Title:
|
Disciplinary understandings of anorexia nervosa : art therapy and psychiatric research from a feminist perspective
|
This dissertation explores the constructed nature of the concept of anorexia nervosa in
the disciplines of art therapy and psychiatry and considers the ramifications of this on the
way women are constructed. This dissertation consisted of three new studies of the
construction of anorexia nervosa within disciplinary discourse: 1) a corpus of research
articles in psychiatry in 2009; 2) an analysis of the DSM IV and proposed revisions to this
document for the future DSM V; and 3) a comprehensive, analysis of the construction of
anorexia in all the published research with the field of art therapy. This study offers the first
poststructuralist genealogy of the construction of anorexia nervosa in the field of art therapy
and the way disciplinary discourse works in that field. Furthermore, this research extended
existing poststructuralist studies of anorexia nervosa into the 2ln century by carefully
considering psychiatric literature in 2009 and the proposals for the revision of the DSM V.
The main findings of this dissertation reaffirm the concept that anorexia nervosa is a
constructed term resulting from discursive, disciplinary forces. As found here, the discourse
of psychiatry was found to be in a power struggle with other disciplines and have asserted its
power through adherence to Neo-Kraepilianian guidelines and the reinvention of the DSM.
There was a preference for the medicalization of anorexia nervosa and to see it as natural
disease and genetic predisposition as well as an increase in the usage of the categories of
cognitive dysfunction and body image distortion. The art therapy literature moved from
psychodynamic disturbance and familial pathology to cognitive dysfunction and body image
distortion explanations. In addition, for art therapy at the end of the 20th century and into the
21st century there was some exploration of socio-cultural context and spiritual explanations of
anorexia nervosa. Overall the construction of women in the art therapy literature on anorexia
nervosa moved from explicitly negative characterizations of women built upon accusatory
narratives and personal flaws to more subtly hidden negative descriptions.
In the psychiatric literature of the 21 " century and the proposed revisions of the
influential DSM V there is a preferencef or biological and behaviouralu nderstandingso f
anorexia that neutralize gender and distance socio-cultural explanations. The gendered and
socio-cultural understandingso f anorexia nervosaa re being actively distancedf rom the
explanation of anorexia nervosa. This is highly problematic as there is quite obvious and
empirically validated evidence positioning anorexia nervosa as a gendered, socio-cultural
phenomenon and this way of understanding allows new options for treatment
|