Fraser Gloria, Clark Mau Te Rangimarie, Rose Bailey Mary, Martin Kacey, Beavis Brittani, Pettie Michaela, Jordan Jennifer, Opai Keri
School of Health, Te Herenga Waka-Victoria University of Wellington, Wellington, New Zealand.
Department of Māori Indigenous Health Innovation, University of Otago, Christchurch, Christchurch, New Zealand.
J Eat Disord. 2024 Dec 18;12(1):205. doi: 10.1186/s40337-024-01179-6.
Māori (the Indigenous people of Aotearoa New Zealand) report higher rates of eating disorders than non-Māori, but access treatment at lower rates. Diagnostic terms lacking in cultural relevance likely contribute to Māori exclusion in eating disorder spaces. Developing terms in te reo Māori (the Māori language) presents an opportunity to challenge eating disorder stereotypes and increase cultural safety in the eating disorder workforce.
Guided by a Māori worldview and the practice of wānanga (to meet, discuss, and think deeply about a topic), we present a Māori language glossary for eating disorders. The glossary is informed by expertise in te reo Māori, mātauranga Māori (the body of Māori knowledge), and eating disorders, and combines terms already in use with newly developed terms.
We propose an umbrella term for eating disorders (ngā māuiui kai), as well as terms for anorexia nervosa (māuiui whakatiki), bulimia nervosa (pukuruaki), binge eating disorder (māuiui kaihoro), and avoidant restrictive food intake disorder (karo kai, with three subtypes of low interest [arokore kai], sensory-based avoidance [āmaimai rongo kai], and concern about the consequences of eating [wehi-ā-kai]). We also propose terms for related concepts of body image difficulties (māuiui whakawā ata), perfectionism (māuiui kōtihitihi) and emotion dysregulation (kare-a-roto kōtitititi).
This glossary is available for use by anyone looking for terms that come from a mana-enhancing (empowering, respectful, and strengths-based) Māori worldview. The kupu (words, terms) in this glossary are offered as possibilities for use, rather than as definitive or correct, in the hopes they will promote discussion about stigma, indigeneity, and language in the eating disorders field.
毛利人（新西兰奥特亚罗瓦的原住民）报告称饮食失调的发生率高于非毛利人，但接受治疗的比例较低。缺乏文化相关性的诊断术语可能导致毛利人在饮食失调领域被排斥。用毛利语（te reo Māori）开发术语为挑战饮食失调刻板印象和提高饮食失调工作队伍中的文化安全性提供了契机。
以毛利人的世界观和瓦纳加（wananga，即就某一主题进行会面、讨论和深入思考）的实践为指导，我们呈现了一份饮食失调的毛利语词汇表。该词汇表参考了毛利语、毛利知识体系（mātauranga Māori）以及饮食失调方面的专业知识，将已使用的术语与新开发的术语相结合。
我们提出了饮食失调的总括性术语（ngā māuiui kai），以及神经性厌食症（māuiui whakatiki）、神经性贪食症（pukuruaki）、暴饮暴食症（māuiui kaihoro）和回避性限制性食物摄入障碍（karo kai，有低兴趣 [arokore kai]、基于感官的回避 [āmaimai rongo kai] 和对进食后果的担忧 [wehi-ā-kai] 三种亚型）的术语。我们还提出了身体形象困扰（māuiui whakawā ata）、完美主义（māuiui kōtihitihi）和情绪失调（kare-a-roto kōtitititi）等相关概念的术语。
这份词汇表可供任何寻求源自增强力量（赋权、尊重且基于优势）的毛利人世界观的术语的人使用。本词汇表中的词汇（kupu）仅供参考，并非绝对正确或权威，希望它们能促进饮食失调领域关于污名化、本土性和语言的讨论。
