am i recovered yet? exploring young women's stories of disordered eating and recovery in a...
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Am I Recovered Yet?Exploring young women's stories of disordered eating and recovery in a biopedagogical society
Andrea LaMarre, MSc. PhD StudentDepartment of Family Relations and Applied NutritionUniversity of Guelph
@andrealala89
Dr. Carla RiceCanada Research Chair, Tier II, Care, Gender, and RelationshipsDepartment of Family Relations and Applied NutritionUniversity of Guelph
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Disclosures
This research was funded by the Ontario Ministry of Health and Long Term Care through the Ontario Women’s Health Scholars Program
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Introduction
Defining eating disorder recovery: A difficult task
Biomedical definitions of both eating disorders and recovery may conflict with critical feminist readings
Centralizing participants’ lived, embodied experiences of recovery
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Objectives
How do young women’s stories of having and recovering from eating disorders challenge or reinforce dominant discourses about eating disorders?
Might external standards for and articulations of “full recovery” be experienced as alienating and/or overwhelming to some in recovery?
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Methods
Participants: 10 young women (20-31) “in recovery”/
“recovered from” eating disorders
Diagnoses (not mutually exclusive) 8 diagnosed with AN 3 diagnosed with BN 2 never diagnosed (1 self-identified BN, 1
self-identified EDNOS)
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Methods
Narrative interviews (10): Conversational, collaborative
meaning-making (Riessman, 2004) Probes related to experience of
having/recovering from an ED: e.g. “What did having an eating disorder
mean to you? How did it feel, to you?” What does the word recovery mean to
you?”
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Methods Digital Stories (3)
3-day workshop
Curriculum: Socio-cultural & historical representations of
eating disorders & recovery Final Cut Pro
Deep engagement with participants: “community of inquiry”
Narrative thematic analysis
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Results
Doctor’s Orders: Standards for Recovery Meal plans, weight standards, etc. could be
useful as participants began recovery These may be experienced as rational,
logical, and easily measurable Used as proxies for recovery, these can be
experienced as problematic Standardized “recovery” indicators may not
be cross-culturally sensitive
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Results
I think I had been malnourished for quite a long amount of time and one of my friends who is in med school and she’s a
psychiatrist […] also had an eating disorder at one point; [she] sent me some research articles which were actually saying that
being malnourished can actually start or perpetuate [eating disorders] so I’m like, well that kind of makes sense! They always
said to us no matter what after treatment we just had to keep eating and I always questioned why, and they said it affects your
brain.
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Results
When they served baked potatoes and pork and beans and I put my
applesauce on my baked potato they called it a weird food combination, and
we weren’t allowed to eat weird food combinations. And I was like how is that weird, we put applesauce on latkes, and
latkes are made of potatoes, and everyone said what’s a latke?
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Results
A Biopedagogy of Recovery Biopedagogies stem from Foucault’s notion
of biopower, a diffuse and internalized form of power
Often applied to concerns about the “obesity epidemic”
Instructions about how to “live healthy” Grounded in technologies of cure designed
to be life saving
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Results
It’s like you have to be ok with eating everything [...] and for other people it’s like some level of “oh well that’s kind of oily I don’t want to eating that,” but for you it’s like “that’s your eating disorder talking.”
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Results
I no longer want to put pressure on myself to live up to the definitions of those
concepts, whether externally or internally imposed. That’s kinda the point.
- Margot
In saying I had “recovered” from my eating disorder, did it mean I had succeeded?
Was it a way of naively reassuring myself that I could not and would not ever struggle again?
If I did struggle, did that mean I was never recovered in the first place?
- Isa
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Limitations
Small, “homogeneous” sample
Self-defined ED and recovery
Different levels of engagement with participants
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Implications
Imperatives to recover in one set way: “recovery pressure”
Centralizing the voices of individuals with lived experience in defining recovery
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A Digital Story
Margot’s story
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Questions?
Thank you to the Ontario Women’s Health Scholars Award, who provided the funding for my research, to my advisor, Dr. Carla Rice, and to my participants, for sharing their stories