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of Resistance:
Anti-anorexia/anti-bulimia Separating
the Person From the Problem Few problems have the
comparable capacity to 'make over' one's identity as
completely as anorexia. To those who have known and loved
these young women all their lives, they can become
estranged, almost unrecognizable and at times lost or
disappeared. Many anti-anorexic women have accounted for
this by descriptions of having their lives lived in a
servitude that only allows for robotic obedience to
tormenting requirements. Others, on regaining themselves,
recall a sense of having their 'life' drained by a vampire
blood-taking or parasitized until they become insubstantial
at best and zombie-like at worst. Others have talked about
being 'replaced' or 'substituted' for by anorexia. Anorexia
first 'entwines' or 'tangles' them up and gradually
restricts their movements. Fran (aged 46) combines stalker
and prey, parasite and unwilling host in her
account: Finally, not a movement
or a gesture is sensed to be their own; everything they say
or do belongs to anorexia. Anorexia has now ventriloquized
them and is it any wonder that friends and family often
wonder to whom they are speaking. Anti-anorexia, in
contrast to this fusion of the person and the problem,
presses the separation to its logical extreme in what I
refer to as a radical externalizing conversation. It is this
very conceptual distance that allows for a) the historical
tracing of the anorexic occupation and b) the resistance to
it. In doing so, every critical and oppositional opportunity
is taken. There are profound differences between seeing a
person and a problem as separate than identifying them for
all intents and purposes as conflated. In fact, one might
conclude that an anorexic occupation is completed when any
pre-anorexic identify claims are so obscured as to be
forgotten. And if you were to assist such a person to
remember them, they find such memories to be so beyond
belief that they have to assume they are fabrications. The
pre-anorexic past is dismissed as something akin to a dream,
a figment of their imagination. This past no longer has any
status whatsoever as their 'truth'. By conceptually and
linguistically pulling the problem and the person as far
apart as possible without breaking their relationship, there
are many openings. Needless to say, anorexia will do its
utmost to suppress these and close the gaps. The anorexic
invasion first conquers and then colonizes to the extent
that the conquered cannot recognize themselves any longer.
They can only see them ÿselves through the 'eyes' of
anorexia, if they were allowed to look anorexia in the eye.
Rather they are required to defer and either look away or
more commonly, down. Many of the
medical/psychiatric/psychological discourses that intersect
construct anorexic subjectivities as forms of pathology,
disease or disorder often such diagnostic identifies are
sought after by such women in order to tell them who they
are at the same time as signaling obedience and loyalty to
anorexia. Some have told me of doing so even though they
were fully aware that they were being taken
'prisoner'. Anti-anorexia makes
available a variety of anti-anorexic subjectivities, there
for the taking up and trying on. Questions are asked to have
people resonate with either what's available or to extend
the range:- Although there is an
interest in the history of how one was 'seduced' and
'betrayed' by anorexia, there is a far greater concern in
the conscientious objection and resistance and repudiation
of an anorexic identity. If anorexia demands - 'You are me!
I am you!', anti-anorexia would enquire 'How do you want to
make yourself up?' 'What are your likes and dislikes?' 'Your
desires and passions?' 'Your causes and calling?' how can
you be sure these are your preferences rather than
anorexia's, masquerading as yours? Anorexia according to
Estroff, (1993) is an 'I am' illness which involves what she
refers to as the 'transformation of the self' which is
occasioned by the joining of the Problem and the Person. ý
This occurs according to Estroff "at one end of a continuum
of subjectness/objectness of their illness along which each
person locates their illness in relation to self . . . that
is how closely linked to one's self the illness is
considered". She goes on to differentiate between what she
refers to as 'externality' and 'internality'. Kathy, aged 30, a
linguist in her own rights had this to say about this manner
of speaking: Bulimia has no words
for f kreedoms. Talking anti-bulimically replaced the
passive with the active. That's what it's all about. And
there were no 'goals' in this therapy. And you never
asked me 'have you vomited?' And you didn't talk about
food. That was brilliant because it enabled us to get
into the nitty gritty. I found it enlightening too when
you told me where you stood on eating disorders. It made
me feel we were on the same level. We were tackling this
problem together. I had never felt like this before with
professionals. Now as far as bulimia
was concerned, 'the ball was now in my court whereas
before, I was in bulimia's court'. That's how I started
feeling free because now I was doing the serving whereas
before I was completely under its control and direction.
I was in a kind of linguistic trap - there was absolutely
no way out for me. I felt like a dead person in a dead
end".

21/March/00
David
Epston
'Anorexia is an
energy somehow rootless and without foundation, like a
will-of-the-wisp or a shape shifter that moulds and
remoulds itself according to the condition or state of
mind of the prey. It is nebulous and coreless - and it
tries to find a core by eating out the core of its prey.
Bloody parasite! And it tries to create a seemingly
symbiotic relationship with its prey when in fact it is
parasitizing it. It then maneuvers the prey into thinking
it cannot live without it'. (Private correspondence, June
28, 1998).
"Externality is
frequently associated with pronounced objectness of the
illness; internality often accompanying illness
experienced as subjectness.... alternatively, referring
to an injury or condition as an 'it' or with verbs of
possession (e.g. have) indicates a more conceptual
distance from self, and we would locate that person
toward the illness-as-object end of the continuum".
(259-260)
"Anti-anorexia
twisted the very words by which we spoke together. I felt
things staring to turn around. Firstly, I turned away
from feeling powerless. Before, I just felt like mush
inside. There was nothing - no strength, no depth and
seemingly not even any marrow in my bones. This way of
talking made me able to tackle. Secondly, there was a
complete shit in the relationship between the 'therapist'
and 'sick person' and instead we became
interviewer-interviewee. And through this, I felt valued.
I'm real and not a pathetic person with a pathetic eating
disorder. It was a really powerful situation, enabling
trust to develop. Thirdly, this new language made
everything acceptable. In fact, the way you asked the
questions made bulimia real. And I no longer felt like a
freak. Sure, I'm exactly the same person I was before but
now I can see myself as 'natural'. Fourthly, this therapy
helped me start opening OUT rather than opening UP. By
'opening up', I suppose I mean confessing. This is
working because I now think anti-bulimically, or in other
words, opposite to a bulimic way of thinking.
This has enabled
me, for example, to see that my boyfriend may not be
right for me rather than me trying to be someone for him
that I'm not. When I thought bulimically, it was - 'I
must ...I have to.' Bulimia was disciplining me. Within
its constraints, there was only pass or fail - and
strange as it sounds, my failure was inevitable.
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