“Gender Identities and Aetiological Determinism

through Therapy Treatments and Nosology of Bulimia and Anorexia”

María González AguadoComplutense University of Madrid

Science and the Public Conference,Imperial College, 19th May

DIAGNOSIS CRITERIONS BY DSM- IV- TR

• NERVOUS ANOREXIAForme 1: restrictive anorexia• Loss of weigth (almost 20% of the

previous weight). • Fasting• Fear to win weigth or became obesa• Distorsion of the corporal image• Loss of menstruation

Forme 2: compulsive- purgative• Add: purging and vomiting

• NERVOUS BULIMIA

Forme 2: purgative bulimia• Fasting

• Fear to win weight or became obesa.

• Distorsion of the corporal image

• Binge- eating.

• Vomiting and purging.

Forme 2: non- purgative bulimia.

• The same symtoms, but without purging and vominting.

SPECIFIC EATING DISORDERS DIAGNOSTIC CATEGORIES

EATING DISORDERS EXPLICATIVE MODELS

• Biological Model:Genetic aetiologies: 5- HTT gene and OB gene.

• Psychoanalatical Model• Cognitive-Behavouristic Model• Familiar-Systemic Model

• Sociocultural ModelEA as culture bound symdromes (Hsu,1996), (Prince, 1985)EA as culture-change syndrome (DiNicola, 1990)

• Feminist ModelEA are consequence of sex/ gender system (Chernin, 1985), (Orbach, 1986), (Bordo, 1993)

(Ogden, 2005 and García Arnaiz et al, 2006))

Nervous Anorexia’s Nosography• Incredible inedia (Hiladanus, 1646)

• Nervous atrophy(Morton, 1694)• Anorexia Mirabilis (Boissier, 1772)• Apepsia Hysterica (Gull, 1868)

• Anorexia Nervosa (Gull, 1874)

• Hysteric Anorexia• Mental Anorexia (Huchard, 1863)• Pubertal Addiction to thinnes (Bruch,

1985)• Self- Starvation (Palazzoli, 1963)

(García Arnaiz et al, 2006)

Relations Between Anorexia and Feminine Stereotype’s Hystorical Evolution

Holy anorexia Middle Ages

Saint Catalina Saint Wilgefortis

Histeryc anorexia And Fasting girls

Current Self- Starvation

Sara Jacobs (Fasting Girl)