Eating disorders, we are told, are on the rise, ready to grab the gut of any vulnerable teenager who spends too much time dreaming over Vogue. Except, actually, they're not.
The South Carolina Department of Mental Health claims that one in 200 American women suffer from anorexia, as opposed to the American Heart Association's statistic of 39.4 million women suffering from obesity. So that's half a percent against 34 percent. EMJA, the medical journal of Australia, concurs with the 0.5 percent statistic, noting that anorexia nervosa is not common and adding, "Eating disorders have captured the public imagination⊠This publicity tends to obscure the continuing puzzle created by theseâŠconditions." (Gilchrist et al., 1998) Clinical Knowledge Summaries 2009, the statistics department of the British National Institute of Health and Clinical Excellence, says that 19 out of one million women are diagnosed as anorexic, as opposed to 240,000 per million for obesity. The British NHS survey of Disordered Eating noted 620 hospital treatments for anorexia or bulimia (with some patients registered twice or more) for 2005 to 2006 as opposed to 17,458 for the same period for obesity.
There is simply no argument to be had as to the most prevalent weight-related threat to young women's health, and yet still every year someone vilifies poor old Kate Moss for suggesting that nothing tastes as good as skinny feels. Well, right on, Kate. The hoary old trope that models are statistically thinner than the average woman now as opposed to 20 years ago proves nothing more than that the average woman got heavier.
Women have always gone to absurd and often dangerous extremes in pursuit of the beauty myth. Fourteen-inch waists and mercury-eaten complexions for the Elizabethans, pthisis- inducing sponged muslin for Romantic groupies. One of the many rather creepy truisms trotted out in support of "real' models is that much fashion is produced by men who would prefer us to resemble adolescent boys. Yeah, we get that. Fashion is about fantasy, about impossibility, about, dare we say it, art. Most women can tell the difference. The suffragettes got us the vote and they did it in whalebone corsets. Stop the presses, how we look is not actually who we are.
Women recovering from severe eating disorders consistently report that their illness was not induced by the desire to look like Gisele, but by far more complex psychological issues. Is it not demeaning to insist that such women were gripped by nothing more than vanity? Feminism has created a world in which young women are safe and secure enough to do a lot of stupid things as part of a rite of passageâthey can drink Jell-O shots and worship Robert Pattinson and grow up to become accountants or lawyers or CEOs. Laying off the Krispy Kremes for a few years in order to shimmy into Paige jeans is hardly on a par with being unable to menstruate, but the rhetoric of the eating-disorder lobby insultingly blurs the difference between harmless faddiness and genuine disease.
Thin is a feminist issue because it grabs the headlines from more serious causes with which committed feminists might concern themselves. As the late great George Carlin put it, "What kind of goddamn disease is this anyway? "I don't wanna eat!", "Well, go fuck yourself." If we want to worry about malnutrition, why don't we get exercised about the hundreds of thousands of women who starve slowly around the world? Thin is a feminist issue because the well-meant anxiety over eating disorders makes us look dim. It's patronizing and disempowering and reduces legitimate concerns over body issues to juvenile whining. We could just leave the models to get on with their job. Maybe the radical way to look at this season's shows would be to enjoy the spectacle, buy the frock and get on with something more interesting? Obviously, we're not all brainless enough to starve ourselves out of existence because a sinister conglomerate of designers and editors says we should. Sadly, the current correlation between fashion and anorexia suggests precisely that.
* not her real name
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Lisa Hilton is the critically acclaimed author of Athenais: The Real Queen of France and Mistress Peachum's Pleasure. She was educated at Oxford University and lives in London.