Essay on The Fear of Fat Criterion Within the DSM IV

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As our society is bombarded with the images of manufactured beauty and “thinness”, conversations increasingly center on dieting and body dissatisfaction. The media advertises weight loss products in the form of pills, drinks, surgery, fitness equipment and support groups to mold individuals into the proposed ideal form. This evidence alone suggests a strong case for the possibility of a pathological fear of fat. Is this fear, however, the driving force behind all cases of anorexia nervosa and bulimia? According to the DSM IV, the fear of gaining weight is essential for these diagnoses to be made. Strong arguments have been made both in favor and against modifying the existing criteria to allow for the diagnosis and …show more content…
To observe the impact of culture on attitudes towards eating and perception of body shape, Lake, Staiger and Glowinski (1999) conducted a study using 140 female students from 2 Australian universities. The students were divided into 2 groups – those who were born in Australia (98) and those who were born in Hong Kong (42). The Students born in Hong Kong were further divided into 2 groups – a weak Chinese ethnic identity group (Western acculturized) and a strong Chinese ethnic identity group (Traditional) using the Ethnic Identity Scale (EIS).

All subjects were given the Eating Attitudes Test (EAT), a commonly used and well-validated measure (Garner et. al 1979; Garner et. al 1982), to assess attitudes towards eating. The Figure Rating Scale (FRS), used in similar research due to its high test-retest reliability (Thompson et. al, 1991), was used to determine perception of body shape. The scores from these tests were then compared with the subjects’ cultural orientation.

The results showed significantly higher scores on the EAT (indicating more negative attitudes toward eating) in the traditional Hong Kong born subjects than that of their acculturized counterparts, while the acculturized Hong Kong born subjects’ scores were significantly lower than those of the Australian born subjects. In other words, between groups (Hong Kong born v. Australian born) there was no significant difference, but
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