Respectfully, the notion that Moderation Management is a failed idea and program is clearly contradicted by numerous research studies over the past 3 - 4 decades. There are a continuum of alcohol-related problems from misuse to abuse to dependence to severe and chronic dependence. Intervening before there are severe problems and having a menu of treatment options makes sense. If one tries a moderation approach and fails, that experience of not being able to moderate (along with other negative consequences) can help motivate a person to choose abstinence. I thought I would include this link. It is a call to unity, signed by both individuals and treatment professionals both from AA and MM -- saying both approaches are needed. It also addresses the Audrey Kishline issue.
Cara,I mean absolutely no disrespect for your article, I think it was well-written. The disorder is devastating to sufferers, but the victims of this disorder are such a miniscule percentage of society and the affliction must be dealt with by professionals so,really, how does it become a major focal point to the rest of us?
It becomes a focal point by why and how the subject matter is presented to us. TLC used to stand for "The Learning Channel" but has increasingly become based on America's culture of Schadenfreude. For those unfamiliar with the term, it means "deriving pleasure from the misfortune of others." For years the main-stream media has been bombarding us with stories of misfortune by poor far-off schlubs that have absolutely no bearing on our own lives. Why? Because "my life sucks, but it could be worse - look at him," and if we watch the news at all, we prefer watching what makes us feel good. (which network ran the ad campaign - "feel-good TV?") So we don't have to do anything to make our lot better, we just need to compare ourselves to "him." Now, "Reality Networks" like TLC, A&E and The History Channel have realized that all they need to do to galvanize an audience (read: sell advertizing) is trot out an assortment of "freaks & geeks" so viewers can compare themselves favorably.
Cara, please in the future don't legitimize this crap by quoting these networks - if you want to help people write something that will encourage them to better themselves. In MargaretMill's comment she offered a link. The material on that link was worth 100 times more than TLC's entire program you referenced. Something like that would have made your article so much more pertinent, rather than quoting a dietician about a psychological disorder.
As a teenager, I struggled with anorexia. It's still there, in the back of my mind, today. But every day is getting better. The support of my family and friends was so crucial. But I do remember some friends who tried to bully my into eating, which did nothing but worsen my problem. I'd recommend taking a look at http://onlineceucredit.com/edu/social-work…. There's some great advice out there. And if you're suffering, please remember that you are not alone!
Moderation management is failed idea and program. heavy drinkers and alcoholics cannot just moderate themselves (even with the help of meetings) inevitably they still drink again. all these great articles painting the rosy picture for MM always fail to mention that MM failed for MMs own founder Audrey Kesline. She failed to moderate and killed someone while drinking and driving. Kesline after gettting out of prison "I have made the decision recently to change my recovery goal to one of abstinence, rather than moderation. For many, including myself, MM is a gateway to abstinence. Seven years Ago I would not have accepted abstinence. Today, because of MM, I do." Why because moderation does not work!!!
Reid, that's encouraging data - thanks for sharing. I personally haven't seen much long-term success with a moderation program (>5 yrs). I know many patients (and personal friends) who can moderate for a period of time (several months), but then eventually slip back into their old ways.
But maybe by the time folks get to us, they've already tried and failed at a moderation program. I'll concede that I probably don't see the victories! I wish you and the program continued success!
These pro-anna sites add to the obsessive/compulsive behaviors that are part of an anorexic's thinking. I still suffer from physical effects of having anorexia when I was 18 to 20 years old. I went on to develop bulimia for the next 33 years. Now at 64 years of age I am recovered and have peace of mind. I am thankful that the public's awareness is increasing. A great resource is the bestseller- Not Your Mother's Diet.
A therapist who knows eating disorders is like a good coach who has the resources to pull together a winning team. Your body, mind, and spirit can be brought together to learn more balanced eating with the help of this professional.
What can you do to help a friend or loved one who is having eating problems?
Read as much as you can about eating disorders. A great resource is bestseller-Not Not Your Mother's Diet.
It's not the "pro-ana" people that feel inspired/triggered by photos of anorexics. It has been well-documented for many years that people with anorexia seek out "inspiration" that way, and are known to read things like medical textbooks for it.
Dandelion Girl is right - people in pro-ana are seeking to end their isolation, and often have a lack of access to care. The pain of an eating disorder makes a person suffer, so naturally they try ways to make it livable.
A lot of what goes on in pro-ana is just a visible manifestation of eating disorder symptoms, not anything new or shocking.
I must disagree Jen. There are 3-4x as many heavy drinkers as there are alcoholics and it's not accurate to portray the picture as black or white: you can control it or you can't. It's more like hypertension than pregnancy.
I've worked with clients for decades now training them in moderate drinking skills. Most succeed with getting rid of their alcohol-related problems by cutting back but not all. For those who aren't successful are much more willing to consider abstinence when they've tried an evidence-based course of moderation training.
We've developed a web app for heavy drinkers, www.moderatedrinking.com an rigorously evaluated it in a randomized clinical trial along with participation in MM. Recruiting heavy drinkers who weren't dependent we found significant reductions in drinking and alcohol-related problems that persisted out to the 12 month follow-up. And their self-report of their drinking was corroborated by significant others. This study is only the most recent (2011) in a field of study (moderation protocols) that now spans 40 years.
I actually used to moderate a pro-ana forum... This was when they were first becoming popular -- so back in 2006 or so... I joined in 2005 and started modding in '06 (not coincidentally after I lost a lot of weight and was at probably the sickest I've ever been)
I truly believe it is the sense of community that fuels pro-ana forums, sites, and blogs -- which keeps people sick as you're bonding over the disorder itself... as well as an inability to access care.
If you cannot get care or help it can seem better to just embrace what is - the eating disorder.
What people don't realize, as well, is the repercussions of thinspiration not just on those that view it, but also to the people that are in the images themselves. "Real Girl" thinspiration is one of the most popular varieties.. ans a common trend of pro-ana is to take body shots and post them... Having SO SO SO many pictures of me on the internet currently being used by others to encourage their weight loss... haunts me. TRULY. It also makes me perpetually ill in a way... Like I will forever be sick in some form... through those images.
Those communities are so harmful in so many different ways...
I'm so glad I got through that part of my life... and separated myself from those types of communities....
Missing from this article are the possible good health effects of light to moderate drinking.
Note that these possible benefits are reversed for heavy drinkers.
Working in the addictions field, this 'treatment' seems like it could be a slippery slope...people who aren't addicted to drugs or alcohol can already self-moderate.
This article speaks of people who drink too much, but aren't addicted - what makes them so sure? One trick that addiction plays in the brain is convincing the user that they can have just a little bit...they can handle it...they won't let it get out of control this time.
I haven't seen a program like this be successful, but if it can help them reduce harmful behaviors, then it's a move in the right direction. I wish the therapists and patients the best of luck.
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