Marginalium

Is ‘feeling fat’ really a manifestation of underlying sadness?

those with eating disorders aren’t alone in describing changes in their experience of body size. But why take any of these reports seriously? Perhaps those with eating disorders, anaesthesia experiences, and Alice in Wonderland syndrome are equally guilty of misidentifying their true feelings

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This research suggests that, when many eating disorder sufferers report feeling fat, they aren’t misidentifying their emotions, but describing their proprioceptive experience. Their body maps represent them as larger, which causes them to physically feel larger, which they report as feeling fat. It is no wonder then that the clinical mantra ‘fat is not a feeling’ sometimes falls on deaf ears.

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For clinicians and loved ones who hope to combat the harmful effect that feeling fat has on sufferers of eating disorders, a first step should be taking their complaints seriously. By accepting that, in some cases, feeling fat is a description of physical misperception, we can try to understand the nature and effect of these unsettling bodily experiences, and help sufferers realise them for what they are: deeply misleading. This isn’t to say that every complaint of feeling fat is a reference to misperception. Associating sadness or anxiety with feeling fat does occur, and clinicians have success in guiding clients to identify their true emotions. However, it should be kept as a live possibility that ‘feeling fat’ is sometimes used to describe misleading proprioceptive experiences of body size.