
An eating disorder is as much a coping mechanism as other self-injurious behaviors, such as self-harm, smoking, drinking, drug use, and so on. It is a way to distract from much deeper, emotional pain. Being thin is certainly part of some eating disorders, but is far from the foundation.
I've often even heard people in treatment less relate their need to be thin with "looking good/glamourous" and more with the idea of wanting to disappear, take up less space, be weightless, and being invisible. These have far more emotional meaning behind them than just the simple idea of looking skinny for the appearance.
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Posted by Laura
" The biggest myth is that anorexia is about being thin "
'"These patients are not choosing this behaviour," says Bulik, who's considered an international expert on the disorder. "You could go to any eating disorder clinic around the world and the core clinical picture would be identical. There may be different cultural presentations or variations on the packaging, but the core signs of low body weight, an extreme drive for thinness, amenorrhea (absence of menstruation) and often hyperactivity and anxiety just jump out at you as saying this is biological in origin."'