Rieger E, Touyz S W, Swain T, Beumont P J
Department of Psychology, University of Sydney, Sydney, Australia.
Int J Eat Disord. 2001 Mar;29(2):205-15. doi: 10.1002/1098-108x(200103)29:2<205::aid-eat1010>3.0.co;2-1.
To critically examine two assumptions guiding cross-cultural research on the weight concerns of anorexia nervosa: (1) that weight concerns are specific to contemporary, Western manifestations of the disorder and (2) that the dissemination of Western values regarding thinness is primarily responsible for the development of anorexia nervosa in non-Western contexts.
A review of theoretical and empirical literature on cross-cultural aspects of anorexia nervosa and the medical records of 14 Asian patients treated for eating disorders in Sydney, Australia.
Regarding the first assumption: It is argued that weight concerns when defined as weight loss that is positively valued (rather than a fat phobia) is a defining characteristic of anorexia nervosa and is not limited to contemporary, Western cases of the disorder. Regarding the second assumption: It is argued that the occurrence of anorexia nervosa in non-Western contexts cannot be solely attributed to the acceptance of Western thinness ideals because values and practices intrinsic to non-Western cultures are also likely to be etiologically relevant.
批判性地审视指导神经性厌食症体重问题跨文化研究的两个假设：（1）体重问题是当代西方神经性厌食症表现所特有的；（2）西方关于瘦的价值观的传播是导致非西方背景下神经性厌食症发病的主要原因。
对关于神经性厌食症跨文化方面的理论和实证文献进行综述，并查阅在澳大利亚悉尼接受饮食失调治疗的14名亚洲患者的病历。
关于第一个假设：有人认为，当体重问题被定义为受到积极重视的体重减轻（而不是对肥胖的恐惧）时，它是神经性厌食症的一个决定性特征，并不局限于当代西方的神经性厌食症病例。关于第二个假设：有人认为，非西方背景下神经性厌食症的发生不能仅仅归因于对西方瘦的理想的接受，因为非西方文化固有的价值观和行为也可能在病因学上具有相关性。
