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Orthorexia: An Obsession With Healthy Food “Orthorexia is an obsession with eating healthy food — to such an extent that the person may restrict their diet very severely and limit their functioning, such as not socializing in situations where there is ‘unhealthy’ food,” says Sheela Raja, PhD, an assistant professor and clinical psychologist in the Colleges of Medicine and Dentistry at the University of Illinois at Chicago. There has been no research into eating disorder statistics to know how widespread orthorexia is, but in general the idea of “good” and “bad” foods is relatively common in people with eating disorders. The advent of so many fad diets hasn’t helped matters either. No carbs, only raw food, macrobiotics — diets with such strict food rules can certainly lead to confusion about what really is healthy and what isn’t, and in turn can contribute to orthorexia. Warning signs can range from negative feelings about “impure” foods to trouble dealing with stress. Avoiding social situations or bringing your own food to restaurants or get-togethers can be another red flag, as can insisting that good health is totally dependent on the quality of the food you eat. It can also be more common in people who have obsessive or black-and-white thinking that a food is either all good or all bad. Orthorexia is not an official psychiatric diagnosis, given that the symptoms overlap significantly with diagnoses of other eating disorders. “No classic treatment plan is available, but I work with people to normalize food and take away magical thinking about the ‘right/perfect’ foods,” says Esther Kane, MSW, a registered clinical counselor in private practice in Courtenay, British Columbia, Canada, and author of It’s Not About the Food: A Woman’s Guide to Making Peace with Food and Our Bodies. Nutritional education and finding other ways to deal with stress and negative moods are important steps. Raja, for example, suggests participating in an activity unrelated to eating, such as going for a walk or taking a bath, when feeling stressed. Focusing on moderation is also key, as is emphasizing the idea that no food should be excluded from the diet.

The myth of the unbounded individual, the lone merchant with the devil-may-care attitude toward his fellow men allowed Smith to conceive of a society in which men might live without close ties to one another and yet a society which would not descend into barbarism. Emotional distance, a lack of love or compassion, need not descend into violence and murder, according to Smith, because of the principles of disinterested commerce and exchange which he thought that he had uncovered in Man.This is the legacy that Smith has left us today. Not just in the field of economics, but also as a sort of moral or mythic code by which we arrange our social intercourse in mass society. When we step into a shop and purchase a good or a service we are acting as Smithian individuals. We see ourselves as unbounded to those around us and free to make whatever decisions we please. And we believe that once the transaction is complete we can wash our hands of it.The problem is that this is not true and it probably never has been. Today, instead, we see all too clearly the importance of debt. Debt is what ties us together. We may be in the position of creditor or in the position of debtor – or we may even be in the position of neither – but debt affects all of us. Even those of us that balance our books perfectly and do not engage in any form of lending nevertheless rely on banking systems and systems of government founded on the simple and timeless principles of debt. And it is these principles that bind us together.

We are not, in any way, “men who owe no obligation to one another”. Our entire social system is founded on obligation and interconnectedness. This was likely true even in Smith’s time, but his genius was to have hidden it from view and in doing so to construct the founding myth of liberal individualism as it exists in modern times.Yet today the debt issue explodes once more. And because Smith’s mythology cannot contain it we see all around us anxiety together with its attendant primitive emotions such as envy, anger, spite and malice and, in countries such as Greece, a general collapse of the entire social economy. We see politicians obsessed over government debt sending their countries into ruin simply because they adhere to a redundant mythology. In short, we see the chaos that terrified Smith of a society in which, in his words, injustice prevails.

What Smith gave to humanity in his founding of economics was a great lie with which to structure our newly forming nation-states and mass societies. But it was a lie that was in many ways quite fragile. And it is this lie that we see cracking up all around us today. The question is whether we, as a species, will continue to live within this crumbling fiction or whether we can construct a different mythological system founded on principles that are a closer fit to our really existing circumstances.Almost every moral pillar of our contemporary societies – from the discipline of economics, to ideas that dominate about what constitutes good statesmanship – militates against the formation of such a new mythology. And, as psychopathology teaches us well, people are quite stubborn in their giving up of their mythologies, despite their possibly high degree of dysfunction. But given that the stakes are rather high and humans are a fairly adaptive species, we may surprise ourselves yet.

merica’s election season degrades mainstream political discourse even beyond its usual lowly state. The worst attributes of our political culture — obsession with trivialities, the dominance of horserace “reporting,” and mindless partisan loyalties — become more pronounced than ever. Meanwhile, the actually consequential acts of the U.S. Government and the permanent power factions that control it — covert endless wars, consolidation of unchecked power, the rapid growth of the Surveillance State and the secrecy regime, massive inequalities in the legal system, continuous transfers of wealth from the disappearing middle class to large corporate conglomerates — drone on with even less attention paid than usual. Because most of those policies are fully bipartisan in nature, the election season — in which only issues that bestow partisan advantage receive attention — places them even further outside the realm of mainstream debate and scrutiny. For that reason, America’s elections ironically serve to obsfuscate political reality even more than it usually is.

This would all be bad enough if “election season” were confined to a few months the way it is in most civilized countries. But in America, the fixation on presidential elections takes hold at least eighteen months before the actual election occurs, which means that more than 1/3 of a President’s term is conducted in the midst of (and is obscured by) the petty circus distractions of The Campaign. Thus, an unauthorized, potentially devastating covert war — both hot and cold — against Iran can be waged with virtually no debate, just as government control over the Internet can be inexorably advanced, because TV political shows are busy chattering away about Michele Bachmann’s latest gaffe and minute changes in Rick Perry’s polling numbers. Then there’s the full-scale sacrifice of intellectual honesty and political independence at the altar of tongue-wagging partisan loyalty.

Then there’s the inability and/or refusal to recognize that a political discussion might exist independent of the Red v. Blue Cage Match. Thus, any critique of the President’s exercise of vast power (an adversarial check on which our political system depends) immediately prompts bafflement (I don’t understand the point: would Rick Perry be any better?) or grievance (you’re helping Mitt Romney by talking about this!!). The premise takes hold for a full 18 months — increasing each day in intensity until Election Day — that every discussion of the President’s actions must be driven solely by one’s preference for election outcomes (if you support the President’s re-election, then why criticize him?). Worse still is the embrace of George W. Bush’s with-us-or-against-us mentality as the prism through which all political discussions are filtered. It’s literally impossible to discuss any of the candidates’ positions without having the simple-minded — who see all political issues exclusively as a Manichean struggle between the Big Bad Democrats and Good Kind Republicans or vice-versa — misapprehend “I agree with Candidate X’s position on Y” as “I support Candidate X for President” or “I disagree with Candidate X’s position on Y” as “I oppose Candidate X for President.” Even worse are the lying partisan enforcers who, like the Inquisitor Generals searching for any inkling of heresy, purposely distort any discrete praise for the Enemy as a general endorsement.

It’s no wonder, then, that the young cheerleaders found the increasingly prevalent condition of gluten sensitivities the perfect cover for what turned out to be very real cases of anorexia. By the end of the school year, two out of the three girls were in treatment for eating disorders and the third was taken out of school by her parents.

Julie Dorfman, director of Nutrition at Philadelphia’s Renfrew Center, the country’s first residential facility for the treatment of women with eating disorders, is not surprised. “With the eating disordered population, I’d say that 110% of them are using intolerances or food ‘problems’ as a means to avoid eating these foods in a socially acceptable way. Gluten just happens to be the fad right now.”

Stacey Rosenfeld, Ph.D, a psychologist who specializes in eating disorders is in the camp of those who believe that using medical or pseudo-medical reasons for restrictive diets is often a cover-up for disordered eating.  “Nobody wants to be called out on an eating disorder or obsessive eating,” she says, “so anything they can do to hide it, they will.”

Sitting down, which most of us do for at least eight hours each day, might be the worst thing we do for our health all day.We’ve been preaching the benefits of stand-up desks for a while around here — and no one needs this good news more than social media-obsessed web geeks. A recent medical journal study showed that people who sit for most of their day are 54% more likely to die of a heart attack.And our readers are receptive to the idea, too. In fact, in a recent poll, three-fourths of you said you already used a stand-up desk or you’d like to try one.So if you need more convincing, check out these graphically organized stats from Medical Billing and Coding. We like it for the information it contains, but we love it for the Saul Bass, Vertigo-esque graphics.

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This attitude, and paradigm, has got to change if we are ever to get to a saner, more compassionate (and yes, potentially profitable) Post-Prohibition society. The first step, as Amy's friend, the British actor Russell Brand, wrote in the Guardian, is to end the criminalization of use: We need to review the way society treats addicts, not as criminals but as sick people in need of care. We need to look at the way our government funds rehabilitation. It is cheaper to rehabilitate an addict than to send them to prison, so criminalisation doesn't even make economic sense. Not all of us know someone with the incredible talent that Amy had but we all know drunks and junkies and they all need help and the help is out there. All they have to do is pick up the phone and make the call. Or not. Either way, there will be a phone call. Addiction is not "a crime or a romantic affection," Brand concludes, "but a disease that will kill." Let's speak frankly here. Prohibition is as guilty for the death of Amy Winehouse as her addiction. Because when Amy used drugs she wasn't just indulging, she was breaking the law. There's a huge social stigma behind breaking the law, and it usually means unwanted attention, fear, hiding and lying. In The Exile Nation Project: An Oral History of the War on Drugs, Dr. Julie Holland, a psychatrist and emergency physician, explains that the hiding and lying of illegal and prohibited drug use leads to a pervasive feeling of shame, and that shame creates more of the intensely negative feelings and emotional states that lead to self-medication as a means of escape. This cycle is then reinfoirced over and over until it becomes hard-wired. "The way our drug policy is set up," she concludes, "it's turning us into addicts." Now imagine the pressure borne down upon a celebrity of Amy Winehouse's stature, struggling with a very public addiction. How can anyone in her position find the peace and solace, or simply the space, necessary to heal? Addiction takes years to overcome, you can't just stuff someone in rehab for 30 days, and then send them back out on tour, and expect them to be cured. Perhaps we still shove addicts into our collective shadow because we're afraid of addiction and we're afraid of losing control, and as a means of reinforcing control in ourselves, we project this fear onto those who we perceive as having lost control, and thus, are in violation of the social contract and deserving of punishment. We warehouse them so we don't have to look at them, and thus, don't have to look at ourselves.

We can stop this from happening. When those who are suffering are finally viewed with the compassion they deserve, rather than with the derision they receive. And when there is no longer any profit to be gained from their immiseration, then we will have taken that final necessary step to break the nefarious back of Prohibition, and move us slowly along into a saner, more rational world, one that would have helped Amy Winehouse and millions like her, instead of recklessly chasing her into her own grave.

The sentiment runs particularly high now at tax time, when almost everyone thinks that he’s paying too much while others cheat. Yet paradoxically, it’s often an obsession with fairness that leads people to begin cutting corners in the first place. “Cheating is especially easy to justify when you frame situations to cast yourself as a victim of some kind of unfairness,” said Dr. Anjan Chatterjee, a neurologist at the University of Pennsylvania who has studied the use of prescription drugs to improve intellectual performance. “Then it becomes a matter of evening the score; you’re not cheating, you’re restoring fairness.” The boilerplate tale of a good soul gone wrong is well known. It begins with small infractions — illegally downloading a few songs, skimming small amounts from the register, lies of omission on taxes — and grows by increments. The experiment becomes a hobby that becomes a way of life. In a recent interview with New York magazine, Bernard Madoff said his Ponzi scheme grew slowly from an investment advisory business that he began as a sideline for certain clients. This slippery-slope story obscures the process of moving to the dark side; namely, that people subconsciously seek shortcuts more than they realize — and make a deliberate decision when they begin to cheat in earnest.

no matter how instrumental new media have become in spreading protest these days, nothing replaces people taking to the streets.

In his “Politics,” Aristotle argued that the size of an ideal polis extended to the limits of a herald’s cry. He believed that the human voice was directly linked to civic order. A healthy citizenry in a proper city required face-to-face conversation.

We’re so distracted these days, people have forgotten how to focus. But the ‘mic check’ demands not just that we listen to other people’s opinions but that we really hear what they’re saying because we have to repeat their words exactly.

Last month, Washington Post columnist Steve Pearlstein wrote that if you wanted to come up with a bumper sticker that defined the Republican Party’s platform it would be this: “Repeal the 20th century. Vote GOP.” With their unrelenting attempts to slash Social Security, end Medicare and Medicaid and destroy the social safety net, Republicans are, indeed, on a quest of reversal. But they have set their sights on an even bolder course than Pearlstein acknowledges in his column: It’s not just the 20th century they have targeted for repeal; it’s the 18th and 19th too. The 18th century was defined, in many ways, by the Enlightenment, a philosophical movement based on the idea that reason, rational discourse and the advancement of knowledge, were the critical pillars of modern life. The leaders of the movement inspired the thinking of Charles Darwin, Thomas Jefferson and Ben Franklin; its tenets can be found in the Declaration of Independence and the U.S. Constitution. But more than 200 years later, those basic tenets — the very notion that facts and evidence matter — are being rejected, wholesale, by the 21st-century Republican Party.

The contempt with which the party views reason is staggering. Republicans have become proudly and unquestionably anti-science. (It is their litmus test, though they would probably reject the science behind litmus paper.) With the exception of Jon Huntsman, who polls about as well as Darwin would in a Republican primary, the Republican presidential candidates have either denied the existence of climate change, denied that it has been caused — and can be reversed — by man, or apologized for once holding a different view. They have come to this conclusion not because the science is inconclusive, but because they believe, as a matter of principle, that scientific evidence is no evidence at all.It’s on that basis that Ron Paul can say of evolution, “I think it’s a theory and I don’t accept it as a theory.” It’s on that basis that Rick Perry can call evolution “it’s a theory that’s out there, but one that’s got some gaps in it.” And it’s on that same basis, that same rejection of science, that Perry can say, “I’m not sure anybody actually knows completely and absolutely how old the earth is.”

Maybe we shouldn’t be surprised. After all, this kind of behavior is constantly rewarded by the media. As Al Gore noted in “An Inconvenient Truth,” while fewer than 1 percent of peer-reviewed scientific journals questioned the reality of man-made global warming, about half of all journalistic accounts did. In an age where media is obsessed with balance, facts are sidelined in favor of dueling opinions and false equivalence. That one is based on reason and science, the other on neither, is treated as entirely irrelevant. It’s a system ripe for exploitation, and conservatives are happy to oblige.