‘Blindness to the obvious’?: Treatment experiences and feminist approaches to eating disorders

Eating disorders (EDs) are now often approached as biopsychosocial problems, but the social or cultural aspects of the equation are often marginalised in treatment - relegated to mere contributory or facilitating factors. In contrast, feminist and socio-cultural approaches are primarily concerned with the relationship between EDs and the social/ cultural construction of gender. Yet although such approaches emerged directly from the work of feminist therapists, the feminist scholarship has increasingly observed, critiqued and challenged the biomedical model from a scholarly distance. As such, this article draws upon data from 15 semi-structured interviews with women in the UK context who have experience of anorexia and/or bulimia in order to explore a series of interlocking themes concerning the relationship between gender identity and treatment. In engaging the women in debate about the feminist approaches (something which has been absent from previous feminist work), the article explores how gender featured in their own understandings of their problem, and the ways in which it was - or rather wasn’t - addressed in treatment. The article also explores the women’s evaluations of the feminist discourse, and their discussions of how it might be implemented within therapeutic and clinical contexts

Changing Bodies: Experiences of Women Who Have Undergone a Surgically Induced Menopause.

We aimed to explore the lived experiences of women who had a surgical menopause as a result of undergoing a hysterectomy with Bilateral Salpingo-Oopherectomy (BSO). We adopted a qualitative interview design using Interpretative Phenomenological Analysis (IPA), and recruited 7 women aged 47 to 59. We conducted synchronous online semistructured interviews using the MSN (Microsoft Network) Messenger program. In the findings, we examine the prominent and underresearched theme of body image change. We discuss the women's journey from a deep internal bodily change, the meaning of this changing body image, through to the thoughts and behaviors involved with self-presentation concerns and coping with body image changes. A woman's perceived attractiveness and appearance investment are important factors to consider regarding adaptation to change over this transition. The findings might have implications for interventions designed to enhance mental well-being and increase health behaviors in women experiencing gynecological illness and/or menopause

(Un)twisted: talking back to media representations of eating disorders

In 2014-15, there were several news reports about a rise in the diagnoses and treatment of eating disorders (EDs), as attributed to the use of image-driven social media. Such coverage can be situated within a long history of concern in which those diagnosed with an ED are constructed as ‘especially vulnerable’ to the power of media images – a subjectivity which is pathologised and devalued precisely through its association with femininity. The most incisive objections to EDs being presented as a response to the ‘weight’ of media representation have come from Abigail Bray (2005) in her work on how anorexia is constructed as a reading as well as an eating disorder. Indeed, there is a whole history of empirical work in Feminist Media Studies and Girlhood Studies which has challenged the pernicious construction of female subjectivity as ‘excessively’ invested in, and ‘damaged’ by, the consumption of mass mediated forms. Yet the media consumption practices of those with experience of an ED have not been subject to similar feminist re-evaluation – an omission which this research seeks to address. In exploring the results of 17 semi-structured interviews with people who have experience of an ED discussing their encounters with media representations of EDs (material that is often co-opted into debates about the ‘toxic’ nature of media culture in this regard), this article seeks to intervene in how such imagined media consumption practices are often defined. In seeking to speak back to historically pathologising constructions, the article seeks to explore the qualitative responses in the context of more ‘every day’ understandings of media engagement, thus working against the gendered othering which has persistently occurred

“The fact she has anorexia fits in perfectly”: Beverley Allitt, self-starvation and media narratives of criminal femininity

This article examines the press construction in the early 1990s of Beverley Allitt, the nurse known as one of the Britain’s most prolific women serial killers, focusing on Allitt’s diagnosis of anorexia at the time of her trial and how it shaped understandings of her mental state, her character, and her perceived culpability. It is the relationship between Allitt, gender, and everyday constructions of anorexia that is of interest here, particularly in terms of how her image contributed to media discourses on self-starvation and femininity. The analysis suggests that Allitt’s anorexia was primarily understood in terms of manipulation, inauthenticity, and performance—discourses which consolidated perniciously gendered conceptions of self-starvation, as well as the problematic clinical practices through which anorexia was “treated.” As these treatment practices continue to have a legacy today, it is crucial to examine how they have been normalized and legitimized through popular media discourse

Are Contemporary Media Images Which Seem to Display Women as Sexually Empowered Actually Harmful to Women?

There has been a shift in the depiction of women in advertising from objectifying representations of women as passive sex objects to agentic sexual representations where the women appear powerful and in control (Gill, 2007a, 2008), and there is substantial evidence that these representations have a negative impact on women’s body image. However, to our knowledge, this study is the first experimental research that aims to compare passively objectifying and more recent sexually agentic representations. British undergraduate women (N ¼ 122) participated in an experiment in which they were randomly assigned to view sexually passive, sexually agentic, or control print advertisements. Exposure to both types of representations of women, compared to viewing control images, was associated with increased weight dissatisfaction. The sexually agentic representations were singularly associated with increased state self-objectification. Media exposure research tends to focus on the models (e.g., their thinness) shown in advertising and pay little attention to the framing of the image. Our results highlight the powerful impact different framings can have on women’s body image concerns as well as suggest that recent shifts in advertising may be particularly problematic because contemporary images increased both weight concern and selfobjectification. Therefore, these images may have a more powerful impact on psychological well-being and disordered eating behaviors than traditional images