We are living in a great era of saint-making. Under John Paul II an industrial revolution has overtaken the Vatican. Saints are fast-tracked to the top, and there are beatifications by the bucketload.
Gemma Galgani became a saint in 1940, in the reign of Pius XII. It was a rapid promotion by the standard of those days. After a miserable life, Galgani died of TB in 1903, when she was 25. Her life and writings, say Rudolph Bell and Cristina Mazzoni, authors of The Voices of Gemma Galgani, reveal her to be an old-fashioned saint - Italian, passive, repressed, yet given to displays of flamboyant suffering, to public and extreme fasting and self-denial and the exhibition of torn and bleeding flesh.
Her behaviour recalled the gruesome penitential practices of her medieval foremothers, and resembled that of the "hysterics" of her own day, whose case histories promoted the careers of Josef Breuer and Sigmund Freud. But we can't quite consign Galgani to history, to the dustbin of outmoded signs and symptoms, or the waste-tip of an age of faith. When we think of young adults in the west, driven by secular demons of unknown provenance to starve and purge themselves, and to pierce and slash their flesh, we wonder uneasily if she is our sister under the skin.
Rudolph Bell's 1985 book Holy Anorexia, on Italian saints, is especially rewarding for connoisseurs of the spiritually lurid. St Maria Maddalena dei Pazzi lay naked on thorns. Catherine of Siena drank pus from a cancerous sore. One confessor ordered Veronica Giuliani to kneel while a novice of the order kicked her in the mouth. Another ordered her to clean the walls and floor of her cell with her tongue; but even he thought it was going too far when she swallowed the spiders and their webs.
Scourges, chains and hair-shirts were the must-have accessories in these women's lives. St Margaret of Cortona bought herself a razor and was narrowly dissuaded from slicing through her nostrils and upper lip. St Angela of Foligno drank water contaminated by the putrefying flesh of a leper. And what St Francesca Romana did, I find I am not able to write down.
Starvation was a constant for these women. It melted their flesh away, so that the beating of their hearts could be seen behind the racks of their ribs. It made them one with the poor and destitute, and united them with the image of Christ on the cross. What does this holy anorexia mean? Can we find any imaginative connection with a woman such as Galgani? Like her medieval predecessors, she received the stigmata, the mark of Christ's wounds. Like them, she was beaten up by devils. Like them, she performed miracles of healing after her death.
To talk about female masochism seems reductive and unhelpful. You have to look the saints in the face; say how the facts of their lives revolt and frighten you, but when you have got over being satirical and atheistical, and saying how silly it all is, the only productive way is the one the psychologist Pierre Janet recommended, early in the 20th century: first, you must respect the beliefs that underlie the phenomena.
Galgani and her fellow female saints believed that suffering had an effect that was not limited in time or space. They could, just for a while, share the pain of crucifixion. Their suffering could be an expiation for the sins of others; it could be a restitution, a substitution. Margaret of Cortona said: "I want to die of starvation to satiate the poor."
Therese of Lisieux died of TB in 1897, just short of her 25th birthday. As she lay dying, bleeding from her intestines and unable to keep down water, she was tormented by the thought of banquets. Galgani, too, dreamed of food; would it be all right, she asked her confessor, to ask Jesus to take away her sense of taste? Permission was granted. She arranged with Jesus that she should begin to expiate, through her own suffering, all the sins committed by priests: after this bargain was struck, for the next 60 days she vomited whenever she tried to eat.
Within the church, pain can become productive, suffering can be put to work. But outside the church, suffering loses its meaning, degenerates into physical squalor. It has only the meaning we ascribe to it; but now we lack a context in which to understand the consent to suffering that the saints gave.
Anorexia nervosa is said to be a modern epidemic. If you skimmed the press in any one week it would be hard to see what is perceived as more threatening to society: the flabby, rolling mass of couch-potato kids, or their teenage sisters with thighs like gnawed chicken-bones, sunken cheeks and putrid breath. Are we threatened by flesh or its opposite? Though the temporarily thin find it easy to preach against the fat, we are much more interested in anorexia than in obesity. We all understand self-indulgence, but are afraid that self-denial might be beyond us.
Bell emphasises that what she experienced was "holy anorexia", and that it is different from anorexia nervosa. But what may strike a secular reader is how similar they are. Starvation, as Bell shows, was not an extension of convent practice, but a defiance of it. A fast is a controlled penitential practice. Most nuns fasted to keep the rule: the anorexics fasted to break it. Most nuns fasted to conform to their community: the starvation artists aimed to be extraordinary, exemplary.
The secular slimming diet is also conformist and self-limiting. Dieting is culturally approved, associative behaviour, almost ritualistic. Restaurants adapt their menus to the Dr Atkins faddists; in a thousand church halls every week, less fashionable dieters discuss their "points" and "sins", their little liberties and their permitted lapses. Diets are prescriptive, like convent fasts - so much of this, so little of that. The anorexic, holy or otherwise, makes her own laws. Every normal diet ends when the dieter's will fails, or the "target weight" is reached, at which point the dieter will celebrate, the deprived body will take its revenge, and the whole cycle will begin again - next Monday, or next Lent. Diets are meant to fail, fasts to end in a feast day.
Anorexia succeeds, and ends in death, more frequently than any other psychiatric disorder. Should we be comfortable regarding it as a psychiatric disorder? Is it not a social construct? If the fashion industry were responsible for modern anorexia, it would be true that we were dealing with a very different condition from holy anorexia. But the phenomenon of starving girls predates any kind of fashion industry. In The Disease of Virgins: Green Sickness, Chlorosis and the Problems of Puberty, Helen King has amassed a huge number of references to a disease entity that was recognised from classical times to the 1920s. Greensick virgins went about looking moony, and didn't menstruate, possibly because they didn't weigh enough; in all eras, food refusal was part of the condition.
Sometimes the starving saints broke their fasts, and were found at midnight raiding the convent larder. How did their communities accommodate this embarrassment? They simply said that, while Sister X snoozed celestially in her cell, the devil assumed her form and shape, tucked his tail under a habit, crept downstairs and ate all the pies.
The young women who survive anorexia do not like themselves. Their memoirs burn with self-hatred, expressed in terms that often seem anachronistic. In My Hungry Hell, Kate Chisholm says: "Pride is the besetting sin of the anorexic: pride in her self-denial, in her thin body, in her superiority."
Survivors are reluctant to admit that anorexia, which in the end leads to invalidity and death, is along the way a path of pleasure and power: it is the power that confers pleasure, however freakish and fragile the gratification may seem. When you are isolated, your back to the social wall, control over your own ingestion and excretion is all you have left; this is why professional torturers make sure to remove it.
Why do women still feel so hounded? The ideal body seems now attainable only by plastic surgery. The ideal woman has the earning powers of a chief executive, breasts like an inflatable doll, no hips at all and the tidy, hairless labia of an unviolated six-year-old. The world gets harder and harder. There's no pleasing it. No wonder some girls want out.
It is possible that there is a certain personality structure that has always been problematical for women, and which is as hard to live with today as it ever was - a type that is withdrawn, thoughtful, reserved, self-contained and judgmental, naturally more cerebral than emotional. Adolescence is difficult for such people; peer-pressure and hormonal disruption whips them into forced emotion. Suddenly, self-containment becomes difficult. Emotions become labile.
Why do some children cut themselves, stud themselves and arrange for bodily modifications that turn passers-by sick in the streets, while others merely dwindle quietly? Is it a class issue? Is it to do with educational level? The subject is complex and intractable. The cutters have chosen a form of display that even the great secular hysterics of the 19th century would have found unsubtle, while the starvers defy all the ingenuities of modern medicine; the bulimics borrow the tricks of both, and are perhaps the true heirs of those spider-swallowers.
Anorexia itself seems like mad behaviour, but I don't think it is madness. It is a way of shrinking back, of reserving, preserving the self, fighting free of sexual and emotional entanglements. It says, like Christ, noli me tangere. Touch me not and take yourself off. For a year or two, it may be a valid strategy; to be greensick, to be out of the game; to die just a little; to nourish the inner being while starving the outer being; to buy time. Most anorexics do recover, after all. Anorexia can be an accommodation, a strategy for survival.
In Holy Anorexia, Bell remarks how often, once recovered, notorious starvers became leaders of their communities, serene young mothers superior, who were noticeably wise and moderate in setting the rules for their own convents. Such career opportunities are not available these days. I do not think holy anorexia is very different from secular anorexia. I wish it were. It ought to be possible to live and thrive, without conforming, complying, giving in, but also without imitating a man, even Christ.