“At a certain point, an eating disorder ceases to be "about" any one thing. It stops being about your family, or your culture. Very simply, it becomes an addiction not only emotionally but also chemically. And it becomes a crusade. If you are honest with yourself, you stop believing that anyone could "make" you do such a thing— who, your parents? They want you to starve to death? Not likely. Your environment? It couldn't careless. You are also doing it for yourself. It is a shortcut to something many women without an eating disorder have gotten: respect and power. It is a visual temper tantrum. You are making an ineffective statement about this and that, a grotesque, self-defeating mockery of cultural standards of beauty, societal misogyny. It is a blow to your parents, at whom you are pissed.And it is so very seductive. It is so reassuring, so all-consuming, so entertaining.At first.”

“There is, I believe, no such thing as unconditional self-acceptance. Those who say so are promulgating a pernicious lie. One must first live a decent, honorable and productive life. Only then do you get to feel good about yourself.Seeking to heedlessly gratify your desires or impulses of the moment to do things (or fail to do things) your conscience knows to be contrary to your standards of right, worthy and virtuous behavior is, in a mental, emotional and spiritual sense, akin to spending capital that you have not earned, and therefore will eventually cause you to feel very negatively … about who and what you are. You cannot in the long run have your cake and eat it too. The longer … you behave in certain ways, the more it comes to define you, not only to others, but also to yourself.”

“• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.”

“Sure, genetics do play a role in alcholism. You're more likely to be an alcoholic if one or both of your parents are also alcoholics. But that's just one part of the equation; the other part is your behavior. You can't become an alcoholic if you never take a drink. So if you know you're predisposed to addiction because of your family history, then just don't get started, and you'll never find yourself on that path. Same with any other type of 'family curse.' If you parents smoke, don't pick up a cigarette. If your parents are obese, work hard to exercise and eat right so you don't follow in their foosteps. But some people find it easier to play the victim. They do whatever bad habits they want to because they think they have a built-in defense - "I grew up this way.”

“MAKE STATEMENTS also applies to us women: Speak in statements instead of apologetic questions. No one wants to go to a doctor who says, “I’m going to be your surgeon? I’m here to talk to you about your procedure? I was first in my class at Johns Hopkins, so?” Make statements, with your actions and your voice.”

“I'm learning it's human nature to want the things you can't have. What changes is how you go about pursuing the things you want. When you're a little kid and you're told no, you scream and throw a temper tantrum. When you're a teenager and your parents tell you no, you're old enough to internalize your temper tantrum. But you're smarter and you're sneakier this time around. So you nod and act like you care when they say no, when they tell you who you can be friends with, when they say they know what's best. But then you go behind their backs to do it anyway. Because at some point, you need to start calling the shots. At some point, you have to start believing that you know what's best. Or...you just stop asking for their permission in the first place.”