E ating D isorders : T he B ody W asting A way Shirley Shao Such perceptions are dangerous in a world where an anorexic is more likely to die than a patient afflicted with any other psychiatric disorder, both because of the risk of suicide and as a result of medical complications (Fairburn, 2003). A 2011 study by Jon Arcelus revealed that the SMR (standard B S J When the girl goes to lunch with her friends, she orders a sandwich. She eats all of it, and then later, in the bathroom, she vomits up and flushes it down the toilet. In another case, she eats none of it, and when her friends are not looking, she throws it away in the trash. Or perhaps she does not buy the sandwich at all, saying that she already ate - or maybe she takes tiny bites as she and her friends talk, secretly spitting out what her teeth chewed into mush into a napkin. In fact, she may not be a girl at all, but it is probable that she is, and that she comes from the middle class. This could be the first time she has done this, or this could be just one of many recurring episodes – but if she has just began to walk down this road, she is most likely somewhere from age 15 – 19 (Fairburn, 2003). There are many flavors to an eating disorder, and what the girl displays is only a sampling of the possible variations. It is easy to see the waste in eating, regurgitating, and then flushing a box of Cheez-its down the toilet, or in tossing untouched food aside. But even if the stomach never gets to break down the proteins in that skipped dinner, something else is disintegrating and slowly wasting away. That something is the body and mind. The medical diagnosis for these disorders can be roughly sketched to divide eating disorders into three categories: anorexia nervosa, bulimia nervosa, and atypical. Anorexia nervosa, colloquially referred to as anorexia, is one of the most well known and has the most apparent physical symptoms. It is also one of the better understood, having been the subject of more studies than most of the other disorders. Anorexic patients are notably underweight and engage in long-term, severe restriction of their food intake; in addition, they often have difficulty sleeping and experience lethargy. In a sense, anorexia involves the consequences of self-induced starvation. Food and an anorexic’s restriction of it becomes an obsession as they seek to control their body, an obsession that grows into a feeling of pride when they are faced with their thinness or low weight. This pride, in turn, nurtures the perception that their eating habits (or lack thereof) are accomplishments rather than a sign that they need help (Fairburn, 2003). There is even a “pro-ana” movement where its members search for self-improvement for their imperfect selves, in this case embracing the restraints and dramatic weight loss embodied in anorexia (Bates, 2015). Figure #1. Oftentimes, patients with eating disorders have a distorted view of what their body looks like, and will resort to purges or fasts in order to achieve the weight they desire. mortality) rate of anorexics is 5.86. As a means of comparison, schizophrenia has a SMR of 2.5 for females and 2.8 for males. For bipolar disorders, males have an SNR of 1.9 and females 2.1 (Arcelus, 2011). Here, SMR refers to the incidence rate of death over a decade. “There is even a “pro-ana” movement where its members search for self- improvement for their imperfect selves, in this case embracing the restraints and dramatic weight loss embodied in anorexia” The other major well-known eating disorder is bulimia nervosa, colloquially referred to as bulimia. This is more common than anorexia and typically has a later age of onset, and is punctuated by periodic binges and purges. Here, purges can refer to the regurgitation of food or obsessive exercise that is intended to “purge” the body of the calories ingested, B erkeley S cientific J ournal • W aste • S pring 2015 • V olume 19 • I ssue 2 • 9