Anorexia nervosa rising prevalence of eating disorders in adolescence are "increase of adipose tissue in girls, hormonal changes of puberty, societal expectations of increased independence and autonomy that are particularly difficult for anorexic adolescents to meet; [and] increased influence of the peer group and its values." Early theories of the cause of anorexia linked it to childhood sexual abuse or dysfunctional families; evidence is conflicting, and well-designed research is needed. The fear of food is known as "sitiophobia", "cibophobia", or "sitophobia" and is part of the differential diagnosis. Other psychological causes of anorexia include low self-esteem, feeling like there is lack of
What Work Is Fame" and "Growth" are direct accounts of two of Levine's jobs as a young man. "Fear and Fame" is based on a job Levine had cleaning out and refilling acid vats in his mid twenties. "Growth" is about the job Levine held at a soap factory at the age of fourteen. Many of Levine's poems are based on his experience growing up in Detroit. The titular poem, "What Work Is", is based on Levine's experience of waiting in a Detroit employment line. "The Right Cross" is related to a boxing teacher who taught Levine to defend himself while growing up