Duker and Slade, Anorexia and Bulimia: How to Help, 108-10

There are three underlying characteristics that are particularly marked in any sufferer. These are an intense morality, an extreme sensitivity, particularly to the needs and feelings of others, and a profound sense of worthlessness [ … ] there is a large measure of agreement among authorities on anorexia nervosa that these are key characteristics [ … ] It is characteristic of those who become entrapped in the illness that they are completely rule-bound [ … ] They apply their moral rules to food, to eating, to exercising as to everything else in their life [ … ] sufferers typically adhere very strongly to a cluster of values that centre on hard work, self control, personal responsibility, high standards of achievement, deferred gratification, not receiving rewards that have not been earned, not receiving where this is not deserved [ … ] these values and aspirations can be applied to food and body regulation as effectively as they can be applied to work, educational achievements, career success, personal relationships and of course sports, where encouragement for these values to be extended to body regulation is explicit [ … ] Anorexics, bulimics, all those striving to get their body ‘into shape’ [ … ] are people who place very high value on control [ … ] it is the continuity between the sufferers’ moral attitude and that of their social group or culture that again explains why the condition can be lethal.

from Simona Giordano’s Understanding Eating Disorders

…the pursuit of lightness is thus a pursuit of inviolability. Silently, with no apparent intervention on others or on the external environment, people with eating disorders expand that environment, thus expanding the space between themselves and other people. In the isolation of their thinness and lightness, people with eating disorders achieve an exceptional place, one that is out of reach. This achievement, as we shall see in the next chapter, has important links with morality. Isolation in fact allows detachment from the ‘physical’ world, and the achievement of a ‘transcendent’ dimension. Isolation, thus, not only responds to an overwhelming fear of intrusions, but also contributes towards satisfying an ethical ambition to spirituality. Moreover, because of the strenuous sacrifice involved, the defence of the personal sphere is also proof of will power, and this, as we shall see, is one of the keys for understanding the ethical connotations of eating disorders.

on anorexia

It is, at the most basic level, a bundle of deadly contradictions: a desire for power that strips you of all power. A gesture of strength that divests you of all strength. A wish to prove that you need nothing, that you have no human hungers, which turns on itself and becomes a searing need for the hunger itself. It is an attempt to find an identity but ultimately strips you of any sense of yourself, save the sorry identity of “sick.” It is a protest against cultural stereotypes of women that in the end makes you seem the weakest, the most needy and neurotic of all women. It is the thing you believe is keeping you safe, alive, contained—and in the end, of course, you find it’s doing quite the opposite.

—marya hornbacher, from wasted

Muriel Zeller

Self, Time and External Circumstances

   1.

   The disconnected self cut
   the filaments
   that held up my life.

          You are sick–very, very sick

   The hospital psychiatrist asked
   a question.  I answered correctly,
   "Jack Ruby shot Lee Harvey
   Oswald on TV.“

          You use your intelligence in negative ways

   I have lied in each
   different life, covering
   tracks of the last.

          I saw you when you were someone else

   I laughed
   when I told the story:
   my father held a gun
   on my brother.

          Your laughter is inappropriate

   I took the opiates
   as prescribed and wanted
   less and less  
   to be flesh.

          You may refuse your medication at any time

   I made lists
   of what I wanted  
   to recall.

          You could benefit from electroconvulsive shock therapy

   My body refused to release
   urine.  I became sick:
   searing ache and longing
   to take away the pain.

          Your past is the reason you can’t urinate

   She arrived in a black dress,
   one of a long line
   of therapists.  She began

          You don’t like black, do you?

   as I watched light stipple
   her dress through the iron
   mesh on the windows.

          Tell me about the abuse

   In a corner of night,
   I hunched and hunched
   to make myself small,
   invisible.

          Where are you?

   2.

   I passed each day,
   clutching a pillow
   rocking back and forth
   as gently as I would
   on Charon’s river.

          Tell me, then, what do your tears think?

   I paced the halls, hid
   in my closet, made a collage.
   The attendants cooed.
   I smiled at them with rage.

          This is very complex

   I threw a strike.
   "The bowling pins are my family,”
   I said.  The other patients  
   cheered.  I did it again,
   and the chaperones grew uneasy.

          I think its time to leave

   I was released from the hospital
   after a month–just
   when my insurance ran out.

          Reconnect with your therapist on the outside

   I am scary.  I scare myself.
   I scare my outside therapist.
   She doesn’t want me anymore.

          Once, I thought you were going to attack me

   At home, I have my own riot.
   I scream in the shower.
   The walls bruise my body.
   My head pounds back.

          I will make arrangements for you to see someone else

   The telephone can change
   shape.  It will lie to you.
   My memory reeked
   of the black dress.

          She won’t talk to you unless you make the call

   I moved on to the next
   recommended therapist
   with my own psychotic symmetry.

          I’m counseling a group of sex offenders next

   3.

   I got pregnant.
   My husband’s form
   fathered fetal tissue–
   I was too old.

          You cannot abort the baby

   After-birth I mothered my daughter:
   bathed, dressed, nursed and loved,
   all the while knowing nothingness
   waited for me in a clutch of medication.

          We have a pact.  You won’t kill yourself.

   Cross my heart
   and hope to die.

          What kind of pills, how many?

   The doctor didn’t hide
   his contempt as he guided  
   a tube down my throat.

          Where is her underwear?

   After a day,
   angry and sullen, my husband
   took me back home.
   I had to nurse the baby.

          What do you think you were doing?

   The baby bit down hard
   on my nipple with her tiny teeth,
   punishing me
   for risking her life.

Please post more of your own art. When you’re famous I’ll be able to think to myself “I wrote her when she was just starting”.

Oh man. What a lovely comment. I don’t generally post the text of my writing, because I am shopping my work to publishers right now and any prior publishing is frowned upon, but here is a link to an audio recording of the first section of my collection, The Orchard, with some weird sound effects. 

Again; thanks so much. I have scant ambitions toward fame, but I do have aspirations to achieving some sort of emotional and intellectual cogency, so this note made my night.