Overlaps and disjunctures: a cultural case study of a British Indian young woman's experiences of bulimia nervosa

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Overlaps and disjunctures : a cultural case study of a British Indian young woman's experiences of bulimia nervosa. / Channa, Sunita; Lavis, Anna; Connor, Charlotte; Palmer, Colin; Leung, Newman; Birchwood, Maximillian.

In: Culture, Medicine and Psychiatry, Vol. 43, No. 3, 09.2019, p. 361-386.

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@article{db24c201b9434b43add956dcd268a98c,
title = "Overlaps and disjunctures: a cultural case study of a British Indian young woman's experiences of bulimia nervosa",
abstract = "Eating disorder diagnoses are characterised by a pattern of disordered eating behaviour alongside symptoms such as body dissatisfaction and preoccupation with food, weight or shape (APA in Diagnostic and statistical manual of mental disorders, DSM-5, APA, Washington, DC, 2013). Incidence rates for eating disorders have increased during the last 50 years. However, epidemiological studies have suggested that such trends may not be a true representation of the occurrence of these illnesses in the general population, with figures underestimated due to reduced help seeking and poor access to care, particularly amongst ethnic minorities. This case study explores the experiences of a young British Indian woman with bulimia nervosa. Arising from an in-depth semi-structured interview, analysed with interpretative phenomenological analysis, her narrative offers a critical lens onto how diverse fragments of cultural practices and meanings come together to produce the clinical category of ‘bulimia.’ It thereby offers an alternative portrait of relationships between eating disorders and ‘culture,’ one that goes beyond a framing of these illnesses as culture inscribed on the body. Interrogating relationships between culture and the development, expression and maintenance of bulimia is suggested to be key to forging culturally-sensitive understandings of this illness; this paper begins to provide the evidence base for the design and development of appropriate support services, thereby aiming to contribute to a reduction in health inequalities and barriers to treatment.",
keywords = "Bulimia Nervosa, Eating Disorders, Culture, South Asian, Interpretative Phenomenological Analysis",
author = "Sunita Channa and Anna Lavis and Charlotte Connor and Colin Palmer and Newman Leung and Maximillian Birchwood",
year = "2019",
month = "9",
doi = "10.1007/s11013-019-09625-w",
language = "English",
volume = "43",
pages = "361--386",
journal = "Culture, Medicine and Psychiatry",
issn = "0165-005X",
publisher = "Springer",
number = "3",

}

RIS

TY - JOUR

T1 - Overlaps and disjunctures

T2 - a cultural case study of a British Indian young woman's experiences of bulimia nervosa

AU - Channa, Sunita

AU - Lavis, Anna

AU - Connor, Charlotte

AU - Palmer, Colin

AU - Leung, Newman

AU - Birchwood, Maximillian

PY - 2019/9

Y1 - 2019/9

N2 - Eating disorder diagnoses are characterised by a pattern of disordered eating behaviour alongside symptoms such as body dissatisfaction and preoccupation with food, weight or shape (APA in Diagnostic and statistical manual of mental disorders, DSM-5, APA, Washington, DC, 2013). Incidence rates for eating disorders have increased during the last 50 years. However, epidemiological studies have suggested that such trends may not be a true representation of the occurrence of these illnesses in the general population, with figures underestimated due to reduced help seeking and poor access to care, particularly amongst ethnic minorities. This case study explores the experiences of a young British Indian woman with bulimia nervosa. Arising from an in-depth semi-structured interview, analysed with interpretative phenomenological analysis, her narrative offers a critical lens onto how diverse fragments of cultural practices and meanings come together to produce the clinical category of ‘bulimia.’ It thereby offers an alternative portrait of relationships between eating disorders and ‘culture,’ one that goes beyond a framing of these illnesses as culture inscribed on the body. Interrogating relationships between culture and the development, expression and maintenance of bulimia is suggested to be key to forging culturally-sensitive understandings of this illness; this paper begins to provide the evidence base for the design and development of appropriate support services, thereby aiming to contribute to a reduction in health inequalities and barriers to treatment.

AB - Eating disorder diagnoses are characterised by a pattern of disordered eating behaviour alongside symptoms such as body dissatisfaction and preoccupation with food, weight or shape (APA in Diagnostic and statistical manual of mental disorders, DSM-5, APA, Washington, DC, 2013). Incidence rates for eating disorders have increased during the last 50 years. However, epidemiological studies have suggested that such trends may not be a true representation of the occurrence of these illnesses in the general population, with figures underestimated due to reduced help seeking and poor access to care, particularly amongst ethnic minorities. This case study explores the experiences of a young British Indian woman with bulimia nervosa. Arising from an in-depth semi-structured interview, analysed with interpretative phenomenological analysis, her narrative offers a critical lens onto how diverse fragments of cultural practices and meanings come together to produce the clinical category of ‘bulimia.’ It thereby offers an alternative portrait of relationships between eating disorders and ‘culture,’ one that goes beyond a framing of these illnesses as culture inscribed on the body. Interrogating relationships between culture and the development, expression and maintenance of bulimia is suggested to be key to forging culturally-sensitive understandings of this illness; this paper begins to provide the evidence base for the design and development of appropriate support services, thereby aiming to contribute to a reduction in health inequalities and barriers to treatment.

KW - Bulimia Nervosa

KW - Eating Disorders

KW - Culture

KW - South Asian

KW - Interpretative Phenomenological Analysis

UR - http://www.scopus.com/inward/record.url?scp=85064277176&partnerID=8YFLogxK

U2 - 10.1007/s11013-019-09625-w

DO - 10.1007/s11013-019-09625-w

M3 - Article

C2 - 30919206

VL - 43

SP - 361

EP - 386

JO - Culture, Medicine and Psychiatry

JF - Culture, Medicine and Psychiatry

SN - 0165-005X

IS - 3

ER -