Thursday, May 17, 2012

Males and Eating Disorders

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In this article, I've decided to tackle the topic of males with eating disorders for a integrate of reasons: 1) I am working with more men with this qoute than ever before and have noticed a huge rise in this phenomenon as an Eating Disorders Therapist and 2) I feel that we don't discuss how boys and men are vulnerable to eating disorders enough and how to help them avoid the eating disorder trap.

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I am working with a number of men lately who engage in all kinds of disordered eating practices and who suffer from low self-esteem and very poor body image. Their stories have deeply touched me and forced me to re-examine my beliefs nearby eating disorders being mostly a female phenomenon.

Research backs me up on my sense that more men than ever before are struggling with eating disorders. Dr. Mark Warren, clinical psychiatrist and medical director of the Cleveland center for Eating Disorders explains that Ed prevalence rates have grown substantially in modern years: "In the 60's and 70's, Ed in men was thought to be almost nonexistent, in the 80's and 90's about 10% and now 25-30%. So all we know is that it is more prevalent than was previously thought."

This is a unbelievable statistic! In less than a twenty-year period, eating disorder rates have more than doubled for boys and men.

A study from the University of Toronto estimates that one in every six habitancy diagnosed with anorexia nervosa is male.

Interestingly, the increasingly high rate of Ed's among males is also a Western phenomenon. A modern Harvard study found that Asian men show less discontentment with their bodies than males in the United States and Europe. The researchers found that this is because Western males are far more preoccupied with being muscular than Asian males.

Gay males are at particularly high risk for developing eating disorders for many reasons. I don't have time to progress on this in such a short article, but if you want to learn more, I have found a great resource on Nedic's website- do a quest there - it's worth it.

So why are males in Western society at such high risk? The following facts is adapted from a presentation from Neda's most recent conference called, "Why do Males have Eating Disorders and How do They Get Better?" Theodore E. Weltzin, Md and Melissa Schneider, Ma (Rogers Memorial Hospital).

A few of the risk factors for males include:

Attempts At Weight Loss - males are more likely to be overweight than females and often resort to diets in order to lose weight. And we know that dieting is the first step to the improvement of serious eating disorders.

Exercise - the current body ideal in our culture for men is to be fit and have distinct muscle definition (a good example are the Calvin Klein underwear ads for men-what an impossible ideal to live up to!)

High Risk Sports/Activities - boys and men are unbelievable to engage in perilous "masculine" sports like football, rock-climbing, and rugby. These activities call for a fit, bulky body, which increases pressure on them to live up to the body ideal called for.

Societal Influences consist of unrealistic body ideals. For example, most men perceive the ideal body image to be 13 kg more muscular than they truly are. Most heterosexual men also believe that women prefer men who are much bigger than they are.

And sadly, Yang, Gray, and Pope (2005) point out that: "In most western societies the man's traditional roles have declined important some to advise that young men may have expanding focus on their bodies as one the few remaining sources of masculine self-esteem."

Lastly, research findings in males with eating disorders show that sufferers:

o Were more likely to be obese/teased when young
o Diet to achieve a muscular body
o Often have gender identity issues
o Are often survivors of sexual abuse
o Are often involved in weight related sports
o Have experienced separation or the loss of a father while growing up

Unfortunately, it is most likely that males with eating disorders will continue to growth in the future. Luckily, rehabilitation is often very sufficient to help these boys and men heal. Hopefully, we will learn more about why boys and men invent eating disorders and find the most sufficient approaches to helping them heal. Much more research and work needs to go into this important area before things get even worse. I hope this narrative has helped you or someone you care about to get started on the road to recovery.

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