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Anorexia in China – Same, But Different

What’s on Weibo gives an overview of how anorexia nervosa is discussed in China and on Chinese social media.

Manya Koetse

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Although discussions on anorexia nervosa are limited in Chinese (online) media, anorexia does in fact exist in Chinese patients; some studies even suggest that levels of occurrence are not much different from Western countries. There are big differences, however, in the way anorexia is experienced and/or described in China.

“Does anorexia exist in China?” is one amongst the millions of questions recently posted on the Chinese Quora-like platform Zhihu.com. It is a question that pops up on Chinese social media every now and then, as the eating disorder is not often discussed in a Chinese context.

The empty dialogue page on Zhihu.com is telling for the general discussion of anorexia in China today. Anorexia nervosa, commonly called anorexia, is an eating disorder characterized by low weight that receives relatively little attention on Chinese online and social media compared to the English-language online environment, where there are countless support groups, discussion forums, and even the so-called unhealthy ‘Pro Ana’ communities where the behaviors related to anorexia are promoted.

Both anorexia in general, and the pro-ana communities in specific, received ample attention from Western media over the past few years. ITV recently reported about an “alarming rise in social media sites encouraging anorexic sufferers to starve themselves,” and that social media worsens the condition of people with anorexia who flock to these kinds of websites.

How come that on Chinese social media platforms, which see a different ‘skinny hype’ every year (from the ‘iPhone6 legs‘ to ‘A4 waist‘), there are few online discussions about anorexia nervosa?

 

A “WESTERN” PHENOMENON

“Eating disorders seem to be an exotic phenomenon to many Chinese, but it actually is not.”

 

General discussions of anorexia nervosa on Weibo, China’s biggest social media platform, mostly relate to cases of the disease in Western, Caucasian women. The young Australian model and performer Phoebe Combes attracted some attention on Weibo in 2017 for suffering from anorexia. “How come every time I read about [this disease] it concerns foreign women?”, one netizen wondered.

Sporadically, speculative discussions do arise on social media about Chinese celebrities who may or may not be suffering from anorexia. Talk show host Chen Luyu (陈鲁豫), for example, became a topic of discussion when netizens started worrying about her frail appearance and said she was “too thin.”

Online commenters often call talk show host Chen Luyu (陈鲁豫) “too thin.”

Talk show host Chen Luyu.

For many netizens, however, the issue is often simplified to a mere “they should just eat more.” Despite general public unawareness about anorexia in China, more doctors and specialists are stepping forward to talk about the issue.

“When a Chinese doctor raised the issue of anorexia in China some twenty years ago at an international conference, foreign experts doubted if eating disorders existed in China,” one professional support site dedicated to anorexia and bulimia in China says: “We now want to promote awareness about eating disorders to patients and their families.”

In 2017, deputy director Ma Yongchun (马永春) of a hospital in Tongde, Zhejiang, spoke out to Chinese media website AcFun.com, saying that although eating disorders seem to be an exotic phenomenon to many Chinese, it actually is not. She also warned about the negative effects of social media platforms promoting unhealthy body images or unhealthy eating patterns.

 

THE STORY OF YUN

“Her condition spiraled out of control when she spent days on end watching live streams on Chinese social media that promote unhealthy eating habits.”

 

The AcFun article featured the story of one of Ma’s patients named Yun (alias), a 33-year-old former athlete from Zhejiang who weighed only 36 pounds with a height of 160 cm when she was at her lowest point – and on the verge of death.

She told AcFun that she became anorexic after being forced to eat a restrictive diet by her grandparents during her teens. When her entire athlete team suffered from gastroenteritis, her grandmother only allowed to her to eat bean curds and rice for months on end.

The story of ‘Yun’ who suffered from severe anorexia was featured in Chinese media.

Unable to continue eating her forced diet and not allowed to eat anything else, the young Yun developed an eating disorder. At the age of 19, she was diagnosed with anorexia by doctors at the Tongde hospital – a diagnosis that was followed by years of ups and downs. Yun’s condition spiraled out of control when she spent days on end watching live streams on Chinese social media that promote unhealthy eating habits.

Weighing only 36 pounds at her low point, Yun was barely able to move. One day, when she was alone with her sister’s small baby, she found herself too weak to pick up the infant went it was desperately crying. For Yun, it was a turning point in her decision to beat the illness.

Although many doctors gave Yun low chance of survival, a team of doctors including Ma Yongchun eventually were able to give Yun the help she needed. She now maintains a healthy weight.

 

UNHEALTHY ONLINE TRENDS

“Vomit Bars are online forums where netizens nicknamed ‘Rabbits’ encourage each other to vomit after eating.”

 

Doctors such as Ma Yongchun are part of a growing group of specialists in China raising awareness on eating disorders in China and warning against unhealthy online trends – which are on the rise.

Over the last years, online discussion boards such as Baidu Tieba have seen the phenomenon of ‘Vomit Bars’ (催吐吧) – a phenomenon somewhat comparable to the online ‘pro-ana’ movement on English-language internet sites.

‘Vomit Bars’ are online forums where netizens nicknamed ‘Rabbits’ (兔子) encourage each other to vomit after eating. Several live streaming sites also have people promoting weird or unhealthy eating habits, such as eating non-food products or binge eating – something Dr. Ma strongly condemns.

A girl binge eating on a live stream.

On Chinese social media, organizations helping those suffering from anorexia or other eating disorders are present, but not popular.

Although the Chinese Eating Disorder Recovery Web (@进食障碍康复网) only has a weak following online, their offline mission is strong: “China’s health care system can no longer ignore the growing group of eating disorder patients in China.”

 

ANOREXIA ON THE RISE OR NOT?

“There are no official statistics on the occurrence of anorexia nervosa or other eating disorders in China in the past and present.”

 

The topic of anorexia in China has also received more attention in international media and academic publications over the past decade.

Some English-language media, such as the LA Times, suggest that with changing beauty standards, skinny trends, and more influence from Western popular culture, eating disorders are “on the rise” in China.

Whether or not this is actually true is hard to say; there are no official statistics on the occurrence of anorexia nervosa or other eating disorders in China in the past and present. A study from 2013 among Chinese female college students in Wuhan, considered one of the best estimates of national rates, however, found levels similar to Western countries (Tong et al 2014).

In Fat China: How Expanding Waistlines are Changing a Nation, the authors (French & Crabbe 2010) also suggest that eating disorders such as anorexia are indeed present in society and that an increasing number of urban Chinese, mainly young women, are suffering from it (171).

Even if anorexia were to occur as much in China as in the West – which has neither been refuted nor confirmed – the way in which the disease is described and/or experienced seems to be significantly different.

 

SAME DISEASE, DIFFERENT MANIFESTATIONS

“Chinese patients showed few, if any, of the classical concerns associated with anorexia.”

 

Various studies over the past years have established that there are differences between Western countries and China in how anorexia develops with regards to patients’ preoccupations concerning appearance and body image.

In “The Myth of Chinese Barbies: Eating Disorders in China including Hong Kong” (2014), researcher M. Getz writes that eating disorders are traditionally conceptualized as a Western mental health issue, specifically because the ‘fat phobia’ aspects of the illness are often stressed the most. According to study, this attention towards appearance seems to be less important to Chinese patients (746-747).

This idea is further strengthened by Sing Lee, an expert in eating disorders in Chinese communities, who argues that Chinese patients “showed few, if any, of the classical concerns associated with anorexia” (747).

A major way in how anorexia in China is often different than in other (Western) countries is that it is somaticized. This relates to the fact that mental illnesses in China still carry a stigma and often go undiagnosed due to the lack of mental health care institutions.

Since physical problems are more socially accepted in China than mental health issues, people who suffer from anorexia in China are more prone to talk about their problems in the form of somatic symptoms such as distaste for food and not being hungry, or abdominal problems (Getz 2014, 750).

Levels of industrialization, media influence, eating habits, societal pressure to be thin, family pressure to succeed, etc., all may play a role in the occurrence of anorexia. Especially One-Child Policy generation children allegedly experience more pressure in their lives to perform.

As the development of anorexia in China goes hand in hand with social stigmas and superstitions regarding mental health issues, a traditionally strong food culture, a general unawareness on eating disorders, and many other cultural factors that may influence the manifestation of the disease, one can see why studies have found that “eating disorders are not culture-bound or culture-specific, but rather culture-reactive.” The reasons why patients develop anorexia and how it is manifested can, therefore, radically differ per culture (Pike & Dunne 2015).

 

ONLINE DISCUSSIONS

“I simply can’t eat any food. I have no interest in food. Even if I am starving I still do not want to eat.”

 

These findings are also apparent on the various anorexia support message boards in China, where people suffering from the disease share their experiences. Rather than talking about fear of being fat, many commenters only discuss their loss of appetite and stressful lives.

One netizen on Zhihu.com writes:

I am suffering from anorexia right now. The pressure at school is too much for me. I don’t have any time to relax. It’s all about studying. I simply can’t eat any food. I have no interest in food. Even if I am starving I still do not want to eat.”

Another person writes:

I think I have anorexia. But I am not sure. (..) I simply do not want to eat. If I see food, I have no desire to eat it. I only eat some breakfast and some dinner, an egg at 7.30 and some rice at 17.30.”

A new study on anorexia in China by Zaida Aguera et al (2017) confirms the idea that anorexia in Chinese patients is often experienced or communicated physical rather than psychological, as they are “culturally encouraged to use denial and minimization to cope with conditions deemed taboo” (9).

Because the way anorexia presents itself is different, researchers argue that its treatment also requires a different approach in China than in other countries that have developed own national standards on treating eating disorders.

The treatment options in China, however, are still limited. The first and only closed ward for eating disorders opened in Beijing six years ago. But the recent increased media attention raised by doctors such as Ma Yongchun and heightened focus on mental health care in China indicate that there will be more options for Chinese anorexia patients in the future.

As for the Zhihu poster who asked about anorexia in China – they are still waiting for an answer. In the meantime, they have suggested an own solution in the underline, writing: “There just is so much tasty food in China, that  anorexia in China is probably is much rarer here than in any other country in the world.” No one else responded.

By Manya Koetse

References

Agüera, Z., Brewin, N., Chen, J., Granero, R., Kang, Q., Fernandez-Aranda, F., & Arcelus, J. 2017. “Eating Symptomatology and General Psychopathology in Patients with Anorexia Nervosa from China, UK and Spain: A Crosscultural Study Examining the Role of Social Attitudes.” PLoS ONE, 12(3), 1–13.

French, Paul, and ‎Matthew Crabbe. 2010. Fat China: How Expanding Waistlines are Changing a Nation. Imprint: Anthem Press.

Getz, M.J. 2014. “The Myth of Chinese Barbies: Eating Disorders in China including Hong Kong.” Journal of Psychiatric and Mental Health Nursing 21: 746-754.

Pike, Kathleen M., and Patricia E. Dunne. 2015. “The Rise of Eating Disorders in Asia: a Review.” Journal of Eating Disorders 3:33. Available online https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-015-0070-2 [17.1.18].

Tong, J., Miao, S., Wang, J. et al. 2014. “A Two-stage Epidemiologic Study on Prevalence of Eating Disorders in Female University Students in Wuhan, China.” Social Psychiatry and Psychiatric Epidemiology 49(3): 499-505.

Are you suffering from an eating disorder and need help? For information on eating disorders and how to help if you are worried about someone, Beat (UK) or ANAD (US) has advice for sufferers, friends and family.

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2018 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

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Manya Koetse is the editor-in-chief of www.whatsonweibo.com. She is a writer and consultant (Sinologist, MPhil) on social trends in China, with a focus on social media and digital developments, popular culture, and gender issues. Contact at manya@whatsonweibo.com, or follow on Twitter.

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Backgrounder

What Are Weibo’s “Super Topics”?

Explaining Weibo’s “Super Topics”

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What are Weibo’s “Super Topics” (超级话题) and what makes them different from normal hashtags?

Over the past year, Weibo’s so-called “Super Topics” (超级话题) have become more popular on the social media platform as online spaces for people to connect and share information.

Weibo’s “super topic” function has been around since 2016. The function allows Weibo users to create and join interest-based content community pages that are online groups separated from the main Weibo space. One could perhaps compare these Weibo Super Groups to ‘mega-threads’ or ‘subreddits’ on Reddit.

These are the most important things to know about Weibo’s Super Topics:

 

#1 A Super Topic is Not the Same as a Hashtag

Similar to Twitter, hashtags make it possible for Weibo users to tag a topic they are addressing in their post so that their content pops up whenever other people search for that hashtag.

Different from Twitter, Weibo hashtags also have their own page where the hashtag is displayed on top, displaying how many people have viewed the hashtag, how many comments the hashtag is tagged in, and allowing users to share the hashtag page with others.

A Super Topic goes beyond the hashtag. It basically is a community account where all sort of information is shared and organized. People can ‘follow’ (关注) a Super Topic and can also ‘sign in’ (签到).

On the main page of every Super Topic page, the main subject or purpose of the super topic is briefly explained, and the number of views, followers, and posts are displayed.

A super topic-page can be created by any Weibo user and can have up to three major hosts, and ten sub-hosts. The main host(s) can decide which content will be featured as essential, they can place sticky notes, and post links to suggested topics.

 

#2 A Super Topic Is a Way to Organize Content

Super Topic pages allow hosts to organize relevant content in the way they want. Besides the comment area, the page consists of multiple tabs.

A tab right underneath the main featured information on the page, for example, shows the “sticky posts” (置顶帖) that the host(s) of the page have placed there, linking to relevant information or trending hashtag pages. Below the sticky notes, all the posts posted in the Super Topic community are displayed.

One of the most important tabs within the Super Topic page is called “essential content” (精花), which only shows the content that is manually selected by the host(s). This is often where opinion pieces, articles, official news, or photos, etc. are collected and separated from all the other posts.

Another tab is the “Hall of Fame” (名人堂), which mainly functions as a reference page. It features links to the personal Weibo pages of the super topic page host(s), links to the Weibo pages of top contributors, and shows a list of the biggest fans of the Super Topic. Who the biggest fan of the page is, is decided by the number of consecutive days a person has “checked-in” on the page.

 

#3 Super Topics Are a Place for Fans to Gather

Although a Super Topic could basically be about anything, from cities to products or hobbies, Super Topics are often created for Chinese celebrities, video games, football clubs, or TV dramas.

Through Super Topic pages, a sense of community can be created. People can be ranked for being the most contributive or for checking in daily, and comment on each other’s posts, making it a home base for many fan clubs across China.

The host(s) can also help somebody’s page (e.g. a celebrity account) grow by proposing them to others within the group.

Super Groups are ranked on Weibo based on their popularity. This also gives fans more reason to stay active in the group, making their Super Topic top ranking within their specific category (TV drama, food, photography, sports, games, etc).

What makes the Super Topic group more ‘private’ than the common Weibo area, is that people posting within the Super Topic can decide whether or not they also want their comment shared on their own Weibo page or not. If they choose not to, their comments or posts will only be visible within the Super Topic community.

 

By Manya KoetseGabi Verberg, with contributions from Boyu Xiao

Spotted a mistake or want to add something? Please let us know in comments below or email us.

©2019 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

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Why Trump Has Two Different Names in Chinese

Why does ‘Trump’ have multiple names in Chinese?

Manya Koetse

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First published , updated version published March 7, 2019

It is confusing even for Chinese netizens and journalists: why does Donald Trump have multiple names in Chinese? And which is the right one to use? What’s on Weibo explains.

Donald Trump has two most commonly used different names in Chinese. In Mandarin*, they are Tèlǎngpǔ (特朗普) and Chuānpǔ (川普). Both names have been used by Chinese mainstream media and netizens for years.

*(Due to the scope of this article, we’ll just use the Mandarin pinyin here.)

In the Chinese translation of Donald Trump’s autobiography The Art of the Deal (1987), the ‘Tèlǎngpǔ’ transliteration is used, whereas the translation of the George Ross book Trump-Style Negotiations (2008) uses ‘Chuānpǔ’ as the Chinese name for Trump.

Considering that Trump is making headlines every day, more people are wondering why Trump has two Chinese names, and which one is the correct name to use. There are even discussions about the topic on Chinese social media.

 

Why are foreign names translated?

 

Why are non-Chinese names actually translated into Chinese at all? With English and Chinese being such vastly different languages with entirely different phonetics and script, the majority of Chinese people will find it hard to pronounce a foreign name that is written in English.

Writing foreign names or terms in Chinese script has a long history and practical reasons which won’t be further elaborated on here. At present, aside from being standardized, it does not just help Chinese speakers to pronounce these words, it also makes it easier to remember them. Most Chinese names usually consist of two or three characters; the first character is the surname, and the last character(s) is the given name.

Translating a name to better adapt to the culture in which it is used does not only happen with English names in China; you often see the same happening with Chinese names in foreign countries.

In that case, the first character (surname) is moved to the back, and the given name changed into an English one. Alibaba’s Ma Yun, for example, has become globally known as ‘Jack Ma.’ Film star Zhao Wei is called ‘Vicky Zhao’, Tencent’s Ma Huateng is known as ‘Pony Ma,’ and the popular actress Lin Yun is called ‘Jelly Lin.’

 

The right way to translate a foreign name in Chinese

 

There are multiple ways to translate a foreign name to Chinese. Most commonly, a name is translated into Chinese characters that are phonetically similar to the original name, without necessarily being very meaningful. The transliteration of ‘Hillary’ (Clinton), for example, is ‘Xīlālǐ’ (希拉里). ‘Bush’ is translated as ‘Bùshí’ (布什).

Another option is to choose a name purely based on meaning rather than phonetics. One example is Elvis Presley, who is called ‘Cat King’ (Māo Wáng 猫王) in Chinese, which stays close to his nickname “The Hillbilly Cat.”

The best option when translating a foreign name into Chinese, however, is to make sure it stays close to its original pronunciation while also using elegant characters. In other words; it is nice when a name’s translation makes sense both phonetically and semantically. Marilyn Monroe’s last name in Chinese is Mènglù (梦露), for example, which sounds like ‘Monroe’ and has the characters for ‘Dream Dew’ – a perfect transliteration for such a dreamy actress.

Even when the characters used for a foreign name in Chinese are not necessarily intended to convey a certain meaning, it is important that they do not have any negative connotations. Nobody wants a character in their name associated with divorce, disease or death – it is believed to bring bad luck.

Another thing is that it is considered helpful for foreign names in Chinese is to maintain a ‘foreign flavor’ to it, to make it clear that the name is actually a transliteration. To give an example raised in this Nikkei article: President Reagan’s name is generally translated as Lǐgēn 里根 in Chinese – the characters being somewhat uncommon for a Chinese name.

The same name could also be written with the characters 李根, very common for a Chinese name, but then it would be difficult to know whether a media report is talking about Reagan the President or just a local Chinese person by the same name. Transliterations of foreign names, therefore, are often easily recognizable as foreign names on purpose.

 

Trump, Tèlǎngpǔ, and Chuānpǔ

 

In the case of Trump, his Chinese names are mainly chosen for phonetic reasons, with different sources using different characters. Part of the challenge in deciding the right Chinese translation for his name, is the fact that Chinese does not have consonant cluster ‘tr’ as one sound.

The Chinese-language Nikkei newspaper dedicated an op-ed written by Chinese scholar Ke Long (柯隆) to the matter, who argues that although it may all seem trivial, it is actually quite confusing and unpractical for president Trump to have more than one name in Chinese.

The Chinese media in Taiwan, Hong Kong, and most overseas Chinese-language media, refer to Trump as ‘Chuānpǔ’ (川普).* According to the World Journal, the biggest Chinese-language newspaper in the US, it is the only proper way to translate this name, yet most Chinese state media and Chinese-language UK media (such as BBC) all use ‘Tèlǎngpǔ.’

* (The Chinese version of The New York Times 纽约时报中文版 is an exception, as ‘Tèlǎngpǔ’ 特朗普 is generally also used in this publication.)

Author Ke Long explains that Chinese translations of foreign names try to stay as close as possible to the pronunciation of a name in its original language. This is why the name of the city ‘Paris’ is pronounced ‘Bālí’ (巴黎) in Mandarin Chinese, staying close to the French pronunciation, and ‘Amsterdam’ being ‘Āmǔsītèdān’ (阿姆斯特丹), which follows the city’s Dutch pronunciation.

If the British would pronounce ‘Trump’ as ‘te-lan-pu,’ then it would thus perhaps be more understandable why media such as the BBC would write Tèlǎngpǔ. But they don’t pronounce it like that, Ke Long argues, saying that the use of ‘Tèlǎngpǔ’ thus does not make sense, and is actually closer to the Japanese way of writing Trump’s name (‘トランプ’: to-ra-n-pu).

More so, the author writes, it does not make sense for Chinese media to take over the British transliteration of the Trump name. Considering Trump is American, Chinese media should follow the translations made by American media. He also notes that if it would be about the Prime Minister of Britain, the Chinese transliteration should follow the one used by the media in the UK.

Although the Nikkei author seems to advocate for a singular use of ‘Chuānpǔ’ by all media, no Chinese media are necessarily ‘wrong’ in their transliteration of the name Trump. The ‘Tèlǎngpǔ’ 特朗普 translation follows the example of outlets such as the BBC, while Chuānpǔ 川普 follows that of other media.

Some Chinese bloggers argue that Chuānpǔ 川普 is the best way to write Trump’s name, because the first character, that actually means ‘river,’ is commonly used in Chinese, making the name sound more ‘natural’ and easy to pronounce than ‘Tèlǎngpǔ.’ Moreover, they argue that the Mandarin ‘chuan’ sound is more appropriate to convey the pronunciation of ‘tr’ than the ‘te-lang’ way.

In the end, the reason why Trump has two names most commonly used in Chinese is just a matter of media, with various mainstream outlets adopting different names since Trump first made headlines, and without there being any clear consensus on which Chinese name to use across all these different Chinese-language media platforms around the world.

 

Chuángpù and Chuángpò?

 

On Chinese social media, President Trump even has more than two names. There are also netizens referring to him as 床鋪, 闯破 or 床破 (Chuángpù/Chuángpò); these are all transliterations that contain strange or negative characters, making the name unrefined and harsh-sounding on purpose to make the name ‘Trump’ look and sound bad.

Although there have been online discussions on the right transliteration for the name Trump, it is unlikely that there will be one official Chinese name for the US President in the near future. Xinhua News, China’s official state-run press agency, has consistently been using Tèlǎngpǔ 特朗普 for years, and will probably continue to use it.

Many netizens simply use both versions of his name in one post to avoid confusion, and some news reports have even started using both names in its headlines (image below).

Despite the somewhat confusing situation at hand, there are also those who do not seem to mind at all. “Who cares if it is Tèlǎngpǔ or Chuānpǔ anyway?” one netizen says: “In this day and age, we all know who it is we are talking about.”

– By Manya Koetse
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This article first appeared in 2017 and has been republished with various corrections:
– The first version did not properly convey the argument made by author Ke Long in his Nikkei piece, which is more clearly laid out in this version.
– This version has added some extra information coming from sources after 2017.

Spotted a mistake or want to add something? Please email us.

©2019 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com

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What’s on Weibo provides social, cultural & historical insights into an ever-changing China. What’s on Weibo sheds light on China’s digital media landscape and brings the story behind the hashtag. This independent news site is managed by sinologist Manya Koetse. Contact info@whatsonweibo.com. ©2014-2018

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