Identity and Eating Disorders (IDEA): A Questionnaire Evaluating Identity and Embodiment in Eating Disorder Patients

Stanghellini, Giovanni; Castellini, Giovanni; Brogna, Patrizia; Faravelli, Carlo; Ricca, Valdo

doi:10.1159/000330258

Cited by 80 publications

(113 citation statements)

References 72 publications

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“…Both these hypotheses are grounded in the existing literature. The assumption that these patients do not ‘feel' themselves - and especially their own body and emotions - is in accordance with most of the literature on the psychopathology of eating disorders and, especially, with the emphasis given in body and specific cognitive and emotional disturbances [2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20] to enhancing the vulnerability to eating disorders. The concept that eating disorders stem from identity impairments is also firmly grounded in the theoretical literature [21,22,23,24,25].…”

Section: Introductionsupporting

confidence: 80%

“…In a previous study, we showed that in patients suffering from eating disorders, the lived body is no longer direct first-personal experiential evidence, but it is an entity that exists as viewed from an external perspective [18]. This view from without on one's body can be described in terms of the Sartrean concept of ‘the body for the other'.…”

Section: Introductionmentioning

confidence: 99%

“…This means that the other becomes the mirror in which one can perceive oneself [19]. To obtain this result, in a previous study [18], we validated the Identity and Eating Disorders questionnaire (IDEA) in an eating disorder and a healthy control population. The IDEA is a multidimensional, brief and easy-to-perform self-rating scale which explores and measures two main domains: abnormal experiences related to one's own body and difficulties in the definition of one's own identity.…”

Section: Introductionmentioning

confidence: 99%

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Is Feeling Extraneous from One's Own Body a Core Vulnerability Feature in Eating Disorders?

et al. 2014

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Objective: To identify core vulnerability features capable of discriminating subjects who are more prone to develop eating disorders. Sampling and Methods: A nonclinical group composed of 253 university students was studied by means of the Identity and Eating Disorders questionnaire (IDEA), exploring abnormal attitudes toward one's own body and difficulties in the definition of one's own identity, the Body Uneasiness Test (BUT) and different self-reported questionnaires evaluating the specific and general psychopathology of eating disorders. The results were compared with those of a clinical eating disorder group. Results: In the student sample, a group composed of 35 subjects with abnormal eating patterns and a group (218 subjects) without such features were identified. The IDEA total and subscale scores were found to be significantly higher in subjects with abnormal eating patterns than in subjects without them (all p < 0.001). Positive correlations between the IDEA total and subscale scores and the BUT global score were observed in both groups (all p < 0.01). The comparison of the scores on the IDEA between the clinical group (patients with full-blown eating disorders) and the subjects with abnormal over-threshold eating patterns yields a significant difference in the ‘feeling extraneous from one's own body' subscale of the IDEA. Conclusions: The IDEA resulted in being a valid instrument to identify a vulnerability to eating disorders in subjects with abnormal eating patterns in the general population and to recognize the presence of a significant discomfort related to the body. Feeling extraneous from one's own body is the experience that discriminates most between clinical and nonclinical subjects.

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Section: Introductionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is Feeling Extraneous from One's Own Body a Core Vulnerability Feature in Eating Disorders?

et al. 2014

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“…Jean Paul Sartre extends this to distinguish between the lived body (body-subject) and the physical body (body-object) -when one becomes aware of the body-object being looked at by the other, it becomes the "lived body for others" [7]. Embodiment theory considers an individual's connection to, awareness of, and satisfaction with their own body.…”

Section: Introductionmentioning

confidence: 99%

“…Embodiment theory considers an individual's connection to, awareness of, and satisfaction with their own body. Disturbances to one's experience of embodiment are implicated in the eating disordered subject [7].…”

Section: Introductionmentioning

confidence: 99%

The 14th century religious women Margery Kempe and Catherine of Siena can still teach us lessons about eating disorders today

2017

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Background: Women today more commonly suffer the morbidity and mortality of eating disorders. Looking through the dual prisms of historical accounts and modern theory the authors examined the meaning of eating disturbance in two cases from the late Middle Ages. The historic role of women and food is explored. Method: Widely reviewing historical sources and the current academic literature, we gathered data and considered two women, Margery Kempe and Catherine of Siena. They were empowered by their roles as religious mystics, and drew strength from suffering, distress and fasting. We briefly examined them in the context of modern diagnostic and aetiological explanations of eating disorders (particularly Anorexia nervosa). Results: We present an account of these women's lives. The relevance these cases have for our understanding of patients, eating disorders, and expressions of suffering today is discussed. Conclusions: Historic accounts provide a rich counterpoint to understanding our present clinical culture of theory and diagnosis. Both our subjects had disturbed eating: one probably died as a consequence of it. Subjective distress was a central component of the life that was desired by each of these women, and they were empowered by their eating disturbance. Food has immense meaning historically, and personally it had meaning for each of our subjects. This is reflected in current clinical experience. The authors suggest we may be aided by adding our cultural, historical and gender based experience of food to our modern biological understanding of eating disorders, to further illuminate the complexities of today's eating disordered patient.

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Embodiment Mediates the Relationship between Avoidant Attachment and Eating Disorder Psychopathology

Monteleone

Castellini

Ricca

et al. 2017

Euro Eating Disorders Rev

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Identity and Eating Disorders (IDEA): A Questionnaire Evaluating Identity and Embodiment in Eating Disorder Patients

Cited by 80 publications

References 72 publications

Is Feeling Extraneous from One's Own Body a Core Vulnerability Feature in Eating Disorders?

Is Feeling Extraneous from One's Own Body a Core Vulnerability Feature in Eating Disorders?

The 14th century religious women Margery Kempe and Catherine of Siena can still teach us lessons about eating disorders today

Embodiment Mediates the Relationship between Avoidant Attachment and Eating Disorder Psychopathology

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