Introduction In the beginning there was image. No words to express our feelings, our needs, our desires. Just image.

It takes years to develop language and give voice to our inner selves. For people who develop eating disorders, the ability to access and put feelings into words is blunted and poorly developed. Understandably, psychotherapy is difficult for these patients. The psychotherapy relationship is dependent on language, and the eating-disordered patient shies away from words, speaking of her inner pain and conflicts with her body. Inner turmoil is expressed in metaphors like bingeing and starving.