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July 4, 2026Psychiatric Research and Clinical PracticeOpen Access

Resisting Contagious Hopelessness: Therapeutic Alliance and the Limits of Physician‐Assisted Death in Severe and Enduring Anorexia Nervosa

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Authors

EOElizabeth M. OlsonFSFabian M. SalehÁGÁngela S. Guarda

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Overview

Randomized trial explores the role of therapeutic alliance in decision-making for anorexia nervosa, implying its significance in treatment outcomes.

Key Points

  • This research investigates how therapeutic alliance influences decision-making in severe anorexia nervosa, particularly regarding physician-assisted death.
  • Examined the impact of clinician expectations and framing on patient choices
  • Utilized psychotherapy theories and clinical outcome data
  • Focused on quality of life and hope instillation prior to end-of-life discussions
  • Therapeutic alliance significantly influences expressions of choice in high-stakes decisions
  • Clinician framing can either foster hope or reinforce hopelessness
  • Ongoing engagement in therapy improves patient outcomes before considering end-of-life interventions

Cite This Study

Olson et al. (2026) studied this question.

synapsesocial.com/papers/6a48a60a89561a0c2d78e5ebhttps://doi.org/10.1176/appi.prcp.20260038
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1When Patients and Providers Feel Helpless: A Commentary on “Palliative Care for Refractory Depressive Symptoms in a Female Veteran Geriatric Patient”2024
  2. 2Scoping review of end-of-life care for persons with anorexia nervosa2024 · 5 citations
  3. 3Ethical Dilemmas in End-of-Life Care: A Psychological and Anesthetic Perspective2026
  4. 4International End-of-Life Choices2026
  5. 5End-of-Life Choices and Ethical Responsibility: Clinical Perspectives on Letting Die and Euthanasia2026