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A Shameful Secret: Men and Eating
Disorders
Eating disorders tend to be considered “women’s disorders.” In
our society, men are not allowed to show the weakness of having
mental health disorders, much less suffer from eating
disorders. Since men and eating disorders is a problem, they
virtually always keep this a painful secret. According to the
National Association of Anorexia and Associated Disorders, men
comprise about one million Americans who suffer from eating
disorders.
When the issue of men and eating disorders comes up, and the
men do see their doctors for help, physicians will take a
thorough medical history. They usually discover that the
disorder began to emerge as teen-agers. An adolescent peer
group can be very emotionally harsh; “fat boys” are made fun of
and isolated from others. The social pressure to be thin is
overwhelming among today’s teens.
Men and eating disorders recount both anorexic and bulimic
behavior as adolescents. In addition to starving themselves,
they play sports and exercise excessively just as teen-age
girls and grown women do. “Boys don’t get fat” unenlightened
pediatricians tell mothers. “He’s just got some baby fat that
will go away on its own.” But it doesn’t, and problem eating
isn’t supposed to happen in men.
Do Men Have the Same Symptoms as Women?
Yes, but with one very important difference. People of either
gender can develop an eating disorder, and they keep their
eating behavior secret. Men and eating disorders is a subject
which sort of ties that knot of secrecy even tighter. As
adults, they are almost always morbidly obese. They don’t
socialize with others, especially women. They rarely date or
get married.
They know that fat men are even less tolerated in our society
than fat women. Men and eating disorders tend to spend their
time alone, either starving themselves (anorexia) or
binge-eating and then purging by vomiting (bulimia). Just as
women are, men are obsessed with calorie counting and unhealthy
diets to lose weight. Through anorexic and bulimic behavior,
men with eating disorders use food, or the lack of it, to cover
feelings of guilt and shame, loneliness, anger, and fear. But
men aren’t supposed to feel these things! Men must be
aggressive, self-confident and desired by women.
Similar to women, men with eating disorders may have suffered
physical or sexual abuse as children. They may have been
neglectfully denied food due to either poverty or because they
were overweight as children. Men with eating disorders learn at
an early age that one sure-fire way of preventing sexual abuse
is to make themselves as unattractive and undesirable as they
can. If they’re skin and bones or obese, they figure, their
abuser will move on to another victim.
Eating disorders, among either gender, isn’t a matter of
vanity; wanting to fit into a smaller pair of jeans. In fact,
eating disorders don’t really have anything to do with food!
What drives men with eating disorders is a need to be in
control of something, anything. They don’t do well expressing
emotions, are perfectionists, and don’t allow themselves to be
less than perfect and have a deeply seated self-loathing. The
one thing men can always control is the amount of food they
allow themselves to eat. The bathroom scale becomes their
mortal enemy.
Parents, teachers, physicians and coaches must understand that
men develop eating disorders as women do; they’re just better
at hiding it until cardiac arrest brings them to the attention
of medical personnel, or they die from a disorder that could
have been avoided.
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