Alessandra Pokrajac-Bulian, Department of Psychology, Faculty of Philosophy, Rijeka
Eating disorders: an illusion of slenderness in modern times
Eating disorders are very serious psychiatric disorders whose mortality rate ranges from 3% for bulimia nervosa to 1.8% for anorexia nervosa. They are characterized by increasing prevalence. The first description of the nervous atrophy was given in 1689 by the English physician Morton who described a case of an 18-year-old Miss Duke. Several centuries have passed since, and the expectations of slenderness created by the society are more widespread than ever. Each century had its specific ideals of beauty. The role of corset, which was used in shaping the female body in the 19th century, in modern times has been replaced by dieting. The ideal of slenderness is nowadays so common that women regardless of their age have accepted it. The efforts put into achieving it can be seen throughout their lives, from childhood to old age.
Eating disorders generate a great deal of interest, create dilemmas for researchers and pose major challenges for clinicians. The questions that need to be answered in both research studies and clinical work pertain to biological, psychological and socio-cultural factors, i.e. risk factors for developing eating disorders. Which factors are relevant to maintenance and what steps need to be taken in prevention and treatment? The biological propensity for eating disorders includes a wide range of factors, which vary from individual genetic profile to body mass index. The psychological propensity is evident in personality traits (e.g. perfectionism, negative self-image), family characteristics (e.g. specific communication patterns within a family, family psychopathology) and negative life events (e.g. sexual harassment, teasing). Predisposing factors generated by the environment epitomise the pressure put on women to achieve a slender figure at all costs. Internalisation of the slender ideal, present throughout a woman’s life, results in “normative discontent”. When it comes to reducing body dissatisfaction, dieting seems both logical and acceptable. It appears that, among all factors, the best predictor of eating disorders is dieting.
Even though the biological explanations for eating disorders can not be ignored, both socio-cultural environment that causes dieting and internalisation of the slender ideal are pitfalls, which we have to deal with when promoting healthy eating habits and body image acceptance.