No Thinspiration

Aimee Liu, the author of over 10 books, spoke with me recently about her new work, Gaining: The Truth About Life After Eating Disorders (Warner Books, 2007), and how her life with anorexia impacted the words within.

Kelly Jad’on: Why the title, Gaining?

Aimee Liu: That is the word which strikes fear and loathing in the hearts of those with eating disorders. It is associated with gaining fat. It has richer meanings, though. Gaining pleasure, gaining independence, gaining confidence. All of these appetites are connected. To gain freedom from eating disorders, you have to gain in power and maturity. This is central to recovery from eating disorders.

In our culture, women are told implicitly to be afraid of gaining weight both in pounds and purpose; a lot of women portrayed as celebrities or in fashion magazines are encouraged to remain in a state of immature adolescence. The unspoken message has long been that an “ideal” woman is a perennial child whose sole value and responsibility is to look cute. But today, with the creation of Size Zero clothing, the message is even worse. Now the “perfect” woman is a zero - in other words, nonexistent.

Aimee, where did the anorexia begin? How old were you when you began losing or wasting?

Wasting has multiple meanings related to one’s life and body. I originally began dieting in 7th grade. I developed what is now considered true symptoms of an eating disorder in the 8th grade. That was back in the 1960s, when few were diagnosed. I was obsessive, and at 5’6”, remained below 100 lbs until college, around age 19-20.

I was never as severe as some anorexics, near death; I maintained a weight that was too low. Like a vast majority who hover on the brink of anorexia, the real damage is psychological.
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Without their parents’ knowledge, many adolescents with diagnosed eating disorders are visiting Web sites that encourage anorexia and bulimia, according to a study in the journal Pediatrics last month.

“Parents of pro-eating-disorder Web site users were more likely to know about these sites” – which provide “thinspiration” (images of extremely thin women) and reinforce disordered eating habits – than other parents, said Rebecka Peebles, one of the study’s authors and an instructor in adolescent medicine at the Stanford University School of Medicine. “Still, over half the parents of these pro-eating-disorder Web site users didn’t know their own kids were on these sites.”

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Dec. 18, 2006 (Newsweek)
If a food craving strikes, try a manicure to “keep your hands occupied.”
This kind of tip is common fare on pro-”ana” (anorexia) and pro-”mia” (bulimia) Web sites. Well intended or not, they’re not “benign,” says Dr. Rebecka Peebles of Stanford University, coauthor of “Surfing for Thinness,” published in Pediatrics last week. Stanford researchers surveyed patients treated for eating disorders, ages 10 to 22, and found that users of pro-eating-disorder sites were sick longer. And 96 percent of them reported learning new tips for weight loss or purging; 69 percent said they used them.

The sites tend to gloss over bad news: people with anorexia are 56 times more likely than their peers to commit suicide. (And they’re not broadcasting the November anorexia-related death of Brazilian model Ana Carolina Reston.)

Sites deny being harmful, saying they provide a community for those with eating disorders. The term “pro-ana” is broadly used, and sites vary greatly. “We offer them support, saying, ‘It will be. Continue going to your doctor’,” says five-foot, 89-pound proana.us owner Anna Robbins.

In November, the Academy for Eating Disorders suggested a mandatory warning statement: “Warning: anorexia nervosa is a potentially deadly illness. The site you are about to enter provides material that may be detrimental to your health.”

—Karen Springen

NEW YORK (Reuters Health) - Many women may fail to recognize bulimia symptoms in themselves, particularly if they don’t go to the extremes of self-induced vomiting, new research suggests.

In a study of 158 women with bulimia-type eating disorders, Australian researchers found that nearly half did not acknowledge a problem with their eating. This was particularly true of those who did not vomit to control their weight.

Bulimia is widely known as a “binge-purge” eating disorder, in which a person goes through cycles of excessive eating followed by purging – through either vomiting or abusing laxatives and diuretics.

But there are also non-purging forms of bulimia, where tactics like excessive exercise or strict dieting are used to counter binge-eating episodes.

Still other people have certain symptoms of bulimia but fall short of all the criteria used to diagnose the disorder; they may fall into the category of “eating disorder not otherwise specified,” or EDNOS.

The new study, published in the International Journal of Eating Disorders, focused on women with “bulimic-type” eating disorders. This included those with purging or non-purging bulimia, as well as women with EDNOS. Some women in the latter group were diagnosed with binge-eating disorder, which involves excessive eating but no purging to compensate]
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With statistics showing the rate of anorexia in London youth may be 10 times higher than the national average, a London centre is taking its message to younger pupils.

London Community Foundation has donated $8,000 to Hope’s Garden Eating Disorders Support and Resource Centre to expand its educational outreach, which includes elementary schools.

“The younger children are showing so many of the precursors to developing an eating disorder,” said Kathy Berg, the president of Hope’s Garden board of directors.

“If we’re going to do early identification and prevention work, we really have to go to the Grades 3 to 6 because that’s where these behaviours are starting.”
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Katharine McPhee discusses her courageous decision to enter rehab for her eating disorder.
“American Idol” second-place runner-up KATHARINE McPHEE credits the hit TV series with helping her get her life on track. In the December issue of Shape magazine, currently on stands, the 22-year-old beauty talks about her decision to enter the Eating Disorder Center of California to deal with her bulimia.

“After I made it through the first round of auditions, I knew I had to get better if I was going to go all the way,” Katharine recalls in her interview. “In this way I can say the show literally saved my life.”

After discussing her bulimia with her mother, Katharine entered the program, finishing up the three-month outpatient program just days before “Idol” stopped airing the audition episodes and began focusing on the Top 24.

“The therapists asked me if I was ready to let go of bulimia, and I definitely was,” Katharine told the magazine. “Yes, I was scared, but I knew I had suffered enough.”

Growing up, Katharine had always been considered skinny. It wasn’t until she decided to try modeling and acting that food became an issue. She was only 15 years old, but casting directors kept telling the size-10 teenager to lose 10 more pounds. The end result was that she became obsessed with her weight, and when she saw a TV show about purging, it sounded like a good idea at the time.

Since leaving Eating Disorder Center of California, Katharine says she has been successful in using the tools they gave her, so that she made it all the way to the “American Idol” finals, through this past summer’s “Idol” tour and through the stress of recording her upcoming CD without suffering a relapse.

“It’s hard to eat healthy on the road, but as I learned in the center, it’s not necessarily what you eat but how much,” she says.

CBSNews is also talking about thinspiration and sites: “Kids Learn Harmful Behavior From Pro-Eating-Disorder Web Sites And Recovery Web Sites”

Teens with eating disorders are picking up dangerous tips from both pro-eating-disorder Web sites and sites designed to treat the problem, according to a new study.

And though most of their parents know about the pro-eating-disorder Web sites, few sit down and talk to their kids about them.

The so-called “pro-Ana” Web sites — shorthand for pro-anorexia — offer tips on extreme weight loss and purging. They suggest that believing one can’t be too thin is a lifestyle choice, not an eating disorder. The sites often offer strategies for avoiding detection by parents and doctors when purging. Site forums allow teens with eating disorders to share tips and offer support.

These sites usually carry “thinspiration” pictures — sometimes shocking images of extremely thin young people.

How much do teens with eating disorders and their parents know about these sites? In an effort to find out, researchers surveyed families of patients age 10-22 treated at Stanford University’s Lucile Packard Children’s Hospital.
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Young sufferers of anorexia and bulimia who try to hide their eating problems from their parents and doctors are turning to a growing number of internet chat rooms dedicated to perpetuating their illness.

A pilot study released this week of US eating disorder patients aged between 10 and 22 showed that up to a third learn new weight loss or purging methods from websites that promote eating disorders by enabling users to share tips, such as what drugs induce vomiting and what internet sites sell them.

But the study - published in the American Academy of Pediatrics’ journal Pediatrics - found that eating disorder sufferers were also learning new high-risk ways to lose weight from each other on websites aimed at helping them recover.

The survey by researchers from Stanford University School of Medicine and Lucile Packard Children’s Hospital at Stanford showed a third of patients also visited pro-recovery sites and half of them learnt new weight loss and purging methods.

“Parents and physicians need to realise that the internet is essentially an unmonitored media forum,” said Rebecka Peebles, Packard Children’s adolescent medicine and eating disorder specialist and an author of the study.
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If you are a young woman with anorexia, the best way to figure out the seriousness of your problem would be to go to your doctor to see if you will require hospitalization or psychiatric services. Recovery from anorexia nervosa includes both short- and long-term treatment, help from dietitions, psychiatrists and doctors who specialize in anorexia.

Hospital treatment is recommended for anorexics with any of the following characteristics: weight of 40% or more below normal body weight, or more than 30 pounds of weight- loss over a three-month period, severely disturbed metabolism, serious binging and purging, severe depression or risk of suicide. During hospitalization, you will have individual and group therapy as well as refeeding and monitoring of your physical condition. Treatment usually requires two to four months in the hospital. In extreme cases, you may be force-fed through a tube inserted in the nose (nasogastric tube) or by over-feeding.

Anorexics have been treated with many different medications, including antidepressants and antianxiety drugs. The effectiveness of these medications are not certain. However, at least one study of Prozac showed it helped patients maintain the weight gained while in the hospital. The determination for long-term recovery may vary from study to study, but the most reliable estimates are that 40 - 60% of anorexics will make a good physical and social recovery, and 75% will gain weight after treatment. The long-term mortality rate for anorexia is estimated at around 10% (or 1 in 10 with anorexia), although some studies give a lower figure of 3 - 4%.

Vía: Anred