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ABSTRACT
This article examines the feminist interpretation of self-starvation or anorexia
nervosa as a pathology brought about by women's consumption of media
images of thin femininity. The anorexic subject is presented as a synecdoche
for the alienated female body in general; female corporeality is damaged by the
consumption of phallocentric representations. This negative view of women's
KEYWORDS
anorexia; body; representation; media; reading; metabolism
Anorexia nervosa and the less 'spectacular' eating disorder bulimia have
engendered a multiplicity of discourses on the female body. In particular,
the public fascination with the figure of the anorexic amounts to a fetishiza-
tion; like the mute and malleable fetish object, the anorexic body has been
inscribed, diagnosed and translated by various interpretive technologies.
Following Paula Treichler's (1987) ironic listing of the almost limitless
interpretations of the AIDS body, the list below exemplifies the ways in
which eating disorders are constituted by an 'epidemic of signification'
Eating disorders are:
1 A slimmers' epidemic which is destroying the lives of mostly young,
intelligent, white, middle-class women.
This taxonomy demonstrates that the body of the woman who practises
eating disorders presents a coding problem. As the 'dark continent of fem-
ininity', the territory of the anorexic body has been colonized by a motley
group of discourses contesting the truth of anorexic lack. Eurthermore, bio-
medical professionals have yet to locate an unequivocal aetiology for prac-
tices such as self-starvation, and as Matra Robertson observes, treatment
effectivity has not improved in the last fifty years (Robertson, 1992: 70).
Rather than reproducing yet another prescriptive diagnosis of women's
eating disorders, I shall investigate the formation of a dominant paradox
which has been mapped on to the anorexic subject. The paradox articulates
itself through a theorization of food refusal as the direct result of the con-
sumption of media representations of idealized thin femininity. An exces-
sive consumption of media images is perceived to activate a pathological
Irrational consumption
As Matra Robertson points out in Starving m the Silences, the diagnostic
category 'anorexia nervosa' invokes the authority of medical discourse over
CULTURAL STUDIES
experiences of female embodiment (Robertson, 1992: 74). The medicaliza-
tion of self-starvation is far from innocent; rather, as Robertson argues, it
is caught up in the operations of power at the site of the body. Central to
these operations is the act of diagnosis, where symptoms are read through
an established grid which functions to fix the truth of the subject. Eiona
Place writes in her confessional narrative Cardboard:
Life, for people who have been using anorexic eyes/metaphors long term,
has often become only the description of the symptoms of their illness,
and possibly of numerous admissions and discharges over the years or
experiences of other methods of treatment. They so often reach the stage
whereby they give their life history as a psychiatric history, using solely
the associated jargon and therefore experiencing it as such.
(Place, 1989: 257)
Place points out that the authority of clinical language functions to capture
and translate the subject's life story into the form of the psychiatric case
history. This process also involves the rarefaction of clinical language as an
objective and rational tool which is capable of revealing the truth of every-
day practices. In this way non-specialist interpretations are discarded and
replaced by the authority of psychiatric knowledge, which potentially
frames all practices as symptoms of anorexia. Given the androcentric bias
of psychiatry, the traditional alignment of femininity with irrationality and
the understanding that disease is a form of moral decay, any diagnosis of
"anorexia', 'bulimia', or more recently 'sub-clinical eating disorders\ is
caught up in a complex web of social meanings.
Ear from being neutral, biomedical discourses are historically situated
representations of human behaviour that are irrevocably connected to and
influenced by wider representations of sex, class and ethnicity. The classifi-
cation of insanity relies on the image of a normal healthy body that is often
equated, as various feminists have argued, with a white adult male body
(Gatens, 1991; Diprose, 1994). Corporeal practices which deviate from this
normative ideal function as a synecdoche for the non-healthy and the non-
rational, such that, for example, hysteria and eating disorders are translated
as representative of female irrationality in general.
Ironically perhaps, this process is also noticeable in some of the early
feminist interpretations of eating disorders. M. Boskind-White, for
example, argues that 'bulimarexics' 'have devoted their lives to fulfilling the
feminine role rather than the individual person' (1979: 438). Depicting
anorexia as a hyperbolic expression of an alienated femininity, the author
diagnoses the 'bulimarexic' as the perfect victim of discourses which
attempt to coerce all women into occupying the shrunken space of a child-
like femininity. Indeed, as Robertson observes, eating disorders are fre-
quently theorized by feminists as a quintessential symbol of the oppression
of all women (1992: 52), such that the anorexic functions as a synecdoche
for women's alienated body image in general. More recently, accounts of
anorexia within Australian 'corporeal feminism' have tended to argue from
Reading/eating disorders
The idea that representations are harmful to women's bodies became
popular during the nineteenth century, when biomedical professionals
entered into the debate over women's education. Hysteria and neurasthenia
were framed as the 'new woman's' diseases: the more educated the woman,
the more likely she was to suffer from nervous complaints. Indeed it was
even argued that the education of women would lead to the atrophy of the
Rewriting "anorexia'
Several points can be drawn from this brief analysis of the discourses in
operation within the formation of anorexia nervosa as the disease of the
McLuhan age. First, the idea that women 'catch' psychiatric diseases from
the media constitutes a form of (scientifically sanctioned) common sense.
Second, given the prevalence of what psychiatrists are now terming 'nor-
mative eating disorders among women, this common sense understanding
(in which the reading practices of women with eating disorders are framed
as perversely autophagic) demonstrates an infantilization of the female
audience as pathologically suggestible to media representations. Partici-
pation as readers in the late twentieth-century media-scape is thus imagined
to be a potentially lethal activity for women in general. However, the
problem of how to approach the subject of eating disorders remains.
The following sections have a dual purpose: first, to render problematic
totalizing definitions of the identity of the anorexic subject, and second, to
investigate the genealogy of the everyday techniques of eating disorders. It
IS not my intention to suggest that anorexia or self-starvation can be read
as the positive articulation of a resistive agency. Such a task would obvi-
ously be insensitive - self-starvation is a deadly activity. Nor is it my inten-
tion to offer an account of anorexia which collapses the historical
differences between its medieval and contemporary actualizations: the self-
starvation of St Catherine of Siena, for instance, has little in common with
contemporary anorexia, apart from the fact that both involve relinquishing
food. The forms of such practices are articulated according to the tech-
niques provided by historical and cultural contexts. The purpose of this
section is not to establish a new methodology as such, but rather to suggest
questions for future analysis.
Notes
1 This information comes from The International Journal of Eating Disorders. In
the article 'Recovery in anorexia nervosa - the patient's perspective', Hsu et al.
{1992) relate the case histories of six recovered anorexic v^^omen. Case 5, *got out
of family and leucotomy' reports that after the operation on her brain she lacked
the will-power to diet. The authors conclude that 'the leucotomy seemed to have
broken the obsessional habit of counting calories and having only a certain
amount of food to eat each time'. After acknowledging the positive effects of sur-
gical intervention they also suggest that clomipramine and fluoxtine should be
'given a fair trial' (346). In 'The use of electroconvulsive therapy in patients with
intractable anorexia nervosa'(Ferguson, 1993), it is reported that Ms C , 'a 23-
year old single woman' who was raped when she was fourteen, was subjected to
'16 bilateral ECT treatments after she attempted suicide and became anorexic.
Due to treatment related cognitive deficits, ECT was abandoned' (199). And yet
Ferguson concludes by affirming that 'it is possible that anorexia nervosa may
respond to ECT by virtue of the same well documented effects on brain cate-
cholamine systems that have been proposed to underlie the anti-depressant effect
of ECT' (200). It seems that while these authors speculate on the effects of
various treatments, they all agree that brain damage in the form of leucotomies
and ECT abuse seems to 'cure' anorexia.
References
Binswanger, Ludwig (1958) 'The case of Ellen West', trans. Werner M. Mendal and
Joseph Lyons, in RoUo May, Ernest Angel and Henri F Ellenberger (eds), E.xrsf-
ence: A New Dimension in Psychiatry and Psychology, New York: Basic Books.
Bordo, Susan (1986) 'How television teaches women to hate their hungers'. Mirror
Images (Newsletter of Anorexia/Bulimia Support, Syracuse, New York), 4(1):
8-9.