CallaFirestormBW
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Joined: 6/29/2008 Status: offline
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ORIGINAL: porcelaine quote:
The situation is different, btw, for the individuals I've worked with who are "situationally anorexic" or "situationally bulimic" -- these are usually related to stress... either a traumatic situation in their lives or ongoing stressors that take their control away -- and the one thing they -can- control is their food intake. Two emotions come to mind in the group mentioned -- fear and anger. And it shifts. Fear of losing control and abject fury when threatened. So where do those desiring emaciation fall in? It depends, from what I've seen, on -why- they're seeking emaciation. I've met some folks for whom it's an aesthetic issue -- beauty comes from the starkness of the emaciated form. For others, it's a philosophical/spiritual/religious expression -- separation from "the flesh", and maintenance of the body in its barest, most minimalistic form. People who are pro-ana/pro-mia who have outlooks like these two examples, when they go pro-ana/pro-mia, are the more life-long, very dedicated practitioners. They also tend to know how to keep their bodies right at that edge between sparsity and destruction. Most pro-ana/pro-mia individuals won't seek out treatment, but they also don't tend to push themselves so far that they destroy themselves, either (though it can happen). The situational group are the ones who seek out emaciation as a way to "vanish" from some trauma they're experiencing or have experienced. They are, quite literally, looking to 'disappear' -- to slip into the shadows where they won't be a fully-invested presence in this world. The individuals in this example tend to waste away -really- quickly, and these are the ones who tend to restrict themselves to 4 celery sticks, water, and a couple of cups of lettuce a day. The hardest groups are the "mixed" groups. Pro-ana/pro-mia individuals who have been practitioners for a while, then go through some trauma and shift mind-sets from the structure and control of the long-term pro-ana/pro-mia to the instability and compulsive denial of the situational ana/mia. For these folks, they've been on the edge for a long time -- and the extra push from the trauma can kick them over into severe depressions (which, btw, come with deepening anorexia for many) and eventual shattering of their carefully planned regimens -- and, for many, hospitalization and even death. Pro-ana and pro-ana/pro-mia individuals tend to be the ones who do the long-term minimalist body thing. Most solely pro-mia folks never get the whole "emaciation" thing going. Their focus is more on control issues. At the same time, most people who are strictly pro-mia tend to fit more into the situational group than the long-term participants group. quote:
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To be honest, the individuals in this camp tend to be the ones who have the most health risks, and who often engage in other unhealthy behaviors as well. The individuals in this group also tend to choose attention-seeking means of managing their weight, rather than the quietly obsessive means used by the long-term pro-ana/pro-mia grouping. What methods have you encountered thus far? Everything from "public pukers" -- the folks who tell everyone that they're binge-ers, stuff themselves silly on everything in the table or house, then make a big deal about how much they ate and making sure everyone knows that they're going to go throw up -- to the two-lettuce-leaf crew... the individuals who go out with groups of friends and make it a point to let everyone know that they're on a "diet", and then proceed to pick out two lettuce leaves and nibble them for 3 hours, while everyone else in the social circle sits, uncomfortable, watching them pick over their "meal" (the "I'm only getting water because I'm on a diet" folks fit into this same category). For many of these folks, giving them attention when they're NOT doing the strange food behaviors thing can gradually shift them into healthier behaviors -- especially for trauma/stress sufferers... the strange food behaviors in the most verbal of the group are, in a way, like the "suicide advertisers" who are looking for people to confirm their right to exist, and let them know that they are cherished and people are worried about them. I see a LOT of this category as a ministerial counselor, and most of them stay with me after seeing the psychiatrist that I refer to for an evaluation -- because they don't really need "treatment"... they need someone to listen, and to remind them that whatever happened doesn't take away their value, and that someone cares whether they live or die. Just for comparison, a long-term pro-ana-mia will usually politely refuse invitations to "go out to eat" -- in general, they don't eat in public, since they know that their eating habits bother the people around them. The long-term pro-ana-mia also tends to choose methods like laxatives that are more 'invisible' than vomiting as a way to manage the 'mia' aspects of their body issues. Most of them supplement with liquid vitamins/minerals (since they lose so many nutrients in the quest to minimize calories), but they do so discretely. They tend to only shop with people who already be accepting, and avoid situations where their food consumption will be analyzed by bystanders. OTOH, most of the pro-ana-mia folks I've known, including my relative, are -very- social... they'll go shoe shopping, dancing/clubbing, RP-ing, etc., have a wide circle of friends that they do things with, hold down jobs/careers, and will be functional and often lots of fun... but they won't eat or discuss food around people whom they either don't know or don't trust to accept their choices, since they believe this will invariably lead to a ruined evening (and, to be honest, it often does, since the discussion usually leads to judgments and arguments.) quote:
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Once I realized how xhe saw the world, I completely understood why xhe was obsessed with re-creating hir body in that image. There are arguments regarding the presence of BDD. But my understanding of the disorder wouldn't allow me to make that assessment across the board for all ana/mia sufferers. I think there's a striking difference on how the body is seen. But I believe there's a scale involved. Grotesque to one is beautiful to another as you have eloquently expressed. For me, at least for my relative, it's not a matter of body dysmorphic disorder... xhe doesn't have a distorted image of how hir body appears. Xhe genuinely just finds emaciated bodies to be attractive. I guess everyone has to like something -- for hir, it's that 'skin over bones' look. Only about 25% of the people I've worked with over the years tended to fit into that "BDD" diagnosis, where they saw themselves as grossly obese when they were, in fact, severely underweight. The rest know -exactly- what they look like... they just have their own reasons for wanting their bodies to -be- that way. +++I have to stress that I don't consider any of the above groupings to hold the group of individuals who fit in the category of "I'm starving myself because my coach/teacher/boss/designer/photographer/agent/keeper/parent/name-your-authority-figure-of-choice says I'm way too fat and if I don't get skinny I won't get X/I'll lose my job/my *** won't love me any more". This is a completely different issue having to do with damaged self-authority and often, insufficient experience or information to realize just how badly the person is damaging hirself (a failure of information often reinforced by the authority-figure in order to retain control of the individual in question and/or the outcomes of that individual's potential career/social life, etc.) Calla
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*** Said to me recently: "Look, I know you're the "voice of reason"... but dammit, I LIKE being unreasonable!!!!" "Your mind is more interested in the challenge of becoming than the challenge of doing." Jon Benson, Bodybuilder/Trainer
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