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“Ghosts at the banquet” - Scholarly Commons Home

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unconscious de<strong>at</strong>h th<strong>at</strong> lives <strong>at</strong> this developmental stage and says, <strong>at</strong> a level of<br />

psychop<strong>at</strong>hology Anorexia Nervosa is construed as a “phobic avoidance<br />

disorder” (p. 249). The phobic objects are described as normal body weight<br />

and shape seen as becoming f<strong>at</strong>. For those clients who face anorexia <strong>at</strong> <strong>the</strong><br />

developmental stage of adolescence, <strong>the</strong> anorexia may be a desire to maintain<br />

a subpubertal body weight in <strong>the</strong> face of impending puberty. Crisp describes<br />

this as a major and unavoidable life event , our “first brush with <strong>the</strong> full extent<br />

of <strong>the</strong> real world and personal mortality”, and says even though a client may<br />

show a degree of trust in accepting tre<strong>at</strong>ment, <strong>the</strong>rapeutic interventions run <strong>the</strong><br />

risk of being perceived as “invasive, persecutory and destructive” (p.270).<br />

While Crisp sees this as an unconscious response to life’s transitions, it seems<br />

Farber et al. (2007) are more focused on <strong>the</strong> anorexic person’s preoccup<strong>at</strong>ion<br />

with de<strong>at</strong>h. O<strong>the</strong>rs such as Warren (1997) would look to ask of <strong>the</strong> meaning<br />

behind <strong>the</strong> behaviour. How does <strong>the</strong> behaviour reflect an <strong>at</strong>tempt to deal with<br />

<strong>the</strong> anorexic person’s world? Warren raises <strong>the</strong> counter argument to Farber et<br />

al. (2007) and Jackson & Davidson (1986) in st<strong>at</strong>ing th<strong>at</strong> <strong>the</strong> <strong>the</strong>me of de<strong>at</strong>h<br />

may be salient in some cases, but th<strong>at</strong> in o<strong>the</strong>rs, feelings of powerlessness or<br />

thwarted growth to selfhood is more prominent. This tone, <strong>the</strong> thre<strong>at</strong> to life,<br />

continues to perme<strong>at</strong>e such descriptions of tre<strong>at</strong>ment and <strong>the</strong>rapeutic<br />

approaches with <strong>the</strong> anorexic client.<br />

The Dialectic Structure of Life-De<strong>at</strong>h<br />

The dialectical structure of opposing forces and concepts such as life and<br />

de<strong>at</strong>h, ties with wh<strong>at</strong> Ogden (1992) and o<strong>the</strong>rs discuss as <strong>the</strong> dynamic<br />

31

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