Does anyone else have serious issues with the concept of "restriction"? It implies a certain responsibility and agency in disordered decisions that people with EDs simply don't have.
I remember the first time I heard the word, “restriction”. I was 14, sitting in my GP’s surgery, being quizzed on my apparent malnutrition – or, rather, listening to my mother being quizzed on it. The GP had established that I refused to eat any but a small quantity of a small variety of foods – spinach, yoghurt, bread – and had so done since early childhood. I’d be horrified by the very concept of consuming anything else.
One word kept recurring. “Does she restrict her intake of food?” Restricting. Again and again, the GP referred to restricting. I was confused. Restricting? To me, the word suggested dieting – making a conscious effort to cut back on food or to eliminate certain foods. To me, the conscious effort came in eating-properly. Not-eating-properly wasn’t something that required thought or effort. It was the default position.
At 15, being diagnosed with anorexia nervosa for the first time, the word was back. A weigh-in at 4st 10lb, a battery of questionnaires, and a short meeting with a shaky, frizzy shrink, and I had a new name: “anorexic, restrictive type”. The question was put to me by every psychiatrist, doctor, hospital admissions officer that I met: “do you restrict?”. “For how long have you restricted?” “How many calories did you restrict to?” On my first day at the ED unit, I interrupted. “I don’t restrict.” Silence. “Restriction – that implies that I tried not to eat. I tried to eat, I really did, but I couldn’t. For me, ‘restriction’ would be restricting starvation.”
People see anorexics and see willpower, strength, commitment. I have none of those things, and most likely never will. If I did, I would have eaten.
It doesn’t take me willpower, strength, or commitment not to eat. As a child, I would often simply forget to eat, and have to be led to the table, hours late, by frustrated materfamilias as my brother washed the dishes. I count calories, not to cut them down, but to ensure that I consume enough. When I eat, I “restrict” my starvation. When I eat, I’m going against visceral, primal, instinctive cues against the quotidian horror of consumption. I’m not dragging the rock of Tartarus to the top of the hill; I’m pushing it.