Key points are not available for this paper at this time.
Abstract Background Severe anorexia nervosa is a complex psychiatric pathology with limited therapeutic tools to reduce morbidity and mortality. Equine-assisted therapy could provide additional therapeutic benefits. Objectives We aimed to explore the effects of equine assisted therapy on the experience of adolescents with severe anorexia nervosa. Méthods Using a qualitative approach based on Interpretative Phenomenological Analysis, we conducted semi-structured interviews with nine participants who had taken part in equine-assisted therapy sessions. Results Three super-ordinate themes were found. An experience of insecurity appeared at the forefront of the discovery of the horse which was perceived as a source of fear, and the displacement of the spatiotemporal framework. Equine therapy offered a sense of support and emotional regulation through role-playing that allowed for investment without fear of perceived social judgment, a reassuring experience through relational adjustment with the horse, and an experience of support from the humans present. Last but not least, equine therapy was a transformative learning experience, enabling participants to embody their body bodies, develop emotional regulation and care for someone other than themselves. Conclusion Equine-assisted therapy constitutes a therapeutic mediation with bodily, emotional and relational therapeutic benefits in severe anorexia nervosa. The setting, place and function of the equine therapist, the participants' previous experience with horses and the interaction with other care areas seem to be essential to ensure therapeutic conditions.
Lepy et al. (Sat,) studied this question.