Today Virginia is chatting with Kyle Ganson, PhD, an assistant professor at the University of Toronto’s Factor-Inwentash Faculty of Social Work who studies eating disorders in boys and young men. This is an episode a lot of you have been asking for—we don’t talk enough about boys and how they struggle with all of these issues. 

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Content Warning: We talk about specific disordered eating behaviors and eating disorder symptoms in this episode. If any of that is going to be tricky for you, feel free to skip.

Disclaimer: Virginia is a journalist and human with a lot of informed opinions. Virginia is not a nutritionist, therapist, doctor, or any kind of health care provider. The conversation you're about to hear and all of the advice and opinions she gives are just for entertainment, information, and education purposes only. None of this is a substitute for individual medical or mental health advice.

BUTTER & OTHER LINKS

Chapter Nine of Fat Talk

Canadian Study of Adolescent Health Behaviors

Jessica Wilson on Burnt Toast

Cloud Cuckoo Land

Tomorrow, and Tomorrow, and Tomorrow

FAT TALK is out! Order your signed copy from Virginia's favorite independent bookstore, Split Rock Books (they ship anywhere in the US!). Or order it from your independent bookstore, or from Barnes & Noble, Amazon, Target, or Kobo or anywhere else you like to buy books. You can also order the audio book from Libro.fm or Audible.

CREDITS

The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith. Follow Virginia on Instagram or Twitter. Burnt Toast transcripts and essays are edited and formatted by Corinne Fay, who runs @SellTradePlus, an Instagram account where you can buy and sell plus size clothing. The Burnt Toast logo is by Deanna Lowe. Our theme music is by Jeff Bailey and Chris Maxwell. Tommy Harron is our audio engineer. Thanks for listening and for supporting anti-diet, body liberation journalism!

Episode 99

Kyle

I’ve long had this experience of being in clinical spaces with women with eating disorders and just wondering, like: Where are all the guys? What’s going on here? This is not what I hear when I talk to other males about their bodies or how they feel about themselves or their eating practices. It didn’t really align with what I was hearing with my friend groups or people I would speak to. That led me towards the path of researching eating disorders among the male population.

Virginia

So we met when I interviewed you for Chapter Nine of Fat Talk about your research on dads and their role in eating disorder treatment. I have to say: That chapter really did require me to put aside a lot of my own biases and preconceived notions and to realize I had been assuming that eating disorders were an exclusively female or gender-nonconforming experience. Which is very incorrect.

Let’s talk about that a little bit. Why do you think we are so quick to assume that these are issues that men and boys just don’t struggle with?

Kyle

It’s such a great question and you’re certainly not alone with those preconceived notions of how we think about eating disorders. I think if people who are listening also have that thought or are surprised by that, I think that’s totally okay and totally normal.

I think there’s a couple of different factors here. One of them is certainly just media and how we’ve described people with eating disorders in popular culture has often been mostly women, mostly affluent females, white females, young females, adolescents, young adults. So that’s number one. And secondly, I think another piece of it is research and clinical spaces, which obviously do reflect a bit of the culture but also reflect what we see in the culture.

Consider the diagnostic criteria for anorexia: Up until very recently, the Diagnostic and Statistical Manual actually required amenorrhea, which is loss of periods, in order to be diagnosed with anorexia. So, a male prior to 2013 actually could not be diagnosed with anorexia because they technically don’t lose their period. So, that’s a huge piece of the puzzle that we often overlook and don’t think about.

Males are just less likely to complain about their bodies, talk about their bodies, get support around body image and food, just because the spaces where we treat people are not so much focused on the male experience. And again, that’s changed a bit more recently. But it’s still a hard process to get males in the door. 

And last is socialization. It goes back to culture of course, too, but females are often more socialized to talk about feelings and food and body. Whereas males—and I think we could talk about gender as being a lot more diverse than that—but males are a lot more focused on the performance of their bodies. When you watch a sporting event, you always see statistics about males bodies, like how big they are, how strong they are, how fast they can run. Whereas females are much more criticized based on their physical appearance as far as aesthetic purposes. 

I think that kind of differentiation also allows males to fall into this different bucket where they may not be perceived as having a problem because that male is just exercising to become faster in their sport or stronger in their sport or to be able to lift this amount of weight or have the six pack abs. I think that’s a little bit different than the female experience

Virginia

That feels like a really important reframe. So, you’re saying women and girls are subjected to these aesthetic standards about bodies. Men have maybe less of the aesthetic focus and more of the output, the what can your body do? What can you lift, all of that? But that is allowing us to ignore that that can also be a driver of disorders.

Kyle

Totally, absolutely. I think that’s a big part of it. And not to say that males don’t experience aesthetic pressures! I think you’ve probably seen more of that recently, especially since the advent of social media. And obviously, males have been sexualized in popular culture, as well, of course.

But I do think that generally it’s a lot more based on how male bodies can perform. That does drive some of the behaviors that they engage in, like excessive exercising or use of performance enhancers, which, again, obviously has an aesthetic approach to it. There are aesthetic purposes and aesthetic repercussions, I’d say, but there is also a lot of driving for performative aspects of their bodies.

Virginia

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