Contextual Analysis Of Anorexia Nervosa

Within countries that were once untouched by unrealistic societal standards, eating disorders and psychological problems have become a not just a local, but a global phenomenon. Bordo is able to give credible examples and evidence on why they have become a problem, such as recounting previous personal excursions and providing statistics.

This article explored the topic of identifying symptoms in patients with anorexia nervosa (AN). The Eating Disorder Inventory led a study, conducted by D. Garner, that studied females with AN to classify behavior exclusive to the psychological disorder. The researchers recognized the problem of trying to identify any restrictive manners or detrimental behaviors that could identify a person with AN. The purpose of the research was to find tell-tale symptoms or psychological indicators of AN in patients.

Anorexia nervosa is an eating disorder that consists of self-regulated food restriction in which the person strives for thinness and also involves distortion of the way the person sees his or her own body. An anorexic person weighs less than 85% of their ideal body weight. The prevalence of eating disorders is between .5-1% of women aged 15-40 and about 1/20 of this number occurs in men. Anorexia affects all aspects of an affected person's life including emotional health, physical health, and relationships with others (Shekter-Wolfson et al 5-6). A study completed in 1996 showed that anorexics also tend to possess traits that are obsessive in nature and carry heavy emotional

A mental illness is a medical condition that disrupts a person 's thinking, feeling, mood, ability to relate to others and daily functioning.1 Mental illnesses can be grouped into two broad categories, each representing a different aspect of a mental disorder. Axis I diagnoses are inclusive of those disorders which are most familiar and widely recognized, and typically encompass the most acute symptoms that need immediate treatment (i.e. adjustment disorders, anxiety disorders, cognitive disorders, eating disorders, mood disorders, schizophrenia, etc).2 Axis II disorders are those defined by their permanence and nebulousness. They are generally life-long problems that arise in childhood and are much less responsive to treatment than Axis I disorders are. Axis II diagnoses are comprised of personality disorders and intellectual disabilities (i.e. antisocial personality disorder, borderline personality disorder, paranoid personality disorder, etc).3

With Anorexia Nervosa, there is a strong fear of weight gain and a preoccupation with body image. Those diagnosed may show a resistance in maintaining body weight or denial of their illness. Additionally, anorexics may deny their hunger, have eating rituals such as excessive chewing and arranging food on a plate, and seek privacy when they are eating. For women, they go through immediate body changes from abnormal to no menstruation periods and develop lanugo all over their bodies. Characteristics of an anorexic individual also consist of extreme exercise patterns, loosely worn clothing, and maintain very private lives. Socially, to avoid criticism or concern from others, they may distant themselves from friends and activities they once enjoyed. Instead, their primary concerns revolve around weight loss, calorie intake, and dieting. In regards to health, many will have an abnormal slow heart rate and low blood pressure, some can develop osteoporosis, severe dehydration which can result in kidney failure, and overall feel weak (Robbins, 27-29). It has been reported that Anorexia Nervosa has one of the highest death rates in any mental health condition in America (www.NationalEatingDisorders.org).

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This article focuses on eating disorders, but most importantly on the top ones that society are more familiar with which are anorexia and bulimia. It addresses cultural aspects that help influence these two eating disorders. The article defines the disorders so people can have an actual intellectual definition, instead of what people most commonly think they are. Also it talks about eating disorders in relation with the consumerist society and the standards that are being established with body-management (POPA 162).

At present, these eating disorders have an effect on roughly 25 million Americans, of which almost 25% are of the male gender. Out of all the psychological disorders, anorexia has the highest mortality rate. The whys and wherefores include malnourishment, substance abuse and reckless suicides. Eating disorders can happen to anyone; no matter whether they’re male or female, rich or poor, old or young. According to many researchers, eating disorders are caused by more than just food. There are numerous

The first diagnostic criteria for anorexia nervosa is a significantly low weight due to an extreme restriction of nutrients. When Miranda passed out, she was significantly underweight for her age and was also lacking the proper nutrients her body needed to function. The second diagnostic criteria for anorexia nervosa is a fear of gaining weight even though it would be healthy to do so. Miranda started to diet because she wanted to lose weight. She would also feel extremely guilty if she ate unhealthy food because she feared gaining weight. The third diagnostic criteria is being unaware of how unhealthy it is to be at a low weight and the desire to have a perfect body. Miranda focused on trying to get a “perfect” body and did not believe she had reached it yet, even though she was well under weight. The last diagnostic criteria for anorexia nervosa classifies Miranda into the sub type of bingeing and purging. According to the subtype, a person must binge and purge multiple times over the last three months. Miranda began bingeing and purging two years ago and would do it multiple times a week.

As the term "anorexia nervosa" did not exist until 1873” (The first anorexic). In the western world one of the first accounts of anorexia nervosa was during “the 12th and 13th centuries, most famously Saint Catherine of Siena who denied herself food as part of a spiritual denial of self” (A History of Eating Disorders). Most cases of anorexia had to do with fasting as a religious or spiritual experience. However for the women of the Victorian period being thin had transformed and became a way for them to feel successful instead of powerless. It wasn’t till 1970 that the disorder was able to reach the public as it wasn’t just the upper-class that was suffering from anorexia. Again anorexia evolved into the "twentieth-century women progressively idealized the lean, almost 'tubular' body type, deprived of the symbolic emphasis of fertility and motherhood. The thinness of the 'new woman' expressed her sexual liberation and rejection of the traditional female role" (Bremer, J.). Whereas before woman needed to look healthy and capable of having and raising children, now women were aiming to achieve independence the need to be those thing were

The DSM-5 criteria for a diagnosis of AN can be generalised as a person displaying persistent restrictions of food intake, an intense fear of weight gain and

Anorexia nervosa is a disorder defined by the DSM 5 as a disorder characterized by the client displaying:1. Restricted food intake (energy) proportional to sex, age and developmental trajectory that leads to weight loss. 2. Processing fear of becoming overweight in spite of being underweight. 3. Dysfunctional way of experiencing one’s body weight or shape. Perceived unfavorable view of one’s body or shape (self image), and or lack of seriousness concern or denial of the seriousness of low body weight, (APA, 2013).

Anorexia Nervosa is one of several subtypes descending from feeding and eating disorders. It is a crippling life-threatening condition marked by a patient placing restriction on energy intake relative to needed energy requirements, resulting in a relentless pursuit of low body weight in the context of age, sex, development and physical health. According to American Psychiatric Publishing of diagnostic and statistical manual of mental disorders (DSM-5) “Anorexia Nervosa, often times have an early-onset which primarily affects adolescent girls and young women, is characterized by distorted body image and excessive dieting that leads to severe weight loss with a pathological fear of becoming fat” (APA). Anorexia is a condition more common amongst younger patients that causes a disruption in the normal growth process, because they fail to achieve ideal weight and height expectancy. Psychologist are able to determine if an individual meets anorexia weight cutoff requirement by measuring how thin their patients are by calculating body mass index (BMI)

In this generation teenagers fight the everyday struggle of wanting to be perfect. Perfection sells in modern society, with perfection being plastered everywhere, people feel the pressure of having to change their appearance. When looking at television and movies women and men see the ideal model of what the world believes they should look like. This long term process of seeing what you are expected to look like can cause emotional and physical problems such as eating disorders. When looking at such a large amount of people that have to cope with either Anorexia or Bulimia, about forty percent of the females with Anorexia are between the ages of fifteen and nineteen years old ("Eating Disorders Statistics"). About another forty-two percent of girls that are in the first and third grade are wanting to be thinner ("Eating Disorders Statistics"). Teenagers living with eating disorders experience many life-altering emotional, mental and physical changes.

The journey of life is not meant to be feared and planned; it’s meant to be traveled and enjoyed. Waking up every morning, I still can’t believe it’s been almost two years since I moved to America. I mean it’s crazy, one year ago all the street signs are in Chinese and the next thing you know I wake up in a world of English. I can still remember the day I step off the airplane, it was a day that changed my life. Some of my friends were amazed by how quickly I adapted to America, but that’s not true. I had a transition year when I was 13.