Thoughts on food
Several things prompted me to reflect on this.
One was a film broadcast by Rai 1 on 2 April 2026 (Maundy Thursday) on the subject of eating disorders. The film was called “Something Lilac.”
It is the story of a teenager who struggles with eating disorders, although the film focuses mainly on bulimia. The main eating disorders are anorexia and bulimia.
Another inspiration was seeing someone again at the centre who had suffered from these problems in the past and whom I had supported psychologically.
Finally, about a month ago, a lady I had known for years and who had long been troubled by these issues passed away. She wouldn’t listen to anyone; she ‘wasted away to the bone’.
And so, as with all my short articles, I ‘dredged up’ the theoretical knowledge I’d acquired over the years, combined with my observations of cases at work.
The issue of food is important for all living beings. If we do not eat, we do not live.
But here too, as in all situations in life, striking the right balance is not always easy.
The ideal approach is to eat without excesses that could cause metabolic disorders, and in such a way that our body functions well.
Sometimes, for various reasons, human beings alter their relationship with food. Think of the periods when people suffered from food shortages due to wars, epidemics, or other causes.
Cases of self-imposed fasting are also described in the Bible, but it was around 1600 that cases of significant weight loss due to diet began to be observed.
In contrast to the time of the ancient Romans, when they would indulge in huge feasts followed by self-induced vomiting – if I recall correctly, they would tickle their palates with a feather to induce vomiting and then start eating again.
The history of eating disorders is not a modern phenomenon, but has its roots in distant times.
In the Middle Ages, fasting was often associated with demonic possession, or conversely with mystical behaviour.
‘Mystics’ would fast to purify the body, draw as close as possible to God, and sometimes to withdraw from earthly life. Unlike the disorder seen today, the motivation was not beauty, but the aspiration to holiness.
Nowadays, distorted relationships with food are recognised as complex disorders, influenced by cultural and psychological factors.
These are serious disorders, often interlinked, and requiring treatment by various specialists. In short, anorexia involves a profound fear of gaining weight, stemming from a distorted perception of one’s own body.
Bulimia involves overeating followed by vomiting or self-induced purging – to prevent weight gain.
Such issues are more prevalent in industrialised cultures, where there is a higher standard of living and the idea of being attractive is associated with thinness.
Through the media, the idea of physical perfection has also reached less developed cultures, fostering a desire for physical attractiveness; which would not be a bad thing, were it not for the harm it causes to the body.
Nor should we overlook the influence of cultural role models; such as extremely thin models who trigger a desire to be like them – sometimes at any cost. And here I recall that years ago, there was a proposal to make figures such as the Barbie doll ‘put on weight’, to correct the image she unconsciously conveyed.
Until recently, it was mostly young people and women who were affected by such eating disorders. Lately, however, the issue has also come to affect men.
In my professional practice, I have encountered such issues. I have carried out various psychodiagnostic assessments where the main problems were eating disorders, even in very young individuals.
These were mostly female subjects, but I have also encountered a few male adolescents.
In psychotherapeutic treatment, working alongside other professionals, I have dealt with a few cases of anorexia in young girls, whilst the few cases of bulimia I have encountered were in older women.
This is in line with the theoretical principles that situate anorexia in early adolescence and bulimia in late adolescence or early adulthood.
I recall that the thin girls were always restless, worried and tormented, whilst the more ‘full-figured’ women were cheerful, sometimes even friendly. One of them was even able to joke about her considerable weight.
The progression of these conditions can vary; some are severe and can compromise general health – and there is a risk of mortality.
People with anorexia generally tend to be somewhat more stubborn; they may refuse not only food but also new experiences, and adopt a closed-off attitude; people with bulimia mainly exhibit ‘emotional volatility’, moments of anger and emptiness that they unconsciously try to fill with food.
Emotionally, these people may feel anxious, may be impulsive, and may experience shame. Anorexics are ashamed of their bodies, which they always perceive as enormous; bulimics are distressed by their lack of control, which sometimes extends beyond eating habits.
The characteristics of these issues are kept hidden for a long time. In doing so, they make it difficult to form a genuine relationship with others, with sufferers usually appearing more immature and superficial.
These people are united in an exaggerated way by a hunger for care and affection. They have an immense fear of being abandoned, and that other people might stop loving them.
But it is a question of ‘how strong this feeling is’, because everyone wants to be loved; they want to have a healthy relationship based on trust and mutual respect.
Intellectually, those with eating disorders may exhibit rigid thinking and a distorted perception of their body’s condition; in less severe cases, there remains a dissatisfaction with their physical appearance or certain parts of it.
In more severe cases, body image and how it is experienced often impairs their ability to assess reality.
Dr Francesco Giovannozzi Psychologist – Psychotherapist
