Life, Death, and Pizza

Poem by Nayyirah Waheed


Tonight I ate pizza for dinner.

It isn’t often, but whenever I do, I remember this girl that I was in eating disorder treatment with. She was there for anorexia and bulimia, and she discharged halfway through my stay. She seemed to be in a really good place.

I found out later through mutual friends that two weeks after she discharged, she attempted suicide.

She slit her wrists after eating three pieces of pizza.

Notice I didn’t say “because” she ate the pizza. She didn’t try to kill herself over that. If you’ll forgive the metaphor, the pizza was just the trigger on an already loaded gun- a girl with a deadly psychiatric disease in a crisis state.

Eating disorders have the highest mortality rate of any psychiatric disorder. At 20%,  that means 1 in 5 of us die. Many of those deaths are suicides. Anorexia, bulimia, binge eating disorder, orthorexia, and eating disorders “not otherwise specified” (aka OSFED) are all deadly, cunning, terrifyingly insidious diseases that need comprehensive treatment to combat. A custom combination of physical medicine, psychiatric medicine, nutritional care, psychological counseling, life skills, and spiritual care (among other treatment options) is essential for helping people get into solid, lasting recovery. With proper treatment, that mortality rate drops to 4%.

As I ate pizza for dinner tonight, I reflected on a time when dying because I ate too much of the “wrong” food seemed reasonable. I remembered a time when that girl’s decision made some sense to me.

And I thanked God for the fact that it no longer does. 

Therefore I tell you, do not worry about your life, what you will eat or drink; or about your body, what you will wear. Is not life more than food, and the body more than clothes? 

Matthew 6:25

Revictimization: What It Is and Why It Happens

Content Warning: Sexual Violence

 

First, let’s define “revictimization”: the idea that people who have experienced sexual violence once, particularly in childhood, may be at increased risk of experiencing sexual violence again in the future.

Now, let’s look at some stats. (“CSA” here means “child sexual abuse.”):

  • Women who experienced CSA were twice as
    likely to report adult sexual victimization as
    women who did not experience CSA.
  •  Women who experienced both CSA and
    childhood physical victimization were three
    times more likely to report physical or sexual
    victimization in adulthood.
  • Women who experienced CSA were twice as
    likely to experience intimate partner physical
    victimization. However, women who experienced
    CSA were not more likely to have experienced
    sexual violence by an intimate partner in adulthood than women who had not
    experienced CSA.
  • Men who experienced CSA were almost six
    times more likely to experience adult sexual
    victimization than men who did not
    experience CSA.
  • Men who experienced both physical and sexual
    victimization in childhood were six times more
    likely to experience sexual victimization.
  • Men who experienced CSA were thirteen times
    more likely to experience adult intimate partner
    sexual victimization. Men who reported both
    CSA and physical victimization during childhood
    were 10 times more likely to report adult intimate
    partner sexual victimization

So we can see that the rates of revictimization for people who experience sexual abuse in childhood are extremely high, and crazy high for men.

I am one of those people that was victimized over and over again. First, the physical abuse, the neglect, and the psychological and sexual torture from my father was really at it’s worst from ages 3-9. From ages 8-12 I had a gymnastics coach who was your generic perv, flashing the girls, making lewd comments, borderline inappropriate touching, etc. There were rumors that he molested some girls, and a few years later he was arrested, I had to speak to a detective, a DA, it was a a mess. When I was 16, I was raped at Abilene General Hospital when a Shades of Hope counselor dropped me off there and left me alone. He was a radiology tech, and when he took me upstairs for a chest x-ray, he locked the door, got on top of me, and said, “I won’t hurt you as long as you shut up and don’t move.” I had been given a drug down in the ER, and I couldn’t move, so he raped me, and I never said a word about it until three years later. When I was 19, I was on a date, and the guy attacked me in his car. I managed to escape before he actually raped me. When I was 20, my college professor called me into his office, smashed his mouth against mine, and shoved his hands up my shirt. I didn’t even consider this sexual assault until my therapist said so ten years later. When I was 29, another professor sexually harassed me so badly that I had to report it to the dean. (The only time I’ve ever reported anything.)

I used to believe that life was an endless cycle of trauma. That, like a girl in a therapy group I was in once said, “What, do I have the words ‘FUCK ME’ stamped on my forehead?” It really feels like that. Like there is something inherently wrong with you that attracts this violence, and you believe what you’ve been told: you are a slut, a whore, worthless, just a fuckable object for men to use and abuse.

There are many theories as to why revictimization occurs, but mine is actually that the above line of thinking has a lot to do with it. When you think of yourself this way- I’m worthless, I’m nothing, etc.- that is a victim mentality. You are thinking of yourself as a victim, and you expect to be abused. You walk around with the expectation that any man could be your next rapist. Which means that you act like prey.

And guess what? Predators pick up on that.

Now, let me be clear: I am not blaming victims. What I’m describing is completely unconscious behavior, that is a conditioned response to sexual abuse/violence. You act like a victim because you’ve been a victim. You act like prey because you’ve been preyed upon. The problem is that people who want to hurt others, people who commit sexual violence, are predators. And like any predator in the wild, they hunt by scanning for and attacking weakness. They recognize people who are hypervigilant, dissociated, depressed, anxious, people who lack self-worth, carry shame, or excessive guilt. Even if the predator’s general intelligence is low, they are highly skilled in seeing through to this victim mentality and hooking into it.

Why was I raped at 16? Because that guy was a predator, and he saw easy prey. Why did my date, my professors attack me? Because they could see the ability to get to me.

It’s as simple and as complicated as that.

There are many other factors I could describe, involving neurobiology, family templates, and a bunch of other things. But for me, this is the one that sticks out. And what I noticed was that when I really found my self-worth, when began to heal in earnest, and when I stopped carrying myself like a victim; well, I haven’t been sexually attacked or harassed since.

This is about a fundamentally changing a belief system that gets embedded when you’re abused as a child. The system that tells you that you’re worthless, you’re nothing, you’re responsible for the sexual abuse, you deserve harm to come to you, and all that bullshit. When you heal, you change that belief system to reflect reality: that you are worthy of life and love, that you were innocent, you were not responsible for any of the things that were done to you, and that you deserve every good thing just like anyone else. When you really come to reality, predators don’t have a chance, because you are strong in yourself, and they don’t attack the strong.

Because of the chronic nature of the violence I encountered, I still deal with Complex PTSD today. However, I don’t worry about getting attacked anymore, outside of normal caution. Because now I believe that while I was victimized, I am not fundamentally a victim, and I do not have to live my life as one. I hope people who have suffered similar things come to understand that changing that belief system is something that’s completely withing your control. You have the power to do this. With the right support, victimhood can become a thing of the past for you. And how amazing does that sound?

 But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly of my weaknesses, so that the power of Christ may rest upon me. For the sake of Christ, then, I am content with weaknesses, insults, hardships, persecutions, and calamities. For when I am weak, then I am strong.

2 Corinthians 12:9-10

 

 

 

The Third Step Prayer

Content Warning: Anorexia, Specific Weight

 

When I was sixteen, I was at the very lowest point of my anorexia, literally and figuratively. My weight was hovering in the upper 60’s, and I was nearly in liver failure. I had a heart arrhythmia, I was vomiting blood, and I was terribly anemic. I looked like those little gray aliens, all spindly limbs and big head with black holes for eyes. I looked like the walking dead.

My mom had tried outpatient treatment, and it obviously was not working. She needed to do something drastic, which meant sending me to residential treatment. The place that was chosen was called Shades of Hope. You may have heard of this place, as Oprah did a short-lived TV show about it. It’s basically a few cabins in a horrid town outside of Abilene, Texas called Buffalo Gap. I hated this place the minute I arrived. It was based entirely on the Twelve Steps, was incredibly controlling and manipulative, and had some pretty crazy rules about food for a place that was supposedly treating eating disorders.

(Additionally, this is the place that let me get raped by a guy at a hospital in Abilene, but that’s a separate story.)

Don’t get me wrong; I believe the Twelve Steps work. I have seen and continue to see them work miracles in people’s lives. I think they are limited, however, and are better suited for drug and alcohol addiction than they are to eating disorders, which are inherently more complex in nature because one cannot completely remove food from their lives the way one can remove alcohol or drugs.

I remember that before every miserable meal at this place, lovingly referred to by residents as “Shades of Hell,” we recited the Third Step Prayer. I did it so many times in my few short weeks there that it sticks in my brain even today:

God, I offer myself to Thee
To build with me and to do with me as Thou wilt.
Relieve me of the bondage of self, that I may better do Thy will.
Take away my difficulties,
that victory over them may bear witness to those I would help.

Of Thy Power, Thy love and Thy way of life,
may I do Thy will always.

As I was praying last night, or trying to pray, I found myself stuck. When this happens, I stop trying to talk to God and instead just sit silently with Him for a minute. As I did, this prayer popped into my head. I realized that it was exactly what I wanted to say right now.

As I begin this summer- going to school, working in a new business, working hard in therapy and spiritual direction, continuing to take on more responsibilities at my church- I realized that I need to focus on one thing: praying for discernment so I may try to align my actions with God’s will for me. Because there are my ideas about what I think I want. But when I really dig deep, all that I really want is to please God. So I will go where He wants me to go, whether or not that lines up with my current goals or plans.

So I will be grateful, even for my time at “Shades of Hell,” and I will continue to pray:

God, I offer myself to Thee
To build with me and to do with me as Thou wilt.
Relieve me of the bondage of self, that I may better do Thy will.
Take away my difficulties,
that victory over them may bear witness to those I would help.

Of Thy Power, Thy love and Thy way of life,
may I do Thy will always.

 

Trust in the Lord with all your heart
    and lean not on your own understanding;
in all your ways submit to him,
    and he will make your paths straight.

Proverbs 3: 5-6