Anorexia is a response to cultural images of the female body - waiflike, angular - that both capitulates to the ideal and also mocks it, strips away all the ancillary signs of sexuality, strips away breasts and hips and butt and leaves in their place a garish caricature, a cruel cartoon of flesh and bone.

Passivity is corrosive to the soul; it feeds on feelings of integrity and pride, and it can be as tempting as a drug.

Consumerism thrives on emotional voids.

Academic achievement was something I'd always sought as a form of reward. Good grades pleased my parents, good grades pleased my teachers; you got them in order to sew up approval.

What is this drive to be thinner, prettier, better dressed, other? Who exactly is this other and what does she look like beyond the jacket she's wearing or the food she's not eating? What might we be doing, thinking, feeling about if we didn't think about body image, ever?

So it persists, for many of us, hunger channeled into some internal circuitry of longing, routed this way and that, emerging in a thousand different forms. The diet form, the romance form, the addiction form, the overriding hunger for this purchase or that job, this relationship or that one. Hunger may be insatiable by nature, it may be fathomless, but our will to fill it, our often blind tenacity in the face of it, can be extraordinary.

Alcoholism is the disease of more.