The aim of this research is to describe the evolution of the therapeutic alliance and its phases in the treatment of patients with eating disorders. A qualitative, analytical-descriptive design was applied based on the Grounded Theory. The sample included 20 Chilean patients suffering from eating disorders according to DSM-5 criteria. Results indicate that therapeutic alliance evolves within three stages that show the following characteristics: 1. First phase (knowledge): distrust, resistance, need for a diagnosis and false complacence predominate; 2. Second phase (trust and consolidation): deeper items are elaborated, therapeutic relationship improves, motivation for treatement emerges; 3. Third phase (re-signification): management of relapses is made, illness is re-defined and the end of the therapy is visualized. A climate of contention, support and security for patients is emphasized, reproducing a comprehensive and unconditional maternal role.
- Eating disorders
- Therapeutic alliance