Increase in Eating Disorder Posts on X Raises Concerns

isAs Evie was scrolling through X in April, she saw some unwelcome posts in her feed. One was a photo of a visibly skinny person asking if they were skinny enough. Another post wanted to compare how few calories users were consuming in a day.

Debbie, who did not want to give her last name, is 37 and was first diagnosed with bulimia when she was 16. She did not follow either of the accounts behind the posts in the group, which has more than 150,000 members on the social media site.

Out of curiosity, Debbie clicked on the group. “As I scrolled down, I saw a lot of pro-eating disorder messages,” she said. “People asking for opinions about their bodies, people asking for advice on fasting.” A post pinned by an admin urged members to “remember why we’re starving.”

observer Twitter found seven more groups, totaling around 200,000 members, openly sharing content promoting eating disorders. All of the groups were created after Twitter was bought by billionaire Elon Musk in 2022 and rebranded as X.

Eating disorder campaigners said the scale of harmful content showed a serious failure in moderation by X. Councillor Wera Hobhouse, chair of the cross-party parliamentary group on eating disorders, said: “These findings are extremely worrying… X should be held accountable for allowing this harmful content to be promoted on its platform, which puts so many lives at risk.”

The internet has long been a hotbed of content promoting eating disorders (sometimes called “pro-ana”), from message boards to early social media sites like Tumblr and Pinterest, which banned posts promoting eating disorders and self-harm in 2012 following outcry over their prevalence.

Debbie remembers internet message boards in support of Anna, but “I had to search to find them.”

This kind of content is now more accessible than ever before, and critics of social media companies say it is pushed to users by algorithms, resulting in more and sometimes increasingly explicit posts.

Social media companies have come under increasing pressure in recent years to step up safety measures following a series of deaths linked to harmful content.

At an inquest into the death of 14-year-old Molly Russell, who died by suicide in 2017 after viewing suicide and self-harm content, the coroner ruled that online content contributed to her death.

Two years later, in 2019, Mehta-owned Instagram announced it would no longer allow any explicit content depicting self-harm. The Online Safety Act passed last year requires tech companies to protect children from harmful content, including advertising eating disorders, and will impose heavy fines on violators.

Baroness Parminter, who sits on the cross-party group, said the Online Safety Act was a “reasonable start” but failed to protect adults. “The obligations on social media providers only cover content that children are likely to see – and of course eating disorders don’t stop when you turn 18,” she said.

In the user policy, X We do not allow content that encourages or promotes self-harmwhich explicitly includes eating disorders. Users can report violations of X’s policies and posts, as well as use filters in the timeline to report that they are “not interested” in the content being served.

But concerns about a lack of moderation have grown since Musk took over the site: Just weeks later, in November 2022, he fired thousands of staff, including moderators.

The cuts have resulted in a significant reduction in the number of employees working on moderation. According to figures provided by X to the Australian Online Safety Commissioner:.

Musk also brought changes to X that meant users would see more content from accounts they didn’t follow. The platform introduced a “For You” feed, which became the default timeline.

in Last year’s blog postAccording to the company, about 50% of the content that appears in this feed comes from accounts that the user doesn’t yet follow.

In 2021, Twitter launched “Communities” as an answer to Facebook Groups. Communities have become more prominent since Musk became CEO. In May, Twitter announced that “Your timeline will now show recommendations for communities you might enjoy.”

In January, Meta, a rival to X, which owns Facebook and Instagram, said it would continue to allow the sharing of content documenting struggles with eating disorders but would no longer encourage it and make it harder to find. While Meta began directing users searching for eating disorder groups to safety resources, X does not show any warnings when users are looking for such communities.

Skip Newsletter Promotions

Debbie said she found X’s harmful content filtering and reporting tools ineffective, and shared screenshots of the group’s posts with the posters. observer Even after she reported it and flagged it as not relevant, the post continued to appear in her feed.

Mental health activist Hannah Whitfield deleted all of her social media accounts in 2020 to aid in her recovery from an eating disorder. She said she then returned to some sites, including X, where “thinspiration” posts glorifying unhealthy weight loss appeared in her For You feed. [eating-disorder content] The downside of X was that it was a lot more extreme and radical. Obviously it was a lot less moderated and I felt it was a lot easier to find something very explicit.”

Eating disorder support groups stress that social media does not cause eating disorders, and that people who post pro-eating disorder content are often unwell and do not mean any harm, but social media can lead people who are already struggling with eating disorders down a dark path.

Researchers believe that users may be drawn to online communities that support eating disorders through a process similar to radicalization. Published last year by a computer scientist and psychologist from the University of Southern Californiafound that “content related to eating disorders is easily accessible through tweets about ‘dieting,’ ‘losing weight,’ and ‘fasting.'”

The authors, who analysed two million eating disorder posts on X, said the platform offers people with illnesses a “sense of belonging”, but that unmoderated communities can become “toxic echo chambers that normalise extreme behaviour”.

Paige Rivers was first diagnosed with anorexia when she was 10. Now 23 and training to be a nurse, she came across content about eating disorders on XFeed.

Rivers said he found the X setting, which allows users to block certain hashtags or phrases, was easily circumvented.

“People started using weird hashtags like anorexia, which is a combination of numbers and letters, and that got through,” she said.

Tom Quinn, Director of External Relations Eating disorder charity Beat“The fact that these so-called ‘pro-ana’ groups are allowed to proliferate demonstrates an extremely worrying lack of moderation on platforms like X,” it said.

For those in recovery, like Debbie, social media held the promise of support.

But Debbie feels powerless to limit it, and her constant exposure to provocative content is backfireing: “It discourages me from using social media, and it’s really sad because I struggle to find people in a similar situation or who can give me advice about what I’m going through,” she says.

Company X did not respond to a request for comment.

Source: www.theguardian.com

Identifying and Overcoming Body Dysmorphic Disorder

If you’ve ever made it a goal to change your appearance, you’re not alone. Around 43% of UK adults have the goal of losing weightFor many, these goals can extend to more extreme methods of altering their appearance, such as cosmetic or plastic surgery.

But when does this common and widespread desire for self-improvement and betterment become something more sinister? 3 percent of the general populationThis can lead to a constant desire to modify or change one’s physical appearance, a condition known as body dysmorphic disorder (BDD).

People with BDD believe that they have significant physical flaws or defects that, to other people, may be minor or even non-existent.

Rebecca*, a 36-year-old woman, strongly believes she looks like she has a “moon face” because she can’t help but look in the mirror at the acne scars that cover her skin.

Or Tyson*, the 17-year-old who spends hours every day in the gym trying to build muscle mass because he feels he looks like a “toothpick.”

Tyson and Rebecca have been told time and time again by family, friends, and medical professionals that what they see is different from what others see, but they don’t believe it. Seeing is believing, right? But what if your eyes can deceive you?


undefined


Long Attachment

BDD isn’t a new condition: It was first described by Italian psychiatrist Enrico Morselli in 1891, long before we became obsessed with our TikTok feeds.

He described people with “body dysmorphic disorder” (the former name for BDD) as people who are “suddenly overcome by the fear that their body may be deformed in the midst of everyday life, while talking, while reading, while sitting at a table – in fact anywhere and at any time throughout the day.”

BDD is thought to be caused by a complex interplay of biopsychosocial factors, including genetic factors, differences in brain structure and function, and a history of adverse childhood experiences such as bullying, abuse or neglect, which can lead individuals to feel ashamed about themselves and their bodies.

This tendency is often manifested or exacerbated by societal pressures around appearance — in fact, research supports the idea that attractive people often enjoy social advantages, such as being perceived as more trustworthy, healthy, confident, and intelligent.

This increases your chances of finding love, getting a job, or even earning a higher salary.

This often has a negative impact on the minds of people with BDD, making them feel like they have less chance of succeeding in life.While we cannot ignore that these benefits of beauty exist in our society, the pursuit of beauty at all costs can be harmful to both our physical and mental health.

read more:

Unrealistic perfection

Although BDD existed before the development of social media, social media has certainly played a role in increasing the prevalence and severity of BDD.

The emphasis on sharing the “perfect” selfie, the use of filters, the various ways to augment or enhance an image, and powerful algorithms that ensure you (or your disability) are served up with the content that interests you most are the perfect combination to increase the focus on appearance.

Heavy social media use and photo editing have been linked to an increased risk of developing BDD, comparing appearances, and interest in undergoing surgical and non-surgical cosmetic procedures.

This relationship arises in a variety of ways. First, our perception of attractiveness and beauty is often influenced by our “visual diet.” After an extended period of consuming curated content showcasing the best angles, lighting, makeup and outfit choices, and artificial enhancements through the addition of filters, our perception of beauty can start to become biased towards highly idealized and edited images.

As a result, viewers may feel pressured to fit into this newly formed ideal of beauty and may attempt to conform by applying filters to themselves or seeking cosmetic procedures to better meet this standard.

Unfortunately, the positive effect a filter has on your self-image only lasts while it’s applied; once the filter is removed or you see yourself in the mirror in the real world, you may find yourself feeling unattractive or unacceptable.

An estimated 3 percent of people suffer from body dysmorphic disorder. – Photo credit: Getty

There is also an increased pressure to build a “personal brand” online, which can extend beyond just posting the “perfect” photos to achieving the most beautiful feed, the right captions, hashtags and themes. This can lead to a lack of authenticity and cause a widening disconnect between your “online self” and your “real self.”

Some people say their use of social media has increased social anxiety in their daily lives. They fear they will unintentionally “catfish” others who have become accustomed to looking a certain way in the online world. Thus, a personal brand or polished online persona can lead to feelings of embarrassment and shame about their true appearance and personality.

Once BDD has developed, the disorder is often maintained by harmful patterns of thinking and behavior.

For example, engaging in excessive behavior to check, camouflage, or change one’s appearance, including prolonged observation of oneself in the mirror or taking photographs from different angles, hiding oneself with loose clothing, hats, scarves, or glasses, beauty treatments, new hairstyles, or cosmetic procedures.

Many of these are common everyday behaviors that people undertake for self-expression and self-improvement. However, when taken to an extreme, these behaviors can lead to an excessive focus on appearance.

One study compared the mirror-gazing patterns of people with and without BDD and found that even healthy people who stared at themselves in the mirror for more than 10 minutes experienced heightened awareness of their “flaws” and increased levels of distress.

People with BDD experienced this intense distress even after only looking at themselves briefly, for around 25 seconds. These findings support the idea that people with BDD have different patterns of visual processing when looking at faces, often focusing on small details and individual features rather than the overall picture.

Similarly, if someone without BDD looks at themselves long enough, they too will begin to see themselves in parts rather than as a whole, which is one reason why the “Zoom effect” and the proliferation of video calls during the COVID-19 pandemic has increased self-image distress for many people.

read more:

Extreme Measures

People with BDD seek out beauty and cosmetic treatments at a much higher rate than the general population to help them feel better about themselves.

Approximately 70% of people with BDD have previously undergone cosmetic surgeryThey account for up to 15% of all cosmetic surgery patients.

These high rates make sense: For Rebecca, who is concerned about the scars on her face, dermatological treatments like chemical peels and anti-wrinkle injections seem like the obvious solution.

Unfortunately, while most people who seek cosmetic surgery are satisfied with the results, studies have shown that this is not the case for people with BDD. In up to 91 percent of casesBecause your symptoms don’t change, you continue to focus on the areas that were treated and continue to work on ways to hide, check up, or cover up your “flaws.”

After undergoing cosmetic surgery, your concerns may change. People who were concerned about having a “hooked” nose before surgery may develop new concerns after rhinoplasty (nose surgery) about their nose appearing larger as a result of the surgery and about others criticizing them for having the surgery.

In other cases, BDD symptoms may actually worsen after treatment, making someone who is already self-conscious and vulnerable even more so.

Nearly three in ten adult men over the age of 18 have experienced insecurity about their body image.

It is an ethical and professional obligation for cosmetic surgeons to identify BDD in their patients before performing procedures, as patients with BDD may sue, complain, or demand compensation for procedures that do not meet their expectations.

It may be disheartening to learn that cosmetic surgery may not be the answer to your intense and painful obsession with appearance, but the good news is that effective, evidence-based treatments exist.

The National Institute for Health and Technology Assessment First-line treatment for BDD should include cognitive behavioral therapy with exposure and response prevention (CBT-ERP) and the addition of psychiatric medication for moderate to severe cases.

CBT for BDD involves identifying unhelpful stereotypes and expectations you have about yourself and your appearance (such as “I have to always be well-dressed when I leave the house” or “No one will love me with a nose this size”) and learning new ways to move away from these thoughts or develop more flexible, helpful thought processes (such as “I want to find a partner who is attracted to my values, interests, and passions, not the look of my nose”)

Adding ERP involves gradually exposing the patient to situations, environments, or people that they would normally avoid, while at the same time trying not to engage in the compulsive behavior.

For example, Rebecca might work on gradually eliminating cosmetics from her daily routine so she can go out without wearing heavy makeup to hide her skin, while Tyson might work on reducing his training schedule or going to the beach with his friends without having to cover up with a t-shirt.

These exposure exercises are designed to help individuals learn that what they fear most (being judged or ridiculed for their appearance) may not happen. Through exposure rather than avoidance, they can begin to live more productive, fulfilling, and joyful lives.

Current estimates suggest that CBT-ERP: Up to 70% of people with BDD experience significant relief from their symptoms.When combined with drug therapy, this rises to 80 percent.

If you’re reading this and you feel like you’re worrying a little too much about the way you look, here are some things you can try…

How to Worry Less About Your Appearance

Mirror hygiene

Set a limit on the amount of time you spend looking at yourself. Unless you’re doing it for a specific purpose like putting on makeup or shaving, staring at yourself for more than 10 minutes can cause stress. Don’t avoid mirrors, but only look at them when necessary.

BDD is often associated with an excessive focus on appearance at the expense of other activities. Spending time with friends and family and doing the activities you love can boost your self-esteem and help you realize that your strengths go beyond just your appearance.

Social Media Detox

Look at your social media and notice how much of the content you’re consuming is highly edited images or content promoting fitness, beauty or cosmetic procedures. Unfollow or hide any content that makes you feel self-conscious, or set limits on the time and amount of time you spend on social media.

Stop looking for reassurance

Try not to talk to others about your appearance. Asking for feedback on your appearance can make you feel bad, whether the answer is positive or negative. Focus the conversation on more interesting topics.

Rather than chasing the perfect body, maybe it’s time to discover a broader sense of self-worth that can withstand the inevitable challenges of aging and growing up that we all experience, whether we like it or not.

*Names and descriptions do not reflect actual clients.

read more:

Source: www.sciencefocus.com

How to Recognize and Conquer Body Dysmorphic Disorder

If you have ever set a goal to change your appearance, know that you are not alone. Approximately 43% of UK adults aim to lose weight. For some, this goal may lead to more extreme methods such as cosmetic or plastic surgery.

However, when does this desire for self-improvement become problematic? About 3% of the general population may develop a condition known as body dysmorphic disorder (BDD), where individuals have a constant urge to alter their physical appearance.

Individuals with BDD perceive significant flaws or defects in their appearance that may not be as noticeable to others. For example, Rebecca, a 36-year-old woman, believes she has a “moon face” due to acne scars, while Tyson, a 17-year-old, works out excessively because he feels too skinny. Despite reassurances from others, they continue to struggle with their self-perception.

BDD is not a new phenomenon and has been recognized since 1891. Factors such as genetics, brain function, and adverse childhood experiences can contribute to the development of BDD. Society’s focus on appearance can exacerbate this condition, as attractive individuals often receive social advantages.

Social media has also played a role in heightening BDD prevalence, with filters, editing tools, and curated content leading to unrealistic beauty standards. Excessive social media use has been linked to increased BDD symptoms and a desire for cosmetic procedures.

People with BDD often engage in extreme behaviors to alter their appearance, such as mirror gazing, excessive grooming, or seeking cosmetic treatments. However, studies have shown that cosmetic surgery may not provide lasting relief for individuals with BDD, and their symptoms may worsen post-surgery.

Cognitive behavioral therapy with exposure and response prevention (CBT-ERP) is a recommended treatment for BDD, offering relief for up to 70% of individuals. It is essential for cosmetic surgeons to identify BDD in patients before performing procedures to prevent further distress.

Instead of fixating on appearance, individuals can focus on engaging in hobbies, limiting mirror time, and taking breaks from social media to improve self-esteem. Developing a broader sense of self-worth beyond physical appearance is key to overcoming BDD.

*Names and descriptions do not reflect actual clients.

Source: www.sciencefocus.com

The FDA Approves Pfizer’s First Gene Therapy for a Rare Inherited Bleeding Disorder

The Food and Drug Administration approved Pfizer’s treatment of rare genetic diseases and bleeding disorders, making it the company’s first-ever gene therapy. The approval came on Friday. This groundbreaking gene therapy, named Bekvez, is for adults with moderate to severe hemophilia B, meeting specific requirements. Pfizer spokesperson mentioned that the medication will be available by prescription to eligible patients this quarter with a hefty price tag of $3.5 million, making it one of the most expensive drugs in the United States.

More than 7,000 people in the US live with hemophilia B, primarily affecting men as it causes a lack of Factor IX, a crucial protein for blood clotting. Bekvez is designed as a one-time treatment to enable patients to produce their own Factor IX to prevent and control bleeding effectively.

Pfizer’s approval for Bekvez is a major milestone in the company’s efforts to diversify its portfolio after facing challenges due to the decline in its COVID-19 business. The company has heavily invested in anti-cancer drugs and gene and cell therapies, aiming to revolutionize the treatment of chronic diseases. Pfizer also acquired the rights to manufacture and market Bekvez in collaboration with Spark Therapeutics.

In addition, Pfizer is seeking FDA approval for marstasimab, an experimental antibody to treat hemophilia A and B. The company is also developing a gene therapy for Duchenne muscular dystrophy. Bekvez will be competing with similar gene therapies like Hemogenix from CSL Behring, which also comes with a significant price tag of $3.5 million in the US, marking a new era in the treatment of hemophilia.

Despite the high costs and logistical challenges associated with gene therapies, medical experts are hopeful that these one-time treatments can replace traditional lifelong treatments for chronic diseases, offering long-term benefits to patients.

Source: www.nbcnews.com

Attention Deficit Hyperactivity Disorder (ADHD) may have developed to aid hunter-gatherers in gauging when to stop investing in unproductive pursuits

Early hunter-gatherers faced with food shortages may have benefited from the impulsivity associated with ADHD

John Civic/Science Photo Library

Attention-deficit hyperactivity disorder (ADHD) may have evolved in hunter-gatherer societies because it was an advantage for them, according to the results of a new study. Characteristics commonly associated with the disease, such as impulsivity, cause some foragers to move from areas where resources are depleted to areas with richer harvests faster than areas without the disease. It could have been something like this.

ADHD affects people's behavior, which can result in them acting impulsively and having trouble concentrating. Although its exact cause is not fully understood, the condition tends to run in families.

Its origins are similarly unknown, he says. Arjun Ramakrishnan At the Indian Institute of Technology Kanpur. “Is it a remnant of the hunter-gatherer world?”

To explore this, Ramakrishnan, david barak Researchers at the University of Pennsylvania recruited 506 people in the United States to play an online foraging game. Players were instructed to collect as many berries as possible in 8 minutes by moving their cursor over the bush.

They were given the choice of staying in the bush or trying their luck in another bush that might have more or less fruit. Moving to a new bush also resulted in a short timeout, so players had to balance the chance of getting more berries with the time lost by moving.

Before playing the game, participants completed a questionnaire assessing whether they had symptoms of ADHD, such as difficulty concentrating or restlessness.

People with ADHD symptoms spent about four seconds hovering over a particular bush compared to those without symptoms, and as a result, the former group collected an average of 521 berries. However, I was able to collect 602 berries.

The findings suggest that selective pressures faced by early hunter-gatherer societies, such as lack of food and other resources, may have driven the evolution of ADHD. There may have been some foraging situations in which it was better to stay than move on, but Barak said this tendency to leave could have been an advantage in some scenarios.

“Humans and other apes are very sophisticated foragers, but like almost all other animals, we tend to stay in our plots too long and harvest too much in our fields.” he says. “Therefore, starting action early may be beneficial to reduce over-harvesting, and this may be where the impulsive characteristics of ADHD come in handy.”

Although many people around the world are no longer looking for food, situations still exist where similar decision-making processes occur. If a person is studying for an exam, he may start by looking at one resource. If it doesn't help you understand the topic, Barak says, you may quickly switch to another resource, which may be more efficient and helpful.

“Although it is difficult to determine exactly how ADHD-related behaviors were adaptive in past environments, we find that people with and without ADHD show measurable differences in foraging strategies. In that sense, these results are convincing,” says Dr. Dan Eisenberg at the University of Washington in Seattle.

but Annie Swanepoel North East London NHS Foundation Trust said it did not reflect the scarcity of resources experienced by many of the early hunter-gatherers, as foraging operations produced abundant berry crops.

topic:

Source: www.newscientist.com