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Monday, December 06, 2004

Interesting article

The pro-ana sites are still out there, still helping young women ruin their lives in order to look like women in magazines who don't actually exist, except in the minds of Photoshoppers. Here's an article about a young woman who turned her sharp mind towards the single-minded goal of starving herself until she weighed 96 pounds.

These sites are pretty upsetting, but I doubt very seriously that they are causing the problem. I regard them as a symptom, not a cause.

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The primary cause of death for anoretics is suicide, not the sequelae of starvation. Given that one of the key components of anorexia also tends to be extreme social isolation or withdrawal from contact with other people, and the fact that social isolation is a strong predictor for suicidality, then communities which allow some social interaction without the pressure to eat or get well can provide a lifeline for people who would otherwise not have any kind of community or peer group. At various points in my life I've participated in pro-ana\mia sites (funny how mia, COE, BED etc. rarely get the attention of ana.) By and large, at least in the communities I participated in, whilst there was support available to help with fasts and encouragement to lose weight (including thinspiration pics etc.) there was also advice on how to minimise the damage to your body from starving, health warnings about ipecac\diet pills and emotional support from other people who really understood what you were going through. Importantly that support was neutral in the sense that it wasn't tied to pressure to put on weight (and in my experience was very rarely tied to pressure to lose weight, although obviously the overall milieu tended in that direction.) The whole uproar over the pro-ana sites seems like just another round of blaming the victims, whilst they are hardly an unreservedly positive phenomenenon they are certainly don't deserve to be demonised or pulled down. I'd add the quick caveat that the younger the age group a site caters to, typically the less valuable and more dangerous the information or vibe of that site.
Most of the info available from the pro sites is really pretty obvious anyway and certainly is the sort of thing you would rapidly figure out after a little while ED. There is also often a lot of useful information on things like recognising or dealing with the cognitive effects of starvation (crazy black and white thinking and food obsession here we come!) Interestingly, one of the few taboos on most of the boards was talking about how to do hands-free purging. Although people asked after it a lot there was a strong social convention against actually revealing how to learn it. There is also a massive amount of info out there in med libraries and particularly in herbology texts about drugs and drug combinations that will suppress appetite or increase metabolism. Despite how research obssessed some anoretics get (myself included, at least whilst I was ana,) almost none of the complex technical stuff turns up online.
The end picture of the community is far from clear cut, and certainly massively more complex than the media presents (if you can find it, read the Broken Boards statement on Pro-ana and its merits and demerits.)

Finally: what do you mean by cutting Hugo? If you're talking about self-injury, there is evidence for contagion (similar to suicide) in that friends\relatives who SI make you more likely to SI. Cutting, at least as it's presented, is a bit of a different phenomenon. It generally refers to mild\moderate SI by young women (typically teenagers) and as such specifies a particular subgroup of SIers, who as I understand it do tend to be affected by contagion to a greater extent than most SIers.

The thing about nutrition majors is true, it's the same with Chefs and cooks apparently, although for a slightly different reason. There was a study done some time ago called the Minnesota Semi Starvation Study where they starved a group of men (given the choice between war and starving) to see what happened. Interestingly, after the study finished some significant number of the participants switched jobs to food related professions. My own experience bears this out too, as one of the positive effects of having an ED is that I'm now a reasonably good cook (although I may not count as I'm not fully recovered.)

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