RH: Towards the end of Wasted, you say that writing the 
book wasn't a therapeutic experience.
MH: Writing the book was actually a nightmare in some ways. 
In other ways, it was instructive for me both as a person and as a 
writer. The process of writing your first book is fascinating and 
wonderful and very rewarding. So as a professional it was a 
rewarding experience. As a person it was really difficult. 
I don't believe in literature as catharsis. I know that people's lives 
can be exploited and that I was walking a very fine line in writing 
about my life. I'm not a confessional person. I don't write 
autobiographical stories, I don't publish confessional poetry. It's not 
my thing. I keep a lot of secrets; that's common for people with 
eating disorders. Revealing about myself what I wrote in the book 
was a journalistic decision. I had originally planned to write a 
research book on my theories about the philosophical roots of eating 
disorders and the ways in which treatment needed to look at the 
cultural elements and change. But halfway through that book, I 
decided that I was being an irresponsible journalist by keeping out a 
huge component of the story? Why do I know all this? I know all this 
because this is my daily life. I live with the philosophy and the 
cultural impact. I was being such a liar by posing as a theoretical 
clinician when I was just a writer who had this book on my mind.
I decided that the responsible thing to do as a journalist was to write 
about the facts. The facts involved me. That bothered me. But this 
book is a microcosm of a much larger picture. When people come to 
readings, they often tell me, "You told my story." That's what I 
wanted to do: give a language to something that is very silent and 
secretive.
RH: You did manage to reincorporate a lot of your research, 
though.
MH: The writing of the book went through phases. I'd go 
through a week of getting down the facts, and then I'd step back for 
a while, look at the passage. I'd look at the thought patterns and 
behaviors that I was writing about, and see how they mirrored the 
theoretical writings, and then I would write about how what 
happened to me fit into the theory. Somehow I was able to weave in 
so many of the ideas that were important to me to weave in. I'd 
literally pull back to explain, "The point of this is..." I think in webs, 
and I can't write in one straight line. Things have too many 
interconnections. I couldn't have written a book that just went 
through one straight line.
RH: One technique that intrigued me was the use of "you" to refer 
to certain periods of your own life as if they were happening to 
another person.
MH: I didn't realize I was doing that until after I'd already 
written some of those passages, and I immediately realized that I 
would have to leave those passages like that because it was how I 
meant them. That's how the writer in my head, without thought and 
before language, was thinking.
 
I was disconnected from those periods of my life, and I 
remember thinking of myself at that time, especially between the 
ages of  fifteen and eightteen, as "you," not as "me" or "I." "You're too 
fat. You need to go run another twenty miles. You need to stop 
eating."
Some of the passages I chose to use it in were the most graphic 
sections of the book. I wanted them to feel more realistic, and I 
wanted the immediacy of "you," as well as the transference of the 
experience to the reader. And, in fact, for many readers of the book, 
those ARE their experiences. But I also wanted to get the experience 
across to readers who don't have eating disorders. They may know 
about eating disorders, but few of them have any idea what an 
eating disorder is actually like.
RH: When you attempted to reconstruct your medical history, 
what sort of difficulties did you have getting access to your 
records?
MH: In several instances, they didn't believe I was me. I got 
that excuse a lot, even when I had photo identification and even 
though there aren't a lot of Marya Hornbachers running around the 
planet. For some of my earlier hospitalizations, they would try to 
charge me a dollar a page for a four thousand page file, or I would 
have to be observed while viewing the files, or I'd have to sign legal 
disclaimers promising not to sue the hospital or libel them. But my 
point wasn't to write about the hospitals and what they might have 
done wrong or what they might not have done. I needed the files just 
to get the facts about my life, and they were useful in reconstructing 
the history, because there's a lot of things I didn't remember, or of 
which I have very scattered memories. Just seeing the documents 
would bring the memories back and fit them into a coherent 
structure.
RH: Things are better now than they were then, but are you 
cured?
MH: Food and I have a daily fight that's been going on for 
most of my life. But I live a pretty normal life. I don't go around 
talking about eating disorders all the time. Good God, what a bore. It 
would be awful. My life instinct became stronger, and I got much too 
busy to die. I have another book due. I'm married, I have a lot of 
friends, I have cats, I have to water the plants...life took over.  I have 
a life now. You can't have a life and an eating disorder at the same 
time. You can play the game and fool everybody for a really long 
time, but it's like the difference between life in a grainy black-and-
white film and in Technicolor. Life is so muted when you have an 
eating disorder -- and that's the point. If you don't like life, you can 
turn it down and have your own little sadomasochistic affair with 
yourself.
People often misunderstand eating disorders as a wish to go back to 
childhood. They write eating disorders off as an adolescent problem, 
but eating disorders affect women at every age in every background, 
as well as men. We want to see it as a phase, because if we really 
look at an eating disorder, we're confronting some ugly facts about 
human nature. There are days when all of us want to just pull the 
covers over our heads and not deal with anything; some of us just do 
really elaborate versions of that, combined with a self-destructive 
disrespect for the body and a terror of failure. Avoiding life is 
paradoxical for people with eating disorders, because in many cases 
they're extremely caught up with succeeding. They're workaholics, 
perfectionists. They seem to be throwing themselves into life, but by 
getting caught up in work they're avoiding having to deal with 
people emotionally.
RH: Even though you're 'better,' it's too late to avoid the 
consequences.
MH: The damage to a lot of my systems is irreparable. I can't 
have kids. My heart is three-fourths the size of a normal heart 
because the muscle mass was eroded. My bone mass was eroded 
throughout. I have a heart murmur. I have ulcers up and down my 
esophagus which makes getting the flu potentially lethal. I'm 
drastically underweight for my height, although I hide it very well, 
as many adult women with eating disorders do. If people tell me that 
I look great, part of the reason is because culturally there's 
something wrong with their eyes. I look great because I don't look 
like I'm going to drop dead. But I'm not going to have a happy 
ending. I've been hospitalized twice in the last year. Think of an 
eating disorder as a life-change syndrome. When my life changes 
drastically, and I can't cope with the stress, my default mode is to 
not eat.
The best advice I can give to people with eating disorders who don't 
want to relapse is: get a life. When I was nineteen, and literally had 
to make a choice between life and death, instead of the boring choice 
between not eating and getting better, I started to learn what I could 
have if I didn't give in to my eating disorder. Now when I backslide, 
I know what I have to get back to.
RH: One of the hardest obstacles to recovery is that many people 
without eating disorders are still preoccupied with weight, making it 
difficult to find support.
MH: It's absolutely maddening. If you look hard enough, you 
can find people, but you have to make careful decisions about who 
you want to spend your time with. If this is a person who obsesses 
about their body or their weight, they're going to make you crazy. 
My friends are all mad as hatters, but they're so normal about food 
that it's like I've died and gone to heaven. We go out and everybody 
just orders whatever they want. It seems normal to people without 
eating disorders, but for me it's like being in Disneyland.
You have to decide that you want to stop obsessing. You have to stop 
assuming that part of being a woman is obsessing about your weight. 
Lots of women don't, and some of them write really good books. I'd 
put money on Toni Morrision not being concerned about her 
weight.
RH: Remember Oprah's public obsession with her fluctuating 
weight?
MH: What a nightmare. Given her ripple effect, I'd love it if 
she went on TV and said, "All of us have to stop obsessing about our 
weight." No more getting together with other women for tiny meals 
followed by comparisons of your arm fat. No more dieting. There's a 
$33 billion diet industry and I want it gone. I think of the thousands 
of dollars I've spent on diet pills and laxatives, half of which are now 
off the market because they were toxic. I ate that stuff. It was 
my lunch for years.
It terrifies me what women and men do to their bodies without 
concern. They'll say to themselves, "Oh, I won't have lunch today." 
That literally messes with your brain cells. It occurs to me on a daily 
basis now that if I give in to my eating disorder, I run the risk of 
brain damage. I have a conflicted relationship with my body, but it's 
a godsend for me to be able to think that I have to take care of my 
mind, and that I won't be able to do that without my body.
RH: What are you working on now?
MH: A novel, and it's wonderful to be working on it. I've been 
writing short fiction forever, and I thought this was a collection of 
stories, but when I realized that all the characters knew each other, I 
also realized that it was a novel. That took me a while to deal with, 
but once I got over the first novel anxiety, it's become such a 
beautiful process, like mental chess. I sit down to write at 8:00 and I 
get up at 6:00 and I love my life.
Wasted was written very quickly, and I remember the whole 
time as being very relaxed, even though I was writing for sixteen, 
eightteen hours a day. People were always telling me, "Well, you had 
to write about your life first." Since when is that a writer's job? It's a 
ridiculous idea. Lots of people write memoirs about their hard lives, 
but that wasn't my intention. Anybody who knows me well knows 
that I spent months agonizing over whether I should even write 
it.
RH: So there's no sense of competition with the rest of the memoir 
pack?
MH: Not on my part, anyway. It's not even the memoir of a 
person; it's a memoir of my disease. Writing a memoir at 23 would 
be, I suppose, less absurd for me that for other people because I've 
lived a lot, but it would still be pretty absurd. What was important 
for me was to talk about the eating disorder itself. This is what it 
looks like. It's gruesome, it's gory, it's not romantic, it's not 
glamorous. Get a grip, get on with your life. That's what I wanted to 
say, so I said it, and now I'm writing a novel.