Pro-ana

Pro-ana (pronounced pro-anna)

(1) Of or relating to the position that anorexia is a lifestyle choice.

(2) The on-line community advocating this view.  The most pure among the community actively deny anorexia nervosa is a clinical condition.

Circa 1998-2001:  The construct is pro + ana.  Pro was from the Classical Latin prō (in favor of, on behalf of), from the Proto-Italic por-, from the primitive Indo-European pr- & pro.  Ana is a clipping of of anorexia (an(orexi)a), a phonetic diminutive of the 1957 scientific term anorexia nervosa, the construct being the Ancient Greek ἀν (an) (without) + ὄρεξις (órexis) (appetite, desire) + the Latin nervōsa (nervous).  The clipping of "anorexia" was created both as verbal shorthand and coded language (so the matters of diet and related matters could be discussed without the risk of "outsiders" understanding.  "Ana" was thus a form of personification and a "cover", the outsiders hopefully assuming a young lady named Anna was being spoken of.  Ana in this context is thus obviously unrelated to the suffix -ana (familiar in forms such as "Victoriana", "Americana" etc) which originally was most associated with continental literature and derived from the neuter plural of Latin adjectives ending in -anus.  In his A Dictionary of the English Language (1755), Samuel Johnson (1709-1784) defined the suffix thus: "Books so-called from the last syllables of their titles; a Scaligerara, Thuaniana; they are loose thoughts, or casual hints, dropped by eminent men, an collected by their friends."  The suffix -ana has since been subject to some mission-creep.

Etymologists are inclined insist the correct form can be only "pro-ana" and there are traditions in English which supports this but the community itself uses ana, pro ana and proana interchangeably, the most common form the short-form ana, following the practice with anorexia nervosa which is truncated to anorexia in all but formal academic or clinical work.  Over two-odd decades, pro-ana has also spawned words such as thinsperation and thinology, used to describe specialized editorial content of the calling; the much less-used term pro-mia refering to bulimia nervosa.  Pro-anas are purists who maintain high-standards; those who aspire to the anahood but in some way fail are dismissed as "wannarexics".

Lindsay Lohan wearing (non-ana) red wrist-string.

The ana's standard means of social identification is a simple, beaded red bracelet, the beading of some significance because variations of red bracelets, some as simple as a wrist-string, have long been used by many cultures, usually with some sort of link to the idea of a good-luck charm.  Famously, a חוט השני (the khutt hasheni, a thin scarlet or crimson string) is sometimes worn as Jewish folk custom as a way to seek protection from those misfortunes which may be aimed at one by the עין הרע (evil eye).  It's most associated with the Kabbalah sect and Kabbalic scholars say there's nothing in ancient Jewish texts about wrist-strings of any color and the "tradition" is a recent folk practice which seems to have begun in the north-eastern United States early in the twentieth century.  Anas thus need always to check for beading before reaching out.

Notes

Although at the time it never reached the critical-mass needed to coalesce into a movement, the pro-ana concept actually pre-dates the web.  Among the bulletin boards the nerdiest connected to with 1200 or 2400 baud modems in the 1980s and early 1990s were both anorexia support boards and those which celebrated the condition but it was the widespread adoption of the www by the mid-late 1990s which permitted pro-ana to become world-wide.

Pro-ana content tends to be (1) victim stories, (2) images & clips where ribcages & shoulder blades are often seen and clavicles much admired and (3), lists of helpful tricks and techniques.  Politically, the accepted world view is they are not suffering from an illness; ana is a human right, an essential part of their identity and just another lifestyle choice.  As pieces of design, the sites tend to use pre-defined templates and in that are unremarkable although the preponderance of monochromic imagery is noted.  The pro-ana sites began to attract wider attention early in the twenty-first century, the irony being that much of the criticism came from the very publications many suggest contribute to eating disorders.  Off and on since then, pressure from the public and anti-ana organizations has compelled many hosts to shut down pro-ana sites although these efforts are Sisyphean, the relocations usually quick.

Pro Ana Tips and Tricks for Beginners

(1) Keep track of your calories.  Set an absolute number and NEVER exceed it, while trying always, gradually to lower the number.  Within the calorie limit, aim for a diet which is 75% leafy-green vegetables & legumes, 20% tart fruit and 5% nuts. Sugar should be zero because enough is in the fruit but, if absolutely necessary, a daily barley-sugar boiled sweet is OK.  This diet mix can at the margins be varied but must stay vegan.

(2) Drink lots of water; try to aim for seven litres a day but anything over five is OK.  Being hydrated is anyway healthy and drinking water before taking food helps fill your stomach faster so you’ll eat less.  Remember to not drink a lot of water at once; instead keep hydrated by drinking little amount after every few minutes.  Always drink it as cold as possible, it forces the burning of more calories to restore body temperature.  Unless operating in extreme conditions with high fluid loss, do not go over eight litres a day. 

(3) Place a full-length mirror in your bedroom and evaluate yourself on daily basis. This is one of the best ways to keep yourself motivated and remember, you’re there to be critical as well as admire.  If you can arrange multiple mirrors to provide for a 360^o view that's even better because it makes it easier to focus on problem areas.

(4) Have small meals.  It’s easier for the body to burn three 100 calorie meals than one of 300 and gives your body the illusion that you’re eating enough to keep the stomach full, whereas you’re eating less.  Always eat slowly and chew thoroughly, it will hasten the digestive process.  After every meal, brush teeth.  Not only is this good for dental hygiene but with freshly brushed teeth, you'll be less inclined to eat. 

(5) Find an ana-buddy.  The anorexic diet can be a harsh mistress so an ana-buddy with whom you can talk about your problems and diet related stuff can be helpful but only if they're a kindred spirit.  This works not only by keeping each other motivated but you'll find also you'll teach each other new tricks or exercise routines.  You both must be 100% committed to the diet and such noble souls are rare so, if need be, replace them with someone wholly committed.

(6) With the aggressive pro-ana diet, it’s very important to take vitamin pills.  Research suggests that for most people on what is the orthodox "balanced diet", vitamin supplements are probably unnecessary but because pro-ana doesn't include certain food groups, a daily multi-vitamin is recommended and usually adequate so take two only if you become light-headed or faint with any frequency; you may need specific additional supplements.  The most publicized deficiency associated with pro-ana is iron and it may thus be necessary greatly to increase the intake of leafy greens like spinach or peas, broccoli & string beans; seeds high in iron include pumpkin, sesame, hemp and flaxseeds.  One's family physician can obtain the tests to determine specific deficiencies and these should be dealt with by adjustment to the diet.  Remember though that doctors are apt to be dictatorial and the recommended technique to deal with their negativity is just to agree with whatever they say.  Try to appear sincere and be deferential; they like that.   

(7) Avoid butter and oils.  Treat them like sugar.

(8) Sleep at least eight hours a day, preferably more.  Less sleep means tiredness and hunger and you can’t eat while asleep.

(9) Keep setting a target weight.  Because of fluid retention and other cyclical variations, it’s probably counter-production to set daily targets and a weekly goal is better although true obsessives will monitor at least once a day and this is not discouraged.  To stay motivated buy some posters of your favorite slim model to observe while weighing-in.  Many non-ana diet sites suggest avoiding weighing-in daily or even more frequently and clinically they're probably right but they just don't understand the nature of obsessions.  Record the weigh-ins so you can chart progress over weeks and months; this requires nothing more demanding than the most basic open-source spreadsheet but math nerds can do it with pencil & paper which they find satisfying.   

(10) Wearing short clothes can be very motivating. When you wear short and revealing clothes and look at yourself in the mirror you will realize the parts where you need to lose weight and how important it is to you.  Wear in private clothes you'd never dare to wear in public and make it a goal to be able to wear them out without looking fat.

(11) Coffee and tea are good appetite suppressants.  Drink only black coffee or tea and NO milk or sugar.  Avoid caffeine drinks; either they’ll contain sugar or chemicals about which there exists no reliable research on how they affect the appetite.  Avoid the inherently sweet herbal teas; they do tend to stimulate the appetite in a way black tea and coffee don't.  Black tea and coffee are an important component in training the palette away from sweetness and towards the tart.  After a while, this will start to influence your choice of fruits and vegetables; as a general principle the darker and more bitter in taste, the better.

(12) Drink the juice of a squeezed lemon in hot water first thing each morning and last thing each evening; it has the general effect of adding to the stomach acids which break up food.  Because of this acid, always brush teeth afterwards.

(13) If you have to eat in company, wear baggy clothes with big pockets which can be lined with plastic bags.  Then, when no one is looking, you can dispose of food and people will think you eat normally.  It sounds a difficult thing surreptitiously to manage and to start with it will be but you’ll learn to adopt techniques like always sitting in a corner or at the end of the table and soon become an expert.  It's easier than it sounds.

(14) Exercise every day.  Gyms are optional because you can do even better with ana-specific routines such as running up stairs or hills, both of which have an extraordinary multiplier-effect on whatever distance is undertaken.  Unlike gyms, it's also free.  Never use elevators and escalators; always take stairs.  Wherever possible replace travel by cars, trains and busses with walking or biking.  This is also good for the planet which is the only one we have.

(15) Eat ice; ice can be an alternative to a meal, it really works.  Shaved ice is best because it avoids dental damage and there are many things to consider when eating ice and curiously, sometimes it's advantageous to take more, sometimes less.  For a discussion on the mechanics of ice-eating: The eating of ice

Anorexia nervosa was included in the (1952) first edition of the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM) as a psycho-physiological reaction. The DSM-II (1968) moved it to Special Symptoms–Feeding Disturbances and in 1980, a new eating disorders section was created for the DSM-III.  The most significant structural change probably came in 1994 when in DSM-IV the condition was afforded its own section.  The DSM-5 (2013) relaxed some of the diagnostic criteria including, for the first time, rendering it all entirely gender-neutral, a gesture to conform with practices elsewhere rather than anything suggestion clinical experience was noting a greater gender-spread in the patient count.  Announcing DSM-5, the board noted it wished to reduce the number of patients in the former EDNOS (Eating Disorder Not Otherwise Specified) category, now reclassified as the OSFED (Other Specified Feeding or Eating Disorder) group.  Thus the psychiatrists staked their claim in this low-cal demarcation dispute by claiming the wannarexics.