Nombre de document(s) : 50 Date de création : 16 avril 2014 Créé par
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Nombre de document(s) : 50 Date de création : 16 avril 2014 Créé par
Nombre de document(s) : 50 Date de création : 16 avril 2014 Créé par : TELECOM-PARISTECH Instagram follows Tumblr, Pinterest; bans self-harm posts Blogs - Science and technology - CNET.com - 21 avril 2012............................................................................. 5 A tragic teen suicide can't be blamed on Tumblr Blogs - News - The Daily Dot - 28 janvier 2014................................................................................................. 6 Tumblr's Thinspo Ban Could Actually, Horribly, Make Pro-Ana Sites More Accessible [Weighty Matters] Blogs - News - Jezebel - 7 juillet 2012................................................................................................................ 9 Even as Obesity Soars, Anorexia Remains a Huge Issue for Teen Girls Blogs - Science and technology - Gear Diary - 11 janvier 2013........................................................................ 10 Ultra-thin The Western Star (Corner Brook) - 18 avril 2008.............................................................................................. 12 France first to tackle fashion's love of 'thin' The Fredericton Daily Gleaner - 16 avril 2008.................................................................................................. 14 France targets promotion of ultra-thinness; Anti-a The Chronicle-Herald - 16 avril 2008................................................................................................................ 16 Pro-anorexia movement flourishes online for those looking for 'thinspiration' The Whitehorse Star - 27 juillet 2004................................................................................................................ 17 Thinspiration and pro-ana sites perpetuate eating disorders Blogs - Health - Kevin, M.D. - Medical Weblog - 20 juillet 2010.................................................................... 19 Web Sites Celebrate a Deadly Thinness The New York Times - 7 juin 2005................................................................................................................... 20 Tumblr Takes a Stand Against Self-Mutilation, Pro-Ana Sites by Banning Them 1 Blogs - Media - The Mary Sue - 23 février 2012............................................................................................... 22 Mince alors! Le Devoir - 20 août 2001................................................................................................................................... 24 Before Spring Break, The Anorexic Challenge The New York Times - 2 avril 2006.................................................................................................................. 26 Deadly advice The Western Star (Corner Brook) - 21 juin 2010............................................................................................... 30 83% of pro-eating disorder sites have 'overt' tips on practising behaviour: study The Canadian Press - 17 juin 2010..................................................................................................................... 32 Pro Ana Sites Under Attack by Media Blogs - Finance - Business 2 Community.com - 10 juillet 2012....................................................................... 34 Pro-ana debate on My Crime Space Blogs - Health - Breaking the Mirror - 17 décembre 2008................................................................................ 36 Web Sites Likely Contributing to High Anorexia Death Rate, According to Timberline Knolls PR Newswire US - 2 juillet 2010....................................................................................................................... 37 Despite social media bans of "pro-ana" websites, pages persist Blogs - News - CBS News - 28 mars 2012........................................................................................................ 39 Is There a Silver Lining to Otherwise Awful Pro-Ana 'Thinspo' Blogs? [Weighty Matters] Blogs - News - Jezebel - 20 août 2012............................................................................................................... 41 Struggling With Anorexia on the Web The New York Times (blogs) - Well - 12 octobre 2012.................................................................................... 42 IU RESEARCHERS INTERVIEW PRO-ANOREXIC BLOGGERS FOR GROUNDBREAKING NEW STUDY States News Services - 20 août 2012.................................................................................................................. 44 Opening our eyes to pro-anorexia and pro-bulimia websites Blogs - Health - Health Business Blog - 21 juin 2010....................................................................................... 47 Pinterest Bans Thinspiration And Pro-Ana Content...But That Doesn't Mean That It's Going Away Blogs - Health - Blisstree - 27 mars 2012.......................................................................................................... 49 [Stick figures or sick figures? Websites that advocate eating disorders worry health experts Story by Alana Semuels Illustration by Daniel Marsula Pittsburgh Post-Gazette Pictures of sickly thin models and] The Lethbridge Herald - 15 septembre 2005...................................................................................................... 51 'You can't save people from themselves' Victoria Advocate (TX) - 15 décembre 2008..................................................................................................... 54 A Secret Society of the Starving The New York Times - 8 septembre 2002......................................................................................................... 55 True Story: I've Been Using Pro-Ana Websites For Over A Decade Blogs - Health - Blisstree - 2 mars 2012............................................................................................................ 61 2 'Have a skinny day': Buoyed by technology and the promise of anonymity, pro-anorexics flock to Web sites to reach others The Telegram (St. John's) - 9 août 2001............................................................................................................ 63 Eating disorder sites can have negative impact Victoria Advocate (TX) - 15 décembre 2008..................................................................................................... 65 Biting back As pro-eating disorder Web sites emerge, so does the backlash Albuquerque Journal (NM) - 9 mars 2009......................................................................................................... 67 Pro-Ana Sites Are Just The Tip Of Eating Disorders On The Internet Blogs - Health - Blisstree - 1 mars 2012............................................................................................................ 70 Websites selling 'pro-ana' bracelets concern eating disorder specialists CBC (blogs) - 31 mars 2014............................................................................................................................... 72 Pro-Anorexia Groups Spread to Facebook Blogs - Health - Dare To Dream - 22 mai 2010................................................................................................. 74 [Chiffres L'anorexie mentale touche 1 % de la population adolescente en France avec 2 500 nouveaux cas par an.] Paris-Normandie - 1 juillet 2008........................................................................................................................ 76 Anorexie : comment la loi a éclipsé la charte CB News - 21 avril 2008.................................................................................................................................... 77 Quand la pub s'empare de l'anorexie Les Echos - 8 octobre 2007................................................................................................................................ 79 GUERRE À L'ANOREXIE Le Figaro - 27 janvier 2007................................................................................................................................ 81 Les députés entrent en guerre contre les défenseurs de l'anorexie Sud Ouest - 16 avril 2008................................................................................................................................... 82 Est-ce qu'une loi suffira contre les sites «pro-ana» ? Libération - 16 avril 2008................................................................................................................................... 83 «Chaque cas est différent» Sud Ouest - 20 mai 2008.................................................................................................................................... 85 Punir les incitations à l'anorexie, une proposition de loi en débat à l'Assemblée AFP - Journal Internet AFP (français) - 15 avril 2008....................................................................................... 87 Les auteurs des blogs « pro-ana » s'estiment victimes de censure Le Monde - 22 avril 2008................................................................................................................................... 92 Les sites internet favorisent l'anorexie mais ne sont pas à l'origine de la maladie AFP - Journal Internet AFP (français) - 16 avril 2008....................................................................................... 94 L'incitation à l'anorexie devient un délit Le Figaro - 16 avril 2008.................................................................................................................................... 96 Comment les réseaux sociaux façonnent nos pratiques alimentaires ? NewsPress (français) - 4 décembre 2012........................................................................................................... 97 Les fans de l'anorexie servent leur soupe sur le Web Libération - 20 août 2001................................................................................................................................... 99 3 Les nouvelles anorexiques d'aujourd'hui, par trois élèves de 4e D Ouest-France - 11 juin 2009............................................................................................................................. 101 «Je ne me sens pas malade» Libération - 16 avril 2008................................................................................................................................. 102 Les "pro-ana" sur le Web, entre apologie de l'anorexie et soutien aux malades Le Monde.fr - 15 avril 2008............................................................................................................................. 103 4 Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Science and technology - CNET.com Saturday, 21 April 2012 Instagram follows Tumblr, Pinterest; bans self-harm posts Edward Moyer Apr 21, 2012 - Instagram, the popular online photo-sharing service that was recently bought by Facebook for $1 billion, is banning images and accounts that condone "self-harm" behavior such as embracing eating disorders, cutting oneself, or committing suicide. Apr 21, 2012 - In a blog post Friday, the company said the following: Apr 21, 2012 - Going forward, we won't allow accounts, images, or hashtags dedicated to glorifying, promoting, or encouraging self-harm. Should users come across content of that nature, we recommend flagging the photo or flagging the user as a "Terms of Service" violation for our Support team to review. It is important to note that this guideline does not extend to accounts created to constructively discuss, or document personal experiences that show any form of self-harm where the intention is recovery or open discussion. While we strongly encourage people to seek help for themselves or loved ones who are suffering, we understand the importance of communication as a form of support, in order to create awareness and to assist in recovery. Related stories Tumblr tackles proanorexia and suicide blogs Facebook throws potentially suicidal users a Lifeline Should pro-anorexia sites be banned? In late February, blogging site Tumblr banned self-harm blogs, saying "We are deeply committed to supporting and defending our users' freedom of speech, but we do draw some limits." It also said it will show public service © 2012 Blogs - Science and technology ; CEDROM-SNi inc. news·20120421·NBSC·CBSI-108480-13350348244136940100 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 5 warnings when people search for tags such as "anorexia," "bulimia," "thinspiration," and "purging." In March, Pinterest followed suit with its own ban. Late last year, the National Eating Disorders Association launched Proud2Bme, a site designed to be a positive alternative to online thinspiration and pro-anorexia/probulimia -- or "thinspo" and "proana"/"pro-mia" -- postings. And in December, the National Suicide Prevention LifeLine teamed with Facebook on a service that lets users of the social network click a link to begin a live chat with a suicide counselor or to report posts that might indicate suicidal behavior. Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - News - The Daily Dot Tuesday, 28 January 2014 A tragic teen suicide can't be blamed on Tumblr Gavia Baker-Whitelaw Jan 28, 2014 - In October 2012, the tragic death of British schoolgirl Tallulah Wilson became the latest in a string of social media-related suicides. Jan 28, 2014 - Unable to find support among her real-world peer group, Wilson had turned to Tumblr to express her feelings of self-loathing. When her mother found photos she'd posted of her self-harm scars, her blog was shut down. One day later, on Oct. 14, 2012, she took her own life by stepping onto the train tracks at St. Pancras Station in London. Last week, an inquest into Wilson's death brought the case to the attention of the British media once again. At 15 years old, she was a talented ballet dancer who struggled with depression and eating disorders, eventually becoming obsessed with blogging about self-harm and suicide. In a statement to the press on Wednesday, her mother, Sarah Wilson, described Tallulah as being "in the clutches of a toxic digital world" and urged advertisers to withdraw from any website that included material that appeared to promote suicide or selfharm. Could Tumblr really have done more to protect a vulnerable teen from dangerous influences online? Or does this sad instance illustrate the need to better educate parents about the places and interactions their kids experience online? In February 2012 , Tumblr announced that it would be altering its content policy to include rules that actively combated "the promotion or glorification of self-harm." By the beginning of March , the policy was already in place. Pro-self-harm content is forbidden on the site, and when searching phrases such as "suicide," "anorexia," "thinspiration" or "self-harm," users are now confronted with a pop-up message with links to counseling and prevention resources . Tumblr also provides an anonymous chat services, which younger users might feel more comfortable with using. Users who post inappropriate content face having their blogs deleted and their IP addresses blocked from using the site again. Tumblr made its intentions clear in a followup post addressing users' concerns: "While we won't allow blogs dedicated to triggering self-harm, we will not act against blogs engaged in discussion, support, encouragement, and documenting the experiences of those dealing with difficult conditions like anorexia, bulimia, and other forms of self-injury. We absolutely want Tumblr to be a place where people struggling with these behaviors can find solace, community, dialog, understanding, and hope." Screencap via Tumblr In response to the Tallulah Wilson inquest last week, a spokeswoman 6 from Tumblr said that Wilson and her family were "in the thoughts of Tumblr and its employees." She went on to highlight Tumblr's understanding of the issue of selfharm and suicide-related content. "Issues of depression and self-harm are extremely challenging, particularly in online environments that encourage self-expression. Tumblr has policies to address the most harmful of this content, and we have systems in place to direct users to appropriate resources for getting whatever help they may need. We are committed to continually improving our ability to act on self-harm content, and also to keeping Tumblr a positive, supportive environment for those individuals dealing with issues of depression and self-harm." In the British press, coverage of the Tallulah Wilson inquest was often accompanied by headlines mentioning " suicide blogs ," " online nightmares ," and Tumblr. But as in with most cases of teen suicide, there was no simple answer to the question of why such a talented and promising young girl would decide to take her own life. Photo solotudavantiagliocchi- /Tumblr via Four months before the death of Tallulah Wilson, the British media was focusing on a very similar case of teen suicide, that of Rosie Whitaker, a 15-year-old girl who walked onto the Nombre de document(s) : 50 Date de création : 16 avril 2014 train tracks near her home in SouthEast London. Like Wilson, Whitaker was a talented amateur ballet dancer who struggled with self-harm and body image issues, which led to her visiting "pro-ana" (pro-anorexia) sites where people would share advice on extreme weight loss techniques. Both girls attended the same dance school, the Place, and while they are not thought to have known each other, Sarah Wilson described her daughter as being "obsessed" with media coverage of Whitaker's suicide. Whitaker's family blamed the influence of pro-ana websites and planned to launch a campaign to spread awareness of the issue, with her mother saying , "It appears [Rosie] was, unfortunately, heavily influenced by websites and online communities promoting self-harm and suicide. We hope her tragic death serves as a warning to other impressionable youngsters and their parents that such sites pose grave risks." Photo via feelinlitfeelinfine /Tumblr As with many high-profile cases of social media-related suicide, the lines between cause and symptom were blurred. Whitaker had already been treated for an eating disorder and had been struggling with mental illness for several months, often blogging about her thoughts of suicide and selfloathing. Similarly, Tallulah Wilson was assessed to be "severely depressed" when she met with a psychiatrist in May 2012. The day before Tallulah took her own life, her mother discovered details of her activity on Tumblr, including photographs of her daughter self- harming. Tallulah had created a cocaine-using fantasy online persona as a kind of escapism, gaining thousands of followers, including some who her mother suspected were comparing their self-harm scars. "She said she had 18,000 people who loved her for who she was online," said Sarah Wilson. "She told me she was finally happy, she didn't think she could have friends in the real world." Horrified by what her daughter had been posting, she shut down the Tumblr account, hoping to protect her daughter from the self-harm images she had seen online. The next day, Tallulah was driven to a dance class but did not attend and was later found to have jumped in front of a train at London's St. Pancras station. On Jan. 22, 2014, the inquest into Tallulah Wilson's death was closed, inspiring a new burst of media attention as tabloids began to post portraits of her posing with her guitar, coupled with headlines about the dangers of the Internet. Her mother's heartbreaking press statements told the story of someone who was helpless in the face of a relative's mental illness, trying and failing to get effective professional help as her daughter slipped away into "a world where the lines between fantasy and reality became blurred." Photo via friends /Tumblr go-tell-all-your- Sadly, it all feels very familiar: the media narrative of a teenager with their whole life ahead of them, driven to suicide by online influences. In 2013, social media site Ask.fm became notorious after seven teenagers committed suicide following reports of cyberbullying on 7 the site. But while stories of cyberbullying and harassment usually have a clear villain on which to attach the blame, situations such as Tallulah Wilson's highlight a more complex issue. In short, many teens feel that sites like Tumblr are the only place they can safely discuss their problems. In the case of Tallulah Wilson and Rosie Whitaker, the media coverage seemed to focus on three things: their creative talent and promise as dancers, the obvious inaccuracy of their belief that they were fat or ugly, and their habit of frequenting selfharm blogs. In the rush to discuss the dangers of teen-friendly blogging services like Tumblr, the fact that both girls had recently been treated for serious mental illnesses was mentioned almost as an afterthought. The problem is, the decision to ban vulnerable teens from social media puts parents between a rock and a hard place. While the dangers of proana blogs and self-harm communities are clear, sometimes the lines are blurred between harmful content and real support groups that might actually help with a person's recovery. After all, many teenagers turn to sites like Tumblr to find friends and emotional support because they feel isolated at school or at home. There are thriving Tumblr support communities for transgender teens , those struggling with mental illness , and just about everything else you can imagine. Cutting teens off from their online life and such support circles might actually do more harm than good. Tumblr blogger piratemoggy , who often writes about teen culture and mental illness, wrote a lengthy Nombre de document(s) : 50 Date de création : 16 avril 2014 response to the media coverage surrounding the Tallulah Wilson inquest. In it, she speaks of her own issues with depression and eating disorders as a teenager and how being cut off from her blog would not have been the right solution. "When I was younger, I was fairly heavily into doing a lot of ballet and not eating food... When I was at university, I discovered 'thinspo' communities on Livejournal- groups of people exacerbating their conditions by staring longingly at emaciated bodies. It's warped. It's sick. It's not the website's fault. ... "What I needed, more than anything, was to get better. I didn't need my livejournal shutting down, I definitely didn't need cutting off from the only places where I talked about the condition, I needed access to services that would help me get better. I needed my mental illness to be taken seriously, even though I was a teenage girl." Tumblr understands the complexity of the issue. "We're not under the illusion that it will be easy to draw the line between blogs that are intended to trigger self-harm and those that support sufferers and build community," the company wrote in February 2012. Indeed, the jury at the Tallulah Wilson inquest seemed to reinforce that thought, emphasizing the need to better understand an online culture that is often only accessed by teens. "This case has highlighted the importance of online life for young people," they said. "We all have a responsibility to gain better © 2014 Blogs - News ; CEDROM-SNi inc. news·20140128·NBNE·TDOT-125147-13909195314898952617 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 8 understanding of this. This is a particular challenge for healthcare professionals and educators." Instead of buying into the idea that every social media service is a hive of cyberbullying, harassment, and inappropriate content, parents and teenagers need to educate each other about how to stay safe online-and how to seek reputable help for mental illness. Sometimes online activity can help, and sometimes it can hurt. But demonizing social media is not going to solve the problem. Illustration by Jason Reed Related stories from The Daily Dot This tiny Tumblr tweak may finally let users have a conversation After 7 teen suicides, Ask.fm finally wants to rein in bullies Tumblr's mental health community is empathetic, hilarious, and thriving Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - News - Jezebel Saturday, 7 July 2012 Tumblr's Thinspo Ban Could Actually, Horribly, Make Pro-Ana Sites More Accessible [Weighty Matters] Anna Breslaw Jul 07, 2012 - Although back in March blog and image hosting services Tumblr and Pinterest did their best to dump Raid on the insidious pro-ana, pro-mia "thinspiration" community, individual domains like Skinny Gossip-run by an anonymous woman who "has done some modeling" and "now works in the fashion and entertainment industries"-remain intact for former Tumblr/Pinterest pro-ana reader migration. Posts and categories (to which I am not linking for a number of reasons, among them the insanely high read they provoke on my discomfort/sadness scale) include "Fat Pride Burns My Hide," a takedown of a body-image awareness spread featuring plus-size models, and "Starving Tip Of the Day." Jul 07, 2012 - An item on the website's FAQ reads, "Is this a proana site?" The response: Jul 07, 2012 - No. This is a proskinny site. People who have illnesses of any kind shouldn't be here - they should be seeking professional help and working to get well. Yup. Logic. Judging by its content, sites like these (and, unfortunately, this isn't the only one of its kind) are less "thinspirational" as, say, a Pinterest board would have been pre-ban; while those were heavy on no-name highfashion images, these are more like versions of a mainstream gossip-snark site, with about 80% of its content focused on slamming celebrity women for perceived weight gain or poor diet choices rather than highlighting women of a "acceptable" weight to be praised. So what does this mean, aside from the threat that the users with nowhere to go post-ban will transition to domain sites instead? Link-bait. A simple Google search of "kate upton" or "lindsay lohan" could open Pandora's box for someone who just © 2012 Blogs - News ; CEDROM-SNi inc. news·20120707·NBNE·GAWK-101003-13416942509872857800 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 9 wanted to look at Lohan's Marilyn Monroe-inspired photo shoot or Upton's Carl's Jr. ads from a few months ago (both of which are featured on the site with precisely the commentary you'd expect, if not more vicious.) Upton, who has been referred to as "the most Googled woman in the world" and appears on the list of top Trends each time she has posed for a magazine cover in the last six months (and sometimes just when she dances awkwardly for Terry Richardson) is called "thick and vulgar" and "a cannibal" by the site for consuming a burger in the photo shoot. 'She looks thick and vulgar': Proanorexia website brands Kate Upton a 'cannibal' following Carl's Jr. burger commercial' [Daily Mail] Image via Fatseyeva/Shutterstock Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Science and technology - Gear Diary Friday, 11 January 2013 Even as Obesity Soars, Anorexia Remains a Huge Issue for Teen Girls Michael Anderson Jan 11, 2013 - I didn't think myself naive when I started my first real engineering job nearly a quarter century ago, yet I was quickly introduced to several new terms by a fellow engineer a couple years older than me. I learned the term 'MILF', and also the expression 'mind the gap' which referred to the space between a woman's upper thighs indicating she was thin and had proportionally wide hips. Neither or these were particularly respectful terms nor anything I would ever find myself using, but sadly they were two of the kindest expressions that I recall hearing from this engineer (misogynist and sexist don't begin to cover it). Anyway, that was my context for 'mind the gap' ... Jan 11, 2013 - Over the holiday break I encountered an article talking about difficulties at image sharing sites such as Pinterest dealing with eating disorder relating groups. As someone who lost nearly 100 pounds in the last year the term 'thinspiration' sounded great to me ... until I saw the images associated with it! The terms 'Pro Ana' (for anorexia) were terribly shocking ... but nothing in writing prepares you for the ghastly pictures of these young women (because it IS a predominantly female problem) who have starved themselves beyond recognition. Apparently 'mind the gap' now involves becoming underweight to the point of maximizing the gap between your thighs regardless of your hips of body type. "stupid body", "fat cow", "starve bitch starve" and the list goes on and on. It isn't just Pinterest, they were just the last to adopt new content rules prohibiting Pro Ana groups. Other sites such as Tumblr already have such rules in place, or like Instagram have warnings in place for when you search certain tags. One photo was just of a handwritten note that said "Don't eat. You're fat" over and over again on it; friends commenting things like, "We can do it together!" In the last couple of days the topic has come up again at HelloGiggles and more disturbingly at BuzzFeed. Each points to the rampant increase in the content in spite of the rules from the sites, with HelloGiggles noting: Instagram, the popular social media photo-sharing app, has recently brought a very serious issue to light. It seems that some people (mostly teenaged females) have been using the photo service to share ideas and images that are pro anorexia. Using hashtags like #Ana and #Thinspo, Instagram has started posting a warning message when you search for one of those tags which basically says that you are about to see graphic content and lists a website for eating disorder support. Once you click "see images", a sea of images bombards you. Over 306,000 and counting for #Ana alone. I decided to take a look at what exactly was happening. What I found made me feel viscerally ill. There are girls motivating one another not to eat. Posting photographs of themselves with protruding hipbones and rib cages saying things like 10 Over at BuzzFeed they look at how weight loss programs and sellers are specifically TARGETING these ProAna keywords on social sites in order to push their goods. Here is some of what they have to say: A company selling weight-loss products on the internet has begun to directly target teenagers with eating disorders using Tumblr, pushing its "system" on girls participating in the online "pro-ana" subculture that encourages anorexia and bulimia. Tumblr (and Pinterest) have grappled with how to handle its pro-ana community, and both ban the content, deleting it when it's brought to their attention. But ads for FatLossFactor.com, a site that sells a weight loss program, continue to be posted by stock accounts against targeted keywords (tags) associated with pro-ana content, like "thinspo" and "starve," so they appear beside images of extremely thin young women. The ads are targeted by someone with an intimate knowledge of how the pro-ana Tumblr community works, exploiting the types of tags popular among young women encouraging one Nombre de document(s) : 50 Date de création : 16 avril 2014 another in eating disorders, and targeting the ultra-thin images they find most appealing. In many instances, the ads are reblogged by others in the community, amplifying the ad's message further. Some of the ads are also tagged with keywords like "scars," targeting at self-harming teens as well. Looking at the program (FatLossFactor), BuzzFeed finds that it really doesn't stand out in too many ways from the other myriad weight loss schemes - they push their service through a variety of advertising methods, bombard social media, and even (like the infamous MyPadMedia) associate positive reviews with web searches for 'FatLossFactor scam'. The site uses affiliate marketing methods who are incented to drive traffic regardless of the methods. The other truly disturbing thing is the association of 'cutting' with the ProAna groups. It is (unfortunately) not surprising, as both of these things are more related to control than anything else ... but it is tremendously sad to think of beautiful young women doing such damage to themselves. Both of my high school aged boys know girls who either had eating disorders or who have engaged in cutting or other self-distructive behavior. It is horrible for them to have watched these friends in such terrible states, and I © 2013 Blogs - Science and technology ; CEDROM-SNi inc. news·20130111·NBSC·GEAR-117414-13579226102246667811 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 11 can only imagine the impact on the girls and their families. These groups have been around longer than the internet, and those looking for them will eventually find them. But with social media and visual social media in particular, the ability for these ideas and images to propagate quickly is easier than ever. And ... more dangerous. If you have kids, even in elementary school, it isn't too early to start talking to them about body image and reinforcing that beauty comes from within, not according to a scale or (Photoshopped) magazine image. Healthy comes in all shapes and sizes. Nombre de document(s) : 50 Date de création : 16 avril 2014 The Western Star (Corner Brook) Health, Friday, 18 April 2008, p. 21 Ultra-thin New French bill takes aim at those who glamorize the condition Devorah Lauter THE ASSOCIATED PRESS PARIS - In image-conscious France, it may soon be a crime to glamorize the ultra-thin. PARIS - A new French bill cracks down on websites that advise anorexics on how to starve - and could be used to hit fashion industry heavyweights, too. PARIS - The groundbreaking bill, adopted Tuesday by parliament's lower house, recommends fines of up to $71,000 and three-year prison sentences for offenders who encourage "extreme thinness." It goes to the Senate in the coming weeks. Critics said the bill is too vague about whom it is targeting and doesn't even clearly define "extreme thinness." If passed, the law would be the strongest of its kind anywhere, fashion industry experts said. It is the latest measure proposed after the 2006 anorexia-linked death of Brazilian model Ana Carolina Reston prompted efforts throughout the fashion industry to address the health repercussions of ultra-thin models. Doctors and psychologists treating patients with anorexia nervosa - a disorder characterized by an extreme fear of becoming overweight welcomed the French effort, but said anorexia's link with media images remains hazy. For the bill's backers, the message behind the measure is important enough. The bill's author, conservative legislator Valery Boyer, said she wanted to encourage discussion about women's health and body image. Health Minister Roselyne Bachelot said websites that encourage young girls to starve should not be protected by freedom of expression. So-called "pro-ana" - for pro-anorexia - sites and blogs have flourished in the United States and beyond, often hosted by adolescents sharing stories of how they deprive their bodies of nourishment. French politicians and fashion industry members signed a nonbinding charter last week on promoting healthier body images. In 2007, Spain banned from catwalks models whose body mass-to-height ratio is below 18. Bill author Boyer said such measures did not go far enough. Her bill has focused attention on proanorexia websites that give advice on how to eat an apple a day - and nothing else. 12 The sites claim to provide emotional support for people who want to become anorexic. Photos of waif-like celebrities are given as "Thinspirations" on one blog, along with a list of advice on "how to skip meals." The site's host writes that she is not yet 15. Boyer said in a telephone interview that her proposed legislation would enable a judge to sanction those responsible for a magazine photo of a model whose "thinness altered her health." "That is the objective of this text," she said, without specifying who in particular might be prosecuted. "The socio-cultural and media environment seems to favour the emergence of troubled nutritional behaviour, and that is why I think it necessary to act," she said. Boyer insisted she wasn't out to punish models or anorexics themselves. The bill would make it illegal to "provoke a person to seek excessive weight loss by encouraging prolonged nutritional deprivation that would have the effect of exposing them to risk of death or directly compromise health." Nombre de document(s) : 50 Date de création : 16 avril 2014 It calls for prison terms of up to two years and fines of up to $47,000 for offenders, with punishment increasing to three years in prison and a $71,000 fine in cases where a victim dies of an eating disorder. Socialist Catherine Coutelle said the bill was introduced too quickly - less than two weeks ago, on April 3 - to allow for thorough discussion before Tuesday's vote. Legislator Jean-Marie Le Guen argued against legislating "social norms" and said there was no proof that anorexia comes from imitation. "What is extreme thinness?" he asked. Boxe(s): key points Key points of a bill, "aimed at fighting incitement to extreme thinness or anorexia," passed Tuesday by the French lower house of parliament: Up to $47,000 in fines and two years in prison for anyone found guilty of advertising products, objects or methods that could lead to "excessive thinness" and compromise users' health. The same punishment inciting people to seek such extreme thinness by encouraging prolonged dietary restrictions that could expose them to the risk of death. Up to $71,000 in fines and three years in prison in case such actions lead to death. Revising existing legislation against inciting a person to commit suicide to include encouraging a person to "excessive thinness." Source: The Associated Press Figure: Brazilian model Ana Carolina Reston, 21, an anorexic who weighed only 88 pounds, died Tuesday Nov. 14, 2006, of generalized infection. - The Associated Press © 2008 The Western Star (Corner Brook) ; CEDROM-SNi inc. news·20080418·WB·0093 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 13 Nombre de document(s) : 50 Date de création : 16 avril 2014 The Fredericton Daily Gleaner News, Wednesday, 16 April 2008, p. A10 France first to tackle fashion's love of 'thin' DEVORAH LAUTER The Canadian Press In image-conscious France, it may soon be a crime to glamorize the ultra-thin. A new French bill cracks down on websites that advise anorexics on how to starve - and could be used to hit fashion industry heavyweights, too. The groundbreaking bill, adopted Tuesday by parliament's lower house, recommends fines of up to $71,000 and three-year prison sentences for offenders who encourage "extreme thinness." It goes to the Senate in the coming weeks. Critics said the bill is too vague about whom it is targeting and doesn't even clearly define "extreme thinness." If passed, the law would be the strongest of its kind anywhere, fashion industry experts said. It's the latest measure proposed after the 2006 anorexia- linked death of Brazilian model Ana Carolina Reston prompted efforts throughout the fashion industry to address the health repercussions of ultra-thin models. Doctors and psychologists treating patients with anorexia nervosa - a disorder characterized by an extreme fear of becoming overweight welcomed the French effort, but said anorexia's link with media images remains hazy. For the bill's backers, the message behind the measure is important enough. The bill's author, conservative legislator Valery Boyer, said she wanted to encourage discussion about women's health and body image. Health Minister Roselyne Bachelot said websites that encourage young girls to starve should not be protected by freedom of expression. So-called "pro-ana-" for pro-anorexia - sites and blogs have flourished in the United States and beyond, often hosted by adolescents sharing stories of how they deprive their bodies of nourishment. French politicians and fashion industry members signed a nonbinding charter last week on promoting healthier body images. In 2007, Spain banned from catwalks models whose body mass-to-height ratio is below 18. 14 Bill author Boyer said such measures did not go far enough. Her bill has focused attention on proanorexia websites that give advice on how to eat an apple a day - and nothing else. The sites claim to provide emotional support for people who want to become anorexic. Photos of waif-like celebrities are given as "Thinspirations" on one blog, along with a list of advice on "how to skip meals." The site's host writes that she is not yet 15. Boyer said in a telephone interview that her proposed legislation would enable a judge to sanction those responsible for a magazine photo of a model whose "thinness altered her health." "That is the objective of this text," she said, without specifying who in particular might be prosecuted. "The socio-cultural and media environment seems to favour the emergence of troubled nutritional behaviour, and that is why I think it necessary to act," she said. Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2008 The Daily Gleaner - Fredericton ; CEDROM-SNi inc. news·20080416·FG·0064 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 15 Nombre de document(s) : 50 Date de création : 16 avril 2014 The Chronicle-Herald World, Wednesday, 16 April 2008, p. A10 France targets promotion of ultra-thinness; Anti-a Devorah Lauter The Associated Press PARIS - In image-conscious France, it may soon be a crime to glamorize the ultra-thin. A new French bill cracks down on websites that advise anorexics on how to starve - and could be used to hit fashion industry heavyweights, too. The groundbreaking bill, adopted Tuesday by parliament's lower house, recommends fines of up to $71,000 and three-year prison sentences for offenders who encourage "extreme thinness." It goes to the Senate in the coming weeks. Critics said the bill is too vague about whom it is targeting and doesn't even clearly define "extreme thinness." If passed, the law would be the strongest of its kind anywhere, fashion industry experts said. It is the latest measure proposed after the 2006 anorexia-linked death of Brazilian model Ana Carolina Reston prompted efforts throughout the fashion industry to address the health repercussions of ultra-thin models. Doctors and psychologists treating patients with anorexia nervosa - a disorder characterized by an extreme fear of becoming overweight welcomed the French effort, but said anorexia's link with media images remains hazy. For the bill's backers, the message behind the measure is important enough. The bill's author, conservative legislator Valery Boyer, said she wanted to encourage discussion about women's health and body image. Health Minister Roselyne Bachelot said websites that encourage young girls to starve should not be protected by freedom of expression. So-called "pro-ana" - for pro-anorexia - sites and blogs have flourished in the United States and beyond, often hosted by adolescents sharing stories of how they deprive their bodies of nourishment. French politicians and fashion industry members signed a nonbinding charter last week on promoting healthier body images. In 2007, Spain banned from catwalks © 2008 The Chronicle-Herald - Halifax ; CEDROM-SNi inc. news·20080416·HH·0Apr16new_txt0094 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 16 models whose body mass-to-height ratio is below 18. Bill author Boyer said such measures did not go far enough. Her bill has focused attention on proanorexia websites that give advice on how to eat an apple a day - and nothing else. The sites claim to provide emotional support for people who want to become anorexic. Photos of waif-like celebrities are given as "Thinspirations" on one blog, along with a list of advice on "how to skip meals." The site's host writes that she is not yet 15. Didier Grumbach, president of the French Federation of Couture, rejected legislating body weight. "Never will we accept in our profession that a judge decides if a young girl is skinny or not skinny," he said. "That doesn't exist in the world, and it will certainly not exist in France." Nombre de document(s) : 50 Date de création : 16 avril 2014 The Whitehorse Star Living, Tuesday, 27 July 2004, p. 13 Pro-anorexia movement flourishes online for those looking for 'thinspiration' Mick, Hayley CP Vancouver - Type ''pro-ana'' into any Internet search engine and you'll get a disturbing glimpse into a deadly obsession with thin. Vancouver - There are websites with ''thinspiration'' photo galleries of waif-thin models and famous celebrities with eating disorders like Mary-Kate Olsen and Karen Carpenter. And discussion groups where appleonly diets are earnestly promoted and members sign off with tags that include their body weight. The groups have their own lingo, like ''laxies'' for laxatives, ''mia'' for bulimia and ''ana'' for anorexic. ''I feel like a big fat whore, my stupid boyfriend drives me nuts with his encouraging me to eat. I keep bouncing back from over and under 90 (pounds), I just want to get to 80 already!!'' writes a message board member. This is the online world of ''pro-ED'' (for pro-eating disorders) - hundreds of websites and discussion groups created and used by people who say they have the disorders. And according to health professionals and educators, it's a subculture so pervasive and under the radar that it's hijacking prevention and recovery efforts, and helping eating disorders to spread. ''They're looking for tricks of the trade and how to maintain the lowest weight possible without dying,'' says Lauren Goldhammer, a therapist at Bellwood Health Services in Toronto, which has a residential treatment program for people with eating disorders. ''They're starving. And how do they keep going? They need some more encouragement, and I think those websites help them in that sense.'' But the online world means more than that, according to those who frequent it. Nancy Tewfik spent four months monitoring pro-eating disorder message boards as a psychology student at the University of Toronto. She also interviewed 12 young women about why they spent time on them. Some said the sites helped them combat loneliness and feelings of isolation. Others claimed they weren't doing anything wrong and their eating disorder was a ''lifestyle choice.'' Ultimately, she says, what they got from the groups was a circle of friends. ''It's people that understand them. It's people that accept them as they are,'' she says. But many professionals worry that the Internet is making it easier than ever 17 for people to swap techniques on how to starve themselves - and keep it hidden. The websites range in tone from selfloathing to defiance - but there are many similarities: tips on how to lose weight, tricks for inducing vomiting, what foods purge the easiest, how to avoid detection, ''thinspiration'' photos and quotes and message boards. At one site, there's a flurry of enthusiastic responses to the thin and thinner before-and-after pictures posted by a young woman calling herself AnorexicBeauty: ''You're my thinspiration! How did you do it?'' writes one. ''Your collar bones are beautiful - nice job,'' says another. ''It's an expression by people that are ill who are trying to find support and justification for their thinking and behaviour,'' says Merryl Bear, executive director of the National Eating Disorder Information Centre in Toronto. What's more, she says, it allows other vulnerable people to be sucked in. ''It's pervasive, so kids actually don't have to go searching for negative stimuli or negative encouragement to engage in unhealthy food and weight behaviours,'' Bear says. Nombre de document(s) : 50 Date de création : 16 avril 2014 As prevalent as the websites and message boards are, Goldhammer says the Internet almost never comes up in her group therapy sessions with recovering anorexics. ''They don't want to bring it out into the light of day,'' she says, adding discussion on Internet issues is also a rarity in academic literature about eating disorders. The Internet's shroud of anonymity is one reason the pro-ana and pro-mia movements have flourished. Eating disorders are secretive and isolating by nature, so the Internet provides instant access to information and people beyond all geographic borders. The slippery nature of the web also makes the pro-ED world almost impossible to control. After major media outlets publicized the issue in 2001, Internet giants like Yahoo began shutting many websites down. But they crop up elsewhere - and even today if you type ''pro-ana'' into a Figure: Mary-Kate Olsen © 2004 Whitehorse Daily Star ; CEDROM-SNi inc. news·20040727·WH·0024 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 18 Yahoo group search you'll get dozens of hits. So, as for child pornography and digital music piracy, the solutions for cracking down on the online proeating disorder world are elusive. ''For me, it doesn't make a big difference to close down one site because it will pop up somewhere else,'' says Bear. ''What we need to do is to challenge the source of the issue.'' Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Kevin, M.D. - Medical Weblog Tuesday, 20 July 2010 Thinspiration and pro-ana sites perpetuate eating disorders Kevin Jul. 20, 2010 (Kevin, M.D. - Medical Weblog delivered by Newstex) -by Kristina Fiore Websites that encourage teens to continue in their eating disorders tend to do so via "thinspiration" - a combination of images and prose that drive the viewer toward continued weight loss, researchers say. About 85% of these sites provide thinspirational photos (or "thinspo") of ultrathin women and oaths to "Ana" or "Mia" - nicknames for anorexia and bulemia - according to Dina L.G. Borzekowski, EdD, of Johns Hopkins, and colleagues. (...) © 2010 Blogs - Health ; CEDROM-SNi inc. news·20100720·NBHE·KEV-0001-47120859 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 19 Read the rest of Thinspiration and pro-ana sites perpetuate eating disorders No comment | Tags: Patient Category: Health in the media Newstex ID: KEV-0001-47120859 | Nombre de document(s) : 50 Date de création : 16 avril 2014 The New York Times Late Edition - Final Health & Fitness, Tuesday, 7 June 2005, p. F 6 Web Sites Celebrate a Deadly Thinness By ERIC NAGOURNEY Before the Web site's pages begin to load, a box pops up the screen. "Caution," it reads. "This site contains pro-eating disorder images and information. If you do not have an eating disorder or are in recovery, do not enter this site." Click O.K., and a new box appears. "Seriously. You enter this site of your own volition, and I am not responsible for the decisions you make based on the information you see here." Click. A third box. "So don't send me hate mail. It's your fault if you don't like what you see." However sincerely intended, the warnings, posted on one of a growing number of Web sites that promote eating disorders like anorexia and bulimia, may serve more as a lure, especially for curious teenagers. And a recent study by researchers from the Stanford School of Medicine has found that the Web sites are commonly visited by adolescents who have eating disorders. Such sites are the public face of a movement that goes beyond the denial that often accompanies addictive behaviors like alcoholism and gambling, into something more like defiance. Many of the sites dispute that anorexia and bulimia are diseases, portraying them instead as philosophies of life. They offer tips on how to lose weight -- by purging, among other methods -- and how to hide eating disorders from family members or friends. In the new study, presented at a meeting of the Pediatric Academic Societies, the researchers said it was unclear whether the Web sites played a role in drawing people into eating disorders or in making recovery more difficult, in part because the study sample was fairly small. A larger study is planned. But the researchers found that adolescents who reported visiting socalled pro-ana, for anorexia nervosa, or pro-mia, for bulimia nervosa, Web sites spent more time in hospitals and less time on school work than those who said they did not visit the sites. For reasons that are unclear, the study also found that even when adolescents visited pro-eating-disorder and prorecovery sites, they still fared worse than those who visited neither kind of site. Pro-eating-disorder Web sites can be very attractive, experts say. Many are well designed and well written, and they appeal to an adolescent sense of rebellion. "The belief that centers the pro-ana movement is the belief that eating disorders are a lifestyle choice and 20 not a disease," said one of the study's authors, Dr. Rebecka Peebles, a specialist in adolescent medicine at Stanford's Lucile Packard Children's Hospital. Consider the page that greets visitors when they finally get past the warning boxes. "Quod me nutrit, me destruit," it declares. What nourishes me destroys me. The site goes on to give tips on how to conceal an eating disorder, including wearing baggy clothes, pretending to eat and hiding the health problems the disorders can bring on. The author of the site, in a "disclaimer," says she is not promoting eating disorders. "These sites," she writes "do not exist to say: 'I'm anorexic! Aren't I cool? Don't you want to be like me?"' The goal, she says, is to offer support: "This is a place where people can come to say, 'This is part of who I am. These are people who understand."' Jenny Wilson, a Stanford medical student and the author of the study, is skeptical of efforts to attach a philosophy to eating disorders. Instead, she sees the Web sites as efforts by people with eating disorders to convince themselves that they have control over their lives. "I Nombre de document(s) : 50 Date de création : 16 avril 2014 think it's an expression of the disease more than anything," Ms. Wilson said. Many of the Web sites show a kind of ambivalence, the researchers said. They defend people's right to be anorexic or bulimic, but they spend a lot of time talking about the difficulties of having eating disorders. Dr. Peebles of Stanford said that for some people, the sites might serve as no more than a support community, and not as a source of encouragement to continue destructive behavior. "They can express their innermost eating-disordered thoughts in a sortof anonymous way where they won't be judged," she said. Still, when the researchers spoke to adolescents who had visited the sites, more than 60 percent reported trying weight-loss techniques they had learned there. (About a quarter of the adolescents who visited Web sites intended to help people with eating disorders recover also said they had found tips on ways to keep their weight down.) For the study, the researchers sent surveys to the parents of 678 people, ages 10 to 22, who had been treated for eating disorders at Stanford. They also asked the parents to give separate surveys to their children. In all, 64 patients and 92 parents responded. And while the forms were anonymous, the researchers were able to link the responses of the patients with those of their families, to compare answers. Some large Web servers like Yahoo, responding to complaints, have removed sites that promote eating disorders. The study found that 39 percent of the patients had visited pro-eatingdisorder Web sites, 38 percent prorecovery sites and 27 percent both types of sites. But the sites remain easy to find. And some experts wonder whether they are doing a better job of getting their message out than do the sites intended to promote recovery from eating problems. Despite the differences in reported hospital stays, the researchers found that those who spent time on the proeating-disorder sites provided basically the same information when asked about health changes as those who did not. Their weight was not much different from their ideal body weight, the researchers said, and they were no more likely to have changes in their menstrual cycles or to have symptoms of osteoporosis. When the researchers tried to see how familiar parents were with the Web sites, they found that the parents whose children visited the sites were more likely to know about them and to be concerned about what their children were learning on the Web. But 39 percent of those parents said they did not know whether their children visited pro-eating-disorder sites. And 15 percent wrongly reported that their children did not use them. © 2005 The New York Times ; CEDROM-SNi inc. news·20050607·NY·143014 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 21 Dr. Richard Kreipe, chief of adolescent medicine at the University of Rochester Medical Center, said he was struck by how attractive the proeating-disorder sites tended to be. Still, he said, it is hard to prove whether the sites actually make the problem worse. The issue, Dr. Kreipe said, is probably not whether the sites can draw the average teenager into an eating disorder but whether they may influence someone with an inherited predisposition to develop the disease -- especially an adolescent who is feeling isolated. "The kid who's probably most vulnerable to this is the kid who's least connected to other people," he said. Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Media - The Mary Sue Thursday, 23 February 2012 Tumblr Takes a Stand Against Self-Mutilation, Pro-Ana Sites by Banning Them Jamie Frevele Feb 23, 2012 - Tumblr users: Imagine how much time you spend on the site, scrolling through a variety of pictures, quotes, gifs, text, etc. usually for your own daily enjoyment. Now, imagine you're a teenager, or maybe just feeling insecure, and maybe some nasty person called you "fat." Or "gross." Or even say you should "kill yourself." And you go home to find your refuge, Tumblr, with its cat pictures, movie stills ... and some blogs espousing the perks of being anorexic or cutting yourself. Sites like that are all over the internet, but soon, they'll be gone from Tumblr. Because they will be banned, sparing some of its more vulnerable users to material that could drive them to hurt themselves. One of the most terrifying things happening on the internet that affects an upsetting amount of girls is the "pro-ana/mia" community - online discussion groups that promote anorexia and bulimia, personifying both eating disorders with female names: Ana and Mia. Girls enter these groups, usually online forums, and talk about how much weight they lose, how many calories they take in a day, and how they aspire to look like skeletal, sick women like this (possible TRIGGER WARNING for those recovering from/living with eating disorders). They say things like "I need a visit from Ana!" or "I wish Mia would come for me," and give advice and tips for "thinspiration." While some people who struggle with these eating disorders are male, the vast majority are women, and lots of them are very young. And that's just eating disorders. There are also sites that promote other selfharm activities like cutting and mutilation. About 20 percent of teenagers say they've cut themselves on purpose. Once again, some people who take part in this are male, but the majority of teenager "cutters" are female. Some sites even go as far as promoting suicide and providing tips. By now, you are probably preparing to run away to the mountains and raise your children far, far away from any hint of an internet connection. But at least one site is taking a stand against these sites. Tumblr has announced new content policies banning sites that promote self-harm, be it mutilation, eating disorders, and the like. From their site: One of the great things about Tumblr is that people use it for just about every conceivable kind of expression. People being people, though, that means that Tumblr sometimes gets used for things that are just wrong. We are deeply committed to supporting and defending our users' freedom of speech, but we do draw some limits. As a company, we've decided that some specific kinds of content aren't welcome on Tumblr. ... Our Content Policy has not, until now, prohibited blogs that actively promote self-harm. These typically 22 take the form of blogs that glorify or promote anorexia, bulimia, and other eating disorders; self-mutilation; or suicide. These are messages and points of view that we strongly oppose, and don't want to be hosting. There was an idea to keep allowing the sites while attaching additional information on how someone seeking out self-harm tips can find real help and avoid engaging in destructive behavior. But instead, they have decided to prohibit the sites completely. They will also post "public service announcements" when users search for the pro-self-harm terms on the site. For example, when someone searches for "proana," they will come up with something like this: Eating disorders can cause serious health problems, and at their most severe can even be life-threatening. Please contact the [resource organization] at [helpline number] or [website]. Some might call this a threat to freedom of speech on the internet. And while you'd be hard-pressed to find someone in their right mind supporting these pro-self-harm sites, some might feel like they have every right to an open discussion about this subject, and Tumblr has stated that it will hear any and all concerns at [email protected]. But Tumblr is a private company. It can make its own rules. And if they don't want to provide a place for these discussions, then they don't have to. And they just Nombre de document(s) : 50 Date de création : 16 avril 2014 made the internet a slightly safer place by excluding these sites. Let us all return to our silly gifs now, and make sure Tumblr stays silly or serious - but safe. © 2012 Blogs - Media ; CEDROM-SNi inc. news·20120223·NBME·ABRM-110725-13301057747251480200 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 23 (via The Next Web) Nombre de document(s) : 50 Date de création : 16 avril 2014 Le Devoir Planète, lundi, 20 août 2001, p. B2 Mince alors! Sur Internet, les sites qui glorifient l'anorexie se comptent par centaines Pessel, Nathalie Libération "L'anorexie est un art de vivre, pas une maladie." Des photos de côtes saillantes, décharnées, teintées de couleur flashy. C'est la page d'accueil d'Anorexic Nation, l'un des 400 sites Web (surtout américains) qui font l'apologie de ce trouble du comportement alimentaire (TCA). The Perfect Body, Fading Into Obscurity (Se fondre dans l'obscurité) ou Dying To Be Thin (Mourir d'envie d'être mince) Ces sites rivalisent d'originalité, parfois enthousiastes, parfois morbides: "J'aime sentir mes os saillir. J'aime me sentir vide. J'aime me dire que j'ai tenu toute une journée sans manger. J'aime perdre du poids." Échanges de photographies mais aussi conseils pour maigrir et maigrir encore. "Quand vous mangez avec vos parents, faites semblant de tousser et mettez la nourriture dans votre poing; dès qu'ils ont le dos tourné, jetez tout dans la poubelle ou le pot de fleurs", "Buvez un verre d'eau tous les quarts d'heure pour tromper votre faim" Le tout illustré par des images de stars hollywoodiennes filiformes. Parfois trafiquées pour les amaigrir davantage. Fermetures Selon les statistiques, 5 % à 13 % des adolescents souffrent d'anorexie. Un chiffre qui augmente chaque année. Neuf sur dix sont des filles. Des associations sont montées au créneau pour dénoncer ces sites proanorexiques, "pro-ana" pour les initiés. Le 26 juin, l'ANAD (association américaine contre l'anorexie et la boulimie) a demandé à Yahoo de retirer 115 sites "proana" de ses serveurs. Quatre jours plus tard, le portail en retirait 21, "en raison, non pas de la requête de l'ANAD, mais de l'engagement de Yahoo pour le bien-être des enfants et adolescents", selon son porte-parole. Les clubs de discussion ont été également fermés. Mais pas tous: Anorexia Fame est toujours en service, avec un ton vengeur: "Ce club a été créé pour montrer au monde que l'on ne peut pas nous ignorer ou nous faire taire." Certains membres vont jusqu'à affirmer que la fermeture des sites les a plongés dans la détresse. Des contre-sites se sont montés. Sur Google US, le premier site indiqué pour une recherche "pro-anorexia" est un site de prévention et d'aide aux malades, Scared (Soutien, conseils et renseignements sur les troubles du comportement alimentaire), qui s'oppose aux "pro-ana". "Ils peuvent être utiles et rassurants, car personne n'est plus isolé qu'un anorexique", souligne Michèle Battista, psychiatre à l'hôpital de La Timone à Marseille. Scared se demande ce qui pousse quelqu'un à créer un site "pro-ana"? 24 Certains considèrent l'anorexie comme une amie dont ils ne veulent pas se séparer, mais ne fournissent aucune explication claire. Les webmestres contactés par Libération n'ont d'ailleurs pas souhaité répondre. Narcissisme "Rien d'étonnant", explique Christine Foulon, psychiatre dans l'unité TCA de l'hôpital SainteAnne de Paris. "Les anorexiques refusent de reconnaître leur trouble et ses risques. 15 % à 20 % meurent de cette maladie." Pour se dédouaner, les créateurs de sites mettent fréquemment un mot d'avertissement sur leur page d'accueil. Insuffisant. "Si ces sites ne plongent pas des gens dans la maladie, ils entretiennent ceux qui sont déjà anorexiques, les confortent dans leurs attitudes", poursuit le docteur Foulon. "Ces sites considèrent l'anorexie comme une super-victoire, renchérit Michèle Battista. Ils poussent à aller le plus loin possible dans le narcissisme. La médecine a pu faire des erreurs dans le traitement de ces pathologies, mais aujourd'hui les aspects psychiatriques aussi bien que somatiques sont pris en charge. Cette maladie représente pour nous un problème déontologique: soigner des gens qui ne le veulent pas. C'est long, on stagne, mais on ne les laisse pas tomber. Ce serait de la non-assistance à personne en danger." "Les créateurs Nombre de document(s) : 50 Date de création : 16 avril 2014 de ces sites sont sûrement des électrons libres, conclut Christine Foulon. Des personnes en souffrance qui refusent les soins." Illustration(s) : Reuter Un mannequin professionnel. L'anorexie, maladie grave ou art de vivre valorisé? © 2001 Le Devoir ; CEDROM-SNi inc. news·20010820·LE·0034 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 25 Nombre de document(s) : 50 Date de création : 16 avril 2014 The New York Times Late Edition - Final Style, Sunday, 2 April 2006, p. 9 1 Before Spring Break, The Anorexic Challenge By ALEX WILLIAMS "I REALLY gotta start losing weight before spring break," a 15-year-old from Long Island wrote in her blog on Xanga.com, a social networking site. "Basically today I went 24 hours without food and then I ate green beans and a little baked ziti. Frankly I'm proud of myself, not to mention the 100 situps on the yoga ball and the 100 I'll do before sleep Yey for me." A Californian, 18, wrote: "I'm at 108 right now. Spring break is in about 3 weeks and I want to be down to at least 99-100. That can easily be done." From a writer identifying herself as Workhardgetskinny: "I only did 100 crunches but I'm trying to do 200 more before bed. 2 full days till spring break!" The discussion took place in one of Xanga's blog rings, a string of Web logs connected by a common theme, in this case a spring break challenge, in which young women pledged to shed a lot of weight before their trips to the beaches of Florida and Mexico. Their home pages were decorated with images of gaunt supermodels and pipe-cleaner-thin celebrities like Nicole Richie. Declarations like "Food Is Poison" and "Diet Coke Is Love" blared like banner advertisements across screens. Participants also shared their daily indulgences. One writer confessed to eating "one cracker, one strawberry and a little bit of soup" in a 24-hour period. Another recounted a lunch that consisted of a slice of mango and a stick of gum. For most students spring break represents the promise of a beersoaked respite from Northern cold and midterm stress, a time to let go and revive. But for a subculture of students with eating disorders, this annual weeklong bacchanalia, unfolding across Florida, Mexico and the Caribbean during March and April, represents the summit of deprivation and self-denial. Though not widely discussed -sufferers of eating disorders often spend years in denial about their condition, and therapists treating them can rarely isolate any single reason for these complex psychological syndromes -- those who treat eating disorders say spring break is one of the most dangerous times of the year for young women struggling with their weight and eating. "This is a trigger time for youth to start to obsess about weight and body image," said Margo Maine, a clinical psychologist in West Hartford, Conn., who specializes in eating disorders. She said she observes a spike in weight anxiety every year among her younger patients before spring break. "By the beginning of February people 26 are starting to talk about their bodies and getting ready for spring break. Even girls who are simply around that talk can't get away from it." The fantasy of achieving a "bikiniready" body on a deadline is an intoxicating incentive, according to those who have experienced and observed the behavior. And in a school setting, in which tightly knit groups of young women are all vacationing together, diets easily become competitive or, as Dr. Maine put it, contagious. For Ashley Filipp, a recent college graduate and recovering anorexic and bulimic, the warmup to spring break when she was a student in Colorado represented, she said, "the big time of the year." She added, "You start realizing that you have been packing on the winter pounds, the insulation, and now it's time to lose them." Starting in her senior year of high school, Ms. Filipp, 24, recalled preparing for her annual spring break trip to Mexico at least 100 days beforehand. "As soon as we would make our plans, my best friend and I would start counting 'How many days to Cancun?' " recalled Ms. Filipp, who now works as a crisis help-line counselor for the National Association of Anorexia Nervosa and Associated Disorders in Highland Park, Ill. Nombre de document(s) : 50 Date de création : 16 avril 2014 By the time Ms. Filipp entered college, she said, there was no shortage of students eager to join her in what became a pre-spring-break ritual. In January and February, she said, the scene inside her sorority house at times resembled an Olympics of extreme weight loss. Some students would subsist on little more than lettuce flavored with calorie-free spray butter flavoring. Others would purge by vomiting or swallowing laxatives. Obsessive exercise was common. The group dieting that is relatively ad hoc among friends and sorority sisters takes a more organized form on the Internet, where spring break has become a popular topic on Web sites and message boards maintained by devotees of a controversial underground movement known as "pro-ana," or pro-anorexia, who sometimes identify themselves in public by wearing red bracelets. There are hundreds of pro-ana Web sites promoting and supporting the "anorexic lifestyle," despite aggressive efforts to shut them down by eating-disorder activists. In addition the pro-anas are also present on social network sites like MySpace.com, Xanga and Livejournal.com, where blog rings topics range as widely as emo music and parasailing. On Xanga groups of pro-ana members who link their blogs by a common interest in extreme weight loss sometimes participate in a perverse distortion of Weight Watchers. Instead of accumulating points for food eaten, points are granted for restraint: a point for every day survived under 500 calories; 6 points for every day under 100 calories; 2 points for each diet pill taken; a point for every photo of a skinny celebrity on a home page, known as "thinspiration" or "thinspo." The points are gained during group challenges aimed at losing weight before spring break. Other challenges have focused on prom season, the holidays and summer. Not all those discussing weight loss on the site fit the criteria of anorexics or identify themselves with the ana underground. Xanga is one of many meeting places on the Web for weight-related discussion rings. John Hiler, its chief executive, said in an email message: "We have zero desire to host any 'pro-ana' groups. If users report them to us, we delete them from our system." Still, some therapists suggest that proana Web pages can have some value, serving as support groups for young anorexics, who feel they have no place else to turn. Experts who treat eating disorders worry that healthy girls and young women who use spring break as an excuse to dabble in dangerous dieting techniques can tip over into self-destructive behavior. "You take that typical 15-year-old, who is taking her anxiety into spring break, if there are other issues in her life or her family, she's a prime candidate for anorexia or bulimia," said Doug Bunnell, the director of treatment for the Renfrew Center eating disorders program in Wilton, Conn. "Their first diet can blossom into a real nightmare." The online pro-ana networks can be especially dangerous, experts say, because participants can offer irresponsible advice behind a mask of anonymity. Several eating-disorder therapists interviewed said they considered all the pro-ana material on 27 the Web highly dangerous, particularly when spiced with the spirit of a contest. "There's been no good research to date on how these sites actually impact teenagers," said Dr. Rebecka Peebles, a pediatrician who specializes in the treatment of adolescent eating disorders at Lucile Packard Children's Hospital in Palo Alto, Calif., and who is conducting a study of pro-ana and "pro-mia" (bulimia) Web sites. "But I can tell you anecdotally that some of my patients felt very triggered by these point challenges. That level of competition is just very hard to resist." On Xanga, a 20-year-old sophomore at an undisclosed college who included photographs of herself looking attractive, shapely and healthy, wrote, "Spring break is comin' up mid march and I wanna look super hot." She explained that she wanted to plummet from 133 pounds to 110 by the time she and her friends took off for Mexico, in part by reducing her daily food intake to 500 calories, about a third of what is recommended for a young woman, as well as exercising. But, she added, "I always get sick when I run and don't eat enough. Does that happen to you guys?" "Yes," one respondent wrote, "if I eat under 300 calories and work out for several days, I start to feel sick. I hate that, but I end up eating a little bit because I don't want to faint. Luv & support." Though it is not possible to estimate the number of young women participating in extreme spring break weight-loss contests, or to assess how the popularity of such contests has Nombre de document(s) : 50 Date de création : 16 avril 2014 grown, eating disorder experts say that the rise of spring break as a cultural phenomenon might play a role. "Every year spring break seems to get bigger and bigger," Dr. Maine said, adding that body-image pressure also rises. She said the expectation that you have to "party like a rock star and be over the top" also "includes looking like a rock star," that is, fashionably, even dangerously, skinny. It's also an opportunity to show a little skin, and parade in front of the opposite sex. "It's showoff time," said Eileen Adams, a psychologist and treatment specialist at Remuda Ranch, a Biblebased eating disorder center in Wickenburg, Ariz. "That puts a lot of pressure on young people." And most young women are already feeling pressure, at least when it comes to body-image anxieties. Eating disorder associations say that about 86 percent of the approximately 10 million American girls and women -- and one million boys and men -who suffer from an eating disorder reported the onset of their condition by 20. The pressure has only become worse over the years, therapists said, as spring break has become more sexualized at beaches like South Padre Island, Tex., or Cancun or on MTV. String bikini and wet T-shirt contests make a simple weeklong break from teachers and exams look more like a Mardi Gras for the 18to-21 set. Some therapists said the letting go ethic of spring break in general can also serve as a dangerous excuse for students to push the frontiers of good sense and self-preservation. Bulimics in particular are at risk, Dr. Bunnell of the Renfrew Center said, since they tend to be drawn to extremes, as exemplified by their binge and purge cycles. Anorexics, by contrast, are generally motivated by issues of control; they are often reserved, socially anxious perfectionists, who attempt to master their food intake because they feel they cannot control other aspects of their lives. For them, he said, "anything that intensifies body image anxiety will encourage them to be symptomatic." The difficulty for parents and educators is to distinguish between routine pre-spring break dieting and something worse. "If a child is just going on a spring diet to lose a few pounds, she'll be in a fine mood," said Maria Rago, a clinical psychologist and the director of the eating disorders program at Linden Oaks Hospital at Edward Hospital, a mental health center in Naperville, Ill. By contrast dieters slipping into dangerous territory "will become irritable, preoccupied," she said. "They'll skip meals, and stop eating with the family. It's an entire change of mood and mind-set." Sometimes that change of mood can happen right after spring break, as opposed to before. On a Xanga blog ring called the Bikini Coming Soon Challenge, one 19-year-old related the anxieties she was experiencing only days after returning from a week on the beach with friends: "Tonight I was looking on Facebook at people's albums from spring break. I saw the guy's album that I kind of was starting to like before spring break. In his album were pictures of all these pretty girls -- tan, skinny, looked perfect in their bikinis -- and all these guys were commenting on the pics: 'She is so hot!' or 'wooowww!!' Stuff like that. Seriously, that's what I want. "This just makes me want to lose so much weight and then have those guys see me." She concluded: "I hate boys, I hate my body. Goodnight." Figure: Photo: THINSPIRATION -- Two home pages of the weight obsessed on Xanga.com. Right, Ashley Filipp, a recovering anorexic and bulimic, who now counsels others with eating disorders. (Photo by Peter Thompson for The New York Times)(pg. 6) Drawing (Illustration by Steve Williams; photograph of woman, David Waldorf/Getty Images)(pg. 1) 28 Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2006 The New York Times ; CEDROM-SNi inc. news·20060402·NY·944920 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 29 Nombre de document(s) : 50 Date de création : 16 avril 2014 The Western Star (Corner Brook) Lifestyles, Monday, 21 June 2010, p. 13 Deadly advice Pro-eating disorder sites have tips on practising behaviour Lauren La Rose The Canadian Press The vast majority of websites that appear to support or endorse eating disorders provide "overt suggestions" on engaging in eating-disordered behaviours, according to a new study. U.S. researchers conducted an indepth examination of 180 websites and the messages that users may be exposed to online. They initially found the sites using Yahoo or Google search engines through keying in various terms including Proana, Promia, ProBulimia and Pro-Eating disorder. Researchers included sites, forums, journals and blogs characterized by a main focus on or promotion of eating disorders. Medical reference pages, medical journals, news articles and professional or medical organization sites focusing on eating disorders were excluded. According to the findings published Thursday in the online edition of the American Journal of Public Health, researchers found that 40 per cent of the sites had a section "overtly labelled" as containing tips for practising eating disorder behaviours. An additional 43 per cent offered such tips throughout the site without designating a particular area. Tips ranged from simple suggestions like sitting up straight to burn more calories, to more potentially lifethreatening ones, such as a how-to on purging. Facebook as opposed to having to see someone and deal with the social anxiety, she said. Lead author Dina Borzekowski of Johns Hopkins University's Bloomberg School of Public Health, said many of these sites are support networks for people suffering from eating disorders. Bittner said it is often the goal of some of the women she works with in recovery to learn how to disengage from public material that might pull them back into negative habits, like pro-Ana sites or magazines. "Now, whether or not the person really realizes that they're suffering or they have this disorder is still unknown, but they are supporting these behaviours and thoughts," said Borzekowksi, who co-authored the study with master's graduate Summer Schenk and Dr. Rebecka Peebles of Stanford University. "A lot of women in recovery that I've met, that's a big struggle," she said. "When they're feeling really down about their bodies and negative, that's where they go to, and it just fuels the self-criticism." "One of the interesting things is that people who suffer from eating disorders are often isolated, so it's not too surprising that they're going online to find a network of people who are like-minded and engaging in the same types of behaviours." Valarie Bittner, clinical director of the Westwind Eating Disorder Recovery Centre in Brandon, Man., said many individuals with eating disorders tend to socially isolate themselves. Many of the clients she deals with find it much easier to engage socially through networking sites like 30 "Thinspiration" material - images or prose intended to inspire weight loss appeared in 85 per cent of the sites reviewed. One of the findings researchers describe as "somewhat surprising" was that nearly one-third of the sites had a recovery-oriented focus. They wrote this could reflect a "duality of purpose" for pro-eating disorder site visitors who may feel pulled simultaneously towards both eating disorder behaviours and recovery. Merryl Bear, director of the National Eating Disorder Information Centre, said she feels pro-eating disorder sites deepen behaviours and attitudes that are harmful for people who already have food and weight preoccupations Nombre de document(s) : 50 Date de création : 16 avril 2014 and can encourage those not yet committed to eating disorder behaviours to engage in them. That said, she believes it's important not just to try to shut the sites down but to get at the root of what's driving individuals to both create and view them. "I think it's really important to understand the motivation of the individuals who both create and use these sites, to better understand the needs, the fears and the compulsions of individuals who engage in them so that as health providers we can better understand the experience of individuals who are at risk of an eating disorder or who are engaged in eating disorder behaviours." Borzekowski said her research team has studies currently under review looking at people who use these websites, which involved interviewing young people in treatment for eating disorders. As for the current study, she said the take-home message for caregivers and educators is the need to be aware of the content available to and potentially reaching vulnerable youth. "There are websites that promote equally unhealthy behaviours such as self-injury and suicide. So as a parent, as an educator, as a health provider, knowing that these websites are out there and supporting very dangerous behaviours is critical." Boxe(s): Prevalence of eating disorders According to a 2002 survey, 1.5 per cent of Canadian women aged 15-24 years had an eating disorder. - Government of Canada. (2006). The Human Face of Mental Health and Mental Illness in Canada 2006. Lifetime prevalence rates for anorexia nervosa (AN) and bulimia nervosa (BN), and Binge Eating Disorder (BED) tend to be higher among women than in men. Lifetime prevalence of AN: 0.9 per cent in women and 0.3 per cent in men Lifetime prevalence of BN: 1.5 per cent in women and 0.5 per cent in men © 2010 The Western Star (Corner Brook) ; CEDROM-SNi inc. news·20100621·WB·0056 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 31 Lifetime prevalence of BED found to be 3.5 per cent in women and 2.0 per cent in men The average lifetime duration of BN is found to be approximately 8.3 years. - Hudson, J. I., Hiripi, E., Pope, H. G. & Kessler, R. C. (2007). The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348-358. AN has the highest mortality rate of any psychiatric illness - it is estimated that 10 per cent of individuals with AN will die within 10 years of the onset of the disorder. - Sullivan, P. (2002). Course and outcome of anorexia nervosa and bulimia nervosa. In Fairburn, C. G. & Brownell, K. D. (Eds.). Eating Disorders and Obesity (pp. 226-232). New York, New York: Guilford. Source: National Eating Disorder Information Centre, nedic.ca Nombre de document(s) : 50 Date de création : 16 avril 2014 The Canadian Press Lifestyles, Thursday, 17 June 2010 - 17:47ET 83% of pro-eating disorder sites have 'overt' tips on practising behaviour: study Lauren La Rose The Canadian Press TORONTO - The vast majority of websites that appear to support or endorse eating disorders provide "overt suggestions" on engaging in eating-disordered behaviours, according to a new study. U.S. researchers conducted an indepth examination of 180 websites and the messages that users may be exposed to online. They initially found the sites using Yahoo or Google search engines through keying in various terms including Proana, Promia, ProBulimia and Pro-Eating disorder. Researchers included sites, forums, journals and blogs characterized by a main focus on or promotion of eating disorders. Medical reference pages, medical journals, news articles and professional or medical organization sites focusing on eating disorders were excluded. According to the findings published Thursday in the online edition of the American Journal of Public Health, researchers found that 40 per cent of the sites had a section "overtly labelled" as containing tips for practising eating disorder behaviours. An additional 43 per cent offered such tips throughout the site without designating a particular area. Tips ranged from simple suggestions like sitting up straight to burn more calories, to more potentially life- threatening ones, such as a how-to on purging. Lead author Dina Borzekowski of Johns Hopkins University's Bloomberg School of Public Health, said many of these sites are support networks for people suffering from eating disorders. "Now, whether or not the person really realizes that they're suffering or they have this disorder is still unknown, but they are supporting these behaviours and thoughts," said Borzekowksi, who co-authored the study with master's graduate Summer Schenk and Dr. Rebecka Peebles of Stanford University. "One of the interesting things is that people who suffer from eating disorders are often isolated, so it's not too surprising that they're going online to find a network of people who are like-minded and engaging in the same types of behaviours." Valarie Bittner, clinical director of the Westwind Eating Disorder Recovery Centre in Brandon, Man., said many individuals with eating disorders tend to socially isolate themselves. Many of the clients she deals with find it much easier to engage socially through networking sites like Facebook as opposed to having to see someone and deal with the social anxiety, she said. 32 Bittner said it is often the goal of some of the women she works with in recovery to learn how to disengage from public material that might pull them back into negative habits, like pro-Ana sites or magazines. "A lot of women in recovery that I've met, that's a big struggle," she said. "When they're feeling really down about their bodies and negative, that's where they go to, and it just fuels the self-criticism." "Thinspiration" material - images or prose intended to inspire weight loss appeared in 85 per cent of the sites reviewed. One of the findings researchers describe as "somewhat surprising" was that nearly one-third of the sites had a recovery-oriented focus. They wrote this could reflect a "duality of purpose" for pro-eating disorder site visitors who may feel pulled simultaneously towards both eating disorder behaviours and recovery. Merryl Bear, director of the National Eating Disorder Information Centre, said she feels pro-eating disorder sites deepen behaviours and attitudes that are harmful for people who already have food and weight preoccupations and can encourage those not yet committed to eating disorder behaviours to engage in them. That said, she believes it's important not just to try to shut the sites down Nombre de document(s) : 50 Date de création : 16 avril 2014 but to get at the root of what's driving individuals to both create and view them. individuals who are at risk of an eating disorder or who are engaged in eating disorder behaviours." educators is the need to be aware of the content available to and potentially reaching vulnerable youth. "I think it's really important to understand the motivation of the individuals who both create and use these sites, to better understand the needs, the fears and the compulsions of individuals who engage in them so that as health providers we can better understand the experience of Borzekowski said her research team has studies currently under review looking at people who use these websites, which involved interviewing young people in treatment for eating disorders. "There are websites that promote equally unhealthy behaviours such as self-injury and suicide. So as a parent, as an educator, as a health provider, knowing that these websites are out there and supporting very dangerous behaviours is critical." As for the current study, she said the take-home message for caregivers and © 2010 The Canadian Press ; CEDROM-SNi inc. news·20100617·CP·0CP×2L5557 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 33 Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Finance - Business 2 Community.com Tuesday, 10 July 2012 Pro Ana Sites Under Attack by Media Pete Johnston Jul 10, 2012 - Recently there has been quite a wave of news against Pro Ana and Thinspiration websites by mainstream media and bloggers alike. On the surface this may seem fair considering Pro Ana is associated with "Pro Anorexia" behavior and mentality but sometimes things are not always as they seem. techniques as well as encouraging readers to have an active fitness lifestyle. Jul 10, 2012 - The recent news that Pinterest was going to ban any Thinspiration or "Thinspo" images made media outlets like the Huffington Post and others stand up and take notice. The feedback was predominantly positive regarding the ban, but did everyone do their homework? Anorexic behavior has been around for decades, well before the introduction of the internet, those with eating disorders and other issues will always find their way to discovering tips for destructive behavior, whether they are online or not. For those that are desperate enough to consider an anorexic lifestyle, why not "prop up" and publicize sites that provide a safe and healthy environment for such people instead of showing confused women (and men) the sites that promote negativity? The Other Side of the Coin Censorship-is that the answer? While there does seem to be a proliferation of sites promoting unhealthy habits such as starvation, purging, shame tactics and other behavior typical of anorexics, if someone were paying attention they would notice that there are other sites trying to communicate a healthy, positive self image using the same terminology. Another consideration that has seemed to escape many that are celebrating the ban on these types of sites is the topic of censorship. On the surface it may seem like a good idea to consider a ban of these sites and topics, but when does it stop? For instance, we visited a site called Proana.info and saw that this site is promoting sensible eating habits and tips, pictures of women that are fit but not sickly, positive motivation We can certainly sit down and in short order create a list of several items that may be dangerous or unhealthy, do we crusade against those types of sites too? High school rodeo is one of the most dangerous sports for youth, football has proven to lead to long term concussion damage, obesity has 34 a myriad of health risks associated with it, people with guns kill other people, bungee jumping accidents have cost young people their lives and the list goes on and on. By setting this type of standard you force groups to go underground where they will find the information (good or bad) that they are looking for regardless of the steps other sites have taken to prevent information from getting out. What's the Answer? Just like with any controversial topic the best course of action is to provide resources and education. Also informational type sites that promote a healthy and positive message should be put in the spotlight instead of sensationalizing and drawing attention to sites that promote negativity. Anorexia is a serious disorder that has to do more with control than actual weight loss. A person struggling with this is unlikely to be dissuaded simply because a blogger or a news site says so. The answer then is not to fight negativity with negativity but instead promote and spotlight Positive Pro Ana sites so that readers who are struggling with anorexia can be exposed to habits that will equip them with habits that encourage long term health and fitness! Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2012 Blogs - Finance ; CEDROM-SNi inc. news·20120710·NBFI·BIZC-115198-13419376546147727400 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 35 Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Breaking the Mirror Wednesday, 17 December 2008 Pro-ana debate on My Crime Space angelique Dec. 17, 2008 (b5media delivered by Newstex) -Fellow b5 blogger Trench Reynolds has an excellent article on the proana/pro-mia debate at this My Crime Space link. It's the old "free speech" question again. How far should sites that promote anorexia and bulimia as lifestyle choices (and not just mental health problems) be allowed to go? I still haven't decided. As I've said before, I would have most definitely been pro-ana if the Internet had existed in the 1980s, and that really worries me. In fact, I would have been the first to start posting pics of my bones in the bathroom mirror. And I have the feeling that if I had gone that route and been supported in my eating disorder, I might not be recovered (or in recovery) today. © 2008 Blogs - Health ; CEDROM-SNi inc. news·20081217·NBHE·0BFME-0240-30572629 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 36 What do you think? Tags: Ana, Anorexia, Bulimia, censorship, eating disorder, free speech, Mia, pictures of bones, pro ana websites, pro-Ana, pro-mia Share This Newstex ID: BFME-0240-30572629 Nombre de document(s) : 50 Date de création : 16 avril 2014 PR Newswire US Friday, 2 July 2010 Web Sites Likely Contributing to High Anorexia Death Rate, According to Timberline Knolls Timberline Knolls Residential Treatment Center Jul. 2, 2010 (PR Newswire delivered by Newstex) -CHICAGO,July 2/PRNewswire/ -- For women with low self-esteem, poor body image and a certain genetic predisposition towards an eating disorder, the messages promoted on pro-eating disorder web sites can be similar to someone considering suicide finding a loaded gun on her pillow. Recent efforts to raise awareness of pro anorexia and bulimia web sites often pay little attention to deaths that may result from the actions of the web site operators, according to Dr.Kimberly Dennis, M.D., a psychiatrist specializing ineating disorder treatment. Dr. Dennis, Medical Director at Timberline Knolls Residential Treatment Center and a leader intreatment for anorexiaandbulimia, has particular concern about "pro ana" web sites. "It disturbs me how aggressively some of these web sites promote anorexia as a lifestyle choice, and how intricately they scheme to subvert the efforts of families and treatment providers trying to save the lives of those with anorexia," Dr. Dennis said. "Press coverage of these sites often completely ignores the reality that anorexia nervosa has the highest mortality rate of any mental illness - up to 20%. This is a life and death matter that families and individuals facing eating disorders must recognize." A new study published by theAmerican Journal of Public Healthlooked at 180 of these pro-ana and pro-mia (sites promoting bulimia nervosa) web sites and found 83 percent of them offered advice on both how to start an eating disorder and/or how to continue the progression of anorexia, bulimia, or other eating and exercise disorders. Dr. Dennis shares the frustration of many in the eating disorder treatment community who wish more could be done to stop these harmful messages from reaching vulnerable girls, boys, women and men. She noted, "While the lack of available data has made it impractical to quantify the direct impact of pro-ana and pro-mia web sites on the rates of mortality among their users, it's clear from clinical experience that these sites feed these deadly diseases instead of supporting recovery." Pro eating disorder web sites take a variety of tactics to sell anorexic or bulimic behaviors as desirable. Many times "thinspiration" is used, commonly in the form of images or videos of slim women that promote the mindset that thinness equals happiness and success. "We've seen it a lot at Timberline Knolls. Many of our residents with anorexia and bulimia, including young girls, college students and even some women in their 50's and 60's, have been involved in pro-ana web sites," said Dr. Dennis. 37 Pro ana and pro mia web sites also provide advice on how to hidesigns of eating disordersfrom loved ones and healthcare providers. This can encourage women to continue eating disorders that might otherwise have been successfully treated. "Some anorexic and bulimic residents have told us how they previously created their own blogs about how to be more effective in their eating disorders, and others use Facebook accounts to document their diseases with both words and pictures," said Dr. Dennis. Timberline Knolls Residential Treatment Centerworks to strengthen women and girls from within so they can live empowered lives and abstain from the pro ana and pro mia communities, which may lure them back into the grips of a deadly disease. "Leaders on these web sites cultivate a close community that can be very compelling to a woman struggling to feel connected to others around her," said Dr. Dennis. "The Timberline Knolls treatment program, with its strong emphasis onspirituality, 12-step recovery anddialectical behavioral therapy, intervenes on this front. We support each resident in making the choice to connect with others in the service of her recovery rather than to feed her disease." About Timberline Knolls Residential Treatment Center Timberline Knolls is a leading privateresidential treatment centerfor Nombre de document(s) : 50 Date de création : 16 avril 2014 eating disorders, alcoholism, drug addiction and mood disorders, with or withouttrauma, adual diagnosisor acooccurring disorder. Expert treatment staff offers a nurturing environment of recovery for women and girls (ages 12 and older) on a wooded 43-acre campus in suburbanChicago. Women and families seekingChristian treatmenthave the option of working with a dedicated Christian therapist. For more information onTimberline Knolls Residential Treatment Center, call us at 877.257.9611. SOURCE Timberline Residential Treatment Center Knolls Newstex ID: PRN-0005-46659360 © 2010 PR Newswire US ; CEDROM-SNi inc. news·20100702·RW·PRN-0005-46659360 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 38 Note(s): Danielle Bickelmann, [email protected], or Susie Lomelino, [email protected], both of Michael Burns & Associates, +1-214-521-8596, for Timberline Knolls Residential Treatment Center Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - News - CBS News Wednesday, 28 March 2012 Despite social media bans of "pro-ana" websites, pages persist Michelle Castillo Mar 28, 2012 - (CBS News) Even though social media sites are taking a strong stance against websites that promote eating disorders, the pages don't seem to be going anywhere. Mar 28, 2012 - On one blog covered with pro-ana tags found on a popular site, a woman gives a play-by-play of a three day fast she's partaking in. During one of the days, the blogger wrote she consumed only tea, vitamins, and a gallon of water. Eating disorders: 9 mistakes parents make Anorexia sufferers five times more likely to die sooner "I'm super psyched to weigh in," the blogger wrote. "If I can make it til noon Friday I may extend it through the weekend!" Other followers offered support and said they'd join in the weight loss attempt. While the activity of fasting alone isn't a major cause for alarm, the fact that her messages are posted in conjunction of images of frail women (known as "thinspiration"), positive mantras promoting weight loss and other self-loathing notes about being "pathetic" and having no friends, the blog quickly becomes an online snapshot of a person dealing with an eating disorder. Welcome on the world of "pro-ana" (pro-anorexia) or "pro-mia" (probulimia) sites, where one person's mental disorder suddenly becomes a community supported activity. According to Dr. Andrea Vazzana, clinical assistant professor of child and adolescent psychiatry and psychiatry at New York University, while evidence shows that even looking once at these sites can raise an individual's body dissatisfaction, pro-ana pages aren't likely to cause an eating disorder. But for those who have an eating disorder to begin with, these websites can be deadly. "A lot of times people with eating disorders use these sites as a means of seeking support," Vazzana tells HeathPop. While the idea of online websites promoting pro-ana, pro-mia and thinspiration is not a new, the popularity of online blogging sites like Tumblr and Pinterest has made it easier for those with the ED to organize online. Simply tag your post with one of the hashtags on Tumblr, and you automatically get linked to other men and women who feel the same way. Create a board on Pinterest of weight loss tips and images of skinny models, and you have a onestop site to share with others with your same issues. In February, Tumblr wrote on their blog that they were adopting a no "self-harm" policy, meaning they would shut down sites that promoted eating disorders. Pinterest soon followed suit on March 27 by updating its terms of services to include banning material that "creates a risk of harm, emotional distress, 39 death disability, disfigurement or physical or mental illness to any person." But a quick online search for these terms shows that these sites exist, either because they were created recently and have yet to be taken down or because the banned user created a different account that has yet to be found by the authorities. "They are still finding a way with all these regulations," Vazzana says. "Even with all the regulations, Tumblr and Pinterest may try, but they'll get the sites back running under a different ISP." According to the National Association of Anorexia Nervosa and Associated Disorders Inc., it is estimated that 24 million Americans have an eating disorder, but only one out of 10 will receive treatment. Currently, eating disorders have the highest mortality rate of any mental disorder. One in 200 U.S. women suffers from anorexia, and two to three out of 100 women will have bulimia, the South Carolina Department of Mental Health reported. Pro-ana and pro-mia sites are especially damaging for young children, Vazzana says. Studies reveal that children as young as 12 are accessing these sites. "They are particularly prone to buying into these websites and their bodies are changing at this time when they are trying to develop a better sense of identity and sense of sell-social comparison." Nombre de document(s) : 50 Date de création : 16 avril 2014 Vazzana points out that not all "thinspiration" sites are a bad thing. For those who may need some motivation to lose weight, these web communities can help them reach that goal. Websites like Jenny Craig and Weight Watchers often post weight loss pictures and dieting tips. The problem occurs when these sites promote images of women who are too thin or share "unhealthy" tips on how to lose weight, such as using laxatives or eating way below the recommended amount of daily calories. "They take it to an extreme," she says. Most of the time in the pro-ana or pro-mia movements don't believe the have a disorder, but instead are choosing to live this lifestyle by making a choice to not eat indulgently. Vazzana says oftentimes the person develops an eating disorder because they are trying to control their life, but unfortunately it begins to control them. About 50 percent of people with an eating disorder also meet the criteria for depression, according to the association. Finding an online support group helps these people feel like they are not alone and doing the right thing. "Eating disorders are actually very isolating. There's a cult status, but society tends to frown about it," Vazzana explains. © 2012 Blogs - News ; CEDROM-SNi inc. news·20120328·NBNE·CBSI-108479-13329720381292550200 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 40 As tempting as it may be, Vazzana says that those with an eating disorder must try to avoid these sites. Parents can set up filters to block them from their children, and she suggests putting the computer in a public area so activity can be monitored. The National Institute of Mental Health has more on eating disorders. Eating disorders: 9 mistakes parents make 1-2 of 10 Scroll Left Scroll Right Copyright © 1995-2010 CBS Interactive Inc. All rights reserved. Used by permission. Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - News - Jezebel Monday, 20 August 2012 Is There a Silver Lining to Otherwise Awful Pro-Ana 'Thinspo' Blogs? [Weighty Matters] Katie J.M. Baker Aug 20, 2012 - Pro-ana blogs might actually help anorexics deal with their eating disorder and eventually seek recovery, according to a new study. After interviewing 33 people from seven countries involved in the online thinspo community, Indiana University researchers determined that the 24-hour support the blogs offer somewhat balances out all of the horrifying "I'm not starving myself; I'm perfecting my emptiness"-type memes. Aug 20, 2012 - "These communities are providing support, albeit supporting an illness that may result in someone's death," one of the researchers said in a statement. "But until they're ready to go and seek recovery on their own terms, this might actually be a way of prolonging their life, so that they are mentally ready to tackle their recovery process." Researchers have analyzed thinspo blogs before, but the vast majority simply looked at the sites instead of reaching out to the bloggers themselves before concluding that the pro-ana community defends anorexia as a lifestyle choice instead of a disease. This new study is notable because the research team actually reached out and talked to the women (no men responded) behind the concave belly gifs and advice about how chewing celery burns calories; it turns out that only three called anorexia a lifestyle. Instead, 27 defined their eating disorder as a mental illness, and six said it was a coping mechanism. interviewed, and the researchers didn't specify how they defined proana sites. The takeaway isn't that we should encourage 15-year-olds to make their own embroidered "nothing tastes as good as skinny feels" pillows, but that we should take a close look at the qualities that make the thinspo community so hard to break away from - for example, how the blogs offer a round-the-clock security blanket that more constructive support groups could try and emulate. "In other words, people living with eating disorders are not purposely making unhealthy or healthcompromising decisions. They are trying to find the best way they can to live with this disorder," the researchers wrote. "We need to see what about (the proana blogs) is drawing people into the community and design blogs for recovery that offer the same kind of useful information so the recovery will work," one researcher said. "By knowing what they're doing in those blogs, we might be able to find better ways to provide online support." Still, the findings seem more like a beginning than anything conclusive, since only 33 people were Surprisingly, 'Pro-Ana' Blogging Communities May Help Sufferers of Eating Disorders [Medical Daily] © 2012 Blogs - News ; CEDROM-SNi inc. news·20120820·NBNE·GAWK-101003-13454918813842760600 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 41 Nombre de document(s) : 50 Date de création : 16 avril 2014 The New York Times (blogs) - Well Friday, 12 October 2012 - 12:28 Struggling With Anorexia on the Web By LAURA GEGGEL For years, young people - often girls and young women - have frequented Web sites promoting anorexia and bulimia as a source of inspiration and tips on staying thin, even as online companies have worked to ban such content. Now, groups and Web sites focused on recovery from eating disorders are fighting back. "We need to be looking at these communities and see what we can learn from them, and what we can provide as a positive alternative," said Claire Mysko, manager of Proud2Bme.org, a Web site and online community focused on healthy recovery that is financed by the nonprofit National Eating Disorders Association. "That's what we're trying to do here." This Saturday, the group is taking its message to the University of South Florida in Tampa for its free annual Proud2Bme Summit. Attendees will be encouraged to engage in activities like taking a stand on Twitter against "body snarking," a bullying tactic that draws attention to a person's body or weight gain, and hear from speakers including Julia Bluhm, a 14-year-old who collected more than 86,000 signatures to petition Seventeen magazine to print one unaltered photo spread a month. "Our goal here is to make it a space where people can connect," Ms. Mysko said. The site began in 2011 after the success of its Dutch counterpart, Proud2Bme.nl, whose co-founder Scarlet Hemkes struggled with anorexia and bulimia as a teenager and young adult and was horrified to find countless sites where girls competed to lose weight or shared tips on how to lie to parents about weight loss. Inspired by France's move in 2008 to ban such sites - commonly called pro-ana (for pro-anorexia) sites - Ms. Hemkes collected 10,000 signatures with the hopes of inspiring similar Dutch legislation. When that didn't work, she created a community on Hyves, a Facebook-like social network for girls with eating disorders, before founding Proud2Bme with a psychologist, Eric van Furth, in 2009. Many pro-ana sites cater to young people with eating disorders by featuring blogs, forums, calorie counters, videos, tips, poetry and pictures. "A lot of it is very image based: It's people posting pictures of very thin bodies that have quotes glorifying thinness," said Ms. Mysko, who aims to make the American site equally appealing for its 7,000 daily visitors by also including "fashion and everyday stuff." Web companies periodically try to stamp out the proliferation of pro-ana Web sites. In 2001, Yahoo! and other Web portals banned sites promoting eating disorders. And this year, 42 Pinterest, Tumblr and Instagram banned "thinspo," a term associated with finding inspiration for thinness. "We're committed to supporting freedom of speech, but we wanted to provide some limits," said Katherine Barna, a Tumblr spokeswoman. "We drew the line on any blogs that actively promote self-harm." Still, pro-ana sites continue to multiply with the ever-increasing number of online platforms. "We need to find a way to make the healthy information more attractive to these girls," said Daphna YeshuaKatz, a doctoral student in the Indiana University department of telecommunications. For a recent study, she and Nicole Martins, an assistant professor at the university, talked to 33 pro-ana bloggers, women ages 15 to 33 who were willing to be interviewed. The study, published in August in the journal Health Communication, showed that participants were motivated to blog as a way to cope with a stigmatized illness and a means of self-expression and social support. Ms. Mysko of Proud2Bme.org says that her group is aiming to turn that social support into something positive. "Those who might be attracted to thinspiration content will find a space where they can feel accepted and feel like they are able to talk to others who get it," she said. Nombre de document(s) : 50 Date de création : 16 avril 2014 "It's an environment that's promoting recovery." Related blogs: Family Therapy for Eating Disorders http://well.blogs.nytimes.com/2010/1 0/18/family-therapy-for-eatingdisorders/ http://well.blogs.nytimes.com/2010/0 2/19/sharing-your-wifes-eatingdisorder/ When an Eating Disorder Has No Name http://well.blogs.nytimes.com/2010/0 1/18/when-an-eating-disorder-has-noname/ Sharing Your Wife's Eating Disorder © 2012 The New York Times (blogs) ; CEDROM-SNi inc. news·20121012·NYB·24_83143 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 43 Eating Disorders Among Orthodox Jews http://well.blogs.nytimes.com/2011/0 4/11/eating-disorders-amongorthodox-jews/ The Ideal Ballerina http://well.blogs.nytimes.com/2010/1 2/13/the-ideal-ballerina/ Nombre de document(s) : 50 Date de création : 16 avril 2014 States News Services Monday, 20 August 2012 IU RESEARCHERS INTERVIEW PRO-ANOREXIC BLOGGERS FOR GROUNDBREAKING NEW STUDY BLOOMINGTON, Ind. - The following information was released by Indiana University - Bloomington: BLOOMINGTON, Ind. A groundbreaking new research study from Indiana University suggests there may be benefits to the controversial activities of "pro-ana" bloggers, the online community for people with eating disorders. BLOOMINGTON, Ind. - Most of the 33 bloggers from seven countries interviewed for the study, which has just been published in the journal Health Communication, said their writing activities provide a way to express themselves without judgment, which the authors believe can be crucial to their treatment. "We don't know what are the effects of participating in this community on health," said Daphna Yeshua-Katz, a doctoral student in telecommunications in the IU College of Arts and Sciences. "But we do know that the current therapy for eating disorders is not effective." "These communities are providing support, albeit supporting an illness that may result in someone's death," added Nicole Martins, an assistant professor of telecommunications at IU. "But until they're ready to go and seek recovery on their own terms, this might actually be a way of prolonging their life, so that they are mentally ready to tackle their recovery process. "From the outside looking in, this looks like a really disturbing community, but I think that the fact that these women are able to find support from one another and find a place where someone understands what they're going through is a really good thing," Martins added. They acknowledged that the study findings are different from media coverage and other research about the pro-ana community. The National Association of Anorexia Nervosa and Associated Disorders in 2010 reported that eating disorders affect more than 11 million people in the United States alone. Anorexics lose between 15 and 60 percent of their body weight and are susceptible to osteoporosis and heart ailments that can lead to death. It is viewed as a mental illness. Little is known about the "pro-ana" online community because of the closeted and secretive nature of its members. The IU study is believed to be the first one to focus on interviews with the bloggers. Previous research in this area has centered on content analysis of what these people, mostly women with the disorders, are writing. The researchers reached out to 300 bloggers and received a 10 percent response -- a statistically significant response. Both men and women with eating disorders were approached, but 44 only women participated. Participants ranged in age from 15 to 33. Most were attending high school or college, and all lived in countries where anorexia is most common. About twothirds lived in the United States. Yeshua-Katz said many bloggers express themselves through song lyrics, music and photos that they call "thinspiration," which are very controversial. Complaints from eating disorder support groups have led Internet service providers to shut down pro-anorexia websites, but the site administrators and bloggers have remained resilient. "They use the blogs to look for support and understanding, but at the same time, the content they display is something that for us -- people who are not sick -- is very disturbing," she said. "Studies show that people with eating disorders are stigmatized. Therefore these bloggers are looking for a place to vent out and express themselves without judgment of others." Yeshua-Katz, the lead author on the paper, frequently researches how marginalized people are mediating their stigma through social media. "The results revealed that the answers to why individuals are attracted to pro-ana sites have little to do with the need to share a broad philosophy or outlook and may stem from the desire simply to belong to a safe community Nombre de document(s) : 50 Date de création : 16 avril 2014 of individuals with similar experiences," the researchers wrote in the study. Their primary motivation for blogging was to seek social support. Most bloggers started publishing because they did not want to feel alone and were interested in finding others like themselves. They described interactions with family and friends as stressful "because they lack the understanding of their situation, while online they receive support constituted with sympathy, understanding and encouragement." About half of the bloggers also said self-expression and the need to cope with social stigmas were other motives. When asked to give an example of how blogging might help them cope with stigma, six respondents answered that blogging offers them a different reality. The majority of the sample reported that blogging about their illness improves their mood, and they found relief through their writing. The support they found was seen as unconditional. "They receive encouragement when they post about their weight loss success and comfort in bloggers' comments when they fail in such efforts. Moreover, when a user wants to stop self-harm behavior or go into recovery, the community supports her choice too," the researchers explained. "Our participants perceived the support within their ED community to be stronger than the support they received for their so-called strong ties to their offline life," they said, adding that eight bloggers reported meeting other community members in person. In medical literature, a patient's decision to find support is seen as a good predictor of compliance and treatment leading to a cure. Nearly 20 percent of the women interviewed for the study indicated that they were in the process of going through recovery from the illness. One respondent, who was in recovery, said that her blogging activities "gave her the skills to talk about her illness in the recovery process." Of the 33 women interviewed, 27 defined their eating disorder as a mental illness and six said it was a coping mechanism. Contrary to previous research based on content analysis of the blogs, only three of those interviewed called anorexia a "lifestyle." "In other words, people living with eating disorders are not purposely making unhealthy or healthcompromising decisions. They are trying to find the best way they can to live with this disorder," the researchers wrote. "I think that's encouraging that a majority don't look at it as a lifestyle," Martins said. "The silver lining is there that if they realize that it's a disease, then maybe they'll eventually seek help for it. But right now this is how they're coping." While most studies make the claim that pro-ana websites promote and maintain anorexia by sharing tips for weight loss and concealing the disorder, only five bloggers mentioned this as a reason to start their blogs. "Participants in this research, except for shutting down their blogs, did actively engage in ways to warn their audience about the content and 45 ignored or blocked requests for tips and tricks from what they nicknamed 'wannarexics' -- young teenagers who want to become anorexic," the paper said. Yeshua-Katz and Martins hope their research provides the medical community with greater understanding of the people they are treating. One of the bloggers they spoke to expressed difficulty finding "recovery" blogs and still follows the pro-ana blogs because "it's hard to totally abandon them." "For example, they were missing a 24-hour support place," Yeshua-Katz said. "We need to see what about (the pro-ana blogs) is drawing people into the community and design blogs for recovery that offer the same kind of useful information so the recovery will work. "By knowing what they're doing in those blogs, we might be able to find better ways to provide online support," she added. The paper also highlights a major paradox for the pro-ana community. "They go online to vent out and to relieve stress. But then by having their blog, by having their secret life, it adds another level of stress to their life," Yeshua-Katz said. "There is an information game going on, and it's very intense and stressful because your stigma is unknown." Ten of the pro-ana bloggers actually produce two blogs -- a "healthy" one for family members and friends and another about their eating disorders. "The fact that disordered eating is such a solitary and isolating experience makes the Internet an ideal place for offering support and advice," the researchers wrote. "The Nombre de document(s) : 50 Date de création : 16 avril 2014 pro-ana community is worth studying in its own right as a social space that affords a style of interaction that would be highly unlikely to be visible © 2012 States News Services ; CEDROM-SNi inc. news·20120820·SNS·1116715918 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 46 in the offline environment." or pre-Internet Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Health Business Blog Monday, 21 June 2010 Opening our eyes to pro-anorexia and pro-bulimia websites David E. Williams of the Health business blog class="dateline">Jun. 21, 2010 (Health Business Blog delivered by Newstex) -- access.) It's not just "concerned parents and friends" who can be fooled. If you came here on a search for proanorexia or pro-bulimia websites please visit Getting Help for Anorexia and Bulimia at HealthyPlace.com instead (or at least first). As I reviewed the sites I noticed that some provide very specific instructions on how to hide eating disorders from one's physician. I had informal follow-up discussions with a number of pediatricians. Few had heard of these pro-Ana and pro-Mia sites; they certainly hadn't visited them to see what they are all about. Some pediatricians also talked about how the emphasis on obesity screening and prevention might make things worse. BMI screening focuses on finding patients who are too heavy, not too light. And the message that it's bad to be too heavy resonates with the "thinspo" crowd. I'm happy to see that the American Journal of Public Health has published a study of eating disorder websites --the so-called "pro-Ana" and "pro-Mia" (as in anorexia and bulimia) sites that provide "thinspiration" or "thinspo" to their visitors. The article, reviewed on MedPage Today, includes a systematic assessment of 180 such sites. From MedPage Today: Although 85% provided "thinspiration," 83% also offered overt suggestions on how to engage in eating disorders. "The tips and techniques were suggestions and strategies to achieve rapid weight loss and even hide one's eating disorder from concerned parents and friends," [author Dina L.G.] Borozekowski said. I've spent some time looking at proAna/pro-Mia sites in the past, and Borozekowski's words ring true. However, I wish she'd gone a bit farther in her comments to help pediatricians understand what they are up against. (Maybe she did in the AJPH article --but I don't have If you're a pediatrician or a parent of an adolescent girl (though boys can have eating disorders, too), try browsing some "thinspo" sites. You are likely to learn about how those with eating disorders try to evade you, and you might also develop some insights into the psychology of those with anorexia and bulimia. In the past I've avoided linking to thinspo sites because I didn't want to boost their popularity. But I've decided to abandon that policy in the name of getting more parents and peds to visit. I think it's more likely they are the ones reading my blog than thinspo fans. - Here's a summary of pro-Ana tips and tricks. They are quite repetitive - 47 probably compiled from a number of separate lists. A couple examples:087. If you must eat at the table with the family do not pile food upward on your plate. Try to keep it close to the plate and spread out this way your plate looks full with lots of food, but isn't.088. If you must eat at the table, talk a lot and take a drink with EVERY bite or every other bite to fill up and make you look active at the table. - Here's a fairly hard core one (Prothinspo) that includes a lot of tips on hiding anorexia from parents and doctors. Avoid going to the doctor at all costs. If you do have to visit the doctor and you are underweight, here are some things you can try: drink tons of water, if you know you are going to the doctor a few days in advance you can load op on salt; you can lose the water weight alot easier,Wear heavy clothes and clunky shoes, wear extra jewelry, paint your nails with extra layers ( every ounce counts, remember 16 ounces make a pound), if the doctors office isn't too far from your house you can wash your hair right before going, layer the inside bottom of your shoes with coins, (I hate to say this) but don't scrub your body for a few days and don't shave your legs, when the doctor weighs you, say "hey, I lost some weight!" pay attention to your facial expressions upon saying this, when you are weighed, and when the doctor Nombre de document(s) : 50 Date de création : 16 avril 2014 talks to you. If you are still underweight after all that and the doctor asks you about it just say you've been so busy and you too are unhappy with your weight loss, say it definitely wasn't intentional, you can even say you haven't felt well. Some of the suggestions in the last paragraph seem absurd (painting nails with extra layers!) but it gives you a sense of the mentality. you'll find plenty of informative, disturbing posts and photos. - Share After I wrote this post it occurred to me to go on Twitter, which is a natural spot for thinspo behavior. Try searching #thinspo and #proana and class="newstexID">Newstex HBB-0001-46293474 © 2010 Blogs - Health ; CEDROM-SNi inc. news·20100621·NBHE·HBB-0001-46293474 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 48 ID: Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Blisstree Tuesday, 27 March 2012 Pinterest Bans Thinspiration And Pro-Ana Content...But That Doesn't Mean That It's Going Away Mar 27, 2012 - This week, the big news about Pinterest is that the micro-blogging platform finally listened to its users (and, likely, its lawyers), and made necessary changes to the wording regarding copyright and ownership in its Terms of Service. But they also snuck something else into the new rules: no "self-harm" sites...meaning no "proana" content, and no "thinspiration." But, as Tumblr's recently-updated conditions seem to show, it's a lot easier said that done. Mar 27, 2012 - Jezebel drew some attention to Pinterest's burgeoning thinspo community last week, with this article detailing the many pinboards which centered around extreme dieting, images of very-thin women, and often-repeated adages within in the eating disorder community. And, it seems, the site's creators paid attention, because here's the new clause in the Acceptable Use policy, which mandates that users not post material that... creates a risk of harm, loss, physical or mental injury, emotional distress, death, disability, disfigurement, or physical or mental illness to yourself, to any other person, or to any animal; Which is all well and good in theory, but in practice, it seems a little more difficult. Tumblr, who worked with NEDA to help not only curb the use of its site for pro-ana content, but also offer support to users who were looking for it, stated that they were "deeply committed to supporting and defending our users' freedom of speech," but that they "do draw some limits." However, policing these new policies seems to be difficult; it doesn't take more than a quick peek at Tumblr's tags to see that the purveyors of scary, triggering images and blog posts are still posting plenty of potentially harmful stuff. But then, pro-ana and thinspo sites are as old as the internet, and so far, no amount of restriction has really made them go away. They just move around. And, of course, there's the question of free speech. Tumblr, Pinterest, and any other platform that users agree to interact with can rightfully do whatever they want, and can limit what content is "acceptable" in whichever way they like. But that doesn't mean users will be happy about it. As one commenter put it on an article about Tumblr from last month,"they can do whatever they want, but I don't find it fair that Tumblr is insisting on restricting blogs that are merely being used to express the thoughts of the blogger behind it." Additionally, when it comes to proana blogs, many individuals who are suffering with eating disorders-which are notoriously isolating mental illnesses-rely on that kind of content to feel less alone. And, as one 49 commenter pointed out, "many blogs on tumblr with posts concerning anorexia and bulimia can be recovery blogs." Something as subjective as what may potentially lead to "selfharm" isn't just difficult to enforceit's difficult to define. Still, many concerned parents and individuals looking for a safe space without triggers will likely appreciate this additional piece of language in Pinterest's updated usage rules. And who knows? Maybe Pinterest will be more dogged about policing content than Tumblr or other platforms. Though with user growth of 866% in the last six months, that seems a little unlikely. What do you think? Just another meaningless infringement on free speech, or a progressive step toward making the internet less full of thin women in undies, unhealthy "tips," and other triggering images? Image: Pinterest Related posts: True Story: I've Been Using Pro-Ana Websites For Over A Decade Pro-Ana Sites Are Just The Tip Of Eating Disorders On The Internet Tumblr To Begin Restricting Pro-Ana And Other "Self-Harm" Blogs Marisa Miller's 'Diet Tricks' In Women's Health Read Like Pro-Ana Tips Post from: Blisstree Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2012 Blogs - Health ; CEDROM-SNi inc. news·20120327·NBHE·BFME-106345-13328760877167494500 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 50 Nombre de document(s) : 50 Date de création : 16 avril 2014 The Lethbridge Herald Thursday C, Thursday, 15 September 2005, p. c7 [Stick figures or sick figures? Websites that advocate eating disorders worry health experts Story by Alana Semuels Illustration by Daniel Marsula Pittsburgh Post-Gazette Pictures of sickly thin models and] Sulz, Dave Stick figures or sick figures? Websites that advocate eating disorders worry health experts Story by Alana Semuels Illustration by Daniel Marsula Pittsburgh Post-Gazette Pictures of sickly thin models and tips about how to hide her anorexia greeted Shannon Bonnette every time she surfed the Web five years ago. Bonnette visited the sites out of curiosity more than anything else after 15 years with an eating disorder, she didn't need any tips. But the girls on the sites were a community of sorts; they were all going through a similar illness, and all felt misunderstood. Bonnette, who is from Erie, Pa., and now lives in Conneaut, Ohio, even started her own website, where she kept a journal of her experiences dealing with anorexia. She would get e-mails from people who supported her honesty in talking about her site, even though it was difficult to read. Bonnette, who now runs a website to support people recovering from eating disorders, has been on both sides of a controversy that has been building over the past few years with the growth of "pro-ana" and "pro-mia" Websites that promote, respectively, anorexia and bulimia, and of websites that are geared towards recovery. On one side are doctors who worry that these sites might trigger eating disorders in young people on the brink of the disease, or worsen the medical state of people who already have eating disorders. On the other are the sites' organizers, who argue that they provide a community for all those who feel isolated by their illness, and that warnings on their sites are meant to dissuade anyone who cannot handle their content. That's part of the problem with these sites: doctors think they may perpetuate the illness, while visitors don't see their problem as an illness at all. "The very core of the belief that backs these sites is that eating disorders are a lifestyle choice and not an illness," said Dr. Rebecka Peebles, an instructor in adolescent medicine at Lucille Packard Children's Hospital in Palo Alto, Calif. A disclaimer on one popular site reads: This is a pro-ana website. That means this is a place where anorexia is regarded as a lifestyle and a choice, not an illness or disorder. There are no victims here. 51 As a doctor who looks at the medical complications of anorexia, Peebles does not agree with this assessment. She's done some preliminary studies of the effects of these websites and suggests that they can be detrimental to the health of those who visit them. Peebles and medical student Jenny Wilson surveyed 64 patients who had been seen for treatment of eating disorders and 91 parents of such patients. Although they acknowledge that the sample size is small, they found that almost 40 per cent of the patients had visited pro-eating disorder websites, and 38 per cent had visited pro-recovery sites. People who used the sites had more hospitalizations because of their eating disorder, and were spending less time on school work than patients who did not visit the sites. Over 60 per cent of the patients who visited the pro-ana sites had learned weight loss techniques from the sites, and more than 30 per cent of patients had learned similar techniques from postings made by other patients on the pro-recovery sites. Peebles also thinks that these sites might attract teens in particular, because many pro-eating disorder sites feature disclaimers warning the "weak-hearted" not to enter - a red flag of sorts that something is off- Nombre de document(s) : 50 Date de création : 16 avril 2014 limits, and therefore, worth checking out. But while the sites might affect some people negatively, Shannon Bonnette says they provided her with a valuable avenue of support. Anorexia was a part of her identity that isolated her from others. "I just figured it was the way I was going to die," she said. Her parents had taken her to the Cleveland Clinic for treatment and she saw a counselor on her college campus, but she didn't think that the doctors she talked to knew anything about eating disorders. Even during the worst times of her illness, the ability to put her experiences on the Web were valuable. She says her postings were more real and gritty than what she read in the recovery community, where everything was focused on the positive. "Therapists and doctors who think that they know it all, they don't know it all," she said. Because of the websites, "people going through it feel a whole lot less lost." It's true that these Websites can provide a community of sorts, and a place for people to share their experiences of going through a difficult disorder, said Stanford's Peebles. Eating disorders in general are isolating, she said, and often people who are ill are restricted from physical activities or school, and if they're in treatment they spend more time at home, and inevitably, on the computer. Peebles even has patients who cannot or will not express their feelings in person, but will refer her to their proana websites where they write about what they've been up to. Whether they provide support or worsen the medical conditions of people with eating disorders, the sites affect people in vastly different ways. Depending on whether a person is anorexic, or recovering, or on the brink of developing the disease, the sites could be a source of help or the trigger that plunges her into a deadly disease. But since they're on the Internet, there's no way to cater them specifically to a certain group of people, no matter how much the disclaimers on the sites might try. While there are websites out there that promote eating disorders, and those that encourage the road to recovery, people with eating disorders will often go to the ones that support their illness because some, by definition, have mixed feelings about getting better. "One of the diagnostic criteria for the illness is denial of the seriousness of the illness," said Marsha Marcus, a psychiatry professor at the University of Pittsburgh School of Medicine. "By definition they are made anxious about thinking of relinquishing the illness." The sites might trigger eating disorders in vulnerable individuals, she said. While she doesn't think that websites can cause or cure a serious disorder, Marcus knows that eating disorders stem from a complex combination of forces. 52 In some ways, the support they might provide is countered by the way they encourage people to stay thin or maintain an eating disorder. Some sites, such as Bonnette's, try to provide the support network without the negative aspects of some sites. Strangely, it was a pro-ana website that helped her recover; after reading the complaints and journals of girls who just wanted to lose a few more pounds to get below 100 or 96 or 94, she just got sick of it all. She began to realize that the postings never changed, and that no one ever got any better. With this thought, she started to give healthy eating a try. But Bonnette's case is by no means a common means of recovery from eating disorders. She was lucky - she is 26 now and gave birth to a baby this spring. Her site now straddles a fine line - it isn't pro-ana, nor does it constantly urge people to recover, she said. It doesn't contain the pictures of thin models or the diet tips present on some sites, but it provides links to some of those sites, as well as sites that help people through recovery. While her site has been criticized as being pro-ana, she thinks it is an invaluable source of information for people with eating disorders and those who want to discover. It's not like some of the negative sites that are over-the-top, she says. "There's definitely a line," she said. "As with everything, there's a good and a bad." Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2005 The Lethbridge Herald ; CEDROM-SNi inc. news·20050915·LH·0eating×1disorder×1websites - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 53 Nombre de document(s) : 50 Date de création : 16 avril 2014 Victoria Advocate (TX) Monday, 15 December 2008 'You can't save people from themselves' Aprill Brandon Dec. 15, 2008 (McClatchy-Tribune Regional News delivered by Newstex) -- Con: For years, when Candy Rutland was living in Victoria, she was anorexic, dropping down to 99 pounds by consuming only 800 calories a day and exercising twice a day at the gym. Now living in San Antonio, she is on prescription diet pills to keep her weight down and eats only one small meal a day. It is a lifestyle choice that she chose, she said. "People have been bulimic and anorexic long before there were Web sites explaining how to be that way. You can't save people from themselves," Rutland said. "If they ban the Web sites, then people will continue to experiment on their own." Rutland isn't alone in her thinking. Those that oppose the banning of proana sites claim it is censorship of free speech as well as how it is not the government's place to legislate weight. In April, France's lower house of Parliament approved a bill that would punish magazines, blogs and Web sites that promote eating disorders with punishments of up to three years in prison or hefty fines of up to $70,000. There is concern among some disorder specialists that such would actually create more demand on the Web sites and more publicity about pro-ana. eating a law of a create "Ultimately, I think it's a mistake to ban them because I think you're going to be hard pressed to demonstrate in a very clear way that these sites have a direct negative effect," Kenyon College psychology professor Michael Levine said in an interview with the International Herald Tribune shortly after the bill passed. Adam Thierer of the Technology Liberation Front, a Web site devoted to reversing the trend of political over-regulation of the Internet, suggests that education and open, © 2008 Victoria Advocate (TX) ; CEDROM-SNi inc. news·20081215·NCVI·0KRTB-0211-30479025 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 54 informed discussions are the best way to combat the pro-ana movement. For every pro-ana site, other sites pop up to counter and address the negative impacts of pro-ana. While Internet service providers such as Yahoo (NASDAQ:YHOO) and Microsoft (NASDAQ:MSFT) have shut down various pro-ana sites, others like LiveJournal, Facebook and Myspace refuse to do so, stating that pro-ana being a controversial topic is not enough to censor and ban the material. Newstex ID: KRTB-0211-30479025 Note(s): Distributed by McClatchy-Tribune Information Services. For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA. Nombre de document(s) : 50 Date de création : 16 avril 2014 The New York Times Late Edition - Final Magazine, Sunday, 8 September 2002, p. 6 18 THE WAY WE LIVE NOW: 9-8-02: PHENOMENON A Secret Society of the Starving By Mim Udovitch Claire is 18. She is a pretty teenager, with long strawberry-blond hair, and she is almost abnormally selfpossessed for a girl from a small town who has suddenly been descended upon by a big-city reporter who is there to talk to her, in secret, about her secret life. She is sitting on the track that runs around the field of her high school's football stadium, wearing running shorts and a T-shirt and shivering a little because even though we are in Florida -- in the kind of town where, according to Claire, during "season" when you see yet another car with New York plates, you just feel like running it down -there's an evening chill. Claire's is also the kind of town where how the local high school does in sports matters. Claire herself plays two sports. Practice and team fundraisers are a regular part of her life, along with the typical small-townFlorida teenage occupations -- going to "some hick party," hanging out with friends in the parking lot of the Taco Bell, bowling, going to the beach. Another regular part of her life, also a common teenage occupation, is anorexia -- refusal to eat enough to maintain a minimally healthy weight. So she is possibly shivering because she hasn't consumed enough calories for her body to keep itself warm. Claire first got into eating disorders when she was 14 or 15 and a bulimic friend introduced her to them. But she was already kind of on the lookout for something: "I was gonna do it on my own, basically. Just because, like, exercise can only take you so far, you know? And I don't know, I just started to wonder if there was another way. Because they made it seem like, 'You do drugs, you die; be anorexic and you're gonna die in a year.' I knew that they kind of overplayed it and tried to frighten you away. So I always thought it can't be that bad for you." Bulimia -- binge eating followed by purging through vomiting or laxatives -- didn't suit her, however, so after a little while she moved onto anorexia. But she is not, by her own lights, anorexic. And her name isn't Claire. She is, in her terms, "an ana" or "proana" (shortened from pro-anorexia), and Claire is a variation of Clairegirl, the name she uses on the Web sites that are the fulcrum of the pro-ana community, which also includes people who are pro-mia (for bulimia) or simply pro-E.D., for eating disorder. About one in 200 American women suffers from anorexia; two or three in 100 suffer from bulimia. Arguably, 55 these disorders have the highest fatality rates of any mental illness, through suicide as well as the obvious health problems. But because they are not threatening to the passer-by, as psychotic disorders are, or likely to render people unemployable or criminal, as alcoholism and addiction are, and perhaps also because they are disorders that primarily afflict girls and women, they are not a proportionately imperative social priority. They have been, however, topics of almost prurient media fascination for more than 20 years -- regularly the subject of articles in magazines that have a sizable young female readership. In these forums, eating disorders are generally depicted as fundamentally body-image disorders, very extreme versions of the noneating-disordered woman's desire to be thin, which just happen, rivetingly, to carry the risk of the ultimate consequence. "So many women who don't have the disorder say to me: 'Well, what's the big deal? It's like a diet gone bad,"' says Ellen Davis, the clinical director of the Renfrew Center of Philadelphia, an eatingdisorder treatment facility. "And it is so different from that. Women with the vulnerability, they really fall into Nombre de document(s) : 50 Date de création : 16 avril 2014 an abyss, and they can't get out. And it's not about, 'O.K., I want to lose the 10 pounds and go on with my life.' It's, 'This has consumed my entire existence.' " And now there's pro-ana, in many ways an almost too lucid clarification of what it really feels like to be eating disordered. "Pain of mind is worse than pain of body" reads the legend on one Web site's live-journal page, above a picture of the Web mistress's arm, so heavily scored with what look like razor cuts that there is more open wound than flesh. "I'm already disturbed," reads the home page of another. "Please don't come in." The wish to conform to a certain external ideal for the external ideal's sake is certainly a component of anorexia and bulimia. But as they are experienced by the people who suffer from them, it is just that: a component, a stepping-off point into the abyss. As the girls (and in smaller numbers, boys) who frequent the pro-E.D. sites know, being an ana is a state of mind -- part addiction, part obsession and part seesawing sense of self-worth, not necessarily correlating to what you actually weigh. "Body image is a major deal, but it's about not being good enough," says Jill M. Pollack, the executive director of the Center for the Study of Anorexia and Bulimia, "and they're trying to fix everything from the outside." Clairegirl, like many of the girls who include their stats -- height, weight and goal weight -- when posting on such sites, would not receive a diagnosis of anorexia, because she is not 15 percent under normal weight for her height and age. But she does have self-devised rules and restrictions regarding eating, which, if she does not meet them, make her feel that she has erred -- I kind of believe it is a virtue, almost," she says of pro-ana. "Like if you do wrong and you eat, then you sin." If she does not meet her goals, it makes her dislike herself, makes her feel anxiety and a sense of danger. If she does meet them, she feels "clean." She has a goal weight, lower than the weight she is now. She plays sports for two hours a day after school and tries to exercise at least another hour after she gets home. She also has a touch of obsessive-compulsive disorder regarding non-food-related things -- cleaning, laundry, the numeral three. ("Both anorexia and bulimia are highly O.C.D.," says Pollack. "Highly.") And she does spend between one and three hours a day online, in the world of pro-ana. Asked what she likes best about the sites, Claire says: "Just really, like at the end of the day, it would be really nice if you could share with the whole world how you felt, you know? Because truthfully, you just don't feel comfortable, you can't tell the truth. Then, like, if I don't eat lunch or something, people will get on my case about it, and I can't just come out and tell them I don't eat, or something like that. But at the end of the day, I can go online and talk to them there, and they know exactly what I'm going through and how I feel. And I don't have to worry about them judging me for how I feel." pro-ana, the basic premise of which is that an eating disorder is not a disorder but a lifestyle choice, is very much an ideology of the early 21st century, one that could not exist absent the anonymity and accessibility of the Internet, without 56 which the only place large numbers of anorexics and bulimics would find themselves together would be at inpatient treatment. "Primarily, the sites reinforce the secretiveness and the 'specialness' of the disorder," Davis says. "When young women get into the grips of this disease, their thoughts become very distorted, and part of it is they believe they're unique and special. The sites are a way for them to connect with other girls and to basically talk about how special they are. And they become very isolated. Women with eating disorders really thrive in a lot of ways on being very disconnected. At the same time, of course, they have a yearning to be connected." Perfectionism, attention to detail and a sense of superiority combine to make the pro-ana sites the most meticulous and clinically fluent selfrepresentations of a mental disorder you could hope to find, almost checklists of diagnostic criteria expressed in poignantly human terms. Starving yourself, just on the basis of its sheer difficulty, is a highdedication ailment -- to choose to be an ana, if choice it is, is to choose a way of life, a hobby and a credo. And on the Web, which is both very public and completely faceless, the aspects of the disorder that are about attention-getting and secret-keeping are a resolved paradox. "I kind of want people to understand," Clairegirl says, "but I also like having this little hidden thing that only I know about, like -- this little secret that's all yours." Pro-ana has its roots in various newsgroups and lists deep inside various Internet service providers. Now there are numerous well-knownto-those-who-know sites, plus who Nombre de document(s) : 50 Date de création : 16 avril 2014 knows how many dozens more that are just the lone teenager's Web page, with names that put them beyond the scope of search engines. And based on the two-week sign-up of 973 members to a recent message-board adjunct to one of the older and more established sites, the pro-ana community probably numbers in the thousands, with girls using names like Wannabeboney, Neverthinenuf, DiETpEpSi UhHuh! and Afraidtolookinthemirror posting things like: "I can't take it anymore! I'm fasting! I'm going out, getting all diet soda, sugar-free gum, sugar-free candy and having myself a 14-day fast. Then we'll see who is the skinny girl in the family!" That ana and mia are childlike nicknames, names that might be the names of friends (one Web site that is now defunct was even called, with girlish fondness, "My Friend Ana"), is indicative. The pro-ana community is largely made up of girls or young women, most of whom are between the ages of 13 and 25. And it is a close community, close in the manner of close friendships of girls and young women. The members of a few sites send each other bracelets, like friendship bracelets, as symbols of solidarity and support. And like any ideology subscribed to by many individuals, pro-ana is not a monolithic system of belief. At its most militant, the ideology is something along the lines of, as the opening page of one site puts it: "Volitional, proactive anorexia is not a disease or a disorder. . . . There are no victims here. It is a lifestyle that begins and ends with a particular faculty human beings seem in drastically short supply of today: the will. . . . Contrary to popular misconception, anorectics possess the most iron-cored, indomitable wills of all. Our way is not that of the weak. . . . If we ever completely tapped that potential in our midst . . . we could change the world. Completely. Maybe we could even rule it." Mostly, though, the philosophical underpinnings of pro-ana thought are not quite so Nietzschean. The "Thin Commandments" on one site, which appear under a picture of Bugs Bunny smiling his toothy open-mouthed smile, leaning against a mailbox and holding a carrot with one bite taken out of it, include: "If thou aren't thin, thou aren't attractive"; "Being thin is more important than being healthy"; "Thou shall not eat without feeling guilty"; "Thou shall not eat fattening food without punishing thyself afterward"; and "Being thin and not eating are signs of true willpower and success." The "Ana Creed" from the same site begins: "I believe in Control, the only force mighty enough to bring order into the chaos that is my world. I believe that I am the most vile, worthless and useless person ever to have existed on this planet." In fact, to those truly "in the disorder" -- a phrase one anonymous ana used to describe it, just as an anonymous alcoholic might describe being in A.A. as being "in the rooms" -- proana is something of a misnomer. It suggests the promotion of something, rather than its defense, for reasons either sad or militant. That it is generally understood otherwise and even exploited ("Anorexia: Not just for suicidal teenage white girls anymore" read the home page of Anorexic Nation, now a disabled site, 57 the real purpose of which was to push diet drugs) is a source of both resentment and secret satisfaction to the true pro-ana community. Its adherents might be vile and worthless, but they are the elite. The usual elements of most sites are pretty much the same, although the presentation is variable enough to suggest Web mistresses ranging from young women with a fair amount of programming know-how and editorial judgment to angry little girls who want to assert their right to protect an unhealthy behavior in the face of parental opposition and who happen to know a little HTML. But there are usually "tips" and "techniques" -- on the face of it, the scariest aspect of pro-ana, but in reality, pretty much the same things that both dieters and anorexics have been figuring out on their own for decades. There are "thinspirational" quotes -- You can never be too rich or too thin"; "Hunger hurts but starving works"; "Nothing tastes as good as thin feels"; "The thinner, the winner!" There are "thinspirational" photo galleries, usually pretty much the same group of very thin models, actresses and singers -- Jodie Kidd, Kate Moss, Calista Flockhart, Fiona Apple. And at pro-ana's saddest extreme, balancing the militance on the scales of the double-digit goal weight, there are warnings of such severity that they might as well be the beginning of the third canto of Dante's "Inferno": "I am the way into the city of woe. I am the way to a forsaken people. I am the way into eternal sorrow." The proana version of which, from one site, is: Please Note: anorexia is not a diet. Bulimia is not a weight-loss plan. These are dangerous, potentially life- Nombre de document(s) : 50 Date de création : 16 avril 2014 threatening disorders that you cannot choose, catch or learn. If you do not already have an eating disorder, that's wonderful! If you're looking for a new diet, if you want to drop a few pounds to be slimmer or more popular or whatever, if you're generally content with yourself and just want to look a bit better in a bikini, go away. Find a Weight Watchers meeting. Better yet, eat moderate portions of healthy food and go for a walk. However. If you are half as emotionally scarred as I am, if you look in the mirror and truly loathe what you see, if your relationships with food and your body are already beyond "normal" parameters no matter what you weigh, then come inside. If you're already too far into this to quit, come in and have a look around. I won't tell you to give up what I need to keep hold of myself. Most of the pro-ana sites also explicitly discourage people under 18 from entering, partly for moral and partly for self-interested reasons. Under pressure from the National Eating Disorders Association, a number of servers shut down the proana sites they were hosting last fall. But obviously, pretty much anyone who wanted to find her way to these sites and into them could do so, irrespective of age. And could find there, as Clairegirl did, a kind of perverse support group, a place where a group of for the most part very unhappy and in some part very angry girls and women come together to support each other in sickness rather than in health. Then there's chaos -- also her Web name -- who like her friend Futurebird (ditto) runs an established and well-respected pro-E.D. site. Chaos, whom I met in Manhattan although that's not where she lives, is a very smart, very winning, very attractive 23-year-old who has been either bulimic or anorexic since she was 10. Recently she's been bingeing and purging somewhere between 4 and 10 times a week. But when not bingeing, she also practices "restricting" -- she doesn't eat in front of people, or in public, or food that isn't sealed, or food that she hasn't prepared herself, or food that isn't one of her "safe" foods, which since they are a certain kind of candy and a certain kind of sugar-free gum, is practically all food. ("You're catching on quickly," she says, laughing, when this is remarked on.) Also recently, she has been having trouble making herself throw up. "I think my body's just not wanting to do it right now," she says. "You have the toothbrush trick, and usually I can just hit my stomach in the right spot, or my fingernails will gag me in the right spot. It just depends on what I've eaten. And if that doesn't work, laxis always do." severity of Chaos's bulimia, its longstanding nature and the other things she does -- taking ephedra or Xenadrine, two forms of, as she says, "legal speed," available at any health food or vitamin store; exercising in excess; fasting -- she stands a very real chance of dying any time. As it is, she has been to the emergency room more than half a dozen times with "heart things." It would freak her out to see the details of her heart things in print. But the kinds of heart things a severe bulimic might experience range from palpitations to cardiac arrest. And although Chaos hasn't had her kidney function tested in the recent past, it probably isn't great. Her spleen might also be near the point of rupturing. Chaos is by no means a young woman with nothing going for her. She has a full-time job and is a full-time college student, a double major. She can play a musical instrument and take good photographs. She writes beautifully, well enough to have won competitions. Chaos, like Clairegirl, is obsessivecompulsive about a certain number (which it would freak her out to see printed), and when she takes laxatives she either has to take that number of them, which is no longer enough to work, or that number plus 10, or that number plus 20, and so forth. The most she has ever taken is that number plus 60, and the total number she takes depends on the total number of calories she has consumed. But despite her many positive attributes, Chaos punishes herself physically on a regular basis, not only through bulimia but also through cutting -- hers is the live-journal page with the picture of the sliced-up arm. To be beheld is, to Chaos, so painful that after meeting me in person, she was still vomiting and crying with fear over the possible consequences of cooperating with this story a week later. "Some days," she says of her bulimia, "it's all I have." While it hardly needs to be pointed out that starving yourself is not good for you, bulimia is in its own inexorable if less direct way also a deadly disorder. Because of the One thing that she does not have is health insurance, so her treatment options are both limited and inadequate. So with everything she has going for her, with all her real- 58 Nombre de document(s) : 50 Date de création : 16 avril 2014 world dreams and aspirations, the palpitating heart of her emotional life is in the pro-E.D. community. As another girl I spoke with described herself as telling her doctors: "Show me a coping mechanism that works as well as this and I'll trade my eating disorder for it in a minute." And while in some moods Chaos says she would do anything to be free of her eating disorders, in others she has more excuses not to be than the mere lack of health insurance: she has a job, she is in school, she doesn't deserve help. And what she has, on all days, is her Web site, a place where people who have only their eating disorders can congregate, along with the people who aspire to having eating disorders -who for unknowable reasons of neurochemistry and personal experience identify with the selflacerating worlds of anorexia and bulimia. Futurebird, whom I also met in Manhattan, says that she has noticed a trend, repeating itself in new member after new member, of people who don't think they're anorexic enough to get treatment. And it's true, very much a function of the Internet -- its accessibility, its anonymity -- that the pro-ana sites seem to have amplified an almost-diagnostic category: the subclinical eating disorder, for the girl who's anorexic on the inside, the girl who hates herself so much that she forms a virtual attachment to a highly traumatized body of women, in a place where through posts and the adoption of certain behaviors, she can make her internal state external. Futurebird and Chaos are sitting in a little plaza just to the south of Washington Square Park, with the sun behind them. Futurebird is a small African-American woman. As she notes, and as she has experienced when being taken to the hospital, it is a big help being African-American if you don't want people to think you have anorexia, which is generally and inaccurately considered to be solely an affliction of the white middle class. Futurebird has had an eating disorder since she was in junior high school and is now, at 22, looking for a way to become what you might call a maintenance anorexic -- eating a little bit more healthily, restricting to foods like fruits and whole-grain cereal and compensating for the extra calories with excessive exercising. Like Chaos, she is opposed, in principle, to eating disorders in general and says that she hates anorexia with a blind and burning hatred. Although she also says she thinks she's fat, which she so emphatically is not that in the interest of not sounding illogical and irrational, she almost immediately amends this to: she's not as thin as she'd like to be. Both she and Chaos would vigorously dispute the assertion that the sites can give anyone an eating disorder. You certainly can't give anyone without the vulnerability to it an eating disorder. But many adolescent girls teeter on the edge of vulnerability. And the sites certainly might give those girls the suggestion to . . . hey, what the hell, give it a try. "What I'd like people to understand," Futurebird says, "is that it is very difficult for people who have an eating disorder to ask for help. What a lot of people are able to do is to say, well, I can't go to a recovery site and ask for help. I can't go to a doctor or a 59 friend and ask for help. I can't tell anyone. But I can go to this site because it's going to quote-unquote make me worse. And instead what I hope they find is people who share their experience and that they're able to just simply talk. And I've actually tested this. I've posted the same thing that I've posted on my site on some recovery sites, and I've read the reactions, and in a lot of ways it's more helpful." In what ways? "The main difference is that if you post -- if someone's feeling really bad, like, I'm so fat, et cetera, on a recovery site, they'll say, that's not recovery talk. You have to speak recovery-speak." "Fat is not a feeling," Chaos says, in tones that indicate she is echoing a recovery truism. "And they'll use this language of recovery," Futurebird continues. "Which does work at some point in the negative thinking patterns that you have. But one tiny thing that I wish they would do is validate that the feeling does exist. To say, yes, I understand that you might feel that way. And you get not as much of that. A lot of times people just need to know that they aren't reacting in a completely crazy way." The problem is that by and large, the people posting on these sites are reacting in a completely crazy way. There are many, many more discussions answering questions like, "What do you guys do about starvation headaches?" than there are questions like, "I am feeling really down; can you help me?" And in no case, in answering the former question, does anyone say, "Um . . . Nombre de document(s) : 50 Date de création : 16 avril 2014 stop starving yourself." A site like Futurebird's, or like the message board of Chaos's, are designed with the best intentions. But as everybody knows, that is what the way into the city of woe, the way to a forsaken people and the way into eternal sorrow are paved with. 1,000," she says, wrapping her arms around her knees. "I consider myself to be one of the extreme dieters. Like, I could never want to be -- I mean, it would be so awesome to be able to say a double-digit number as your weight, but it would look sick, you know?" (Clairegirl is 5 feet 7 inches.) What Clairegirl, sitting shivering on the running track, would say today is that when she reaches her current goal weight, she will stay there. But she can't ever really see herself giving ana up altogether. "I don't think I could ever stop, like, wanting to not eat. Like, I could keep myself from eating below 300 calories a day. But I could never see myself eating more than And what about the people on the proana sites who are not so happy, who describe the disorder as a living hell, who are in very bad shape? "Those girls have been going at it a lot longer than me. But you can't ever really say that ana isn't a form of self-hatred, even though I try to say that. If I was truthfully happy with myself, then I would allow myself to eat. But I Figure: Photo (Jocelyn Lee) © 2002 The New York Times ; CEDROM-SNi inc. news·20020908·NY·710482 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 60 don't. And it's kind of like a strive for perfection, and for making myself better. So I can't honestly say there's no. . . . " She trails off, and gazes up, as if the answer were written in the night sky, waiting to be decoded. "Like, you can't say that every ana loves herself and that she doesn't think anything is wrong with her at all," she says. "Or else she wouldn't be ana in the first place." Note(s): Mim Udovitch is a contributing editor at Rolling Stone. Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Blisstree Friday, 2 March 2012 True Story: I've Been Using Pro-Ana Websites For Over A Decade Mar 02, 2012 - Earlier this week, I wrote about the pro-ana websites, body-negativity, and what the internet is doing to both promote and try to end eating disorders. But there was one voice that was distinctively missing: that of someone who is, and has been, a regular user of pro-eating disorder, non-recovery-centered websites and forums for years. rather polarized: the "recoveryoriented" sites decried the evils of the pro-anorexia websites, and the proanorexia websites decried the intolerance of the strictly recovery sites. I played both sides of the fence, and I'm sure I wasn't the only one. What all of these sites had in common was a connection to people who knew what I was going through. Mar 02, 2012 - "Rachel," who we're keeping anonymous to protect her privacy, has struggled with an eating disorder for over a decade. And she says she's found comfort and community on multiple websites and forums in that time, often frequenting pro-recovery and pro-eating disorder sites. But now, she notes, pro-ana sites aren't what they used to be-in fact, Rachel says that many are beginning to move away from the glorification of eating disorders, and toward a more positive mindset. One common theme among people with eating disorders is shame. There are so many thoughts and behaviors that accompany an ED that we feel we have to hide, and sometimes for good reason (in my case, I had to pretend to be recovered to avoid being kicked out of college). Only online could I tell others about the rampaging voice in my head telling me I was fat; only online could I share my guilt about stealing a roommate's food; only online could I admit to rummaging through trash bins to find scraps of food I wouldn't otherwise allow myself; only online could I share the horror of purging in the bathroom and forgetting to clean before my roommates returned. Some of the content may be triggering, and we definitely don't support pro-ana websites, but we thought it was important that all sides to this story were told. If you're looking for support, there is help available. Check out these great online resources, like Proud2BeMe. Below is Rachel's story: I've been part of the online ED community almost since my eating disorder started in 2001. This also coincided with the proliferation of "pro-ana" websites and forums. ED forums at this time seemed to be Over the past decade, many formerly "pro-ana" forums have become more moderate in their approach with a strong bent toward recovery. During these same years, my own ED has gradually improved (although never dissipated completely). I have remained somewhat active in the online ED community and recently took ownership of a forum that has evolved beyond its "pro-ana" roots to become a supportive community for 61 people with EDs and other mental health issues. Of course there is no way to know precisely how participation in the online ED community impacted my own disorder or how my illness would have otherwise progressed, but I believe the net effect was positive. Online support isn't a substitute for real-life friendships, but it helped me to avoid complete isolation and the feeling of being alone in my struggles. I'm sure I picked up ED-fueling "tips," especially in the first couple of years, but isolation would have certainly triggered me toward possibly worse self-destructive actions. Online forums have also provided me with an opportunity to look beyond my own problems in order to reach out and help others. Again, if you're in crisis, or just need support, there are websites that can help. Image:Edyta Shutterstock Pawlowskavia Related posts: Phantom Fat: Walking The Line Between Weight Loss And Eating Disorder What I Learned About Eating Disorders From Watching Lifetime Movies Pro-Ana Sites Are Just The Tip Of Eating Disorders On The Internet 'How The Media Used My Eating Disorder Story To Shock Instead Of Help' Post from: Blisstree Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2012 Blogs - Health ; CEDROM-SNi inc. news·20120302·NBHE·BFME-106345-13307124215544198300 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 62 Nombre de document(s) : 50 Date de création : 16 avril 2014 The Telegram (St. John's) Final Health & Fitness, Thursday, 9 August 2001, p. B1 / FRONT 'Have a skinny day': Buoyed by technology and the promise of anonymity, pro-anorexics flock to Web sites to reach others Kelly Cryderman Southam Newspapers OTTAWA - "Being thin is important than being healthy." OTTAWA - "Thou shall without feeling guilty." not more eat OTTAWA - "Starvation is next to Godliness." OTTAWA - "What we are doing takes strength. People who say we are wrong only wish they were as strong." These are samplings from Ana Commandments" on a called Bloody Brick Road dozens, if not hundreds, of flourishing pro-anorexia community. the "ProWeb site -- one of sites in a virtual The idea will likely seem freakish and unhealthy to most, but groups of anorexics from the U.S., the U.K., Germany, Australia and Canada regularly discuss tips for fasting, hiding food to make it look as though it's been eaten, and avoiding suspicious questions from family members and doctors. They post photos of famous skinny women such as Calista Flockhart, Kate Moss and Jodie Kidd because they're "thinspirational," and sign off their messages to one another with "Have a skinny day." Almost everyone in the chat groups is looking for a dieting buddy. Kim, a 19-year-old pro-anorexic living in a suburb just south of Minneapolis, who doesn't want her last name used, says she has had anorexia for three years and has been hospitalized twice. She's not as dedicated to anorexia as she used to be, she says, and at five-foot-four, weighs 105 pounds. Ideally, she says she'd be 85 pounds. The psychology student regularly goes online to her favourite pro-ana sites since a friend told her about them four months ago. "If you're gaining weight, if you're eating too much, life sucks," she said in an interview. "If you have people holding you accountable, it keeps you on track," said Kim, who consumes about 500 calories a day. "People feed off competition. People compete with each other and try to eat less. "I know it's a disorder, but disorders aren't always bad." It's this attitude that's enraging the people who fight anorexia. "It's like saying, 'Here's how to have cancer or here's how to be an alcoholic,' " said Christopher Athas, vice-president of the National Association of Anorexia Nervosa and Associated Disorders, a non-profit help and advocacy group in the U.S. 63 But buoyed by technology, and the promise of anonymity, pro-anorexics flock to these sites to reach others like them around the world. Many of the sites speak in a tone not entirely different from a line in a lifestyle magazine. "I started this here club for anorexics who don't want to get better, and for anorexic wannabes who are looking for newfound thinness!" is the way one Internet chat group site greets visitors. Other sites seem more full of selfloathing, with direct references to suicide attempts and disgust with body fat. Bloody Brick Road states: "You do not understand the freezing cold showers, the 200-calorie-a-day diet, the week-long fasts, the morning runs in underwear, the sleeping with ice ... You think I am weird, crazy in fact, but what you think doesn't matter ... there are other people out there like me. We all worship the eating-disordered gods. Some of us worship Ana, some Bulimia." One girl calling herself Gillian and speaking on a Yahoo club group called "pro anorexia," which has almost 2,500 members, posted a message saying, "I am so nervous. I'm starting to listen to all my doctors and nutritionist people -- maybe I'm not Nombre de document(s) : 50 Date de création : 16 avril 2014 eating enough. But there's no way I can give this up!" section, despite a sprinkling of antianorexia groups. See WEB, page B2 Anorexia is an eating disorder that affects mostly women (but the numbers of male anorexics is increasing) with the primary symptom being self-induced starvation. Most girls start in their teens, but a significant number continue well into adulthood. Some 750,000 Canadian women and girls have some type of eating disorder. Continued from page B1 Another writer on "we will be thin" on Yahoo said "I've been anorexic on and off. I'm on again -- I eat 150-300 calories a day every day with water. I'm afraid to eat more 'cause the more I eat the less I'll lose, but I'm starting to feel too weak to do my workouts. The last time I got myself down to 99 pounds on workouts and animal crackers." In one discussion about fasts on "anorexic wanna b," jessi99031 wrote, "After a couple of days, I start to get real lightheaded. If this happens, eat a few grapes. This will bring your blood sugar back up so you don't pass out, and it only takes a few!" Other Yahoo pro-ana groups are called "Only Popular With Anorexia," "DiET PePSI UhHuH," and "Anorexia for Beginners" -- there's even a "German Pro Anorexia" group, a "Short Anorexics" group (for anorexics five feet and under) and a "women of colour with anorexia" proana group. These groups are all under the health category at Yahoo, and are the most popular sites in the anorexia Dr. Hany Bissada, director of Ottawa's Regional Centre for the Treatment of Eating Disorders, which gets almost 60 new anorexia patients a year, calls the Web sites "criminal" and "like a cult." "It's an invitation to illness," Bissada said after viewing some of the sites. "It's really nauseating. People will die because it does attract young women and men who have no sense of identity." Before the Internet was available, Bissada says the only way serious anorexics could find and encourage each other was if they ended up in the same hospital room. For its part, Yahoo Inc., which is just one of many of the Web hosts of these sites, says when there's content with the sole purpose of promoting harm, © 2001 The Telegram (St ; CEDROM-SNi inc. news·20010809·ET·0060 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 64 Yahoo will evaluate it, and in rare cases, remove it. A spokeswoman couldn't comment on any specific cases. Web masters of these sites defend their actions, noting they post warnings about bulimia, and the dangers of laxatives and ipecac syrup (which induces vomiting). Xtremity, who identifies herself as a 20-year-old with a nine-year history of eating disorders, says she would have killed herself if she hadn't met other people who are struggling with the same issues. Pro-ana sites, she says, gave her hope. "Perhaps a tip from my site would help (people) resist a binge and therefore avoid all the guilt and selfloathing thoughts that follow," Xtremity writes. "It may be a source of comfort for someone who felt totally alone in their eating disorder." Kim says sometimes she wants to get better, and it scares her when she sees someone claiming to be 11 years old talking about fasting on one of the sites. She says it would be a good idea to restrict the pro-ana sites to those over 18. "I wish it was just for older people who aren't wanting to die -- people who just want the lifestyle." Nombre de document(s) : 50 Date de création : 16 avril 2014 Victoria Advocate (TX) Monday, 15 December 2008 Eating disorder sites can have negative impact Aprill Brandon Dec. 15, 2008 (McClatchy-Tribune Regional News delivered by Newstex) -- You can find anything on the Internet these days, including Web sites devoted to eating disorders. Commonly known as pro-ana or promia, short for pro anorexia and pro bulimia, since around the year 2000, hundreds of Web sites have cropped up spouting these eating disorders as a lifestyle choice, not a disease. Complete with tips on binging and purging, "thinspiration" photos of extremely thin celebrities and weight loss challenges, the pro-ana movement has gained many followers but just as many opponents. In recent years, there has been a backlash against pro-ana, with many Web providers shutting down these sites and many anti pro-ana protesters calling for all the Web sites to be shut down. So the question remains, should proana Web sites be banned from the Internet? After developing an eating disorder at the age of 14, Angela Ross would spend two to three hours a day on proanorexia Web sites. Now the moderator of the Facebook group Stop Pro Ana, which currently has approximately 1,600 members, Ross, 18, is on a mission to spread awareness about the dangers of proana. "Getting on those Web sites definitely encouraged me to keep going with my eating disorder. And I don't want anyone else to fall into that trap like I did," Ross, of Roswell, NM, said. "I would personally love for all of these sites to be shut down." According to research done at the University of Missouri, there is emerging evidence that Web sites promoting anorexia do have a negative impact. In a piece published in The International Journal of Eating Disorders, the research showed that young women who looked at anorexia sites later felt lower self esteem than the women in the study who were assigned to look at Web sites featuring conventional models. In a 2006 survey of eating disorder patients at Stanford Medical School, 35 percent had visited pro-ana sites and of those, 96 percent learned new weight loss techniques. Many in the health care profession have spoken out against pro-ana groups, including the National Eating Disorder Association and the National Association of Anorexia Nervosa and Associated Disorders. The Academy for Eating Disorders has written a position statement about the pro ana phenomenon, saying that "Web sites that glorify anorexia as a lifestyle choice play directly to the psychology of its victims." The academy's position statement goes on to say that there is always tension between respecting the right of free speech and protecting vulnerable individuals, particularly children...it's important to note that the average age of the onset 65 of eating disorders adolescence. is during "Anorexia is slow suicide and pro-ana is slow mass suicide," Ross summed up. "Either through the government or the Web providers, these sites need to be banned. We're trying to get the word out there and letting people know how harmful these sites are." 40 percent of newly identified cases of anorexia are in girls 15-19 years old. Significant increase in incidence of anorexia from 1935 to 1989, especially among young women 15-24. A rise in incidence of anorexia in young women 15-19 in each decade since 1930. The incidence of bulimia in 10-to-39year-old women tripled between 1988 and 1993. Only one-third of people with anorexia in the community receive mental health care. Source: National Eating Disorders Association Newstex ID: KRTB-0211-30479057 Note(s): Distributed by McClatchy-Tribune Information Services. For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write Nombre de document(s) : 50 Date de création : 16 avril 2014 to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA. © 2008 Victoria Advocate (TX) ; CEDROM-SNi inc. news·20081215·NCVI·0KRTB-0211-30479057 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 66 Nombre de document(s) : 50 Date de création : 16 avril 2014 Albuquerque Journal (NM) Monday, 9 March 2009 Biting back As pro-eating disorder Web sites emerge, so does the backlash Amanda Schoenberg Mar. 9, 2009 (McClatchy-Tribune Regional News delivered by Newstex) -- In the world of "pro-ana" and "promia," eating one banana in three days can be a badge of honor, and sharing pictures of stick-thin girls serves as "thinspiration." In this world, healthy eating and body images have been turned on their heads for so long it is hard to know which end is up. Thousands of pro-eating disorder Web sites, forums and blogs that describe themselves as "pro-ana," for proanorexia, and "pro-mia," for probulimia, have emerged in the past decade, some listing as many as 20,000 members. As more people with eating disorders experiment with online forums, blogs and YouTube videos, the sites have sparked an "anti pro-ana" backlash on social networking sites like Facebook and a movement some call "prorecovery" that focuses on people recovering from -- rather than living with -- an eating disorder. A 'shared secret' According to the National Institutes of Mental Health, anorexia nervosa is "a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior." Anorexia affects brain functioning and can lead to dental erosion, insomnia, osteoporosis, ulcers and cardiac death. Between 0.5 percent and 3.7 percent of females suffer from anorexia, and an estimated 1.1 percent to 4.2 percent suffer from bulimia, which includes out-of-control binge eating and purging, according to the American Psychiatric Association. A small percentage -- 5 percent to 15 percent -- of anorexics or bulimics are men. For people with severe eating disorders, pro-anorexia Web sites can feel like their only community, says Sharon Hodgson, a recovering anorexic who once spent six to eight hours a day on one pro-ana site. Hodgson, 31, a graphic designer in Halifax, Nova Scotia, first began to restrict food when she was in high school. She then began a cycle of bingeing and purging in college. In 2001 she started visiting pro-ana sites. "I had all these issues, and something about these sites tugged on these issues," she says. "There's a shared secret there. It creates a traumatic bonding. Those other people share your secret, your pain." After two years in the pro-ana world, Hodgson was ready to move toward recovery. She started the Web site "We Bite Back," which describes itself as a "post pro-anorexia" site. Community members do not trade starvation tips or calorie-reduction 67 secrets. They are trying to recover, Hodgson says. Pro-ana defense Many pro-ana sites have a disclaimer before visitors enter. One site says, "To prevent being deleted we must put the following warning: Anorexia may be a harmful activity. We do not encourage this activity." Despite the disclaimers, pro-ana sites can perpetuate unhealthy behavior by simultaneously glamorizing and trivializing eating disorders, says Dr. Dana Udall-Weiner, a Santa Fe psychologist specializing in eating disorders. The sites may list gruesome effects of anorexia but warnings often come alongside tips on avoiding food. Some pro-ana sites claim that people with eating disorders will engage in destructive behaviors regardless of whether they participate in the community. One popular pro-ana forum says it focuses on suicide prevention and says members would be worse off without encouragement from others in the community. "I don't think people go online and say, 'I caught anorexia,' " Hodgson points out. But according to the 2006 study "Surfing for Thinness," published in the journal Pediatrics, 96 percent of those who visited pro-eating disorder sites said they learned new fasting or purging techniques. Nombre de document(s) : 50 Date de création : 16 avril 2014 Pro-anorexia sites mesh with the profile of typical anorexics, who tend to be intelligent, competitive people who strive toward perfection, according to therapist Holly Finlay, a certified eating disorder specialist in Albuquerque. Finlay, who has worked with eating disorder clients for 17 years, says people with anorexia may use forums to feel superior to those who give in to food cravings. Self-esteem is often based on feeling in control, she says. Dr. Brenda L. Wolfe, a psychologist in Rio Rancho, says many patients see starvation as a badge of honor. "(Anorexia is) an indicator to the world that this individual can control her appetites more than anyone else," Wolfe says. "The person that eats the least is somehow the best of the group. It becomes very intertwined with their identity." Cycle of seclusion As long as pro-anorexia communities have found homes online, Web servers have shut them down. In 2001, Yahoo (NASDAQ:YHOO) took down 115 pro-anorexia sites, according to a 2001 Time article. Pro-ana groups have expanded to social networking sites like MySpace and Facebook, where they are often deleted and then re-emerge. Facebook's policy is to remove groups that promote harming oneself or others when they are reported by users, according to the company. Pro-ana groups have also sparked an international outcry. In France, legislators debated a law last year that would criminalize pro-eatingdisorder groups. Destroying pro-ana networks may force members to find other ways to connect, Hodgson says. Perhaps the greatest danger from proeating disorder sites comes from the deteriorated mental state of members, Wolfe says. In addition to related mental illnesses such as depression and obsessivecompulsive disorder, the malnutrition from anorexia can also have profound effects on cognitive function and brain anatomy. "Once you get so undernourished, it's really hard to think critically," says Blair Doner, who developed anorexia as a sophomore at Del Norte High School. "When it was at its worst I didn't go to school a lot. I just stayed in bed. I basically lost my personality because I was so consumed with it." Doner, 20, started worrying about her weight when she became a varsity cheerleader. It took her almost four years to recover from her eating disorder, including a two-month stint in the Denver Children's Hospital and intensive therapy. Doner and University of New Mexico grad student Alayna Orozco now lead a peer support group for women over 18 years old who are recovering from eating disorders. "With an eating disorder, a main characteristic is seclusion," Doner says. "You don't want anybody to push you to stop. We want to give them a place to belong, a place to feel safe." Advice for parents n If parents are concerned about adolescents visiting pro-eating disorder sites, Santa Fe psychologist Dr. Dana Udall-Weiner recommends 68 keeping the computer in a public space and tracking Internet time. n Censorship is not very effective, says Dr. Brenda L. Wolfe, a Rio Rancho psychologist. If parents find out a child is looking at pro-eating disorder sites, talk about it. "If you make it OK to talk about, you're much less likely to wake up one day and look at your daughter and realize she's emaciated," Wolfe says. n Many parents try too hard to be unobtrusive, says graphic designer Sharon Hodgson, founder of We Bite Back, a "post proana" Web site. People with eating disorders often think they fool everybody. Open communication is crucial, Hodgson says. n Parents need to model healthy eating and selfacceptance for their children. "Children don't learn what you teach them, children learn what they live," Wolfe says Resources in New Mexico The University of New Mexico Women's Resource Center hosts a body image peer support group for women over 18 every Saturday from 2-3 p.m. Participants do not have to be students. Every other Saturday there is a support group for families of people with eating disorders from 3-4 p.m. Call 277-3716 for information. Professionals who work with eating disorders include: Holly Finlay, MA, LPCC, CEDS, Certified Eating Disorder Specialist, 266-6121 Cynthia Keeran, Ph.D., (505) 830-2729 Brenda L. Wolfe, Ph.D., 884-5700, Web site: brendalwolfe.com Dana UdallWeiner, Ph.D., (505) 989-3688, e- Nombre de document(s) : 50 Date de création : 16 avril 2014 mail: com DoctorUdallWeiner@yahoo. somethingfishy.org webiteback.com pale-reflections.com For information on eating disorders: Newstex ID: KRTB-0010-32765059 psych.org nimh.nih.gov nationaleatingdisorders.org anad.org edreferral.com Note(s): Distributed by McClatchy-Tribune Information Services. Pro-recovery sites: © 2009 Albuquerque Journal (NM) ; CEDROM-SNi inc. news·20090309·NCAM·0KRTB-0010-32765059 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 69 For reprints, email [email protected], call 800-374-7985 or 847-635-6550, send a fax to 847-635-6968, or write to The Permissions Group Inc., 1247 Milwaukee Ave., Suite 303, Glenview, IL 60025, USA. Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Blisstree Thursday, 1 March 2012 Pro-Ana Sites Are Just The Tip Of Eating Disorders On The Internet Mar 01, 2012 - The information super-highway (is that what the kids are calling it these days?) can be great for researching, learning about, and finding supportforeating disorders. But, unfortunately, a lot of the informationisn't the kind that's helpful-it's the kind that hurts, that's triggering, and that promotes body negativity. Pro-ana and pro-mia websites and communities are as old as the internet-but they grow more and more concerning each day, as they feed and are fed by the overall "perfection" that the internet seems to breed. Mar 01, 2012 - "Thinspiration" (photos of very-thin women), "tips" and "tricks" for unhealthy practices (like purging) and concealing excessive weight loss, diet plans for ultra-restrictive days...you name it, and it's out there-easy to search to for, and full of pretend (but potentially harmful) "support." Under the comforting blanket of anonymity, visitors to these sites express hatred of their own bodies, a lack of control, and a desire to look "perfect." Teenagers, young adults, and even those who are middle-aged can easily find communities full of similarly suffering individuals, and become engulfed in the dark mindset of disordered eating and distorted body image. "Pro-ana and thinspo sites are created and frequented by people who are stuck in the eating disorder mindset and their content keeps people stuck there. These are communities too, but they are not about recovery and they're certainly not about health. They are dark echo chambers of illness, and they only serve to make people sicker." says author and speakerClaire Mysko. And while it's easy to shrug off as "just the internet", the fact is that "just the internet" offers a safe haven for harmful information that can spur lethal behavior and thinking in real life. "All pro-eating disorder content is potentially triggering and harmful to someone struggling with anorexia, bulimia, binge eating disorder or multiple other forms of disordered eating," saysJacquelyn Ekern, MS, LPC. The director at Eating Disorder Hope, Ekern calls it"a perfect storm." "I think that the pressure to be unusually thin is greater than ever," she says. "Simultaneously, internet usage continues to grow in societies around the world," she explains. The problem isn't new-the debate over whether or not to censor pro-ana material was one of the first major web censorship kerfuffle, when Yahoo! and GeoCities bothmade the decision to no longer host pro-ana material-but in the years since the first LiveJournal and Xanga communities sprung up, the number of pro-ana sites have only grown. In a trend report in 2008, Optenet found that the prevalence of pro-ana sites had increased by 470% between 2006 and 2007. But, Mysko points out, it's not just that new social media tools like Twitter and Tumblr (who recently decided to put restrictions on pro-ana contentin their community) allow for greater sharing of specifically pro-ana material.In addition to actual proeating disorder sites themselves, there's body-negativity and messages of what "perfection" is coming from all corners of the internet (like these ads, perhaps?), and it's getting Tweeted and Facebooked all the time. Most frequently, she says, in the form body-snarking. Related posts: Tumblr To Begin Restricting Pro-Ana And Other "Self-Harm" Blogs Eating Disorders: 10 Warning Signs You Need To Know The Marie Claire Controversy: Are Health Bloggers Giving You Eating Disorders? A History Of Eating Disorders, From Holy Anorexia To Demi Lovato Post from: Blisstree 70 Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2012 Blogs - Health ; CEDROM-SNi inc. news·20120301·NBHE·BFME-106345-13306187775917208000 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 71 Nombre de document(s) : 50 Date de création : 16 avril 2014 CBC (blogs) Community Blog, Monday, 31 March 2014 Websites selling 'pro-ana' bracelets concern eating disorder specialists Lauren O'Neil [View the story "Websites selling 'pro-ana' bracelets concern eating disorder specialists" on Storify]Websites selling 'pro-ana' bracelets concern eating disorder specialists Storified by CBC News Community· Mon, Mar 31 2014 13:45:57 www.myproana.comMost people who wear cause-related pieces of jewellery do so to raise awareness about a specific illness or to advocate for those who've been affected -- The red AIDS band or pink breast cancer ribbon, for example. But for members of the oftencriticized "pro-ana" -- short for proanorexia -- online community, a disturbing trend has emerged, in which some eating disorder sufferers are wearing red bracelets not to fight against mental illness, but to encourage it.www.deviantart.comA website called "Ana Boot Camp," which promotes diet tips, weight loss techniques and "thinspiration" (motivational imagery) for those who suffer from anorexia and bulimia nervosa, explains the "red bracelet project" as such: "The red beaded bracelet. You can make it or buy them. Wear it daily or when you go out to secretly say that you are proud to be pro-ana or maybe even just to identify yourself with those others who are affected by this too that you have anorexia." One such bracelet, for sale at another pro-ana site called "My Pro Ana," has been splashed across news sites around the web this week as activists accuse its makers of attempting to capitalize on the mental illness of vulnerable teens.Huffpost"The proana bracelet is worn as a reminder of staying true to your diet, and also to meet other Anas," read the $14.00 bracelet's original description, which in light of media attention has been altered to read "the bracelet is worn as a reminder of the daily struggle all sufferers of an eating disorder experience." My Pro Ana's $14.00 "Pro Ana Red Weave Bracelet" is currently out of stock, but dozens of other websites contain tutorials for making them or links for users to buy similar items. On Etsy alone, 27 different pro-ana bracelets were available for purchase at the time this article was written, though several of the listings note that "this bracelet is not intended to be used as "pro-ana" paraphernalia, but as a reminder that one is not ailing or hurting alone.redbraceletproject.tumblr.comD espite the sellers' qualifications that the bracelets are meant to show solidarity, many within the pro-ana community continue to wear them as a point of pride and a reminder not to eat. "Awww! LOVE IT!" wrote one My Pro Ana forum user in a thread about 72 the company's bracelet. "I'm making my own though whenever I get the chance to work on it. Sort of a rededication and helps to distract me from cravings." "I am totally using this bracelet as my thinsperation right now!!" wrote another user. "I keep looking at it every day!!" "I made one by myself, since shipping would've cost too much. Every time I look at it, it makes [it] easier to skip dinner," wrote another young woman.ImgurThe existence of proanorexia websites has troubled recovery activists and medicial professionals for more than a decade. "These sites are enormously negative," said Dr. Alexander Yellowlees, Medical Director at the Priory Hospital in Glasgow in an interview with the Huffington Post. "Particularly if the individual already has this illness. They are definitely designed to help sufferers become more effective in their methods... they fuel the pursuit of thinness and encourage the anorexic drive.Searching for 'Thinspiration' Online | Eating disorder treatment | Priory Hospitals and ClinicsSearching for 'Thinspiration' Online The press has recently highlighted that many online users are turning to sites which offer 'thinspiration.' Many of these sites make use of terms such as 'proana' and 'pro-mia.' On the surface, this community looks to provide Nombre de document(s) : 50 Date de création : 16 avril 2014 encouragement to eating disorder sufferers to continue with eating disorder behaviours and beliefs but are there any positives that can be taken from it?Many such sites were shut down by Yahoo and Geocities in the early 2000s amid mounting public pressure from activists, as well as the result of a 2001 episode of The Oprah Winfrey Show that focused on proana communities. Today however, thousands more proana and pro-mia (pro-bulimia) pages exist on self-hosted domains, sometimes under the guise of "recovery websites" despite linking to diet tips and thinspiration galleries. Social media too has played a role in reviving the pro-ana and pro-mia communities online. Over the years, Livejournal, Myspace, Tumblr, Pinterest and many independent web forums have all served as hubs for the quick-migrating pro-ana communities -- and while Instagram has officially blocked the #thinspiration hashtag, hundreds of thousands of pro-ana images can be found under tags like #skinny, #thin, #hipbones, #bones and #ana.#ana #mia #anamia #anoretic #perfect #anoretia #thin #thinlegsskinny_is_the_winnerAna tips #Ana #anorexic #anorexia #eatingdisorder #eatingdisorders #skinny #thin #depressed #depression #size0 #size00skinandbones18Follow me #anaandmia #ana #ed #bulimic #suicidal #eatingdisorder #bulimia #anorexic #fat #starve #mia #suicide #anorexia #ednos #depression #anamia #size00 #bones #thynspiration #restricting #weightloss #depressed #selfhate #size0 #donteat #broken #perfect #nofat #hipbones #biteenloveruthgonzalezugh. i weigh the lowest i have in a while why do i feel fatter? #ana #anatips #anorexia #anorexic #mia #bulimia #bulimic #cat #cut #deb #depressed #depression #ed #ednos #eatingdisorder #fat #suicidemy_friend_ana_lostHas to be true. When I'm thin, summer #socialanxiety #bulimia #fave #skins #quotes #follow4follow #like4like #lonely #hatemyself #bulimic #broken #blood #hurt #makeup #lipstick #beautiful #ana #anorexic #anamia #fitnotfat #whenimthinbones_birds_ofa_featherI n an interview last week with Buzzfeed, CEO of the National Eating Disorders Association Lynn Grefe called My Pro Ana's sale of the red bracelets "appalling." "Is someone making pro-cancer or pro-heart disease necklaces? Replace © 2014 CBC (blogs) ; CEDROM-SNi inc. news·20140331·BCB·015 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 73 the word 'ana' with 'cancer' and you realize how absurd and how sick this is, to be encouraging people through jewellery to stay sick. I find it unforgivable," she said. "I really encourage people to take a step back and ask if they want to promote a life threatening illness and promote death... The longer people are visiting those sites, the longer they're not getting treatment." Similarly, a spokesperson for the U.K. eating disorder charity B-eat told the Huffington Post that "the commercial exploitation of something that is a very serious mental illness is extremely concerning." Many on social media agreed. THERE IS A PRO-ANA BRACELET BEING SOLD FOR £10THE MAKERS ARE LITERALLY MAKING MONEY OFF MENTAL ILLNESSI HATE THE WORLDa mermaidPrepare To Be Disgusted By This Pro-Eating Disorder Jewelry Line http://t.co/kab18d9uAy via @theglossdotcomNew BeginningsThe pro-Ana bracelets are absolutely disgusting. No piece of jewellery should promote any illness, mental illness included!Sophie TrottWhat are your thoughts? Nombre de document(s) : 50 Date de création : 16 avril 2014 Blogs - Health - Dare To Dream Saturday, 22 May 2010 Pro-Anorexia Groups Spread to Facebook class="dateline">May 22, 2010 (Dare To Dream delivered by Newstex) -Here is a heads up for parents of kids vulnerable to eating disorders. There is a growing support network on the Internet to help young girls "improve" on their eating disorders. Connecting with others feels supportive, especially those who are like minded. But in fact, the "Pro-Ana" (ProAnorexia) groups encourage unhealthy behavior and feed the preoccupation with being thin and losing weight. About 15% of those diagnosed with Anorexia die from complications of starvation. class="zemanta-img-attribution" style="font-size: 0.8em;">Image via Wikipedia Newsweek.com "A 2006 study that she coauthored found that 96 percent of teens diagnosed with eating disorders who visited pro-eating disorder Web sites learned new dieting and purging techniques, and almost 50 percent of teens who visited sites ostensibly devoted to eating disorder recovery also learned new weight-loss tips. [..]Facebook doesn't track how often it deletes pro-ana (pro-anorexia ) pages, but the groups violate the site's terms of use by promoting self-harm or harm to others. A team of Facebook employees actively searches for and deletes pro-ana groups along with groups promoting everything from bigotry to self-mutilation, according to company spokesman Barry Schnitt. In response to increased scrutiny and criticism, many pro-ana groups are now private and can't be found in a search, and still others omit the term "pro-ana" from their titles. Most of the anti-pro-ana groups try to warn people away from pages that promote anorexia and educate them about alternatives, says Angela Ross, 19, who has recovered from an eating disorder and created the 1,400member Stop Pro-Ana page. Ross says she discovered pro-ana sites one day while feeling depressed about her weight and surfing the Web. The sites, she says, fueled her fledgling eating disorder. Similarly, a 15-yearold high school student in Philadelphia happened upon the proana community while flipping through Facebook. "I was looking through groups and I found [a pro-ana group]," she says. "I was like, 'Wow, these girls kind of know what I'm saying.'" Now, using a different account, she's joined dozens of the groups and downloaded Facebook applications that allow her to share thinspiration pictures with friends. She spends about 45 minutes on her pro-ana account every day, although some of her friends will stay online for as much as five hours daily, posting in groups and chatting with other pro-ana Facebookers, she says. Marcia Herrin, a Dartmouth professor who has written several books on eating disorders, finds the public nature of the discussions of anorexia on Facebook encouraging, because it shows that teens are less afraid of 74 confronting eating disorders. "To me, that illustrates or indicates that teens these days are so wise," she says. "They've seen so much, they know so much, compared to when I was a teenager in the '60s, that not all of them are wrapped up in eating disorders. Girls are concerned about other girls in their social group who they see toying with an eating disorder. They may talk to them directly, they may talk to a school counselor, they may talk to the girls' parents." Rose actually hoped some of her friends would see the groups she was joining and talk to her about them. "I wanted one of my close friends to see it and rescue me," she says. But unfortunately, no one did. At one point, she was so involved in the Facebook pro-ana community that she started her own group in defense of it; eventually she deleted that group and stopped posting in others. She couldn't get over her guilt at "helping someone kill themselves" by supporting them in their fasting, and she realized that the groups weren't truly helping her. "Even though the pro-ana sites provided a way for me to communicate with people, it wasn't real-life connections and it wasn't real friendships," she says. "It was us telling people, 'Oh, stay strong.' I was not getting better. I was venting the frustrations. I just wanted to talk to people with similar experiences; they really didn't help at all." Rose says she has since recovered from anorexia and she rarely visits pro-ana Facebook groups. When she does, she says, Nombre de document(s) : 50 Date de création : 16 avril 2014 she's mostly relieved to no longer be part of that world." Rose sums it up pretty well. The pressure we all feel inside ourselves often attributed to "anxiety" or "depression" is in fact the motivation to act or change. When a person with eating disorders finds reassurance and support for their unhealthy habits, their motivation to change is used up in the social exchange. On-line relationships are complicated even more so by the fact that they aren't anywhere as meaningful or rewarding as "real life" relationships. They give a satisfying feel of intimacy, but there is no way of assuring yourself that what you see on the screen is the real person. In fact there is good reason to believe that much of what we see in on-line social networks is a highly superficial if not completely false presentation of the real person. But the on-line's relationships are satisfying enough to divert a persons energy from more productive pursuits. © 2010 Blogs - Health ; CEDROM-SNi inc. news·20100522·NBHE·DTD-0001-45312661 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 75 Related articles by ZemantaWhy proanorexia websites are spreading to Facebook Pro-Anorexia Groups Coming Out Pro-anorexia site clampdown urged "Pro-Ana" On The Web class="newstexID">Newstex DTD-0001-45312661 ID: Nombre de document(s) : 50 Date de création : 16 avril 2014 Paris-Normandie Le dossier du jour, mardi, 1 juillet 2008, p. 2 [Chiffres L'anorexie mentale touche 1 % de la population adolescente en France avec 2 500 nouveaux cas par an.] Chiffres « Pro-ana » L'anorexie mentale touche 1 % de la population adolescente en France avec 2 500 nouveaux cas par an. Elle est considérée comme un véritable enjeu de santé publique à cause de sa gravité et de son caractère invalidant. Elle touche majoritairement les jeunes adolescentes, mais un cas sur dix touche un garçon et cette maladie existe également à l'âge adulte où elle peut aussi faire des ravages. Les sites encourageant l'extrême maigreur peuvent désormais faire l'objet de poursuites. Les « proana », comme on les appelle, manipulent des images de mannequins transformés en squelettes et diffusent des messages faisant l'apologie de l'extrême maigreur. La députée Valérie Boyer a déposé un projet de loi visant à combattre l'incitation à l'anorexie. Adopté en mai par l'Assemblée, il prévoit des peines pouvant aller jusqu'à deux ans de prison et 30 000 euros d'amende, peine qui serait portée à trois ans de prison en cas de décès. Ce texte doit être examiné par le Sénat mercredi. reperes Loi © 2008 Paris-Normandie ; CEDROM-SNi inc. news·20080701·PAN·2925946 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 76 Nombre de document(s) : 50 Date de création : 16 avril 2014 CB News, no. No: 966 Lundi, 21 avril 2008, p. 19 Conseils décryptage Anorexie : comment la loi a éclipsé la charte Fouzia Kamal et Justine Valletoux Santé publique En gestation depuis deux ans, la charte volontaire sur l'image du corps s'est enrichie d'un volet répressif visant l'incitation à " l'extrême maigreur ". Une pilule qui a du mal à passer chez les cosignataires. En une journée, la lutte contre l'anorexie a eu sa charte volontaire et sa proposition de loi... La première un travail entamé sous Xavier Bertrand - a mis deux années à aboutir, au prix de longues discussions entre professionnels de la mode, de la publicité, des médias, des associations, placées sous la houlette des professeurs Rufo et Poulain. La seconde, comme tout droit sortie d'un chapeau de magicien, a pris tout le monde de court, avant d'être adoptée quelques jours plus tard par l'Assemblée nationale. Non informés de cette initiative parallèle soutenue par Roselyne Bachelot, les cosignataires de la charte ne cachent pas leur stupeur. Ce n'est pas sans amertume que le professeur JeanPierre Poulain livre son sentiment : " La communication a pris, depuis une dizaine d'années, beaucoup de place dans la politique. " S'il ne rejette pas cette initiative qu'il estime " pouvoir entrer dans la panoplie d'actions ", le très réputé sociologue de l'alimentation la qualifie néanmoins de " mini-loi " sans réel impact, et " peu dangereuse pour l'enjeu qui (les) intéresse ". " Une préemption du travail de groupe au profit d'une loi gadget " Sur le fond, Hervé Brossard, président de l'AACC et membre du groupe de travail, initialement baptisé " Image du corps " et chargé de " promouvoir la diversité corporelle dans notre société ", ne peut que souligner le danger des sites " pro-ana ", en réduisant, ici aussi, la portée de la législation en " l'absence de loi internationale qui vienne régir les contenus Internet ". Pour autant, le timing le laisse perplexe : " Pendant un an, nous avons travaillé en ayant à l'esprit de ne pas stigmatiser telle ou telle catégorie, mais en se demandant comment chacun pouvait à son niveau faire avancer les choses, faire preuve de responsabilité. Chaque mot de cette charte a été longuement discuté, pesé. Et nous y sommes arrivés. Le 9 avril, au ministère de la Santé, en fin de signature, on découvre que Mme Boyer va déposer une proposition de Illustration(s) : photos afp - dr 77 loi contre l'incitation à l'anorexie. En intervenant au même moment, cela a favorisé un amalgame qui m'ennuie beaucoup. Généralement, quand on prend la voie législative, c'est que toutes les autres alternatives ont été épuisées... " Le professeur Poulain va encore plus loin : " Nous avons assisté à une préemption du travail fait par le groupe au profit d'une loi gadget ! " Estimant cette précipitation regrettable, il avance que " tout cela nécessite d'être construit. Soit, ce n'est pas aux experts de faire la loi. C'est le rôle des politiques. Les experts peuvent néanmoins leur fournir des éléments concrets sur ce que la science est capable d'éclairer, et définir les enjeux sociétaux et culturels... ". L'essentiel pour lui, aujourd'hui, reste néanmoins d'avancer : " Il faut faire le tri entre ce qui appartient à une étape et le processus. Ce dernier ne s'arrête pas là. " Même son de cloche à l'AACC, où l'on veut " pousser cette charte parce que l'on y croit ". Prochain rendez-vous le 5 juin, au BVP, dont le thème du prochain Forum Pub et Cité n'est autre que " l'image du corps dans la publicité ". Nombre de document(s) : 50 Date de création : 16 avril 2014 Objectif de la charte : lutter contre des sites " pro-ana " au contenu dangereux et qui incitent carrément à l'anorexie © 2008 CB News ; CEDROM-SNi inc. news·20080421·TW·0033 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 78 Nombre de document(s) : 50 Date de création : 16 avril 2014 Les Echos, no. 20020 Compétences, lundi, 8 octobre 2007, p. 16 Publicité Quand la pub s'empare de l'anorexie FRANÇOIS BAROIN (Aube, UMP) Concepteur sulfureux des pubs Benetton, Toscani récidive avec l'affiche choc d'une jeune femme anorexique pour la promotion des vêtements No-lita. La campagne d'affichage pour la marque de vêtements No-lita, durant la semaine de la mode à Milan. Un corps en détresse, nu, squelettique, griffé d'escarres. Un beau visage, un regard en souffrance. Elle s'appelle Isabelle. Elle a vingtsept ans, mesure 1,75 mètre et pèse 31 kilos. Elle est anorexique depuis treize ans. C'est sur une affiche. C'est en Italie. Comme, pour la Sécurité routière, où les spots sont de plus en plus violents pour alerter les conducteurs et frapper l'opinion, on se dit que le ministère italien de la Santé, qui a encouragé cette campagne publicitaire dérangeante signée Oliviero Toscani, prend le même chemin pour les accidentés de la vie. Mais le regard d'Isabelle vous rapproche un peu plus d'elle et de l'affiche. Ses yeux bleus ne sont pas si tristes. Et puis, il y a des mots écrits sur le panneau. « No-anorexia. Nolita ». No-lita... De quoi parle-t-on ? D'une ligne de vêtements ! Ce n'est donc pas une campagne sanitaire pour sensibiliser au problème de l'anorexie en Italie (2 millions de malades dans la péninsule), c'est une pub, un coup de pub, pour une marque. Le ministère de la Santé italien, mal inspiré, n'est que complice. Derrière, il y a un photographe célèbre qui a fait de la provocation visuelle sa marque de fabrique (lire encadré), un industriel du vêtement, des clients, de l'argent. L'anorexie pour de l'argent. Raccourci furtif ? Utiliser une maladie, exploiter dans une logique de marché le drame aux ressorts psychologiques si complexes de centaines de milliers d'ados a de quoi faire scandale. Qu'Oliviero Toscani, l'ex-photographe viré par Benetton, auteur par le passé de plusieurs coups d'éclat du même genre, soit à l'origine de ce cliché provocant n'est pas une surprise. Que le ministère italien de la Santé se soit laissé tenter par cette fausse bonne idée est en revanche plus choquant. Urgence Car l'anorexie est un fléau. C'est une maladie. De nombreux médecins travaillent sans relâche pour aider ces jeunes filles, ces jeunes femmes à en sortir. C'est un supplice individuel et une immense épreuve pour les familles. C'est un sujet grave et préoccupant. Il impose des politiques publiques puissantes, coordonnées et inscrites dans le temps. Il justifie un effort de recherches, la mise en place d'établissements spécialisés, des représentants du corps médical 79 parfaitement formés. Il impose d'être vigilant, de surveiller les sites Internet, notamment les sites « proana » qui militent activement pour l'anorexie comme mode de vie. Ils affirment que ce n'est pas une maladie, mais une philosophie, un art de vivre. De nombreuses ados vont sur la Toile pour se renseigner. Mais cette lutte ne mobilise pas que les représentants de l'Etat. Elle engage aussi ceux un peu plus concernés que d'autres par l'exposition visible de cette souffrance. Dans le milieu de la mode et du mannequinat, notamment, où l'on commence à réagir. Quelques grandes maisons de couture établissent des règlements. A Madrid, à Milan, à New York, on s'aligne désormais sur l'Organisation mondiale de la santé (OMS) pour que le rapport entre la taille et le poids précisé par les spécialistes mondiaux soit acceptable afin de pouvoir défiler. Cette prise de conscience commence à s'effectuer. Il y a urgence. Pour autant, faut-il aller plus loin ? Fallait-il offrir au regard du public le dénuement déchirant d'Isabelle ? Fallait-il accepter cette compromission mercantile ? Le Bureau français de vérification de la publicité (BVP) a totalement déconseillé aux afficheurs de placarder les photos de la jeune Nombre de document(s) : 50 Date de création : 16 avril 2014 femme. Il a eu raison. Car accepter cela, c'est accepter l'inacceptable. C'est se retrouver sur un toboggan sans jamais pouvoir s'arrêter. L'absence de scrupules de Toscani ne saurait se confondre avec un silence de règle pour une société qui doit protéger les plus fragiles. Starlette Et d'ailleurs, est-ce efficace ? Pour le coup de pub perso du photographe italien, c'est gagné. Pour la marque No-lita, c'est moins évident. Car l'impact visuel du corps en souffrance escamote forcément - et délibérément on l'espère toute logique commerciale. Mais, pour les malades, cette campagne inédite est à l'opposé de leurs intérêts. Ce que confirment les médecins. Une spécialiste de psychopathologie de l'enfant et de l'adolescent de l'hôpital Debré à Paris en explique le caractère totalement contre-productif. D'abord, parce qu'il y a dans ces photos un côté esthétique et mode qui peut au final valoriser l'image de l'anorexie chez des adolescentes. Ce que cherchent précisément à faire les sites « pro- © 2007 Les Echos ; CEDROM-SNi inc. news·20071008·EC·4632335 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 80 ana ». Ensuite, parce que le discours de la peur, de la mise en garde et de la prévention n'est pas toujours très efficace chez les jeunes. Argument pertinent. Quant à Isabelle, elle est en train de devenir une starlette. Un modèle. On sait d'elle qu'elle aime le théâtre, qu'elle est actrice, qu'elle voulait être mannequin. Elle est en train de réussir. En acceptant de poser, elle disait juste vouloir faire passer son message contre la maladie. Pas si sûr. FRANÇOIS BAROIN (Aube, UMP) Nombre de document(s) : 50 Date de création : 16 avril 2014 Le Figaro, no. 19436 Le Figaro Magazine, samedi, 27 janvier 2007, p. MAG32 L'ACTUALITE-LE PLATEAU TELE QUAND LA MAIGREUR EST À LA MODE GUERRE À L'ANOREXIE MARTINE BETTI CUSSO, RICHARD LE NY Les sites, les blogs se multiplient : les uns « pro-ana », les autres « anti-proana ». Par pro-ana, comprendre proanorexie. Et de vanter les bienfaits de l'anorexie, photos à l'appui, difficilement supportables, mais qui peuvent séduire des ados vulnérables, comme le prouvent les forums de discussion. Dernière victime en date : le top-modèle Ana Carolina Reston, 1,74 m et 40 kg à sa mort. Une bonne raison pour que le ministre de la Santé, Xavier Bertrand, décide la création d'un groupe de travail sur l'image du corps : « Il est important, au moment où les jeunes filles © 2007 Le Figaro ; CEDROM-SNi inc. news·20070127·LF·1943603202MAGAZINE - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 81 regardent les mannequins, de s'interroger sur le véritable impact de ces images sur le comportement. » Surtout quand on sait que bien des photos de mannequins sont retouchées pour insister sur leur maigreur. Nombre de document(s) : 50 Date de création : 16 avril 2014 Sud Ouest Mercredi, 16 avril 2008, p. 7 SANTÉ. Les députés entrent en guerre contre les défenseurs de l'anorexie L'Assemblée a voté hier une proposition de loi qui condamne l'incitation à l'anorexie. Particulièrement visés : les sites Internet Une proposition de loi UMP réprimant l'incitation à l'anorexie, y compris sur Internet, a été approuvée hier en première lecture par l'Assemblée nationale. La proposition de loi, qui doit être encore soumise au Sénat, a pour objet de créer « une incrimination spécifique de la provocation » à l'anorexie, une maladie aux conséquences graves qui touche entre 30 et 40 000 personnes en France, dont environ 90 % de femmes (avec deux pics de déclenchement à 12-13 ans et à 18-19 ans). Le texte a été approuvé avec les seules voix de l'UMP, auxquelles s'est jointe la députée PS Michèle Delaunay. Les groupes PS et GDR (PCF-Verts) se sont abstenus sur ce texte qu'ils ont qualifié d'« affichage », dont la « seule approche est celle de la répression ». Sites « pro-ana ». Ainsi, « le fait de provoquer une personne à rechercher une maigreur excessive, en encourageant des restrictions alimentaires prolongées ayant pour effet de l'exposer à un danger de mort ou de compromettre directement sa santé, sera puni d'une peine maximum de deux ans d'emprisonnement et de 30 000 euros d'amende ». Peine portée à trois ans et 45 000 euros d'amende, s'il apparaît que « cette provocation a entraîné la mort de la personne concernée ». Pour lutter contre la multiplication des sites « pro-ana » (pro-anorexie), il est prévu que sera punie de deux ans et 30 000 euros « la propagande ou la publicité, quel qu'en soit le mode, en Illustration(s) : Anorexie. Une maladie qui touche près de 40 000 personnes photo afp © 2008 Sud Ouest ; CEDROM-SNi inc. news·20080416·SO·160408aP2268210 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 82 faveur de produits, d'objets ou de méthodes préconisés comme moyens de parvenir à une maigreur excessive ayant pour effet de compromettre directement la santé ». « Les messages qui sont diffusés sont des messages de mort. Notre pays doit avoir les moyens de poursuivre et de condamner ceux qui se cachent derrière de tels sites », a affirmé Roselyne Bachelot (Santé). Pour la ministre, « donner les conseils aux jeunes filles pour mentir à leurs médecins, leur indiquer les aliments les plus faciles à régurgiter [...] ne relèvent pas de la liberté d'expression ». Le vote de ce texte est intervenu une semaine après la signature par les professionnels de la mode, de la publicité et des médias, et par Roselyne Bachelot d'une « charte » de bonne conduite sur l'image du corps et contre l'anorexie. Nombre de document(s) : 50 Date de création : 16 avril 2014 Libération, no. 8381 France, mercredi, 16 avril 2008, p. QUO13 Est-ce qu'une loi suffira contre les sites «pro-ana» ? Santé. Le texte qui réprime l'apologie et l'incitation à l'anorexie a été voté à l'Assemblée. Eric Favereau; ÉRIC FAVEREAU Etait-ce bien utile que de faire voter, hier matin, devant une petite vingtaine de députés en séance, une proposition de loi réprimant l'incitation à l'anorexie ? «Grotesque et ridicule», tranche Jean-Marie Le Guen, député socialiste. «On voit, là, les limites à mettre en place des dispositifs législatifs pour des questions de santé.» A l'inverse, la ministre de la Santé Roselyne Bachelot s'est félicitée de ce vote : «La proposition de loi apporte une réponse adaptée et cela constitue une avancée importante dans la lutte contre l'anorexie.»Le texte a été adopté malgré l'abstention des socialistes, des Verts et des communistes. Amende. Cette proposition de loi, qui doit encore passer au Sénat, a pour objet de créer «une incrimination spécifique de la provocation à l'anorexie». Ainsi, «le fait de provoquer une personne à rechercher une maigreur excessive, en encourageant des restrictions alimentaires prolongées ayant pour effet de l'exposer à un danger de mort ou de compromettre directement sa santé, sera puni d'une peine maximum de deux ans d'emprisonnement et de 30 000 euros d'amende». Pour lutter contre les sites «pro-ana» sur Internet (lire ci-contre), il est stipulé qu'est punie de deux ans d'emprisonnement et 30 000 euros d'amende «la propagande ou la publicité, en faveur de produits, d'objets ou de méthodes préconisés comme moyens de parvenir à une maigreur excessive ayant pour effet de compromettre directement la santé». Selon la rapporteure UMP, Valérie Boyer, il y a entre 30 000 et 40 000 personnes qui seraient atteintes d'anorexie en France. L'air de rien, c'est la première fois que le législateur condamne l'incitation à une maladie, qui plus est une pathologie men tale. S ur ce sujet, Roselyne Bachelot n'a pas eu d'états d'âme : «Donner les conseils aux jeunes filles pour mentir à leurs médecins, leur indiquer les aliments les plus faciles à régurgiter, les inciter à se mortifier après toute absorption de nourriture, ne relève pas de la liberté d'expression... Notre pays doit avoir les moyens de poursuivre et de condamner ceux qui se cachent derrière de tels sites»,a-telle affirmé. «Certes, a ironisé pour les socialistes Jean-Marie Le Guen, on ne peut pas être d'accord avec l'anorexie. Mais est-ce à la loi de réagir ?» «Bizarrement, cela ne me paraît pas complètement à côté», tempère le Dr Jean-Pierre Benoît, psychiatre et spécialiste à la Maison des adolescents à Paris de la prise en charge des anorexiques. «Avec ces 83 jeunes filles, il y a toujours besoin qu'une limite assez forte leur soit opposée. Elles dérapent, parfois très vite. Au moins, cela va mettre des bornes même si elles sont indirectes. Je vois trop de situations où on laisse dériver les choses.»Mais l'influence de ces sites est-elle réelle ? «J'ai des patientes qui les fréquentent, en particulier les plus malades. J'ajouterai que pour les mannequins aussi, c'est important de signifier socialement ces limites, même si c'est délicat.» Dérapage. Un équilibre fragile à tenir donc, même pour la rapporteure du projet qui avait en effet déposé quatre amendements. Elle les a finalement retirés en séance, tant leur formulation pouvait prêter à un dérapage. Ainsi avait-elle proposé d'interdire «les photographies à des fins commerciales d'une personne dont l'apparence corporelle a été modifiée par un logiciel, si elles n'ont pas été accompagnées de la mention "photographie retouchée" . Elle souhaitait aussi que «chaque mannequin bénéficie d'un examen médical par période de six mois en vue de s'assurer du maintien de son aptitude à exercer l'emploi considéré, compte tenu notamment de son indice de masse corporelle». Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2008 SA Libération ; CEDROM-SNi inc. news·20080416·LI·0LI27a07c40-0b1e-11dd-a7c0-80bff1849966 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 84 Nombre de document(s) : 50 Date de création : 16 avril 2014 Sud Ouest Gironde Gironde Bordeaux centre, mardi, 20 mai 2008, p. 9 ANOREXIE. «Chaque cas est différent» Carole Filiu La loi anti-blog prônant l'anorexie a été votée le 15 avril dernier. Une jeune patiente de 19 ans atteinte de cette maladie témoigne depuis le centre Jean Abadie dirigé par Xavier Pommereau «Cette loi contre les blogs pro-ana, c'est comme l'inscription « Fumer tue » sur les paquets de cigarette. L'État nous prévient qu'on peut en mourir, mais on ne s'arrête pas de fumer pour autant ». La phrase est de Mathilde (1), 19 ans, anorexique et patiente en hôpital de jour au Pôle aquitain de l'adolescent de Bordeaux, le centre Abadie. Centre dépendant du CHU constitué, entre autres, d'une unité traitant les troubles des conduites alimentaires (TCA), il accueille en hospitalisation une cinquantaine d'anorexiques « graves » par an et suit en consultation plusieurs centaines d'adolescents. Mathilde est arrivée ici, « à la limite de la mort », après avoir perdu 30 kg. Huit mois sont passés, elle a repris du poids, vient au centre trois fois par semaine et... n'a toujours pas consulté un seul blog pro-ana. La moitié des jeunes filles qu'elle a rencontrée ici n'en ont d'ailleurs jamais entendu parler. Autant dire que pour elle, la loi anti-blog « n'est pas un bon moyen pour lutter contre l'anorexie », car « ce qui engendre la maladie, ce sont les problèmes personnels, chaque cas est différent ». Nouveau délit. Et pourtant, Valérie Boyer, députée UMP des Bouches-du-Rhône, y a mis du sien pour mettre en avant sa proposition de loi, appuyée par la ministre de la Santé Roselyne Bachelot. Cette loi prévoit deux ans d'emprisonnement et 30 000 euros d'amende pour « le fait de provoquer une personne à rechercher une maigreur excessive ayant pour effet de l'exposer à un danger de mort ou de compromettre directement sa santé ». Une peine portée à 3 ans d'emprisonnement et 45 000 € d'amende « lorsque l'incitation de privation alimentaire provoquerait la mort ». Le but étant de créer « un nouveau délit dans le code pénal » La loi, adoptée par l'Assemblée nationale le 15 avril dernier, vise donc principalement ces fameux blogs « pro-ana », principaux responsables, selon la députée, de l'extension de l'anorexie mentale en France ces dernières années (30 000 à 40 000 personnes seraient concernées dans le pays et ce, de plus en plus jeunes). Situation d'urgence. « Cette loi est une mesure de protection, il faut considérer Internet comme un espace de circulation équivalent à la rue. Si on affichait ces images d'une extrême violence en public, elles seraient interdites. Je considère donc que c'est une mesure de bon sens », explique 85 Xavier Pommereau, responsable du centre Abadie. « Mais il faut faire attention à l'angélisme, croire qu'on va prévenir l'anorexie de cette façon est illusoire ». Et de souligner que seules les adolescentes déjà touchées par les TCA vont sur ces sites : « seules les contaminables seront contaminées, on n'attrape pas l'anorexie en regardant un blog ». Il pense qu'un dépistage précoce des signes de cette maladie allié à des actions de prévention dans les collèges serait beaucoup plus efficace. Et ajoute qu'il serait pour le moins raisonnable de créer un équivalent du centre Abadie dans chaque département. Car « ici on ne soigne que des adolescents qui sont à quinze jours de la mort et qui ont l'air de déportés d'Auschwitz ». Une situation d'urgence à laquelle a été confrontée Mathilde. Quand elle a voulu se faire soigner à Abadie, on a remis à deux mois d'attente un simple rendez-vous. Sachant que le centre n'accueillait que des cas « graves », elle s'est laissée maigrir jusqu'à l'extrême limite pour pouvoir y entrer : « c'était un appel au secours, confie-t-elle, c'est le centre qui m'a sauvé ». Mesure positive. En attendant une meilleure prévention de cette maladie mentale, Roselyne Nombre de document(s) : 50 Date de création : 16 avril 2014 Bachelot a signé le 9 avril avec des professionnels de la mode, de la publicité et des médias la « charte d'engagement volontaire sur l'image du corps et contre l'anorexie, pour combattre la maigreur excessive des mannequins ». Une mesure positive pour Mathilde pour qui les affiches de publicité donnent « une vision déformée de la réalité, les humains n'y ont plus de formes... Ça a joué un rôle dans le déclenchement de ma maladie, je voulais leur ressembler. » Seulement voilà, cette charte n'a aucune valeur contraignante sur les publicitaires et autres faiseurs de mode. (1) Le prénom a été modifié pour des raisons de confidentialité. Illustration(s) : Xavier Pommereau (en médaillon), responsable du centre Abadie, considère que « l'interdiction des blogs pro-ana est une mesure de bon sens » photo DR et SO © 2008 Sud Ouest ; CEDROM-SNi inc. news·20080520·SO·200508aP2446910 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 86 Nombre de document(s) : 50 Date de création : 16 avril 2014 AFP - Journal Internet Mardi, 15 avril 2008 - 10:05 Punir les incitations à l'anorexie, une proposition de loi en débat à l'Assemblée Par Souk CHANTHALANGSY PARIS (AFP) - La ministre de la Santé Roselyne Bachelot a apporté mardi le soutien du gouvernement à la proposition de loi de l'UMP visant à incriminer l'incitation à l'anorexie, dénonçant en particulier "les messages de mort" diffusés impunément sur internet. PARIS (AFP) - "L'anorexie est une maladie qui n'est pas toujours reconnue comme telle", car dans l'anorexie "la pulsion de vie est absorbée par la pulsion de mort", a déclaré la ministre à l'ouverture des débats. Pour Mme Bachelot, la proposition de loi, présentée par Valérie Boyer (UMP), "apporte une réponse adaptée à un enjeu décisif de santé publique" et constitue "une avancée importante dans la lutte contre l'anorexie". "Ce texte permettra d'ouvrir plus largement le débat public autour de cette maladie et ainsi d'éveiller les consciences. C'est pourquoi, je ne peux qu'apporter mon soutien à la création d'une incrimination spécifique pour la provocation à l'extrême maigreur ou l'apologie de l'anorexie", a-t-elle poursuivi. Mme Bachelot s'en est vivement pris aux sites "pro-ana" (pro-anorexique). "Donner les conseils aux jeunes filles pour mentir à leurs médecins, leur indiquer les aliments les plus faciles à régurgiter, les inciter à se mortifier après toute absorption de nourriture ne relèvent pas de la liberté d'expression", a-t-elle fait valoir. "Les messages qui sont diffusés sont des messages de mort. Notre pays doit avoir les moyens de poursuivre et de condamner ceux qui se cachent derrière de tels sites", a ajouté la ministre. Le texte UMP a pour objet de créer "une incrimination spécifique de la provocation" à l'anorexie. Ainsi, "le fait de provoquer une personne à rechercher une maigreur excessive" est passible d'une peine maximale de deux ans d'emprisonnement et de 30.000 euros d'amende. Mise à l'ordre du jour de l'Assemblée à l'initiative du groupe UMP, cette proposition de loi a été approuvée, sans opposition, mercredi par la commission des Affaires sociales. Il ne devrait pas recueillir les voix de gauche lors du vote en milieu de journée, les groupes PS et GDR (PCFVerts) ayant regretté le côté "réducteur, voire inutile" de la proposition de loi UMP. L'examen de ce texte intervient une semaine après la signature par les professionnels de la mode, de la publicité et des médias, et la ministre de la Santé Roselyne Bachelot, le 9 avril à Paris, d'une "charte" de bonne conduite sur l'image du corps et contre l'anorexie. 87 Cette charte ne comprend toutefois aucune mesure contraignante mais des "engagements partagés et concertés", essentiellement de sensibilisation et d'information. "A la souffrance, au déni et à l'isolement des malades, au sentiment d'impuissance qui envahit souvent leurs proches, il est temps d'opposer un signe fort marquant la prise de conscience et la mobilisation des pouvoirs publics contre ce fléau", a fait valoir Mme Boyer. Ainsi, "le fait de provoquer une personne à rechercher une maigreur excessive, en encourageant des restrictions alimentaires prolongées ayant pour effet de l'exposer à un danger de mort ou de compromettre directement sa santé, sera puni d'une peine maximum de deux ans d'emprisonnement et de 30.000 euros d'amende". La peine est portée à trois ans et 45.000 euros d'amende, s'il apparaît que "cette provocation a entraîné la mort de la personne concernée". Lors de l'examen en commission, la députée UMP a fait adopter un amendement punissant de deux ans d'emprisonnement et 30.000 euros d'amende "la propagande ou la publicité, quel qu'en soit le mode, en faveur de produits, d'objets ou de méthodes préconisés comme moyens de parvenir à une maigreur excessive Nombre de document(s) : 50 Date de création : 16 avril 2014 ayant pour effet de compromettre directement la santé". Cet ajout permettra "d'incriminer la diffusion de contenus incitant à l'extrême maigreur, quel qu'en soit le support, ce qui s'appliquera notamment à certains sites internet +pro-ana+" (pro-anorexie), a-t-elle fait valoir. Le mouvement dit "pro-ana", se développe depuis le début des années 2000 aux Etats-Unis et depuis deux ans en France. Ses membres, des jeunes filles se présentant comme anorexiques et prétendant que l'anorexie n'est pas une maladie mais un "mode de vie", diffusent leurs idées via des forums ou des blogs sur internet. Selon le rapport de Mme Boyer, entre 30.000 et 40.000 personnes seraient atteintes d'anorexie en France, dont environ 90% de femmes, avec deux pics de déclenchement à 12-13 ans et à 18-19 ans. Ses répercussions sanitaires sont souvent très graves. L'anorexie peut en effet entraîner une anémie, une ostéoporose, la perte des capacités physiques et musculaires, voire la détérioration des organes vitaux et des problèmes cardiaques, précise le rapport. Illustration(s) : Joel Saget Les députés débattent mardi d'une proposition de loi UMP visant à combattre l'incitation à l'anorexie, cet état de "maigreur excessive" aux graves répercussions sanitaires dont sont atteintes entre 30.000 et 40.000 personnes en France. 88 Nombre de document(s) : 50 Date de création : 16 avril 2014 Francois Guillot Pour Mme Bachelot, la proposition de loi, présentée par Valérie Boyer (UMP), "apporte une réponse adaptée à un enjeu décisif de santé publique" et constitue "une avancée importante dans la lutte contre l'anorexie. Ce texte permettra d'ouvrir plus largement le débat public autour de cette maladie et ainsi d'éveiller les consciences." 89 Nombre de document(s) : 50 Date de création : 16 avril 2014 Bertrand Guay L'examen de ce texte intervient une semaine après la signature par les professionnels de la mode, de la publicité et des médias, et la ministre de la Santé Roselyne Bachelot, le 9 avril à Paris, d'une "charte" de bonne conduite sur l'image du corps et contre l'anorexie. 90 Nombre de document(s) : 50 Date de création : 16 avril 2014 Alberto Pizzoli Lors de l'examen en commission, la députée UMP a fait adopter un amendement punissant de deux ans d'emprisonnement et 30.000 euros d'amende "la propagande ou la publicité, quel qu'en soit le mode, en faveur de produits, d'objets ou de méthodes préconisés comme moyens de parvenir à une maigreur excessive ayant pour effet de compromettre directement la santé". © 2008 AFP - Journal Internet AFP ; CEDROM-SNi inc. news·20080415·ZK·0CNG×21b4d5136bec04dd2387cda5587de427b×28f1 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 91 Nombre de document(s) : 50 Date de création : 16 avril 2014 Le Monde Télévision & Radio, mardi, 22 avril 2008, p. 29 ÉCRANS INTERNET Les auteurs des blogs « pro-ana » s'estiment victimes de censure Une proposition de loi réprime l'incitation à l'anorexie sur le Web Sylvie Kerviel Elle se présente sous le nom d'Anamorphose et, à l'instar d'autres blogueuses revendiquant leur appartenance au mouvement pro-ana (ana pour « anorexie »), cette jeune femme a décidé de fermer son blog. Cette décision, elle l'a prise au lendemain du vote, mardi 15 avril, à l'Assemblée nationale, d'une proposition de loi, présentée par la députée UMP Valérie Boyer, réprimant l'incitation à l'anorexie, notamment sur Internet, en fixant une peine pouvant aller jusqu'à deux ans d'emprisonnement et 30 000 euros d'amende. « Nous sommes censurés par principe de précaution. Précaution de quoi ? demande Anamorphose dans son dernier billet. Cette liberté d'expression nous aidait à nous soigner. On nous l'enlève. » « Merci à cette loi. Grâce à elle je contribuerai à faire avancer les statistiques », commente avec cynisme l'auteure du blog Ma parfaite obsession, faisant référence au nombre de décès parmi les anorexiques - le taux de mortalité est évalué à 5,6 % sur une durée de dix ans de maladie et dépasserait 20 % sur une période plus longue, selon le rapport de Mme Boyer. « Dans un pays où l'obésité représente 10 % de la population, il est aberrant de voir que certains députés puissent s'intéresser au 0,1 % d'anorexiques, déplore de son côté l'auteure du blog Dunes de sable. On nous demande d'être tolérants envers les personnes obèses (...). Et les pro-ana ? ne sontelles pas malades ? Ne souffrent-elles pas de troubles du comportement alimentaire [TCA] ? (...) Avant de supprimer et de punir les blogs proana, les médias ne doivent-ils pas cesser de véhiculer cette image de la femme extra-mince qui est la seule à réussir ? » Le texte voté par les députés interdit « la propagande ou la publicité (...) en faveur de produits, d'objets ou de méthodes préconisés comme moyen de parvenir à une maigreur excessive ayant pour effet de compromettre directement la santé ». Il vise les sites et les blogs pro-ana qui pullulent sur le Web français depuis deux ans. Assez semblables, ces blogs sont des lieux de discussion entre jeunes filles souffrant d'anorexie. Elles s'y donnent des conseils pour se « dégoûter de la nourriture », vomir, s'échangent des marques de laxatifs, livrent des astuces pour tromper les médecins et l'entourage, se lancent des défis perdre 4 kg en moins d'une semaine par exemple. 92 Certaines mettent toutefois en garde contre les risques de cette maladie anémie, ostéoporose, problèmes cardiaques, perte de cheveux, détérioration dentaire (l'un de ces sites accueille une publicité pour produit de blanchiment des dents). On trouve aussi sur Internet souvent les mêmes photos de vedettes filiformes, présentées comme des modèles à atteindre. Les propos et les images sont parfois choquants. Certains font d'ailleurs l'objet d'un avertissement. « Je n'incite personne à suivre mon exemple, écrit ainsi Poussière de fée. J'ai bien spécifié à Blog4ever [le serveur qui accueille son blog] que mon site contenait des arguments pouvant être choquants (...). Je souffre de TCA. je n'ai pas la même vision de la normalité que vous qui êtes sains physiquement et psychologiquement. » Selon le rapport de Mme Boyer, entre 30 000 et 40 000 personnes seraient atteintes d'anorexie en France, dont environ 90 % de femmes, avec deux pics de déclenchement de la maladie à 12-13 ans et à 18-19 ans. Nombre de document(s) : 50 Date de création : 16 avril 2014 © 2008 SA Le Monde ; CEDROM-SNi inc. news·20080422·LM·0Q2204_1688295 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 93 Nombre de document(s) : 50 Date de création : 16 avril 2014 AFP - Journal Internet Mercredi, 16 avril 2008 - 17:10 Les sites internet favorisent l'anorexie mais ne sont pas à l'origine de la maladie Par Christine COURCOL PARIS (AFP) - Les sites internet ou autres supports incitant à l'extrême maigreur, réprimés par une proposition de loi votée mardi à l'Assemblée nationale, favorisent l'anorexie mais ne sont pas à l'origine de la maladie, selon des spécialistes interrogés par l'AFP. PARIS (AFP) - L'Assemblée a voté mardi un texte qui prévoit jusqu'à deux ans de prison et 30.000 euros d'amende pour l'incitation à l'anorexie, y compris sur internet. La peine est portée à trois ans et 45.000 euros d'amende si cette provocation "a entraîné la mort de la personne concernée". Le texte doit encore être soumis au Sénat. L'anorexie, qui touche quelque 30 à 40.000 personnes en France -90% de femmes- est une pathologie grave. 50% des personnes atteintes s'en sortent -après des années de suivisans séquelles sérieuses, mais 10% en meurent au bout de 20 ans, soit par dénutrition, soit par suicide. "Ce texte de loi part d'une bonne intention, parce que l'incitation peut être un facteur favorisant, pouvant jouer un rôle dans la population fragilisée de l'adolescence", note le Dr Sophie Criquillion-Doublet, psychiatre responsable de la consultation au Centre des maladies mentales et de l'encéphale (CMME) à l'hôpital sainte-Anne. Pour autant, dit-elle, l'incitation "n'est pas un facteur de causalité de la maladie". "Il faut un terrain". Pour Annick Brun, psychologue à la CMME, l'anorexie a "des causes multiples": "un facteur génétique probable", "des facteurs personnels" (manque de confiance en soi, malêtre, facteurs familiaux, incapacité de prendre ses distances avec ses proches), et aussi "des facteurs sociaux". "Mais il y a toujours eu des anorexiques, même quand la mode voulait que la femme soit pléthorique", dit-elle. Mme Brun, qui considère la proposition de loi comme "un premier petit pas", reste "un peu perplexe" devant les sanctions contre les sites. Certes, "les vrais sites +pro ana+ (pro-anorexie) sont toxiques et pathologiques", et mettre des limites c'est "amener les gens à réfléchir". Mais en fermer un ça entraîne l'ouverture d'un autre, "il n'est pas sûr qu'on puisse être efficace à ce niveaulà", dit-elle. Pour le Dr Criquillion-Doublet, les sites "pro-ana" sont nourris des confidences des malades, et "on ne sanctionne pas les malades, qui sont d'ailleurs dans le déni de leur maladie". 94 "En France, on sait sanctionner, on sait éventuellement traiter, mais la prévention qui coûterait beaucoup moins cher à long terme, on ne sait pas la faire", déplore-t-elle. "Il faut repérer très tôt, dès avant les difficultés alimentaires, le manque de confiance en soi d'un enfant, la difficulté à se séparer de la famille, ou les changements de comportements sociaux", souligne-t-elle. Mme Brun souligne que la maladie dure très longtemps et qu'il n'y a guère de structures de soin pour adultes. Celles qui existent sont référencées sur le site de l'Association française pour le développement des approches spécialisées des troubles du comportement alimentaire, AFDASTCA. Plus globalement, pour la psychologue, on est "dans une question de fond qui dépasse l'anorexie". "Pourquoi les femmes ont besoin de tellement maltraiter leur corps? Pourquoi les femmes doivent avoir en permanence un corps contrôlé, un corps maigre, pourquoi une telle pression?". "Il y a une maltraitance proposée aux femmes", dit-elle. Nombre de document(s) : 50 Date de création : 16 avril 2014 Illustration(s) : Joël Saget Les sites internet ou autres supports incitant à l'extrême maigreur, réprimés par une proposition de loi votée mardi à l'Assemblée nationale, favorisent l'anorexie mais ne sont pas à l'origine de la maladie, selon des spécialistes interrogés par l'AFP. © 2008 AFP - Journal Internet AFP ; CEDROM-SNi inc. news·20080416·ZK·0CNG×29130a017e931ac9bdc0185a7a7f7511d×2301 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 95 Nombre de document(s) : 50 Date de création : 16 avril 2014 Le Figaro, no. 19816 Le Figaro, mercredi, 16 avril 2008, p. 10 FranceSociété L'incitation à l'anorexie devient un délit SANTÉ. Les députés ont adopté une proposition de loi UMP pour lutter contre l'apologie de cette maladie. Agnès LECLAIR DEUX ANS d'emprisonnement et une amende de 30 000 euros : telle sera la peine encourue pour incitation à l'anorexie. Hier, les députés ont adopté une proposition de loi UMP pour lutter contre l'apologie de cette maladie ou de l'extrême maigreur dans divers médias (sites Internet, presse écrite ou audiovisuelle et blogs). Et ce, une semaine après la signature par les professionnels de la mode, de la publicité et des médias et la ministre de la Santé d'une charte de bonne conduite sur l'image du corps. Le texte, présenté par la députée UMP Valérie Boyer, prévoit aussi des peines de trois ans de prison et 45 000 euros d'amende « lorsque cette recherche de maigreur excessive a provoqué la mort de la personne ». Les blogs « pro-ana », journaux en ligne qui vantent l'anorexie, photos de mannequins squelettiques et recettes pour perdre du poids à l'appui, sont particulièrement visés. « Aucune des jeunes filles anorexiques que j'ai rencontrées n'a été entraînée par des sites pro-ana ou des défilés de mode », juge pourtant Xavier Pommereau, psychiatre et spécialiste de l'anorexie. « L'anorexie mentale n'est pas un simple phénomène d'imitation. C'est une maladie et on ne prévient pas une maladie par une loi, précise-t-il. Le dépistage des premiers signes inquiétants constitue la meilleure prévention ». « Sensationnalisme » Alice, une anorexique de 15 ans, juge tout de même que « les conseils sur comment se faire vomir » sur la Toile peuvent avoir une mauvaise influence. Coralie, 19 ans, © 2008 Le Figaro ; CEDROM-SNi inc. news·20080416·LF·103×20×2313538677 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 96 trouve qu'il est juste de condamner des « personnes qui incitent à sombrer dans la maladie » bien que ces sites « ne provoquent pas l'anorexie ». Spécialiste des ados, le psychanalyste Michaël Stora craint de son côté la difficulté d'appliquer cette loi. Consultant pour Skyblog, site d'hébergement de blogs, il rappelle que nombre de ces journaux sont créés par des jeunes qui ne souffrent pas d'anorexie mais cherchent à faire du « sensationnalisme ». Enfin, l'hébergeur français Overblog, sur lequel on trouvait hier encore des sites pro-ana, réfléchit déjà à l'installation d'une surveillance élargie. « Cela ne réglera pas le problème de manière globale puisque cette loi n'est pas applicable à des sociétés étrangères », alerte cependant son directeur, Julien Romanetto. Nombre de document(s) : 50 Date de création : 16 avril 2014 NewsPress FRANCE; Institutions nationales; Etablissements publics, mardi, 4 décembre 2012 - 110500 Infos Générales; Science/ Recherche Comment les réseaux sociaux façonnent nos pratiques alimentaires ? Comment les réseaux sociaux façonnent nos pratiques alimentaires ? Vendredi 14 décembre prochain, les résultats du projet de recherche ANR « Anamia » s'intéressant à l'anorexie et à la boulimie - « ana » et « mia » dans le jargon d'Internet - seront dévoilés à la BnF (Paris), lors d'un colloque scientifique sur le phénomène « proana » (pro-anorexie). Cet événement sera l'occasion pour des experts internationaux et des chercheurs issus de plusieurs domaines des sciences sociales de discuter autour d'une approche inédite des sites web portant sur l'anorexie ou la boulimie. Le projet de recherche « Anamia » est coordonné par le sociologue Claude Fischler, directeur de recherche au CNRS. Usage du web et diffusion troubles alimentaires des Dans les pays de l'hémisphère nord, on estime que le taux de mortalité lié à l'anorexie et à la boulimie atteint entre 5% et 10% par décennie - c'est l'un des plus élevés pour ce genre de troubles. L'enjeu est rendu encore plus complexe par le fait que les personnes atteintes de ces troubles alimentaires sont aujourd'hui des utilisateurs de technologies web et mobiles. Les créateurs des sites web consacrés aux troubles alimentaires sont le plus souvent des jeunes femmes qui souffrent de problèmes d'alimentation, et se retrouvent sur internet pour échanger autour de leurs expériences de vie. L'expression de leur condition va parfois jusqu'à décrire les méthodes pour s'affamer ou se faire vomir, ou encore à mettre en scène des photos personnelles ou de célébrités, retouchées et amincies. Mais la découverte par l'opinion publique de ce type de contenus, considérés alors comme une apologie des troubles alimentaires, a vite entrainé la stigmatisation de cette population. Régulièrement désignés de façon péjorative comme « proana » dans les récits relayés par les médias, ces sites web sont pourtant aussi vécus par leurs membres comme des vecteurs de coopération et de prise en charge autonome. Questionner le phénomène au-delà des postions tranchées Le colloque du 14 décembre 2012 sera l'occasion de questionner le phénomène pro-ana au-delà des positions tranchées. Derrière ce sujet se cachent en effet des enjeux importants qui traversent les frontières des disciplines scientifiques. « Les communautés pro-ana », affirme le sociologue Claude Fischler, directeur de recherche au CNRS et porteur du projet ANR Anamia, « sont un fait social au travers duquel il est possible de déployer et lire les enjeux actuels du corps et de l'alimentation : le rapport à l'image du corps, le rôle de l'autorité médicale mis à mal, la 97 cacophonie alimentaire (trop de messages contradictoires, trop de tentations qui provoquent des réactions paradoxales). Bref, ces jeunes anorexiques s'avèrent être soumis aux mêmes tensions que les autres mangeurs/consommateurs dans les sociétés contemporaines... » Parmi les participants seront présents le psychiatre et psychanalyste Serge Tisseron (Université Paris Ouest Nanterre La Défense), l'épidémiologue Adam Drewnowski (University of Washington), l'historien Georges Vigarello (EHESS), la sociologue Madeleine Ackrich (Mines ParisTech) et Alain Giffard, directeur du GIS Culture & Médias numériques, ainsi que d'autres chercheurs de l'Institut MinesTélécom et du CNRS. Le projet ANR Anamia : étudier les troubles du comportement alimentaire sous l'angle des sociabilités Soutenu par l'ANR et coordonné par l'EHESS, avec le CNRS, l'Institut Mines-Télécom, l'Université de Bretagne occidentale et Aix-Marseille Université, ce projet étudie depuis 3 ans les communautés Internet des personnes atteintes de troubles des comportements alimentaires à l'aide de méthodes innovantes d'analyse des réseaux sociaux en ligne et hors-ligne. Antonio Casilli, chercheur à Télécom ParisTech et à l'EHESS, et Nombre de document(s) : 50 Date de création : 16 avril 2014 coordinateur du projet Anamia pour le volet scientifique, explique : « En déplaçant le prisme pathologique vers celui des usages des technologies et celui des sociabilités, on se donne les moyens d'obtenir des résultats surprenants. Le premier consiste à déjouer le stéréotype de l'adolescent "pro-ana" socialement isolé qui rechercherait sur Internet une échappatoire à ses manques. » D'après les résultats de recherche, les sites web représentent en effet pour les personnes atteintes de troubles alimentaires un complément de socialité, des lieux où elles construisent des réseaux de solidarité. Ces internautes ne feraient donc pas une apologie acritique des troubles alimentaires. Au contraire, ils recherchent une complémentarité avec le système médical surtout quand ce dernier n'est pas en mesure de les prendre en charge. Les adolescents et les jeunes adultes habitant des « déserts médicaux » seraient tout © 2012 NewsPress ; CEDROM-SNi inc. news·20121204·NW·FR260701 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 98 particulièrement concernés. C'est pourquoi, une part des intervenants du symposium indique que la répression de ces sites, prônée par certains hommes politiques, est une « mauvaise décision en termes de santé publique ». En savoir + sur le projet Anamia : http://www.anamia.fr Note(s) : CNRS - Centre National de Recherche Scientifique Nombre de document(s) : 50 Date de création : 16 avril 2014 Libération QUOTIDIEN PREMIERE EDITION MULTIMEDIA, lundi, 20 août 2001, p. 15 Les fans de l'anorexie servent leur soupe sur le Web L'apologie de ce trouble alimentaire inquiète les médecins. PESSEL Nathalie «L'anorexie est un art de vivre, pas une maladie.» Des photos de côtes saillantes, décharnées, teintées de couleur flashy. C'est la page d'accueil d'Anorexic Nation, l'un des 400 sites web (surtout américains) qui font l'apologie de ce trouble du comportement alimentaire (TCA). The perfect body, Fading into obscurity («Se fondre dans l'obscurité») ou Dying to be thin («Mourir d'envie d'être mince»)... Ces sites rivalisent d'originalité, parfois enthousiastes, parfois morbides: «J'aime sentir mes os saillir. J'aime me sentir vide. J'aime me dire que j'ai tenu toute une journée sans manger. J'aime perdre du poids.» Echanges de photographies mais aussi conseils pour maigrir et maigrir encore. «Quand vous mangez avec vos parents, faites semblant de tousser et mettez la nourriture dans votre poing; dès qu'ils ont le dos tourné, jetez tout dans la poubelle ou le pot à fleurs», «buvez un verre d'eau tous les quarts d'heure pour tromper votre faim»... Le tout illustré par des images de stars hollywoodiennes filiformes. Parfois trafiquées pour les amaigrir davantage. Fermetures. En France, 5 % à 13 % des adolescents souffrent d'anorexie. Un chiffre qui augmente chaque année. Neuf sur dix sont des filles. Des associations sont montées au créneau pour dénoncer ces sites proanorexiques, «pro-ana» pour les initiés. Le 26 juin, l'Anad (association américaine contre l'anorexie et la boulimie) a demandé à Yahoo de retirer 115 sites «pro-ana» de ses serveurs. Quatre jours plus tard, le portail en retirait 21, «en raison, non pas de la requête de l'Anad, mais de l'engagement de Yahoo pour le bienêtre des enfants et adolescents», selon son porte-parole. Les clubs de discussion ont été également fermés. Mais pas tous: Anorexia Fame est toujours en service, avec un ton vengeur: «Ce club a été créé pour montrer au monde que l'on ne peut pas nous ignorer ou nous faire taire.» Certains membres vont jusqu'à affirmer que la fermeture des sites les a plongés dans la détresse. Des contre-sites se sont montés. Sur Google US, le premier site indiqué pour une recherche «pro-anorexia» est un site de prévention et d'aide aux malades, Scared (Soutien, conseils et renseignements sur les troubles du comportement alimentaire), qui s'oppose aux «pro-ana». «Ils peuvent être utiles et rassurants, car personne n'est plus isolé qu'un anorexique», souligne Michèle Battista, psychiatre à l'hôpital de La Timone à Marseille. Scared se demande ce qui pousse quelqu'un à créer un site «pro-ana»? Certains considèrent l'anorexie 99 comme une amie dont ils ne veulent pas se séparer, mais ne fournissent aucune explication claire. Les webmestres contactés par Libération n'ont d'ailleurs pas souhaité répondre. «Narcissisme». «Rien d'étonnant», explique Christine Foulon, psychiatre dans l'unité TCA de l'hôpital SainteAnne de Paris. «Les anorexiques refusent de reconnaître leur trouble et ses risques. 15 % à 20 % meurent de cette maladie.» Pour se dédouaner, les créateurs de sites mettent fréquemment un mot d'avertissement sur leur page d'accueil. Insuffisant. «Si ces sites ne plongent pas des gens dans la maladie, ils entretiennent ceux qui sont déjà anorexiques, les confortent dans leurs attitudes», poursuit le docteur Foulon. «Ces sites considèrent l'anorexie comme une super-victoire, renchérit Michèle Battista. Ils poussent à aller le plus loin possible dans le narcissisme. La médecine a pu faire des erreurs dans le traitement de ces pathologies, mais aujourd'hui les aspects psychiatriques aussi bien que somatiques sont pris en charge. Cette maladie représente pour nous un problème déontologique: soigner des gens qui ne le veulent pas. C'est long, on stagne, mais on ne les laisse pas tomber. Ce serait de la non-assistance à personne en danger.» «Les créateurs de ces sites sont sûrement des Nombre de document(s) : 50 Date de création : 16 avril 2014 électrons libres, conclut Christine Foulon. Des personnes en souffrance qui refusent les soins.». © 2001 SA Libération ; CEDROM-SNi inc. news·20010820·LI·0095 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 100 Nombre de document(s) : 50 Date de création : 16 avril 2014 Ouest-France Pays de Loire, jeudi, 11 juin 2009, p. 17 Loire Atlantique; Pontchâteau Les nouvelles anorexiques d'aujourd'hui, par trois élèves de 4e D Clémence Boulch, Solène Aoustin et Mathilde Richard. « La plupart du temps inconnues, les pro-ana sont souvent considérées comme des anorexiques. Mais contrairement à elles, les pro-ana se restreignent volontairement d'alimentation et se répandent sur internet. Ce sont essentiellement des jeunes femmes, désireuses d'être reconnues comme attirantes, qui composent ce mouvement et mettent parfois leur vie en danger. « Anorexie veut dire perte de l'appétit, mais les pro-anorexiques, plus connues sous le nom de « proana », se privent volontairement d'alimentation, ce qui entraîne un amaigrissement massif de la masse corporelle. Les « pro-ana » constituent un réseau de membres diffusant leurs idées sur internet, via des forums ou des blogs où elles tiennent un genre de journal intime dédié à « Ana », une personnification de l'anorexie. Les sites servent à partager leur expérience et à se soutenir entre elles. Pour qu'elles soient dégoûtées d'elles-mêmes, « Ana » les dévalorise en leur disant des paroles comme « Tu n'es qu'une grosse vache que diable » ; « Tu es devenue grosse et paresseuse »... » Principales victimes : les très jeunes femmes. « Ce phénomène « pro-ana » concerne 9 fois sur 10 une jeune femme entre 14 et 23 ans. Les jeunes femmes « pro-ana » ne font pas que s'exprimer sur des sites, elles suivent un règlement très strict qu'elles doivent respecter (exemples : être mince est plus important qu'être en bonne santé, ce que dit la balance est le plus important, on ne peut jamais être trop mince...). Mais elles portent aussi, si elles le veulent, un bracelet rouge pour se motiver et qui sert de signe de reconnaissance entre elles ». Une recherche de la beauté qui peut mener jusqu'à la mort. « Malgré leur © 2009 Ouest-France ; CEDROM-SNi inc. news·20090611·OF·56214744 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 101 maigreur, elles prennent soin de leur apparence. Avec de telles privations, il existe de nombreux risques dont une hyperactivité, une baisse de température, une baisse du pouls, un arrêt des règles, un besoin de boire permanent pouvant conduire à une intoxication par l'eau (celle-ci entraîne des troubles de la conscience pouvant aller jusqu'au coma). Après un certain temps, elle peuvent aussi avoir des pertes de cheveux (1). Les conséquences en chiffres. 30 à 50 % des pro-ana guérissent sans séquelles; 10 à 20 % restent maigres et socialement fragiles; 10 à 15 % ne guérissent pas; 5 % sont des anorexiques-boulimiques; 10 % décèdent (1). (1) Source : www.medecine-etsante.com/nutrition/anorexiementale. html Nombre de document(s) : 50 Date de création : 16 avril 2014 Libération, no. 8381 France, mercredi, 16 avril 2008, p. QUO13 «Je ne me sens pas malade» Témoignages recueillis sur des blogs prônant l'extrême maigreur. Saran Koly; SARAN KOLY Entre astuces pour vomir et conseils pour s'affamer, les blogs «pro-ana» («ana» pour anorexie) prônent une maigreur extrême. Pour Audrey, 16 ans, pro-ana depuis un an«la minceur c'est encore trop gros, c'est encore trop femme. Ce qui me dégoûte dans la minceur c'est qu'on a encore trop de graisse entre les os et la peau». Elle a découvert le«mouvement» pro-ana il y a un ou deux ans. «Je n'étais pas encore anorexique à cette époquelà,explique-t-elle, j'avais besoin de parler, d'être comprise - pas d'être traitée comme une malade. J'ai trouvé cette écoute sur les sites pro-ana.» Elles se reconnaissent grâce à leur bracelet rouge, signe de ralliement à la communauté. «Le bracelet me rappelle ce en quoi je crois. Ce n'est pas une secte mais un excellent moyen de reconnaître ses explique Anaïs, 25 ans. semblables», «Comme beaucoup, je porte un bracelet rouge, pas tant pour être identifiée en tant que pro-ana, mais surtout pour me rappeler à l'ordre lorsque je suis prête à craquer sur un truc calorique. Cela me rappelle tous les efforts que je fais au quotidien», ajoute Audrey. Myriam, 23 ans, se considérant comme une pro-ana «modérée», n'est pas du même avis : «Pour la plupart d'entre nous, ce bracelet est plus un fardeau qu'autre chose. Très rares sont celles qui affichent leur anorexie parce que nous redoutons toutes l'hospitalisation.» Pour incarner cette maigreur extrême, des sites retouchent des photos de Kate Moss, Nicole Richie ou encore Lindsay Lohan. «Les © 2008 SA Libération ; CEDROM-SNi inc. news·20080416·LI·0LI26ed7a14-0b1e-11dd-a7c0-80bff1849966 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 102 photos retouchées avec des mannequins squelettiques restent des mythes grotesques. La plupart des pro-ana rêvent d'une certaine maigreur mais pas jusqu'à ce point», s'insurge Audrey. Les blogueuses se défendent souvent de faire l'apologie de l'anorexie. Pour Anaïs, ce n'est pas une maladie, «c'est un chemin que certaines jeunes filles souhaitent emprunter. Nous goûtons à la vie et nous nous entraidons mieux que quiconque. Nous ne sommes pas totalement inconscientes. Mon palier étant à 43 kilos pour 1 m 69. Je ne suis jamais descendu en dessous, et je ne le souhaite pas. J'ai été déclaré anorexique par un médecin. J'ai tous les symptômes mais je ne me sens pas malade». Nombre de document(s) : 50 Date de création : 16 avril 2014 Le Monde.fr Mardi, 15 avril 2008 Les "pro-ana" sur le Web, entre apologie de l'anorexie et soutien aux malades Internet regorge de sites, forums et blogs "pro anorexie" qui pourraient être menacés par une proposition de loi. Ces pages Web incitent-elles les jeunes filles à tomber dans l'anorexie ou sont-elles un soutien pour les personnes déjà malades ? montre du doigt une victime déjà écrasée par son poids, son image, son esprit'. (...) Etre anti pro-ana signifie que je n'aime pas les personnes malades." Une proposition de loi "antianorexie" révolte la multitude et invisible "nation Ana-Mia" sur le Web. Le texte présenté par Valérie Boyer, députée UMP des Bouches-duRhône, vise à rendre passible de deux ans d'emprisonnement et de 30 000 euros d'amende "le fait de provoquer une personne à rechercher une maigreur excessive en encourageant des restrictions alimentaires prolongées". Cette proposition de loi vise notamment "les sites et les blogs faisant l'apologie de l'anorexie, tels le mouvement pro-ana". CODES COMMUNAUTAIRES Les "ana-mia" ou "pro-ana", du nom de ce trouble du comportement alimentaire (TCA) qui touche 1 % à 2 % des adolescents de 12 à 18 ans, dont 90 % de filles, se sentent stigmatisés par cette loi qui ne les comprendrait pas. Ainsi, Dune de sable s'insurge sur son blog : "Non, être pro-ana n'est pas un hobby (...). Etre pro-Ana signifie 'je souffre de TCA et je dois faire avec. Je n'aime pas mon corps, je veux en changer et aucun discours ne me fera voir mon apparence autrement que comme mon miroir me l'impose'. Etre anti pro-ana signifie 'je n'ai aucune connaissance des troubles psychologiques que je dénonce et je D'un nombre spectaculairement élevé, les blogs pro-ana ou ana-mia sont quasiment tous construits sur le même modèle : éloge de la "beauté" de l'extrême maigreur incarnée par les photos ou "thinspo" de starlettes décharnées ou de mannequins retouchés carrément squelettiques. Au fil des blogs, toujours les mêmes préceptes dogmatiques : la "lettre d'Ana", gourou imaginaire qui dissémine ainsi ses "dix commandements", affirmant qu'"être mince est plus important qu'être en bonne santé" et qu'"être mince et ne pas manger sont les signes d'une volonté véritable et de succès". Les jeunes filles s'appuient sur l'échelle du poids idéal selon Ana, s'échangent des astuces pour maigrir : se faire vomir, prendre des laxatifs, manger des glaçons pour tromper la faim, voire prendre des médicaments, tout cela sans inquiéter leur entourage :"Surtout, niez toujours lorsqu'on vous posent des questions, dites tout le contraire de se que vous pensez au sujet des pro-ana. Croyezmoi, ça vous évitera beaucoup d'ennuis ! [sic]", peut-on lire sur l'un de ces blogs. Les anorexiques utilisent Internet pour se lancer des 103 défis, comme perdre 4 kilos en une semaine ou jeûner tous les lundis. Elles se reconnaissent grâce à leur bracelet rouge, signe de ralliement de cette communauté secrète. Presque toutes ces blogueuses se défendent de faire l'apologie de l'anorexie, implorent les internautes de cesser de laisser des messages d'insulte sur les forums. Ainsi "moi Ana forever" rappelle en page d'accueil : "Je n'incite personne à devenir pro-ana, (...) pour moi, être pro-ana est un mode de vie et j'espère que vous respecterez mon choix comme moi je respecte les vôtres." LUCIDITÉ, SOUFFRANCE INCOMPRÉHENSION ET Car ces jeunes filles qui s'affament, comptent et recomptent les calories, n'en finissent pas de noter scrupuleusement le moindre quart de pomme avalé, ont, certes, une image déformée d'elles-mêmes, mais elles ont aussi une appréhension très lucide de leur maladie. Elle connaissent les graves séquelles que peut entraîner l'anorexie, la plupart des blogs sont extrêmement bien documentés sur la question des TCA. Ainsi sur un forum dans la rubrique "aide, conseils, soutien" , Petronella confie "ça fait longtemps que j'ai pas eu mes règles... Je peux pas le dire, sinon on va me faire manger..." Nombre de document(s) : 50 Date de création : 16 avril 2014 Aussi l'incompréhension demeure, ces jeunes filles se savent malades, connaissent bien la nature de leur mal et, sous couvert de s'apporter soutien et écoute, s'échangent des "conseils" pour s'enfoncer un peu plus dans la maladie. Car même si les TCA font l'objet d'une médiatisation croissante, une unité hospitalière spécialisée pour adolescents ayant même été crée dans La Maison de Solenn, il subsiste, à lire les témoignages de jeunes filles diagnostiquées et en cours de traitement, une grande impuissance du corps médical face à cette maladie. "Les TCA consistent en une réalité, dure, qu'on juge souvent mal. On dit parfois qu'une anorexique refusant de s'alimenter fait preuve seulement de CAPRICE. Sans toutefois chercher à comprendre ce qui se passe dans sa tête, ce à quoi elle est confrontée à chaque seconde. Le mal-être est là, le désespoir, la souffrance permanente: bienvenue au pays les TCA", peut-on ainsi lire sur la page d'accueil d'un blog. © 2008 Le Monde ; CEDROM-SNi inc. news·20080415·LMF·1034211 - Date d'émission : 2014-04-16 Ce certificat est émis à TELECOM-PARISTECH à des fins de visualisation personnelle et temporaire. Retour à la table des matières 104 Mais face au phénomène, la résistance "anti pro-ana" s'organise, usant des mêmes armes. Aussi le site "le cimetière d'Ana" recense les décès des suites d'anorexie, au Royaume Uni, une campagne vidéo choc montre la distortion de l'image dont souffre les anorexiques et les témoignages de malades dénonçant l'influence néfaste du mouvement "pro-ana" se multiplient. LEMONDE.FR Mélanie Duwat