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Situated in a feminist application of Bakhtin\u2019s sociological linguistics, we were concerned with how participants understood eating disorders, the nature of their experiences, and the causes of their distress. Following a dialogical method, multiple in-depth interviews were conducted with seven women who experienced an eating disorder and who had been sexually abused previously, and participants\u2019 own drawings and poetry were obtained to gain deeper insights into meanings and emotions. We found an eating disorder offered a perception of cleanliness and renewal that was attractive to participants who experienced overwhelming shame. It is critical that researchers use a range of visual and sensory methods to move eating disorder understandings and treatment beyond illness and pathology.<\/jats:p>","DOI":"10.1177\/10497323211017490","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T03:09:16Z","timestamp":1623035356000},"page":"1963-1975","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Purification, Punishment, and Control: Eating Disorders, Self-Harm, and Child Sexual Abuse"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3627-3062","authenticated-orcid":false,"given":"Lisa","family":"Hodge","sequence":"first","affiliation":[{"name":"Victoria University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5550-0331","authenticated-orcid":false,"given":"Amy","family":"Baker","sequence":"additional","affiliation":[{"name":"University of South Australia, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,7]]},"reference":[{"key":"bibr1-10497323211017490","doi-asserted-by":"crossref","unstructured":"Alaggia R., Collin-V\u00e9zina D., Lateef R. 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