anorexia

Eating disorders are prevalent among women who were sexually abused as children. They seem to have components of other symptoms such as obsessions, compulsions, avoidance of food, and anxiety, and they primarily include a distorted body image and feelings of body shame.For some women, eating disorders are related to the loss of control over their bodies during the sexual abuse and serve as a means of feeling in control of their bodies now. Eating disorders can also be indicative of the developmental stage and age at which the sexual abuse began. Women with anorexia and bulimia report that they were sexually abused either at the age of puberty or during puberty, when their bodies were beginning to develop and they felt a great deal of body shame from the abuse. By contrast, women with compulsive eating report that the sexual abuse occurred before the age of puberty; they used food for comfort.

Why?_ She nods. __he had everything: a family who loved her, friends, activities. Her mother wants to know why she threw it all away?_ Why you want to know why? Step into a tanning booth and fry yourself for two or three days. After your skin bubbles and falls off, roll in coarse salt, then put on long underwear woven from spun glass and razor wire. Over that goes your regular clothes, as long as they are tight. Smoke gunpowder and go to school to jump through hoops, sit up and beg, and roll over on command. Listen to the whispers that curl into your head at night, calling you ugly and fat and stupid and bitch and whore and worst of all __ disappointment._ Puke and starve and cut and drink because you need an anesthetic and it works. For a while. But then the anesthetic turns into poison and by then it__ too late because you are mainlining it now, straight into your soul. It is rotting you and you can__ stop. Look in a mirror and find a ghost. Hear every heartbeat scream that everythingsinglething is wrong with you. __hy?_ is the wrong question. Ask __hy not?

During a warm winter rain ... the basins of her collarbones collected water.

There is no magic cure, no making it all go away forever. There are only small steps upward; an easier day, an unexpected laugh, a mirror that doesn't matter anymore.

Every lineament of the girl's wasted body is a testament to her inner turmoil. Willow can only imagine what kind of pain she must be in to destroy herself that way. She knows there's something ironic in her compassion for the other girl, but she can't help feeling that this utter mortification of the flesh is far worse than anything that she herself has done.

If you put the wrong foods in your body, you are contaminated and dirty and your stomach swells. Then the voice says, Why did you do that? Don't you know better? Ugly and wicked, you are disgusting to me.

If I was set an essay on Friday, I__ spend three hours on Saturday morning in the library. Was that normal? I didn__ know. What I did know was that I felt less prone to depression and more normal walking through Venice or staring out over the lake in Zurich. At home I wrestled continually with my moods. The black thing inside me gnawed like a rat at my self-esteem and self-confidence. I felt there was a happy person inside me too, who wanted to enjoy life, to be normal, but my feelings of self-loathing and the deep distrust I had towards my father wouldn__ allow that sunny person to come out. When the black thing had an iron grip on me, I couldn__ even look at my father: Did you do bad things to me when I was little? Like a line from a song stuck in your brain, the words ran through my head and never once came out of my mouth. Not that I needed to say what was in my mind. I was sure Father could read my thoughts in my moods, in the blank, dead stare of my eyes. It was hardly surprising that there was always an atmosphere of strain and awkwardness in the house, and the blame was always mine: Alice and her moods, Alice and her anorexia; Alice and her low self-esteem; Alice and her inescapable feelings of loss and emptiness.

One weekend it rained for 48 hours without stopping. The rain beat like bony fingers against the window panes. Tap. Tap. Tap. Tap. Tap. Fungus was growing on the walls. I polished off a bottle of gin sitting huddled over the two-bar electric fire and wrote a poem, one of the few that has lasted through the moves and the years. It is called 'Where Can I Go?'If this is not the place where tears are understood where do I go to cry? If this is not the place where my spirits can take wing where do I go to fly?If this is not the place where my feelings can be heard where do I go to speak? If this is not the place where you__l accept me as I am where can I go to be me? If this is not the place where I can try and learn and grow where can I go to laugh and cry?

What was wrong with me? Why could I not just flip the switch and see all the brightness ahead if only I chose the correct path? Or rather, why could I see the correct path but not choose to tread upon it?

People with mental illnesses aren't wrapped up in themselves because they are intrinsically any more selfish than other people. Of course not. They are just feeling things that can't be ignored. Things that point the arrows inward.

I look back on my life the way one watches a badly scripted action flick, sitting at the edge of the seat, bursting out, "No, no, don't open that door! The bad guy is in there and he'll grab you and put his hand over your mouth and tie you up and then you'll miss the train and everything will fall apart!" Except there is no bad guy in this tale. The person who jumped through the door and grabbed me and tied me up was, unfortunately, me. My double image, the evil skinny chick who hisses, Don't eat. I'm not going to let you eat. I'll let you go as soon as you're thin, I swear I will. Everything will be okay when you're thin.

I've come to realize that hunger feels more like home than any tangible structure ever has, or probably ever will. I know now that creating absence is my way of coping with absence.

The return of the voices would end in a migraine that made my whole body throb. I could do nothing except lie in a blacked-out room waiting for the voices to get infected by the pains in my head and clear off. Knowing I was different with my OCD, anorexia and the voices that no one else seemed to hear made me feel isolated, disconnected. I took everything too seriously. I analysed things to death. I turned every word, and the intonation of every word over in my mind trying to decide exactly what it meant, whether there was a subtext or an implied criticism. I tried to recall the expressions on people__ faces, how those expressions changed, what they meant, whether what they said and the look on their faces matched and were therefore genuine or whether it was a sham, the kind word touched by irony or sarcasm, the smile that means pity. When people looked at me closely could they see the little girl in my head, being abused in those pornographic clips projected behind my eyes? That is what I would often be thinking and such thoughts ate away at the façade of self-confidence I was constantly raising and repairing. (describing dissociative identity disorder/mpd symptoms)

In that six months, so much happened that death seemed, primarily, inconvenient. The trial period was extended. I seem to keep extending it. There are many things to do. There are books to write and naps to take. There are movies to see and scrambled eggs to eat. Life is essentially trivial. You either decide you will take the trite business of life and give yourself the option of doing something really cool, or you decide you will opt for the Grand Epic of eating disorders and dedicate your life to being seriously trivial.

Pierre Janet, a French professor of psychology who became prominent in the early twentieth century, attempted to fully chronicle late- Victorian hysteria in his landmark work The Major Symptoms of Hysteria. His catalogue of symptoms was staggering, and included somnambulism (not sleepwalking as we think of it today, but a sort of amnesiac condition in which the patient functioned in a trance state, or "second state," and later remembered nothing); trances or fits of sleep that could last for days, and in which the patient sometimes appeared to be dead; contractures or other disturbances in the motor functions of the limbs; paralysis of various parts of the body; unexplained loss of the use of a sense such as sight or hearing; loss of speech; and disruptions in eating that could entail eventual refusal of food altogether. Janet's profile was sufficiently descriptive of Mollie Fancher that he mentioned her by name as someone who "seems to have had all possible hysterical accidents and attacks." In the face of such strange and often intractable "attacks," many doctors who treated cases of hysteria in the 1800s developed an ill-concealed exasperation.

From the newsstands a dozen models smiled up at her from a dozen magazine covers, smiled in thin-faced, high-cheekboned agreement to Kessa's new discovery. They knew the secret too. They knew thin was good, thin was strong; thin was safe.

If you think my waistline defines my worth, you are not worth my time anyways.

I think maybe they come out into the grounds in nightwear. But no, in typical anorexic stype they have read the fashion magazines literally. This is their version of thin girls in strappy clothes.The girl in the petticoat talks to me, as Emma has done on occsasion, in a rather grand style, as if she is a 'lady' of some substance and I a visiting guest.Do they chat much about clothes? I ask Emma in the car.She shakes her head.So, does she, Emma, see the difference between underwear or nightwear and 'going out' clothes?'Yes,' she says, her voices strained again. 'But it's one of the things you don't know properly when you're ill and confused. You see these pictures and the people in the magazines are real for you.