Haven't we been over this before? A genetic factor in the development of disease does not mean behavior and culture do not contribute to it.
Of course there is a genetic influence on who becomes anorexic. Starving oneself is really difficult as well as unhealthy. Given the very real glorification of thinness in America, you'd think that anorexics would be a dime a dozen if it were a simple matter of low-self esteem and poor body image. Anorexia requires obsessive and highly-controlled behavior unseen in most people. I can't be the only one who hardly raised an eyebrow when I heard that anorexia arises in people whose families have a history of obsessive and compulsive behavior.
Interestingly, the most incisive interpretations of anorexia often fail to stick in the public consciousness. Two doctors who treated anorexics in Toronto in the 1930s left behind a remarkably astute description of the type: "Most of them are intelligent, some to a marked degree; all are highly sensitive," they wrote. "Usually they are impulsive, willful, introspective, and emotionally unstable." Then, refuting the cliché that anorexics are ruled by insecurity, the doctors suggested instead that they're driven by positive desires: "They have a strong desire for prominence and dominance."
Take this into consideration, and it's not surprising that obsessive behavior is chanelled into an arena which is going to bring success: looks. If thin is pretty, and pretty is successful, a success-obsessed, prominence-desiring obsessive compulsive is going to be thin.
Taylor then addresses another aspect of the common wisdom about anorexia:
From my own experience (I first had the disease when I was 10) and those of other people I've talked to, this last observation is one of the most important—and least acknowledged. It's easier to see anorexics as victims, whether of social forces or biology, than to imagine that they derive pleasant sensations from their behavior. But they do. The disease often makes them feel special and unique. Until we discard the victim model and admit that anorexia, though destructive, often fulfills a deep personal need, we can't begin to investigate what makes a person vulnerable to it. Evidence that anorexia now affects an unexpectedly wide range of people provides an impetus for a new, more complex theory of the illness. But any such theory must acknowledge the willful aspect of anorexia, instead of trying to turn the disease into something as random and involuntary as a cold.
My reaction to this is more complex, because I think it's a little heartless to say that anorexics aren't victims. They may be somewhat culpable in their sickness - I think we all know they're not automatons obeying every dictate of their genes and the media - but this doesn't make them less sick or less a victim of unfortunate circumstances. Inheriting compulsive tendencies and living in a country that glorifies thinness is an unfortunate lot to have. But, just as inheriting genes that predispose a person to heart disease and living in a fast food world make life tough, it doesn't mean you are any less capable of getting on a treadmill.
What doesn't help matters at all are the two ways in which we talk about anorexics. There's the hateful skinny-bitch-who-starves-herself-to-make-me-jealous comment and the pitious poor-victim-of-media comment, and you'll often hear both come from the same people at different times. Which is it? Hate or pity?
The hateful side has to stem almost entirely from jealousy. She's starving herself to make me jealous, and it's working. If you find yourself thinking this, please stop. Anorexia is not a pathology of which to be jealous, and allowing yourself to be dragged down by envy of it only helps tighten the stranglehold that unrealistic body images have on the throat of American female body image.
The pity side seems better-placed, but let's not forget that anorexia isn't the product of a patriarchal conspiracy theory (I'm looking at you, Naomi Wolf), and it's not like the weather: it has to be made to happen.
The crappy thing about mental illness is that even when it makes it harder for you to make good decisions, you still have to do it. Stagnating in victimhood is tempting, but it's not responsible and not acceptable. Wallowing in self-pity over your big tummy is bad for you, and it's bad for everyone else. I think we should know by now that neither the market nor the media is going to help us out here - we have to fix our body image problems ourselves, and against adversity. Ads with somewhat real-sized women in them are actually selling "skin-firming" cream. Girls, Inc. is selling you boosted self-esteem to get you to buy overpriced dolls.
We know better, so let's not hide behind our victimhood to create more victims.