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Coming in February, 2007 (National Eating Disorders Awareness Month)!


Hot news to kick off 2008: It’s the Biology, Stupid!

January 10, 2008

Dear Friends,

Hot news to kick off 2008:

It’s the Biology, Stupid!

No, you are not stupid, but the general public is and always has been when it comes to understanding eating disorders. Unfortunately, anorexia, bulimia, binge eating, and other food-related illnesses have been projected onto the public’s consciousness as girl problems, or gay problems, or histrionics, or social protests. The feminist attacks on the media, fashion and diet industries have helped to raise awareness of some of the forces that contribute to eating disorders, but they have inadvertently trivialized the medical gravity of these illnesses by focusing on cultural conditioning, or "nurture," to the exclusion of "nature."

Eating disorders are caused by nature AND nurture, biology AND culture, genetics AND experience.

Here’s why this matters: when it comes to women’s issues, only nature gets respect. Researchers at the University of North Carolina at Chapel Hill have just released a landmark study showing that the public is far more likely to take eating disorders seriously when told they are caused by biology. As long as those surveyed thought these conditions were a reaction to bad parenting, or society’s thin ideal, or adolescent angst, they considered them a choice that could ultimately be blamed on the victim. This pervasive attitude encourages clueless jokes about “scarfing and barfing” and remarks such as “I wish I could have just a little anorexia.” It discourages insurers from covering these disorders and patients from seeking medical treatment. It has also deterred scientists from researching the biology of eating disorders.

But scientists over the past few years have proven that eating disorders are largely genetic, and when the public gets this message, their views change radically in ways that could have enormous benefits for those both suffering and recovering.

Below is the press release about the study. Be edified!


People with Anorexia Less Likely to be Blamed When Biology, Genetics Explained

— People given a biological and genetics-based explanation for the causes of anorexia nervosa were less likely to blame people with anorexia for their illness than those given a sociocultural explanation, a University of North Carolina at Chapel Hill study found.

“This is a potentially important finding,” said first author Michele A. Crisafulli, “because it suggests that wider dissemination of information about the biological and genetic underpinnings of anorexia nervosa could help decrease the blame-based stigma that is associated with the disorder.”

The study was published Jan. 9, 2008, in the online version of the International Journal of Eating Disorders. It will be published in the print version of the journal later.

Crisafulli conducted the experimental study as an undergraduate honors thesis project while she was a student at UNC. She is currently working toward a doctoral degree in clinical psychology at Boston University.

“There is a lot of false information about anorexia nervosa disseminated in pop culture. This study suggests that even a nugget of accurate biological information can influence how health care professionals perceive the illness,” said Dr. Cynthia M. Bulik, William and Jeanne Jordan Distinguished Professor of Eating Disorders and Psychiatry, director of UNC’s Eating Disorders Program and the study’s senior author.
“It opens up new horizons for accurate information campaigns to help the public understand that people with anorexia nervosa are not to blame for their illness and that biology plays a role,” Bulik said.
Anorexia nervosa is characterized by the relentless pursuit to be thin and obsessive fears of being fat. Self-starvation, extreme weight loss and related medical complications that accompany the disorder can result in death. More people die from anorexia than from any other mental illness.

Anorexia nervosa is frequently perceived as something that is under the personal control of those who suffer from it, according to research cited as background information in the UNC study. As a result, many people tend to view those with anorexia as being responsible for their illness. This stigma is believed to create additional difficulties for people with the disease, including making them more reluctant to seek treatment.
In the UNC study, 115 undergraduate nursing students were first given a questionnaire that asked about the participants’ prior level of contact with people with anorexia nervosa. Then each was given a one-page information sheet. Roughly half received an information sheet that emphasized what is currently known about the biological and genetic contributions to the development of the disorder. The other half received an information sheet that emphasized sociocultural explanations for the causes of the illness.

After the students read the information they were given a second questionnaire in which they were asked to indicate on a seven-point scale the extent to which eight factors contributed to the development of anorexia. These factors were poor living habits, parenting, biological factors, lack of social support, self discipline, society’s thin ideal, genetic factors and vanity.

The questionnaire also asked other questions intended to measure the participants’ attitudes toward people with anorexia, including whether or not they would sign a petition asking insurance companies to provide equal coverage for anorexia as they do for other medical conditions.

The results showed that individuals in the group given the sociocultural explanation were more likely to agree with the statement, “They are to blame for their condition.” They were also more likely to agree that parenting, vanity and lack of social support were causes of anorexia nervosa.

The study concluded that “people who were presented with even minimal information about the biological and genetic underpinnings of (anorexia nervosa) did tend to blame people with anorexia for their condition less than are those who were only informed of the sociocultural factors that may contribute to the disorder.”

Ann Von Holle, a biostatistician at UNC, is a co-author.

To read the study, visit: http://www3.interscience.wiley.com/journal/34698/home

below for more about Aimee's books & work.

Anthologies of fiction and nonfiction that Aimee has edited or contributed to.
a suspenseful novel of rescue and redemption set in Central Asia at the start of the Cold War, featuring two unforgettable heroines whose fates are irrevocably intertwined.
The unforgettable tale of star-crossed love that spans four decades and two continents.
A young photographer wrestles with her repressed past and identity as an Amerasian in New York's Chinatown. Now back in print after more than a decade, FACE is Aimee's first novel.
Work on Eating Disorders
While there are numerous memoirs available chronicling individual women’s struggles with anorexia, bulimia, and other eating disorders, this is the first book to bring together many people’s stories to create a complete and candid picture of the recovery process. Aimee Liu has skillfully brought together firsthand accounts of recovery to create a realistic roadmap for the journey. This book also includes informational sidebars, written by professionals in the field, on topics including treatment options, choosing the right therapist, the pros and cons of medication, how parents and spouses can help, and much more.
How do anorexia and bulimia impact life AFTER recovery? GAINING is one of the first books about eating disorders to connect the latest scientific insights to the personal truth of life before, during, and especially after anorexia and bulimia.
America's first memoir of anorexia, and one of the earliest books about eating disorders, originally published in 1979
Craft & Criticism
Resources and suggestions for students and fellow writers
Aimee's latest book reviews