I work for a government office in a small city right outside of Dallas Texas(deep south). My work place is filled with skeleton thin and paper thin government employees. Mostly black and hispanic women. Could well be the skinniest and quite possibly the ugliest place on planet earth. Yet a lot of these ppl believe they are beautiful. Some believe that they are "averaged sized."

For example, this ugly, anorexic, Mexican beanpole at work dresses nicely, uses Botox, dances on the weekends in a "sexy" way. Her sucked in check boned face is filled with makeup, plastic surgery, and Botox. She thinks that she is beautiful and made a joke about modeling. She's not the only one though. A lot of them think that they are beautiful when they look like chit. Another skeleton thin 60 year old Mexican called herself a "cougar." srs.

Seems like "reverse binge eating" (delusional about being normal weight when unhealthily thin and being beautiful when ugly) is a bigger issue among US women than actual binge eating disorder.