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Elizabeth Comen

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“A person struggling with an eating disorder keeps their rituals and disordered behaviors secret - it is a double life of sorts - and the behaviors themselves could be thought of as a maladaptive attempt at a solution. The symptoms are used to maintain a state of mind, full of fantasies of the possibilities of a 'moment' or a 'life', without what 'feels' unbearable. The person, in the eating disorder (ED) 'body-state,' truly believes that there is no other way.”

“Sadly, fierce in-group/out-group biases live within the eating disorder complex, generating and sustaining an ethical code of the culture as girls and women project their shadow upon one another. Individuals with anorexia secretly scorn those who struggle with bulimia or binge eating, those with bulimia and binge eating feel gross, often “wishing to be anorexic,” yet detesting their slim sisters with vicious jealousy. A callous hierarchy is formed, with anorexia as the ideal; bulimia, as a very distant underworld second; and binge eating, clearly at the bottom of acceptability.”