Eating is a fundamental behavior in which all organisms must engage in order to procure the material and energy from their environment that they need to maintain themselves. Since controlling eating requires procuring, processing, and assessing information, it constitutes a cognitive activity that provides a productive domain for pursuing cognitive biology as proposed by Ladislav Kováč. In agreement with Kováč, we argue that cognition is fundamentally grounded in chemical signaling and processing. To support this thesis, we adopt Cisek’s (...) strategy of phylogenetic refinement, focusing on two animal phyla, Porifera and Placozoa, organisms that do not have neurons, muscles, or an alimentary canal, but nonetheless need to coordinate the activity of cells of multiple types in order to eat. We review what research has revealed so far about how these animals gather and process information to control their eating behavior. (shrink)

Eating disorders are evolutionarily novel conditions that lead to some of the highest mortality rates of all psychiatric disorders. Several evolutionary hypotheses have been proposed for eating disorders, but only the intrasexual competition hypothesis is extensively supported by evidence. We present the mismatch hypothesis as a necessary extension to the current theoretical framework of eating disorders. This hypothesis explains the evolutionarily novel adaptive metaproblem that has arisen when mating motives and readily available food rewards conflict with one (...) another. This situation is exacerbated in contemporary environments characterized by sedentary lifestyles, caloric surplus and the ubiquity of social comparisons that take place via social media. Our psychoneuroimmunological model connects ultimate-level causation with proximate mechanisms by showing how the adaptive metaproblem between mating motives and food rewards leads to chronic stress and, further, to disordered eating. Chronic stress causes neuroinflammation, which increases susceptibility to OCD-like behaviors that typically co-occur with eating disorders. Chronic stress upregulates the serotonergic system and causes dysphoric mood in patients with restricting-type anorexia nervosa. Dieting, however, reduces serotonin levels and dysphoric mood, leading to a vicious serotonergic-homeostatic stress/starvation cycle whereby cortisol and neuroinflammation increase through stringent dieting. Between-individual and within-individual variation in eating disorders partially arises from (co)variation in gut microbiota and stress responsivity, which influence neuroinflammation and the serotonergic system. In binge-related eating disorders, even a short period of fasting drops serotonin levels, a state alleviated by binge eating. Eating disorder treatments should aim to reduce the chronic stress, neuroinflammation, stress responsivity and gut dysbiosis that fuel the disorders. We review the advances that have been made in recent years in understanding how to best treat eating disorders, outlining directions for future clinical research. Connecting ultimate causes with proximate mechanisms and treating biopsychosocial causes rather than manifest symptoms will enable more effective and sophisticated long-term interventions for the millions of people who suffer from eating disorders. (shrink)

Many eaters are concerned about the impact that their food choices have on the environment, animals, and human health. Ethical omnivorism is at once a new food ethic, diet, and global movement aimed at providing a flexible path for eaters committed to bringing about lasting change one meal at a time. While publications in food ethics are largely dominated by vegetarian titles, this book explores the viability of omnivorism, a dietary choice which is not devoid of animal products, but one (...) which embraces eating local, eating organic, and eating humanely raised food products. In doing so, this diet builds on the local food movement’s desire to know where food comes from and stresses the importance of maintaining high animal welfare and environmental standards. Overall, this book provides a foundational overview of ethical omnivorism as a food movement and guidance for those interested in eating ethically, while recognizing that many factors influence dietary choices. -/- This book will be of great interest to students and scholars of food studies, food, agriculture and animal ethics, environmental philosophy, and those more widely interested in making ethical food choices. (shrink)

Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical (...) practitioners engaged with the widely relevant issues they raise. (shrink)

In his influential article on the ethics of eating animals, Alastair Norcross argues that consumers of factory raised meat and puppy torturers are equally condemnable because both knowingly cause serious harm to sentient creatures just for trivial pleasures. Against this claim, I argue that those who buy and consume factory raised meat, even those who do so knowing that they cause harm, have a partial excuse for their wrongdoings. Meat eaters act under social duress, which causes volitional impairment, and (...) they often act from deeply ingrained habits, which causes epistemic impairment. But puppy torturers act against cultural norms and habits, consciously choosing to perform wrongful acts. Consequently, the average consumer of factory raised meat has, while puppy torturers lack, a cultural excuse. But although consumers of factory raised meat aren’t blameworthy, they are partially morally responsible for their harmful behavior – and for this, they should feel regret. (shrink)

In the last 2 decades, the literature has documented the upsurge of community-driven processes of consumer-producer cooperation, which are alternative to the dominant food system. These organizational arrangements have been conceptualized differently, witnessing the growing importance of local communities in generating place-based solutions to the demand for organic, local, and sustainable food. Relying on a practice theory approach, this article delves into two key inquiries: first, what motivates individuals to become part of Civic Food Networks (CFNs) and how does this (...) influence the variety of food entering their households? And second, how does participation in a CFN impact people’s daily food practices, with a particular focus on diet diversification? We employ the term “civic food networks (CFN)” to underscore the significance of grassroots initiatives in the broader context of local food policies. This term also highlights the connections to other movements known for their potential for transformation, such as the solidarity economy, transition towns, and de-growth movements. Our analysis draws on a comprehensive qualitative approach, which includes participant observation, in-depth interviews, and a focus group involving members of the CSA Naturalmente in Trentino, situated in the North-Eastern part of Italy. The findings reveal that altering dietary habits poses various challenges both at the individual and institutional levels. This process involves the stabilization of ingrained habits, adjustments to daily routines, and the reinforcement of shared norms. Furthermore, it underscores the critical role of food policies in promoting sustainable eating practices. (shrink)

In this paper, I argue that one of the most intense ways women are encouraged to enjoy sublime experiences is via attempts to control their bodies through excessive dieting. If this is so, then the societal-cultural contributions to the problem of eating disorders exceed the perpetuation of a certain beauty ideal to include the almost universal encouragement women receive to diet, coupled with the relative shortage of opportunities women are afforded to experience the sublime.

This paper contends that eating shapes the self; that is, our practices and understandings of eating can cultivate, reinforce, or diminish important aspects of the self, including agency, values, capacities, affects, and self-understandings. I argue that these self-shaping effects should be included in our ethical analyses and evaluations of eating. I make a case for this claim through an analysis and critique of the hypothesis that young women’s vegetarianism is a risk, sign, or “cover” for eating (...) disorders or disordered eating. After outlining the relevant empirical literature, I suggest that the evidence for this hypothesis is inconclusive. Given this uncertainty, we should consider the risks of making a mistake when accepting or rejecting this understanding of young women’s eating. I argue that these risks importantly include negative effects on the self, such as damage to moral and epistemic agency. Along with other potential consequences of mistakenly accepting the hypothesis, these effects give us reason to reject it pending more conclusive research. Overall, this paper offers a philosophical intervention into the debate over the relationship between vegetarianism and eating disorders while illustrating the ethical importance and relevance of eating as a self-shaping activity. (shrink)

In current society, eating is most definitely a gendered act: that is, what we eat and how we eat it factors in both the construction and the performance of gender. Furthermore, eating is a gendered act with consequences that go far beyond whether one orders a steak or a salad for dinner. In the first half of this paper, I identify the dominant myths surrounding both female and male eating, and I show that those myths contribute in (...) important ways to cultural constructions of male and female appetites more generally speaking. In the second half, I argue that the Christian church should share feminism’s perception of these current cultural myths as fundamentally disordered, and I claim that the Christian traditions of fasting and feasting present us with a concrete means to counter those damaging conceptions and reclaim a healthy attitude toward our hunger. (shrink)

Psychedelic-assisted therapy (PAT) is an emerging intervention in psychiatry, for which there is preliminary evidence for effectiveness in eating disorders (EDs). The subjective psychedelic experience is considered an important driver of positive outcomes following PAT; however, conventional study design approaches often overlook many of the nuances inherent to the experience. Consequently, considerable information is lost between the first-person account and its scientific interpretation and documentation. Phenomenology—a philosophical and empirical approach to studying lived experience—offers tools to assess and understand the (...) experiential mechanisms of PAT. This commentary advances the case for a phenomenological approach to PAT research in EDs, focusing on key domains of experience that underlie both ED psychopathology and psychedelic experiences, including embodiment, intersubjectivity, affectivity, temporality, spatiality and selfhood. We define and outline these phenomenological domains of EDs and psychedelic experiences and critically examine current measurement approaches. Following, we provide specific research recommendations, including phenomenologically grounded qualitative research and microphenomenology (i.e., the assessment of short-lived, pre-conscious experiences), to more fully capture psychedelic experiences and determine their significance for ED outcomes. The application of phenomenology to the PAT study design may contribute to a better understanding of how individuals experience PAT and generate testable hypotheses to advance psychedelic interventions. (shrink)

Who gets to decide what it means to live a healthy lifestyle, and how important a healthy lifestyle is to a good life? As more governments make preventing obesity and diet-related illness a priority, it's become more important to consider the ethics and acceptability of their efforts. When it comes to laws and policies that promote healthy eating--such as special taxes on sugary drinks and the banning of food deemed unhealthy--critics argue that these policies are paternalistic, and that they (...) limit individual autonomy over food choices. In Healthy Eating Policy and Political Philosophy: A Public Reason Approach, Anne Barnhill and Matteo Bonotti show that both paternalistic justifications for healthy eating efforts and anti-paternalistic arguments against them can be grounded in perfectionist views that overly prioritize some values over others. The authors therefore propose a more inclusive, public reason approach to healthy eating policy that will be appealing to those who take pluralism and cultural diversity seriously, by providing a framework through which different kinds of values, including but not limited to autonomy and health, can be factored into the public justification for healthy eating efforts. Additionally, the book adopts a 'farm to fork' approach to the ethics of healthy eating efforts: it engages with theories and debates in political philosophy, considers the implications of different theoretical positions for healthy eating efforts, and then develops a concrete tool for assessing policies that will be of interest to both scholars and policymakers. As well as offering a novel normative analysis of healthy eating policy, the authors offer a new theoretical framework that will be applicable to a wide range of public policy scenarios. (shrink)

Objective: The aim of this study was to examine the psychometric properties and factorial structure of the Schema Mode Inventory for Eating Disorders (SMI-ED) in a disordered eating population. Method: 573 participants with disordered eating patterns as measured by the Eating Disorder Examination Questionnaire (EDE-Q) completed the 190-item adapted version of the Schema Mode Inventory (SMI). The new SMI-ED was developed by clinicians/researchers specializing in the treatment of eating disorders, through combining items from the original (...) SMI with a set of additional questions specifically representative of the eating disorder population. Psychometric testing included Confirmatory Factor Analysis (CFA) and internal consistency (Cronbach’s α). Multivariate Analyses of Covariance (MANCOVA) was also run to test statistical differences between the EDE-Q subscales on the SMI-ED modes, while controlling for possible confounding variables. Results: Factorial analysis confirmed an acceptable sixteen-related-factors solution for the SMI-ED, thus providing preliminary evidence for the adequate validity of the new measure based on internal structure. Concurrent validity was also established through moderate to high correlations on the modes most relevant to eating disorders with EDE-Q subscales. This study represents the first step in creating a psychometrically sound instrument for measuring schema modes in eating disorders, and provides greater insight into the relevant schema modes within this population. Conclusion: This research represents an important preliminary step toward understanding and labeling the schema mode model for this clinical group. Findings from the psychometric evaluation of SMI-ED suggest that this is a useful tool which may further assist in the measurement and conceptualization of schema modes in this population. (shrink)

Eating local food has become a mainstream proxy for virtue and a reliable model of sustainable dieting. It suffers, nonetheless, from genuine criticisms and limitations. In this paper, we suggest theoretical amendments to reorient the local food movement and turn eating local into a robust concept—comprehensive, coherent, and inclusive, affording a firm grip over structural aspects of the food chain. We develop our argument in three parts. The first contends that ‘local’ can be said of lots of entities (...) (e.g. whole or multi-ingredient foods, recipes, menus) and that its meaning varies depending on which entities are under consideration. The second examines three dimensions of being local: the distance from the place of production; the geographical origins; the social links to consumers and producers. The third presents our robust conception of eating local, grounded on a more realistic model that accommodates for heterogeneous and complex actors. (shrink)

Advocates of eating locally offer a wide range of arguments in favor of the practice, but their ethical import is not always clear. Some locavore statements and arguments seem to imply a strong form of moral obligation; that eating locally is not merely instrumental to some other good, but has intrinsic value in its own right. This article examines standard arguments on behalf of eating locally, including arguments linked to the value of small farms and agrarianism, the (...) environment, taste and health, trust, and relational markets. Most arguments put forward on behalf of eating locally value it instrumentally, the main exception being arguments based on relational markets. Although these arguments provide important motives for eating locally, the strength of obligation varies widely, and even the strongest arguments possess significant qualifications. While eating locally can play a role in reducing environmental impacts, this is not necessarily so, and once removed from instrumental considerations, eating locally is more likely at best an imperfect duty. (shrink)

Drawing on both Anglo-Saxon and continental phenomenology, this text analyzes the impact of affordances and sensorial content on sub-doxastic processes by investigating the experience of eating a kinder bueno in order to distract oneself from one’s discontent(s). More specifically, I provide an analysis of how the perceived kinder bueno’s impoverished content—nonconceptual and sensory—are used in order to generate conscious perceptual content that redirects one’s attention away from one’s discontent(s) and toward the pleasure of tasting and consuming the kinder bueno.

In the Mindfulness-Based Eating Awareness Training program (MB-EAT) (Kristeller and Wolever, 2014; Kristeller and Wolever, in press), mindfulness practice is taught, mindful eating is cultivated, and self-acceptance and spiritual well-being are enhanced. An integrative concept is the value of cultivating ‘wisdom’ in regard to creating a new and sustainable relationship to eating and food. ‘Wisdom’ refers to drawing on personal experience and understanding in a flexible, insightful manner, rather than strictly following external rules and guidelines. Several clinical (...) trials involving variations of MB-EAT have documented substantive improvement in how people relate to their eating, including individuals with both binge eating disorder (BED) and subclinical eating issues. Based on the traditional value of contemplative practices for cultivating spiritual engagement, and on evidence from related research showing that spiritual well-being increases in the Mindfulness-Based Stress Reduction (MBSR) program and is related to other effects, we hypothesized that the MB-EAT program would also engage this aspect of experience, as assessed by the Functional Assessment of Chronic Illness Therapy – Spiritual Well-Being subscale (FACIT-Sp), and that increases in spiritual well-being would relate to other measures of adjustment such as emotional balance and improvement in disordered eating. Participants (N = 117) with moderate to morbid obesity, including 25.6% with BED, were randomly assi... (shrink)

Present study compared disturbed eating attitudes among male and female university students. For which it as postulated that female university students would have more disturbed eating attitudes as compare to male students. For that reason 200 males and 200 female university students from various universities of Karachi were incorporated in the study. Their age ranged from 19 to 25. Participants after verbal and written covenantfrom the heads of their institution were asked to fill the respondents’ profile form to (...) gather the participant’s demographic information, followed by Eating Attitude Test which was used to know ones disturbed eating ways. For statistical evaluation t-test was applied, which specified that male university students experience more disturbed eating attitudes compare to female learners. This clears that distressed eating attempts are not limited to females, but is now affecting males as well. Thus to avert its budding prevalence, teaching institutions should supervise its amassed risks in their students and stimulate them to healthy lines of eating. (shrink)

Medical assistance in dying has received considerable attention from many in the field of bioethics. Philosophers, theologians, lawyers, and clinicians of all sorts have engaged with many challenging aspects of this issue. Public debate, public policy, and the law have been enhanced by the varied disciplinary analyses. With the legalization of MAiD in Canada, some attention is now being turned to issues that have historically been overshadowed by the debate about whether to permit MAiD. One such issue is voluntary stopping (...) eating and drinking as an alternative to MAiD. In this paper, I will apply a legal lens to the issue. An understanding of whether VSED is legal provides a foundation for ethical reflection on whether it ought to be permitted. Is it permitted for those who prefer VSED to MAiD? Is it permitted for those who do not qualify for MAiD under our current legislation – for those who do not have a grievous and irremediable medical condition, for mature minors, for individuals whose sole underlying medical condition is a mental disorder and who do not otherwise meet the eligibility criteria, and for individuals who have lost capacity but had completed an advance directive? (shrink)

In their book Healthy Eating Policy and Political Philosophy: A Public Reason Approach, Matteo Bonotti and Anne Barnhill defend a conception of public reason centred on the notion of accessibility and advance an ethical toolkit public health policy makers can use to ensure they are reasoning publicly when designing healthy eating policies. Finally, they propose to institutionalise the process of public reasoning informed by their ethics framework by designing certain procedures of consultation and deliberation. This article focuses on (...) their institutionalisation and raises some doubts and concerns by arguing that the procedures designed by Bonotti and Barnhill may be counterproductive to some of their aims, in particular with respect to citizens’ control, epistemic injustice, and the conception of citizens as free and equal. (shrink)

Background The entitlements and rights related to eating for patients with terminal cancer have long been challenged, particularly as deteriorating health conditions may compromise their autonomy in food choices and dietary preparation. Their vulnerable situation remains poorly understood, and limited research has explored the ethical dimensions of their eating-related experiences in the context of home-based hospice care. Research aim The aim of this study was to gain an in-depth understanding of eating-related experiences in terminally ill cancer patients (...) from an ethical perspective. Research design and participants The descriptive qualitative method was conducted to explore the eating-related experience of 11 patients with terminal cancer who receiving home-based hospice care services. Ethical considerations Approval was obtained from the Biomedical Research Ethics Committee of the corresponding author’s University. Findings The following three interconnected main themes were identified in patients with terminal cancer: eating not for pleasure but as a form of torture, erosion of existential meaning in dietary restrictions, and social isolation in shared spaces. Conclusion and final considerations Patients with terminal cancer may face a dilemma as they navigate the balance between their right to enjoy food, cherish their remaining days, and sustain a desire for longevity. It is essential to consider significant ethical concerns surrounding nutrition and emphasize the patients’ needs to maintain eating autonomy, dignity, and meaningful communication until their final moments. Future research is needed to explore the ways to foster an environment where both patients and caregivers can engage in effective and equitable dialogue, thereby bridging the gap in perceptions related to eating habits and the deeper existential meanings attached to nourishment. (shrink)

Barnhill and Bonotti argue that we should reject the intelligibility criterion of public reason because it would fail to justify any healthy eating policies. Their argument is a species of a wider objection to the intelligibility criterion, which we have called the ‘anarchy objection’. According to this objection, if our set of justificatory reasons is too great, then someone will always have defeater reasons for every, or nearly every, policy. The result is anarchy: the use of government power is (...) always unjustified. The intelligibility criterion permits a larger set of reasons than all other competitors, including Barnhill and Bonotti’s preferred ‘accessibility criterion’. Whilst admitting that intelligibility sets a high bar for the justification of coercion, we argue that it is the best criterion for a public reason view. Thus, if use of the criterion fails to vindicate healthy eating policies, so much the worse for such policies. But we also argue that the anarchy objection fails and so it could be possible to justify healthy eating policies using the intelligibility criterion. Finally, we develop an alternative way of applying public reason views to policy analysis. By emphasizing the high bar for justification, we argue that it is preferable to focus on identifying existing unjustified policies that create barriers to healthy eating. This includes the subsidization of corn and sugar. This ‘reform by repeal’ approach can promote healthy eating while also reducing unjustified coercion. (shrink)

Although “you are what you eat” is a well-worn cliché, personal identity does not figure prominently in many debates about the ethics of eating interventions. This paper contributes to a growing philosophical literature theorizing the connection between eating and identity and exploring its implications for eating interventions. I explore how “identity-policing,” a key mechanism for the social constitution and maintenance of identity, applies to eating and trace its ethical implications for eating interventions. I argue that (...) identity policing can be harmful and that eating interventions can subject people to these harms by invoking identity policing qua intervention strategy or by encouraging people to eat in ways that subject them to policing from others. While these harms may be outweighed by the benefits of the intervention being promoted, they should nonetheless be acknowledged and accounted for. To aid in these evaluations, I consider factors that modulate the presence and severity of identity-policing and discuss strategies for developing less harmful eating interventions. I conclude by considering the relationship between identity-policing and identity loss caused by long-term diet change. This paper contributes to the centering of identity in food ethics and to a more comprehensive picture of identity’s ethical importance for eating interventions. (shrink)

Orthorexia is a condition in which the subject becomes obsessed with identifying and maintaining the ideal diet, rigidly avoiding foods perceived as unhealthy or harmful. In this paper, I examine widespread cultural factors that provide particularly fertile ground for the development of orthorexia, drawing out social and historical connections between religion and orthorexia (which literally means “righteous eating”), and also addressing how ambiguities in the concept of “health” make it particularly prone to take on quasi-religious significance. I argue that (...) what makes this sort of disordered eating destructive to both men and women is ultimately a common urge to transcend rather than to embrace the realities of embodiment. In sum, I believe that orthorexia is best understood as a manifestation of age-old anxieties about human nitude and mortality—anxieties which current dominant sociocultural forces prime us to experi- ence and express in unhealthy attitudes toward healthy eating. (shrink)

One of the central assertions in Anne Barnhill and Matteo Bonotti’s Healthy Eating Policy and Political Philosophy: A Public Reason Approach is that 'food and eating have many kinds of value for individuals, families, and communities', and this value 'can be both positive and negative'. One implication of this view is that healthy eating may have significant disvalue for some eaters while unhealthy eating may be highly valuable. Thus, healthy eating interventions may result in a (...) significant loss of value or increase in disvalue in eaters’ lives. The authors contend that public health policymakers should take this into account, arguing that a policy likely to result in significant losses of value or increases in disvalue is unjustifiable. In this paper, I argue that Barnhill and Bonotti’s values pluralism about food and eating offers a welcome departure from three common oversimplifications of the ethical importance of food and eating in human life: an ‘all about paternalism’ view, a healthist view, and a hedonistic view. This values pluralism enriches and enhances our understandings and normative assessments of ‘good food’ and ‘good eating’, and makes space to recognize a wider range of ‘good eaters’ than any of these oversimplifications can accommodate. This is important because being identified and treated as a ‘bad eater’ can have morally significant consequences, including damage to the eater’s agency. Thus, beyond its importance for food policy, it would be beneficial for a wide range of conversations about food and eating to adopt a values pluralist perspective. However, since some value derives from sources – such as false beliefs or oppressive identities – that may not be worthy of respect, more needs to be said about whether all value and disvalue should be treated as equivalent before this perspective can be responsibly deployed in any context. (shrink)

This book presents and discusses some of the problems that are increasingly emerging today in our relationship with food as well as in our style of eating and drinking. The first three chapters focuses on issues concerning eating, and on our relationship with what we can eat. The fourth chapter deals with the act of drinking, with our relationship with water, and discusses justice aspects in the use of water. The main idea is that the acts of (...) class='Hi'>eating and drinking are to be understood as relationships, i.e. as a way human beings relate to other beings. As such, they can be performed ethically well or badly. Therefore, an ethics of eating and of drinking should be developed. Not only the book highlights some key ethical problems associated with the act of eating and drinking, yet it also describes some ethically sustainable solutions to them. It ends with a list of reflections, which are intended to guide our choices in the relations with food and drinks with a normative approach. Mainly written for university students and researchers in the field of applied ethics, this book will also offer an inspiring reading to a wider audience of academics and professionals. (shrink)

Sufferers of eating disorders often hold false beliefs about their own body size. Such beliefs appear to violate norms of rationality, being neither grounded by nor responsive to appropriate forms of evidence. I defend the rationality of these beliefs. I argue that they are in fact supported by appropriate evidence, emanating from proprioceptive misperception of bodily boundaries. This argument has far‐reaching implications for the explanation and treatment of eating disorders, as well as debates over the relationship between rationality (...) and human psychology. (shrink)

Simona Giordano presents the first full philosophical study of ethical issues in the treatment of anorexia and bulimia nervosa. Beginning with a comprehensive analysis of these conditions and an exploration of their complex causes, she then proceeds to address legal and ethical dilemmas such as a patient's refusal of life-saving treatment. Illustrated with many case-studies, Understanding Eating Disorders is an essential tool for anyone working with sufferers of these much misunderstood conditions, and for all those ethicists, lawyers, and medical (...) practitioners engaged with the widely relevant issues they raise. (shrink)

Stressors inherent to modern life can result in adverse outcomes, including feelings of loneliness and burnout. The ongoing effects of COVID-19 pandemic has precipitated socio-economic instability, elevated individuals’ perceptions of stress and loneliness, and impacted their coping mechanisms consequently. During this process, individuals may adopt coping mechanisms such as religious/spiritual coping based on spiritual reframing or more hedonistic strategies which seek rapid emotional change such as emotional eating. In this context, the aim of this study is to examine the (...) mediating role of perceived stress and loneliness in the relationship between positive and negative religious coping (RC), burnout, and emotional eating. A total of 263 Turkish university students, aged between 18 and 27, participated in this correlational study. The results showed that positive RC strategies are associated with a reduction in feelings of loneliness and burnout. However, loneliness entirely increasing the level of negative correlation through mediating the relationship between positive RC and perceived stress. In contrast, there is a significant indirect positive correlation between negative RC and burnout via loneliness and perceived stress, while positive RC has a significant direct negative correlation with burnout. The present study shows that there is a significant level of positive correlation between burnout and emotional eating. Positive RC indirectly declines the level of emotional eating through loneliness, perceived stress, and burnout, and similarly negative RC also increases the level of emotional eating indirectly. These findings emphasize the critical role of a comprehensive evaluation of psychological and spiritual support mechanisms in the development of psychoeducational programs to cope with burnout and stress. (shrink)

Some animal ethicists argue that eating roadkill is permissible because salvaging and consuming already dead animals doesn’t cause harm to anyone. Moreover, some argue that eating roadkill is actually obligatory, insofar as a diet that includes some roadkill is less harmful than a diet that consists of protein (animal or plant) obtained only from grocery stores and restaurants. Against this view, Abbate argues that eating roadkill is wrong for at least two reasons: (1) better consequences would be (...) produced if roadkill were either left in surrounding habitats for scavenger animals or given to other would-be meat eaters (such as meat-eating friends, family, and/or neighbors), and (2) those who salvage and consume roadkill both benefit from and are involved in wrongdoing, insofar as the animals who are killed by motor vehicles are killed as a result of injustice. (shrink)

This paper begins by distinguishing three different but related foci of gastronomical aesthetic theory: food preparation and presentation; the gustatory qualities and social meanings of the food we eat; and finally the various actions involved in the ingestion of food. This third, largely ignored dimension of gastronomical theory, constitutes the topic of this paper, which seeks to define the distinctive character of this art, elucidate its diverse values, and analyze its key elements. Particular attention is given to the much overlooked (...) proprioceptive qualities and postural aspects of the art of eating. (shrink)

Eating disorders are mental illnesses that can have a significant and persistent physical impact, especially for those who are not treated early in their disease trajectory. Although many persons w...

Background: although cognitive behavioural therapy is the gold standard treatments for bulimia nervosa (BN) and binge eating disorder (BED), evidence for its long-term efficacy is weak. Empirical research support the efficacy of brief strategic therapy (BST) in treating BN and BED symptoms, but its statistical significance still need to be investigated. Objective: to statistically test the long-term efficacy of the BST treatment protocols for BN and BED through one-year post-treatment. Methods: a two-group longitudinal study will be conducted. Participants will (...) be sequentially recruited for inclusion in a state-funded community psychotherapy clinic. Multilevel growth curve modeling will be used to estimate the average growth trajectories from baseline to one year after treatment termination for the severity of the BN and BED features as measured by the Eating Disorder Examination Questionnaire. Discussion: findings from this study will clarify the impact of BST in treating BN and BED symtoms. Conclusions: translating research into practice may inform how to ensure high-quality patient care. (shrink)

Mainstream forms of psychiatric talk therapy and cognitive behavioral therapy (CBT) do not reliably generate lasting recovery for eating disorders. We discuss widespread assumptions regarding the nature of eating disorders as fundamentally psychological disorders and highlight the problems that underlie these notions, as well as related practical problems in the implementation of mainstream treatments. We then offer a theoretical and practical alternative: a dynamical systems model of eating disorders in which behavioral interventions are foregrounded as powerful mediators (...) between psychological and physical states. We go on to present empirical evidence for behavioral modification specifically of eating speed in the treatment of eating disorders, and a hypothesis accounting for the etiology and progression, as well as the effective treatment, of the full spectrum of eating problems. A dynamical systems approach mandates that in any dietary and lifestyle change as profound as recovery from an eating disorder, acknowledgment must be made of the full range of pragmatic (psychological, cultural, social, etc.) factors involved. However, normalizing eating speed may be necessary if not sufficient for the development of a reliable treatment for the full spectrum of eating disorders, in its role as a mediator in the complex feedback loops that connect the biology and the psychology with the behaviors of eating. (shrink)

In the first controlled, non-self-report studies to show an influence of university-level ethical instruction on everyday behavior, Schwitzgebel et al. (2020) and Jalil et al. (2020) found that students purchase less meat after exposure to material on the ethics of eating meat. We sought to extend and conceptually replicate this research. Seven hundred thirty students in three large philosophy classes read James Rachels’ (2004) “Basic Argument for Vegetarianism”, followed by 50-min small-group discussions. Half also viewed a vegetarianism advocacy video (...) containing factory farm footage. A few days after instruction, 54% of students agreed that “eating the meat of factory farmed animals is unethical”, compared to 37% before instruction, with no difference between the film and non-film conditions. Also, 39% of students anonymously pledged to avoid eating factory farmed meat for 24 h, again with no statistically detectable difference between conditions. Finally, we obtained 2828 campus food purchase receipts for 113 of the enrolled students who used their Student ID cards for purchases on campus, which we compared with 5033 purchases from a group of 226 students who did not receive the instruction. Meat purchases remained constant in the comparison group and declined among the students exposed to the material, falling from 30% to 23% of purchases overall and from 51% to 42% of purchases of $4.99 or more, with the effect possibly larger in the film condition. (shrink)

The devastating impact of the COVID‐19 (coronavirus disease 2019) pandemic is prompting renewed scrutiny of practices that heighten the risk of infectious disease. One such practice is refusing available vaccines known to be effective at preventing dangerous communicable diseases. For reasons of preventing individual harm, avoiding complicity in collective harm, and fairness, there is a growing consensus among ethicists that individuals have a duty to get vaccinated. I argue that these same grounds establish an analogous duty to avoid buying and (...) eating most meat sold today, based solely on a concern for human welfare. Meat consumption is a leading driver of infectious disease. Wildlife sales at wet markets, bushmeat hunting, and concentrated animal feeding operations (CAFOs) are all exceptionally risky activities that facilitate disease spread and impose immense harms on human populations. If there is a moral duty to vaccinate, we also should recognize a moral duty to avoid most meat. The paper concludes by considering the implications of this duty for policy. (shrink)

To provide a qualitative analysis of abnormal temporal experiences of persons affected by feeding and eating disorders. This is a naturalistic explorative study on a group of 27 patients affected by FED interviewed over a two-year period in a clinical/psychotherapeutic setting. Clinical files were analysed by means of Consensual Qualitative Research. Twenty-one out of twenty-seven patients affected by FED reported at least one ATE. The main categories identified are 1) Irruption of disturbing bodily experiences ; 2) Anxiety for the (...) passing of time ; 3) Ritualization/Digitalization of time. ATE are a relevant feature of the life-world inhabited by people with FED and may represent an important link between abnormal bodily experiences and disorders of personal identity in these patients. The sample number is small but our preliminary findings justify testing a larger number of patients. (shrink)

Background Assisting patients with oral eating and drinking is a fundamental aspect of nursing activity, yet its ethical dimensions remain underexplored. This study addressed two key questions: (1) How do nursing students perceive the task of assisting patients with oral eating and drinking? (2) What ethical concerns do they encounter in this care?. Research design A qualitative descriptive approach using thematic analysis. Participants and context Forty-nine undergraduate nursing students with clinical experience from a single university in Brunei participated (...) through online individual text-based interviews. Ethical considerations The study was approved by the University Research Ethics Committee. Participants provided digital informed consent. Findings Students highlighted the importance of preserving patient dignity through respectful and person-centred care, prioritising both verbal and non-verbal consent, and advocating for patients’ needs. They expressed that advocating effectively for patients requires moral courage and professional responsibility. Three themes emerged: (1) carrying out respectful care, (2) making consent a priority, and (3) learning to speak up for patients. Conclusions Nursing students recognised that assisting patients with eating and drinking is an ethically significant practice requiring respectful care, attention to consent, and advocacy. Nursing education should strengthen ethical sensitivity and advocacy skills to prepare students for these responsibilities. (shrink)

The paper examines the issues of epidemiology, conditions, and treatment of eating disorders in men which are not widely recognised in either Polish and other International research. The aim of this paper is to provide an narrative overview of published research to date on the epidemiology, determinants and treatment of eating disorders in males, to discuss some of the differences reported in studies of self-identified gender disparities, and differences in comparison to the literature on female eating disorders. (...) The prevalence and extent of the issue is underestimated by those affected and by clinicians. Consequently, men suffering from eating disorders (EDs) are less likely to be recognised or to receive appropriated timely help. This paper is based on a narrative review analysis of research reports on EDs. The authors discuss the issue of EDs in the context of gender, indicating how self-identified gender can affect clinical presentation (including somatic self- -perception, and the methods employed and motives in striving for a ‘perfect’ figure) and how these relate. Both the methods used in collecting data on eating disorders and the precision of diagnostic criteria for recognising eating disorders (mainly anorexia nervosa and bulimia nervosa) (both on the DSM and ICD systems) are based largely on research conducted in female clinical populations. Analysis of the empirical material to date leads us to assume that symptoms of EDs in men are more often (than in the case of women) related to (self)stigmatisation, difficulties in obtaining a correct diagnosis, coexistent body dysmorphic disorders, substance addictions, and greater physical activity.’. (shrink)

BackgroundSome people with progressive neurological diseases find they need additional support with eating and drinking at mealtimes, and may require artificial nutrition and hydration. Decisions concerning artificial nutrition and hydration at the end of life are ethically complex, particularly if the individual lacks decision-making capacity. Decisions may concern issues of life and death: weighing the potential for increasing morbidity and prolonging suffering, with potentially shortening life. When individuals lack decision-making capacity, the standard processes of obtaining informed consent for medical (...) interventions are disrupted. Increasingly multi-professional groups are being utilised to make difficult ethical decisions within healthcare. This paper reports upon a service evaluation which examined decision-making within a UK hospital Feeding Issues Multi-Professional Team.MethodsA three month observation of a hospital-based multi-professional team concerning feeding issues, and a one year examination of their records. The key research questions are: a) How are decisions made concerning artificial nutrition for individuals at risk of lacking decision-making capacity? b) What are the key decision-making factors that are balanced? c) Who is involved in the decision-making process?ResultsDecision-making was not a singular decision, but rather involved many different steps. Discussions involving relatives and other clinicians, often took place outside of meetings. Topics of discussion varied but the outcome relied upon balancing the information along four interdependent axes: Risks, burdens and benefits; Treatment goals; Normative ethical values; Interested parties.ConclusionsDecision-making was a dynamic ongoing process with many people involved. The multiple points of decision-making, and the number of people involved with the decision-making process, mean the question of ‘who decides’ cannot be fully answered. There is a potential for anonymity of multiple decision-makers to arise. Decisions in real world clinical practice may not fit precisely into a model of decision-making. The findings from this service evaluation illustrate that within multi-professional team decision-making; decisions may contain elements of both substituted and supported decision-making, and may be better represented as existing upon a continuum. (shrink)

The purpose of this paper is to define and describe the main phenomenological dimensions of the life-world of persons prone to Feeding and Eating Disorders (FEDs), within the framework of a model that considers abnormal eating behaviour an epiphenomenon of a more profound disorder of lived corporeality and identity. The core idea is that persons with FEDs experience their own body first and foremost as an object being looked at by another, rather than coenaesthetically or from a first-person (...) perspective. Alienation from one’s own body and the need to feel oneself only through the gaze of the others can be illuminated by looking at it in the light of the Sartrean concept of feeling a lived-body-for-others. (shrink)

Can the prevention of eating disorders be regulated? Can this goal be achieved by means of placing legal restrictions on the modeling industry? These core questions are the basis of our article.EDs constitute one of the foremost contemporary health concerns faced by Western cultures. It is commonly perceived that the modeling industry is a dominant factor causing the alarming increase of EDs by exposing the public to pictures of ultrathin models who present unrealistic body measures. Forming such a distorted (...) beauty ideal is believed to encourage the development of EDs as women desperately attempt to adopt such unattainable looks.Whereas considerable legal consideration of EDs focuses on public issues such as.. (shrink)

Many people who are vegetarians for moral reasons nevertheless accommodate the buying and eating of meat in many ways. They go to certain restaurants in deference to their friends’ meat eating preferences; they split restaurant checks, subsidizing the purchase of meat; and they allow money they share with their spouses to be spent on meat. This behavior is puzzling. If someone is a moral vegetarian—that is, a vegetarian for moral reasons—then it seems that the person must believe that (...) buying and eating meat is morally wrong. But if someone believes that a practice is morally wrong, it seems she should also believe that accommodating and supporting that practice is morally wrong; many moral vegetarians seem not to believe this. In this paper, I will offer a solution to this puzzle; I will offer a possible explanation of why people who are vegetarians for moral reasons nevertheless do accommodate the buying and eating of meat. I will offer an explanation of this accommodation behavior on which it is reasonable and it makes sense. I will argue that moral vegetarians may see the buying and eating of meat as a morally permissible moral mistake. They may see the practice as one that one should not engage in, for moral reasons, but that is not morally wrong. Thus, they may see their accommodation of the practice as accommodation of behavior that is not morally wrong, while it is still the case that they are moral vegetarians who see themselves as required to be vegetarians. (shrink)

The Hungry Soul is a fascinating exploration of the natural and cultural act of eating. Kass brilliantly reveals how the various aspects of this phenomenon, and the customs, rituals, and taboos surrounding it, relate to universal and profound truths about the human animal and its deepest yearnings. "Kass is a distinguished and graceful writer. . . . It is astonishing to discover how different is our world from that of the animals, even in that which most evidently betrays that (...) we too are animals--our need and desire for food."--Roger Scruton, Times Literary Supplement "Yum."--Miss Manners. (shrink)

Asian American women demonstrate higher rates of disordered eating than other women of color and comparable rates to European American women. Research suggests that leading sociocultural predictors, namely pressures for thinness and thin-ideal internalization, are predictive of disordered eating in Asian American women; however, no known studies have tested the intersection of sociocultural and culture-specific variables (e.g., ethnic identity, biculturalism, acculturative stress) to further elucidate disordered eating risk in this vulnerable, understudied group. Accordingly, this project used path (...) analysis to simultaneously examine the role of sociocultural and culture-specific effects on disordered eating in Asian American college women (N = 430). Self-report measures assessing disordered eating, sociocultural (pressures for thinness; thin-ideal internalization) and culture-specific (ethnic identity, biculturalism, acculturative stress) variables revealed that a number of sociocultural and culture-specific factors are predictive of disordered eating. Consistent with prior research, heightened perceived pressures for thinness and thin-ideal internalization were predictive of disordered eating, and thin-ideal internalization partially mediated the relationship between pressures for thinness and disordered eating. Acculturative stress predicted disordered eating and fully accounted for the inverse relationship between biculturalism and disordered eating. Overall, findings highlighted the salience of sociocultural predictors for disordered eating in Asian American women and identified biculturalism and acculturative stress as culture-specific contributors that may uniquely impact vulnerability to disordered eating in Asian American women. Thus, the combined consideration of sociocultural and culture-specific factors may be important in disordered eating research and in the development of individualized treatment plans for Asian American women. (shrink)

This essay introduces a symposium on two books that engage in debates in both liberal political philosophy and food ethics, Anne Barnhill and Matteo Bonotti’s Healthy Eating Policy and Political Philosophy: A Public Reason Approach and Josh Milburn’s Food, Justice, and Animals: Feeding the World Respectfully. It provides synopses of the books’ arguments and outlines the critical issues discussed in the symposium.

Studies have highlighted high prevalence of eating disorders among people with gender dysphoria, particularly transgender boys. This finding is extremely important: it means that transgender youth are exposed to the additional health hazards, which are extremely serious, of eating disorders. This paper highlights a series of conceptual problems inherent in the notion of ‘comorbidity’, and suggests that such notion needs careful examination. A superficial understanding such notion may lead healthcare professionals to assume that many transgender youth suffer additional (...) psychopathology; they may thus become wary of commencing medical treatment for gender dysphoria until those other conditions are controlled. It is therefore essential, both from an ethical and a clinical point of view, that the notion of ‘comorbidity’ be properly understood, in order to avoid the risk that a helpful finding is turned into an additional stigma for transgender people and an obstacle to provision of medical treatment. (shrink)

This paper argues that common social narratives about unhealthy eaters can cause significant damage to agency. I identify and analyze a narrative that combines a “control model” of eating agency with the healthist assumption that health is the ultimate end of eating. I argue that this narrative produces and enables four types of damage to the agency of those identified as unhealthy eaters. Due to uncertainty about what counts as healthy eating and various forms of prejudice, the (...) unhealthy eater label and its harms to agency are more likely to stick to some people than others and may reinforce patterns of oppression. I argue that fat people are especially vulnerable to this identification and the damage it can do. I then consider possible “counterstories” about unhealthy eaters, alternative narratives that might be less damaging to agency than the control narrative. I identify one promising counterstory but suggest that it may be limited when it comes to repairing damage to the agency of fat people. Overall, this paper illustrates some of the complex ways that healthism about eating affects agency, and emphasizes the ethical importance of the ways we think about and discuss eating and eaters. (shrink)

Transtheoretical integrative decision-making models help clinicians to use patient factors that are known to predict outcomes in order to inform individualized treatment. Patient factors with a strong evidence base include: functional impairment, social support and interpersonal functioning, complexity and comorbidity, coping style, level of resistance, and subjective distress. Among those with binge-eating disorder (BED), patient factors have not been extensively characterized relative to norms or other clinical samples. We used an integrative decision-making model of these six domains of patient (...) factors related to patient outcomes to characterize a sample of 424 adult treatment-seeking patients with BED. Data were from medical charts, a demographics questionnaire, and validated psychometric scales. We then compared these data to published data from normative and other eating disorder (ED) samples. Results showed that the average patient with BED: (1) was significantly more functionally impaired compared to non-clinical norms but somewhat less impaired than other patients with ED, (2) demonstrated clinically significant problems in social support and interpersonal functioning, (3) presented with complex comorbid pathology and high levels of chronicity, (4) used a more internalizing coping style compared to the norm and other ED samples, (5) had low levels of resistance to interventions, and (6) experienced a moderately high level of subjective distress indicating good motivation for treatment. Corresponding recommendations to these findings are that the average patient with BED should be provided higher intensity treatment that is longer in duration, interpersonally-focused, directive in nature, and emphasizing self-reflection and insight. Despite the nomothetic nature of the findings, clinicians are encouraged to assess these patient domains in order to come to an ideographic case conceptualization and to tailor precision treatment to the individual patient with BED. (shrink)

This paper examines vegetarianism in the eighth “no meat-eating” chapter of the Laṅkāvatāra with specific attention to how the sūtra confronts the previous dietary code and combats Buddhist resistance to the new doctrine. This study corroborates previous observations that vegetarianism in Indian Buddhism was a response to outsiders’ censure, rather than an expression of a specific Buddhist doctrine. It goes on to explore how the Laṅkāvatāra introduces a new dietary norm, one that was incompatible with the preexisting monastic code (...) that allowed monks to partake of meat pure in three aspects. The Laṅkāvatāra replaced the three conditions for meat to be pure with the three modes of killing, thereby rendering the old regulation into a rule that makes any form of meat-eating impossible. In an effort to suppress intra-Buddhist resistance to vegetarianism, the sūtra prophesized the future appearance of anti-vegetarian Buddhists and identified them as heretics. Eliminating the past and future possibility of meat-eating, the Laṅkāvatāra defines Buddhism as a meat-free tradition. (shrink)

Introduction:Athletes are at increased risk of disordered eating compared to non-athletes. Inspired by previous investigation into quantitative work on an etiological model of disordered eating in athletes, the current study aimed to explore a problematic aspect of the model: athletes' lived experiences of social and sport pressures in relation to the onset of disordered eating and differing eating behaviors.Methods:Nine (N= 9) male and female athletes representing a range of endurance sports took part in semi-structured interviews. Thematic (...) analysis was utilized.Analysis:Analysis revealed two main themes each with two corresponding subthemes (1) Conflating physical appearance and sporting ability with the subthemes of (1a) social comparison in a sporting world and (1b) societal notions of “the athlete body” and (2) Living as an athlete with the corresponding subthemes of (2a) discipline and sacrifice and (2b) the balancing act.Discussion:It is the complex interaction between societal expectations as lived out in social messages and comparisons, and sport pressures that contributes to the development of disordered eating behaviors. These findings suggest that prevention and treatment of disordered eating in athletes can be applied from those already established in non-sporting realm. (shrink)