformative experience

A broader, more fine‐grained taxonomy of forms of transformative experience is developed, inspired by the work of L. A. Paul, to distinguish a variety of positively, negatively, and ambivalently valenced forms of epistemically and/or personally transformative experiences.

What You Can’t Expect When You’re Expecting

It seems natural to choose whether to have a child by reflecting on what it would be like to actually have a child. I argue that this natural approach fails. If you choose to become a parent, and