Ali* initially came to therapy for disordered eating. She was a young and diffident(缺乏自信的) woman. She described recurrent cycles of restricted eating followed by attempts to exercise it away(通过运动消除（食物影响）). We used cognitive behavioural therapy for eating disorders to unpick her “food rules” – the underlying beliefs which can drive eating disorders, such as “the less I eat the better” or “carbs are bad”.(我们使用认知行为疗法来拆解她的“食物规则”——那些可能驱动进食障碍的潜在信念。)
阿里*最初是因进食障碍来接受治疗的。她年轻而缺乏自信。她描述了自己反复出现的节食循环，节食之后又试图通过运动来消耗掉。我们使用针对进食障碍的认知行为疗法，来拆解她的“食物规则”——那些可能驱动进食障碍的潜在信念，比如“吃得越少越好”或“碳水化合物是有害的”。
As we worked on understanding and shifting her beliefs and behaviours around food, we noticed that most of her assumptions around eating, shape and weight coincide(同时发生，相符)d with the start of her relationship with her ex-partner. She told me he was a “gym junkie(健身狂，健身成瘾者)” and spent hours working out and encouraged her to do the same. “He got angry if I ate carbs,” she said, “and created a couples meal plan for us so I could shred(（俚语）减脂，练出肌肉线条) and look hot(看起来性感迷人) when we were out together.”
当我们努力理解和改变她对食物的信念和行为时，我们注意到她对饮食、体型和体重的大部分假设都与她与前伴侣关系的开始相吻合。她告诉我，他是个“健身狂”，花数小时锻炼，并鼓励她也这样做。“如果我吃碳水，他就会生气，”她说，“他还为我们制定了情侣餐计划，这样我就能瘦下来，当我们一起出去时看起来火辣。”
Slowly, she spoke of other forms of control: encouraging her to dress in a “sexier” manner than she felt comfortable with, jealousy if he saw her talking to another man, watching her bank transactions to see where she was going, and insisting on going to all her social events so he could get to know her friends. “But he’d always start an argument, or would say he didn’t like them,” she told me. “And then I had to stop seeing them to prove my loyalty to him.” He used her fears about being an inexperienced sexual partner to coerce her into a range of sexual acts, telling her that what he wanted was “normal” and she was not being a good partner if she refused.(他利用她对性经验不足的恐惧，胁迫她进行一系列性行为，并告诉她他想要的是“正常的”，如果她拒绝就不是好伴侣。)
慢慢地，她谈到了其他形式的控制：鼓励她穿得比她感觉舒服的“更性感”的衣着，如果看到她与另一个男人交谈就嫉妒，查看她的银行交易记录以了解她去哪里，并坚持参加她所有的社交活动，以便认识她的朋友。“但他总是挑起争吵，或者说他不喜欢他们，”她告诉我。“然后我不得不停止见他们，以证明我对他的忠诚。”他利用她对自己是缺乏经验的性伴侣的恐惧，胁迫她进行一系列性行为，告诉她他想要的是“正常的”，如果她拒绝，她就不是一个好伴侣。