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CHAPTER 1: Anorexia Nervosa 3


1.1 Anorexia Nervosa 4
1.2 Severity of Issue 4
1.3 Factors that contribute to the development of anorexia 5
1.4 Impacts of Issue 8
1.5 Limitations of current measures 13
1.6 Scope of Project 14
1.7 Project overview 17

CHAPTER 2 : Princess’s Road To Recovery 19


2.1 Rationale 20
2.2 Features 20
2.3 Analysis of Key Findings 26
2.4 Evaluation 26

CHAPTER 3: Feast Fit For A Queen 29


3.1 Rationale 29
3.2 Features 32
3.3 Analysis of Key Findings 38
3.4 Evaluation 38

CHAPTER 4: Mirror, Mirror On The Wall 40


4.1 Rationale 40
4.2 Features 41
4.3 Analysis of key findings 47
4.4 Evaluation 47

CHAPTER 5: Conclusion 49
5.1 Wider application of the project 49

Annex A : Survey Questions 51

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CHAPTER 1: Anorexia Nervosa

1.1 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

their unusual attitude towards food. 2 As such, it is a phenomenon, defined as something

that can be experienced, which is particularly unusual. 3 Anorexia nervosa is most

prevalent in women between ages 12 to 25 years old, making up approximately 90% of

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

years, of which an overwhelming majority were females. 5

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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

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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

them showed lack of understanding about anorexia as seen in figure 1.2.1.

Figure 1.2.1 Pie Chart on definitions of anorexia nervosa

1.3 Factors that contribute to the development of anorexia

● Increased usage of social media

From the survey we conducted with 100 females ages 15 to 17, 99% of

respondents use social media as seen in Figure 1.3.1.

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

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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

social media as seen in Figure 1.3.2.

Figure 1.3.2 Pie chart showing number of hours female teens use social media on

daily basis

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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

are unsatisfied with their body as shown in figure 1.3.3 .

Figure 1.3.3 Bar chart showing how satisfied they are with their body

Peer pressure & low self-esteem

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

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Puberty is the stage where physical changes, like those seen in figure 1.3.4, are the

most visible.

Figure 1.3.4 Changes of the female body during puberty

This will cause them to be more self conscious of their bodies. Thus during, puberty, our
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TAs are most prone to develop anorexia

1.4 Impacts of Issue

Anorexia affects upper secondary school students’ health, productivity and relationships

adversely. Unfortunately, many underestimate the physical, emotional and social

ramifications of anorexia thus leading to many predicaments.

Physical consequences

Firstly, osteoporosis is a disease which results in the density of the bones

reducing(Figure 1.4.1) as a result of the lack of vital nutrients like calcium which bones

need in order to grow and remain strong.

13 https://momsmag.rahetbally.com/en/how-to-spot-series-puberty-in-girls-and-boys/

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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.
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Secondly, anaemia, as seen in figure 1.4.2, is a serious blood problem, leading to

reduced production of blood cells.

14 https://www.mayoclinic.org/diseases-conditions/osteoporosis/symptoms-causes/syc-
20351968

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Figure 1.4.2 showcasing sickled blood cells and normal blood cells
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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

which can also lead to development of seizures and inability to concentrate.

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/

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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

arguments, putting a strain on their relationships with their loved ones.


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Positive impacts

1) Sheds light on superficial beauty standards of society

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

nervosa sheds light on superficial beauty standards of society.

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

light on superficial beauty standards

2) It can also be used as case studies to help underscore the importance of a

healthy lifestyle22

Figure 1.4.4 shows number of people that will shunt unhealthy dieting if

side-effects are made known

22 https://www.youtube.com/watch?v=0O5dJ9ODjx8

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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

understanding of what anorexia entails and learn about the consequences of

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

As such, there is a strong need to address anorexia in Singapore so as to bring about a

reduction of development of anorexia nervosa amongst our TAs.

1.5 Limitations of current measures

Current Measure Limitation

1)Eating Disorder Awareness Week The event was not heavily publicised by

Webinar Series 202124 the media, as such many Singaporeans

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

including anorexia nervosa at home nervosa.

during the Covid-19 pandemic. Eating

Disorder Awareness Week has been

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

by the National Eating Disorder

Association(NEDA).

2)Breaking Mirrors - You’re More Than Currently the campaign's social media

What You See25 accounts do not have a large following

is an eating disorder prevention campaign with 158 followers on Instagram and 325

that aims to reduce the incidences of followers on Facebook. Due to the

eating disorders (anorexia and bulimia) in relatively low number of followers, they

Singapore through debunking negative are unable to reach out to a large

messages such as body dissatisfaction audience and have extensive influence

and thin body idealisation using social over our TA.

media

1.6 Scope of Project

Our target audience is female upper secondary school students(15 to 17 years

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

Stefanie Sun Yan Zi widespread and strong influence, we

can reach out to more of our TAs and

spread awareness about anorexia

nervosa more effectively. Hence as

their fans, which also comprises our

TAs, hear about the critical health

consequences of anorexia, they will

feel deterred from resorting to extreme

means such as dieting to lose weight.

Get them to post on their social media

accounts about the event including

links to AWARE website for people to

learn about anorexia.

National Youth Council(NYC), NYC helps to advocate for the well-

being of youths. One way NYC can

ensure the well-being of youths is

through discouraging them from

resorting to extreme dieting which may

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result in the development of anorexia.

SGH Eating Disorder Department SGH has a programme dedicated to

eating disorder (including anorexia) which

helps to advocate for recovery. It has a

webinar series which can be found on

their website which touches on various

aspects of eating disorders and offers

helpful advice to overcome eating

disorders like anorexia.

- Objective of project

The ‘Perfect’ Me aims to further reduce incidences of anorexia nervosa in

females between ages 15 to 17 years old through raising awareness and

encouraging body positivity.

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1.7 Project overview

The following diagram(Figure 1.71) shows our project overview.

Figure 1.7.1 Flowchart of 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

that has anorexia nervosa

Since the majority of our target audience do not deeply know what runs in the mind of

an anorexia nervosa patient, we propose our strategy ‘Princess’s Road To Recovery’.

‘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

drastic anorexic path.

2.2 Features

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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

they recover from anorexia nervosa.(Figure 2.21)

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

more interest from the audience, as seen in Figure 2.2.2.

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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.

2.3 Analysis of Key Findings

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

negative consequences of anorexia, so getting anorexia. Therefore, the live

fewer TA may stay away from anorexia. broadcast of Princess’ Road to Recovery

The success of Princess’ Road to is better than the traditional, face-to-face

Recovery may be negatively impacted to version.

a large extent. Thus, there is a need to

address the issue of Covid-19.

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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.

Figure 3.2.1 Floor Plan of Feast for a Queen

Cookies in Alice In Wonderland Cookies at Alice’s booth in Feast for a

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Queen

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Figure 3.2.2 Comparison between cookies at Alice in Wonderland the those sold

in Feast for a Queen

Smoothie Acai bowl

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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

at Snow White’s booth in Feast for a Queen

Porridge in Mulan Porridge at Mulan’s booth at Feast for a


Queen

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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Figure 3.2.5 Comparison between the porridge in Mulan and the porridge at

Mulan’s booth in Feast for a Queen

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

a healthy twist that contain more nutrients for growing teens.

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

just to lose weight.

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

in real life) and beignets.34


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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

sold at Princess Tiana’s booth in Feast for a Queen

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

shown in figure 3.2.1.

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

target audience to Feast for a Queen

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

knowledge and empathy, our TAs can be prevented from anorexia.

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Singapore singers like JJ Lin and Stefanie Sun, as seen in figure 3.2.9 and 3.2.10

respectively, can also be roped in to perform songs regarding anorexia, on a temporary

stage, as seen in figure 3.2.11.

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

with JJ Lin about anorexia.

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

speaking about its health risks, as seen in figure 3.2.13.

Figure 3.2.13 Demi Lovato advocating for mental health, which is what JJ Lin and

Stefanie Sun can do at Feast for a Queen.

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

3.3 Analysis of Key Findings

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

at the various Disney-themed food may reduce the chances of the TA

booths. Overeating is unhealthy overeating42 43, and improve their health.

and may lead to health problems41, Therefore, selling the food in small

thus negatively affecting the portions is better than in regular portions.

success of Feast for a Queen to a

large extent. Hence, there is a

need to address the issue of

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

anorexia nervosa.44As such we introduce Mirror Mirror On The Wall in hopes of

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

the wall” after which Fairy Godmother will appear(Figure 4.2.1)

44 https://www.nationaleatingdisorders.org/body-image-eating-disorders

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On Standby Mode After Activation

Figure 4.2.1 Simulation of how Mirror will be activated

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

toilets at the Changi Airport.(Figure 4.2.2)

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

think positively about themself. Thus, this raises their self-esteem.

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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

adequate privacy, making them more comfortable to share their feelings.

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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)

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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

perhaps due to a lack of understanding of ask related questions.

anorexia. Another possible reason is the

TA’s low self-esteem, which leads them to

say negative comments about

themselves.

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CHAPTER 5: Conclusion

5.1 Wider application of the project

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.
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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

well-informed about the dire consequences of anorexia.

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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

3)What does anorexia nervosa mean?

● 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

4)Do you know of anyone that has anorexia nervosa?

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● 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?

● Breaking Mirrors(Social Media Page)[correct option]


● Eating Disorder Awareness Week Webinar Series 2021[correct option]
● Counselling Services by Singapore Counselling Centre(SCC)[correct option]
● Embrace the Unique You campaign
● RecoverED(inspiring life stories of eating disorder survivors)

7)Do you think more should be done to raise awareness and prevent this issue?

● Yes
● No

Section 4

8)Are you satisfied with your body?

Strongly Agree ☐ ☐ ☐ ☐ Strongly Disagree

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.

● Less than 1 hour


● 1-2 hours
● 2-3 hours

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● 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

Annex B : Survey Results

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