June Alexander has a heart-rending post up today on her blog about the ridiculous idea of "compliance" with eating disorder treatment. Real people suffer horribly because of this concept.
It has always seemed absurd and cruel to me that we mistake the symptoms of mental illness -- anosognosia and anxiety and depression -- for willful lack of cooperation.
We actually treat them as if they should be GRATEFUL and that "lack of compliance" is some sort of selfish or lazy impulse. It's horrifying to me that we design our legal, practical, and community resources in such a way as to ensure that the eating disorder NOT THE PATIENT is in charge. This, we already know, Does Not Work. The miserable record of eating disorder treatment history tells the tale. It isn't anyone's fault this has happened but it IS our responsibility to fix it.
It is time to recognize that we do not have a system, except one designed by "ED" to keep patients unwell, keep loving families and caring professionals at bay, and keep from facing our compassionate responsibilities to other human beings.