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Famished
Eating Disorders and Failed Care in America
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Rebecca J. Lester
Language:
English
Published/Copyright:
2019
About this book
When Rebecca Lester was eleven years old—and again when she was eighteen—she almost died from anorexia nervosa. Now both a tenured professor in anthropology and a licensed social worker, she turns her ethnographic and clinical gaze to the world of eating disorders—their history, diagnosis, lived realities, treatment, and place in the American cultural imagination.
Famished, the culmination of over two decades of anthropological and clinical work, as well as a lifetime of lived experience, presents a profound rethinking of eating disorders and how to treat them. Through a mix of rich cultural analysis, detailed therapeutic accounts, and raw autobiographical reflections, Famished helps make sense of why people develop eating disorders, what the process of recovery is like, and why treatments so often fail. It’s also an unsparing condemnation of the tension between profit and care in American healthcare, demonstrating how a system set up to treat a disease may, in fact, perpetuate it. Fierce and vulnerable, critical and hopeful, Famished will forever change the way you understand eating disorders and the people who suffer with them.
Famished, the culmination of over two decades of anthropological and clinical work, as well as a lifetime of lived experience, presents a profound rethinking of eating disorders and how to treat them. Through a mix of rich cultural analysis, detailed therapeutic accounts, and raw autobiographical reflections, Famished helps make sense of why people develop eating disorders, what the process of recovery is like, and why treatments so often fail. It’s also an unsparing condemnation of the tension between profit and care in American healthcare, demonstrating how a system set up to treat a disease may, in fact, perpetuate it. Fierce and vulnerable, critical and hopeful, Famished will forever change the way you understand eating disorders and the people who suffer with them.
Author / Editor information
Contributor: Rebecca J. Lester
Rebecca J. Lester is Professor of Anthropology at Washington University in St. Louis and a licensed clinical social worker. She is the author of numerous academic articles and the award-winning book Jesus in Our Wombs.
Topics
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Frontmatter
i -
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CONTENTS
ix -
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Prologue
xi -
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Preface
xv - SECTION ONE. Provocations
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1. Introduction
3 -
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Roller-Skating
30 -
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2. Rethinking Eating Disorders
31 -
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Little Debbie
62 -
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3. Eating Disorders as Technologies of Presence
63 -
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For the Ladies
85 - SECTION TWO. Frameworks
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4. Identifying the Problem: When Is an Eating Disorder (Not) an Eating Disorder?
87 -
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Spinning
109 -
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5. A Hell That Saves You: Cedar Grove’s Staff and Programs
110 -
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Lettuce Sandwich
142 -
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6. Fixing Time: Chronicity, Recovery, and Trajectories of Care at Cedar Grove
143 -
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Liquidated
175 - SECTION THREE. Dynamics
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Introduction
177 -
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7. Loosening the Ties That Bind: Unmooring
183 -
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Mortifications
214 -
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8. Me, Myself, and Ed: Recalibrating
215 -
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Calculated Risks
242 -
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9. “Fat” Is Not a Feeling: Developing New Ways of Presencing
243 -
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Looking for the Exit
274 - SECTION FOUR. Recursions
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10. Running on Empty: Relationships of Care in a Culture of Deprivation
275 -
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Breaking
303 -
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11. Capitalizing on Care: Precarity, Vulnerability, and Failed Subjects
305 -
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Spark
321 -
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12. Conclusions: Where Do We Go from Here?
322 -
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Afterword
331 -
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Acknowledgments
337 -
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Notes
339 -
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Works Cited
357 -
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Index
371
Publishing information
Pages and Images/Illustrations in book
eBook published on:
December 16, 2019
eBook ISBN:
9780520972902
Pages and Images/Illustrations in book
Main content:
416
eBook ISBN:
9780520972902
Keywords for this book
examination of eating disorders; rethinking of eating disorders; why people develop eating disorders; process of recovery; why treatments often fail; almost died from anorexia nervosa; cultural analysis; therapeutic accounts; autobiographical reflections; world of eating disorders; history; diagnosis; treatment; lived realities; place in american cultural imagination; fierce; vulnerable; critical; hopeful; anorexia nervosa; eating disorders