Female holy women of the Middle Ages who engaged in self starvation
as an ascetic religious practice are at the center of a small debate
concerning the suitability of applying a modern medical concept to a
phenomenon of the past. These women exhibited some behaviors which are
reminiscent of characteristics of anorexia nervosa, an eating
disorder which was defined in the 1970s. As a result, some argue that
the medical term may be applied to saints of the Middle Ages. However,
a sound argument can be made to the contrary also, as Caroline Bynum
does in her book Holy Feast and Holy Fast. Many of the sources
on the medieval saints can be interpreted as a support for either side
of this debate, and in some cases, the sources are not satisfactory
material for determining the fundamental nature of the women's practices
and lives at all. These factors demonstrate the difficulty involved
in taking a side in the discussion regarding the behavior of female
saints.
Bynum argues that the modern concept of anorexia nervosa should
not provide the foundation for a 'diagnosis' of the medieval saints
because the historical context in which the holy women lived differs
from the societal conditions which gave rise to the notion of the eating
disorder. The cultural significance of food in medieval Europe contrasts
greatly with that of modern Western society, in which food is not so
much of a vital concern to many people. Additionally, Bynum maintains
that the fasting practices of the saints simply had more to do with
religious devotion than any preconditions believed by medical professionals
to prompt an individual to become anorexic. She points out that the
theological implications associated with eating and food asceticism,
coupled with the prominent role that food played in the middle ages
resulted in "attitudes toward food" which were "far more
diverse than those implied by the modern [concept] of anorexia nervosa."1