Around the time I began starving, in the early eighties, the visual image had begun to supplant text as culture's primary mode of communication, a radical change because images work so differently than words: They're immediate, they hit you at levels way beneath intellect, they come fast and furious.

Cottage cheese is one of our culture's most visible symbols of self-denial; marketed honestly, it would appear in dairy cases with warning labels: this substance is self-punitive; ingest with caution.

Mastery over the body - its impulses, its needs, its size - is paramount; to lose control is to risk beauty, and to risk beauty is to risk desirability, and to risk desirability is to risk entitlement to sexuality and love and self-esteem.

By definition, memoir demands a certain degree of introspection and self-disclosure: In order to fully engage a reader, the narrator has to make herself known, has to allow her own self-awareness to inform the events she describes.

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.

The key, I suppose, has less to do with insight than with willingness, the former being relatively useless without the latter.

Love—the desire to love and be loved, to hold and be held, to give love even if your experience as a recipient has been compromised or incomplete—is the constant on the continuum of hunger, it's what links the anorexic to the garden-variety dieter, it's the persistent pulse of need and yearning behind the reach for food, for sex, for something.