Tag Archives: anorexia

Vigilance, Part 1 – Neglect

“Color Coded” (2022) by Tania Love Abramson, a survivor of chronic sexual abuse, Image courtesy of AMA Journal of Ethics https://journalofethics.ama-assn.org

There are a thousand ways to harm a child.  The evidence of child abuse may be subtle or more obvious.  To remain vigilant against such abuse, those of us concerned for the welfare of children must learn to recognize the warning signs.

This series of posts will address such warning signs.  The signs here are derived from lists compiled by Prevent Child Abuse America [1A].  They fall into 4 categories:  neglect, emotional abuse, physical abuse, and sexual abuse.  More often than not, these categories will overlap in the experience of a child.

No single warning sign, by itself, is considered definitive.  Occurring repeatedly or in combination, however, these signs warrant further investigation.

General

The general signs that child abuse may be present in a family include unusual wariness on the part of a child; sudden changes in a child’s behavior; deterioration in a child’s school performance; and learning disabilities on a child’s part unrelated to an identifiable medical or psychological condition.

But the children of abuse may, also, be overachievers, anxious to please.

That said, we will begin with neglect.

Neglect

Child neglect involves the failure to provide for a child’s basic needs for nurture, nutrition, shelter, education, healthcare, and safety.

Neglect can be difficult to distinguish from poverty.  Sadly, there are children in this country who still do not get enough to eat, even in an otherwise loving home. Continue reading

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Filed under Child Abuse, Child Molestation, Emotional Abuse, Neglect, Physical Abuse, Poverty, Sexual Abuse

The Rose Garden, Chapter 16 – The Weight of Sorrow

File:Clothing Rack of Jeans.jpg

Clothing rack of women’s jeans, Source https://www.publicdomainpictures.net, Author Peter Griffin, (CC0 1.0 Universal Public Domain Dedication)

Man shall not live by bread alone, but by every word that proceeds from the mouth of God” (Matt. 4: 4).

It is late in the season.  I wander from one clothing rack to another, searching for my size.  The coats have been picked through.  There are few remaining.  It is unlikely I will be able to find a coat that fits, let alone flatters, me.

Please, God, I pray.  Please, let me find something.  I promise to lose weight.  I promise to try harder.

One scar of the incest has been of such magnitude in my life that it warrants separate discussion.  This is weight control.  I have prayed as fervently in the Women’s Department as in any cathedral.

For an abuse victim, the difference between size 8 and size 18 is no mere matter of discipline.  A child who is molested feels like offal.  Whatever impulses drive her abuser, she is less than nothing in his eyes, and — despite his soothing words to the contrary — she knows it.

Against this backdrop, weight often becomes a problem.  Eating disorders are common — anorexia, bulimia, binge eating, etc. [1][2][3][4].  In this, I am typical.

Distress, Defense, Punishment, and Shame

Food is a natural source of comfort for the sexually abused child, maladaptive when weight becomes an issue.

Weight serves many purposes.  It is a distress signal:  silent evidence of the molestation, the secret exposed.  It is a defense, the child’s feeble attempt to create a physical barrier against the predator; later, an emotional barrier to adult relationships.

Increased weight is a psychological way of hiding from rejection.  Failed relationships can be blamed on weight.  However painful this approach may be, it is less painful than rejection of the “true self.”

Weight is punishment for misplaced guilt.  The little girl cannot be forgiven for having engendered the violation (as if she did), and cannot forgive herself for being “unlovable.”  So her anger turns inward, with depression the result.

The cycle repeats itself — over and over — as weight is gained, lost, and regained.   In the process, weight becomes an alternate focus for the shame of the abuse.

All this is unconscious.

A Symbol of Rage and A Test

As the child grows into a woman, weight takes on even more shades of meaning.  It embodies rage at men; shouts, in effect, “Damn them all!  They’re vapid and shallow, anyway — unable to recognize real worth.”

It serves as a test for the woman.  It serves as a test for the man she hopes will love her.  It serves as punishment for the woman’s failure to be lovable, yet again.

Food as Love – An Analgesic and An Anesthetic

Food offers instant gratification while love, in her experience, does not.

Food is, of course, nourishment.  As the body requires food, so the soul requires love.  Love is vital.  The soul craves it.  Deprived of love, the soul starves.  Food becomes the unsatisfactory substitute for love denied, an analgesic against the pain.

In terms of our anger at having been abused, food is more like an anesthetic.  Unable to express that anger appropriately at the time, we forced it down with food, then “forgot” why we were eating (or denying ourselves food) so compulsively.  Attempts to diet are futile because they do not address the underlying rage.

Distrust of God

While we may not think in such terms, at a deeper level, a disordered relationship with food by abuse victims reflects a distrust of God.

Since our needs were not met as children by those who stood in God’s shoes, we have little reason to believe that God will meet them now.  So we try to meet them ourselves, try to assure that we will at least have as much (or little) food as we want.

But we cannot satisfy our hunger — our desire not only for love and justice, but for control over our own lives — since that hunger is emotional rather than physical.

God is capable of filling our needs.  However, we must first put our trust in Him.  For abuse victims, that can be a lifelong challenge.

All this applied to me; took me decades to decipher.  Continue reading

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Filed under Child Abuse, Child Molestation, Christianity, Emotional Abuse, Neglect, Physical Abuse, Religion, Sexual Abuse

Psychedelics for Anxiety, Depression, and PTSD, Part 1

File:Ecstasy monogram.jpg

Ecstacy a/k/a Molly, Author DEA, Source https://www.dea.gov, (PD as work product of federal govt.)

“I am more convinced than ever that psychiatric medications, over the long term, cause net harm.  I wish that weren’t the case, but the evidence just keeps mounting that these drugs, on the whole, worsen long-term outcomes…The inventor of frontal lobotomy…was awarded a Nobel Prize for inventing that surgery, which today we understand as a mutilation.”

-Award-winning science author and journalist, Robert Whitaker [1][2]

Recently, a number of drug trials have been conducted re-assessing the effectiveness of psychedelics for anxiety, depression, and post-traumatic stress disorder (PTSD).

While the results of these trials have been heralded as providing new treatment options for tenacious illnesses, there are serious dangers associated with psychedelics.

Serotonin

Psychedelics act on receptors in the brain for serotonin, a neurotransmitter that effects mood.

There is some thinking that psychedelics enhance the brain’s capacity to form and reorganize synaptic connections, especially following injury [3A].  But this hypothesis needs further research.

In the therapeutic setting, psychedelics cause a receptive, dream-like state during which memories are readily accessible [3B].  The theory is that this state opens the door to fresh ideas the therapist can introduce.

Unsupervised use is not recommended. Continue reading

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Filed under Child Abuse, Child Molestation, domestic abuse, domestic violence, Emotional Abuse, Neglect, Physical Abuse, Sexual Abuse, Violence Against Women

Reliving Trauma, Part 2

https://upload.wikimedia.org/wikipedia/commons/f/fb/Spaghetti_%26_Meatballs_%284%29_%2838218925246%29.jpgSpaghetti and Meatballs, Author John Freeman
(CC Attribution-2.0 Generic)

The Weight-Loss Battle

Again and again, you resolve to lose weight.  At times, you make heroic efforts in this direction.  You try fad diets, and supervised weight loss programs.  You try home exercise equipment and gym memberships.  You fast, may occasionally purge.

And you do lose weight, sometimes substantial amounts.  But as soon as you have acquired an attractive wardrobe in a smaller size, your weight shoots up again.  It is as if you were fighting a force outside yourself.

The pain of this is excruciating.  Giving away – one after another – the pretty items of clothing that no longer fit, you feel as if the flesh were being ripped from your bones, piece by piece.

This happens time after time, over the years, stripping you of hope.

Self-Control and a Negative Inner Dialog

Disciplined in other areas of life, you revile yourself for a lack of self-control where food is concerned, further contributing to an inner dialog which is already wholly negative.

You do your best to live a life of integrity.  But nothing you accomplish has value in your eyes, so long as you continue to have weight issues.

Scalding encounters with those who make clear their disgust at your appearance only reinforce your sense of worthlessness.

Weight Issues/Eating Disorders as a Substitute

Weight problems and eating disorders (anorexia, bulimia, binge eating, etc.) can arise from other causes than abuse [1].  But when abuse of some kind has occurred, they frequently serve as substitutes – an alternate focus for our shame, safer places to put our pain.

We may agonize over the difficulty of losing weight.  But, chances are, that is preferable to agonizing over the incest to which we were subjected.  The difficulty of the struggle reflects the depth of the wound. Continue reading

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Filed under Child Abuse, Child Molestation, Christianity, Emotional Abuse, Neglect, Physical Abuse, Religion, Sexual Abuse

Vigilance, Part 1 – Neglect

File:Child depressed alone poverty.jpg

Sad girl with doll, Source https://pixabay.com/illustrations/image-manipulation-girl-doll-stairs-3349068/, Author DarkWorkX
(CC0 1.0 Universal Public Domain Dedication)

There are a thousand ways to harm a child.  The evidence of child abuse may be subtle or more obvious.  To remain vigilant against such abuse, those of us concerned for the welfare of children must learn to recognize the warning signs.

This series of posts will address such warning signs.  The signs here are derived from lists compiled by Prevent Child Abuse America [1A].  They fall into 4 categories:  neglect, emotional abuse, physical abuse, and sexual abuse.  More often than not, these categories will overlap in the experience of a child.

No single warning sign, by itself, is considered definitive.  Occurring repeatedly or in combination, however, these signs warrant further investigation.

General

The general signs that child abuse may be present in a family include unusual wariness on the part of a child; sudden changes in a child’s behavior; deterioration in a child’s school performance; and learning disabilities on a child’s part unrelated to an identifiable medical or psychological condition.

But the children of abuse may, also, be overachievers, anxious to please.

That said, we will begin with neglect. Continue reading

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Filed under Child Abuse, Child Molestation, Emotional Abuse, Neglect, Physical Abuse, Poverty, Sexual Abuse

Ice Cream

Strawberry ice cream, Source sxc.hu, Author Lotus Head, Johannesburg, South Africa (Free use per OTRS ticket #2007062510004765)

“I scream
You scream
We all scream
For ice cream”

– “Ice Cream” by Howard Johnson, Billy Moll, and Robert King

We have all at one time or another over-indulged, whether in a pint of our favorite ice cream or a family size bag of chips.  And will again.  Food may not be a substitute for love, but it is readily available.

The need for love and connection is closely related to that for sustenance.  The need to reproduce is equally primal.  Human beings could not have survived without these needs being met, which is why they are so deeply ingrained in our nature.

Weight, however, is tied to self-loathing in our culture.  What American woman has not stood naked on the scale, waiting with bated breath for the dial to stop?

As many abuse victims know, the shame of abuse can be transferred to our weight.  The ongoing battle with weight provides us a permanent opportunity to vilify ourselves. Inversely proportional to our weight, our self-esteem can, quite literally, be measured by the pound.

When the damaged self-esteem resulting from abuse and the pressure on American women to be a certain size coincide, eating disorders frequently result.  Anyone acquainted with anorexia, bulimia, or binge eating knows these are often hidden.  The shame of these disorders coupled with the shame of abuse can be overwhelming.

There is worse. Some of us have eaten out of the garbage can.  This practice is not limited to the homeless among us [1].  There could hardly be a more apt symbol of low self-esteem. Continue reading

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Filed under Child Abuse, Emotional Abuse, Neglect, Physical Abuse, Sexual Abuse

Anxiety, Phobias, and PTSD – Part 1

“The Scream” by Edvard Munch (1893), National Gallery, Norway (Accession No. NG.M.00939), Source WebMuseum (PD)

God is our refuge and strength,
A very present help in trouble.
Therefore we will not fear,
Even though the earth be removed,
And though the mountains be carried into the midst of the sea
…” (Ps. 46: 1-2).

Most people have experienced anxiety, in one situation or another.

The death of a loved one, divorce, serious illness, job loss, and moving are recognized as major stressors [1].  Other anxiety producing occasions include public speaking (always a favorite), waiting on approval for a mortgage, meeting a girlfriend’s parents for the first time, and having the in-laws over for Thanksgiving.

Then, of course, there are a host of phobias.  As a general rule narrowly focused, phobias are no small matter for those suffering from them.  Phobias include the fear of heights, spiders, snakes, birds, tight spaces, bridges, flying, and blood [2].

Purpose of Anxiety

Anxiety is intended to alert us to potential danger, and prepare the body for it.

A part of the brain called the amygdala releases neuro-transmitters that initiate the so called “fight of flight” response, producing the sensations of anxiety [3].  The heart rate climbs; blood rushes to the muscles; the lungs work harder.  This process is largely autonomic.  We have, by design, very limited control.

For most, the panic associated with stressful situations quickly subsides.  Shallow breathing deepens and slows.  Rapid heartbeat subsides.

The audience does or does not throw tomatoes.  The in-laws smile or grimace – it’s sometimes hard to tell the difference – and swallow their turkey.  We eventually get the mortgage.

In short, the body figures out we are going to survive.

Anxiety Disorders

About 40 million Americans, however, suffer from anxiety disorders [4].  Severe anxiety, whatever form it takes, is debilitating and can be crippling.

A. PTSD

The severe anxiety resulting from traumas such war, rape, or child abuse is better known as Post-Traumatic Stress Disorder (PTSD) [5].

Whatever its origin, PTSD can cause recurrent, powerful, panic attacks, with or without an identifiable trigger.  These attacks are typically accompanied by heart palpitations, chest pain, the sensation of being smothered, and a feeling of dread.  A panic attack can, also, be experienced as paralysis and overwhelming fear.

PTSD sufferers may, in addition, experience flashbacks (vivid and disturbing memories, re-experienced involuntarily).  I have discussed these elsewhere [6]. Continue reading

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Filed under Child Abuse, Christianity, Emotional Abuse, Neglect, Physical Abuse, Religion, Sexual Abuse, Violence Against Women

Ice Cream

Chocolate chip ice cream, Source sxc.hu, Author Lotus Head, Johannesburg, South Africa (Free Use per OTRS Ticket #2007062510004765)

“I scream
You scream
We all scream
For ice cream”

– “Ice Cream” by Howard Johnson, Billy Moll, and Robert King

We have all at one time or another over-indulged, whether in a pint of our favorite ice cream or a family size bag of chips. And will again. Food may not be a substitute for love, but it is readily available.

The need for love and connection is closely related to that for sustenance. The need to reproduce is equally primal. Human beings could not have survived without these needs being met, which is why they are so deeply ingrained in our nature.

Weight, however, is tied to self-loathing in our culture. What American woman has not stood naked on the scale, waiting with bated breath for the dial to stop?

As many abuse victims know, the shame of abuse can be transferred to our weight. The ongoing battle with weight provides us a permanent opportunity to vilify ourselves. Inversely proportional to our weight, our self-esteem can, quite literally, be measured by the pound.

When the damaged self-esteem resulting from abuse and the pressure on American women to be a certain size coincide, eating disorders frequently result. Anyone acquainted with anorexia, bulimia, or binge eating knows these are often hidden. The shame of these disorders coupled with the shame of abuse can be overwhelming.

There is worse. Some of us have eaten out of the garbage can. This practice is not limited to the homeless among us [1]. There could hardly be a more apt symbol of low self-esteem. Continue reading

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Filed under Child Abuse, Emotional Abuse, Neglect, Physical Abuse, Sexual Abuse