[quote]Professor X wrote:
mrw173 wrote:
I work in psychology, so I’m kind of right smack in the middle of this issue…
Psychology in general has a hard time with extreme ends of the bell curve when it comes to behavior. Most in the field agree that it’s simply not sufficient for behavior occurring on the extreme end of the bell curve to constitute psychopathology.
That’s why a lot of “disorders” have an impairment criteria that has to be met for diagnosis. The problem with this is that it’s basically a clinical judgment thing. A misguided clinician could interpret things like spending a lot of money on food, supplements, lots of time in the gym, or other sacrifices, etc. as “impairing.”
“Bigorexia” is something that comes up occasionally with my colleagues, and I’m generally uncomfortable talking about it too much with them. Being a former wrestler, I feel the same way about things like anorexia and bulimia being diagnosed to wrestlers because they are on restrictive diets.
There is a problem when “disorders” rely on subjective influence from the doctor’s personal opinion to diagnose (which would relate to the personal goals of that doctor) rather than symptoms and objective criteria.
I spend a lot of money on food and supplements. Someone who competes at an elite level no doubt spends MUCH more than that, not to mention living everyday with more restriction and control than most of the population. I would think someone who immediately sees that as a “disorder” has problems as well.[/quote]
Yeah, I agree, but the problem is that nobody has really come up with a good, reliable way of assessing impairment objectively across disorders. So it becomes an issue of subjectivity. The other option is to abandon the impairment criteria altogether. Then the risk is diagnosing people with all kinds of things even if they aren’t impaired in any way, which I’m not comfortable with at all.
I’d hope that those who are well-trained and have common sense would look at bodybuilding and not get caught up in this crap. Being in the field, though, I gotta tell you, there are a lot of incompetent people out there.