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Beliefs
Page 151 Black blue EATING BEHAVIOUR 151 of relationship. So what might these psychological factors be? Research has explored the role of beliefs, the mother–daughter relationship and the central role of control. Beliefs Some research has examined the beliefs held by the individuals themselves and their family members. For example, when attempting to understand ethnicity, studies have highlighted a role for beliefs about competitiveness, the value of achievement, material success and a parental belief that the child is their future (Ogden and Chanana 1998). In addition, the literature has also emphasized beliefs about a woman’s role within society. For example, Mumford et al. (1991) concluded that eating disorders in Asian girls may be related to a family background that believes in a traditional role for women. Such conclusions were also made by Hill and Bhatti (1995). In a similar vein, when attempting to explain the role of social class research has highlighted a role for beliefs about achievement and it has been suggested that eating disorders may be a response to such pressures (Bruch 1974; Kalucy et al. 1977; Selvini 1988). Lower class individuals, in contrast, may aspire more in terms of family life and having children, which may be protective against weight concern. Cole and Edelmann (1988) empirically tested this possibility and assessed the relationship between the need to achieve and eating behaviour. However, although the need to achieve was associated with class, it was not predictive of weight concern. It has also been suggested that class may be associated with a greater value placed on physical appearance and attitudes towards obesity (Wardle et al. 1995). Further, Dornbusch et al. (1984) commented that ‘there are higher standards for thinness in higher social classes’, which may contribute to higher levels of weight concern. In addition, Striegel-Moore et al. (1986) argued that higher class women are more likely to emulate trend setters of beauty and fashion, again predisposing them to feelings of dissatisfaction with their appearance. Therefore, beliefs about competitiveness, achievement, material success, the role of women, stereotypes of beauty and the child–parent relationship have been highlighted as the kinds of beliefs that may predict body dissatisfaction. Ogden and Chanana (1998) explored the role of these beliefs in Asian and white teenage girls and Ogden and Thomas (1999) focused on lower and higher class individuals; both studies concluding that, although social factors such as class and ethnicity may be related to body dissatisfaction, it is likely that their influence is mediated through the role of such beliefs held by both the individual who is dissatisfied with their body and their family members. Mother–daughter relationship Some research has also explored the nature of the mother–daughter relationship. For example, Crisp et al. (1980) argued that undefined boundaries within the family and the existence of an enmeshed relationship between mother and daughter may be important factors. Likewise, Smith et al. (1995) suggested that a close relationship between mother and daughter may result in an enmeshed relationship and problems Page 151 Black blue Page 152 Black blue 152 HEALTH PSYCHOLOGY with separation in adolescence. Further, Minuchin et al. (1978) argued that although optimum autonomy does not mean breaking all bonds between mother and daughter, mother–daughter relationships that permit poor autonomy for both parties may be predictive of future psychopathology. Further, Bruch (1974) argued that anorexia may be a result of a child’s struggle to develop her own self-identity within a mother– daughter dynamic that limits the daughter’s autonomy. Some authors have also examined the relationship between autonomy, enmeshment and intimacy. For example, Smith et al. (1995) argued that an increased recognition of autonomy within the mother–daughter relationship corresponds with a decrease in enmeshment and a resulting increase in intimacy. Further, it is suggested that such intimacy may be reflected in a reduction in conflict and subsequent psychological problems (Smith et al. 1995). A recent study directly explored whether the mother–daughter relationship was important in terms of a ‘modelling hypothesis’ (i.e. the mother is body dissatisfied and therefore is the daughter) or an ‘interactive hypothesis’ (i.e. it is the relationship itself between mother and daughter that is important). Therefore, it examined both the mothers’ and the daughters’ own levels of body dissatisfaction and the nature of the relationship between mother and daughter (Ogden and Steward 2000). The results showed no support for the modelling hypothesis but suggested that a relationship in which mothers did not believe in either their own or their daughter’s autonomy and rated projection as important was more likely to result in daughters who were dissatisfied with their bodies. Therefore, it would seem that body dissatisfaction may come from the media. Further, it may be related to social factors such as ethnicity, social class and the mother’s own body dissatisfaction. In addition, it is possible that the impact of such social factors is mediated through psychological factors such as beliefs and the nature of relationships. Research has suggested that all these factors illustrate a central role for the need for control. The role of control Beliefs relating to materialism, competitiveness, achievement, autonomy, the role of women and a projected relationship between mother and daughter all have one thing in common. They are based on the assumption that the object of these beliefs (i.e. the daughter) has control over her destiny. It is being assumed that she can achieve, she can compete and she can fulfil the desires of others if only she were to put her mind to it; anything can be achieved if the effort is right. This is quite a lot of pressure to place on anyone. It is particularly a lot of pressure to place upon a woman who may well feel that the world is still designed for men. And it is even more pressure to place upon a young woman who may feel that the world is designed for adults. Such expectations may result in feelings of being out of control: ‘how can I achieve all these things?’, ‘what do I have to do?’, ‘I can never fulfil everyone’s demands’, ‘my world is simply not that open to change’, ‘things are not that controllable’. However, the one thing that we are led to believe can be changed is our body. A family’s beliefs may make us want to control and change a whole range of factors. But the only factor which may seem controllable may simply be the way we look. In fact the media constantly tells us that this is so. Page 152 Black blue