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Abigail O'Laughlin
Sources
1. “Anorexia Nervosa.” National Eating Disorders Association, 28 Feb. 2018, www.nationaleatingdisorders.org/learn/by-eating-disorder/anorexia.
"Anorexia nervosa (AN) is an eating disorder characterized by weight loss (or lack of appropriate weight gain in growing children); difficulties maintaining an appropriate body weight for height, age, and stature; and, in many individuals, distorted body image." (1) It is a biopsychosocial disorder, meaning it is does not have one singular causation. Those with AN may use compensatory behaviors like purging, excessive exercise, and/or laxatives along with restriction of intake.
Sources
(2)“Circles of Sexuality.” Advocates for Youth. PDF File.
Sexuality is far more than who one chooses to sleep with. In fact, according to Advocates for Youth, "it is an important part of who a person is and what she or he (or they) will become. It includes all the feelings, thoughts, and behaviors of being female or male (or non-binary), being attractive and being in love, as well as being in relationships that include sexual intimacy and physical sexual activity." (2) In order to break down the complexity of sexuality, I will be referenceing the "Circles of Sexuality"(2)
"Awareness, acceptance of and comfort with one's own body; physiological and psychological enjoyment of one's own body and the bodies of others" (2)
"The use of sexuality to influence, control or manipulate others." (2)
" Attitudes and behaviors related to producing children, care and maintenance of the sex and reproductive organs, and health consequences of sexual behavior." (2)
"The devlopment of a sense of who one is sexually, including a sense of maleness and femaleness." (2)
"The ability and need to experience emotional closeness to another human being and have it returned." (2)
Anorexia Nervosa and sexuality are both very complex phenomena. How does one affect the other? More importantly, how does anorexia nervosa in women influence sexuality?
Eating disorders in general disproportionally affect the LGBTQ+ population in comparison to heterosexual people. There is not any correlation to AN causing issues with sexual identity, but more of sexual identity contributing to the development of AN.
(3) Watson, R. J., et al. “Trends and Disparities in Disordered Eating among Heterosexual and Sexual Minority Adolescents.” INTERNATIONAL JOURNAL OF EATING DISORDERS, no. 1, 2017, p. 22. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN382878126&site=eds-live&scope=site.
(4) Fabello, Melissa A. Appetite: Sex, Touch, and Desire in Women with Anorexia Nervosa. Self-Published, 2018.
How one feels in their body is sensuality. Therefore, the many biopsychosocial disturbances that come with anorexia can not only inhibit sexual bodily functions like libido and reproduction, but intimacy in relationships as well.
(6) Verwey, Zach. “Eating Disorders and Sexuality.” Eating Disorder Help, 2016, www.mirror-mirror.org/sex.htm.
(7) Tolosa-Sola, Iris, et al. “Body Dissatisfaction and Eating Disorder Symptomatology: Which Factors Interfere with Sexuality in Women with Eating Disorders?” Journal of Health Psychology, vol. 24, no. 11, 2017, pp. 1526–1535., doi:10.1177/1359105317695425.
(8) Gupta, Madhulika A., and Nicholas J. Schork. “Touch Deprivation Has an Adverse Effect on Body Image: Some Preliminary Observations.” International Journal of Eating Disorders, vol. 17, no. 2, Mar. 1995, pp. 185–189. EBSCOhost, doi:10.1002/1098-108X(199503)17:2<185::AID-EAT2260170212>3.0.CO;2-0.
(9) Henrik Daae, Zachrisson, and Skårderud Finn. “Feelings of Insecurity: Review of Attachment and Eating Disorders.” European Eating Disorders Review, no. 2, 2010, p. 97. EBSCOhost, doi:10.1002/erv.999.
Anorexia Nervosa can cause a plethora of sexual dysfunctions. According to research, "more women with eating disorders reported loss of libido, sexual anxiety, relationships without sex, and relationships with tension." (11)
(10) Michael W. Wiederman. “Women, Sex, and Food: A Review of Research on Eating Disorders and Sexuality.” The Journal of Sex Research, vol. 33, no. 4, 1996, p. 301. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&db=edsjsr&AN=edsjsr.3813276&site=eds-live&scope=site.
(11) Pinheiro, Andréa Poyastro, et al. “Sexual Functioning in Women with Eating Disorders.” The International Journal of Eating Disorders, U.S. National Library of Medicine, Mar. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2820601/.
Sexual objectification has a direct correlation to body dissatisfaction, which indirectly can affect disordered eating behaviors. Body surveillance, or body checking, may increase as well.
(4) Fabello, Melissa A. Appetite: Sex, Touch, and Desire in Women with Anorexia Nervosa. Self-Published, 2018.
(5) Watson, Laurel B., et al. “Experiences of Sexual Objectification, Minority Stress, and Disordered Eating Among Sexual Minority Women.” PSYCHOLOGY OF WOMEN QUARTERLY, vol. 39, no. 4, pp. 458–470. EBSCOhost, doi:10.1177/0361684315575024. Accessed 5 Feb. 2020.