For all who may read this, for clarification, this was September 1988 in a letter sent to me from Denmark to London from Ditte.
Depending on Comments I can add later. Thank you all!
760 Days to Freedom
BULIMIA NERVOSA/BULIMARREXIA/BULIMIA
BULIMIA - Psycho-Social Aspects
Little attention is paid in medical circles in Denmark to the problem of Bulimia. All observations indicate that it has become increasingly common, both in Denmark in other countries. The majority of such patients are “normal” women, who handled their social situation well. Problematic family circumstances are frequently described in connection with bulimia. By and large medical establishment today fails in its due to this group of patients.
BULIMIA DIAGNOSTIC CRITERIA.
A. Recurrent episodes of binge eating (rapid consumption of a large amount of food with a discrete period of time, usually less than 2 hours.)
B. Least three of the following:
(1) consumption of high calorie, easily ingested food during a binge.
(2) inconspicuous eating during a binge.
(3) termination of such eating episodes by abdominal pain, sleep, social interruption or self-induced vomiting.
(4) repeated attempts to lose weight by several restrictive diets, self-induced vomiting and use of cataracts’/or diuretics
(5) frequent weight fluctuations greater than ten pounds due to alternating binges and fasts.
C. Awareness that the eating pattern is abnormal and fear of not being able to stop eating voluntarily.
D. Depressed mood and self-deprecating thoughts following eating binges.
E. Bulimic episodes are not due to an anorexia nervosa any known physical disorder.
In an article, I have read... Among other things it said “ in most cases the women are living a ‘normal’ life, having a husband/ boyfriend. Often these women are very perfectionist and they appear very clever and well-adjusted. They are regarded as healthy and managed to hide their problems to their surroundings. However, the women are suffering from mental problems due to their binge-eating. In most cases the mental problems are depression, followed by self- blaming, guilt and feeling of shame.
They often isolate themselves. The women are often normal of weight, but they find themselves fat/overweight. Family problems are often described in cases with women suffering from bulimia, “closed” family patterns, where the family members often communicate by using a lot of ‘double’ messages. There exists a wish of behaving/seeming as a perfect family... a Happy family”.
The last thing from the article I would like to mention to you; “However the eating problem itself often starts in connection with a certain incident... In most cases being separation from family, friends or husband.”
Darling, please think about this and what we talked about on the phone... As you know, you are the only person whom I have “revealed” my problem too. Please, keep my “secret”...?! I haven't talked to a Doctor, yet ( perhaps I never will?!) I don't know if I'm ill or “just” unhappy…?! Besides “it” doesn't happen that often... It's just that it continues happening “now and then”, as it has done for years... And it is what worries me!! Ditte
THIS WAS 1988 & WE ARE STILL VERY GOOD FRIENDS