Dr. Hans Hoek is clinical psychiatrist at the Eating Disorders Program in the Hague and Professor of Psychiatry at University of Groningen in the Netherlands. He also holds a faculty appointment at Columbia University in New York City. For many years, Dr. Hoek served as director of the psychiatric residency program and dean of Parnassia Psychiatric Institute, The Hague, a large mental health institute with branches across the Netherlands. He has conducted pioneering work on the epidemiology of eating disorders and has a particular interest in cultural psychiatry. In this episode of Big Ideas in Eating Disorders, Dr. Hoek shares his views on the complex and nuanced interplay of biology and environment associated with risk for developing an eating disorder.