Eating disorders are evolutionarily novel conditions that lead to some of the highest mortality rates of all psychiatric disorders. Several evolutionary hypotheses have been proposed for eating disorders, but only the intrasexual competition hypothesis is extensively supported by evidence. We present the mismatch hypothesis as a necessary extension to the current theoretical framework of eating disorders. This hypothesis explains the evolutionarily novel adaptive metaproblem that has arisen when mating motives and readily available food rewards conflict with one (...) another. This situation is exacerbated in contemporary environments characterized by sedentary lifestyles, caloric surplus and the ubiquity of social comparisons that take place via social media. Our psychoneuroimmunological model connects ultimate-level causation with proximate mechanisms by showing how the adaptive metaproblem between mating motives and food rewards leads to chronic stress and, further, to disordered eating. Chronic stress causes neuroinflammation, which increases susceptibility to OCD-like behaviors that typically co-occur with eating disorders. Chronic stress upregulates the serotonergic system and causes dysphoric mood in patients with restricting-type anorexia nervosa. Dieting, however, reduces serotonin levels and dysphoric mood, leading to a vicious serotonergic-homeostatic stress/starvation cycle whereby cortisol and neuroinflammation increase through stringent dieting. Between-individual and within-individual variation in eating disorders partially arises from (co)variation in gut microbiota and stress responsivity, which influence neuroinflammation and the serotonergic system. In binge-related eating disorders, even a short period of fasting drops serotonin levels, a state alleviated by binge eating. Eating disorder treatments should aim to reduce the chronic stress, neuroinflammation, stress responsivity and gut dysbiosis that fuel the disorders. We review the advances that have been made in recent years in understanding how to best treat eating disorders, outlining directions for future clinical research. Connecting ultimate causes with proximate mechanisms and treating biopsychosocial causes rather than manifest symptoms will enable more effective and sophisticated long-term interventions for the millions of people who suffer from eating disorders. (shrink)

This paper contends that eating shapes the self; that is, our practices and understandings of eating can cultivate, reinforce, or diminish important aspects of the self, including agency, values, capacities, affects, and self-understandings. I argue that these self-shaping effects should be included in our ethical analyses and evaluations of eating. I make a case for this claim through an analysis and critique of the hypothesis that young women’s vegetarianism is a risk, sign, or “cover” for eating (...) disorders or disordered eating. After outlining the relevant empirical literature, I suggest that the evidence for this hypothesis is inconclusive. Given this uncertainty, we should consider the risks of making a mistake when accepting or rejecting this understanding of young women’s eating. I argue that these risks importantly include negative effects on the self, such as damage to moral and epistemic agency. Along with other potential consequences of mistakenly accepting the hypothesis, these effects give us reason to reject it pending more conclusive research. Overall, this paper offers a philosophical intervention into the debate over the relationship between vegetarianism and eating disorders while illustrating the ethical importance and relevance of eating as a self-shaping activity. (shrink)

Present study compared disturbed eating attitudes among male and female university students. For which it as postulated that female university students would have more disturbed eating attitudes as compare to male students. For that reason 200 males and 200 female university students from various universities of Karachi were incorporated in the study. Their age ranged from 19 to 25. Participants after verbal and written covenantfrom the heads of their institution were asked to fill the respondents’ profile form to (...) gather the participant’s demographic information, followed by Eating Attitude Test which was used to know ones disturbed eating ways. For statistical evaluation t-test was applied, which specified that male university students experience more disturbed eating attitudes compare to female learners. This clears that distressed eating attempts are not limited to females, but is now affecting males as well. Thus to avert its budding prevalence, teaching institutions should supervise its amassed risks in their students and stimulate them to healthy lines of eating. (shrink)

In the Mindfulness-Based Eating Awareness Training program (MB-EAT) (Kristeller and Wolever, 2014; Kristeller and Wolever, in press), mindfulness practice is taught, mindful eating is cultivated, and self-acceptance and spiritual well-being are enhanced. An integrative concept is the value of cultivating ‘wisdom’ in regard to creating a new and sustainable relationship to eating and food. ‘Wisdom’ refers to drawing on personal experience and understanding in a flexible, insightful manner, rather than strictly following external rules and guidelines. Several clinical (...) trials involving variations of MB-EAT have documented substantive improvement in how people relate to their eating, including individuals with both binge eating disorder (BED) and subclinical eating issues. Based on the traditional value of contemplative practices for cultivating spiritual engagement, and on evidence from related research showing that spiritual well-being increases in the Mindfulness-Based Stress Reduction (MBSR) program and is related to other effects, we hypothesized that the MB-EAT program would also engage this aspect of experience, as assessed by the Functional Assessment of Chronic Illness Therapy – Spiritual Well-Being subscale (FACIT-Sp), and that increases in spiritual well-being would relate to other measures of adjustment such as emotional balance and improvement in disordered eating. Participants (N = 117) with moderate to morbid obesity, including 25.6% with BED, were randomly assi... (shrink)

Eating is a fundamental behavior in which all organisms must engage in order to procure the material and energy from their environment that they need to maintain themselves. Since controlling eating requires procuring, processing, and assessing information, it constitutes a cognitive activity that provides a productive domain for pursuing cognitive biology as proposed by Ladislav Kováč. In agreement with Kováč, we argue that cognition is fundamentally grounded in chemical signaling and processing. To support this thesis, we adopt Cisek’s (...) strategy of phylogenetic refinement, focusing on two animal phyla, Porifera and Placozoa, organisms that do not have neurons, muscles, or an alimentary canal, but nonetheless need to coordinate the activity of cells of multiple types in order to eat. We review what research has revealed so far about how these animals gather and process information to control their eating behavior. (shrink)

Advocates of eating locally offer a wide range of arguments in favor of the practice, but their ethical import is not always clear. Some locavore statements and arguments seem to imply a strong form of moral obligation; that eating locally is not merely instrumental to some other good, but has intrinsic value in its own right. This article examines standard arguments on behalf of eating locally, including arguments linked to the value of small farms and agrarianism, the (...) environment, taste and health, trust, and relational markets. Most arguments put forward on behalf of eating locally value it instrumentally, the main exception being arguments based on relational markets. Although these arguments provide important motives for eating locally, the strength of obligation varies widely, and even the strongest arguments possess significant qualifications. While eating locally can play a role in reducing environmental impacts, this is not necessarily so, and once removed from instrumental considerations, eating locally is more likely at best an imperfect duty. (shrink)

Understanding Eating Disorders is an original contribution to the field of healthcare ethics. It develops a new theory concerning the moral basis of eating disorders, and places such disorders for the first time at the centre of philosophical discourse. The book explores the relationship that people have with food and their own body by looking at genetics and neuro-physiology, sociology and family studies, clinical psychology and psychiatry, and frames abnormal eating at the extreme of a spectrum of (...) normal behaviours, directed by moral values. Giordano argues that abnormal eating is not a psycho-pathological phenomenon, but the coherent implementation of ordinary moral values with a long tradition in Western culture. The book also contains a detailed analysis of UK legislation, accompanied by a timely critique of the law on treatment of mental disorders in general and of eating disorders in particular. (shrink)

Eating local food has become a mainstream proxy for virtue and a reliable model of sustainable dieting. It suffers, nonetheless, from genuine criticisms and limitations. In this paper, we suggest theoretical amendments to reorient the local food movement and turn eating local into a robust concept—comprehensive, coherent, and inclusive, affording a firm grip over structural aspects of the food chain. We develop our argument in three parts. The first contends that ‘local’ can be said of lots of entities (...) (e.g. whole or multi-ingredient foods, recipes, menus) and that its meaning varies depending on which entities are under consideration. The second examines three dimensions of being local: the distance from the place of production; the geographical origins; the social links to consumers and producers. The third presents our robust conception of eating local, grounded on a more realistic model that accommodates for heterogeneous and complex actors. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A Politics of Eating: Feasting in Early Greek SocietyJohn RundinIn Euripides’ Cyclops, Silenus and his satyr companions have been shipwrecked in the realm of Polyphemus and have become his slaves. 1 Odysseus lands there, meets Silenus, and, conversing with him, asks who inhabits the land:Odysseus: Who occupies the area? A race of beasts? Silenus: Cyclopes. They live in caves, not roofed houses. Odysseus: Who is their leader? Or (...) do they have a democracy? Silenus: They’re herdsmen. No one has any power over anyone else. Odysseus: Do they sow Demeter’s grain? Or what do they live on? Silenus: Milk and cheeses and meals [borai] of mutton. Odysseus: Do they have Dionysus’ drink, the liquid of the vine? Silenus: Not at all. For that reason, they live in a land without choruses. Odysseus: Are they hospitable, and do they treat strangers with respect? Silenus: They claim that strangers have the most delicious flesh. [End Page 179] Odysseus: What do you mean? They like meals [borai] of men they have killed? Silenus: Everyone who comes here has been eaten up.(117–28)Silenus has rapidly made clear the beastly level of Cyclopean gastronomy. The savagery of the Cyclopes’ diet is underlined by his diction: the LSJ tells us that the word translated twice here as “meals,” borai, is more appropriately used to describe food for animals than for people. Silenus also lets us know that the Cyclopes are herdsmen and, like atavistic throwbacks to a time before cereal culture, raise no grain. 2 They are so backward that they do not have even wine. One dire consequence of this is spelled out by Silenus: they have no choruses. Polyphemus himself later illustrates another: they totally lack sympotic sophistication (483–589). So great is their culinary degeneracy, that, in defiance of the accepted norms of hospitality, they eat strangers who visit their realm. Not only, however, do the Cyclopes lack the elements of a cultured cuisine, they also lack basic political institutions. They have no ruler, nor do they have a democracy: as Silenus says, “no one has any power over anyone else.” The lack of political institutions and of culinary development may at first seem like two independent elements of a culturally deprived life. This is not the case, however. We shall see that in early Greek culture there is a strong connection between eating and politics. Indeed, it will soon be apparent that the Cyclopes’ culinary and political deficiencies are closely related.It is my hope to demonstrate this relationship. Emphasis will be placed on representations of eating in the Iliad and the Odyssey. It will then be shown how the patterns uncovered in Homeric texts lived on in later documents and institutions. It is impossible to know how accurately the life portrayed in the Homeric poems represents the historical conditions of any real society. 3 It may be true that the analysis of institutions [End Page 180] described in them is relevant only to an ideal world or to an aristocratic ideology. Such complex issues, however, may be avoided by merely analyzing certain aspects of eating as presented by Homer without thought of how well those aspects match the practice of any actual people. In the endeavor, of course, caution must be exercised not to expect too much of the data. Even if Homer’s narrative does represent some actual society, it is the nature of narrative to be selective, and it would therefore be inappropriate to try to extract from the poems either a comprehensive picture of foodways or any quantitative data about them. Nevertheless, it is impossible not to be struck by how consistent representations of eating in Homer are, and, moreover, not to acknowledge that patterns revealed in the Homeric representations had a long afterlife not only in later texts but even in social institutions.Feasting and the Homeric Political EconomyOn the shield of Achilles, a microcosm of the Iliadic world, is wrought a scene which reveals some political aspects of eating.And he put on it [the shield] the precinct of a king. There workmen were reaping with sharp sickles in their hands. Some of the bunches of grain were falling... (shrink)

In his biography on Augustine, Possidius writes: “His table was frugal and sparing, though indeed with the herbs and lentils he also had meats at times for the sake of his guests or for some of the weaker brethren”.1 Given the importance of friendship in Augustine’s life, it is not surprising that he ate meat for the sake of others and not for his own pleasures. However, Augustine spends much time in Book X of his Confessions obsessing over his delight (...) in everyday activities, including eating2. Indeed, Augustine examines the relationship between desire and the object of desire throughout the Confessions, his ultimate focus being on the nature of our concupiscent hearts. In this paper, I will explore Augustine’s seemingly unhealthy relationship with food by discussing the place of food in his eschatology, his account of concupiscence and will, and his theory of interiority as given in the Confessions. Ultimately, for Augustine, there is a beauty to eating that is found in its relationship to the sensual experience of God. (shrink)

Microbes in the gastrointestinal tract are under selective pressure to manipulate host eating behavior to increase their fitness, sometimes at the expense of host fitness. Microbes may do this through two potential strategies: (i) generating cravings for foods that they specialize on or foods that suppress their competitors, or (ii) inducing dysphoria until we eat foods that enhance their fitness. We review several potential mechanisms for microbial control over eating behavior including microbial influence on reward and satiety pathways, (...) production of toxins that alter mood, changes to receptors including taste receptors, and hijacking of the vagus nerve, the neural axis between the gut and the brain. We also review the evidence for alternative explanations for cravings and unhealthy eating behavior. Because microbiota are easily manipulatable by prebiotics, probiotics, antibiotics, fecal transplants, and dietary changes, altering our microbiota offers a tractable approach to otherwise intractable problems of obesity and unhealthy eating. (shrink)

Healthy eating has long been a focus of professionals and researchers, both to evaluate strategies for improvement and to gain a deeper understanding of its dynamics in order to develop effective promotion methods. This study aims to examine the roles of individuals’ information-seeking abilities and e-health literacy in fostering a healthy eating intention among Iranians. Employing Bayesian Mindsponge Framework analytics on a dataset of 9,755 Iranian participants, the study found positive associations between healthy eating information-seeking ability, e-health (...) literacy, and healthy eating intention among Iranian adults. However, the moderating effect of e-health literacy on the relationship between information-seeking ability and healthy eating intention remains ambiguous. We suggest that enhancing individuals' healthy eating information-seeking abilities and e-health literacy, alongside improving the availability, affordability, and accessibility of reliable healthy eating information, is essential for fostering healthy eating intentions. (shrink)

I Eat, Therefore I Think: Food and Philosophy radically rethinks the nature of key philosophical concerns by approaching the subject via a crucial but often overlooked prism: the stomach. Combining stomach and mind, this book allows us to chart new pathways for dealing with ethics, aesthetics, religion, social/political questions, and our general understanding of reality and the place of humans in it.

In the first controlled, non-self-report studies to show an influence of university-level ethical instruction on everyday behavior, Schwitzgebel et al. (2020) and Jalil et al. (2020) found that students purchase less meat after exposure to material on the ethics of eating meat. We sought to extend and conceptually replicate this research. Seven hundred thirty students in three large philosophy classes read James Rachels’ (2004) “Basic Argument for Vegetarianism”, followed by 50-min small-group discussions. Half also viewed a vegetarianism advocacy video (...) containing factory farm footage. A few days after instruction, 54% of students agreed that “eating the meat of factory farmed animals is unethical”, compared to 37% before instruction, with no difference between the film and non-film conditions. Also, 39% of students anonymously pledged to avoid eating factory farmed meat for 24 h, again with no statistically detectable difference between conditions. Finally, we obtained 2828 campus food purchase receipts for 113 of the enrolled students who used their Student ID cards for purchases on campus, which we compared with 5033 purchases from a group of 226 students who did not receive the instruction. Meat purchases remained constant in the comparison group and declined among the students exposed to the material, falling from 30% to 23% of purchases overall and from 51% to 42% of purchases of $4.99 or more, with the effect possibly larger in the film condition. (shrink)

Eating meat can be ethical, but only when it does not violate rights. This requires that the ways in which meat is produced and prepared for human consumption satisfies certain standards. While many current practices may fall short of this standard, this does not justify the position that eating meat cannot be ethical under any circumstances and there should be no principled objection to its possibility.

Many who suffer from eating disorders claim that they see themselves as “fat”. Despite decades of research into the phenomenon, behavioural evidence has failed to confirm that eating disorders involve visual misperception of own-body size. I illustrate the importance of this phenomenon for our understanding of perceptual processing, outline the challenges involved in experimentally confirming it, and provide solutions to those challenges.

Who gets to decide what it means to live a healthy lifestyle, and how important a healthy lifestyle is to a good life? As more governments make preventing obesity and diet-related illness a priority, it's become more important to consider the ethics and acceptability of their efforts. When it comes to laws and policies that promote healthy eating--such as special taxes on sugary drinks and the banning of food deemed unhealthy--critics argue that these policies are paternalistic, and that they (...) limit individual autonomy over food choices. In Healthy Eating Policy and Political Philosophy: A Public Reason Approach, Anne Barnhill and Matteo Bonotti show that both paternalistic justifications for healthy eating efforts and anti-paternalistic arguments against them can be grounded in perfectionist views that overly prioritize some values over others. The authors therefore propose a more inclusive, public reason approach to healthy eating policy that will be appealing to those who take pluralism and cultural diversity seriously, by providing a framework through which different kinds of values, including but not limited to autonomy and health, can be factored into the public justification for healthy eating efforts. Additionally, the book adopts a 'farm to fork' approach to the ethics of healthy eating efforts: it engages with theories and debates in political philosophy, considers the implications of different theoretical positions for healthy eating efforts, and then develops a concrete tool for assessing policies that will be of interest to both scholars and policymakers. As well as offering a novel normative analysis of healthy eating policy, the authors offer a new theoretical framework that will be applicable to a wide range of public policy scenarios. (shrink)

A widely accepted view in epistemology is that we do not have direct control over our beliefs. And we surely do not have as much control over our beliefs as we have over simple actions. For instance, you can, if offered $500, immediately throw your steak in the trash, but a meat-eater cannot, at will, start believing that eating animals is wrong to secure a $500 reward. Yet, even though we have more control over our behavior than we have (...) over our beliefs, some of our behavior, especially moral behavior, is heavily influenced by our beliefs. Meat-eating is one example. So, if we do not have direct control over our beliefs and our beliefs influence our moral behavior, it’s no wonder meat-eaters aren’t immediately boycotting Burger King and lining up for the Beyond Burger after hearing about the mistreatment of farmed animals. So, how, or can we, inspire meat-eaters to change their beliefs regarding the moral significance of meat-eating and, consequently, their animal-eating behavior? I propose an answer to this difficult question. (shrink)

Khalafzai, Rida Usman The prevalence of eating disorders is increasing. This article provides an overview of these disorders and explores the biological and social conditions that influence their development.

Sufferers of eating disorders often hold false beliefs about their own body size. Such beliefs appear to violate norms of rationality, being neither grounded by nor responsive to appropriate forms of evidence. I defend the rationality of these beliefs. I argue that they are in fact supported by appropriate evidence, emanating from proprioceptive misperception of bodily boundaries. This argument has far‐reaching implications for the explanation and treatment of eating disorders, as well as debates over the relationship between rationality (...) and human psychology. (shrink)

In his influential article on the ethics of eating animals, Alastair Norcross argues that consumers of factory raised meat and puppy torturers are equally condemnable because both knowingly cause serious harm to sentient creatures just for trivial pleasures. Against this claim, I argue that those who buy and consume factory raised meat, even those who do so knowing that they cause harm, have a partial excuse for their wrongdoings. Meat eaters act under social duress, which causes volitional impairment, and (...) they often act from deeply ingrained habits, which causes epistemic impairment. But puppy torturers act against cultural norms and habits, consciously choosing to perform wrongful acts. Consequently, the average consumer of factory raised meat has, while puppy torturers lack, a cultural excuse. But although consumers of factory raised meat aren’t blameworthy, they are partially morally responsible for their harmful behavior – and for this, they should feel regret. (shrink)

Mainstream forms of psychiatric talk therapy and cognitive behavioral therapy (CBT) do not reliably generate lasting recovery for eating disorders. We discuss widespread assumptions regarding the nature of eating disorders as fundamentally psychological disorders and highlight the problems that underlie these notions, as well as related practical problems in the implementation of mainstream treatments. We then offer a theoretical and practical alternative: a dynamical systems model of eating disorders in which behavioral interventions are foregrounded as powerful mediators (...) between psychological and physical states. We go on to present empirical evidence for behavioral modification specifically of eating speed in the treatment of eating disorders, and a hypothesis accounting for the etiology and progression, as well as the effective treatment, of the full spectrum of eating problems. A dynamical systems approach mandates that in any dietary and lifestyle change as profound as recovery from an eating disorder, acknowledgment must be made of the full range of pragmatic (psychological, cultural, social, etc.) factors involved. However, normalizing eating speed may be necessary if not sufficient for the development of a reliable treatment for the full spectrum of eating disorders, in its role as a mediator in the complex feedback loops that connect the biology and the psychology with the behaviors of eating. (shrink)

In current society, eating is most definitely a gendered act: that is, what we eat and how we eat it factors in both the construction and the performance of gender. Furthermore, eating is a gendered act with consequences that go far beyond whether one orders a steak or a salad for dinner. In the first half of this paper, I identify the dominant myths surrounding both female and male eating, and I show that those myths contribute in (...) important ways to cultural constructions of male and female appetites more generally speaking. In the second half, I argue that the Christian church should share feminism’s perception of these current cultural myths as fundamentally disordered, and I claim that the Christian traditions of fasting and feasting present us with a concrete means to counter those damaging conceptions and reclaim a healthy attitude toward our hunger. (shrink)

Graham, Noelle Comparisons are drawn between media reporting of eating disorders and other.forms of self-harm. Proper understanding of these illnesses can protect sufferers from further harm caused by inaccurate and insensitive reporting.

Understanding the relationship between obesity and fast food consumption encompasses a broad range of individual level and environmental factors. One theoretical approach, the health capability framework, focuses on the complex set of conditions allowing individuals to be healthy. This qualitative study aimed to identify factors that influence individual level health agency with respect to healthy eating choices in uniformly constrained environments. We used an inductive qualitative research design to develop an interview guide, conduct open-ended interviews with a purposive sample (...) of 14 student fast food workers, and analyze the data. Data analysis was conducted iteratively during the study with multiple coders to identify themes. Emergent themes included environmental influences on eating behaviors and internal psychological factors. A localized, embedded approach to analyzing the factors driving the obesity epidemic is needed. Addressing contextual interactions between internal psychological and external environmental factors responds to social justice and public health concerns, and may yield more relevant and effective interventions for vulnerable communities. (shrink)

The article examines the erasure of any concept of the ‘public kitchen’ in the Philippines as demonstrative of statewide suppression of marginal identities that continues to facilitate the simplistic and uncomplicated entry of neocolonial modernity. As a yardstick of growth and progress under the US colonial government, the battle to modernize the Philippines extends far beyond the political and administrative terrains and into the reconfiguration of domestic space. In particular, the kitchen was to become an important site that demonstrated the (...) efficiency and power of American science. Accorded with new functions emanating from a colonial ideology, the induction of cooking and eating as expressions of collective identity have considerable implications for the manner in which public and private spaces are imagined. (shrink)

Studies have highlighted high prevalence of eating disorders among people with gender dysphoria, particularly transgender boys. This finding is extremely important: it means that transgender youth are exposed to the additional health hazards, which are extremely serious, of eating disorders. This paper highlights a series of conceptual problems inherent in the notion of ‘comorbidity’, and suggests that such notion needs careful examination. A superficial understanding such notion may lead healthcare professionals to assume that many transgender youth suffer additional (...) psychopathology; they may thus become wary of commencing medical treatment for gender dysphoria until those other conditions are controlled. It is therefore essential, both from an ethical and a clinical point of view, that the notion of ‘comorbidity’ be properly understood, in order to avoid the risk that a helpful finding is turned into an additional stigma for transgender people and an obstacle to provision of medical treatment. (shrink)

The devastating impact of the COVID‐19 (coronavirus disease 2019) pandemic is prompting renewed scrutiny of practices that heighten the risk of infectious disease. One such practice is refusing available vaccines known to be effective at preventing dangerous communicable diseases. For reasons of preventing individual harm, avoiding complicity in collective harm, and fairness, there is a growing consensus among ethicists that individuals have a duty to get vaccinated. I argue that these same grounds establish an analogous duty to avoid buying and (...) eating most meat sold today, based solely on a concern for human welfare. Meat consumption is a leading driver of infectious disease. Wildlife sales at wet markets, bushmeat hunting, and concentrated animal feeding operations (CAFOs) are all exceptionally risky activities that facilitate disease spread and impose immense harms on human populations. If there is a moral duty to vaccinate, we also should recognize a moral duty to avoid most meat. The paper concludes by considering the implications of this duty for policy. (shrink)

Asian American women demonstrate higher rates of disordered eating than other women of color and comparable rates to European American women. Research suggests that leading sociocultural predictors, namely pressures for thinness and thin-ideal internalization, are predictive of disordered eating in Asian American women; however, no known studies have tested the intersection of sociocultural and culture-specific variables (e.g., ethnic identity, biculturalism, acculturative stress) to further elucidate disordered eating risk in this vulnerable, understudied group. Accordingly, this project used path (...) analysis to simultaneously examine the role of sociocultural and culture-specific effects on disordered eating in Asian American college women (N = 430). Self-report measures assessing disordered eating, sociocultural (pressures for thinness; thin-ideal internalization) and culture-specific (ethnic identity, biculturalism, acculturative stress) variables revealed that a number of sociocultural and culture-specific factors are predictive of disordered eating. Consistent with prior research, heightened perceived pressures for thinness and thin-ideal internalization were predictive of disordered eating, and thin-ideal internalization partially mediated the relationship between pressures for thinness and disordered eating. Acculturative stress predicted disordered eating and fully accounted for the inverse relationship between biculturalism and disordered eating. Overall, findings highlighted the salience of sociocultural predictors for disordered eating in Asian American women and identified biculturalism and acculturative stress as culture-specific contributors that may uniquely impact vulnerability to disordered eating in Asian American women. Thus, the combined consideration of sociocultural and culture-specific factors may be important in disordered eating research and in the development of individualized treatment plans for Asian American women. (shrink)

this paper focuses on animal issues—specifically relating to the animal beings we eat—using the perspective of American pragmatism. This essay grows out of my earlier work that used American pragmatism, specifically the work of John Dewey, to argue that we can develop a productive process model of utopia. In this model, it becomes important for us to critically examine the goals we choose to pursue because what we choose to pursue in the present sets the limits and possibilities of what (...) we will be able to pursue in the future. Utopian visions are future-focused. We need goals, or ends-in-view, to help direct our present actions. If we give up on the idea of perfection often connected with utopian visions, such thinking can be an important way to realistically examine present action in light of future hopes and desires. Rather than seek perfection, the process model of utopia seeks to create and sustain people willing to take on responsibility and participate in directing their present toward a better, more desirable future. This is an ongoing task. (shrink)

The Eucharist is food to be consumed, as Trent clearly states when it states that the sacrament was instituted ut sumatur. Emmanuel Levinas, however, reflecting on the phenomenology of eating, points to the essentially destructive character of eating, which, responding to the emptiness of need, seeks satisfaction through violent and totalising act in which the alterity of what is other is assimilated through the violence of teeth and tongue and incorporated into the same. Contrasted with eating, Levinas (...) proposes loving as the phenomenological model of expressing the inter-human relationship, for loving contests the ego-dominating tendency to totalise for the Other, as other, is always in excess of the subjective power of appropriation. The Other maintains himself beyond the intentionality of the subject who would assign signification to the Other in terms of the Same, which is to suggest, says Levinas, that there is a 'signification where the for of the one-for-the-other, outside of any correlation and any finality, is a for of total gratuity, breaking with interest', a proximity 'which does not turn into a knowing' nor form 'an ontological conjunction of satisfaction'. Paradoxically, however, the Christian community, each time it gathers for its eucharistic agape, celebrates, in the context of a meal, a Lord who gives himself to be eaten as food. This article attempts to show that the eucharistic significance of taking and eating only has meaning when its signification is the 'one-for-the-other' of substitution. Substitution rather than transubstantiation expresses the meaning of the eucharist. The Eucharist is that event of substitution, in which Christ, the perfect 'one-for-the-other' of substitution and expiation, draws close in the proximity and sensibility of sacrament and evokes responsibility in us such that we, sharing in his meal, are constituted no longer according to the for-itself of subjectivity, but as the one-for-the-other of responsibility. (shrink)

Intensive animal agriculture wrongs many, many animals. Philosophers have argued, on this basis, that most people in wealthy Western contexts are morally obligated to avoid animal products. This book explains why the author thinks that’s mistaken. He reaches this negative conclusion by contending that the major arguments for veganism fail: they don’t establish the right sort of connection between producing and eating animal-based foods. Moreover, if they didn’t have this problem, then they would have other ones: we wouldn’t be (...) obliged to abstain from all animal products, but to eat strange things instead—e.g., roadkill, insects, and things left in dumpsters. On his view, although we have a collective obligation not to farm animals, there is no specific diet that most individuals ought to have. Nevertheless, he does think that some people are obligated to be vegans, but that’s because they’ve joined a movement, or formed a practical identity, that requires that sacrifice. This book argues that there are good reasons to make such a move, albeit not ones strong enough to show that everyone must do likewise. (shrink)

BackgroundSome people with progressive neurological diseases find they need additional support with eating and drinking at mealtimes, and may require artificial nutrition and hydration. Decisions concerning artificial nutrition and hydration at the end of life are ethically complex, particularly if the individual lacks decision-making capacity. Decisions may concern issues of life and death: weighing the potential for increasing morbidity and prolonging suffering, with potentially shortening life. When individuals lack decision-making capacity, the standard processes of obtaining informed consent for medical (...) interventions are disrupted. Increasingly multi-professional groups are being utilised to make difficult ethical decisions within healthcare. This paper reports upon a service evaluation which examined decision-making within a UK hospital Feeding Issues Multi-Professional Team.MethodsA three month observation of a hospital-based multi-professional team concerning feeding issues, and a one year examination of their records. The key research questions are: a) How are decisions made concerning artificial nutrition for individuals at risk of lacking decision-making capacity? b) What are the key decision-making factors that are balanced? c) Who is involved in the decision-making process?ResultsDecision-making was not a singular decision, but rather involved many different steps. Discussions involving relatives and other clinicians, often took place outside of meetings. Topics of discussion varied but the outcome relied upon balancing the information along four interdependent axes: Risks, burdens and benefits; Treatment goals; Normative ethical values; Interested parties.ConclusionsDecision-making was a dynamic ongoing process with many people involved. The multiple points of decision-making, and the number of people involved with the decision-making process, mean the question of ‘who decides’ cannot be fully answered. There is a potential for anonymity of multiple decision-makers to arise. Decisions in real world clinical practice may not fit precisely into a model of decision-making. The findings from this service evaluation illustrate that within multi-professional team decision-making; decisions may contain elements of both substituted and supported decision-making, and may be better represented as existing upon a continuum. (shrink)

Many people who are vegetarians for moral reasons nevertheless accommodate the buying and eating of meat in many ways. They go to certain restaurants in deference to their friends’ meat eating preferences; they split restaurant checks, subsidizing the purchase of meat; and they allow money they share with their spouses to be spent on meat. This behavior is puzzling. If someone is a moral vegetarian—that is, a vegetarian for moral reasons—then it seems that the person must believe that (...) buying and eating meat is morally wrong. But if someone believes that a practice is morally wrong, it seems she should also believe that accommodating and supporting that practice is morally wrong; many moral vegetarians seem not to believe this. In this paper, I will offer a solution to this puzzle; I will offer a possible explanation of why people who are vegetarians for moral reasons nevertheless do accommodate the buying and eating of meat. I will offer an explanation of this accommodation behavior on which it is reasonable and it makes sense. I will argue that moral vegetarians may see the buying and eating of meat as a morally permissible moral mistake. They may see the practice as one that one should not engage in, for moral reasons, but that is not morally wrong. Thus, they may see their accommodation of the practice as accommodation of behavior that is not morally wrong, while it is still the case that they are moral vegetarians who see themselves as required to be vegetarians. (shrink)

Here is a very common philosophical opinion: being human plays no important role in moral thinking. Call this the anti-humanist thesis. I argue that a thirty-year old paper by Cora Diamond, ‘Eating Meat and Eating People' (‘EMEP') can help us to see that the anti-humanist thesis is false.

This paper argues that common social narratives about unhealthy eaters can cause significant damage to agency. I identify and analyze a narrative that combines a “control model” of eating agency with the healthist assumption that health is the ultimate end of eating. I argue that this narrative produces and enables four types of damage to the agency of those identified as unhealthy eaters. Due to uncertainty about what counts as healthy eating and various forms of prejudice, the (...) unhealthy eater label and its harms to agency are more likely to stick to some people than others and may reinforce patterns of oppression. I argue that fat people are especially vulnerable to this identification and the damage it can do. I then consider possible “counterstories” about unhealthy eaters, alternative narratives that might be less damaging to agency than the control narrative. I identify one promising counterstory but suggest that it may be limited when it comes to repairing damage to the agency of fat people. Overall, this paper illustrates some of the complex ways that healthism about eating affects agency, and emphasizes the ethical importance of the ways we think about and discuss eating and eaters. (shrink)

In a world of industralized farming and feed lots, is eating meat ever a morally responsible choice? Is eating organic or free range sufficient to change the moral equation? Is there a moral cost in not eating meat? As billions of animals continue to be raised and killed by human beings for human consumption, affecting the significance and urgency in answering these questions grow. This volume collects twelve new essays by leading moral philosophers who address the difficult (...) questions surrounding meat eating by examining various implications and consequences of our food choices. Some argue for the moral permissibility of eating meat by suggesting views such as farm animals would not exist and flourish otherwise, and the painless death that awaits is no loss to them. Others consider more specific examples like whether buying french fries at McDonalds is just as problematic as ordering a Big Mac due to the action's indirect support of a major purveyor of meat. The Moral Complexities of Eating Meat is a stimulating contribution to the ongoing debate on meat consumption and actively challenges readers to reevlaute their stand on food and animal ethics. (shrink)

Orthorexia is a condition in which the subject becomes obsessed with identifying and maintaining the ideal diet, rigidly avoiding foods perceived as unhealthy or harmful. In this paper, I examine widespread cultural factors that provide particularly fertile ground for the development of orthorexia, drawing out social and historical connections between religion and orthorexia (which literally means “righteous eating”), and also addressing how ambiguities in the concept of “health” make it particularly prone to take on quasi-religious significance. I argue that (...) what makes this sort of disordered eating destructive to both men and women is ultimately a common urge to transcend rather than to embrace the realities of embodiment. In sum, I believe that orthorexia is best understood as a manifestation of age-old anxieties about human nitude and mortality—anxieties which current dominant sociocultural forces prime us to experi- ence and express in unhealthy attitudes toward healthy eating. (shrink)

Through careful interpretive analysis, the piece argues that the Christian cosmic vision reveals the wrongness of industrial animal agriculture and that taking up more intentional eating practices is a morally significant spiritual discipline for Christians. It also testifies to our claim in the introduction [to the "Food and Religion" chapter of *Food, Ethics, and Society*] that religious food ethics have practical advantages over purely secular ethics insofar as the latter usually tries to begin from a neutral perspective that has (...) very little power to compel a person, whereas religious food ethics hooks into one's deepest commitments. (shrink)

In this paper I describe two distinctions about what “eating animals” entails which are often confused in conversations or arguments aimed against meat-based diets and try to show how both distinctions, on their own lights, ultimately support a concern for all fellow creatures, regardless of species or other biological categories. The distinctions in question are: the distinction between moral and nonmoral actions, presumptions about which serve to define whether or not particular topics (like meat consumption) deserve moral consideration whatsoever, (...) and the distinction between moral and immoral actions, about which suppositions bear on both reflexive and considered moral judgments to inform agents in making meaningful normative decisions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Eating Disorders and Mimetic Desire René Girard Stanford University Among younger women, eating disorders are reaching epidemic proportions. The most widespread and spectacular at this moment is the most recently identified, the so-called bulimia nervosa, characterized by binge eating followed by "purging," sometimes through laxatives or diuretics, more often through self-induced vomiting. Some researchers claim that, in American colleges, at least one third of the female (...) student population is involved to some degree. (Since nine out of ten sufferers are women I will use feminine pronouns in this paper but some undergraduates at Stanford tell me that the epidemic is spreading to male students.) G.M.F. Russell, the first researcher who focused on the specific aspects ofmodern bulimia, is usually presented as the discoverer of a new illness. The title ofhis 1979 publication contradicts this view: "Bulimia Nervosa: An Ominous Variant ofAnorexiaNervosa." And, indeed, all the symptoms he describes had been mentioned before in connection with anorexia (see Bruch). The insurance companies and the medical profession like only welldefined illnesses, and so does the public. We all try to distance ourselves from pathological contamination by giving it a name. Eating disorders are often discussed as ifthey were new varieties ofmeasles or oftyphoid fever. Why distrust the distinction between two illnesses with symptoms as radically opposed as those of anorexia and bulimia? Because we live in a world where eating too much and not eating enough are opposite but inseparable ways ofcoping with the slenderness imperative that dominates 2 René Girard our collective imaginations. Most of us oscillate all our lives between attenuated forms ofthese two pathologies. The man in the street understands perfectly a truth that most specialists prefer not to confront. Our eating disorders are caused by our compulsive desire to lose weight. Most books on the subject acknowledge the universal calorie phobia but somewhat absent-mindedly, as if it could not be the major cause ofa serious illness. How could a fundamentally healthy desire become the cause ofpathological behavior, even ofdeath? Many people would be healthier, no doubt, ifthey ate less. In view of this fact, it is not illogical to suppose that, in anorexia, there must be some motivation other than this healthy desire, some unconscious drive, no doubt, that generates abnormal behavior. By turning anorexia and bulimia into two separate pathologies, the classificators make it easier for us to lose sight of their common basis. The bankruptcy of modern theories The search for hidden motivations is the alpha and omega, ofcourse, of our modern culture. Our number one principle is that no human phenomenon is really what it seems to be. A satisfactory interpretation must rely on one of the hermeneutics of suspicion that have become popular in the nineteenth and twentieth century, or on several ofthese, on a cocktail of soupçon: psychoanalysis, Marxism, feminism, etc. We automatically assume that social phenomena have little if anything to do with what is obvious in them, in this case the rejection offood. In anorexia, psychoanalysts usually diagnose "a refusal of normal sexuality," due to the patient's excessive desire "to please her father," etc. These explanations are still invoked in books being written right now but the voice is growing fainter. Around this sort of thing the smell of mustiness is overpowering. Even in Lacan's own land, the old arrogance is gone. Early in my life, I had an opportunity to observe that the eating practices ofyoung women have nothing to do with a desire to please their fathers. Just before World War II, a pretty cousin of mine was dieting furiously and her father, my uncle, was storming about helplessly, trying to get her to eat more. Fathers, as a rule, are not pleased to see their daughters starve themselves. This particular father was also a physician, at a time when the medical profession had not yet caught the disease it was already trying to cure. Eating Disorders andMimetic Desire3 This uncle was our family doctor and, as such, had great prestige in my eyes, at least until that day. I had not yet read Freud but my later skepticism regarding his conception offatherhood may well originate in this incident. I immediately... (shrink)

Introduction. Eating Disorders (EDs) are serious psychiatric disorders, impacting physical and psychosocial functioning, often with a chronic course and high mortality rates. The two continua model of mental health states that mental health is a complete state, that is not merely the absence of mental illness, but also the presence of mental health. This model was studied among ED patients by comparing the levels of well-being to the Dutch general population and by examining the of well-being and psychopathology. Method. (...) A total of 468 female ED patients participated in this study during application and intake at a specialized ED treatment centre in the Netherlands. They filled out questionnaires about well-being (MHC-SF), general psychopathology (OQ-45), and ED psychopathology (EDE-Q). Categorical and mean well-being levels were calculated. Also, the correlates of these variables were examined with Pearson correlation and multiple hierarchical regression analysis. Results. ED patients showed lower levels of emotional, psychological and social well-being on average compared to the general population. About 26% of the ED patients experienced low levels of well-being (languishing). However, also 13% experienced high levels of well-being (flourishing), varying between 9% in Anorexia Nervosa to 25% in Binge Eating Disorder. ED psychopathology and general well-being showed a moderate negative correlation. For patients with Bulimia Nervosa and Binge Eating Disorder however no such correlation was found. Lower general psychopathology, not having a history of hospitalization for the ED, and adaptive personal functioning were correlated with well-being among ED patients. Conclusion This study shows initial support for the two continua model of mental health among ED patients. Psychopathology and well-being should be considered as related, but distinct dimensions of mental health in ED patients. Further research should focus on the possible reciprocal relationships between psychopathology and well-being during recovery. It is recommended to monitor well-being during treatment and to implement interventions for well-being to realize complete recovery for those patients with inadequate levels of well-being. (shrink)

It is thought that just as hunger itself, the expectancy to eat impacts attention and cognitive control toward food stimuli, but this theory has not been extensively explored at a behavioral level. In order to study the effect of expectancy to eat on attentional and cognitive control mechanisms, 63 healthy fasting participants were presented with an affective priming spatial compatibility Simon task that included both food and object distracters. The participants were randomly assigned to two groups: an “immediate expectancy” group (...) made up of participants who expected to eat immediately after the task and a “delayed expectancy” cohort made up of individuals who expected to eat a few hours later. Slower reaction times toward the food and non-food distracters and a more pronounced effect on the RTs in the incompatible condition [i.e., the Simon effect ] were noted in both groups. The effect of the food and non-food distracters on the RTs was more pronounced in the immediate with respect to the delayed expectancy group. The magnitude of the SE for the food and the non-food distracters was also greater in the immediate with respect to the delayed expectancy group. These results seem to indicate that when the expectancy to eat is short, the RTs are delayed, and the SE is more pronounced when food and non-food distracters are presented. Instead, when the expectancy to eat is more distant, the distracters have less of an effect on the RTs and the correspondence effect is smaller. Our results suggest that the expectancy to eat can modulate both attention orienting and cognitive control mechanisms in healthy fasting individuals when distracting details are competing with information processing during goal directed behavior. (shrink)

Background: Eating disorders are serious conditions which also impact the families of adult patients. There are few qualitative studies of multifamily therapy with adults with severe eating disorders and none concerning the practice of therapists in multifamily therapy. Objectives: The aim of the study is to explore therapists’ practice in multifamily therapy. Research design and participants: A grounded theory approach was chosen. Data were collected through participant observation in two multifamily therapy groups and qualitative interviews with the therapists (...) in those groups. Ethical considerations: The study conforms to the principles outlined in the Declaration of Helsinki. All participants in the multifamily therapy groups received information about the research project and signed consent forms. The data are treated confidentially and anonymised. Findings: The core category was identified as ‘having many strings to one’s bow’, consisting of three subcategories: ‘planning and readjusting’, ‘developing as therapist and team’ and ‘regulating the temperature of the group’. This article discusses the empirical findings in the frame of Aristotelian virtue ethics. (shrink)

The Hungry Soul is a fascinating exploration of the natural and cultural act of eating. Kass brilliantly reveals how the various aspects of this phenomenon, and the customs, rituals, and taboos surrounding it, relate to universal and profound truths about the human animal and its deepest yearnings. "Kass is a distinguished and graceful writer. . . . It is astonishing to discover how different is our world from that of the animals, even in that which most evidently betrays that (...) we too are animals--our need and desire for food."--Roger Scruton, Times Literary Supplement "Yum."--Miss Manners. (shrink)

Breast milk and the placenta are phenomena of female human embodiment that challenge the philosophical notion of separate, sovereign subjects independent of other human be­ings and an objective world “out there.” A feminist phenomenological analysis, indebted to Merleau-Ponty and Irigaray, reveals placenta and milk to be intercorporeal, “chiasmic” forms of shared organic existence. This analysis is a philosophical and psychological exploration of “matrotopy,” i.e., the fact that humans eat their mothers through breast milk and placenta. This exploration, however, requires an (...) understanding of the larger environmental field which sustains the female body and its offspring. Environmental degradation, particularly through estrogen mimicking substances in plastics and pesticides, targets the endocrine system of developing fetuses and endangers the future of the human species from the inside. Invisible organo-chemical technologies pose a new and immediate danger and ethical challenge to women and men in the twenty-first century. A “placental ethics” respects the insertion of the human being into the dynamic field of nature; it calls for an awareness that, unless we develop a changed attitude toward technology, the gradual extinction of our species continues to happen in female bodies today. (shrink)

© British Society of Aesthetics 2017. Published by Oxford University Press on behalf of the British Society of Aesthetics. All rights reserved. For Permissions, please email: [email protected] two books contribute, each in a very different way, to the reflection on a timeless subject: eating. While Eat This Book deals with a polemic subject, Taste as Experience focuses on the general experience of the simple act of eating and drinking and how this contributes to philosophical reflection. These questions are (...) far from trivial and it is necessary to address these subjects in a context where each citizen is increasingly led to think about the environmental and ethical impacts of his food consumption. Furthermore, the pleasure that comes from the act of eating, far from being a hedonistic fantasy, allows us to reflect on our relationship to the world. In other words: What is the symbolic role that food... (shrink)