In order to come to a decision regarding whether or not medieval fasting
women may be considered anorexic or not, it is important to ask if these
differences in culture or society are significant. If the people and
contexts of each era are so unique as to preclude any comparison regarding
their practices or trends, then one may conclude that the similar features
of fasting in both cultures are the consequences of disparate issues
and also that the fact that these issues manifested themselves in food
asceticism is merely a coincidence. It would follow from this argument
that a modern medical concept such as anorexia nervosa cannot
be applied to circumstances so far in the past. On the other hand, much
evidence exists which points to the similarities between modern anorexia
and medieval religious fasting. These similarities can be found in elements
of the outward behavior both of medieval saints and modern anorectics.
Some information regarding the starving holy women can even be construed
either as evidence for or against their categorization as anorexic.
However, before choosing a side on this spectrum, it is vital to acknowledge
the tenuous nature of the sources on fasting holy women of the Middle
Ages.
This is perhaps the most significant problem in defining medieval fasting
saints as anorexic or not. Hagiographers seem to squeeze their accounts
of holy women into established patterns of the saintly life and include
stereotypical events involving the supernatural in order to achieve
this. The patterns imposed upon the lives of these women appear to have
been spawned by the writers of previous hagiographies and by the precedent
for food asceticism set by the Fathers. It seems inappropriate to draw
factual conclusions having to do with a medical concept from such religiously
and literarily infused material. There are also more technical aspects
of the sources which contribute to their questionable nature as foundations
on which to base judgments. For example, many accounts were written
several decades after a woman lived, which diminishes their reliability
because it increases the possibility that a writer would be inclined
to fill in gaps with invented or stereotypical information. After all,
many of these accounts are hagiographies, which means that the authors
would have been inclined to portray their subjects in the most saintly
and impressive light possible.