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Break the binge/diet cycle today!
Based on Marilyn Migliore's highly successful treatment program, which she designed at St. Luke's-Roosevelt/A University Hospital of Columbia University College of Physicians and Surgeons in New York, The Hunger Within offers a twelve-week program for compulsive overeaters that provides real hope for lifelong weight loss.
If you've struggled with weight your whole life, chances are you know that diets don't work, and that most people who lose weight put it back on. Finally, here is a book that takes the focus off food and guides dieters through an intensive psychological program that includes daily writing exercises to help the compulsive eater get in touch with the hungry child within.
The Hunger Within shows the yo-yo dieter how his or her individual struggle with eating and weight is a response to feelings of emotional deprivation that are established in early childhood, when the ways we're soothed and punished are established. This concrete, lucid, step-by-step guide explores the core reasons for overeating, identifies the triggers that precipitate bingeing, and helps readers to break the vicious cycle of yo-yo dieting. Each week, the reader listens in on three fictional program participants, and is encouraged to do the weekly exercises as if participating him- or herself.
If you've wanted to join a group or treatment program to help you lose weight, or if you're a last-ditch dieter, The Hunger Within offers a guided course that you can do in your own home and at your own pace.
Filled with:
Motivational Sayings
Guided Weekly "Sessions"
Exercises to Help You Stay on Track
Hunger Awareness Diary
Vicious Cycle Worksheet
Weekly Food For Thought
Based on Marilyn Migliore's highly successful treatment program, which she designed at St. Luke's-Roosevelt/A University Hospital of Columbia University College of Physicians and Surgeons in New York, The Hunger Within offers a twelve-week program for compulsive overeaters that provides real hope for lifelong weight loss.
If you've struggled with weight your whole life, chances are you know that diets don't work, and that most people who lose weight put it back on. Finally, here is a book that takes the focus off food and guides dieters through an intensive psychological program that includes daily writing exercises to help the compulsive eater get in touch with the hungry child within.
The Hunger Within shows the yo-yo dieter how his or her individual struggle with eating and weight is a response to feelings of emotional deprivation that are established in early childhood, when the ways we're soothed and punished are established. This concrete, lucid, step-by-step guide explores the core reasons for overeating, identifies the triggers that precipitate bingeing, and helps readers to break the vicious cycle of yo-yo dieting. Each week, the reader listens in on three fictional program participants, and is encouraged to do the weekly exercises as if participating him- or herself.
If you've wanted to join a group or treatment program to help you lose weight, or if you're a last-ditch dieter, The Hunger Within offers a guided course that you can do in your own home and at your own pace.
Filled with:
Motivational Sayings
Guided Weekly "Sessions"
Exercises to Help You Stay on Track
Hunger Awareness Diary
Vicious Cycle Worksheet
Weekly Food For Thought
"synopsis" may belong to another edition of this title.
About the Author:
Marilyn Migliore is a certified nutritionist and psychotherapist who has worked as a group and individual counselor for people with eating disorders for more than twenty years. She currently works in private practice and conducts her nationally recognized workshops for compulsive eaters in Manhattan.
Excerpt. © Reprinted by permission. All rights reserved.:
Prologue
Seated at a long oval table in a nondescript room on the ninth floor of an outpatient medical office building in Manhattan, a group of self-conscious adults are introducing themselves.
Fern describes herself in clipped tones as an attorney who is a partner in a small firm that specializes in real estate law. She is a graduate of Ivy League schools and has lived alone in the fifteen years since getting her first job. Unsurprisingly, the most intimate information Fern provides about herself concerns the reason she is here: "I have lost and gained more than five hundred pounds since my teens," she says, pain radiating from eyes that have receded into a fleshy face. "I have taken all kinds of diet pills and have been on six separate liquid diets. I have lost count of the number of weight-loss programs I've 'successfully' attended. I've come to think of dieting as my real profession. And although I realize that the vicious cycle of losing weight, then putting it back on plus some more, happens to more than ninety percent of dieters, that's hardly a consolation. I've never weighed as much as I weigh now, and I feel like I'm caught in a nightmarish maze with no exit."
Knowing nods from three or four women are punctured by a throaty male laugh. "Yeah, tell me about it," chortles Brendan, a mid-fortyish Falstaffian figure who, in every sense, seems larger than life. "If I only had a hundred bucks for every pound I've gained since I gave up drinking ten years ago, I could have invested it in this bull market and retired early." A stockbroker himself, Brendan leans back and tweaks his fireman's suspenders in obvious pleasure at the laughter he has elicited. One's first impressions are that he is a man of insatiable if not unquenchable appetites, who is gifted at lowering his own and others' anxieties through comic self-mockery. Indeed, in the next couple of minutes, Brendan reels off his unsuccessful battles in the pasta wars, his medical woes, his doctor's warnings, in so entertaining a fashion that we are all reduced to giggles and guffaws by someone who is telling us he could keel over any day now.
Brendan would be a hard act to follow for anyone, but perhaps more so for Mary, the homemaker turned nurse after the last of her four children left for college. Hidden inside a drab dress purchased joylessly from a catalogue that specializes in euphemistic names for obesity, Mary looks as if she'd give anything for a place to hide. When she speaks, it is in the hushed voice of a penitent making confession. She lists the years of eating "sins" that have turned her into the "fatty," as she puts it, that we see today. She mentions that most of her overeating has occurred at night, after taking care of her kids and husband, and more recently, of the patients on her hospital shift. She says that food has been her reward, but that her "just desserts" are causing her, among other things, sore joints. Wistfully, she notes that she is no longer able to join her husband in hiking and other outdoor activities they used to enjoy together.
Others share their own short stories, all of which revolve around food and their problematic relationship with it. For all their differences, these people share much more in common than excess pounds. They are all bright. They don't need to be told that a cup of broccoli has fewer calories than a cup of Häagen-Dazs.
They may talk about the temptations of leftovers, about jobs that require lots of dining out, of sweet tooths or problems around the holidays, but on some level they also know it's about none of these things. Fern will understandably make no reference today to her mother's expectations, Brendan to his father's beatings, or Mary to the woman's name and phone number she found last week scribbled on a piece of paper in her husband's trousers. They will talk only about food. Some will actually identify themselves as compulsive eaters.
Perhaps most important, the people sitting around this table today, like the hundreds who have come before them, are fellow travelers on the dieting roller coaster, people whose losing battles have filled them not only with excess pounds but with shame, inadequacy, and self-loathing. They, like you, may not be able to articulate it, but religious or not, they are here in a desperate attempt to save their souls.
If you've picked up this book and have read this far, chances are you know all too well that for most people, including yourself, diets don't work! You have tried different programs. You have read through what seem like a zillion books and magazines about weight, and have ended up at best confused and discouraged, at worst resigned. One magazine tells you to count fat grams and avoid carbohydrates. Another tells you to eat all the chocolate you want. A miracle drug promises to help you drop ten pounds in a week. The latest gastronomical guru says the whole secret is combining Food A with Food B.
And none of it works! None of it works because, for compulsive eaters, nutritional information, good, bad, or indifferent, is irrelevant. You already know that if you take in more calories than you expend, you will gain weight, and vice versa. You know how to count calories when you want to count calories. Not only do you know that exercise is good for you, but you could probably determine without too much difficulty how walking a mile at a twenty-minute pace compares calorically with fifteen minutes on a Stairmaster at Level 3.
All this information is, I repeat, irrelevant. For compulsive eaters, the problem is not lack of information about food or exercise. Food is not the issue. The issue, as you are all too well aware, is the repetitive nature of your compulsive behavior, or what I call your life script, when it comes to the interplay of food and feelings.
What you don't understand is why or how. Why you are stuck in compulsive behaviors that make you unable to eat the way you imagine "normal" people do. How to get out of this emotional quagmire.
In a world filled with psychobabble, it's easy for the meaning of words to be lost. So let me be clear from the outset about what I mean when I refer to compulsive eating. When I use that term, I am talking about any kind of non-hunger-related eating acted out in a repetitive fashion that leads to negative physical and emotional consequences.
Compulsive eating has been compared with sharks on a feeding frenzy. Just listen to the words I've heard my workshop participants use to describe their binges:
"I shoveled the gallon of ice cream into my mouth so quickly that I barely gave myself a chance to breathe. When it was over, I retreated into my bedroom, overwhelmed with feelings of shame."
"I stared at the television set, transfixed like a zombie. It was like I was in a trance. I was completely unaware of what my hands were doing or of the mounting pile of candy wrappers at my feet."
"From the time I entered the supermarket--actually from some point earlier than that--it was as though I had entered, or was pulled, into this strange zone. It felt almost like a gravitational force was drawing me into its orbit and that I was heading for oblivion."
Recognize yourself?
When a compulsive eater enters the "trance state" that precedes and accompanies an eating binge, an encyclopedia of nutritional information will turn to instant mush. Telling a compulsive eater that finishing off the key lime pie in the refrigerator will result in so many calories is like telling someone in the middle of a sex act that without percautions, pregnancy or disease might result. Chances are the person has not gotten to this point because of an educational deficiency. How many of you reading this, for example, are thinking, "If only someone had told me that the five slices of pizza with sausages I devoured last night had more calories than what I used up during the half hour it took me to eat them while watching that rerun of Mary Tyler Moore?"
It's knowing the answers and not acting on them that makes you feel so desperate!
It doesn't have to be that way.
If the tone of this book is confident, it is because I have witnessed success with people who have struggled most of their lives with food, eating, and weight issues. When they come to my workshop, they finally feel they have found something that is taking them in the right direction. I am also confident because the journey you are about to embark upon is guided by some of the most contemporary research and thinking in the treatment of compulsive eating. But before we set out, a friendly word of warning: If your focus is simply on quick weight loss, this is not the book for you. There are, as I've said, tons of programs and printed material giving you new diets every year.
On the other hand, although this book will not spell out a diet plan for you or treat the symptom that is your excess weight, your body invariably will begin to normalize as you begin to make the emotional changes that lie at the heart of The Hunger Within.
Most important, this is not simply a book. It's an interactive workbook designed exclusively for compulsive eaters. It is filled with exercises and information that will help you explore and subdue the forces driving your eating patterns. This workbook will serve as a road map, an encour...
Seated at a long oval table in a nondescript room on the ninth floor of an outpatient medical office building in Manhattan, a group of self-conscious adults are introducing themselves.
Fern describes herself in clipped tones as an attorney who is a partner in a small firm that specializes in real estate law. She is a graduate of Ivy League schools and has lived alone in the fifteen years since getting her first job. Unsurprisingly, the most intimate information Fern provides about herself concerns the reason she is here: "I have lost and gained more than five hundred pounds since my teens," she says, pain radiating from eyes that have receded into a fleshy face. "I have taken all kinds of diet pills and have been on six separate liquid diets. I have lost count of the number of weight-loss programs I've 'successfully' attended. I've come to think of dieting as my real profession. And although I realize that the vicious cycle of losing weight, then putting it back on plus some more, happens to more than ninety percent of dieters, that's hardly a consolation. I've never weighed as much as I weigh now, and I feel like I'm caught in a nightmarish maze with no exit."
Knowing nods from three or four women are punctured by a throaty male laugh. "Yeah, tell me about it," chortles Brendan, a mid-fortyish Falstaffian figure who, in every sense, seems larger than life. "If I only had a hundred bucks for every pound I've gained since I gave up drinking ten years ago, I could have invested it in this bull market and retired early." A stockbroker himself, Brendan leans back and tweaks his fireman's suspenders in obvious pleasure at the laughter he has elicited. One's first impressions are that he is a man of insatiable if not unquenchable appetites, who is gifted at lowering his own and others' anxieties through comic self-mockery. Indeed, in the next couple of minutes, Brendan reels off his unsuccessful battles in the pasta wars, his medical woes, his doctor's warnings, in so entertaining a fashion that we are all reduced to giggles and guffaws by someone who is telling us he could keel over any day now.
Brendan would be a hard act to follow for anyone, but perhaps more so for Mary, the homemaker turned nurse after the last of her four children left for college. Hidden inside a drab dress purchased joylessly from a catalogue that specializes in euphemistic names for obesity, Mary looks as if she'd give anything for a place to hide. When she speaks, it is in the hushed voice of a penitent making confession. She lists the years of eating "sins" that have turned her into the "fatty," as she puts it, that we see today. She mentions that most of her overeating has occurred at night, after taking care of her kids and husband, and more recently, of the patients on her hospital shift. She says that food has been her reward, but that her "just desserts" are causing her, among other things, sore joints. Wistfully, she notes that she is no longer able to join her husband in hiking and other outdoor activities they used to enjoy together.
Others share their own short stories, all of which revolve around food and their problematic relationship with it. For all their differences, these people share much more in common than excess pounds. They are all bright. They don't need to be told that a cup of broccoli has fewer calories than a cup of Häagen-Dazs.
They may talk about the temptations of leftovers, about jobs that require lots of dining out, of sweet tooths or problems around the holidays, but on some level they also know it's about none of these things. Fern will understandably make no reference today to her mother's expectations, Brendan to his father's beatings, or Mary to the woman's name and phone number she found last week scribbled on a piece of paper in her husband's trousers. They will talk only about food. Some will actually identify themselves as compulsive eaters.
Perhaps most important, the people sitting around this table today, like the hundreds who have come before them, are fellow travelers on the dieting roller coaster, people whose losing battles have filled them not only with excess pounds but with shame, inadequacy, and self-loathing. They, like you, may not be able to articulate it, but religious or not, they are here in a desperate attempt to save their souls.
If you've picked up this book and have read this far, chances are you know all too well that for most people, including yourself, diets don't work! You have tried different programs. You have read through what seem like a zillion books and magazines about weight, and have ended up at best confused and discouraged, at worst resigned. One magazine tells you to count fat grams and avoid carbohydrates. Another tells you to eat all the chocolate you want. A miracle drug promises to help you drop ten pounds in a week. The latest gastronomical guru says the whole secret is combining Food A with Food B.
And none of it works! None of it works because, for compulsive eaters, nutritional information, good, bad, or indifferent, is irrelevant. You already know that if you take in more calories than you expend, you will gain weight, and vice versa. You know how to count calories when you want to count calories. Not only do you know that exercise is good for you, but you could probably determine without too much difficulty how walking a mile at a twenty-minute pace compares calorically with fifteen minutes on a Stairmaster at Level 3.
All this information is, I repeat, irrelevant. For compulsive eaters, the problem is not lack of information about food or exercise. Food is not the issue. The issue, as you are all too well aware, is the repetitive nature of your compulsive behavior, or what I call your life script, when it comes to the interplay of food and feelings.
What you don't understand is why or how. Why you are stuck in compulsive behaviors that make you unable to eat the way you imagine "normal" people do. How to get out of this emotional quagmire.
In a world filled with psychobabble, it's easy for the meaning of words to be lost. So let me be clear from the outset about what I mean when I refer to compulsive eating. When I use that term, I am talking about any kind of non-hunger-related eating acted out in a repetitive fashion that leads to negative physical and emotional consequences.
Compulsive eating has been compared with sharks on a feeding frenzy. Just listen to the words I've heard my workshop participants use to describe their binges:
"I shoveled the gallon of ice cream into my mouth so quickly that I barely gave myself a chance to breathe. When it was over, I retreated into my bedroom, overwhelmed with feelings of shame."
"I stared at the television set, transfixed like a zombie. It was like I was in a trance. I was completely unaware of what my hands were doing or of the mounting pile of candy wrappers at my feet."
"From the time I entered the supermarket--actually from some point earlier than that--it was as though I had entered, or was pulled, into this strange zone. It felt almost like a gravitational force was drawing me into its orbit and that I was heading for oblivion."
Recognize yourself?
When a compulsive eater enters the "trance state" that precedes and accompanies an eating binge, an encyclopedia of nutritional information will turn to instant mush. Telling a compulsive eater that finishing off the key lime pie in the refrigerator will result in so many calories is like telling someone in the middle of a sex act that without percautions, pregnancy or disease might result. Chances are the person has not gotten to this point because of an educational deficiency. How many of you reading this, for example, are thinking, "If only someone had told me that the five slices of pizza with sausages I devoured last night had more calories than what I used up during the half hour it took me to eat them while watching that rerun of Mary Tyler Moore?"
It's knowing the answers and not acting on them that makes you feel so desperate!
It doesn't have to be that way.
If the tone of this book is confident, it is because I have witnessed success with people who have struggled most of their lives with food, eating, and weight issues. When they come to my workshop, they finally feel they have found something that is taking them in the right direction. I am also confident because the journey you are about to embark upon is guided by some of the most contemporary research and thinking in the treatment of compulsive eating. But before we set out, a friendly word of warning: If your focus is simply on quick weight loss, this is not the book for you. There are, as I've said, tons of programs and printed material giving you new diets every year.
On the other hand, although this book will not spell out a diet plan for you or treat the symptom that is your excess weight, your body invariably will begin to normalize as you begin to make the emotional changes that lie at the heart of The Hunger Within.
Most important, this is not simply a book. It's an interactive workbook designed exclusively for compulsive eaters. It is filled with exercises and information that will help you explore and subdue the forces driving your eating patterns. This workbook will serve as a road map, an encour...
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- PublisherMain Street Books
- Publication date1998
- ISBN 10 0385487584
- ISBN 13 9780385487580
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