I didn't realize there was a ranking." I said. "Sadie frowned. "What do you mean?" "A ranking," I said. "You know, what's crazier than what." "Oh, sure there is," Sadie said. She sat back in her chair. "First you have your generic depressives. They're a dime a dozen and usually pretty boring. Then you've got the bulimics and the anorexics. They're slightly more interesting, although usually they're just girls with nothing better to do. Then you start getting into the good stuff: the arsonists, the schizophrenics, the manic-depressives. You can never quite tell what those will do. And then you've got the junkies. They're completely tragic, because chances are they're just going to go right back on the stuff when they're out of here." "So junkies are at the top of the crazy chain," I said. Sadie shook her head. "Uh-uh," she said. "Suicides are." I looked at her. "Why?" "Anyone can be crazy," she answered. "That's usually just because there's something screwed up in your wiring, you know? But suicide is a whole different thing. I mean, how much do you have to hate yourself to want to just wipe yourself out?
Many obese people spend a significant amount of their energy on suppressing the urge to tell some of the people who are staring at them that they do not eat as much and as frequently as they seem to.
More often than not, expecting to lose weight without first losing the diet that made the weight loss necessary is like expecting a pig to be spotless after hosing it down while it was still rolling in mud.
How easily such a thing can become a mania, how the most normal and sensible of women once this passion to be thin is upon them, can lose completely their sense of balance and proportion and spend years dealing with this madness.
Between 10 and 20 percent of people with anorexia die from heart attacks, other complications and suicide; the disease has the highest mortality rate of any mental illness. Or Kitty could have lost her life in a different way, lost it to the roller coaster of relapse and recovery, inpatient and outpatient, that eats up, on average, five to seven years. Or a lifetime: only half of all anorexics recovery in the end. The other half endure lives of dysfunction and despair. Friends and families give up on them. Doctors dread treating them. They’re left to stand in the bakery with the voice ringing in their ears, alone in every way that matters.
I’ve never had anorexia, but I know it well. I see it on the street, in the gaunt and sunken face, the boney chest, the spindly arms of an emaciated woman. I’ve come to recognize the flat look of despair, the hopelessness that follows, inevitably, from years of starvation. I think: That could have been [me]. It wasn’t. It’s not.
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.
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.
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.
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’s 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)
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.
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’ll 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?
If I was set an essay on Friday, I’d spend three hours on Saturday morning in the library. Was that normal? I didn’t 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’t allow that sunny person to come out. When the black thing had an iron grip on me, I couldn’t 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.
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.
Why?’ She nods. ‘She 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 ‘A 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’s too late because you are mainlining it now, straight into your soul. It is rotting you and you can’t stop. Look in a mirror and find a ghost. Hear every heartbeat scream that everythingsinglething is wrong with you. ‘Why?’ is the wrong question. Ask ‘Why not?
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 did I allow the abuse to continue? Even as a teenager?I didn’t. Something that had been plaguing me for years now made sense. It was like the answer to a terrible secret. The thing is, it wasn’t me in my bed, it was Shirley who lay the wondering if that man was going to come to her room, pull back the cover and push his penis into her waiting mouth it was Shirley. I remembered watching her, a skinny little thing with no breasts and a dark resentful expression. She was angry. She didn’t want this man in her room doing the things he did, but she didn’t know how to stop it. He didn’t beat her, he didn’t threaten her. He just looked at her with black hypnotic eyes and she lay back with her legs apart thinking about nothing at all. And where was I? I stood to one side, or hovered overhead just below the ceiling, or rode on a magic carpet. I held my breath and watched my father pushing up and down inside Shirley’s skinny body.
Kessa ran her fingers over her stomach. Flat. But was it flat enough? Not quite. She still had some way to go. Just to be safe, she told herself. Still, it was nice the way her pelvic bones rose like sharp hills on either side of her stomach. I love bones. Bones are beautiful.
Well, Kessa, I am glad to see that you're taking your body seriously. I shudder when I see the girls leaving class and heading for the nearest hamburger, coke, and French fry station.The thought of them pouring all those dead calories into themselves makes me want to cry. You'd think after a rigorous dance class they'd have more respect for their bodies.
When you have a persistent sense of heartbreak and gutwrench, the physical sensations become intolerable and we will do anything to make those feelings disappear. And that is really the origin of what happens in human pathology. People take drugs to make it disappear, and they cut themselves to make it disappear, and they starve themselves to make it disappear, and they have sex with anyone who comes along to make it disappear and once you have these horrible sensations in your body, you’ll do anything to make it go away.
Weird? Absurd? That’s how it seemed to me. I had these forces, these compunctions, these alternative personalities inside me, driving me. It was like being a jack-in-the-box and I was unsure which personality was going to jump out next: Billy, who thought of himself as a cowboy or a terrorist; Kato the cutter; anorexic Shirley, whose only self-indulgence was binge drinking and the occasional salad sandwich. I didn’t dislike Shirley. I was afraid of her. Shirley knew things I didn’t.
Locking away appetite, anger, the fullness of life, anorexia helps cover up whatever struggles inside. With its controlling bouts of bingeing and starvation, of trance and half-life, it becomes a shield to fend off despair and longing and what most of use would see as ordinary responsible behavior.
While she is still hospitalised, I take Emma out for strengthening walks, for her muscles and been under-used for a long time. She is sometimes breathless, I notice with concern, and there are other changes in her, either through a nerve her therapy touches, or through her illness, or both, which make her, quite often, disagreeable to be with.
Deception' is the word I most associate with anorexia and the treachery which comes from falsehood. The illness appears inviting. It would seem to offer something to those unwary or unlucky enough to suffer from it - friendship, a get-out, or a haven - when, in fact, it is a trap.
At the lip of a cliff, I look out over Lake Superior, through the bare branches of birches and the snow-covered branches of aspens and pines. A hard wind blows snow up out of a cavern and over my face. I know this place, I know its seasons - I have hiked these mountains in the summer and walked these winding pathways in the explosion of colour that is a northern fall. And now, the temperature drops well below zero and the deadly cold lake rages below, I feel the stirrings of faith that here, in this place, in my heart, spring will come again.But first the winter must be waited out. And that waiting has worth.
I again invoke my favorite analogy for eating disorders: abusive lovers. And what do you do when someone is in an abusive relationship? You don’t allow visitation rights, weekly dates. You don’t put them in the vicinity of or let the abuser flirt with them. You keep them the fuck away.
Fat bitch," Kessa murmured as the door scraped closed behind Mrs. Stone."She meant well, Francesca. And you see, everyone thinks you're too thin.""Since when is Mrs. Stone an authority on appearance. I've heard you say a thousand times that she looks like an old hooker.""I never said anything of the sort. What I said was that she wears too much makeup and her clothes are indiscreet.""Which means she looks like an old hooker. Well, if that's the way a woman is supposed to look, I'd rather be too skinny." Kessa felt a flash of pleasure at the argument. Just let her mother try to push food into her now.
Find YOUR Balance.
Let go of toxic control, in order to regain healthy control.
Find Your Balance.
I know what you're thinking. ‘How the hell does this broke ass piece of trailer trash know words like caveat,’ right? Well guess what? I've read every single book on the New York Times list of 'Top 100 Literary Classics,' not to mention every Jane Austen, Sylvia Plath or Bronte sisters’ book ever written. And fuck you very much for judging me, by the way.
Around eighth grade Margot started getting really sensitive about her weight, even though she wasn’t remotely fat—just a little round-faced. So Margot did what any normal fourteen-year-old girl would do. She started puking on purpose, every day after fifth period. Of course now, she does more than puke. But we don’t talk about that. Because real friends don’t judge each other for what they do to survive in hell.
Another page turns on the calendar, April now, not March..........I am spinning the silk threads of my story, weaving the fabric of my world...I spun out of control. Eating was hard. Breathing was hard. Living was hardest.I wanted to swallow the bitter seeds of forgetfulness...Somehow, I dragged myself out of the dark and asked for help.I spin and weave and knit my words and visions until a life starts to take shape.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.I am thawing.
Love—the desire to love and be loved, to hold and be held, to give love even if your experience as a recipient has been compromised or incomplete—is the constant on the continuum of hunger, it's what links the anorexic to the garden-variety dieter, it's the persistent pulse of need and yearning behind the reach for food, for sex, for something.