Perhaps
in some cases, the application of some medieval variety of anorexia
nervosa to the "eating disorders" of women of the period
is appropriate. On the other hand, there were probably many instances
in which fasting was entirely a deliberate religious activity, especially
since many were inspired towards asceticism themselves by the hagiographical
accounts which emphasized the spiritual aspects of fasting. Undoubtedly,
there were also many degrees in between the categories of "anorexic"
and "not anorexic" where the majority of holy women of the
Middle Ages fell. Some women were probably more religiously influenced
in their desire to fast than others, indicating that their food asceticism
was voluntary and merely an expression of their piety. There probably
were medieval woman who embarked upon fasting practices with religious
objectives in mind, but gradually lost control of their food asceticism,
which then makes them a candidate for categorization as having an eating
disorder. Alpaïs of Cudot did not eat because of illness and paralysis
which made it difficult for her to swallow. She admitted that her inability
to eat was part of her illness, but regarded it as a "spiritual
gift" nonetheless.52 These are all examples which would
fall into the gray area between anorexia and religious devotion unassociated
with an eating disorder. If accurate and reliable depictions of the
starving saints were available, the evidence would probably show that
most of them were part of this 'in-between' category.
Disaggregating the pool of fasting saints in such a way would not strip
any historical meaning from their existence. It merely reflects the
nature of society as perpetually producing innumerable circumstances
which influence people in different ways and to varying extents. Furthermore,
the sources on medieval holy women impose a uniformity upon their lives
which seems to be the result of a process of lumping them into a single
model. By denying the possibility that a form of anorexia nervosa
played a role in the lives and practices of the female saints, Bynum
also places the women within a single mold. While one interpretation
concentrates almost exclusively on the behavior of the fasters, Bynum
takes a more holistic view, concentrating mostly on the religious significance
of food and eating, but addressing issues of behavior as well. She leaves
no room for variation, however, assuming that the religious and cultural
meanings of food alone serve to explain the practices of fasting women.