“Ellen West” question

I was wondering why Frank Bidart would write a poem about anorexia. Anorexia is a sickness that is misunderstood today but through his poem Bidart puts us into the shoes of someone that has anorexia and shows us how she feels. Also, could have Bidart felt the desire to not be what he was and that’s why he wrote the poem, to show that everyone has problems with themselves? Could the poem be about self-esteem issues in general and not only anorexia?

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