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First the demographic profile of the participants, showing the population studied and the body modification used by each participant Table 1.

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This is followed by the dissatisfaction with a particular part of the body which they mentioned, and the modification methods used. Five of the participants receive low, sporadic financial remuneration, three of them work in family businesses, one has temporary jobs, and another is engaged in formal employment, for which she earns a low wage and payments can be delayed by up to a month. Three of the remaining women have permanent jobs, one as a sales manager, another at a government agency, and another as a mortgage broker, a position she secured through one of her sisters, since she had been unable to find work on her own.

The study found that They also reported other weight control strategies, such as engaging in physical activity running, walking, jogging ; having injections and taking burn fat capsules, and support from nutritionists or other alternative practitioners acupuncturists that offer options for weight control. Moreover, some of the participants reported that there were some parts of their bodies they disliked, which is classified as dissatisfaction with their bodies. This dissatisfaction is associated with their skin, face, height and in one case, breast size.

Perceptions of female body weight and shape among indigenous and urban Europeans

It is important to note that, in the latter case, the participant said that this dissatisfaction is due to the fact that this part of the body is attractive to men, a situation that has made her feel uncomfortable throughout her life. On the basis of the reading of the material produced by the participants, the analysis focused on the epiphanies that have influenced the development of the women's body image. In four of the five accounts, the common factor was the presence of a male figure the participant's father or partner.


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The period when these situations emerge varied from childhood and adolescence to middle age. The following is a testimonial of an epiphany that occurred in childhood, in which the male figure is personified by the father. The participant was taken to the doctor, because the father thought she was an overweight child. Although both parents attended the consultation, the father was usually the only one to make decisions.

Mapi, 38 years old. This event is remembered as the first in her life where she was told that overweight is something that should not be present, and should be treated as a disease to be cured.

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In the second major epiphany, her father made a momentous decision for the participant's life when he decided to move her from a public to a private school. In this new context, she began to feel different from the other students:. I did not feel I was on the same level as them. Zapatita, 38 years old. This was the first time that Zapatita had placed importance on the appearance required to belong to her new social group and thus establish interpersonal relationships that would facilitate her inclusion.


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  • The third epiphany is linked to the previous one, and occurred at the time of a surgical operation that would initially improve her health, but also had esthetic benefits. It was as though I had been born again. The fourth epiphany occurred with the divorce of one of the participants. This situation resulted in the woman having mainly negative thoughts and feelings about her appearance and her self-concept in general.

    Mary, 41 years old. The last epiphany occurred as a result of the comments of the partner of one of the participants about her body weight. This occurred during her high school studies. In her own words, it was the first time someone had pointed out her build and made her engage in weight loss strategies. In addition to the comments that can be made by those close to a person, which have consequences on their habits or self-perception, we can see the influence that the ideal of beauty can have on these women's self-appraisal.

    The central feature of this type of epiphanies is that after the presence of events of the same kind that have accumulated over an indefinite period of time, a sudden reaction occurs, a decision is taken and as a result, there is a significant change in people's lives. Six cumulative epiphanies were found in this study. The common factor was concern and pressure regarding one's weight. It is important to recall that cumulative epiphanies are a chain of events that gather during people's lives and at the end of each chain there is one last epiphany that triggers a sudden reaction to this series of accumulated experiences.

    Negative remarks about their bodies Mapi, 38 years old. In the first case, events accumulated from childhood to youth. During this period, she received a number of negative comments regarding her body, mainly focused on her being overweight, by relatives and male classmates. The negative comments upset her and made her think she should have a different body from the one she had, a perfect body, described by these men in her life story, although she thought this would be impossible to achieve:.

    They would make comments…mostly about her physique and how beautiful she was…it made me feel that I was never going to achieve that. Comments about her appearance Natacha, 39 years old. In another story, the respondent mentions having heard positive comments about slenderness since childhood, because she always had a bigger build than that of her classmates. Although she did not regard them as important at the time of receipt, she now realizes that they recurred throughout her life, becoming more important when she went to live at New York.

    Her partner's comments were usually summarized in the following phrases:. After having received all these negative comments, she made a sudden decision on his birthday, which constituted a cumulative epiphany. Comments received throughout her life about the value of slim women Coco, 50 years old. Throughout her life, C has received comments, emphasizing the importance of thinness as a prerequisite in people's worth. Although she is aware that this message had to do with her mother, this has not prevented her from feeling dissatisfied with her body image to date.

    Her younger sister has also been influenced by these stereotypes, which still persecute C. This sister is very interested in maintaining an image of youth and thinness, which reinforces the participant's desire to be thin:. Where do you put all that food? Humans have to eat to live, not live to eat. Just look at yourself! C has obviously received constant violent remarks about her image and not only from her family of origin, but also her partner:.

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    Previous experiences have contributed to C's body image, resulting in insecurity, dissatisfaction and the rejection of her body as well as the adoption of strategies throughout her life, ranging from restrictive diets to overeating. Comments about keeping slim and emphasizing the importance of appearance Ana, 45 years old.


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    • The main character in this cumulative epiphany is the mother, who strove to ensure that the family was not overweight, but focused on Ana, perhaps because she was the only girl. She constantly received comments about her appearance, which made her dissatisfied with herself. Ana nearly always lived under the care of her mother, even during her marriage. We can see from this pair of testimonials the idea that Ana's mother introjected into her, that slenderness is perfection.

      At the same time, her husband continually made comments about her overweight:. Unlike the previous cases, one of the participants experienced a positive cumulative epiphany, which she refers to as the power of the body. At the end of high school, when she had emerged from puberty, there were some facts that meant she had a positive relationship with her body.

      We specifically discussed the events that had made her feel she was an attractive woman. She remarked that when her mother measured her to make her a skirt in high school, she breathed in so that it would be tighter and she would look more attractive:. Moreover, the participant expressed acceptance of her body and does not link the concept of attractiveness to thinness. Later on in her life, the idea of power that a woman can have over men as a result of her body, was confirmed by the experiences of one of her friends. When she had these experiences, the participant had the following reflections showing that she had a positive relationship with her body:.

      A second and final positive cumulative epiphany began when one of the participants divorced, and was created by a series of subsequent favorable events reflecting her recovery. This epiphany concludes with the fact of being recognized by other men and being regarded as an attractive woman, a situation that restored her confidence in her appearance and herself.

      Lastly, there are the minor epiphanies. This is a problematic moment in a person's life. These epiphanies highlight the latent tensions or problems in a situation or relationship. This one occurred at the time of a separation, caused by the unfaithfulness of the respondent's husband. The epiphany triggered the idea that she was not a valuable person and could only acquire value by being slim.

      When he left and I realized that he had gone off with someone else, I felt traumatized and said to myself:. Mariana, 39 years old. The aim of this paper was to explore the experiences that have influenced the development of middle-aged women's body image. The main findings of this research were the ways in which messages about slenderness reached each of the participants and how they are linked to significant life events epiphanies.

      For most of these women, the epiphanies related to the perception of their body image and the desire to modify their bodies were associated with moments when their relationship with others was altered, and messages about slenderness became important in the context of this changed relationship. There is strong evidence that both peers and family can influence the onset of disordered eating or ED, through comments on a person's weight or appearance Neumark-Sztainer et al. Research has shown that dissatisfaction with weight and body shape can be transmitted from one generation to another Quiles et al.

      This influence may be more significant when it occurs in conjunction with life events. Transitions can be stressful periods, which may trigger negative symptoms in physical and mental health. The way people cope with them depends partly on the social support available, since it requires an enormous capacity to adapt to successfully advance through the critical moments of life. For most of the participants, the events associated with body modification strategies in adult life were the physical changes that occurred after childbirth, including sagging abdominal skin, cellulite, excess body weight and a larger stomach.

      Even those who had not had children so far declared that as they reached middle age, overweight and its consequences caused them to feel extremely dissatisfied with their bodies.

      Perceptions of female body weight and shape among indigenous and urban Europeans

      In both cases, they have resorted to body modification strategies, ranging from walks, restrictive diets most participants are familiar with a wide range of options and exercise, through capsules and injections to burn fat. Some have already gone to clinics to lose weight or seen endocrinologists or dieticians yet have always been dissatisfied with these methods and given up after a short time.

      These experiences have affected their body image, eliciting great concern and sadness, which led them to employ strategies to modify their bodies. It is striking that these kinds of comments are almost regarded as normal. Another key moment was when couples separated, since women immediately blamed their bodies for the separation, and most of them tried to alter them in order to embark on a new relationship. This was the case of one participant, who used a nose lifter when she went out with a new partner after her divorce, even though it was extremely painful.

      Something we found in these women's stories is their constant fear of gaining weight, growing old and no longer finding ways to feel good about themselves. Researching this type of problem in greater depth could provide knowledge that would enable us to intervene earlier in the middle-aged Mexican female population, as well as those already at this stage, by working with their stories to improve their quality of life. In particular, the burden they place on their bodies and the difficulties women experience at times of transition, point to the importance of providing tools to address these issues.

      Among the limitations of this study is the fact that the information provided by the respondents was not totally confidential, since it was shared with their therapists. The topics addressed may vary by socioeconomic group and among populations that do or do not seek treatment, educational attainment or type of family, which would be interesting to study in the future. Lastly, the coding was only performed by the first author.

      It would be useful for future research to include two or more researchers to improve the reliability of the analysis.