Troublesome Bodies: How Bodies Come to Matter and Intrude in Eating Disorder Recovery.

IF 1.5 4区 医学 Q2 ANTHROPOLOGY
Mari Holen, Agnes Ringer, Anne Mia Steno
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Abstract

Understanding how bodies come to matter in eating disorder recovery is complex, particularly given the unresolved question of whether eating disorders are fundamentally about the body. Drawing on Analu Verbin's adaptation of Judith Butler's theory of performativity and Sarah Ahmed's body phenomenology, this paper examines how participants in a narrative and systemic group therapy program at a mental health clinic for eating disorders perceive themselves as recovering or recovered. We explore how the body is presented and understood in their recovery narratives, developing the concept of the 'troublesome body' to highlight the ambiguities these narratives reveal. The body in the participants' narratives is continuously shaped by an external gaze that alternates between recognition and concern, often oscillating between praise and scrutiny. Participants are tasked with cultivating a liberated, sensual body and a more natural relationship with food, achieved through therapeutic strategies such as establishing a mechanical eating pattern and 'neutralizing' the body in group settings. Yet the body resists, asserting its presence through physical sensations-rumbling stomachs and 'blobby' forms-that challenge these efforts. Crucially, the narrative and systemic group therapy is viewed by participants as pivotal in their recovery not because it resolves all eating disorder-related issues, but because it offers a collective space for 'troublesome bodies.' This space allows for bodies to exist without conforming to societal dichotomies or norms that are often imposed in other treatment contexts, thus, offering an alternative model of recovery where bodily ambiguities can be embraced rather than resolved.

麻烦的身体:身体如何变得重要并侵入饮食失调的康复。
了解身体如何在饮食失调的康复过程中发挥作用是很复杂的,特别是考虑到饮食失调是否从根本上与身体有关这一尚未解决的问题。利用阿纳鲁·韦尔宾对朱迪思·巴特勒的表演理论和莎拉·艾哈迈德的身体现象学的改编,本文研究了在饮食失调心理健康诊所的叙事和系统团体治疗项目中,参与者如何看待自己正在康复或已经康复。我们探讨了身体是如何在他们的康复叙事中呈现和理解的,发展了“麻烦身体”的概念,以突出这些叙事所揭示的模糊性。在参与者的叙述中,身体不断受到外部目光的塑造,这种目光在认可和关注之间交替,经常在赞美和审视之间摇摆。参与者的任务是培养一个解放的、感性的身体和与食物更自然的关系,通过建立机械的饮食模式和在群体环境中“中和”身体等治疗策略来实现。然而,身体却在抵抗,通过身体的感觉——咕噜咕噜的胃和“斑点”状的身体——来证明它的存在,挑战着这些努力。至关重要的是,参与者认为叙事和系统的团体治疗对他们的康复至关重要,不是因为它解决了所有与饮食失调有关的问题,而是因为它为“麻烦的身体”提供了一个集体空间。这个空间允许身体在不符合社会二分法或规范的情况下存在,这通常是在其他治疗环境中强加的,因此,提供了一种替代的康复模式,在这种模式中,身体的模糊性可以被接受而不是解决。
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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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