Anorexia Nervosa and Nosological Instability: Integrative Biopsychosocial Approaches in the Age of Media Hegemony

自1992年首次出现在法律领域以来，厌食症（AN）的病情面临着相当大的疾病分类动荡，给医生和司法人员都带来了麻烦。《精神能力法》（MCA）和《精神卫生法》（MHA）之间的“治理冲突”在某种程度上加剧了这一点，两者都涉及相互关联的临床人群。在这两项立法下，一种治疗可以被批准，尽管它们的目标是一方面授权，另一方面强制护理。因此，很明显，法律可以让厌食症患者吃东西，但是否应该以及如何授权将是这项研究的重点。最近发现的AN的遗传基础将提供一个基础，表明MCA的应用在AN的背景下是最合适的，因为厌食症患者的大脑回路异常植根于生物学领域。因此，有争议的是，法律应反映这一点，以提供更大的一致性和平等的尊重。此外，鉴于“图像帝国”的有害影响，将调查媒体监管层面上游干预的效用。因此，破坏这种媒体霸权将限制这种情况的社会文化方面，并可能阻止AN的下游实例。因此，通过一种多方面的立法干预方法，希望这将更恰当地解释艾滋病的多种现实，并使所有艾滋病患者受益。

Since it first appeared in the legal sphere in 1992, the condition of AnorexiaNervosa (AN) has faced considerable nosological turbulence, provingtroublesome for medical practitioners and judicial figures alike. This hasbeen somewhat compounded by the 'conflict of governance' between theMental Capacity Act (MCA) and Mental Health Act (MHA), which bothpertain to interrelated clinical populations. AN treatment can be sanctionedunder both pieces of legislation notwithstanding their competing aims ofempowerment on one side, and compelled care on the other. Resultantly,it is apparent that the law can make an anorexic eat, but whether or not itshould and how this is authorized will be the focus of this research.The recent discovery of AN's genetic underpinnings will provide a basisfrom which to suggest that MCA application is most suitable in the contextof AN, with aberrations in the brain circuitry of anorexics rooting thecondition in the sphere of biology. It is therefore arguable that the lawshould reflect this to provide greater consistency and Parity of Esteem.Additionally, the utility of upstream intervention at the level of mediaregulation will be investigated, in light of the detrimental effects of the'Empire of Images'. Disrupting this media hegemony will therefore limit thesociocultural facets of the condition and may prevent downstreaminstances of AN. Resultantly, through a multifaceted approach to legislativeintervention it is hoped that this will more aptly account for the multifariousreality of AN and benefit all who suffer from it.