Thursday, April 30, 2009

The End

Over the course of my cross-cultural blogging experience, I have gained a considerable knowledge for the “practice” of anorexia nervosa. I was forced to put myself in a situation where my understanding and beliefs were challenged. The past two months have enabled me not only to rethink my position in the world, but also to value and appreciate the breadth of knowledge available to me.
My culture site, Anorex1aNerv0sa, is a site where anyone can go to understand why people participate in the disease. It is a place where true answers and evaluation take precedence over negative thinking and connotations. I have learned that anorexia is not something people want; but instead, something people need. In order to gain control of their lives, these people must find an instant euphoria and for them, it is found through the practice of anorexia. Although most cases have a tragic result, it is important to look at the large number of patients who have fully recovered. They have stepped outside of their skin and into a new body. In most cases, they have found a means to help others in similar situations.
From investigating this cultural practice, I have recognized a chain reaction that takes place in each recovered individual and in the anorexic community as a whole. I have learned that in order to overcome this hardship, you have to know that someone else has succeeded in dealing with the disease; you have to realize that nothing is impossible. Through research, interviews, and first hand experience, I have engaged with my culture site and learned the reality of what it takes to be a part of this practice and to be a part of its past.

Final Notes on the Recovery Process

In accordance to the previous blog, “Recoveries in Language,” I thought it prudent to conclude with the main difference between Struggling Recoveries and Full Recoveries. What I found in the same article was that “these two genres are consequential for the women’s experience of recovery, since it seems that the telling and retelling of an empowerment (full recovery) narrative, with its clear beginnings, turning points, and felicitous, institutionally condoned endings may well be critical for recovery to remain a stable condition in life.” As far as the Struggling Recoveries are concerned, talking about their experiences is hard, and sometimes uncertain. They don’t know how to make sense of what happened, and fail to put their experience in a step-by-step process.

I couldn’t help but relate the idea of story telling to the experiences of organ donor kin. In Leslie Sharp’s book, “A Strange Harvest,” the same idea that one must talk about an experience is crucial to the healing process. The more we talk about a situation, the more it becomes flat and free of repressed emotion. Making this tie helped me to realize that anorexia is similar to many hardships in life. It is not as individual a disease as we think, and shares similarities to a number of diseases and disorders. What makes anorexia so scary and different from other disorders is the numerous symptoms it holds in combination with “the notion [of] recovery…is not just an outcome to be measured in terms of symptoms but entails a narrative process that links past, present and future visions of the self in relation to others.”

I have learned, through this information and from self-experience, that getting to a stage of full recovery is a lot harder than shown on the surface. The stages we experience on the way to the end make it seem like we will never find closure. It takes the strongest of wills to overcome such a hardship like anorexia but it is those wills that make it to the end that show us that the experience of anorexia becomes merely, a piece of the past; an utter experience that happened to the previous self no longer attached to your present self.




Citations

Shohet, Merav. "Narrating Anorexia: 'Full' and 'Struggling' Genres of Recovery"
ETHOS Vol. 35, Issue 3, pp. 344–382, ISSN 0091-2131 online ISSN 1548-1352. © 2007 by the American Anthropological Association.

Wednesday, April 29, 2009

Recoveries in Language

After my interview with the nutritionist, I thought of some new questions regarding the recovery process. There must be a difference between someone who is fully recovered and someone who is on their way to recovery, or even someone who believes they’re recovered but really aren’t. It was my good fortune when I came across the article “Narrating Anorexia: ‘Full’ and ‘Struggling’ Genres of Recovery” by Merav Shohet which, through a narrative process, explores how “women treated for anorexia reframe their illness and recovery experiences.”

In the case of the Full Recovery Genre, Shohet explains, there is a process by which one must transform their debilitated self into a self more capable of overcoming life’s unforeseen events. Alternatively, the Struggling Recovery genre tells of a past, present, and imagined future self continuously in conflict with each other, where no stage experiences true progress toward a new self. Sometimes, the person considers herself an agent or driving force to become healthy, but other times remains an experiencing patient unable to free herself from the disease and transcend into a new self.

Although full and struggling recoveries represent different aspects of the process as a whole, both suggest that recovery is equally an individual and social process. In these processes, I recognized that language plays a leading role in determining, from an outsiders perspective, what recovery stage the person is at. While the full recovery patients spoke with certainty and affiliation with institutional narratives, the struggling recovery patients spoke with weak cognitive verbs and without certainty. A few examples of their speech are as follows:

Struggling Recovery: So like whenever I feel like the expectations[…]
And(.) and… that was my way of sort of…getting out of it.
So that was my way our, I think.

Full Recovery: But I know the nature of my…being, being… obsessive compulsive
disorder, perfectionist nature, divorced family, alcoholism, addiction, all that… I was a prime candidate.

As you can see, there is a direct difference between the language the full recoverer uses and the struggling recoverer uses, which enables us to see a difference in the stages of their lives.


Citations

Shohet, Merav. "Narrating Anorexia: 'Full' and 'Struggling' Genres of Recovery"
ETHOS Vol. 35, Issue 3, pp. 344–382, ISSN 0091-2131 online ISSN 1548-1352. © 2007 by the American Anthropological Association.

Wednesday, April 8, 2009

Evidence versus Experience Continued

“All my life I was trying to improve myself. It wasn’t until my mother told me I was pudgy when I took a turn for the worse. It’s not that my mother didn’t accept me, but it was only in my mind that I wasn’t perfect.” She didn’t commit herself to athletics or try to make healthy food choices, but instead she suppressed her caloric intake. When she realized that this was an extreme challenge, she turned to the drug methamphetamine. She said, “I used to shoot drugs to stay skinny, they would naturally suppress my appetite. I found pleasure when I would see the bones jutting out of my body. I saw beautiful because I was in total control. I felt so beautiful, so beautiful…you have no idea. Everybody else had to eat to survive; I could do without it.”

But I soon learned that this beauty she saw was the furthest from confidence. She said, “It’s a weakness. You’re not confident because you’re only holding on to the false illusion of confidence through your control of weight. When in fact inside, you’re starving and crying for love. And I’m telling you, you cure it with self-love. You don’t cure it by finding others to love you.”

So my next question is where did this self-love come from? Every situation is different she said. “Most people have to go to rehab for years, but to be honest…they are usually never cured. People aren’t doing it the correct way. It is those practices that involve biology, psychology, and nutrition that will succeed. You can’t just send an anorexic to a psychologist and expect them to get better, they won’t.”

I asked her about herself…what is it that makes her recovery process different then the typical anorexic? She said no one would believe her if she told them, but it was a great yogi teacher that guided her to strength.

As the interview wrapped up, I came to understand why she engaged in the process. She did it because it felt good. “There is something that releases chemicals in the brain when you have an empty stomach. There is a euphoria when you are in the starving phase. “ There is something that really drives anorexia…it is biological and psychological. Psychologically, you are in control and you feel like you are on top of the world. When you can control your eating, you have actually mastered one of the four primitive fountains of life. Everyone needs to eat, and if you can control this, you can control your whole life."

Evidence versus Experience

As my blog research has continued, my desire for answers concerning this difference, or whatever you wish to call it, continues to grow. I no longer want a better understanding of why women engage in this practice, I need a better understanding. What does it do for them, and how does it allow them to see themselves? What is it they truly see behind the bones jutting from their skin?

In my efforts to find deeper understanding, I came across a certified nutrionalist who earned her PHD from Colombia University. Of course it was great to learn the perspective of a nutritionalist, but it was even greater to learn that of a nutritionalist who once allowed herself to be a part of the disease. Yes, the woman who graduated from Colombia University was also anorexic for the first three years of her undergraduate schooling. Ironically, her infatuation with anorexia directed her towards psychology and anthropology and ultimately resulted in her PHD and career in nutrition. As she was so willing to share with me some of her deepest secrets, I must respect her wishes to remain anonymous. The interview that I thought was going to bring me dry scientific reasoning actually brought me to greater understand this psychological mystery.

The first thing she made clear was that at any point someone with an underlying self-hate can become an anorexic. They need not be aware of their psychological discord in order to feel a need for control in their lives. “For the most part,” she said, “anorexia results from a very deep need to feel perfect or accepted. It results from self-esteem issues, most likely originating from a dysfunctional family, but not just your average dysfunction, it is very particular.” It was at this point in the interview where the nutritionalist I was speaking to turned into a real person; a person with experience. She said, “My mother was a control freak. She wasn’t a very nurturing mother, and she was very focused and driven on task orientation…emotions were never important to her. You are usually lacking a good mother when you have anorexia. You know, one that is nurturing.” When she came back from college, she said, her mother told her she was getting pudgy. The once state-ranked athlete was turning “fat.” She didn’t know about dieting, or eating foods with high nutritional value, so in college she ate like she did when she was a competing athlete. How her mother told her she was pudgy is still a mystery to me. She weighed 118 pounds and was 5’4”. Those are extremely close to my dimensions, and to think of myself, as being fat seems completely ridiculous. But even with the body of a healthy 19-year old, this woman was starting to see herself as obese. She actually looked in the mirror and saw fat. She poked at the curves in her body and saw hate. She hated herself.

Friday, March 27, 2009

Parent's Role

The more time I spend researching anorexia, the more I see stories or information directed toward the patient. So where does the family come in, and why is there so little information out there about how the anorexia of a loved one can affect an entire family unit? After endless hours on the Internet, I finally came across an article with far more than a paragraph of information regarding this topic. The authors of, Impact of eating disorders on family life: individual parents’ stories, say that “eating disorders have a profound effect on families in western societies but this has not been well-documented in the literature. Current literature is often written from the perspective of sufferers and their therapists, with very little mention about parents or families. The focus on parents is mostly negative and concentrates on their role in the underlying causation of the illness.”

If you think about all the information we read or hear about anorexia, families are often only considered when determining the cause of the patients illness. Are the parents anorexic too? Is the family dysfunctional? Does the parent-child relationship effect the child’s desire to eat? There are so many negative questions you can ask a family, but what about asking how the anorexia has affected the family instead of the patient? Has it made them depressed, regretful, or feel like they have done a horrible job as a parent? These are the questions I would like to know. To play the devils advocate, I must say that all the anorexic patients I have seen have directly resulted from some dysfunction in their family unit, but I have to assure myself that there are some families among the innocent.

I have read that many families play a vital role in the treatment of the patient. It is only when parents are excluded from the treatment process when they are put in a negative light, which then transfers to literature and the media. The negative light families are put under only adds to the, “concern, despair, frustration, anger, confusion, and guilt” they already feel. So why is it that we must ostracize them in a way that only makes it harder for everyone? Also, regardless of what role the families played in the patient’s life, wouldn’t it be easier to overcome such a challenge in the presence of those you had always known? Although each case is individual, I would believe the majority of patients would wish for their families to be present, as they have always and undoubtedly been some sort of support system. Whether that be positive or negative seems to be irrelevant, because the patient, in most cases, will always listen to the advice given by their parents. In any war, a battle is always won not with a single person, but with a group of people.

Citations

Hillege, Sharon. Beale, Barbara. McMaster, Rose. Impact of eating disorders on family life: individual parents’ stories. 28. June. 2005. Mental Health pages 1-3

Thursday, March 26, 2009

Media's Influence

As we all know, it is easy for society to become entrapped or influenced by media, and I must say that I too, I am a victim of this corruption. From politics to music and fashion, there is an ideal image for everything and everyone. Females, in particular, seem to become obsessed with the body image portrayed by models and actresses. Starting at a young age, girls form images in their heads about what they believe looks perfect and try to achieve this look, usually with the hopes that men will find them perfect also. Three authors, Choi, Yoonhyeung 'Yoon'; Leshner, Glenn; Choi, Jounghwa, studied the Third-Person Effects of Idealized Body Image in Magazine Advertisements. In this article, I found a lot of interesting information concerning the female mind. Posted below are some of my findings.

• Female adolescents are affected negatively by ideal body image not because they believe those images are real but because they believe that others, in particular, males, will evaluate them.

• According to idealized body images in advertisements, such explanations stand somewhat in contrast to previous studies where researchers assumed women would perceive the ideal body as a realistic and attainable goal (based on social comparison theory), thus comparing themselves to the ideal bodies (Law & Labre, 2002; Martin & Kennedy, 1993; Richins, 1991).

• Body image is a multidimensional construct and is defined as a mental construction of oneself (Markus, 1977; Markus & Sentis, 1982) or as the degree of satisfaction with one’s current physical self (Cash & Deagle, 1997). According to Hutchinson (1985), body image is formed via positive and negative feedback from others whose opinions matter to us.

• Women see themselves through the eyes of others whom they believe have been significantly affected by idealized media images.

• The TPP (Third Person Perspective) applied to idealized body image advertising suggests that women believe others are influenced by idealized body images more than they themselves are.

• According to the study, people use a relatively naïve schema for media effects on others, whereas they use a more complicated conditional-effects model to evaluate media effects on self.


As I take a step back and look at media’s affects on the female population, I realize that I too am affected. It is so hard not to look at a magazine with gorgeous girls in it and have no desire to be like them. What I wonder about is the models themselves. Do they enjoy their workout and diet regimen? I’m sure that a lot of them are anorexic too, and maybe some of them fell into that category after being involved with the industry for so long. It is hard to blame models and movie stars for being the way they are. That is just how our society is built…if they were larger and unattractive, people wouldn’t want to go watch them at the cinema or buy an advertised bathing suit. Body image is a vicious cycle with the impetus being money. I can only imagine what it would be like to be a model, and think that if I gained 5 pounds I’d be cut, without a job, and no source of income. I think, due to our perfectionist mindset, America will remain the same with regards to body image. And just to get your mind thinking, there are some Latin American countries that prohibit you from modeling if you are UNDER a certain weight. Yes, this means they actually want you to live a bit longer.

So what about in the countries where being fat is or was once considered wealthy; what does their media portray? To investigate this question, I took up BBC News for some help. In Mauritania's 'wife-fattening' farm that was in practice over a generation ago, one third of the female population was force-fed into obesity. Now, only around one in ten girls is forced to live at fat farms until they have reached their families expectations. In rural Mauitania, the classic rotund woman is still strutting her desired body on the streets, and this fat and beautiful look is still what their country is famous for. Although not all men are interested in the famous voloptuous woman, no men are interested in the oh-so skinny American. What they want, is for their women "to be natural, just to eat normally."



Citations

Choi, Yoonhyeung 'Yoon'; Leshner, Glenn; Choi, Jounghwa. Third-Person Effects of Idealized Body Image in Magazine Advertisements. Hanyang University. American Behavioral Scientist, vol. 52, no. 2, pp. 147-164, Oct. 2008

Pascale, Harter.
26 January 2004. Mauritania's 'wife-fattening' farm. Electronic document,
http://news.bbc.co.uk/2/hi/africa/3429903.stm


Here is a clip from youtube regarding an anorexic model from Italy, the fashion capital of the world.

http://www.youtube.com/watch?v=aTIjRxT_Y9g
CBS News Online
October 12, 2007
Sheila MacVicar reports.
(CBSNews.com)