Sunday, August 22, 2021

Addendum to Anorexia in one lesson*

 

I don’t mind sharing a depth formula for anorexia nervosa. This is the “lean and mean” version that leaves out the wide if not infinite palette of character and circumstance idio­syn­crasy. The com­mon concomi­tant of “anxiety” is also given short shrift as it is a con­se­quence of the primary loss.

(a) There is a quality of deficit of love for this child. She is often invisible while a sibling is highly visible and focused on by the parents. (b) Food, which feels nurturing, strikes her feelings as a sorry substitute for the nurtur­ant love she should be getting but isn’t. (c) It is too pain­ful to enjoy this failed substi­tute, so she must reject it. To move on devel­opmentally in life, which is another good that is nestled in nurturance, is likely to be aborted. Hence her two-dimen­sional quality and dearth of ideas in her therapy.

As is true of so much childhood dysfunction, her mind turns her prison into her haven. The iden­tity of being especially thin, starved, and being individuated from her parents, is her pride. She may be lively, now having an identity.

I attended a short webinar on eating disorders today. Short shrift was given to par­ents’ part in the equation. A generic smor­gas­bord of theories was named, nothing to do with a love deficit. Unfortunately, that is to be expected. The world of people doesn’t want to feel what it never got in child­hood, and what it can’t give in parenthood. This is the ultimate “problem that has no name.”**

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* https://pessimisticshrink.blogspot.com/2021/06/anorexia-in-one-lesson.html

** https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.100.9.1582. Betty Friedan, The Feminine Mystique

 

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Comments are welcome, but I'd suggest you first read "Feeling-centered therapy" and "Ocean and boat" for a basic introduction to my kind of theory and therapy.