When his 18-year-old daughter Francine first started losing weight, in the fall of 2018, Kenneth initially thought it was a good thing. Francine had always been artistic but never particularly athletic, which puzzled her father. Kenneth, now 47, is a runner with dozens of half-marathons and even one ultramarathon under his belt.
When Francine started to express an interest in exercising and joining Kenneth’s wife, Tracy, for workouts, Kenneth and Tracy thought it was a positive sign. When Francine announced that she was vegan, they rolled with it.
Then Francine’s hair started to fall out.
It took more than a year of trying different therapists, while Francine got progressively worse, for Kenneth and Tracy to grasp just how sick their daughter was. (I’ve changed the family members’ names to protect their privacy.) Kenneth started to add up exactly what his daughter was eating in a day and realized it wasn’t nearly enough. He also suspected that Francine had learned some of her new eating habits—such as replacing breakfast with bulletproof coffee—from watching him.
Around the same time that Francine began struggling, Kenneth was following his own intense diet while on a quest to improve his running time. When Francine asked about his eating, he explained what he was doing and why. “I think I was probably malnourished myself, and in that place where you can’t help but obsess about food and talk about it constantly,” he says. Kenneth thought that he was modeling healthy eating and exercise habits to his daughter. “I just had no idea that the stuff she was asking me was really her disease asking,” he says.
For decades, researchers trying to understand the role of a child’s family in eating-disorder development looked almost exclusively to mothers. “The literature on fathers’ child feeding practices is scant,” observed the authors of a scientific-review paper on the topic published in 2014. They could find only 20 studies that included…
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