scholarly journals ProAna Worlds: Affectivity and Echo Chambers Online

Topoi ◽  
2021 ◽  
Author(s):  
Lucy Osler ◽  
Joel Krueger

AbstractAnorexia Nervosa (AN) is an eating disorder characterised by self-starvation. Accounts of AN typically frame the disorder in individualistic terms: e.g., genetic predisposition, perceptual disturbances of body size and shape, experiential bodily disturbances. Without disputing the role these factors may play in developing AN, we instead draw attention to the way disordered eating practices in AN are actively supported by others. Specifically, we consider how Pro-Anorexia (ProAna) websites—which provide support and solidarity, tips, motivational content, a sense of community, and understanding to individuals with AN—help drive and maintain AN practices. We use C. Thi Nguyen’s work on epistemic “echo chambers”, along with Maria Lugones’ work on “worlds” and “ease”, to explore the dynamics of these processes. Adopting this broader temporal and intersubjective perspective, we argue, not only helps to further illuminate the experiential character of AN but also has important clinical and therapeutic significance.

2018 ◽  
Vol 4 (3) ◽  
pp. 10
Author(s):  
Hetty Krisnani ◽  
Meilanny Budiarti Santoso ◽  
Destin Putri

ABSTRAKMasa remaja merupakan masa perubahan dramatis dalam diri seseorang. Salah satu perubahan yang terjadi adalah perubahan komposisi tubuh, terutama akumulasi lemak tubuh pada remaja puteri. Dengan adanya akumulasi lemak tubuh tersebut, ada anggapan bahwa mereka tidak memiliki tubuh semenarik yang diinginkan. Hal ini akan mendorong remaja puteri mencari jalan keluar agar memiliki tampilan fisik yang ideal, salah satunya adalah dengan melakukan perubahan kebiasaan makan yang umumnya menyimpang. Kebiasaan makan yang tidak benar itu dapat mengakibatkan terjadinya gangguan makan atau eating disorder yang dapat berdampak buruk bagi remaja. Eating disorders (ED) merupakan gangguan mental yang meskipun berhubungan dengan pola makan dan berat badan, gangguan tersebut bukanlah mengenai makanan, tetapi mengenai perasaan dan ekspresi diri. Pada umumnya, penderita ED adalah mereka yang memiliki kepercayaan diri rendah. Terdapat dua macam ED, yaitu anorexia nervosa dan bulimia nervosa. Kedua gangguan tersebut mempunyai tujuan yang sama, yaitu menguruskan badan. ABSTRACTAdolescence is a time of dramatic change in a person. One of the changes that occur are changes in body composition, especially the accumulation of body fat in girls. Given the accumulation of body fat, there is the assumption that they do not have a body as attractive as desired. This will encourage the girls find a way out in order to have the ideal physical appearance, one is to change eating habits are generally distorted. Improper eating habits can result in eating disorders or disordered eating can be bad for teens. Eating disorders (ED) is a mental disorder even though associated with diet and weight, the disorder is not about food, but about feelings and self-expression. In general, patients with ED are those who have low confidence. There are two kinds of ED, namely anorexia nervosa and bulimia nervosa. Both of these disorders have the same goal, which is to lose weight.


2013 ◽  
Vol 62 (4) ◽  
pp. 275-284 ◽  
Author(s):  
Mariana Dimitrov Ulian ◽  
Ramiro Fernandez Unsain ◽  
Priscila de Morais Sato ◽  
Patrícia da Rocha Pereira ◽  
Isis de Carvalho Stelmo ◽  
...  

OBJECTIVE: The aim of this study was to analyze qualitatively how women, who have recovered from anorexia nervosa, perceive and describe their current eating practices, as well as the ones developed during the eating disorder period. METHODS: Seven women were interviewed individually with the objective of investigating their eating practices, transition phases and all relevant aspects that somewhat contributed to the habit-forming; experiences, feelings and perceptions related to mealtime and the influence that food has had over the present subjects' life. The interviews were analyzed by the discourse of the collective subject method. RESULTS: The results brought up the following topics: a) control; b) concerns and feelings; c) deprivation d) beauty dictatorship; e) eating competence; f) importance of food; g) food cacophony. CONCLUSIONS: What stands out is a multiplicity of eating practices, which during the eating disorder were similar to and characterized by restriction; however, after recovery, part of the subjects seem to have developed a higher eating competence, whereas others show a practice similar to the one acquired during the anorexia nervosa, such as the difficulty in realizing when they are satisfied and a feeling of discomfort when facing social interactions.


2008 ◽  
Vol 1 (11) ◽  
pp. 759-763 ◽  
Author(s):  
Chantal Simon

Although classification of eating disorders is relatively recent, cases of female anorexia have been recorded since the eleventh century. Then, the intentional self-starvation of women was thought to result from religious yearnings resulting in these women being termed ‘fasting saints’. Freud recorded a case of bulimia nervosa in a female patient in the nineteenth century. There are currently three recognized eating disorders: anorexia nervosa, bulimia nervosa and binge eating disorder. Many more people have disordered eating patterns that show features of these conditions but do not meet the criteria for diagnosis.


1989 ◽  
Vol 155 (2) ◽  
pp. 196-201 ◽  
Author(s):  
P. K. Bowden ◽  
S. W. Touyz ◽  
P. J. Rodriguez ◽  
R. Hensley ◽  
P. J. V. Beumont

Three current techniques for estimating body size (Image Marking, Visual Size Estimation, and Distorting Video techniques) were compared. Anorexia nervosa and bulimic patients and normal control subjects were required to make size judgements of the way they ‘knew’ they looked, the way they ‘felt’ they looked, and of the width of an inanimate control object. Results from the three techniques were not the same, thus implying that research findings can no longer be cross-compared. Moreover, while all subjects were similar in the accuracy of their estimation of a control object, anorexia nervosa and bulimic patients overestimated their own body size significantly more than normal controls. This difference was even more marked when affective instructions were compared.


2021 ◽  
Vol 11 ◽  
Author(s):  
Lukas Bergner ◽  
Hubertus Himmerich ◽  
Kenneth C. Kirkby ◽  
Holger Steinberg

The most common eating disorders (EDs) according to DSM-5 are anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). These disorders have received increasing attention in psychiatry due to rising prevalence and high morbidity and mortality. The diagnostic category “anorexia nervosa,” introduced by Ernest-Charles Lasègue and William Gull in 1873, first appears a century later in a German textbook of psychiatry, authored by Gerd Huber in 1974. However, disordered eating behavior has been described and discussed in German psychiatric textbooks throughout the past 200 years. We reviewed content regarding eating disorder diagnoses but also descriptions of disordered eating behavior in general. As material, we carefully selected eighteen German-language textbooks of psychiatry across the period 1803–2017. Previously, in German psychiatry, disordered eating behaviors were seen as symptoms of depressive disorders, bipolar disorder or schizophrenia, or as manifestations of historical diagnoses no longer used by the majority of psychiatrists such as neurasthenia, hypochondria and hysteria. Interestingly, 19th and early 20th century psychiatrists like Kraepelin, Bumke, Hoff, Bleuler, and Jaspers reported symptom clusters such as food refusal and vomiting under these outdated diagnostic categories, whereas nowadays they are listed as core criteria for specific eating disorder subtypes. A wide range of medical conditions such as endocrinopathies, intestinal or brain lesions were also cited as causes of abnormal food intake and body weight. An additional consideration in the delayed adoption of eating disorder diagnoses in German psychiatry is that people with EDs are commonly treated in the specialty discipline of psychosomatic medicine, introduced in Germany after World War II, rather than in psychiatry. Viewed from today's perspective, the classification of disorders associated with disordered eating is continuously evolving. Major depressive disorder, schizophrenia and physical diseases have been enduringly associated with abnormal eating behavior and are listed as important differential diagnoses of EDs in DSM-5. Moreover, there are overlaps regarding the neurobiological basis and psychological and psychopharmacological therapies applied to all of these disorders.


2018 ◽  
Vol 4 (3) ◽  
pp. 399
Author(s):  
Hetty Krisnani ◽  
Meilanny Budiarti Santoso ◽  
Destin Putri

ABSTRAKMasa remaja merupakan masa perubahan dramatis dalam diri seseorang. Salah satu perubahan yang terjadi adalahperubahan komposisi tubuh, terutama akumulasi lemak tubuh pada remaja puteri. Dengan adanya akumulasi lemak tubuh tersebut, ada anggapan bahwa mereka tidak memiliki tubuh semenarik yang diinginkan. Hal ini akan mendorong remaja puteri mencari jalan keluar agar memiliki tampilan fisik yang ideal, salah satunya adalah dengan melakukan perubahan kebiasaan makan yang umumnya menyimpang. Kebiasaan makan yang tidak benar itu dapat mengakibatkan terjadinya  gangguan makan atau eating disorder yang dapat berdampak buruk bagi remaja.  Eating disorders (ED) merupakan gangguan mental yang meskipun berhubungan dengan pola makan dan berat badan, gangguan tersebut bukanlah mengenai makanan, tetapi mengenai perasaan dan ekspresi diri. Pada umumnya, penderita ED adalah mereka yang memiliki kepercayaan diri rendah. Terdapat dua macam ED, yaitu anorexia nervosa dan bulimia nervosa. Kedua gangguan tersebut mempunyai tujuan yang sama, yaitu menguruskan badan. ABSTRACTAdolescence is a time of dramatic change in a person. One of the changes that occur are changes in body composition, especially the accumulation of body fat in girls. Given the accumulation of body fat, there is the assumption that they do not have a body as attractive as desired. This will encourage the girls find a way out in order to have the ideal physical appearance, one is to change eating habits are generally distorted.  Improper eating habits can result in eating disorders or disordered eating can be bad for teens. Eating disorders (ED) is a mental disorder even though associated with diet and weight, the disorder is not about food, but about feelings and self-expression. In general, patients with ED are those who have low confidence. There are two kinds of ED, namely anorexia nervosa and bulimia nervosa. Both of these disorders have the same goal, which is to lose weight.


Author(s):  
Susan McElroy ◽  
Anna I. Guerdjikova ◽  
Nicole Mori ◽  
Paul E. Keck

This chapter addresses the pharmacotherapy of the eating disorders (EDs). Many persons with EDs receive pharmacotherapy, but pharmacotherapy research for EDs has lagged behind that for other major mental disorders. This chapter first provides a brief rationale for using medications in the treatment of EDs. It then reviews the data supporting the effectiveness of specific medications or medication classes in treating patients with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other potentially important EDs, such as night eating syndrome (NES). It concludes by summarizing these data and suggesting future areas for research in the pharmacotherapy of EDs.


Author(s):  
Tracey D. Wade

The current chapter reviews our progress in understanding how genes influence eating and eating disorders (EDs) by addressing the following areas: (1) how recognition of genetic influences on eating and EDs emerged; (2) the complex nature of genetic action; (3) what twin studies can tell us about genetic influences; and (4) the current state of linkage and association studies. It is concluded that genes are an important part of the explanatory framework for the etiology of EDs, with an important contribution of the shared environment to the development of cognition and attitudes that may initiate disordered eating practices, and a critical contribution of the environment in providing a context within which genetic risk is more likely to be expressed. We currently have a limited understanding of the specific genes that are implicated, and the ways in which genes and the environment work together to increase risk for disordered eating.


Author(s):  
Pamela Keel

The epidemiology of eating disorders holds important clues for understanding factors that may contribute to their etiology. In addition, epidemiological findings speak to the public health significance of these deleterious syndromes. Information on course and outcome are important for clinicians to understand the prognosis associated with different disorders of eating and for treatment planning. This chapter reviews information on the epidemiology and course of anorexia nervosa, bulimia nervosa, and two forms of eating disorder not otherwise specified, binge eating disorder and purging disorder.


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