Shorn of her fourteenth century piety, St. Catherine talks the language of modern anorexics. Mere penance is not good enough. She must rely on a "holy hatred of herself"--equivalent to the low self-esteem of today's sufferers--in order to achieve "perfection." A "desire" to please God is accompanied by "hunger" in which the spiritual overcomes the physical, mirroring the asexuality of late twentieth century self-starvers.
In her book,
Self Starvation, From Individual To Family Therapy In The Treatment Of Anorexia Nervosa (New York: Jason Aronson, Inc. 1985), psychologist Mara Selvini-Palazzoli observes that anorexics are not suicidal, but anti-corporeal (Palazzoli, 81). They have no death wish, but instead want to escape the flesh and its infirmities (ibid.).
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