Anorexic Images – Who Needs Them?

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anorexia, competitiveness, denial, Eating Disorders, emaciation, images, media, misconceptions, symptoms, weight

Anorexic Images – Who Needs Them?

I recently spoke to a journalist who was interested in covering my row to London for Beat. Her first question, before she even asked about what I was doing or why, was “Do you have any images of yourself at a low weight?” As soon as I calmly explained Beat’s guidelines on the topic, which advise ambassadors not to provide these sorts of images, she launched into a heated speech about how she “simply couldn’t understand why that was necessary” because if I was “claiming to have been anorexic” I would “need to prove it”!

I thought to myself that that is precisely the problem with the current state of the media: too many people assume they understand eating disorders by sight alone, rather than stepping outside of their comfort zone to consider the reality that they run much deeper than skin level.

Given the recent controversy on Twitter surrounding the portrayal of eating disorders on popular TV programmes, it is important to recognise that their basis lies in the psychological symptoms, NOT the physical alone!

Displaying images of sufferers in their skin-and-bone state puts too much focus on weight loss, which is in fact just one of many symptoms of eating disorders – and actually only applies to anorexia which accounts for just 10% of cases under the umbrella term ‘eating disorders’.

As a result this feeds the common misconception that in order to have an eating disorder one must be drastically underweight. In fact, many people who are diagnosed as having an eating disorder never fall below a healthy weight!

In my own fight for treatment I was turned away because I was not underweight enough, even though I had already reached the stage of amenorrhoea. It seems so dismissive to believe that anorexia in particular is categorised by emaciation; in my last blog I explained how even after three years of maintaining a healthy weight – and therefore by the media’s definition being recovered – I can still encounter the distorted cognition associated with the illness. The weight is simply a by-product of the thoughts, and so the thoughts are just as much present once the weight has been gained, and take far longer to work through.

Another common justification is that seeing such graphic images of starvation will make an anorexic ‘think twice’ about ‘what they are doing to themselves’. Anorexia is NOT a lifestyle choice that can simply be opted out of! They are not doing anything to themselves, they are being dictated to by the malicious voice of a genuine illness.

Susan Ringwood, CEO of Beat, has said: “Eating disorders are more hard wired than was first known to be the case… people with anorexia can know they are at risk of dying and can find that less terrifying than gaining a few pounds in weight”.

The ‘shock factor’ which is experienced by the typical reader, and is exploited by the media, does not affect someone with an eating disorder. Susan continued: “These images do not shock them, they excite, encourage and motivate them to get as thin if not thinner than the person depicted”.

‘Triggering’ can sound like such a trivial word, but the truth is that presenting emaciation as a validation of anorexia not only promotes the denial of being ill because a sufferer will never feel like they look like the person in the picture – and so they can’t have the same illness – but also brings out the innately competitive side of the illness and drives the need to restrict food further because they take the image as evidence that they can (and in their mind should) be thinner!

It is understandably difficult to comprehend the danger of these graphic images when to most people they serve as a catalyst for disgust, but I would urge anyone viewing such an image to consider it from the point of view of a person who is caught in the deadly grasp of an eating disorder. To these people, opening that magazine in which they sought a momentary escape from their own reality only to be faced with a representation of the idol who they feel they can never replicate merely reinforces the feeling of inadequacy, self-hatred and depression.

What health professionals should know about eating disorders

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consequences, contact, counsellors, diagnosis, early intervention, Eating Disorders, family, friends, GPs, health professionals, health service, help, myths, nurses, psychiatrists, psychologists, recovery, sensitivity, social workers, support, symptoms, treatment, weight, young people

What health professionals should know about eating disorders

Over the course of two years, I have met with 40 young women and men who have shared on film honest details about their experiences of eating disorders. Their hope is that sharing their stories will help other people who are similarly affected to feel less alone and encourage them to seek help.

The research shows that common myths about the illness have prevented many young people from getting the treatment and support they needed, from family, friends and even the health service.

During the course of their eating disorder, young people came into contact with many different types of health professionals including GPs, nurses, counsellors, psychologists, psychiatrists, dieticians, social workers and other support workers.

There are some things that health professionals should know when dealing with a young person living with and recovering from an eating disorder.

Anyone can have an eating disorder

Anyone can become ill with an eating disorder. Eating disorders affect people of all ages, backgrounds, sexualities, both men and women. You can’t tell if a person has an eating disorder by just looking at them.

First point of contact is often critical

This first contact with services was often a huge step for a young person. People often found it very difficult to talk about what was going on, trying to hide their problems and it could take months, even years, to seek help. The way they were treated at this point could have a lasting, positive or negative, impact.

Young people hoped that the health professionals would realise just how hard asking for help was and to help nurture and support their confidence to stay in contact with services.

Early intervention is key

Young people often felt that people struggled to recognise the psychological symptoms of eating disorders as well as the range of different eating disorders.

If those who haven’t yet developed a full-blown eating disorder could be recognised, they can also be helped earlier. This is critical, as the longer eating disorders are left undiagnosed and untreated, the more serious and harder to treat they can become.

Effective, early intervention could be achieved when health practitioners were knowledgeable, well trained, sensitive and proactive.

Eating disorders are about emotions and behaviours, not just about weight

A common myth that many of the young people had come across was the thought that people with eating disorders were always very underweight. This idea had made it harder for some to get treatment and support or even to be taken seriously by their doctor.

In some cases, young people felt that the only way for them to be taken seriously and be able to access eating disorder services was to lose more weight. This could have serious consequences; the more weight they lost, the harder it was for them to be able to seek or accept help.

See the whole person, not just the eating disorder

Once in contact with health services, above all else, young people wanted not just to be seen “as an eating disorder” but to be treated as a whole person. It was important that they felt treated as individuals and for health professionals to realise that everyone responded differently.

A good health professional also tried to engage young people on other things than just the eating disorder, hobbies or interests.

Respect the young person

Feeling respected, listened to and being given the space to explain things from their perspective was important for young people during treatment and recovery.

Professionals should take their time and find out what was going on for that particular person, not act on assumptions. Health professionals shouldn’t patronise or dismiss issues that were important to the person in front of them.

This research, funded by Comic Relief, has now been published on online at Youthhealthtalk.org.

Ulla Räisänen is a senior researcher with the health experiences research group at University of Oxford, and was responsible for conducting the study published on Youthhealthtalk.org

Almost half of pupils suffer bullying with taunts over weight and hair

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Bullying, Children, physical appearance, weight

Almost half of pupils suffer bullying with taunts over weight and hair

Nearly half of all pupils have suffered from some form of bullying at school, according to Ofsted.

A study of 1,350 pupils by the education standards watchdog showed 58 per cent of those in primary schools and 41 per cent in secondaries said they had been “picked on” or bullied.

The most common forms of bullying related to aspects of the victims’ physical appearance, including hair colour, weight and the wearing of spectacles.

A handful of pupils said they had been bullied because of their sexuality. A greater number replied it was for “being different” or perceived as “weird”. One pupil wrote “because people thought I was something that I was not”. The report says pupils often dismiss offensive language – such as the word “gay” to mean rubbish” as “banter” despite the fact its usage could be prohibited in school rules.

“What is clear is that these pupils had experienced an upsetting interaction with another pupil that they felt was important enough to write down for inspectors,” the report says.

The report calls for better training for teachers in tackling bullying.

“Schools must develop a positive culture so all pupils learn in a happy and safe environment,” said Susan Gregory, director of education and care at Ofsted.