You can't teach an ear, you can't teach talent, but you can teach people who have those things not to just fly by the seat of their pants.

After a lifetime of silence, it is difficult then to speak.

In truth, you like the pain. You like it because you believe you deserve it.

People take the feeling of full for granted.

In that six months, so much happened that death seemed, primarily, inconvenient. The trial period was extended. I seem to keep extending it. There are many things to do. There are books to write and naps to take. There are movies to see and scrambled eggs to eat. Life is essentially trivial. You either decide you will take the trite business of life and give yourself the option of doing something really cool, or you decide you will opt for the Grand Epic of eating disorders and dedicate your life to being seriously trivial.

• Eating disorders are addictions. You become addicted to a number of their effects. The two most basic and important: the pure adrenaline that kicks in when you're starving—you're high as a kite, sleepless, full of a frenetic, unstable energy—and the heightened intensity of experience that eating disorders initially induce. At first, everything tastes and smells intense, tactile experience is intense, your own drive and energy themselves are intense and focused. Your sense of power is very, very intense. You are not aware, however, that you are quickly becoming addicted.

One really ought to be afraid of self-torture. But it tempted me. It begged. The dark place that my mind was fast becoming blends, in my memory, with the dark womb of church: the chant, the fugue of prayer, the strange erotic energy that carving a very small cross into my thigh with a nail had brought.