by Marcelle Pick, OB/GYN NP
In all my years as a health provider for women, I think I can count on one hand the number of women for whom emotions played absolutely no part in their relationship with food. Our emotions and how we eat (and when and what) are so intertwined that I think it is virtually impossible for a woman to get healthy — and, eventually, to lose weight — without first addressing her emotional attachment to food.
Each day I hear all kinds of stories about women’s emotional relationship to food. For many of my patients, these memories, particularly the early ones, are fond ones: the ice cream truck on a hot summer day, traditional holiday meals celebrated with family. These stories underscore how food can be used to make us feel comforted, connected and loved. In many families food is the only currency of love, a legacy many women unwittingly pass on to their own daughters and sons.
Or just as often, the opposite may occur. Mealtimes may have been excruciating exercises in power or parental control. How many children sit down to a meal only to hear, “I have a bone to pick with you?” How many are forced to sit at the table until they eat everything on their plate? Who wouldn’t eventually lose their appetite after being fed a regular diet of criticism and shame every evening?
As women move into their adolescence, stories often morph into tales of deprivation and triumph over food, the perceived enemy. One of my patients describes how she and her friends ate one meal a day all through their senior year in high school, squeezing each other’s hands in support, so they could fit into tiny little prom dresses in June. Another remembers coming home and lambasting herself if she ate more than half a yogurt container for lunch. Often adolescence for girls is the entry into what may become a lifetime of self-loathing, all for wanting and needing to do something that is a vital necessity — eat!
Our society has few rituals in place to make teen-aged girls feel comfortable with their emerging curves and hormonal surges. As a result, a girl’s burgeoning body, her promise of fertility and womanhood, can feel threatening—more so to herself and her parents than anyone else. And if a woman never finds a way to feel comfortable with her grown-up shape, either through romantic love or emotional work, this discomfort parlays into an ongoing struggle with food and self-esteem.
Eating disorders aren’t the exclusive domain of young women. In their book, Runaway Eating, Cynthia Bulik and Nadine Taylor help clarify why huge numbers of women in their 40’s and early 50’s now find themselves coping with midlife stress through unhealthful eating patterns, including binge eating, yo-yo dieting, calorie restriction and compulsive exercise. While a woman at this age may not consider herself anorexic because she eats regularly, her obsession with maintaining control (and not just of her food intake) can be just as destructive. Emotional attachment to ritualized denial — of food, of pleasure, of money, of rest, of sex — is anorexia in another guise. It is an effort to erase a part of yourself or your life that weakens your sense of control.
And women aren’t the only ones doing the erasing. Just look at what has happened to dress sizes in the past 40 years — for those of you who still sew, you know your pattern is really a “12” even though designers are sewing size “6” labels into your clothes these days. And what’s with size “0,” “00” and “000” anyway? Do women need to fully disappear to be truly attractive?