A possible factor in the development of eating disorders is the ability of
individuals to adopt a critical stance in relation to cultural ideals conce
rning body weight and shape. This study assessed this ability in a group of
patients drawn from eating disorder treatment programmes and in two contro
l groups, female and male, drawn from the general community. The major sour
ce of data was a semi-structured interview. Categorization of responses and
chi-squared comparison revealed that males were generally less critical th
an females of cultural ideals concerning weight and shape. There was some e
vidence that females with eating disorders are also less likely than normal
females to be critical of these ideals. For the clinical group, a signific
ant relationship was found between subjects' 'critical ability' and the dur
ation of their eating disorder. These findings have possible implications f
or programmes for treatment and prevention of eating disorders. Copyright (
C) 1999 John Wiley & Sons, Ltd and Eating Disorders Association.