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Posted Aug 26 2008 12:16pm
It struck me recently how pervasively the sensitivity to the fears of an eating disorder patient can lead us to try to avoid those stressors . The easiest examples would be avoiding fats, 'trigger foods,' 'junk food.' And even when we draw the line and say 'you need fat, you need full nutrition, you need to face your food fears' we can still built a cocoon of safety on other things.



Things like the (stupid, sexist, devaluing, offensive) media.



Like thinner people. Or fatter people. Like even benign comments about appearance.



Like stress and eating out and change and - LIFE.



I've grown sensitive on a lot of these issues as well, and I'm starting to wonder if I've gone off the rails.



We don't ban soap commercials for the benefit of people with compulsive hand-washing. We don't close down the Space Program because it validates the irrational fears of schizophrenics who believe they've been abducted by aliens. But in the ED world we do avoid "triggers" and try to change the environment around the person.



Perhaps that is a seductive approach because things like size 0 models and sexism and stress really ARE things to hate.



I don't have an answer... I'm just thinking.
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