Lay Theories of Anorexia Nervosa

Abstract

Previous studies on lay theories of anorexia nervosa have examined the ‘accuracy’ of lay knowledge, and the identification of factors by family and friends that would encourage early interventions (Huon, Brown, & Morris, 1988, 7, 239–252; Murray, Touyz, & Beumont, 1990, 9, 87–93). In contrast to these approaches, we examine lay theories of anorexia nervosa using a critical psychology perspective. We argue that the use of a discourse analysis methodology enables the examination of the construction of lay theories through dominant concepts and ideas. Ten semi-structured interviews with five women and five men aged between 15 and 25 years were carried out. Participants were asked questions about three main aspects of anorexia nervosa: aetiology, treatment and relationship to gender. Each interview was analysed in terms of the structure, function and variability of discourse. Three discourses: sociocultural, individual and femininity, are discussed in relation to the interview questions. We conclude that, in this study, lay theories of anorexia nervosa were structured through key discourses that maintained a separation between sociocultural aspects of anorexia nervosa and individual psychology. This separation exists in dominant psychomedical conceptualizations of anorexia nervosa, reinforcing the concept that it is a form of psychopathology.

Keywords

anorexia nervosa critical psychology discourse analysis lay theories

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References

Banks, C. G. (1992). ‘Culture’ in culture-bound syndromes: The case of anorexia nervosa. Social Science and Medicine, 34, 867–884.

Bordo, S. (1989). The body and the reproduction of femininity: A feminist appropriation of Foucault. In A. M. Jaggar & S. R. Bordo (Eds.), Gender/ body/knowledge: Feminist reconstructions of being and knowing (pp. 13–33). London: Rutgers University Press.

Bordo, S. (1993). Unbearable weight: Feminism, western culture and the body. Berkeley, CA: California University Press.

Bordo, S. (1997). Anorexia nervosa: Psychopathology as the crystallization of culture. In M. M. Gergen & S. N. Davis (Eds.), Toward a new psychology of gender (pp. 423–454). New York: Routledge.

Brooks, A. , LeCouteur, A. , & Hepworth, J. (1998). Accounts of experiences of bulimia: A discourse analytic study. International Journal of Eating Disorders, 24, 193–206.

Brown, S. D. (1996). The textuality of stress. Journal of Health Psychology, 1, 173–193.

Brumberg, J. J. (1988). Fasting girls: The emergence of anorexia nervosa as a modern disease. Cambridge, MA: Harvard University Press.

Davies, B. (1991). The concept of agency: A feminist poststructuralist analysis. Social Analysis, 30, 42–53.

Eccleston, C. , Williams, A. C. De C. , & Stainton Rogers, W. (1997). Patients' and professionals' understandings of the causes of chronic pain: Blame, responsibility and identity protection. Social Science and Medicine, 45, 699–709.

10.

Eckert, E. , & Labeck, L. (1985). Integrated treatment program for anorexia nervosa. In J. E. Mitchell (Ed.), Anorexia nervosa and bulimia: Diagnosis and treatment (pp. 152–170). Minneapolis: University of Minnesota Press.

11.

Furnham, A. , & Hume-Wright, A. (1992). Lay theories of anorexia nervosa. Journal of Clinical Psychology, 48, 20–36.

12.

Garfinkel, P. E. , & Garner, D. M. (1982). Anorexia nervosa: A multidimensional perspective. New York: Bruner/Mazel.

13.

Gavey, N. (1989). Feminist poststructuralism and discourse analysis: Contributions to feminist psychology. Psychology of Women Quarterly, 13, 459–475.

14.

Henriques, J. , Hollway, W. , Urwin, C. , Venn, C. , & Walkerdine, V. (1984). Changing the subject: Psychology, social regulation and subjectivity. London: Methuen.

15.

Hepworth, J. (1993). A post-structuralist analysis of the late 19th century medical discovery of anorexia nervosa and contemporary discourses on anorexia nervosa used by health-care workers. Unpublished PhD thesis. School of Psychology, University of Birmingham, UK.

16.

Hepworth, J. (1994). Qualitative analysis and eating disorders: Discourse analytic research on anorexia nervosa. International Journal of Eating Disorders, 15, 179–185.

17.

Hepworth, J. (1998). The social construction of anorexia nervosa. London: Sage.

18.

Hepworth, J. , & Griffin, C. (1990). The ‘discovery’ of anorexia nervosa: Discourses of the late 19th century. Text, 10, 321–338.

19.

Hepworth, J. , & Griffin, C. (1995). Conflicting opinions? Anorexia nervosa, medicine and feminism. In S. Wilkinson & C. Kitzinger (Eds.), Feminism and Discourse (pp. 69–85). London: Sage.

20.

Hollway, W. (1989). Subjectivity and method in psychology: Gender, meaning and science. London: Sage.

21.

Huon, G. F. , Brown, L. , & Morris, S. (1988). Lay beliefs about disordered eating. International Journal of Eating Disorders, 7, 239–252.

22.

Littlewood, R. (1995). Psychopathology and personal agency: Modernity, culture change and eating disorders in South Asian societies. British Journal of Medical Psychology, 68, 45–63.

23.

Litton, I. , & Potter, J. (1985). Social representations in the ordinary explanation of a ‘riot’. European Journal of Social Psychology, 15, 371–388.

24.

MacSween, M. (1993). Anorexic bodies: A feminist and sociological perspective on anorexia nervosa. London: Routledge.

25.

Malson, H. (1995). Anorexia nervosa: Discourses of gender, subjectivity and the body. Feminism & Psychology, 5, 87–93.

26.

McKinlay, A. , & Potter, J. (1987). Social representations: A conceptual critique. Journal for the Theory of Social Behaviour, 17, 471–487.

27.

Moscovici, S. (1981). On social representation. In J. Forgas (Ed.), Social cognition: Perspectives on everyday understanding (pp. 181–209). London: Academic Press.

28.

Moscovici, S. (1982). The coming era of representations. In J. P. Codol & J. P. Lyons (Eds.), Cognitive analysis of social behaviour (pp. 115–150). The Hague: Nijhoff.

29.

Moscovici, S. (1984). The phenomenon of social representations. In R. Farr & S. Moscovici (Eds.), Social representations (pp. 3–69). Cambridge: Cambridge University Press.

30.

Murray, S. , Touyz, S. , & Beumont, P. (1990). Knowledge about eating disorders in the community. International Journal of Eating Disorders, 9, 87–93.

31.

Potter, J. , & Litton, I. (1985). Some problems underlying the theory of social representations. British Journal of Social Psychology, 24, 81–90.

32.

Potter, J. , & Wetherell, M. (1987). Discourse and social psychology: Beyond attitudes and behaviour. London: Sage.

33.

Stainton Rogers, R. , Stenner, P. , Gleeson, K. , & Stainton Rogers, W. (1995). Social psychology: A critical agenda. Cambridge: Polity Press.

34.

Weedon, C. (1987). Feminist practice and poststructuralist theory. Oxford: Basil Blackwell.

35.

Wetherell, M. , Stiven, H. , & Potter, J. (1987). Unequal egalitarianism: A preliminary study of discourses concerning gender and employment opportunities. British Journal of Social Psychology, 26, 59–71.