Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Unit for Biocultural Variation and Obesity, School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK.
Cult Med Psychiatry. 2022 Jun;46(2):344-363. doi: 10.1007/s11013-021-09715-8. Epub 2021 Apr 7.
Anorexia nervosa is a paradoxical disorder, regarded across disciplines as a body project and yet also an illness of disembodied subjectivity. This overlooks the role that material environments-including objects and spaces-play in producing embodied experiences of anorexia both within and outside treatment. To address this gap, this paper draws together two ethnographic studies of anorexia to explore the shared themes unearthed by research participants' engagements with objects that move across boundaries between treatment spaces and everyday lives. Demonstrating how the anorexic body is at once both phenomenologically lived and socio-medically constituted, we argue that an attention to materiality is crucial to understanding lived experiences. A materialist account of anorexia extends the literature on treatment resistance in eating disorders and offers a reconceptualisation of 'the body in treatment', showing how objects and spaces shape, maintain, and even 'trigger' anorexia. Therefore, against the background of the high rates of relapse in eating disorders, this analysis calls for consideration of how interventions can better take account of eating disordered embodiment as shaped by material environments.
神经性厌食症是一种矛盾的疾病,在不同学科中被视为身体项目,但也是一种没有主体的疾病。这忽略了物质环境——包括物体和空间——在治疗内外产生厌食症的身体体验中的作用。为了解决这一差距,本文结合了两项关于厌食症的民族志研究,以探索研究参与者与跨越治疗空间和日常生活界限的物体互动所揭示的共同主题。本文证明了厌食症身体既是现象学上的生活,又是社会医学上的构成,我们认为对物质性的关注对于理解生活体验至关重要。对厌食症的唯物主义解释扩展了关于饮食障碍治疗抵抗的文献,并对“治疗中的身体”进行了重新概念化,表明物体和空间如何塑造、维持甚至“引发”厌食症。因此,在饮食障碍复发率高的背景下,这种分析呼吁考虑如何使干预措施更好地考虑到受物质环境塑造的饮食障碍身体。