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Anti-anorexia/anti-bulimia Consultation-Gerald Dear Gerald David Epston mentioned to
me that you are very much unsure about the relationship with
your sister, Kerry. I also have a brother and
I think he feels very much the same way. We once had a very
close relationship. This was utterly shattered but thanks to
the gradual improvement since my discovery of
'anti-anorexia' (I am trying to avoid sounding evangelistic
about this), our relationship is definitely
improving. Before anyone was brave
enough to label me 'anorexic', I became totally withdrawn
from my friends and family. My brother, busy with his own
world, seemed not to notice me at all. I could not
understand why he never spoke to me. I didn't understand
that it was probably because I didn't speak to him. This
seeming lack of interest in me increased my feelings of
worthlessness as I felt that he was not sufficiently
interested in me to be bothered. I was very moved when my
cousin told me as we prepared for my 17th birthday that he
noticed my dramatic loss of weight and was upset by
it. I sometimes think that
one of anorexia's purposes is to get those who love you to
prove it by seeing how far you have to go in your
self-destruction before they reach out and say - 'Stop, I
love you too much for this to happen!' After the issue of
anorexia was confronted, from my brother's point of view,
things became more difficult. In a couple of family therapy
sessions that we tried, he was pretty monosyllabic so I had
no idea of his thoughts and feelings. My outburst over meal
times became increasingly loud, aggressive and disturbing.
Grant would spend his evenings trying hard to avoid me. I
think that he was probably pretty scared of the monster I
became. As I started feeling
better about myself and my mind became freer (at times) from
Anorexia, things begin to improve. Unfortunately my brother
was the last to see this. Family situations were tense and I
would often jump down his throat for any slight oversight or
misdemeanor on his part. He wouldn't retaliate, which on
occasions would aggravate m &endash;e further. However, my
brother could not see into my mind and see when I was 'safe'
to talk to. So he didn't at all. My hostility towards
Grant triggered my lack of toleration of his imperfection
but was probably rooted in my jealousy of his relatively
carefree and happy life. Unfortunately I have
found it very hard to talk to my brother about any of this.
It requires me to be free of anorexia, relaxed and happy. At
these times the last thing I want to do is destroy the
moment by remembering what it is like when I'm not free. It
is rather embarrassing to admit. What do you say? I know that you are
probably pretty confused as to what to say to Kerry and how
to support and help her. Remember she is still the sister
that you grew up with, even if she has forgotten herself. I
think I forgot who I was. Reminiscing with my family helps
this heaps. Constant positive affirmation is very helpful.
Even is she rebukes you at the time, she will remember the
comment and ¡ smile about it later. A few afternoons
ago, my brother made me feel like he really admired me. This
felt wonderful. I hope I will soon be able to let him know
how much I admire him. A feeling that I have
felt quite strongly when I have had low points is the need
for someone to hold and protect me. A male friend who filled
my big brother's role for a while, spent many evenings just
holding me, which would actually let me relax. The safety I
felt would allow me to physically relax and would actually
anchor me down to watch a video or TV - something I needed
to do but unless someone "made me", I wouldn't or
couldn't. For me, the need to be
loved, particularly by my brother was very intense. Very
often when I have been feeling small and scared, I would
have loved my brother to notice, to speak to me, to hug
me. It sounds as though Kerry
is making some big steps. Don't let displays of old anorexic
behaviour convince you to otherwise. The road back can be
longer and more painful than the decline. Most of all hate anorexia
but love your sister. I was trying to be perfect for my
brother because I loved him so much. I think Kerry has been
trying to do the same. Mary

??/??/98
Mary
(age 17)
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