SEX AND DREAM: THE PENIS

May 8th, 2009

To understand how the penis can double in size, one has to know something about how the penis is constructed. The penis is like two spongy sausages side by side, or a double-barrel shotgun. It can be filled with blood by the opening and closing of a special form of valve system. When the valve of the incoming blood vessel is opened and the valve on the outgoing blood vessel is closed, a lot of blood is trapped in the spongy component of the penis. The penis becomes turgid and erect. It is estimated that the blood flow in the flaccid penis is 5 ml per minute. At the start of the erection, the blood flow may go up to 100 ml per minute. When the penis reaches a stable turgid state, the blood flow is maintained at about 50 ml per minute. The control of this valve system is not a completely voluntary one. If a man decides to have an erection, even if he desperately wants to, he may not be able to have one. This is because the valves around the spongy part of the penis are controlled by the autonomic nervous system. This system controls various bodily functions, such as stomach movements, and is not directly under our control. Remember the time when you burped in public and were embarrassed? You had no way of preventing the burp, because burping is under the control of the autonomic nervous system.

In fact there are two major groups of activities in the body, which are controlled by two separate systems. These are like the gear changes of our cars—automatic and manual:

* The automatic system is controlled by the autonomic nervous system. This regulates our stomach movements, heart rate, blood pressure, etc. and, of course, male erection

* The manual system is controlled voluntarily by our brain; for example, you can move around or sit still whenever you want.

The only time that these two systems are not under our control is during dreaming. In REM sleep, the manual system is no longer working and the muscles are completely relaxed, even in the most tense people. So when a man dreams, on the one hand the genitalia are doing their compulsory exercises, on the other hand the muscles of the body are having a compulsory rest.

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THE SELF-MANAGEMENT OF ANXIETY: THE POSTURE FOR THE

April 29th, 2009

EXERCISES-ASSUME A POSITION THAT IS NOT TOO COMFORTABLE

The actual posture of the body has quite an influence on the effect of mental exercises. This applies particularly to our degree of comfort, the symmetry of our bodily position, and the movement of our body.

Assume a Position That Is Not Too Comfortable-Most people believe that the more comfortable we are, the more effective will be our relaxation. This idea is quite wrong. If we lie down comfortably on our bed, relaxation comes relatively easily. But as I mentioned previously, this type of relaxation has little effect in relieving our inner tension. When we relax in this way our relaxation is largely brought about by the physical comfort and warmth of our surroundings. Our body and limbs are supported comfortably by the soft bed. Nervous impulses arising in the skin, muscles, and joints report this state of affairs to the brain. As a result we feel relaxed. But this is not what we want. We aim for mental relaxation which comes from the mind itself. In order to achieve this we must not be too comfortable; if we are, our brain is swamped by comforting messages from our body and limbs, and there is little need for the mind to assert itself in this direction. In fact the most effective relaxation for releasing our inner tension comes when we achieve relaxation while we are slightly uncomfortable physically. In these circumstances the relaxation comes from the mind itself, and it is effective in permanently relieving inner tension.

A doctor came as a patient to see me, saying in a rather aggressive fashion that he had heard all about my relaxing methods. He had tried them; and they were not any good. When I asked him, he told me that he practised lying down comfortably on his bed. When I explained the necessity for a more uncomfortable position he tried again and immediately was more successful.

I first realized the very great importance of this a few years ago. At the time I was travelling in India seeing what I could learn from yogis. They of course all meditate in the familiar

cross-legged, squatting position known as the lotus posture. In all the books that I have read about Eastern religion and mysticism it is stated that this cross-legged, squatting position is comfortable for Asiatics. This is obviously true, as in India one sees people all around sitting comfortably in this position. But it is comfortable for the Indian only as long as he sits loosely in this position.

Yogis whom I questioned closely about their posture for meditation all told me that it was uncomfortable. I then learned that the meditating yogi keeps pulling his feet more and more tightly under his buttocks, so that in fact he is always slightly uncomfortable. My own experience, and my experience with patients, has taught me that some minor physical discomfort is very important in attaining effective mental relaxation.

A shrewd man who had had little formal education was running a large and successful business enterprise. Over the past few years he had become increasingly tense, and was compensating with alcohol. One day I asked him what he liked doing best in the world. His reply was, “Drinking beer.”

I taught him how to relax and he learned to maintain his relaxation in uncomfortable circumstances while I was there to supervise him. But at home he would practise only when lying on his bed. He just lacked the necessary self-discipline to do the exercise properly. He actually made a good recovery, but it necessitated more visits to me than he would have otherwise needed.

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THE PROGRAM OF BIOLOGICAL TREATMENTS OF ARTHRITIS: WITHDRAWAL OF DRUGS

April 29th, 2009

Because conventional drugs used in medical treatment of arthritis are, as a rule, only aimed at masking and suppressing the symptoms, they naturally have no place in a program of biological treatments. Pain is an important symptom, a signal, which is initiated by the body’s own defensive mechanism to attract necessary help and assistance for its healing activity. To suppress and mask pain, without finding out why it is there and trying to eliminate the underlying causes of it, is contrary to the philosophy of biological medicine. It is of vital importance to realize that the various symptoms of disease, such as pain, swelling, stiffness, fever, tiredness, loss of appetite, etc. are not negative phenomena which have to be eliminated and suppressed, but they are positive, constructive symptoms initiated by the body’s own healing mechanism in its effort to restore health. When this is clearly understood, then the wise doctor will not waste his own and his patient’s time masking the symptoms and providing temporary relief. He will adopt a positive attitude which will aim at eliminating and correcting the underlying causative factors of arthritis and supporting the body’s own recuperative powers.

Even such a drug as cortisone, although it will temporarily activate and stabilize the chemical balance of the tissues, will never correct the initial disturbance and will eventually cause more damage by undermining and impairing the body’s own corrective measures. Therefore, cortisone, like any other toxic drug, should be used only in a situation of extreme emergency.

Consequently, the first rule of a biological program is complete withdrawal of all drugs. In the great majority of cases this presents no problems. Naturally, withdrawal of pain-killing drugs will cause a certain amount of discomfort for the first few days, but on a new biological program the patient soon will be pain-free, even without pain-killing drugs.

The consensus of opinion of doctors who use biological methods in their practice is that the prospects of achieving a betterment and cure of arthritis with the help of biological treatments is in inverse relationship to the extent and intensity of the drug treatment the patient received previously. Prolonged use of drugs will eventually suppress and break down the body’s own defense and healing mechanisms causing severe chemical and hormonal imbalance. The disease will then be pushed further and further towards the condition where it will be completely incurable.

Therefore, in order to obtain lasting results the withdrawal of all drugs is imperative.

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TESTS IN EPILEPSY: HOW SENSITIVE IS THE EEG?

April 28th, 2009

The EEG is often thought to be able either to prove, or to exclude a diagnosis of epilepsy, but this is rarely possible. A single, routine EEG is likely to show any abnormal (and therefore helpful) activity in only about half of those who have had a tonic-clonic (grand mal) seizure.

If further, or longer duration EEGs are done, the yield increases. It must therefore be clearly understood that the EEG does not prove, nor disprove the diagnosis of epilepsy. There is one important exception to this, and this is with a type of epilepsy called non-convulsive status epilepticus. This may present with bizarre or confused behaviour with semi-purposeful, almost automatic movements. It may be difficult to decide whether this behaviour is epilepsy, but if it is, the EEG helps make the diagnosis

The EEG also is not a good guide to either the activity or prognosis of epilepsy. There is one type of epilepsy, however, in which the EEG is particularly useful—this is typical absence epilepsy (petit mal). In this epilepsy syndrome the frequent seizures may be so brief and subtle that some time may elapse before they are recognized. In children with typical absences, the EEG almost always shows a seizure discharge, which may be induced by hyperventilation, and even more easily after deprivation of sleep.

The EEG is usually not helpful in identifying a cause. Occasionally, however, the EEG may show marked differences between the two sides of the brain, such as a slow wave discharge arising from one particular area. This suggests the presence of a structural abnormality as the cause of the patient’s epilepsy. However, structural abnormalities are best investigated by imaging techniques (brain-scans). These are, after the EEG, the most commonly used investigation in epilepsy.

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ARTHRITIS BEATEN TODAY: CMO AND OTHER AILMENTS

April 28th, 2009

How is it, people ask, that CMO can be of benefit for so many different ailments? To understand it, think of penicillin and how many different kinds of infections that general antibiotic cures. It has turned out that CMO is so much more than just an arthritis remedy. It is a general immunomodulator that has proved beneficial for nearly any ailment that has any autoimmune factors involved. And there are dozens of them. We’re talking about ailments like:

Fibromyalgia, emphysema and asthma, Crohn’s disease, prostate inflammation, lupus erythematosus, ankylosing spondylitis, Psoriasis, carpal tunnel syndrome, Sjogren’s syndrome, scleroderma, TMJ, neck, back, and foot pain, Behcet’s syndrome, macular degeneration, tension headaches, migraine headaches, cluster headaches, Reiter’s syndrome, myasthenia gravis, hypertension, sarcoidosis, sciatica, tendinitis, tennis elbow,” diabetes, even multiple sclerosis, bursitis … and more.

And those are just the ones we have specifically heard something about. Yet, for a long while, we were very reluctant to discuss any diseases other than arthritis. We had no formal studies for them. And we were concerned about credibility. We were not about to take the irresponsible position of recommending CMO for ailments on which we had so little data, despite reports of having literally saved several patients from certain death and a few others from suicide.

Initially, we didn’t have an inkling that CMO would prove to be valuable for ailments other than arthritis. The tiny journal article describing the discovery at the National Institutes of Health spoke only of a mouse study related only to arthritis. We examined that study, did some preliminary explorations, and then conducted our human clinical study, but only for arthritis. That’s all we knew. But we were soon to learn that a great number of other ailments with autoimmune factors as part of their makeup would also respond favourably with CMO.

The first hint we got that it might benefit other ailments came when we received a phone call from one of the first physicians using CMO regularly in his arthritis protocol. In a rather puzzled voice he asked, “What effect does CMO have on emphysema?”

We were stumped, so we decided to put the ball back in his court and responded with, “Why do you ask?” The doctor went on to explain that he saw a dramatic and measurable improvement (about 40%) in the lung capacity of an emphysema patient after treating her with CMO for her arthritis.

When we replied that we had no experience or data regarding CMO and emphysema, he asked if we thought it might help another patient with severe emphysema. We explained that we didn’t know, but we didn’t see how our nontoxic natural substance could do any harm. So the doctor decided to try it.

The patient had been on oxygen 24 hours a day for nearly two years and she left her bed only to go to the bathroom and to have dinner with her family a couple times a week. Amazingly, after five days of CMO she was breathing so well she no longer needed oxygen, and a week after that she was out driving around doing her own shopping again. We were all astounded!

Marie, a great grandmother now in her eighties, is another perfect example of multiple benefits. She took CMO for her arthritis long before we had any idea it could help her emphysema as well. Her arthritis was so severe a good night’s sleep was next to impossible. And that brought on tension headaches that would greet her every morning.

She had suffered for years with emphysema. During her next regular checkup her doctor was amazed by the fact her arthritis seemed to have disappeared. But he was even more surprised when her x-rays showed a dramatic change in her lungs. The emphysema was in remission. Her breathing was the best it had been in several years.

There had been still another problem. Over the past five years she had been rushed to the hospital several times with her tongue so swollen she couldn’t swallow. Each time the emergency room staff treated it as an allergic reaction to food, probably citrus. Her doctor prescribed various medications but the attacks continued. Now, two years after her one time treatment with CMO, she’s never had another attack — even though she discontinued all the prescribed medications long ago. So here’s a case where CMO not only cured her arthritis, but her emphysema, her headaches, and her citrus sensitivity as well. She has recently ordered another bottle of CMO as a safeguard. She never wants to suffer like that again.

Still, it was a puzzle how CMO was affecting emphysema. We know the chronic inflammatory process in emphysema can swell lung tissue. The irritation can also causes fluid to seep into the areola (spaces) where oxygen is absorbed. Both the swelling and the fluids reduce a lung’s capacity to absorb oxygen from the air. Almost all chronic (long-duration) ailments do develop autoimmune factors. We finally concluded that CMO, as an autoimmune modulator, was probably intervening in the inflammatory process and reducing both the swelling and the seepage. Chronic inflammation is a significant factor in emphysema patients.

It was only a few days later that we received the same kind of inquiry from another doctor about systemic lupus erythematosus. Well, we know that lupus definitely has autoimmune components. In fact it’s sometimes classified as an “allied rheumatic disorder” or as a “connective tissue disease.” However, lupus is very difficult to treat. Even antimalarials and intravenous steroids often bring only little relief. So we were surprised at the splendid results the doctor got with CMO. We have since received other favourable reports. We kept getting similar reports regarding one disease after another, and soon it became obvious that CMO is a general immunomodulator that could benefit just about any ailment with autoimmune factors.

Initially we were very reluctant to discuss how CMO benefited other diseases. We were concerned about credibility. We were already battling the “charlatanism” attitude over arthritis alone. Most conventional doctors are resistant to change. We didn’t want CMO to take on the character of some old medicine peddler’s snake oil — “a cure for everything that ails you.” That could harm our credibility more than ever.

And, of course, it’s not a cure-all. But we do look forward to the day when formal CMO clinical studies for these other diseases can be made. It will also be equally interesting to see how well CMO functions in combination with other therapies against many other ailments.

Now let’s look at how CMO may specifically be of benefit to some of these other ailments individually. (Check the index regarding any ailment for which you may want to find information quickly.)

You’re now about to read about a great number of so-called “incurable” diseases.

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NAPPY RASHES IN CHILDREN: SYMPTOMS, HOME CARE AND PRECAUTIONS

April 28th, 2009

Symptoms: reddened skin, rough, scaly skin, ammonia odor, red, scaly spots.

Home care:

Keep the baby as dry as possible. Change nappies often.

Avoid airtight outer covering over nappies.

Try changing the products used to launder nappies.

For simple nappy rash, apply petroleum jelly; zinc oxide; vitamin A & D ointment; or an ointment combining zinc oxide, cod liver oil, petrolatum, and lanolin.

For ammonia rash, avoid airtight outer covering over the nappies. Wash the nappy area frequently with clear water.

For allergic rashes, stop giving the child any new foods, beverages, or medicines started in the past month.

For rash from infections, wash the area with soap and water. Apply antibiotic ointment often.

Precautions

-    If the rash is spreading or severe, see your doctor.

-    If the rash worsens after two days of home treatment, see your doctor.

-    If the child has a fever, irritability, loss of appetite, or any other signs of illness, see your doctor.

-    Do not use more than one type of ointment at the same time (unless both were prescribed by your doctor).

Nappy rashes are irritations of the skin in the nappy area. Almost all babies get nappy rash of one form or another. Nappy rashes may be caused by moisture, urine, or irritating chemicals in the nappies.

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DIABETES: SOME THINGS YOU CAN DO TO PREVENT DISEASE

April 23rd, 2009

Just lose the weight. Low-fat? High-carbohydrate? Sprout-and-spinach-shake regimen? Don’t worry about how you shed those extra pounds-at least as far as diabetes is concerned. Just shed them. “We don’t really know if any specific diet works best for preventing type II diabetes,” says Eli Ipp, M.D., head of the diabetes section at Harbor-UCLA Medical Center’s division of endocrinology in Torrance, California. “The issue is to lose the weight and keep it off.”

Exercise. Physical activity actually helps your body process glucose, so it helps prevent diabetic complications as well as the disease itself. In fact, medical researchers have actually taken disembodied human muscles, “exercised” them with electric stimulation, and then measured their insulin action. It works.

“Exercise can improve your insulin sensitivity a great deal no matter what your weight is,” Dr. King says. “And the effects can last for two or three days.”

Mix it up. Aerobic exercise is what’s usually emphasized in the prevention of diabetes and its complications because that’s what the subjects did in the studies that first made the connection. But new evidence shows that strength training and even offbeat activities such as tai chi can also improve insulin action, according to Aaron Vinik, M.D., Ph.D., director of research at the Diabetes Institute in Norfolk, Virginia. “All forms of activity have been shown to reduce the likelihood of complications once you have the disease,” he says. “It doesn’t have to be just aerobic exercise.”

A caveat, though: Diabetics with nerve damage or eye disease should stay away from weight training because the strain of lifting weights can cause damaged blood vessels in the eyes to rupture and bleed, according to Dr. Vinik. And if you have nerve damage, you may not be able to sense the damage in your eyes.

Feel your oats. In a 1996 study, Canadian researchers fed four men bread made from oat bran for six months, while another four ate white bread. The oat bran-eaters showed better glucose levels. This finding is consistent with a 1997 study suggesting that diets that emphasize high-fiber whole grains (of which oat bran is one) over refined grains reduces your risk for type II diabetes.

Eliminate it with E. Free radicals- those pesky, tissue-damaging molecules-thrive on diabetes but succumb to antioxidants such as vitamin E.

Also, says Dr. King, vitamin E might help decrease complications for those with diabetes. “Since doses of 100 to 400 International Units are associated with a decrease in heart disease, I would certainly take that much,” he says.

Take your vitamin C. Vitamin C, another antioxidant plentiful in many fruits, may also do the trick. A 1995 study by an Italian research team linked vitamin Ñ to improved glucose metabolism in type II diabetics.

Cool it with the booze. Tee-totaling isn’t required to fight diabetes, but anything more than one shot of liquor or one glass of wine or beer a day is asking for trouble, according to Dr. King. “If you drink too much, you can damage your pancreas,” he warns. “And that’s where the insulin comes from in the first place.”

Watch for the warning signs. Forewarned is forearmed. According to the American Diabetes Association, the following are worth seeing a doctor about: increased thirst; increased need to urinate; an edgy, tired, and sick-to-the-stomach feeling; repeated or hard-to-heal infections of your skin, gums, or bladder; blurred vision; tingling or loss of feeling in your hands or feet; dry, itchy skin.

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FERTILITY: CHOOSING YOUR SUPPLEMENTS

April 23rd, 2009

You should first find a multivitamin and mineral supplement designed for pregnancy. There are plenty on the market – good makes that I would recommend are BioCare, Solgar and Foresight and also Fertility Plus.

A special pregnancy supplement like these will include the 400mcg of folic acid you need each day as well as a safe level of vitamin A so you should not need to add these in separately.

Then see what else is in the supplement. You should find that most of the other recommendations are included and the label will give you the amounts. If the amounts are less than those I have recommended (see below) then you should take a separate supplement to ‘top up’ those nutrients.

So, for example, if the multivitamin and mineral contains 50mcg of selenium you will need to supplement with an extra 50mcg to reach your total of l00 mcg.

Your partner should also find a good multivitamin and mineral supplement, such as Fertility Plus for Men – and then top up with the extras in the same way.

The benefits of many more nutrients in relation to fertility have yet to be discovered.

This is why it is so important to have a varied diet – in order to ensure that you get many different nutrients. The table below shows which foods are particularly rich in these essential vitamins and minerals. But in these days of refined foods, I believe it is important to take supplements to make up any shortfalls in your diet. None the less, as their name implies, food supplements are supplementary to your diet; they are not a substitute for good food. So, don’t assume that you can eat junk foods and take supplements and still be in the best of health.

There is a tendency for certain vitamins and minerals to be hyped in the press. So often, a certain nutrient or vitamin suddenly becomes the fashionable answer to virtually every problem on the planet. This is nonsense. In nature all nutrients work together and many are dependent on each other to function properly. So it is important when thinking about supplements – whatever your situation – to take a good multivitamin and mineral supplement as the basic foundation and then add in other individual nutrients on top.

Case History

Sarah was 34 when she came to see me for preconception care. She had been born with spina bifida and had been told that she had a one in seven chance of having a baby with it too. In this situation I needed to make sure she was taking 5mg of folic acid before conception rather than the standard 400 mcg. I sent her for an infection test which showed that she had a number of infections including Group  hemolytic streptococcus. She was treated for these and then given an intensive course of acidophilus to recolonise her gut. Her mineral levels showed deficiencies in selenium and zinc with high levels of lead. Her partner had extremely low levels of zinc and was also deficient in calcium and selenium. He was showing high levels of both aluminum and lead. They followed the Four-Month Plan in order to correct these deficiencies and I gave them both extra antioxidants to bring down the lead and aluminum over the four months. They now have a healthy baby girl.

Convincing Your Partner

Your partner may wonder if it is worth going to all this trouble of changing lifestyle habits, eliminating alcohol and taking supplements. But there is a real bonus for him because his general health will almost certainly improve. Many men report that they have more energy, fewer headaches, better digestion and feel more relaxed, and that other health problems that may have dogged them have cleared up. For instance, one man who consulted me with his wife when they had problems conceiving found that the changes I recommended to improve his fertility also cleared up a very upsetting skin complaint he suffered from called psoriasis. He said he had been to the best dermatologists and psoriasis experts and no-one had managed to achieve these results. It cleared up because the actual foundation of his health was improved by these simple and yet effective lifestyle and dietary changes.

Case History

Deirdre and her partner were both 31 when they came to see me because Deirdre’s irregular cycles, some as long as 41 days, were making it hard to conceive. Her Body Mass Index was also only 17 so I explained the link between being underweight and fertility and asked her to put on weight. She was also low in zinc and selenium. Deirdre’s partner had only a third of the required level of zinc and also low levels of selenium and magnesium. His first semen analysis showed a count of 25 million but 84 per cent of the sperm were abnormal, 75 per cent were not moving at all, and only 5 per cent were moving normally.

But within three months of going on the Preconception Plan, his sperm count had risen to 106 million and the quality of the sperm had improved dramatically, with 50 per cent of them moving normally. The couple then went on a maintenance programme of supplements and kept up the changes in diet and lifestyle and they conceived a month later and now have a healthy baby boy.

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PREVENTIVE MEDECINE: WHAT IS HYPOGLYCAEMIA

April 23rd, 2009

A condition in which the pancreas produces too much insulin (usually in response to a high sugar load in the diet) which in turn produces a host of mental, emotional and physical symptoms.

Hypoglycaemia is a normal phenomenon too. When our stomachs get very empty the level of glucose (sugar) in the blood falls and makes us feel hungry and faint. We remedy this by eating. The sort of hypoglycaemia we are looking at here is somewhat different.

All the cells of our bodies need glucose for energy but this is especially true of the brain. It cannot function normally for long without its supply of glucose. Some parts of the body store glucose but the brain needs a reliable ongoing supply. This is why any shortage of glucose in the brain’s blood supply can cause so many symptoms related to the brain. Nervousness, anxiety, irritability, depression (even suicidal feelings), forgetfulness, poor circulation, poor decision-making, nightmares, weepiness, and sensitivity to noise, are just some of the mental and emotional symptoms that have been reported in hypoglycaemia.

The physical symptoms of hypoglycaemia are just as real and just as disturbing as are the mental and psychological ones. Palpitation, weakness, dizziness, shaking and sweating, blurred vision and headaches are all common. Some people black out altogether if their blood sugar falls very low.

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WEIGHT LOSS: FAMILIES’ CONTRIBUTION TO EATING DISORDERS

April 23rd, 2009

Do families with an eating-disordered member have more physical and psychiatric disease? Studies produce different – and conflicting – answers. There does appear to be a higher incidence of weight problems, especially among families with a bulimic child. And the rate of depression is higher, again particularly among bulimics, than in the population as a whole.

What about personality? Is there a “typical” eating disorder family? Are there certain traits that would lead a bystander to say, “If the Joneses aren’t careful, they’re going to turn their daughter into an anorexic one day”?

No, although a lot of studies claim to identify such traits. One researcher, Dr. Joel Yager of UCLA Medical School, took a close look at these studies. He found they contained more different “family portraits” than you’d find on the walls of a photographer’s waiting room.

One such study declared that an anorexic family was characterized by a fussy, nervous mother and a father who alternated between being quick-tempered and laid-back. No, said another, an anorexic’s mother is robust and nagging, her father passive. Wrong, said a third; fathers are domineering and aggressive. Close, another chimed in; fathers are domineering but ïîï aggressive. Or sometimes domineering or sometimes not. Depending on your source, mothers are either attached or ambivalent toward their daughters; they are too strict or too lenient. Fathers are lenient, kind, and affectionate. No, they are cool, antagonistic, and hostile.

Remember the blind men and the elephant?

As Dr. Yager concluded, “If common personality patterns are to be found in these families, they will have to be at more subtle levels.”

Does this mean that therapists must start from scratch every time a family walks into their office? Is there any pattern among eating-disordered families that provides some basis for therapy?

Yes – sort of. Recent research has found a number of different patterns among anorexic families, but certain anorexic families do fit to some extent the “model” of functioning I’ll describe in a minute. While these traits are by no means universal, they may provide a good place to begin working with an anorexic family.

Perhaps the most important trait is the lack of joint parental authority. The parents disagree about basic issues in child rearing. As a result, the child gets mixed signals; she doesn’t know what’s expected of her.

Another common theme is that the mother tends to be the center of the family. Fathers tend to be absent because of work, death, or divorce. The children understandably develop closer relationships with the mothers.

The stereotype of an anorexic family is that the members all think and act as one unit—they are, to use the technical term, highly cohesive. Conversely, bulimic families are often thought to be highly disorganized. The reality is much more complex. Some anorexic families are so chaotic they can’t plan a trip to the mall without arguing, while some bulimic families stick together like Velcro. Interestingly, as the patient gets older and is ready to leave home, some families grow more cohesive. It’s as if they realize that the illness has served as a stabilizing force, and they are reluctant to face the changes that will befall once the patient leaves.

Families can sometimes delude themselves that the eating disorder is the only problem they must confront. One father said, “If only Gwen weren’t starving herself, we’d be the all-American family.” Such families are sometimes in for a rude shock: When the eating disorder abates, they must confront the presence of other issues in their lives.

*97/35/5*

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