• 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.

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

We know we need, and so we acquire and eat and eat, past the point of bodily fullness, trying to sate a greater need. Ashamed of this, we turn skeletons into goddesses and look to them as if they might teach us how to not-need.

And it's California, where everything is powerfully strange. Everyone wants it to be home. Everyone left where he or she was from with dreams of transformation. Everyone runs away to California at least once, or at least all the lonely, hungry people do.

I began to measure things in absence instead of presence.

Never, never underestimate the power of desire. If you want to live badly enough, you can live. The great question, at least for me, was: How do I decide I want to live?

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.