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An eating disorder is a complex compulsion to eat, or not eat, in a way which disturbs physical
and mental health. Often the symptoms can seem as extreme, or as extensions of culturally
acceptable behavior and preoccupations. The eating may be excessive (compulsive over-eating);
too limited (restricting); may include normal eating punctuated with episodes of purging; may
include cycles of binging and purging; or may encompass the ingesting of non-foods. The most
commonly known eating disorders are Anorexia nervosa and Bulimia nervosa. The most widely
and rapidly spreading eating disorder is compulsive overeating or Binge eating disorder. These
are also the three most common eating disorders. All three cause severe immediate and long-
term health issues and can cause death. There are numerous theories as to the causes and
mechanisms leading to eating disorders.
Eating disorders such as Anorexia, Bulimia, and Binge Eating disorder are characterized by
extreme emotions, attitudes and behaviors surrounding weight and food issues, and a
disconnected understanding of one’s body. Eating disorders are also a gendered health issue,
affecting women at a disproportionate rate than men. Of the 5 million people reported to suffer
from eating disorders in the United States, 4 million are women and 1 million are men (The
National Association of Anorexia Nervosa and Associated Disorders). Even within this statistic are
a wide range of women with varied backgrounds and life experiences. In order to fully understand
eating disorders, like any disease, the prevalence must be understood within the context of social
and cultural factors, including age, race, gender, sexual orientation and socio-economic class.
It is commonly understood that eating disorders can be attributed to the pressure society puts an
women to be thin, and men to be 'bulked up'. This can lead to pressure on women to be 'picture
perfect.' Eating disorders prevail when these unattainable goals and cultural standards become
internalized and necessary for survival and success. Researchers who study eating-disordered
thoughts and behaviors suggest that the media, advertising, women's magazines in particular and
the rise of the diet industry that commodifies the body, may play a role in triggering these
practices [1]. Interestingly, as women's empowerment has increased, so has the prevalence of
eating disorders, since thinness has become a necessity for the modern woman, representing
beauty, self-control, achievement and success. [1] Thinness has also become an answer to the
"modern woman dilemma," where women are torn between conflicting and contradictory roles -
you can do anything and be anything, but must also be beautiful. Thinness for the new women,
combines qualities of self control, competition and success with qualities required from the
conflicting traditional woman, i.e. attractiveness, weakness and helplessness.[2] While the media
is a powerful force of influence, sending messages about the body and how it should look, it is not
the only element influencing the development of eating disorders.
[edit] Anorexia Nervosa The American Psychiatric Association [2] defines anorexia nervosa as the
presence of an abnormally low body weight (15% below normal body weight for age and height),
the intense fear of gaining weight or becoming fat, disturbance and preoccupation with body
weight and shape, and amenorrhoea (the absence of three consecutive menstrual cycles).
Anorexia can be life-threatening as victims commonly refuse to eat and drastically lose weight in
which causes the lack of nutrients within the their body. Anorexics are commonly perfectionists,
driven to succeed; yet they set unattainable standards of performance for themselves. When they
fail to meet these standards, they look for a part of their lives they can control; food and weight
become that “control” for them. Low self-esteem and constant self-criticism cause anorexics to
constantly fear losing control, and even consuming a small amount of food could be considered a
loss of control [3]. One thousand women die of anorexia nervosa each year, and millions more
suffer from the destructive physical complications [4].
[edit] Bulimia Nervosa
Bulimia nervosa is characterized by the recurrent episodes of bingeing (eating large quantities of
food over short periods of time) followed by attempts to compensate for the excessive caloric
intake by such purging behaviors as self-induced vomiting, laxative abuse, severe restrictive
dieting or fasting, or excessive exercise [3]. Bulimics often have "binge food," which is the food
they typically consume during binges. Some have described their binge episodes as a physical
high they feel, numbing out, going into auto-pilot, losing all control, immediate comfort, etc. The
reasoning or triggers behind a binge may serve different purposes for different people. This
binge episode leads the individual to feel guilt, shame, embarrassment, and complete failure.
Bulimics try to regain control of themselves and the situation by purging the food – making up for
their mistake. This leads to feeling famished and empty again, and therefore, another
uncontrollable binge, followed by feeling powerless, and the vicious binge/purge cycle continues.
Bulimics have extreme eating and exercising habits, instead of demonstrating moderation. This
compulsive behavior is often echoed in similar destructive behavior such as sexual promiscuity,
pathological lying, and shoplifting. Some bulimics not only struggle with the eating disorder, but
these other harmful behaviors as well.
[edit] Binge-Eating Disorder
This is often referred to as Compulsive Overeating. Binge-eating disorder is similar to bulimia in
the recurrent episodes of bingeing; however, binge-eaters do not engage in any purging
behavior or attempt to rid themselves of the food in any way [4]. Binges often take place in secret,
when the person is alone, since feelings of shame and disgust often accompany the binge. Binge
eaters typically eat very rapidly, hide food, and stuff themselves to the point of feeling sick. Some
binge eaters may eat to fill an emotional void or spiritual emptiness they feel, in a desperate effort
to be satisfied. This is called emotional eating, which is a coping mechanism for stress,
depression, anxiety, anger, and many other negative emotions.
Patients with eating disorders may also have a comorbid diagnosis of, mood disorder, severe
mental depression,[5] Obsessive compulsive disorder, Body dysmorphic disorder, Bipolar
disorder, self-harm[6] personality disorders and substance abuse disorders. Sexual abuse is also
frequently reported among those with eating disorders. Women with eating disorders show poorer
eating self-efficacy, psychological distress, disinhibition, low self-esteem, less helpful coping
strategies, more frequent sensations of hunger, and less cognitive restraint when compared to
control groups.[7]
Some psychologists also classify a syndrome called orthorexia as an eating disorder, or, more
properly, "disordered eating" - the person is overly obsessed with the consumption of what they
see as the 'right' foods for them, to the point that their nutrition and quality of life suffers
(although due to cultural and political factors which influence food choices, this idea is considered
controversial by some). In addition, some individuals have food phobias about what they can and
cannot eat, which can be characterized as an eating disorder. The UK broadcaster BBC Three
have shown a series called Freaky Eaters that deals with such topics.
Somewhat qualitatively different from those conditions previously mentioned is pica, or the
habitual ingestion of inedibles, such as dirt, wood, hair, etc.
The American Psychiatric Association recognizes eating disorders.
[edit] Causes and mechanisms
[edit] Environmental factors
The media may be a significant influence on eating disorders through its impact on values,
norms, and image standards accepted by modern society [8]. Both society’s exposure to media
and eating disorders have grown immensely over the past decade. Researchers and clinicians
are concerned about the relationship between these two phenomena and finding ways to reduce
the negative influence thin-ideal media has on women’s body perception and susceptibility to
eating disorders. The dieting industry makes billions of dollars each year by consumers
continually buying products in an effort to be the ideal weight. Hollywood displays an unrealistic
standard of beauty that makes the public feel incredibly inadequate and dissatisfied and forces
people to strive for an unattainable appearance. This takes an enormous toll on one's self-
esteem and can easily lead to dieting behaviors, disordered eating, body shame, and ultimately
an eating disorder.

===Family Relationships===to Many studies have found that women create rules for themselves
pertaining to food restriction as a coping response to reassert personal control over their bodies
[9]. Especially in conditions of criticism and coercive parental control during childhood, women
use food refusal to gain autonomy and control over their environment. Many studies have showed
that many women who experienced physical or sexual abuse as a child end up with eating
disorders as a method of punishing oneself due to the feeling of being worthless, or to strive to
be “good enough” so they can finally receive the love and acceptance they lacked during
childhood. Women may have developed low self-esteem and poor body image, but they can find
achievement in abiding by food rules; they gain a sense of control and independence in being
disciplined and avoiding "bad" food. These distorted thoughts are correlated with perfectionism
and obsessiveness, giving women a false sense of control when, in reality, the eating disorder
has totally consumed them.
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