title: How to deal with sociocultural pressures in daily life: reflections of adolescent girls suffering from eating disorders.
abstract: Adolescent girls with eating disorders experience unattainable and contradictory expectations in daily life, which create stress and negatively affect their self-evaluation. Disordered eating may function as a way of seeking control and consistency. In order to make progress in the understanding of eating disorders, the aim of this study was to describe how adolescent girls with eating disorders reflect upon ways of dealing with sociocultural pressures in daily life. Eighteen interviews with girls aged 15-19 years were analyzed using a phenomenographic approach. The results were summarized into three conceptions: "Striving to be oneself " (conception A) was described as the most desirable, but also the hardest. "Adapting to various situations" (conception B) was used without much reflection, as long as it worked, but when this way of dealing with everyday expectations was unsuccessful it was evaluated negatively. "Presenting oneself in a positive light" (conception C) was described negatively even when it was successful. Within these conceptions, the participants described various strategies that could be used more or less effectively depending on the circumstances. A common theme was their difficulties in finding a balance between trying harder to live up to perceived expectations from others on one hand, and trying to accept the situation as it was, without trying to change themselves or the situation, on the other hand. The participants believed that their eating disorder was partly a result of being unable to deal with sociocultural pressures in an effective way, and they experienced a conflict between societal values of being assertive and values of being interpersonally oriented. Implications for treatment are discussed.
authors: Psychiatric Research Centre, Örebro University, School of Health and Medical Sciences, Örebro, Sweden;
authors: Sanna Aila
authors: SA
authors: Gustafsson
authors: Birgitta
authors: B
authors: Edlund
authors: Josefine
authors: J
authors: Davén
authors: Lars
authors: L
authors: Kjellin
authors: Claes
authors: C
authors: Norring
references: Eat Disord. 2010 May-Jun;18(3):183-98
references: 20419523
references: Am J Psychiatry. 2001 Apr;158(4):632-4
references: 11282700
references: Int J Eat Disord. 1998 May;23(4):361-9
references: 9561426
references: Body Image. 2005 Mar;2(1):29-40
references: 18089172
references: J Child Adolesc Psychiatr Nurs. 2007 May;20(2):96-106
references: 17598803
references: J Am Acad Psychoanal. 1986 Jan;14(1):95-114
references: 2419295
references: Eat Behav. 2007 Jan;8(1):98-105
references: 17174857
references: Int J Eat Disord. 2002 Nov;32(3):344-51
references: 12210649
references: J Consult Clin Psychol. 2001 Dec;69(6):1061-5
references: 11777110
references: Eat Disord. 2010 Jan-Feb;18(1):25-42
references: 20390606
references: J Abnorm Psychol. 1994 Nov;103(4):836-40
references: 7822589
references: Int J Eat Disord. 2006 Nov;39(7):556-64
references: 16845678
references: Adv Health Sci Educ Theory Pract. 1997;2(3):221-236
references: 12386400
references: Int J Eat Disord. 2000 Jul;28(1):8-19
references: 10800009
references: Br J Clin Psychol. 2005 Mar;44(Pt 1):89-97
references: 15826346
references: Psychiatr Clin North Am. 2001 Jun;24(2):371-9
references: 11416936
references: Int J Eat Disord. 1998 Sep;24(2):157-66
references: 9697014
references: Psychosom Med. 1993 May-Jun;55(3):234-47
references: 8346332
references: J Nerv Ment Dis. 2000 May;188(5):273-9
references: 10830564
references: Int J Eat Disord. 2005 Mar;37(2):135-41
references: 15732079
references: J Behav Med. 1984 Dec;7(4):375-89
references: 6520869
references: Eat Behav. 2003 Aug;4(2):117-26
references: 15000975