I am going to write posts about this experience as I am moved to do so; I may not publish them in chronological order. As I said on Friday, there is so much I want to share, but I don't want to do it all in one post.
Social Butterfly's diagnoses is Anorexia Nervosa: Restricting Type. This means she doesn't binge, purge or exercise obsessively, but does restrict her food intake.
The piece of information that turned my thinking upside down in regard to Eating Disorders (ED) is that weight loss causes ED in those genetically predisposed to ED. Think of it this way--two people begin to drink; one becomes an alcoholic and one does not. Why? Because one person has the physiological make-up of an alcoholic and the other does not. The exact same thing happens with those that diet (usually females, but EDs do occur in males).
The above piece of information, the genetic component, resonates with me so much because I know I had a healthy, self-confident, happy daughter before she started to eat "healthily" in order to lose some weight and get in shape. I also know that my family, while not deliriously happy every second of every day and not absent any difficulties, is a happy family.
If it could happen to my girl, it could happen to anybody.
There are things I discover in the research that baffle me in regards to SB as well. "Individuals with AN are characterized by marked perfectionism, harm avoidance, low novelty seeking, conformity and obsessionality . . ."
Marked perfectionism? Absolutely not. She achieves well academically, but is not an academic standout (believe me, I know many perfectionist kids and she's not one of them). She likes to do things well, but she doesn't fall apart if she doesn't succeed.
Harm avoidance and low novelty seeking? I'm pretty sure that would preclude her 14th birthday tandem paraglide or the 18th birthday skydive she and MVP have been planning for next Thanksgiving.
Conformity? My girl quit cheer after her first year because she wasn't interested in that type of conformity and she is one of the most independent-minded/immune to peer pressure girls I've ever met. From day one teachers have commented on the way she follows her own path, so it's not just my opinion.
Obsessionality? This one I can make a slight case for--though I would describe myself as far more obesessive than SB. When she was a toddler she had to wear the shoes that best matched her outfit (though the fact she had 18 pairs of teeny-tiny shoes was my obsession) and she did love to have everything in her room exactly in its place; though her teen-age self does not have that problem. She is extremely organized, though in a way that is productive.
That said, since the ED has taken over, she certainly does obsess over food and is very perfectionist in her presentation of food. Who would think a raspberry could take six bites to eat?!
The biggest myth about eating disorders is that they result from a need to exercise control because the person has no control in other areas of their life. That may be true for some, and control is certainly a hallmark of the disorder, but is a blanket generalization that is wrong as often as it is right. Certainly (thank goodness for this mother) the eighties thinking that eating disorders were the result of controlling mothers has long been disproved. And really, if controlling mothers were the issue it would have been one of the older kids that would have had an ED--no mother is controlling with the fourth child!
The other myth that I absolutey believed is that society's obsession with thinness is what leads girls to focus obsessively on weight and become anorexic. Our obsession with thinness may lead to dieting in some, which can turn into an eating disorder, but look at all the people that don't have EDs. It's just not as clear as it sounds.
The following, from an article co-written by the doctor that runs the clinic where SB is receiving treament, sums things up. "The etiology of an AN is presumed to be complex and influenced by developmental, social, and biological processes."
Tomorrow I'll post the warning signs of an eating disorder--they're not all what you would expect.