Professional Documents
Culture Documents
CHAPTER 5: Conclusion 49
5.1 Wider application of the project 49
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3
CHAPTER 1: Anorexia Nervosa
Anorexia Nervosa is an eating disorder that involves the partial or total abstinence from
food (solids or liquids) because victims of anorexia nervosa believe any amount of food
will cause them to gain weight1. Eating disorders are mental illnesses characterised by
those that suffer from anorexia nervosa.4 In 2020, Singapore General Hospital(SGH)
reported that the average age of patients presenting for the first time was about 17 to 22
6
1.2 Severity of Issue
Eating disorders have been on a steady rise in Singapore. According to Channel News
Asia, at Singapore General Hospital’s Eating Disorder Unit, there is a steady increase to
150 new cases in 20207 as compared to 120 patients in 2010 of which more than half
were cases of anorexia nervosa.8 Worldwide, studies have found that between 5
1 https://www.aware.org.sg/information/eating-disorders/
2 https://www.news-medical.net/health/What-Causes-Eating-Disorders.aspx
3 https://dictionary.cambridge.org/dictionary/english/phenomenon
4https://www.urmc.rochester.edu/childrens-hospital/adolescent/eating-disorders/teens/anorexia-
nervosa.aspx#:~:text=The%20diagnosis%20of%20anorexia%20nervosa,%2C%20ethnic%2C%20and%20racial
%20groups.
5https://www.channelnewsasia.com/news/singapore/eating-disorders-festive-season-youth-mental-health-13836172
6 https://www.nccs.com.sg/news/medical-news-singhealth/eating-disorders-children-adolescents
7 https://www.channelnewsasia.com/news/singapore/eating-disorders-festive-season-youth-mental-health-13836172
8 https://www.straitstimes.com/singapore/whats-eating-the-young-ones
4
percent and 20 percent of those with anorexia die. 9Additionally, The mean number of
suicides expected in anorexia nervosa patients is eight times higher than those without
anorexia nervosa.10 As such, these impacts account for anorexia nervosa having the
highest mortality rate among mental health illnesses. 11 Hence it is imperative to take
proper action to curb the risk of our TAs getting anorexia nervosa and induce a positive
change. Results from our survey have shown that among the females more than 50% of
From the survey we conducted with 100 females ages 15 to 17, 99% of
9https://www.straitstimes.com/singapore/whats-eating-the-young-ones
10 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469850/
11 https://www.nimh.nih.gov/about/directors/thomas-insel/blog/2012/spotlight-on-eating-disorders.shtml
5
Figure 1.3.1 Pie chart showing usage of social media
Of those that use social media, 82% of respondents spend at least 2 hours everyday on
Figure 1.3.2 Pie chart showing number of hours female teens use social media on
daily basis
6
Due to the strong presence of social media, many are influenced into believing that
being skinny is beautiful. It causes our respondents to feel the need to abide by the
current beauty standards of society. More than half of the respondents showed that they
Figure 1.3.3 Bar chart showing how satisfied they are with their body
Our TAs who tend to be around peers who are ideally slim, may feel pressurised and
inferior to them12 especially if they are not as slim. This heightens the risk of them
developing anorexia nervosa as they feel the pressure of needing to fit in.
● Puberty(add in chart)
12 https://www.youthranch.org/blog/what-is-going-on-with-your-insecure-teenager
7
Puberty is the stage where physical changes, like those seen in figure 1.3.4, are the
most visible.
This will cause them to be more self conscious of their bodies. Thus during, puberty, our
13
TAs are most prone to develop anorexia
Anorexia affects upper secondary school students’ health, productivity and relationships
Physical consequences
reducing(Figure 1.4.1) as a result of the lack of vital nutrients like calcium which bones
13 https://momsmag.rahetbally.com/en/how-to-spot-series-puberty-in-girls-and-boys/
8
Figure 1.4.1 Image of a healthy and osteoporotic bone
There are many complications which rise from osteoporosis, for instance, In some
cases, spinal fractures can occur without even injuring the spine physically. The bones
that make up the spine (vertebrae) can weaken to the point of crumpling, which can
result in back pain, lost height and a hunched forward posture. Such complications will
pose some difficulties for our TAs in their daily lives as they may not be able to do
normal activities like their peers and may feel left out. Furthermore, in the long run, their
condition may worsen due to the debilitating effects of osteoporosis and it may become
life threatening.
14
14 https://www.mayoclinic.org/diseases-conditions/osteoporosis/symptoms-causes/syc-
20351968
9
Figure 1.4.2 showcasing sickled blood cells and normal blood cells
15
Thirdly, when anorexia becomes severe, the body breaks down its own tissues and
muscles for fuel due to the lack of nutrients, weakening heart muscles which heightens
the threat of heart failure.16Lastly, anorexia hinders the brain from acquiring sufficient
amounts of energy to function healthily, resulting in dizziness, fainting spells and fatigue
Additionally, those suffering from anorexia may also experience dehydration, kidney
failure, lanugo and amenorrhea17. All these may hinder the victim from leading a normal
and productive lifestyle. In addition, they may also feel left out from their peers as they
are held back by so many complications which may even become life threatening.
Psychological effects
Anorexia will inadvertently beget poor mental health which may entail depression
,anxiety, low self esteem and obsessive concerns and rules about dieting, body shape
15 https://www.newbridge-health.org.uk/eating-disorders-help/the-physical-effects-of-anorexia/
16 https://www.nationaleatingdisorders.org/health-consequences
17 https://eatingdisorderfoundation.org/learn-more/about-eating-disorders/health-consequences/
10
and weight.18 The TAs fear being judged or scrutinized by others 19 especially when they
are in public leading to anxiety. Furthemore, their mental health may deteriorate so
much that they may develop depression and engage in self harm or worse, suicide.
Social impacts
Friends and family members may grapple with guilt and helplessness as they accuse
themselves for not being able to help the individual tangibly. On the flip side, certain
friends or family members may not grasp the gravitas of anorexia nervosa or fail to
recognise the symptoms of anorexia. Consequently they undermine the struggle the
individual is going through. The lack of mutual understanding may devolve into
Cases of anorexia highlights the superficial beauty standards that society has
created and pressurised women into conforming. As a result, from the case
studies, the young and impressionable TAs may become aware of such social
constructs and are thus taught from a tender age to not heed to toxic beauty
standards and love their own body, thus promoting body positivity. As a result,
this prevents more of our target audiences from falling into the drastic anorexic
path. As seen in Figure 1.4.3, 90% of our respondents agreed that anorexia
18https://www.betterhealth.vic.gov.au/health/healthyliving/anorexia-nervosa#longterm-risks-of-ongoing-anorexia-
nervosa
19 https://www.healthline.com/health/anxiety/social-phobia#:~:text=Social%20anxiety%20disorder%2C
%20sometimes%20referred,judged%20or%20scrutinized%20by%20others.
20 https://www.youtube.com/watch?v=0O5dJ9ODjx8
21 https://www.youtube.com/watch?v=MprkgCuCu80
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Figure 1.4.3 Pie chart showing responses on whether anorexia nervosa sheds
healthy lifestyle22
Figure 1.4.4 shows number of people that will shunt unhealthy dieting if
22 https://www.youtube.com/watch?v=0O5dJ9ODjx8
12
Reference to figure 1.4.4, others’ experiences of anorexia can help spread
awareness amongst the TAs regarding the disease. The TAs may have a better
anorexia from others who have experienced it as well as how it brings destruction
to our lives. Hence this helps to prevent our TAs from getting anorexia nervosa
as they are already aware of the negative consequences from the case studies
shown to them.23
1)Eating Disorder Awareness Week The event was not heavily publicised by
A series of talks with professionals from are not aware of this event. *insert
Singapore General Hospital. It aims to primary data* The measure was only able
help patients and their families to manage to help existing anorexia patients instead
and cope with their eating disorders of preventing new cases of anorexia
23 https://www.youtube.com/watch?v=gZpcTVqpaPw
24https://www.sgh.com.sg/patient-care/specialties-services/eating-disorders-programme/pages/eating-disorders-
week.aspx1
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conducted around the world since 2001
Association(NEDA).
2)Breaking Mirrors - You’re More Than Currently the campaign's social media
is an eating disorder prevention campaign with 158 followers on Instagram and 325
eating disorders (anorexia and bulimia) in relatively low number of followers, they
media
old) as they are the most vulnerable and prone to developing anorexia as seen in
figure 1.6.1.
Figure 1.6.1: Table showing anorexia nervosa(AN) being the most common in
females(F) and that the age of onset is around 16.34 years old.
- Stakeholders
25 https://blogs.ntu.edu.sg/colab4good/2018/07/02/breaking-mirrors-youre-more-than-what-you-see/
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Stakeholder Reasons for choice of stakeholder
St Andrew’s Junior College’s school They are well known musicians with
alumni- Lin Jun Jie(JJ Lin) and large fan bases. Hence, with their
15
result in the development of anorexia.
- Objective of project
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1.7 Project overview
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CHAPTER 2 : Princess’s Road To Recovery
2.1 Rationale
From our survey(Figure 2.2.1) symptoms of anorexia
Figure 2.2.1 Pie chart showing percentage of target audience that know of anyone
Since the majority of our target audience do not deeply know what runs in the mind of
‘Princess’s Road To Recovery’ is a play that follows Princess, a 16 year-old girl that
suffers from anorexia nervosa, through her journey of recovering from her disorder. The
play allows the audience to delve deeper into what exactly is anorexia and its causes. In
addition, it serves as a means to raise awareness amongst our target audience about
anorexia and its dire consequences, thus potentially deterring them from falling into the
2.2 Features
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21
Figure 2.2.1 Sample of storyline of play
The play will portray the symptoms of anorexia nervosa to enable students to be
equipped with the skills to identify if someone has anorexia. It will also portray the
severity of anorexia as the character gets cardiac arrest. Lastly, it will show how vital it
is to have friends around as they serve as a support and help them to strive through, as
The play will also be curated and performed by the school drama club with the help of
school counsellor and drama instructors to help the student performers to accurately
portray the emotions of the characters. This allows the audience to establish a profound
and emotional connection with play, as such evoking a sense of empathy for the
characters.
The play will be held at the school’s auditorium during school assembly. The lighting
and staging will be carefully calibrated to emulate a professional play hence evoking
22
Figure 2.2.2 Image of the stage for play
After the play, guided reflection on the play and movie will be compulsory. However,
reflections are not limited to paper only(etc. Drawing, writing). Instead one can fluidly
express his or her thoughts through dancing, singing and etcetera and submit these in
the form of a video as well. Subsequently, their reflections will be compiled into a
montage and will be shown to the school. This enables them to internalise the play and
form their own opinions about anorexia. They can develop a deeper understanding of
the consequences of anorexia and what it entails which may prevent them from falling
prey to anorexia. The play depicts how our TAs can support one another in the face of
difficulties, hence they can apply what they have learnt and send words of
encouragement to patients in SGH eating disorder department. This will further help
reinforce their understanding of anorexia and broaden their myopic view of anorexia.
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TAs will also be able to empathise with anorexic patients and can include words of
encouragement in their reflection for anorexic patients as the montage will also be sent
to SGH eating disorder department.The reflection montage will also be sent to SGH
eating disorder department and in collaboration with them, (follow up lesson) collab with
SGH ed department.
2.4 Evaluation
Limitations Solutions
1)Due to Covid-19, the government may The TA can watch a live broadcast of the
implement seating capacity limits. Thus, play from their classrooms. More of the
only a limited TA can view the play at any TA may learn about anorexia’s negative
one time, fewer TA may be aware of the effects, which may reduce their risk of
fewer TA may stay away from anorexia. broadcast of Princess’ Road to Recovery
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CHAPTER 3: Feast Fit For A Queen
3.1 Rationale
It is for girls secondary schools promoting food that is healthy and instagrammable
which allows for students to enjoy healthy food without worrying about the calories
which improves their physical health as well as reduces worry of gaining weight. It aims
to let our TAs understand that food is fuel and that having a healthy diet is the way to
go.
3.2 Features
Feast For A Queen is a food festival, with the floor plan shown in figure 3.1.1.
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Queen
27
Figure 3.2.2 Comparison between cookies at Alice in Wonderland the those sold
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Figure 2.3.3 Smoothie and acai bowl sold at Elsa’s booth in Feast for a Queen
26 https://disney.fandom.com/wiki/Eat_Me_Cookies
27 http://www.diamondsfordessert.com/2010/03/eat-me_27.html
28 https://www.wellplated.com/greek-yogurt-smoothie/
29 https://www.jessicagavin.com/acai-bowl-recipe/
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Apple in Snow White and the Seven Apple at Snow White’s booth in Feast for
Dwarfs a Queen
Figure 3.2.4 Comparison between apple in Snow White and The Seven Dwarfs and
30 https://www.pngkit.com/view/u2q8u2w7e6w7t4q8_apple-snow-white-apple-snow-white-with-an/
31 https://www.alamy.com/stock-photo/foam-net.html
https://disneyprincess.fandom.com/wiki/Snow_White
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32
Figure 3.2.5 Comparison between the porridge in Mulan and the porridge at
With awareness of the harmful effects of anorexia, our target audience may be more
willing to consume food. Food booths will be selling a variety of disney-themed food with
This will show that they can still eat delicious food and lose weight healthily without
starving themselves.
TAs will get to assemble their food, giving them creative freedom and engaging them as
well.The vendors will be explaining to them the health benefits of the ingredients in each
dish, allowing them to be aware of what is beneficial for their body instead of eating food
32 https://www.wdw-magazine.com/disney-movie-food-porridge-from-mulan/
33 https://www.reddit.com/r/food/comments/i3msqx/homemade_congee_inspired_by_mulan/
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Each food booth will also be based on Disney movies, whereby food sold will be food
that can be found in a Disney movie. For example, Tiana’s booth will feature her
signature gumbo(Figure 3.2.2: Tiana’s gumbo in The Princess and the Frog as well as
Gumbo in The Princess and the Frog Gumbo sold at Princess Tiana’s booth in
Feast for a Queen
Figure 3.2.6: Comparison of Princess Tiana’s gumbo in The Princess and the
Frog and the ones sold at Princess Tiana’s booth in Feast for a Queen
Beignets in The Princess and the Frog Beignets sold at Princess Tiana’s booth
34 https://spoonuniversity.com/lifestyle/12-iconic-disney-foods-that-you-can-make-at-home
35 https://foodandafilm.com/2021/02/01/the-princess-and-the-frog/
36 https://foodandafilm.com/2021/02/01/the-princess-and-the-frog/
37 https://thehealthycookingblog.com/chicken-and-sausage-gumbo/
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Figure 3.2.7 Comparison of beignets in The Princess and the Frog and the ones
E-posters will be emailed to our TAs’ respective school principal and student councillors
will be engaged to help print out the posters and pin the hardcopy around the school as
38 https://www.hungryforever.com/7-disney-recipes-throwback-childhood/
39 https://preppykitchen.com/beignets/
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Figure 3.2.8 Sample of the posters that will be put around the school to attract our
In collaboration with the National Youth Council(NYC) for this event. NYC ambassadors
from the school(i.e student leaders, who are also part of the target audience) will go
around during the event to talk more about anorexia nervosa and reasons why it should
be discouraged as well as how harmful it is. This will allow them to empathise with those
that have anorexia and be able to identify the symptoms of it as well. With their
32
Singapore singers like JJ Lin and Stefanie Sun, as seen in figure 3.2.9 and 3.2.10
Figure 3.2.9 Image of JJ Lin, who can be one of the guests to sing songs on
anorexia.
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Figure 3.2.11 Image of Stefanie Sun, who is another guest that is invited to sing
40 https://www.straitstimes.com/singapore/no-place-like-home-for-stefanie-sun-and-kit-ch
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Figure 3.2.12 : Temporary stage where JJ Lin and Stefanie Sun perform songs on
anorexia.
Other than singing songs on anorexia, they can also be advocates of anorexia, by
Figure 3.2.13 Demi Lovato advocating for mental health, which is what JJ Lin and
https://www.theguardian.com/world/2020/nov/02/food-vendors-thai-protesters-bangkok
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https://www.behance.net/gallery/105944379/FOOD-FESTIVAL-2018
https://www.ooffle.com/collections/all-products/products/michelin-street-food-festival-
2017-resorts-world-sentosa
3.4 Evaluation
Limitations Solution
1) The TA attending Feast for a The booths in Feast for a Queen can
Queen may overeat after looking have small portions-taste testers, which
and may lead to health problems41, Therefore, selling the food in small
overeating.
41 https://www.mdanderson.org/publications/focused-on-health/What-happens-when-you-
overeat.h23Z1592202.html#:~:text=Overeating%20causes%20the%20stomach%20to,also%20may%20feel%20tight%2C%20too
42https://www.healthline.com/nutrition/portion-control#:~:text=Therefore%2C%20swapping%20your%20usual%20plate,as%20from
%20a%20large%20one.&text=consume.
43.https://www.cdc.gov/healthyweight/healthy_eating/portion_size.html
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CHAPTER 4: Mirror, Mirror On The Wall
4.1 Rationale
From our survey it is seen that
Our target audience have low- self esteem as such making them more likely to develop
promoting body positivity to boost self esteem and reduce risk of developing anorexia
nervosa and reduce socially accepted ideal beauty standard that being thin is beautiful.
4.2 Features
Mirror, Mirror On The Wall features an interactive screen in a frame shaped like the
mirror in Snow White. To activate the mirror, users would have to say “Mirror, mirror on
44 https://www.nationaleatingdisorders.org/body-image-eating-disorders
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On Standby Mode After Activation
The Mirror will be using Artificial Intelligence(AI) similar to that of Siri in an Apple iPhone
and chat bots. 45Firstly, the Mirror will be asking the user to rate how they are feeling at
the moment using a smiling scale similar to that of the feedback screens placed in
45 https://eandt.theiet.org/content/articles/2019/06/ai-powered-therapy-to-set-minds-at-
rest/#:~:text=Online%20and%20virtual%20therapists%20that,some%20everyday%20mental%20health
%20challenges.&text=Their%20proponents%20say%20that%20these,level%20depression%20to
%20social%20anxiety.
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Figure 4.2.2 Comparison of Smiling Scale on Mirror and in airport toilet
Users will pick the smiling face that represents how they are feeling at that moment by
pressing their finger on the screen and type in their names. The screen is touch screen
allowing for that to happen. From the smiling face picked, the AI will ask a few
introductory questions such as their hobbies and what their day was like to allow it to
understand the user better. The AI will be functioning to continue a conversation with
the user. The questions asked may be different for every user but at the end of the
conversation, users will be required to write down one of their strengths as they look at
their own reflection.(Figure 4.2.3)As they write down their strengths, they are tasked to
40
Figure 4.2.3 Sample of a strength being written down by a user
The mirror will be placed in a booth(Figure 4.2.4) such that it provides users with
41
Figure 4.2.4 Mirror, Mirror On The Wall Booth
To attract the attention of the TAs, whenever a person walks past Mirror Mirror on the
wall, the fairy godmother will appear and say encouraging words, with the aid of a
sensor.(Figure 4.2.5)
42
Figure 4.2.5 Booth when a person passes by
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4.3 Analysis of key findings
4.4 Evaluation
Limitation Solution
1)The TA may ask irrelevant questions, The AI screen can prompt the students to
themselves.
44
45
CHAPTER 5: Conclusion
Another possible target audience is female upper primary students ages 10 to 12 years
old. 12 year olds in Singapore spend over 6½ hours daily glued to a screen with 72% of
them already owning their own handphone 46. This shows that they will be exposed to
many social media platforms from a young age. Due to their young age, they will be
unable to differentiate right from wrong and will mindlessly believe what they see online.
The social stigma of beauty and the perception that skinny equates to beauty will be
carved into their minds more easily.This causes many of the young kids to be even
more prone to Anorexia nervosa simply due to the heavy influence of social media.
The play can have a simpler plot so that the younger TAs can better understand it.
Instead of doing their own guided reflection, there will be questions asked during and
after the play. If they answer the questions correctly, prizes will be given out such as
mildliner highlighters
After watching Princess’ Road to Recovery, the younger TAs may learn about
anorexia’s severe negative consequences. Thus, they will not resort to anorexia to lose
weight.
46 https://www.straitstimes.com/singapore/glued-to-screen-for-612-hours-digital-habits-in-singapore
46
5.2 Conclusion
In conclusion, Princess’s Road To Recovery imparts useful advice on how others can
support those with anorexia better, Feast For A Queen promotes healthy eating and
reinforces the idea that “food is fuel” and lastly, Mirror Mirror On The Wall promotes
body positivity hence boosting our TA’s self esteem. Overall, our strategies will deter
more teenagers aged 15-17 from falling into the anorexic path as they become more
47
Annex A : Survey Questions
The 'Perfect' Me
Hi! We are a group of J1s from Saint Andrew Junior College working on our PW
assignment on anorexia nervosa. We'd appreciate it if you could take 7 minutes of your
time to complete the survey. We hope you could answer the survey honestly as this is
vital for our project and that your opinions are valued for our project
Section 1
1) How old are you?
● 17
● 16
● 15
2)Gender
● Female
● Male
● Anorexia nervosa is total or partial abstinence from food because of the fear of
gaining weight
● Anorexia nervosa is an eating disorder characterized by a cycle of bingeing and
compensatory behaviors such as self-induced vomiting designed to undo or
compensate for the effects of binge eating.
● Anorexia nervosa involves extreme exercise and obsession with eating what is
perceived to be ‘healthy’ foods.
Section 2
Answer to Question 3
Anorexia nervosa is total or partial abstinence from food because of the fear of gaining
weight
Section 3
48
● Yes
● No
5)If you had known about the detrimental physical effects anorexia nervosa had on the
body(anemia, malnutrition) and psychological impacts(poor mental health), would you
stay away from unhealthy dieting?
● Yes
● No
6)Which of the options below are current measures to reduce incidences of anorexia
nervosa in Singapore?
7)Do you think more should be done to raise awareness and prevent this issue?
● Yes
● No
Section 4
1 2 3 4
9)Do you use social media? Eg. Tik Tok, Instagram, Twitter
● Yes
● No
10)If you answered Yes for the previous question, please indicate how long you spend
on social media on average per day.
49
● More than 3 hours
11) Do you think anorexia nervosa sheds light on superficial beauty standards of
society(i.e desire to be skinny)?
● Yes
● No
50
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52
53
54
55
56
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