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DYING To
BE
THIN
TEENS ADDICTED TO ANOREXIA MEET ONLINE  
 
Inside the underground world of pro-anorexia
 
They are on television, in the newspapers and splashed across gossip columns. Waif-like celebrities wearing skimpy clothing, flaunting bony figures and gaunt cheekbones.

Long gone are the days of the curvaceous icon a-la Marilyn Monroe (who legend says wore a size 12). Welcome to the 21st century – A time when Nicole Richie, Lindsay Lohan and Keira Knightley are standards of beauty. A time when a lead character in the recently released film “The Devil Wears Prada” makes it known to protagonist Andy Sachs that wearing size six is just too large.

While statistics show most women are well above size six (the average woman wears a 12-14) many still aim for what today’s culture declares as the perfect figure - the smaller the better.

This obsession with “skinny” has particularly negative repercussions for adolescent girls. Their bodies are evolving into women and developing an unfamiliar figure complete with curves, breasts and potentially – a lot of insecurity.

The desire to be as thin as the celebrities they worship has developed a dangerous subculture. An Internet
search of the term “pro-anorexia” will lead you to hundreds of websites where young women encourage each other to lose weight through starvation.

This underground movement is a dark world where girls offer advice about the best laxatives to swallow, ways to successfully fast for days on end, and even how to handle the side effects of starvation – such as feeling faint. On the other hand, the site is a place where those who tend to feel alone can go to meet people they can relate to.

While most popular in the early 2000’s, these websites prevail today as portholes to a world where body image takes control of the lives of anonymous young women.

Bloggers post pictures of twig-shaped models and celebrities such as Mary- Kate Olsen, who famously battled anorexia in 2004. The pictures are “thinspiration” that motivate young women to continue along the dangerous path of weight-loss through starvation. They share diet tips and ways to starve while hiding their eating disorders from family and friends. One pro-anorexia web board boasts members with screen names such as “I pray to waste away,” “Fatty hoping to change” and “Stick Figure Illustration”
   
   
  Beth, 17 Oregon * Name has been changed to protect privacy
 
Beth*, a 17-year old from Oregon, who has battled bulimia and anorexia for six years, hosts a pro-anorexia online group. She believes these web communities are a place to befriend others afflicted with an eating disorder.

“Some people use the sites for diet tips,” Beth explained. “When I first began visiting the sites, I did download tips but also, I can connect with people who say that you are not alone with the eating disorder. This is a common thing and we are all living with it.”

In 2005, Stanford University and Lucile Packard Hospital released the first study conducted to determine the health effects of visiting pro-anorexia websites. The study surveyed families of adolescents diagnosed with an eating disorder. Not surprisingly, it determined these websites are frequently visited by those suffering with an eating disorder. The study found that visitors to these sites used them to obtain weight loss information. And most frighteningly, teens that frequent pro-anorexia websites spend more time in the hospital than those who do not.

“These websites are founded on the mistaken belief that eating disorders are not a disease, but a way of life,” said Stanford School of Medicine and Lucile Packard Hospital adolescent medicine specialist, co-author of the study Rebecka Peebles, MD. “They are well-designed and alluring, often with a gateway emphasizing the danger of the site that can be attractive to teens.”

But for Beth*, these sites are places to share emotions. “It’s knowing that there is someone else out there living with the guilt of hurting their friends and families, feeling powerless, but not alone,” she said. “All around me, people think I am crazy,” she said.

“I don’t understand why I can’t eat and not feel bad about it - like everyone else. Here, I can connect with people who understand me.”

Researchers caution that results of this study are preliminary. Proanorexia websites do act as peer support groups but also as portholes to disaster. They plan a larger study designed to further follow patients that utilize pro-anorexia websites to determine the influences websites are having on eating disorder patients.
 
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