Thin (film)
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''Thin'' (often styled as ''THIN'') is a 2006
cinéma vérité Cinéma vérité (, , ; "truthful cinema") is a style of documentary filmmaking developed by Edgar Morin and Jean Rouch, inspired by Dziga Vertov's theory about Kino-Pravda. It combines improvisation with use of the camera to unveil truth or high ...
documentary film directed by
Lauren Greenfield Lauren Greenfield (born 1966) is an American artist, documentary photographer, and documentary filmmaker. She has published four photographic monographs, directed four documentary features, produced four traveling exhibitions, and published in ma ...
and distributed by
HBO Home Box Office (HBO) is an American premium television network, which is the flagship property of namesake parent subsidiary Home Box Office, Inc., itself a unit owned by Warner Bros. Discovery. The overall Home Box Office business unit is ba ...
. It was filmed at The Renfrew Center of Florida in Coconut Creek, a 40-bed residential facility for the treatment of women with eating disorders. The center has been described as "one of the nation's best-known inpatient eating disorders centres". The film follows four women with
anorexia nervosa Anorexia nervosa, often referred to simply as anorexia, is an eating disorder characterized by low weight, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin. ''Anorexia'' is a term of Gr ...
,
bulimia nervosa Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The aim of this activity is to expel the body of calories eate ...
and other eating disorders in their struggle for recovery. The film premiered at the 2005 Sundance Film Festival in 2005, before premiering to the general public on November 14, 2006 on HBO.


Production

Greenfield describes the making of ''Thin'' as " ..a continuation of my decade-long exploration of body image and the way the female body has become a primary expression of identity for girls and women in our time." Greenfield first visited The Renfrew Center in 1997 on assignment for ''Time'' magazine. She later returned to photograph young women for her personal project, the
photo-book A photo book or photobook is a book in which photographs make a significant contribution to the overall content. A photo book is related to and also often used as a coffee table book. Early Early photo books are characterized by their use of ...
and art exhibition, ''Girl Culture''. Following multiple trips to the facility, she gained their trust and support to begin using it to film ''Thin'', her directorial debut which she produced in collaboration with
R.J. Cutler R. J. Cutler (born 1962) is an American filmmaker, documentarian, television producer and theater director. His work includes the documentary films ''The War Room'', '' A Perfect Candidate'', ''Thin'', ''The September Issue'', ''The World Accord ...
. Living at the center for six months, Greenfield and director of photography Amanda Micheli received unrestricted access to film staff meetings, therapy sessions, mealtimes and daily weigh-ins that depict the highly structured routine of inpatients' daily lives. The film explores their turbulent interpersonal relationships, and highlights the efforts of the Renfrew medical team and the complex tasks they face.


Main Participants


Shelly

Shelly Guillory is a 25-year-old psychiatric nurse who enters the Center at the beginning of the film with a PEG
feeding tube Eating (also known as consuming) is the ingestion of food, typically to provide a heterotrophic organism with energy and to allow for growth. Animals and other heterotrophs must eat in order to survive — carnivores eat other animals, her ...
surgically implanted in her stomach. She admits herself into Renfrew after ten hospitalizations. On her arrival she weighs 84.3 pounds, having been anorexic for six years and tube fed for five of those years. She has an identical twin, Kelly, who does not have an eating disorder. Shelly describes a reliance on various mood stabilizers and tranquilizers and has volatile mood swings throughout the film, in particular getting very angry and aggressive when stolen food mistakenly attributed to her and pulse deficits lead to her being accused of purging. The epilogue states that Shelly lost 17 pounds after discharge and underwent
electric shock therapy Electroconvulsive therapy (ECT) is a psychiatric treatment where a generalized seizure (without muscular convulsions) is electrically induced to manage refractory mental disorders.Rudorfer, MV, Henry, ME, Sackeim, HA (2003)"Electroconvulsive th ...
to treat her depression.


Polly

Pollack "Polly" Ann Williams has been at Renfrew for nine weeks. She admitted herself after a suicide attempt over two slices of pizza, explaining that while they weren't the whole motivation, they were "kind of the straw that broke the camel's back". When interviewed she says that "dieting has always been a huge part of my life" and that she was "counting calories and counting fat by the time hewas 11". She celebrates her 30th birthday in the Center and seems to be making progress with her anorexia but has trouble with some of the rules. She is expelled after Shelly tells the staff about Polly getting the NEDA symbol tattooed on her hip while on a day pass from the Center. This incident was compounded by giving mood stabilizers to Shelly. Shelly told staff that Polly had given her
Neurontin Gabapentin, sold under the brand name Neurontin among others, is an anticonvulsant medication primarily used to treat partial seizures and neuropathic pain. It is a first-line medication for the treatment of neuropathic pain caused by diabe ...
after the pills were discovered in her room during a routine check for contraband. Upon being given her 24-hour notice to leave, Polly expresses despair and purges on camera. She was described in the epilogue as continuing to have trouble with purging and weight loss, and that she ultimately died in February 2008 at age 33.


Brittany

Brittany Robinson is a 15-year-old student who was admitted to Renfrew with liver damage, a low heart rate and hair loss after dropping from 185 to 97 pounds in less than a year. She describes herself as a compulsive over-eater from the age of 8, leading into compulsive dieting and anorexia from the age of 12, citing "a bad body image" and a craving for acceptance amongst her peers as her motivation to lose weight. According to Brittany, her mother also has an eating disorder and in an interview, Brittany describes how they would have "the greatest time" with "chew and spit"; chewing "bags and bags of candy" and spitting it out without swallowing. Her mother's experience of anorexia is touched upon in greater detail in an interview in the film's companion book, also titled Throughout the film Brittany is resistant to recovery, explaining that she would like to lose "another forty pounds" and that she "just want to be thin". She tells her nutritionist she has purged twelve times since entering Renfrew and walks out of group therapy in tears when her dedication to recovery is challenged by Polly. Brittany's insurance benefits run out, forcing her to leave treatment early. She relapses into anorexia before leaving, prompting concern amongst patients and staff, and is released against medical advice. The epilogue states that she began to restrict after discharge and lost weight rapidly. Insurance would not pay for further treatment.


Alisa

Alisa Williams, a 30-year-old divorced mother of two, traces her eating issues back to an incident at the pediatrician when she was 7 and put on a diet which then led to anorexia. She describes massive binge/purge sessions which resulted in hospitalizations due to the resulting dehydration and her severe abuse of diuretics, hydrochlorothiazide, laxatives, enemas and
ipecac Syrup of ipecac (), or simply ipecac, is a drug that was once widely used as an expectorant (in low doses) and a rapid-acting emetic (in higher doses). It is obtained from the dried rhizome and roots of the ipecacuanha plant (''Carapichea ipecac ...
. Apart from her binges, which she describes as occurring "every few weeks or so, over and over again, for three or four days", she was restricting to under 200 calories a day prior to entering Renfrew. She had been hospitalized five times in the three months leading to her admittance to the Center. Having struggled with her eating disorder for 16 years, Alisa took disability leave from her job as a pharmaceutical rep in order to enter treatment. Alisa seems to respond well to Renfrew and towards the end of her stay expresses a desire to "taste recovery". After discharge, Alisa struggles through dinner with her children and Shelly at a restaurant. She picks at her food and takes tiny bites. The film later shows Alisa, agitated and pacing around her home, distract her two children with cartoons and waffles as she enters her bathroom to purge repeatedly. The epilogue reveals that she would go on to lose 20 pounds and attempt suicide, and that she returned to Renfrew for treatment and maintained a healthy weight after leaving.


Participant status updates

* In 2008, Shelly reported that she was successfully recovering from her eating disorder. In 2010, she was featured in a news feature about her and her friend's recovery from anorexia, which stated that the attention Guillory received after the film debuted triggered a relapse. Guillory later went to rehab for a drug addiction, and described herself in the article as no longer having an eating disorder. * Polly moved to Chattanooga after leaving Renfrew, went back to school to study photography and was managing a studio at the time of the film's release. She died at her residence on February 8, 2008 due to an overdose of sleeping pills. Her death is believed to have been a suicide. * Brittany is now fully recovered and a mother of three. There was a rumor that she became addicted to heroin, but that has been proven false. *Alisa reportedly recovered from her eating disorder and began work as a teacher.


Awards

''Thin'' was selected for competition at the 2006
Sundance Film Festival The Sundance Film Festival (formerly Utah/US Film Festival, then US Film and Video Festival) is an annual film festival organized by the Sundance Institute. It is the largest independent film festival in the United States, with more than 46,66 ...
and won the John Grierson Award for best feature-length documentary at the
London Film Festival The BFI London Film Festival is an annual film festival founded in 1957 and held in the United Kingdom, running for two weeks in October with co-operation from the British Film Institute. It screens more than 300 films, documentaries and shor ...
2006. It has also screened at Hot Docs and Full Frame, as well as film festivals in Chicago, Vancouver, Austin, St. Louis, Ojai, Galway and Sweden. It received the 2006 Documentary Grand Jury Prize at the Boston Independent Film Festival, Newport International Film Festival and Jackson Hole Film Festival. It has also been nominated for an International Documentary Association Award.


References

''Thin'' by Lauren Greenfield,


External links


Lauren Greenfield's Official Website
* {{IMDb title, 0492496, Thin, (2006)
''Thin'' Official Website

''Thin'' photo essay

Five In Focus: Lauren Greenfield
- Greenfield picks five films that have influenced her photographic style
Adam Friedman's Official Website
HBO Films films 2006 films Documentary films about health care Documentary films about mental disorders Body shape Body image in popular culture Films about eating disorders 2006 directorial debut films 2000s English-language films Documentary films about women in the United States Coconut Creek, Florida