Eating Disorders

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.

Literature regarding eating disorders in non-Western cultures in general is scarce. Very few studies address disordered eating in cultures outside of the Western and Westernized world. This could be because of the perceived lack of eating disorders in non-industrialized countries or even because there is an overwhelming amount of concern over eating disorders in Western society. However, there have been several studies done on binge eating and dietary restraint in non-western citizens and in non-Caucasian women in the United States. Women who are not from a Caucasian background face different societal and traditional pressures than do Caucasian women in Western cultures, but some of the women in those cultures were found to have binge

Promotion by the media of the extraordinarily thin body types has been linked to the steady rise of eating disorders, especially among adolescents (Ballaro & Wagner, 2017). Experts believe that there are more than ten million females suffering from some sort of eating disorder and that the problems are happening in patients of younger and younger ages. The gap between the average woman’s body and the ideal body is much larger than before (Spitzer, Henderson, & Zivian, 1999). Ninety four percent of characters in the United States media, are thinner than the average woman (Gonzalez-Lavin & Smolak, 1995). The average American woman is only 5’4” tall and weighs approximately 165 pounds (Martin 2010). The media depicts happiness, wealth and success associated to unrealistic body types (Tiggemann, 2002). Not only does the media display this image, it also exhaustively provides information to encourage achievement of it as well. Whether through dieting, exercise or mild to extreme cosmetic surgery for body sculpting, women are feeling the pressure that they need to be thin and often take even the most dangerous methods to obtain this. Considering that these delusional ideals are nearly impossible for most average women, without choosing unhealthy and harmful behaviors, eating disorder theorists have proclaimed that media is supporting these habits (Levine & Smolak, 1998). It is estimated that 10-15% of girls and women between the ages of 9 and 19 are affected by eating disorders. Though the death rates vary from different studies, one thing is for sure; eating disorders can have many health risks, including death. With the unrealistic ability to achieve the super thin body image many women are still turning to these harmful methods in order to try; thus resulting in death of someone every 62 minutes as a result (Eating Disorders Coalition,

Cultural influences are cited as a significant factor associated with eating disorders in women due to the belief that “they must be as thin as the actresses and fashion models that dominate the media”, and “young women are dissatisfied with their weight because of the societal ideals promoted by the media are unattainable for most of them” (Weiten p473). However, according to a recent meta-analysis over 204 studies a conflicting viewpoint was raised which indicated that, “effects of thin ideal media appear to be limited to a subgroup of women with preexisting body dissatisfaction susceptibility” (Ferguson 2013).

Three Eating Disorders that will be discussed throughout the rest of this review will include, Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder. The DSM_IV_TR describes the conditions under which these three eating disorders are characterized. Anorexia Nervosa is a very serious illness with severe implications in regards to health. It is classified by the DSM-IV-TR as weighing less than the third percentile for body mass index for ones age and sex, fearing weight gain, having a disturbed perception of body image and on hormonal contraception or the absence of menstruation (American Psychiatric Association, 2000). Bulimia Nervosa is a second eating disorder described by the

Images in the media are extremely powerful and affect the way women think about themselves and about their body. Hilary Rowland, author of “Media Images Are Unrealistic” states how the images shown everyday cause women to “feel insecure about their own bodies” even if they don't have anything to be ashamed of. It is evident that the media displays unrealistic images of beauty causing girls to feel insecure about their bodies and creates a false perception of how they should look. Due to this, women obsess so much over looking just like the “idealized” woman in the media that they create an obsession of losing weight because of lack of confidence. In the article, “The Media Drives Young Girls to Diet” by Jessica Hendrick, we see how women “diet obsessively” trying to “emulate the popular notion of beauty” that is being shown in the media.

A novel on the causes of eating disorders says, “Typically, media images often portray unrealistic images of both males and females. Those individuals portrayed often represent a statistical minority or are engaged in extraordinary (and potentially harmful) behaviors to achieve this ideal body type” (Selby). Pictures of models and celebrities observed in the media show practically unachievable physiques, but the world seems to define beauty and health based off their thin statures. On the contrary, these physiques are actually rather unhealthy. The UK National Centre For Eating Disorders says, “The ideal body size epitomized by ‘Gerri Halliwell’ ‘Posh Spice’ or ‘Ally Mcbeal’ is unrealistically thin, their body mass index (BMI) is on the borders of what a clinician would regard as anorexic” (Jade). When the people and bodies teens are idealizing are at the level of anorexia, it is no doubt that they will resort to extreme methods to achieve what is an extremely thin, abnormal size. Studies show that exposure to these body standards may lead to eating disorders. Pediatrics and Child Health says, “Body image was significantly more negative after viewing thin media images than after viewing images of either average size models, plus size models, or inanimate objects. This effect was found to be stronger in woman younger than 19 years of age” (Morris). After

“Up to 30 million people of all ages and genders suffer from an eating disorder” (Wade, Keski- Rahkonen, & Hudson, 1995). There are many factors which contribute to the development of eating disorders including “biology, emotional health, and societal expectation, and other issues” (“Diseases and Conditions Bulimia nervosa”). One of the most prominent eating disorders in America and around the globe has been around since the Middle Ages: “Bulimia is first reliably described among the some of the wealthy in the Middle Ages who would vomit during meals so they could consume more” (“A History of Eating Disorders”). Today bulimia is more prevalent and is predicted to affect around “4% of women in the United States” (“Eating Disorder Statistics and Research”). In 1979, Gerald Russell published a description of bulimia nervosa. It was the first description of bulimia ever published. Only a year later in 1980 bulimia appeared for the first time in the Diagnostic and Statistical Manual of Mental Disorders-III.

Since the 1950s the cases of eating disorders have been increasing, especially in westernized countries (Wade, Keski-Rahkonen, & Hudson, 2011). 1950 was the year where having curves was accepted, but this view changed when societal culture started to become more important to the average person. Culture is comprised of how people think, behave, and work in a particular society (Merriam-webster’s collegiate dictionary, 2015). Societal culture is comprised of athletic influence, media, and the fashion industry. All of the societal culture factors are responsible for the rise of eating disorders in young adults. In 2011, it was found that 20 million women and 10 million men suffer from eating disorders at some point in their lives (Wade et. al, 2011). Eating disorders are not always considered an important mental illness, but due to the high number of cases they should be because they can lead to health problems including slow heart rate, low blood pressure, and severe dehydration. These side effects can lead to death if not treated properly which is why eating disorders should be looked at as a clinical disease.

Chronic dieting, low self-esteem, depression and, high levels of body dissatisfaction were among the major issues women face when addressing their body image (Gingras, Fitzpatrick, & McCargar, 2004). The severity of body image dissatisfaction have increased to such a dangerous state that it was added to the DSM-IV as a disorder now called body dysmorphic disorder (Suissa, 2008). One of the main reasons for the prevalence of these conditions in women was due to contemporary Western media, which serve as one of the major agent in enforcing an ultra-thin figure as the ideal for female beauty (Saraceni & Russell-Mayhew, 2007). These images and models presented by the media have become the epitome of beauty, pushing women who internalized these images to dangerous extent to attain these norms. According to evidence from previous studies, contemporary Western cultures have influenced women to an acquired normative state of discontent with their bodies, which have become the source of maladaptive eating practices, negative psychological outcomes, and, chronic health conditions associated with eating disorders (Snapp, Hensley-Choate, & Ryu, 2012). The seriousness of these body image conditions among youths and women have also led to congressional actions.

1. Death, osteoporosis, anemia, heart problems such as mitral valve prolapse, abnormal heart rhythms and heart failure, increasing risk of fractures later in life and gastrointestinal problems are just a few of the complications one might experience.

Hudson, Hirripi, Pope and Kessler’s (2007) research indicates that the average onset of anorexia nervosa is 19 years old, but can develop as young as 14 years old, and women are more likely to develop anorexia nervosa than men. Some studies indicate that anorexia affects whites more than Hispanics, African Americans and Asians; however it crosses cultures and socially diverse populations (APA, 2013). According to the DSM 5, Anorexia nervosa predominantly occurs in developed, high-income countries such as in the United States, as well as in many European countries, Australia, New Zealand, and Japan. Individuals who present with weight concerns that develop eating and feeding disorders varies substantially across cultural contexts. One study indicated that that “the ‘spread’ of Western values regarding slimness (fat phobia) is primarily responsible for the development of anorexia nervosa in non-Western societies” (Rieger et al., 2001). Rieger et al (2001) also looked at the medical records of Asian women and found the absence of fat phobia; the rationale for dietary restriction was commonly related to other external factors. The WHO (2004) also reports that female athletes, ballet students, fashion models and culinary students are at risk of developing anorexia nervosa; unhealthy dieting and society’s

Culture has been identified as one of the etiological factors leading to the development of eating disorders. Rates of these disorders appear to vary among different cultures and to change across time as cultures evolve. Additionally, eating disorders appear to be more widespread among contemporary cultural groups than was previously believed (Miller, 2010, para. 2).

According to the National Eating Disorder Association the media has a major influence on what a woman’s body should look like. Every print and television advertisement suggests that the ideal body is extremely thin. However, most women cannot achieve having a super-thin body that the media favors. The resulting failure leads to negative feelings about one’s self and can begin a downward spiral toward an eating disorder (National Eating Disorders Association).

“The attention-grabbing pictures of various high-flying supermodels and actors on different magazine covers and advertisements go a long way in influencing our choices” (Bagley). The media is highly affective to everyone, although they promote an improper image of living. Research proved says those with low self-esteem are most influenced by media. Media is not the only culprit behind eating disorders. However, that does not mean that they have no part in eating disorders. Media is omnipresent and challenging it can halt the constant pressure on people to be perfect (Bagley). Socio-cultural influences, like the false images of thin women have been researched to distort eating and cause un-satisfaction of an individual’s body. However, it