The whole is more than the sum of its parts: A qualitative investigation of body-dissatisfied college women's experiences of relational body image

Research on relational body image suggests that women's body image changes across their important relationships, with women most at risk for maladaptive body image reporting the most extreme changes. To enrich our understanding of relational body image beyond that offered by prior psychologically-based quantitative research, the present study integrated critical-feminist approaches. Eighteen female-identified university students participated in a one-on-one semi-structured interview. Each participant first completed ratings of her body image across seven important relationships, which the interviewer used to create a graph depicting her relational body image. The interviewer shared the graph with the participant to prompt reflection on her subjective experiences of relational body image and asked her a series of questions. Reflexive thematic analysis, informed by a critical-realist framework, was used to identify themes. One overarching theme, "The Whole Is More than The Sum of Its Parts," demonstrated how relational body image may be understood as a unique configuration of interconnected factors within a specific relationship. Three subthemes then highlighted how interpersonal, idiographic, and systemic factors come together to influence subjective experiences of relational body image. The present results suggest that personalized treatment targets within specific relationships may be a worthwhile focus for future body image interventions.

Individual differences in relational body image: Within-person variability predicts maladaptive trait body image

Findings have been mixed as to whether individual differences in within-person variability in body image predict maladaptive body image and eating behaviors. The current study aimed to resolve this ambiguity by addressing limitations of past research. First, we measured within-person variability in body image across the context-sensitive domain of relationships. Second, we incorporated the latest statistical methods to increase the robustness of the results. Online, 189 female-identified undergraduates completed seven baseline measures of trait body image. At least three days later, in-lab, participants were guided to generate a list of the most important people in their lives (i.e., friends, family members, close others) using egocentric network methods. Participants then completed a set of three relationship-specific measures in which they reported on their typical body image with 10 people from their list, one by one. Multiverse analysis tested the hypothesis that, across combinations of measures, within-person variability in relational body image would positively predict indicators of maladaptive body image. In 84 regression analyses, permutation testing supported our overall hypothesis (p = .006); however, results varied across different model specifications. Results provide further evidence for the predictive power of within-person variability in body image and yield valuable methodological and statistical recommendations.

Relational body image: Preliminary evidence that body image varies within a person from one specific relationship to another

Although social factors influence body image, it remains unknown whether a given individual's body image varies from one specific relationship to another. The present study examined this novel concept of relational body image by investigating the extent to which individuals' body image differs across their relationships with specific others. These differences were expected to arise in part due to differences in how an individual perceives others' personal body preoccupation, others' acceptance of her body, and others' body size relative to her own. Eighty-seven female undergraduates reported on their typical levels of body appreciation, appearance orientation, and intuitive eating with 10 people in their lives, and reported on the characteristics of these others. Intraclass correlations revealed that participants' body image and eating varied across their different relationships. Furthermore, participants perceived differences in others' acceptance of the participant's body, body preoccupation, and body size. Multilevel modelling showed that participants reported more adaptive body image and eating patterns in relationships with others whom they perceived to be relatively more accepting of their body, less body preoccupied, and more similar in size to them. Findings provide initial support for the concept of relational body image.

Most women with anorexia nervosa report less eating pathology on days when they are more self-compassionate than usual

OBJECTIVE

Individuals with eating disorders who have lower trait levels of self-compassion have more severe eating pathology. This study examined the extent to which levels of self-compassion fluctuate day-to-day in individuals with anorexia nervosa (AN) and whether these fluctuations contribute to their eating pathology.

METHOD

For 2 weeks, 33 women with typical (75%) and atypical AN reported on their daily eating pathology and self-compassion.

RESULTS

Nearly half the variance in participants' self-compassion scores occurred at the within-persons daily level. Multilevel modeling revealed that on days when participants were more self-compassionate than usual, their eating pathology was lower. However, this effect was moderated by participants' mean self-compassion level over the 2 weeks. Specifically, daily self-compassion was negatively related to eating pathology among individuals with average and higher mean self-compassion levels but was not related to eating pathology among those with lower levels.

DISCUSSION

One-time self-reports of self-compassion in individuals with AN may overlook the substantial within-person variability in their self-compassion levels. For most individuals with AN, responding to distressing daily experiences with more compassion than usual should be associated with decreased eating pathology. More work is needed to understand how individuals lower in dispositional self-compassion can benefit from these upward fluctuations.

A feasibility study of a 2-week self-compassionate letter-writing intervention for nontreatment seeking individuals with typical and atypical anorexia nervosa

OBJECTIVE

Most individuals with anorexia nervosa (AN) do not seek treatment and shame is a common barrier. This study sought to determine whether a brief intervention designed to foster self-compassion would reduce shame and increase treatment motivation among nontreatment seeking individuals with AN.

METHOD

Forty nontreatment seeking females with AN (75%) and atypical AN were randomly assigned to 2 weeks of a daily self-compassionate letter-writing intervention or a waitlist control condition. All participants completed pre, mid, and post questionnaires, and were weighed pre and post.

RESULTS

The intervention yielded respectable credibility ratings and compliance and retained 95% of participants. Compared to the control condition, it produced greater increases in self-compassion and greater decreases in shame and fears of self-compassion. BMI and readiness to get help for one's eating decreased in the control condition but did not change significantly in the intervention condition, though the motivation for treatment showed a trend toward increasing. Changes in eating pathology and readiness to get help for one's weight did not differ between conditions.

DISCUSSION

Self-compassionate letter-writing may be an acceptable and feasible intervention for nontreatment seeking individuals with AN and might reduce certain barriers to help-seeking while improving psychological functioning.