Psychiatrische Universitätsklinik, Voss-Str. 4, 69115, Heidelberg, Germany.
Eat Weight Disord. 2022 Feb;27(1):109-117. doi: 10.1007/s40519-021-01122-7. Epub 2021 Mar 5.
Anorexia nervosa is often regarded primarily as a disorder of the body image, with affected individuals submitting themselves to the dictate of a predominant model of slenderness. However, even though this frequently functions as a gateway to the disorder, the paper intends to show that the actual conflict in anorexia consists in a fundamental alienation of the self from the body. In order to analyze this alienation from a phenomenological point of view, the paper introduces the polarity of lived body (body-as-subject) and physical body (body-as-object). It then explores the phenomenology of anorexia, drawing on characteristic self-reports as well as on the phenomenological, psychoanalytic and cultural science literature. The anorexic conflict of embodiment arises in adolescence, where the body becomes an object of the other's gaze in a special way. Starting with an attempt to comply with the ideal body image, the anorexic patient increasingly fights against her dependency on her body and its uncontrollable nature, above all its hunger and femininity. To be in total control of her body and to gain independence from it, becomes the source of a narcissistic triumph. Thus, in striving for autonomy and perfection, the anorexic patient alienates herself from her embodiment. This results in a radical dualism of 'mind' and 'body': pursuing the ideal of an asexual, angelic, even disappearing body. Anorexia is thus conceived as a fundamental conflict of embodiment.
神经性厌食症通常被视为一种身体意象障碍,患者受主导的苗条模式支配。然而,尽管这通常是该障碍的一个入口,但本文旨在表明厌食症的实际冲突在于自我与身体的根本异化。为了从现象学角度分析这种异化,本文引入了身体的极性(身体作为主体)和身体(身体作为客体)。然后,本文探讨了厌食症的现象学,借鉴了特征性的自我报告以及现象学、精神分析和文化科学文献。神经性厌食症的身体体现冲突出现在青春期,此时身体以一种特殊的方式成为他人注视的对象。从试图符合理想的身体形象开始,厌食症患者越来越多地与身体的依赖性及其不可控性作斗争,尤其是身体的饥饿感和女性气质。对身体的完全控制并从中获得独立,成为自恋胜利的源泉。因此,厌食症患者在追求自主性和完美性的过程中,使自己与身体异化。这导致了“精神”和“身体”的彻底二元论:追求无性、天使般甚至消失的身体的理想。因此,厌食症被视为一种基本的身体体现冲突。