Eating disorders in men: in their own words. Russell Delderfield
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1 Eating disorders in men: in their own words. Russell Delderfield
2 Overview: 1. Body-shock my story of ED & recovery 2. Key messages from recent research 3. Men s recovery experiences 4. Conclusions the S word.
3 1. Body-shock Inhabiting a man s body. The grip of bingeing & purging Luck of the draw? Long term therapy, therapeutic change and compulsive eating. I take up too much space... I just need to be a lot smaller.
4 2. Key messages from recent research Links sexual orientation & ED Feldman & Meyer (2007a), Russell & Keel (2001), Hospers & Jansen (2005), Meyer, Blisset & Oldfield (2001), Williamson & Hartley (1998), Blashill & Vander Wal (2009), Morgan & Arcelus (2009), Hausman et al. (2004), French et al. (1996), Brand, Rothblum & Solomon (1992), Siconolfi et al. (2009), Feldman & Meyer (2007b), Brown & Keel (2012) Classifying Body image, masculinity Treatment & recovery Carlat, Carmargo & Herzog (1997), Milos et al. (2005), Muise, Stein & Arbess (2003), Murray et al. (2010), Kinzl et al. (1997), Feldman & Meyer (2007), Scott (1986), Tylka & Subich (2002), Freeman (2005), Jones & Morgan (2010), Schneider & Agras (1987) Meyer, Blisset & Oldfield (2001), Connan (1998), Blashill & Vander Wal (2009), Pope et al. (2000), Mosley (2009), Morgan & Arcelus (2009), Murray et al. (2010), Furnham & Calnan (1998), Olivardia et al. (2004) Pearson, Goldklang & Striegel- Moore (2002), Robinson, Mountford & Sperlinger (2012), Weltzin et al. (2005) Woodside (2004), Wood (2008)
5 Social torment turned inwards as habits to obsessions. Exposure to male ideas of what s hot and what s not. The family as training ground Abuse > violence > homelessness > poor mental health. Starving for more exercise. It s not about my body versus it is about my body. In recovery no two men are the same.
6 3. Men s (recovery) experiences Michael Krasnow - My life as a male anorexic. John Evans - Becoming John: Anorexia's Not Just for Girls. Gary Grahl - Skinny boy : a young man's battle and triumph over anorexia. Matthew Campling - Person-centred practice: case studies in positive psychology.
7 4. Conclusions: the S word Stigma Socio-cultural constructs of eating disorders have illuminated by feminist theory, but the lack of equivalent discourse addressing male gender identity has left our knowledge of eating disorders in men aetiolated. (Jones & Morgan, 2010: 29)
8 References Barker, M., Richards, C., Jones, R., Bowes-Catton, H., Plowman, T., Yockney, J. and Morgan, M. (2012) The Bisexuality Report: Bisexual inclusion in LGBT equality and diversity The Open University: Centre ofr Citizenship, Identity and Governance Blashill, A. J. and Wal, J. S. V. (2009) Mediation of Gender Role Conflict and Eating Pathology in Gay Men. Psychology of Men & Masculinity, 10 (3), pp Brand, P. A., Rothblum, E. D. and Solomon, L. J. (1992) A Comparison of Lesbians, Gay Men, and Heterosexuals on Weight and Restrained Eating. International Journal of Eating Disorders, 11 (3), pp Brown, T. A. and Keel, P. K. (2012) The impact of relationships on the association between sexual orientation and disordered eating in men. International Journal of Eating Disorders, 45 (6), pp Carlat, D. J., Camargo, C. A. and Herzog, D. B. (1997) Eating disorders in males: A report on 135 patients. American Journal of Psychiatry, 154 (8), pp Connan, F. (1998) Machismo nervosa: An ominous variant of bulimia nervosa? European Eating Disorders Review, 6 (3), pp Feldman, M. B. and Meyer, I. H. (2007a) Childhood abuse and eating disorders in gay and bisexual men. International Journal of Eating Disorders, 40 (5), pp Feldman, M. B. and Meyer, I. H. (2007b) Eating disorders in diverse lesbian, gay, and bisexual populations. International Journal of Eating Disorders, 40 (3), pp Freeman, A. (2005) Eating disorders in males: A review. South African Psychiatry Review, May (8), pp French, S. A., Story, M., Remafedi, G., Resnick, M. D. and Blum, R. W. (1996) Sexual orientation and prevalence of body dissatisfaction and eating disordered behaviors: A population-based study of adolescents. International Journal of Eating Disorders, 19 (2), pp Furnham, A. and Calnan, A. (1998) Eating disturbance, self-esteem, reasons for exercising and body weight dissatisfaction in adolescent males. European Eating Disorders Review, 6 (1), pp Hausmann, A., Mangweth, B., Walch, T., Rupp, C. I. and Pope, H. G. (2004) Body-image dissatisfaction in gay versus heterosexual men: Is there really a difference? Journal of Clinical Psychiatry, 65 (11), pp Hospers, H. J. and Jansen, A. (2005) Why homosexuality is a risk factor for eating disorders in males. Journal of Social and Clinical Psychology, 24 (8), pp Jones, W. R. and Morgan, J. F. (2010) Eating disorders in men: a review of the literature. Journal of Public Mental Health, 9 (2), pp Kinzl, J. F., Mangweth, B., Traweger, C. M. and Biebl, W. (1997) Eating-disordered behavior in males: The impact of adverse childhood experiences. International Journal of Eating Disorders, 22 (2), pp Meyer, C., Blissett, J. and Oldfield, C. (2001) Sexual orientation and eating psychopathology: The role of masculinity and femininity. International Journal of Eating Disorders, 29 (3), pp Milos, G., Spindler, A., Schnyder, U. and Fairburn, C. G. (2005) Instability of eating disorder diagnoses: prospective study. British Journal of Psychiatry, 187, pp
9 Morgan, J. F. and Arcelus, J. (2009) Body Image in Gay and Straight Men: A Qualitative Study. European Eating Disorders Review, 17 (6), pp Mosley, P. E. (2009) Bigorexia: Bodybuilding and Muscle Dysmorphia. European Eating Disorders Review, 17 (3), pp Muise, A. M., Stein, D. G. and Arbess, G. (2003) Eating disorders in adolescent boys: A review of the adolescent and young adult literature. Journal of Adolescent Health, 33 (6), pp Murray, S. B., Rieger, E., Touyz, S. W. and Garcia, Y. D. (2010) Muscle Dysmorphia and the DSM-V Conundrum: Where Does It Belong? A Review Paper. International Journal of Eating Disorders, 43 (6), pp Naphy, W. G. (2004) Born to be gay : a history of homosexuality. Stroud: Tempus Olivardia, R., Pope, H. G., Borowiecki, J. and Cohane, G. H. (2004) Bieceps and body image: the relationship between muscularity and self-esteem, depression, and eating disorder symptoms. Psychology of Men & Masculinity, 5 (2), pp Pearson, J., Goldklang, D. and Striegel-Moore, R. H. (2002) Prevention of eating disorders: Challenges and opportunities. International Journal of Eating Disorders, 31 (3), pp Pope, H. G., Gruber, A. J., Mangweth, B., Bureau, B., decol, C., Jouvent, R. and Hudson, J. I. (2000) Body image perception among men in three countries. American Journal of Psychiatry, 157 (8), pp Robinson, K., Mountford, V. A. and Sperlinger, D. (2012) Being Men with Eating Disorders: Perspectives of Male Eating Disorder Service-Users. J Health Psychol Russell, C. J. and Keel, P. K. (2002) Homosexuality as a specific risk factor for eating disorders in men. International Journal of Eating Disorders, 31 (3), pp Schneider, J. A. and Agras, W. S. (1987) Bulimia in Males - a Matched Comparison with Females. International Journal of Eating Disorders, 6 (2), pp Scott, D. W. (1986) Anorexia-Nervosa in the Male - a Review of Clinical, Epidemiologic and Biological Findings. International Journal of Eating Disorders, 5 (5), pp Siconolfi, D., Halkitis, P. N., Allomong, T. W. and Burton, C. L. (2009) Body dissatisfaction and eating disorders in a sample of gay and bisexual men. Journal of Men's Health, 8 (3) Tylka, T. L. and Subich, L. M. (2002) A preliminary investigation of the eating disorder continuum with men. Journal of Counseling Psychology, 49 (2), pp Weltzin, T. E., Weisensel, N., Franczyk, D., Burnett, K., Klitz, C. and Bean, P. (2005) Eating disorders in men: update. Journal of Men's Health & Gender, 2 (2), pp Williamson, I. and Hartley, P. (1998) British research into the increased vulnerability of young gay men to eating disturbance and body dissatisfaction. European Eating Disorders Review, 6 (3), pp Wood, K. (2008) Men and eating disorders: an Interpretive Phenomenological Analysis of the recovery process. Bristol: University of Plymouth Woodside, D. B. (2004) Assessing and treating men with eating disorders. Psychiatric Times, 21 (3)
10 Images: Images 1, 2 & 3 are taken from: Harvey, E. (2011) MGEDT Photo Project [online]. Available at: [accessed 1st August 2012]. The images are not of my research participants and are representative only.
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