The Hunger Between Us: A Qualitative Study of the Intergenerational Transmission of Eating Disorders in Mother-Daughter Relationships

Loading...
Thumbnail Image
Degree type
Doctor of Social Work (DSW)
Graduate group
Discipline
Social Work
Subject
Eating disorders
Intergenerational transmission
Mother-daughter relationships
Psychoanalytic theory
Feminist theory
Psychic stomach
Attacks on linking
Containment
Countertransference
Listening Guide
Funder
Grant number
Copyright date
2025-12
Distributor
Related resources
Author
Bianchini, Stephanie
Contributor
Abstract

This dissertation explores how eating disorders are transmitted between mothers and daughters, not only through overt modeling of dieting or body shame, but also through silence, secrecy, and unspoken family dynamics that fracture emotional communication and containment. Drawing on in-depth interviews with eight mother–daughter pairs, the Listening Guide methodology identified recurring contrapuntal tensions of control and longing, compliance and rebellion, silence and expression, containment and abandonment, identification and individuation, and fear and hope. Within these dyads, analyses revealed that the eating disorder functioned as both symptom and language, expressing what Bion (1962) termed attacks on linking – disruptions in the capacity to think, feel, and connect – and revealing how unprocessed and undigested experiences can circulate (or regenerate) within families. Departing from traditions of mother blame, this study attends instead to the intersubjective field in which both mother and daughter are embedded and mutually influenced by sociocultural, political, and familial intrusions. The eating disorder thus emerges as a shared attempt at containment when the relational environment cannot metabolize affective intensity. While these dynamics reveal the psychic weight of inheritance, they also illuminate the potential for transformation: daughters described recovery as reshaping their relationships with their mothers, and mothers reflected on how their daughters’ struggles invited them to revisit and digest their own histories with body and food. Thus, creating a new way of being together and potentially protecting the next generation from inheritance. This dissertation contributes to clinical practice by building on Bianchini’s (2025) concept of the psychic stomach, highlighting the importance of embodied countertransference as a tool for therapeutic containment; and to clinical theory by situating eating disorders within intergenerational, feminist, and psychoanalytic frameworks.

Advisor
Pollack, Francine
Date of degree
2025-12-18
Date Range for Data Collection (Start Date)
Date Range for Data Collection (End Date)
Digital Object Identifier
Series name and number
Volume number
Issue number
Publisher
Publisher DOI
Journal Issue
Comments
Recommended citation