“We found Emmie an individual therapist we all liked, and Adelle and I started consulting with everyone with a claim to expertise. Emmie had long outgrown FTT, and soon we had a new acronym, ARFID—avoidant/restrictive food intake disorder. You go in with a problem—‘ My daughter won’t eat’—they ask you some questions, then they give you a diagnosis that repeats what you said with more technical-sounding language, as if this process of translation constitutes a gain in knowledge. And then there is a second translation, an epistemological sleight of hand, the magical contraction of the diagnosis into an acronym. ‘My daughter won’t eat’ becomes ARFID. The acronym is like a code, moves the alpha toward the numerical; numbers are objective, right, suddenly it’s science! No matter that ARFID denotes the same mystery, is just an envelope for ignorance; ARFID just means: we have no physiological explanation but it doesn’t yet seem to involve the body-image issues we associate with anorexia or bulimia. Why couldn’t they think of an acronym that doesn’t basically begin with ‘barf’?”
“And that isn’t so close to ‘afraid.’”
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