“Many practitioners fear asking the hard questions,” Small told me, “the ones about racial differences and identity issues—the responses to which can help them to recognize potentially mediating factors in the development of EDs.” Mediating factors, according to Fuller and Small, like white supremacy, wealth and equity gaps, disproportionate levels of adverse childhood experiences (like sexual abuse), violence, and intergenerational trauma, the idea that historical and cultural traumas affect subsequent generations. In other words, simply living in a Black body might be enough to bring on
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