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Narrative Approaches Help Conquer Disordered Eating
The approaches found most effective to recover from eating disorders and “disordered eating” behaviours include (but are not limited to) cognitive-behavioural, narrative, family systems and developmental theories. These knowledge bases help those struggling with body image issues and eating disorders to work alongside mental health therapists, dietitians and doctors to improve health outcomes. Today’s blog post provides a sample of the approach in one homework assignment completed by a teen girl. She was asked to first write from her perspective and then, second, re-write the story from the perspective of a five year old.
1- “Stinkin Thinkin”
Once there was a girl named Rae. She went into the front doors of the school and walked up the stairs alone. When she got to the hallway of her locker, she stared down it and looked behind her. ALONE, she thought. She turned the combination key until it was open, and began organizing her locker and getting the books that she needed.
People started filling into the halls, some would say hi but they would still leave. They don’t really want to be with me anyways, she thought. The halls were now crowded and she just wandered until the bell rang, When it did, she walked into class and sat down. She acted happy and engaged in conversation; meanwhile she was feeling like complete crap.
At lunch time she debated on eating. DON’T EAT, you’ll lose weight, she thought. But she was hungry, so she ate anyways. Don’t eat when you get home, she thought. But she did, and became into a binging session, which lead to purging. PurgepurgepurgepurgepurgepurgepurgePURGE. The voice inside her head was loud enough to make her listen. She didn’t eat for the rest of the night.
After her shower, she regretted glancing in the mirror because now she was sad and angry. She grabbed the fat on her stomach and began to cry. I hate my body, she thought. She looked away, put some pj’s on and cried herself to sleep. I can’t wait until the day that I can love myself, she thought.
You can see here a small sample of how pervasive the thoughts can become underlying disordered eating patterns. Of course, the feelings of disgust, loneliness, anger, confusion, worry, anxiety, sadness and isolation will drive and increase the negative behaviours of over exercise, laxative use, food restriction, binging and purging. With these thoughts, feelings and behaviours the person’s story about themselves, their bodies and their options for recovery, worsens.
When taking a narrative approach, combined with cognitive-behavioural strategies to change, people suffering are asked to consider the perspective from a five year old’s vantage point. In order to contemplate change and re-writing of the negative story, clients are to ask themselves; What would a five year old me say about eating, body, exercise, food etc.? The following is the second part of the teen girl’s homework; narrative “re-writing” of disordered eating from the five year old’s view;
2- “Five year old”
Once there was a girl named Rae. She went into the front doors of the school and walked up the stairs alone. When she got to the school, she looked around her and thought, people will be here soon, I’m just early. She played and waited for people to arrive.
People started arriving, some would say hi but they kept walking past her. They’re just busy, she thought. The halls were now crowded and she just wandered until the bell rang. When it did, she walked to class and sat down. She acted happy and engaged herself in conversation, meanwhile she was feeling pretty badly.
At lunch, she debated on eating, if you’re hungry eat, she thought. So she did. You can always have a snack when you get home too, she thought. She felt guilty for eating and was contemplating purging. Ew don’t do that, that’s gross, she thought, so she didn’t.
After her shower, she looked in the mirror and felt confused about her body. Every body is different and unique, she thought. She looked away, found some pj’s and went to sleep.
Thanks to this courageous teen author for sharing her narrative homework above in her efforts toward a healthier and happier future.
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