Kk063 Anna Moriyama Care — Abstinence

At first glance, "abstinence" seems contrary to care: where care implies giving, abstinence implies refraining. Yet restraint is often a form of protection. For Anna Moriyama, abstinence functions as a calibrated response: a refusal not of care itself but of forms of care that enable harm, dependence, or loss of agency. Abstinence here is ethical pruning—removing behaviors or offerings that, while immediately consoling, perpetuate long-term harm.

If you want, I can: (a) produce a printable one‑page refusal/informed‑refusal form prefilled for Anna Moriyama (kk063), or (b) draft scripted language clinicians can use when discussing abstinence with her. Which would you like? kk063 anna moriyama care abstinence

Abstaining is emotionally costly. Anna Moriyama’s model acknowledges caregiver vulnerability—guilt, doubt, and compassion fatigue—and embeds self-care routines, supervision, and reflective practices so abstinence is sustainable and not punitive. At first glance, "abstinence" seems contrary to care: