Archive for October, 2009

Doing “Nothing” Usefully in Eating Disorder Recovery

Friday, October 16th, 2009

For connoisseurs of ‘90s TV, nothing said entertainment like Jerry Seinfeld’s “show about nothing.” Seinfeld fans got their fill and flocked back for more “nothing” episode after episode for nine seasons, endorsing Jerry’s claim that “even nothing is something.” For Seinfeld and his audience, “something” meant finding humor in the ordinary experiences of everyday living. When it comes to managing difficult emotions, I propose there’s also a big “something” to be gained from “nothing.”

In my post, “Coping Beyond Distraction: Expanding Skills for Living in Eating Disorder Recovery” (9/5/09), I list some practices you can use to shift or soothe difficult feelings. I highly recommend having as many such practices in your repertoire as possible. But it turns out that, when it comes to managing your emotions, there’s also much to be said for “nothing.” In this case I mean doing nothing, How is doing nothing useful when it comes to coping with your feelings?

A lot of problems can spring from the urgency to do something when we have painful or overwhelming feelings. Most of the problems occur when do–something urgency gets channeled into  the effort to get away from feelings. Methods of getting away can include eating disorder behaviors, substance and alcohol abuse or other addictive behaviors, and dissociating or shutting down.

When you engage in such desperate measures, it signals that you’ve already concluded you can’t tolerate your feelings. Imagine how much less you might need eating disorder behaviors, substance abuse or dissociation if you were convinced you could stick around for your feelings and still be okay.This is where the doing nothing comes in.

Doing nothing when you hit a patch of too much feeling means sitting back and waiting through the feelings rather than heading immediately for the exits. This is best done from a mindful, observing position, one where you take a step back and just notice your experience. Of course, from this observing position, you can always decide to engage in healthy self–soothing measures, but the commitment to tolerating feelings allows you the clarity to make this choice.

At first you might practice doing “nothing” for just a minute, then aim to build up your tolerance gradually. As an immediate benefit, you will discover that even the worst feelings pass. They don’t just take root and spiral infinitely upward, as you imagine. At the same time, you may start to experience the reality of a you that’s bigger than the feelings. This is the opposite of the fear that the feelings are bigger and will swamp you. These fears come from an earlier time when you were smaller and had fewer resources.

As you discover that you no longer need to run away from your feelings, you gain more confidence in what you can handle in life. Here are just a few examples of how this will expand your possibilities:

  • Being able to tolerate frustration allows you to learn challenging new skills
  • Being able to tolerate disappointment allows you to ask for more in life
  • Knowing you can live through heartbreak makes it possible to risk your heart

What’s more, being able to experience the full range of your emotions allows you to know yourself more deeply and to feel fully alive. All in all, a lot to be said for “nothing”!

____________________________________

CHECK THIS OUT! Our friends at NEDA (National Eating Disorder Association) are teaming up with an organization called Tri Delta to sponsor the second annual Fat Talk Free Week (Oct. 19 – 23). NEDA says this national public awareness campaign is intended to shine a light on the destructive effects of the “thin ideal” for women’s bodies. Learn how you can participate by visiting www.endfattalk.org.

Countering Shame with Pride Resources In Eating Disorder Recovery

Friday, October 2nd, 2009

Two weeks ago, eating disorder specialists Beth Weinstock and Jane Shure posted about “The Power of Shame.” Dealing with shame is so important to eating disorder recovery, today I’m following up Beth and Jane’s excellent post with additional ideas for dealing with the shame monster.

If you have an eating disorder, you may feel shamed about your symptoms. At the same time, your symptoms may represent an attempt to manage longstanding shame experiences. Healing shame will be one of the most important aspects of your recovery.

In Eating Disorders for Dummies, I describe shame in the following way:

Living with shame means living with a chronic sense of personal           inadequacy and chronic fear that your inadequacies will be exposed and     that you’ll be humiliated and unloved. In an actual moment of shame,  you judge your total self and find it worthless. Shame is the state in which you wish the earth would open beneath you so you  could disappear. It includes the belief that others will judge you the  same way you’ve judged yourself, so in your imagination you have been  excluded from society. Shame makes you feel alone and like an outcast (p. 64).

How is it different when shame is on the mend? Two major shifts in the way you see yourself signal healing: 1) You begin to accept your flaws, mistakes and vulnerabilities as part of being human. In other words, imperfection connects you to others, rather than isolating you. 2) You can embrace your strengths and trust when others see you in a positive light. I go over this second aspect of shame healing in this post.

Embracing your strengths and trusting others’ positive views of you are not only signposts of healing, they are necessary ingredients for healing to occur. How can the same thing be both a prescription and a benefit of that prescription? In a recovered state, positive feelings about yourself will become a spontaneous part of your self–image. In contrast, while still on the recovery path, you have to put a more  conscious effort into crediting and valuing yourself.

A starting place for the conscious work of building a positive self–image is to call on real experiences that reinforce it. These will probably be experiences that have either fallen off your radar screen because they don’t match shamed beliefs about yourself, or get discredited by shame’s harshly critical eye.

First, two important alerts:

Alert # 1 I’m not talking about anything related to weight, dieting or compulsive exercise!

Alert # 2 For many people, trying to access positive experiences about themselves can be extremely triggering. If this applies to you, don’t continue until you’ve supplied yourself with competent, caring support.

Here are some possible resources for building a positive self–image:

  • Qualities that you like about yourself, for instance, you may be reliable, warm, sincere, conscientious, funny, compassionate, smart, energetic, playful, intuitive, generous, loyal, inventive or …

  • Actions you’ve taken that you’re proud of, such as supporting or defending a friend, volunteering, speaking out about something you believe in, helping a neighbor, voting, or admitting to a mistake.

  • Achievements that you’re proud of: learning to swim, overcoming your fear of speaking in front of a group, passing algebra, getting a promotion, being elected to office in your group or organization, improving in relation to one or more of your eating disorder symptoms, going away to college, raising your bowling score, or receiving an award.

  • Experiences in which you’ve felt a valued other’s caring for you, for instance: your aunt knit you a sweater in your favorite color, your sister called every day the week after your break–up, your far–away friend sent a card to say how much she misses you, your partner volunteered to go along to a medical appointment that worried you.

  • Experiences in which you’ve felt a valued other’s admiration or appreciation for who you are: for example, your best friend told you no one understands her the way you do, Grandma said you always manage to make her laugh, your boss wrote in your job review that you have a remarkable work ethic, coach said you were the most improved member of the team, or your dad told you how much he respects the way you stick with things, even when they’re hard for you.

  • People who care for you irrespective of your achievements or your problems, like your boyfriend who tells you your eating disorder has nothing to do with his feelings for you, members of your eating disorder group who are just as supportive when you’re struggling as when you’re improving, the friend who’s stuck by you in good and bad times, or the cousin who picks you up when you fall but can also cheer for your successes.

Hint: Shame narrows your vision. You lose sight of things unrelated to the shame, or they seem insignificant. When you fall under the sway of shame, it’s too hard to think of the things that make you proud of yourself. You’re overwhelmed. The best time to think of pride resources is when you’re not in a shamed state.

It’s my hope that you’ll develop a whole pantry full of resources like these! Searching them out and giving them their deserved place in your resource pantry will be a great exercise for you. And, once installed, you can call on such resources when you’ve fallen into a pit of shame. Pride resources enable you to rebalance a shame–skewed picture of yourself and help you find your way back to a realistic appreciation of your worth.