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Quote by Michael A. Singer

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The Untethered Soul: The Journey Beyond Yourself

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Michael A. Singer

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“Les coses que van callar aquella nit sempre més van quedar callades. Tancades al fons del pit i sota la carn, arraconades entre les escletxes de les articulacions. El dolor de mare, la injustícia, cada matí com tot el mal del món repetit, la ràbia rapaç, la impotència, la pena, l'abatiment. I les altres: la responsabilitat de viure i l'esgotament de viure, però el mandat imperatiu de viure i la perspectiva hòrrida de continuar vivint i d'oblidar i de recuperar la força.”

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“While many anorexic and bulimic patients describe themselves as feeling disconnected from their bodies, or even like heads without bodies, they are also trapped in an inability to differentiate affect from bodily state, as evidenced through difficulty articulating feelings verbally, and the use of food and the body as the primary or only means of self-expression.”

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“If the eating disorder is concretized by the "not-me" ED, the patient is allowed the safety to look around comers, to follow this "other self' into the kitchen; the bathroom; yes, even the bedroom; to observe. Shame and blame are reduced; curiosity is enhanced. Conceptually this is interesting. Many patients are able to observe once allowed to look. They know well who they are at these moments. Relationally, however, they have never been entitled to look, and, as a result, self-observation and understanding have been thwarted by relational constraints and consequent immediate behavioral enactments. Ongoing, the patient is asked to consider what alternative behaviors can replace eating, purging or restricting. If the patient weren't thinking about food or weight, what else would she be thinking about? What else is needed? As the patient begins to consider concrete alternatives to symptomatic behavior, "contracts" are developed between patient and therapists.”

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Book:Psychoanalytic Treatment of Eating Disorders
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