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Understanding Eating Disorders

When bad things happen to good people I What do you mean "Bad things"?I When bad things happen to your body I When you have no control I Food for coping I Facing this I Resources at Brown I Links you can use

When bad things happen to good people
Sometimes eating disorders are linked to bad experiences you have suffered. When bad things happen to good people, you can end up feeling a lot of badness inside. This feeling of badness should reflect only on whatever unfortunate events have happened; but frequently you come to feel bad about yourself, as if you are bad. A young woman who has been sexually assaulted, for instance, may blame herself for it, perhaps see herself as the cause of what occurred, or even see herself as having deserved it. This kind of negative belief or feeling about yourself can cause all kinds of problems, especially problems that are characterized by neglect or mistreatment of yourself and your well-being. An eating disorder would fit with this picture and it commonly does.

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What do you mean, "bad things"?
In the category of bad things that happen to people are such things as:

  • Isolated traumatic experiences, like a car accident or a bad medical procedure
  • A physical or sexual assault (including acquaintance rape)
  • Being in a fire
  • Anything out of the ordinary that is a shock to your being and to your sense
    of safety in the world.

Bad experiences that leave a mark on your psychological state may also include ongoing circumstances and situations that are less obviously dramatic, for instance, such things as:

  • Being in a humiliating or abusive relationship
  • Living through the illness, death or suicide of someone close
  • Significant experiences of personal failure
  • Painful outcomes in relationships
  • Ongoing excessive stress or feelings of helplessness
  • Growing up in a family where there was a great amount of punitive and harsh judgment
  • Witnessing terrible things (such as the images of September 11, 2001)

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When a bad thing happens to your body
When you have bad things happen to your body (such as injury, terrible illness, physical assault, sexual assault or molestation), you may show signs of your distress through your body. Sometimes you have physical symptoms caused by stress (e.g. headaches, irritable stomach, lowered resistance to colds/flu), and sometimes you take your distress out on your body (sleep deprivation, alcohol abuse, cutting). Eating disorders can be like this: starving, bingeing, vomiting, using laxatives and over-exercising all abuse your body. Many young women who have been sexually assaulted or abused (clearly violations to the body) are also bulimic. It is a kind of unconscious way to express and manifest pain without directly talking
about it.


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When you have no control
Almost by definition, the nature of a bad experience is that you have (or feel you have) no control or power to do anything about what is happening to you. A common theme in eating disorders is control:

  • People with anorexia tend to strive for perfection and control
  • Following an out-of-control binge, people with bulimia may attempt to regain control by purging
  • People with binge eating disorder describe feeling uncontrollable urges to eat

Ironically, once you can talk about it, you may admit feeling you have lost control of your life, emotions, and body because of the eating disorder.

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Food for coping
Using food and eating behaviors to cope is an attempt to feel better. But it doesn't really work in the end. To deal with painful experiences, you may try to manage your feelings by overeating, undereating or purging. These behaviors can and often do have the immediate effect of soothing, comforting, or numbing. Although these methods may be an effective short-term fix, they aren't effective in the long term and can have many negative consequences. The trick is to find alternative coping methods that help you feel better, but that don't interfere with your health and well-being. Often, people need help figuring out new ways to cope effectively.


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Facing this
Remember it was the event that was bad; not you! Overcoming eating disorders associated with bad experiences involves:

  • A willingness to seek help for your problems
  • Seeking out a supportive professional relationship
  • Gaining awareness of the link between one's eating patterns and the feelings and perceptions associated with bad experiences
  • Learning new, healthy ways to cope effectively with emotional pain

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Resources at Brown


Located on the third floor of Health Services.
Confidential information or care is available through individual appointments or phone consultation with a Nutritionist to discuss the many types of eating concerns you may have regarding yourself, a friend, roommate or teammate. Health Education also offers workshops, pamphlets, and reading materials covering these and related issues. There are no fees for Health Education services.


Located at the corner of Brown and Charlesfield streets.
Confidential information and care is available on a walk-in, or by scheduled appointment basis. Care is available for initial, current or past disordered eating patients. There are no fees for medical care at Health Services. However, there may be fees incurred if laboratory tests, medications, specialist or emergency hospital care is needed.


Located on the fifth floor of J. Walter Wilson.
Confidential appointments are available at Psychological Services for students concerned about their eating issues. Guidance is also available for those who are concerned about a friend, roommate, or teammates' eating. Services include crisis intervention, short-term psychotherapy and referrals. There are no fees for appointments at Psychological Services.

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Links you can use


This site looks at ways we can feel good in the bodies we have. One of their slogans: "Remember, your body hears everything you think." Other topics on the web site: Size Acceptance; What do you say when everyone around you is dieting? 200 Ways to Love the Body You Have; Dieting Detox; Evaluating Weight Loss Programs: What are the Red Flags? Free subscription to email newsletter "Body Positive Pages."


Highly recommended web site, offering support and programs for people seeking a lifestyle without diets. You can take a self-profile quiz that cues you to the many benefits of a non-diet life. Slogan: "You Count, Calories Don't." Run by a registered dietitian. This site includes a chat line, resources and links to other sites.


This site provides signs of eating disorders, motivational support talks, information on cultural issues and how to help loved ones.


This site includes definitions, statistics, warning signs, causes and frequently asked questions.


This site provides general information about eating disorders and body image concerns, tips for helping a friend and referral sources.


Provides information and treatment resources for all forms of eating disorders.


Articles from the ADA on eating disorders, including The Female Athlete, Compulsive Eating and Anorexia.


Information on eating disorders, books for sale and resources in Spanish.

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Adapted from the Boston College Eating Awareness Team
Written by Boston College Counseling Services

 

 

Disclaimer: Health Education is part of Health Services at Brown University. Health Education maintains this site as a resource for Brown students. This site is not intended to replace consultation with your medical providers. No site can replace real conversation. Health Education offers no endorsement of and assumes no liability for the currency, accuracy, or availability of the information on the sites we link to or the care provided by the resources listed.  Health Services staff are available to treat and give medical advice to Brown University students only. If you are not a Brown student, but are in need of medical assistance please call your own health care provider or in case of an emergency, dial 911.  Please contact us if you have comments, questions or suggestions.

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last modified: June 3, 2009

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