Extreme food behavior in abusive families

The availability of food can provide a positive tool in the treatment of abusive and neglectful families. This concept evolves from the belief that inadequate parents are most often people who have been deprived of an adequate “parenting” experience in their own lives. Deprivation creates a void of security which may result in many extremes of behavior. Many of these extremes, as they are related to food habits, have been defined here.Gorging is identified as the first extreme, and differentiation is made between the dynamics of the discriminate gorger who can be helped specifically and the indiscriminate gorger who needs infinite abundance to feel secure. Secondly, the physical and emotional insecurities which result in a need to hoard food are examined, and some insight is offered into understanding the obese patient and the steps necessary before anticipating any effective regulation of the obese person's eating habits. The last personal extreme discussed is despised-food intake which is an easily recognizable symptom of deprivation.The extremes of interaction between peers and spouses at group meals have been addressed, and it is noted that group meals which are traditionally instruments of socialization can be extremely stressful for groups of insecure members.Finally, the extremes of parent-child interaction are outlined, and it is shown how these extremes can reduce the family's mealtime to a devastating emotional battleground. The characteristics of overfeeding and withholding are defined, and it is shown how this chain of extremes results in a complete breakdown of the “parenting” process in which all members fail. Based on the clinical observations made at The National Center for the Pre- vention and Treatment of Child Abuse and Neglect in Denver, it is suggested that feeding can be used as a therapeutic tool not only to attract and hold patient attendance, but also to facilitate progress in therapy through the reduction of physical anxiety.