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Large numbers of women around the world manifest emotional distress in a variety of disordered eating patterns. For years, eating disorders associated with body image dissatisfaction were confined primarily to Western, developed countries. Evidence from around the world indicates that this is no longer the case. The globalization of Western ideals of beauty, which glorify thinness, has begun to have a profound affect on women everywhere. For example, work by Anne Becker and her colleagues documented the impact television, new to the Fiji islands, had on adolescent girls. This work, which was publicized extensively in the Western media, demonstrated that within three years of access to television, disordered eating and a preoccupation with dieting, virtually unheard of in Fiji prior to the introduction of television, had emerged among a substantial percentage of the young women studied.

Many subsequent investigations of this same issue have indicated that access to Western ideals of beauty quickly counteract traditional aesthetic values, which have tended to embrace a more curvaceous and plump woman's body as the ideal. In many cultures, especially within those where food is often scarce, women of larger size have traditionally been seen as especially beautiful and desirable because their higher weight is presumed to indicate greater health, wealth, sexual pleasure, and the ability to produce viable children. While differences regarding feminine beauty persist, women in the higher socioeconomic classes who live in urban areas with the greatest access to Western ideals of beauty through magazines, films, television, Internet, and beauty pageants, demonstrate the most significant changes in the concept of beauty. With these changes comes the desire to perfect the body through dieting, self-induced vomiting and excessive exercise, the hallmarks of disordered eating and distorted body image.

Eating Disorders Most Common in Females

The prevalence of eating disorders varies depending on the type of problematic eating. The evidence from all sources is clear: disordered eating is much more commonly found in women than in men, with between 85 and 95 percent of all diagnosed cases occurring in women. In the United States, for example, one in five women will struggle with a diagnosable eating disorder within her lifetime. The forms of eating disorders discussed most often include a pattern of self-starvation referred to as anorexia nervosa and a variety of binge-purge patterns called bulimia nervosa.

While self-starvation and other forms of restricted eating have been seen throughout the centuries among women, from mystics striving for complete control of all bodily needs to rebellious and unhappy adolescents diagnosed with hysteria during the Victorian period, current Western approaches to understanding eating disorders began in earnest in the late 1960s. At that time, the prevailing images of female beauty in developed countries began to change from full-bodied women, symbolic of feminine sexuality and fecundity, to child-like, androgynous bodies epitomized by the iconic British model of that time period, Twiggy. Her long limbs, soulful eyes, 5’ 7” frame weighing in at 98 pounds, came to represent perfection in the eyes of many in the developed world. Not long after Twiggy captured great attention, Hilde Bruch's important work, Eating Disorders: Obesity, Anorexia Nervosa, and the Person Within was published in 1973 for a professional audience, followed closely in 1978 with The Golden Cage: The Enigma of Anorexia Nervosa, for all readers interested in the growing problem of self-starvation.

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