Nobody ever really eats alone. We must all negotiate the voice of our culture and its contradictory messages about food and the body. These cultural imperatives especially confuse and burden women as they struggle with the insidious power of the diet culture and current demands about body size and shape. In this insightful analysis of an treatment guide for eating problems, the authors develop a clinically useful theory of how society’s injunctions about the “right” body and the “right” diet become inscribed in patients and join with their intrapsychic emotional life.