Eating Disorders
Articles
Number One Reason For
Developing An Eating Disorder
by Joanna Poppink, M.F.T.
Hundreds of
people have asked me why people develop eating disorders. Of course, there are
many issues involved, but as I explore this field, over the years I have
concluded that there is one outstanding theme that runs through every person
with an eating disorder I have encountered.
Early in their lives they experienced, on a sustained basis, relentless
boundary invasion on every level.
When a person's physical, emotional, psychological, intellectual, sexual,
and creative boundaries are consistently ignored and penetrated that person
experiences total boundary invasion. When that person has no control or way to
stop, protest or often even acknowledge such invasions, the person experiences
helplessness, despair and a certainty that they are worthless to themselves or
anyone else.
The consequences of such total invasion are vast. One consequence is an
eating disorder.
Having had so many boundaries disregarded, the person has no
knowledge or skills in recognizing or honoring boundaries herself. She will eat
or starve for emotional relief. She may eat vast amounts of food for comfort
value alone. She may deprive herself of food until her life is in danger. She
has no internal limit setter that tells her when she has experienced enough.
Being oblivious to any boundary means being oblivious to limits of any kind.
The compulsive overeater eats whenever and whatever she likes.
Her choices are based on self-medication issues, not feelings of physical
hunger.
The anorexic will not eat. There is no limit to her not eating.
She will starve herself to death in search of relief from her emotional pain.
She knows nothing of the experience enough. She couldn't say,
"Enough," to an invader of her boundaries, and she can't say to it
herself. The concept of enough has no meaning to her. She often feels that, if
she "disappeared" she might find some permanent relief. I have heard
countless anorexic young women talk ethereally, with a lost in a beautiful
world of angels smile, of how wonderful it would be to be vapor or a light
dancing spirit in the clouds.
Ah, such spiritual bliss, they imagine. In reality, it's the
final self-protective act, to destroy their bodies and their lives completely.
Then they can truly escape the complexities of being alive.
The bulimic will binge grotesque amounts of food. She will
literally assault herself with more food than a body can tolerate. She has no
limit at all. The compulsive overeater will, at last, have to stop eating if
only because of the pain of her distended stomach. Her body sets a final limit.
The bulimic has no such limit. She experiences (in her mind) no consequences
for the assault of food. When her body cannot bear more, she will vomit it all
out. Then she will continue her binge. She may reach her body's limits many
times. Each time she does she can throw up and continue.
Eventually she may stop because she is completely exhausted,
or she is in danger of being discovered. "Enough" has no meaning to
her. There are no limits and no consequences for disregarding her boundaries.
Realistically, of course, there are plenty of consequences.
There is tremendous damage happening to the body. And each time people with an
eating disorder assault themselves they destroy more of their spirit, soul,
self-esteem, sanity, health and value to themselves and others. Each violation
deepens their ritualistic behavior, and they become more entrenched in their
disorder. The consequence of this is increasing anguish and despair.
So what do I mean by a history of boundary violations? Blatant
and extreme boundary violations involve sexual molestation, sexual abuse and
physical abuse. Much has been written about these areas now, especially in
material exploring Post Traumatic Stress Disorder (PTSD) and Dissociative
Identity Disorder (DID). Use your search engines to find some quality
information posted on the internet in these subject areas.
There are other kinds of boundary violations, less dramatic,
less discussed and more prevalent which are also devastating to a person's
psyche. When, in the name of caretaking, people in authority take over a young
person's life, it constitutes boundary invasion. When she has no privacy, when
her diary is read, when her things are borrowed or taken without permission,
when her efforts in school or sport are overwhelmed by someone else's ideas,
goals or personality, when her choices are disregarded or treated with disdain,
when she has little or no choice where her personal life, clothes, foods,
friends, activities are concerned, her boundaries are being invaded.
Her boundaries are also invaded when, in the name of
caretaking, she has no responsibilities of her own and no consequences for her
actions. When "the little princess" or the "little prince"
can have anything she asks for without putting forth any effort to earn such
gifts, she learns nothing about personal effort, limits, consequences or what
"enough" means. If she wants something, she gets it. That's all. If
someone picks up her clothes, does her laundry, fixes her car, pays her bills,
lets her "borrow" money or things and never asks for them back, she
experiences no boundaries and no limits.
If she doesn't have to keep her promises, if she doesn't
reciprocate with caring activities for people who care for her, she learns
nothing useful about herself in relationship to other people. She certainly
learns that there are no limits to her behavior or desires.
She doesn't learn that she has meaning and value. She doesn't
learn that she can put that meaning and value within her to work to accomplish
goals. For example, if she breaks something, whether it is a lamp or a car, her
word or someone's heart, it can be up to her to make necessary repairs using
her own resources and her own creativity. In such a process she would learn
what effort means. She would learn what responsibility and consequences for
actions mean. She would learn reasonable limits and reasonable expectations.
Without such learning all she learns are the tricks involved in
being cute and manipulative to get what she wants. These are poor and
insubstantial tools to rely on when building an adult life.
Somewhere inside, over time, she may gradually realize this. But, having no
sense of boundaries, she will only become bewildered and anxious. She will use
her eating disorder as a way to numb her feelings of anxiety. She will use her
manipulating skills to get what she wants from whomever she can use.
As time goes by there will be less people who will allow themselves to be
manipulated. The quality of her circle of associates will decline. She will
find herself in bad company. This becomes all the more reason for her to rely
on food for comfort. The people around her are less reliable all the time. And
finally, they tolerate her presence only because they can manipulate her.
Then she is truly in a total victim position. Her manipulative skills
backfire. There are people in this world who are better at manipulating and
using than she. She has found them. She has become their target and then their
prey. Reliable food or food rituals, including starvation, become her most
valuable relationship.
Early in her development she learned through massive boundary invasions
(which perhaps seemed so ordinary and unimportant at the time) that she was
helpless to assert herself. She learned that she had no private or sacred space
to cherish and respect. She also could not acknowledge -- often even to herself
-- that she was being thwarted, invaded, controlled, manipulated and forced to
deny large aspects of her natural self. She had no recourse except to comply.
She complied and developed an eating disorder.
Now that she's older and her manipulation skills are failing her, she only
has her eating disorder to rely on. This may be the most crucial time in this
person's life. If her pain and despair are terrible enough and she is certain
she can not bear this way of living anymore she still has choices. One is to
continue down the road of self-destruction. The other is to reach out and get
help.
It's a very tough position for her. She would have to recognize that she has
had enough. She's never known what enough was. She would have to recognize that
she can't bear any more pain. She's never known what a limit was. She'd have to
be honest and reach out for genuine help. She has only known about manipulating
others.
She's got to feel a lot of anguish and pain before she stretches beyond her
life pattern into what might be a real healing and recovery path for herself.
She's reaching for something she can't even imagine. No wonder it's so
difficult for a person with an eating disorder to decide to get help and allow
themselves to begin to trust someone with knowledge of their real personhood.
She doesn't know that people exist who do respect and honor boundaries. She
doesn't know that there are people who can and will honor and cherish her most
private and sacred inner spaces. She doesn't know yet, that someday that
trustworthy, respectful, steadfast and competent caretaker she needs so badly
can be herself.
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