The image of the woman in a bikini is anything but sexy.
Her pelvic bones jut so far from her lower torso that they look like bent elbows. Her actual elbows are the widest part of her arms. And splashed across her concave stomach are the words "Hunger hurts, but starving works." Just another online posting by someone into "thinspo," short for "thin-spiration," in which people with anorexia, bulimia and other eating disorders (EDs) use the Internet's broad reach to encourage and network about achieving extreme, unhealthy thinness. "It's appealing to people who are in the throes of their sickness," said Lynn Grefe, president of the National Eating Disorders Association (NEDA). "At that stage, it's like a competition -- 'I can get skinnier than that picture, I can beat her.' "