I CLOSE-UP C O O B S ESSIO N a life of personal torment and even death. Experts say the stereotypic Jewish family can be ripe for either one of these eating disorders. Jacqueline Odoms, an area psychotherapist who spe- cializes in eating disorders, said the diseases manifest themselves in families of chaos or control. Typically, the control model is a family where the child is expected to perform well in school, to attend college and to succeed. Often, according to Ms. Odoms, decisions will be made for the child all of his life. These decisions in- clude the most miniscule, such as what condiment to put on a hamburger. Becoming a victim of an eating disorder can be a way of achieving control, even if that control hurts. Then there's the chaotic side, a family lifestyle that can be described as dysfunctional, perhaps where there is alcoholism or abuse. This can lead to anorexia or bulimia. Feelings of inferiority 24 FRIDAY, MAY 22, 1992 will motivate a young per- son to lose the weight, to conform to the image of the more-beautiful-than-life movie actress or the models on the grocery store maga- zine covers. Someone will come along and tell the person she "looks nice!' That's good to hear, but typically whom she sees in the mirror doesn't look very nice. Anorexia and bulimia enter the lives of mostly females from the ages of 11 to 60. Barb, 18, is "a nice Jew- ish girl," who was a cheer- leader for her high school, had perfect grades and is a freshman at Michigan. "I was trying to be the perfect girl for my parents," she said. "But all I really wanted to do was find ways to get back at them. I wanted something that wasn't theirs, that was all mine, that I could control myself. I learned when I was 16 that I could control what I ate, and how I ate it." At first, Barb thought vomiting was a good way to lose weight, and she did so successfully. Though she didn't want anyone to know what she was doing, she learned that other high school girls — girls she knew — did the same thing. It wasn't until she lost 10 pounds in one week that a teacher intervened. "It got to a point where I couldn't stop what I was doing," she said. "That's when I needed help. I think it's horrible what society does to people, especially women. Women, more than men, have to have the ideal body." West Bloomfield-based psychotherapist Eileen Freedland sees eating dis- orders as a phenomenon of the '80s and '90s. Civiliza- tions have always suffered from some sort of eating disorder. Along with the positive emphasis on health and fitness came a negative emphasis on unreachable expectations. But Ms. Freedland warns sternly that eating dis- orders are not just about wanting to look the ideal. Eating disorders, she said, are outside signs of inside psychological pain. That pain, she said, can range from early childhood trauma, sex abuse, the death of a parent, the divorce of parents, or a major illness of another family member. "They haven't learned to care for themselves," she said. "A lot of this is found in Jewish families. There's an overprotection, not allow- ing children to make deci- sions. Also, achievement and success are very impor- tant, and so is looking good!' Under this cloak of over- protection comes the feel- ing, according to Ms. Odom, that nothing can be done right to please the parents. Not eating is the only thing that can be done well. This is an attempt, she said, to manage one's internal conflict. "It hurts not to eat," said Ms. Odom, "but it hurts less than facing what's happening in their lives. Yes, they are creating pain. But they are in con- trol of that pain." Ms. Odom added that it is not uncommon for an eating disorder to be just part of an array of psychological difficulties, including self-mutilation, promiscuity, compulsive gambling, compulsive shopping and even shop- lifting. "Young women go to great lengths to maintain their thinness," said Ms. Odom. "Their self-worth is determined by their body size. When they come to us for treatment, we have to teach them that they are worthwhile people because when they come to us, they don't see anything good about themselves." Ms. Odom said anorexics and bulimics have an enormous fear of fat. They count calories so much that they become experts at caloric intake and the calorie count of many diff- erent foods. Suffering from an eating disorder also takes a great deal of hard work, accor- ding to Ms. Freedland. Anorexics and bulimics will suck on stones to avoid