Truth in Advertising

Have you seen the new Special K campaign that encourages us to put an end to Fat Talk? 



So inspirational, right?  Except that the video tells us that fat talk is a barrier to managing our weight, rather than a barrier to being happy or being alive. . .  And this is the same Special K that asked us "What will you gain when you lose?", that promised us we could drop a jean size in two weeks, and that introduced us to weightless Melissa. Remember her?

Pantene is responsible for a simultaneous viral campaign that encourages us to buck the women-as-bossy or-bitchy stereotype and lean in just like Sheryl.  



But is Pantene really after our best interests?  In a Time article, research psychologist Peggy Drexler asks: "After all, is there anything more sexist than the notion that professional women need a hair care brand—or anyone, really—to help them learn to 'be strong and shine'?" Keep in mind, this is the same Pantene of the 1980's "Don't hate me because I'm beautiful" campaign.  Remember her?

Unilever's Dove "Real Beauty" campaign was perhaps the first to market with the purpose of body positivity. But in these ads, which aimed to cast "flawless" women, we saw gradations of thin, curvy physiques with spotless skin and beautiful hair. This is the same Unilever that owns Slim Fast.

These companies don't really care if you love your body or achieve your personal or career goals. If so, they would have built themselves around this philosophy from the start. They want you to buy their products. Consultants have advised them that the route to enviable sales now lies in promoting self-empowerment.  So they are.  But body love and personal growth are independent of cereal, body wash, and shampoo selection, and these campaigns are hypocritical at worst, see through at best. Don't believe the hype.

Fatness: A Public Health Crisis?

Hey Tweet Peeps,

Do you have plans for Friday, December 13th, at 1pm EST?

If not, join the Academy for Eating Disorders' upcoming TweetChat!  We will be hosting UCLA sociology professor and author Dr. Abigail Saguy, who wrote the book, What's Wrong With Fat? released earlier this year. (Hint: Buy it--it's good!)

I'm honored to be helping out with the TweetChat behind the scenes.  You can follow the buzz using #aedchat or the handles @aedweb, @WhatsWrongWithFat, or mine, @drstaceyla.

Enjoy the dialogue!

My Thoughts on Lululemon

Last week, yoga/fitness/lifestyle clothier Lululemon's founder Chip Wilson made a huge body image/weight stigma blunder by refusing to take any responsibility when accused of poor product construction. Instead, he blamed yoga pant pilling on poorly constructed women. "Some women's bodies just actually don't work," he said. "It's about the rubbing through the thighs." It's not the fabric's fault, silly; it's your bulging gams.



Wilson has apologized publicly for the offense, but many in the eating disorder community just won't have it. Body Image Advocate Marci Warfhaft-Nadler makes some excellent points here and also started a change.org petition encouraging Lululemon founder Chip Wilson to "stop shaming women's bodies" and "apologize and make clothes for women of all sizes!"

In defense of Lululemon, I happen to like their products, swayed early on by the brand's comfort, fit, and seeming impermeability to sweat smells and stains.* Granted, unlike the average American woman, I wear a size that entitles me to shop at Lululemon in the first place, but in my experience, their yoga and running pants actually pill less than other brands. And, for those of you who have never seen me, I'm sans thigh gap and not even close to a top-shelf Lululemon'er. And yet, my trusted Lulus have held up over
time. . .

Wilson made an offensive comment and for that, he should take responsibility, but let's hate the player and the game. Wilson's fat-shaming sentiment, and the brand's refusal to carry larger sizes, are not at all unique to Wilson or Lululemon.  Rather, they are problems that plague the fashion industry and our culture as a whole. The conversation about bodies, clothing, and weight stigma goes way beyond Chip Wilson and Lululemon and must evolve, along with the industry, to be more inclusive and less offensive to all of us.

*Product plugs:  I'm grateful to Lululemon, Nike, Hard Tail, New Balance, and Apple products for outfitting and entertaining me during today's morning workout, which allowed me the time and space to write this blog post in my head.

FLOTUS on TBL?

You may have heard that Michelle Obama is scheduled to appear (again) on an episode of NBC's The Biggest Loser.

This time, the eating disorder community won't go down without a fight.

The last couple of weeks have witnessed a social media* blitz suggesting our first lady reconsider her appearance. The folks over at Binge Behavior started a change.org petition encouraging Mrs. Obama to cancel on TBL. The petition already has 3,500 signatures, including mine!

Binge Behavior, together with the Binge Eating Disorder Association, the Academy of Eating Disorders and some other key e.d. players, also sent a letter to Mrs. Obama explaining why we are challenging her appearance on the show.

What do you think?

*Speaking of social media, a couple of months ago, I signed on as one of the official Tweeters for the Academy of Eating Disorders.  For great content on eating disorders, check out their Twitter feed: @aedweb (and mine, too: @drstaceyla)!

No Excuses

By now, you've probably seen this photo (motivational campaign?), which has quickly made the internet rounds.

Maria Kang is, as she describes on her website, a "recovering bulimic."  I would hope that all women in recovery understand that images and messages like this are often difficult for women, with and without eating disorders, to tolerate.

The word "excuse" has a judgmental, shaming connotation to it.  If you're not doing it her way, then clearly, you're not doing it right.  Already, many women have spoken out with their "excuses," from lack of time or other resources, to serious illness.  How's cancer for an excuse for not rocking Kangian abs?

The reality is, most women's "excuse" is simply genetics.  Even if they spent three hours daily at the gym (and really, how healthy would that be?) and ate only unprocessed, organic, vegan, dairy-free, sugar-free, gluten-free morsels at two-hour intervals throughout the day, stopping by 7pm, of course (and really, how healthy would that be?), they still wouldn't look like this.  Because their genes just don't want them to.  Their bodies would rebel from over-training by getting sick and injured and they would compensate for caloric restriction by overeating or bingeing when given the chance.  And their lives would be monumentally out of balance. . .

There are hoards of athletic, flexible, strong, in-shape women who can run marathons or climb mountains, hoist dumbbells, office printers, or six-year-olds, who earn cardiovascular and metabolic gold stars at each and every doctor's visit, who look nothing like this.  The reality is, by looking at the photo of Kang, we can't even know if she's healthy.  We simply know that she's thin.  The more we equate health with appearance, the more we encourage exercise as punishment (rather than life-affirming recreation) and promote cultural-sanctioned disordered eating and body dissatisfaction.

And until women can come together and stop judging, criticizing and attacking one another, we really don't stand a chance in tackling the many forms of competition and adversity we experience in our roles as mothers, in the workplace, as sexual objects, etc., etc., etc.

Motivating people through judgment, shame, and attack isn't motivating, at least not in the long-run.  My hope is that women like Kang can motivate her fitness audience through accurate information, encouragement, and support.  There are plenty of forces and factors in this world that denigrate women; let's at least call it a truce with one another.

Should She Rebel?

It looks like Aussie export Rebel Wilson is getting the full-court press by the diet industry, as companies bid to have her crowned their newest weight-loss spokesperson.

Wilson, praised for her comedic talent and now the star of her own show, is apparently set to encounter tons of money if she signs on to endorse one of these plans.

Should she do it for the money (who's the biggest loser, then?) or say no, I'm happy and successful the way I am?

Is Strong the New Skinny?

I remember the first "Fitspiration" ad I clipped many years ago.  It was a print ad from Nike, and the rookie fitness professional in me liked the message.  It said something to the effect of how we never go out for a run and later regret that we did.  Couldn't really argue that. . .

Flash forward almost 20 years and these ads have morphed into something entirely different.

Nike still plays it relatively safe, but commands hard work and harder bodies.



Others have a more radical tone.  Following in the footsteps of thinspiration, fitspiration (nicknamed "fitspo"), offers internet images and slogans designed to motivate us toward our fitness goals. Popping up on social media sites are images of women with toned, muscular bodies and especially chiseled abs accompanied by inspirational messages evoking themes of discipline, failure, and pain.

Charlotte Anderson of the blog (and book), The Great Fitness Experiment, writes about fitspo:  

Looking at rock-hard body after rock-hard body it occurred to met hat fitspo may be in thinspo in a sports bra.  After all ,the problem with thinspo is that the images represent a mostly unattainable ideal that requires great sacrifices (both physical and mental) to achieve and I daresay that most of those "perfect" female bodies, albeit muscular instead of bony, are equally as problematic.

What do you think?  Do fitspo images and slogans motivate fitness behavior in the masses or promote an unhealthy relationship with exercise, food, and weight?  Are these ads just more socially acceptable forms of thinspo?

Strong is certainly a healthier goal than skinny, and I'd love to see images of strong women of various shapes and sizes.  But if strong really is the new sexy, then why are these women all so skinny?  

We Have a Cover!

Calling All Commenters!

I'm excited to announce that my blog has generated interest from a publisher to create a book on the important subject of eating/body image concerns. Through the years the comments from readers have been an important part of this blog. If you have commented at any time, I would appreciate your contacting me at drstaceyla at gmail dot com. Thank you. 

Like a Lady?

The Skinny Girls Cocktails website commands:

Ladies, it’s time. Time to bring the old rules of cocktailing into the modern age. Time to re-write the books on the way we socialize. Time to redefine just what it means to be a lady. Sure, a lady always says, “please” and “thank you,” but a lady also knows what she wants, and isn’t afraid to go out and get it. And Skinnygirl® Cocktails is here to show you how. It’s a woman’s world out there, and it’s time to Drink Like a Lady™.

What exactly does it mean to "drink like a lady"?  Does it mean that you sit cross-legged on a chaise, sipping your chardonnay? That your pinkie dangles delicately as you drink your daiquiri?

Does it mean you wisely moderate your alcohol use? (Now that's a cause I can get behind!)

Or, does it mean, as implied by the brand name, that you imbibe liberally but still look like Bethenny?

It's a tiring (and tiresome) dilemma for women.  Enjoy your food, but watch your weight.  Glisten, but don't you sweat.  Be sexual, but not promiscuous.

If it really were a "woman's world," would you have to "drink like a lady" or could you simply drink?

Attention Long-time Readers!

Remember when I posted years ago asking for story submissions?  For those of you who so kindly sent me your stories, would you please send me your updated contact info? (to drstaceyny AT gmail DOT com).  I'd like to get formal permission to use them for the book.

Others:  want to share your story with the world?  Feel free to send to me!

Also, check out my new list of links (Sites I Like) to the right for helpful content on eating disorders, food, and weight.

And, for those who want a good laugh, check out this video, courtesy of Amy Schumer, which addresses in hyperbolic fashion how many women just can't seem to take a compliment (apologies for the profanity).

You Are Beautiful. . . Or Does it Even Really Matter?

The sign beckons me from a parking lot in Santa Monica.  You are beautiful, it says.  And for a moment, I agree.  I am beautiful.  And so are you.  And you.  And yes, even you.

It's such a, well, beautiful sentiment.  We should all acknowledge how uniquely beautiful we are.

For years, I've worked within this framework, encouraging women to focus on what aspects of their appearance they like.  For some, even finding one or two features was a difficult task, but I was patient and resolute.  For me, it was important to recognize that appearance isn't a black-and-white issue, and that while you might not like your stomach, your eyes, well, they're kinda pretty, no?

And, zooming out a bit, aren't you really just a beautifully complete creature, a perfect constellation of limbs, organs, fluid, and cells, parts that fit and function in a miraculous way?

More recently, though, I've found myself shifting frames.  If you feel beautiful, that's quite an accomplishment given our current cultural context.  Good for you.  You've outwitted them.

But if you don't, that might okay, too.  Because, I'm interested in taking that current cultural context and slamming it into an empty parking lot wall.  Why must we put such a premium on beauty? You're not so attractive?  Okay.  What do you have going for you that likely, in the scheme of things, matters significantly more?  Beauty may get us through this world more quickly.  I'm not going to argue that.  It's like a theme park fast pass for life. But, if beauty is what you want out of life, and that's how you'll evaluate your time on earth as it nears it's end, then it's possible you have some larger challenges than the shape of your nose or the size of your thighs.

The ladies behind Beauty Redefined offer up some words of wisdom that reflect this change of course.  You may argue, "No, that's not true," but isn't that just another sign that you've been brainwashed like the rest of us?



So, what do you think?  Should we continue to stress "You are beautiful," or instead radicalize the discourse a la Beauty Redefined?

Can You Love Your Body Without Really Loving Your Body?

Lose the Diet.

Love Your Body.

Eat in Peace.

Those are three of the major tenets of my work with eating and body image.  The order in which women accomplish these goals is fairly standard.  First, they give up dieting.  While this may be a radical notion for some, usually it's not too difficult to accomplish.  Next, and as a part of a new non-dieting approach, they learn to find peace with food.  This step may require a bit more finagling, but many women are still able to find success.  So far, so good. . .  But, what comes next is, in my opinion, significantly more challenging to approach.

Love Your Body.

What does that mean?  Do you really need to love your body to move beyond eating and body issues?  Is love a requirement to heal?

I don't believe that you must really love your body in order to recover.  The truth is that most women (and an increasing number of men these days) don't love their bodies.  But, what is important is acting as if you love your body.  What does that mean exactly?

• You refrain from attacking your body with verbal and visual assaults.
• You take care of your body, providing it with adequate nutrition, sleep, and other self-care behaviors.
• You exercise for health and enjoyment, not for punishment or compensation.
• You wear clothing that fits, is comfortable, and flatters your physique.
• You participate in activities that you enjoy, without letting your size keep you sidelined or from enjoying these activities.  
• You have a healthy sexual/romantic life, and your body image isn't an obstacle to your sexuality.
• You treat your body well, and if finances allow, you go for massages, manicures, etc.  
• You accept that while you might prefer to be thinner, taller, tanner, or more toned, this is your body now. 

Can you try to act as if?  

Developing a Healthy Relationship with Exercise

Exercise is a wonderful thing.  Unfortunately, that's not the case for most people I know.  It seems I'm usually either working with people to begin an exercise program or, on the other extreme, to back off of an exercise regime they don't enjoy but feel compelled to do.  As a psychologist who specializes in eating/body issues, who also has a master's degree in sport/exercise psychology and has been certified as a personal trainer for over 15 years, I am uniquely positioned to comment on both sides of the exercise spectrum, from under-exercise to exercise addiction.

We know that a large percentage of people who begin an exercise program will drop out within the first six months.  Why?  Because they don't like what they're doing.  Because they burn out. Because life gets in the way. If you follow these tips, though, you'll be more likely to commit to healthy activity over the long-haul because you'll actually enjoy what you're doing. Remember, the goal is to choose an "exercise lifestyle" that will work for the rest of your years.

1)  Cross-train:  Trainers have been talking for eons about the physiological benefits of cross-training, but cross-training has significant mental pros, too.  Participating in different activities throughout the week (month or year) reduces emotional burnout.

2)  Get outside:  There's something about fresh air and the sights, smells and sounds of city/country living that can contribute to the psychological benefits of fitness.  Nature, too, is a natural mood-booster.  True, some may also enjoy the sights (maybe not the smells) of their local gym, but still, I recommend that, weather-permitting, you mix it up a bit.

3)  Ban the gym:  Speaking of the gym, consider your relationship with your local Gold's or Equinox. If you hate going there, it's going to be an uphill battle all the way, and chances are, you'll drop out. If the gym connotes discomfort, punishment, etc., choose another venue you actually look forward to visiting.  Play tennis.  Go hiking.  Take salsa lessons. There is absolutely no need to go to the gym if that's not your thing.  Adrenaline junkie?  Try rock climbing, ocean swimming, mountain biking.  You'd be impressed at how infinitely more thrilling chasing the speed limit cycling westbound on San Vincente in L.A. or on the downhill stretch of Harlem Hill in Central Park can be than parking yourself on the stationary bike at the gym.

4)  Get your soundtrack on:  Studies show that we'll work out longer and harder when accompanied by good music.  I love my music collection so much that I look forward to the movement it commands.  You, too, can create a personal dance party on your MP3 player. For more of a challenge, choose faster-paced music, as we unconsciously move our bodies to the beat.

5)  Set goals:  It's incredibly motivating to have a project or goal to work toward.  Sign up for your first 5k (or muddy buddy race, if that's your thing).  Join a summer basketball league, knowing that you'd like to be in fighting shape before the league begins.  Having some sort of goal or deadline can enhance your fitness commitment and keep you on track.

6)  Forget the weight:  Exercise because it feels good and contributes to physical and psychological health, not because it burns calories or helps you lose or maintain weight. Those who begin exercise programs to lose weight often drop out when they don't see the immediate desired results. On the other extreme, exercise can become disordered as individuals seek to burn off each additional calorie they've consumed.  Exercise is a privilege, not a punishment for consumption.  I wish that all group fitness instructors would, in their prompts during class, focus on strength, health, and fun, rather than calories and weight. 15 years ago, I wrote my master's thesis on the mood-enhancing properties of exercise, and I still stand behind that research.   Exercise results in reduced depression and anxiety and increased self-esteem.  Work out with these significant benefits in mind.

7)  Be consistent:  Hemming and hawing about should I or shouldn't I work out today creates too much room for bailing.  Have a set schedule that you commit to, unless you're sick or something urgent arises.  Consider fitness to be a part of your everyday routine.

8)  Take it easy:  Yes, it is possible both to be consistent and to take it easy.  Schedule days off.  This one is particularly challenging for those who have a compulsive relationship with exercise, but for that reason alone, it's important to achieve.  The body (and the mind) need some time to recover.  Taking a couple of days off per week allows you to come back clearer, stronger, and more determined.  Schedule weeks off here or there throughout the year to recover more fully and further increase your drive.  Prove that you have a  healthy relationship with exercise by taking time off for work/family obligations, travel, illness, surgeries, etc. without suffering guilt, anxiety, or depression.

9)  Embrace the grays:  Taking it easy also involves embracing the grays:  Despite what almost everyone I work with believes, I still espouse that 15 minutes of exercise is better than nothing. If you don't have the time or energy to put it a full workout, do what you can. Trust me, it still counts. On a related note, your workout should not feel like 45 minutes of physical torture. Many people dislike exercise because they equate it with pain. Back off to a degree where you feel challenged, but not distressed. Especially if you're having an off day, give yourself permission to dial back the effort. Your run can turn into a walk, your kickboxing class into a yoga class class across the gym. And yes, it still counts.

10)  Practice gratitude: Take a moment to remember how lucky you are to choose to move your body.  Be thankful for functioning limbs, a healthy heart and lungs, and the lifestyle wherewithal that allows you to have  the time, space, and energy to move.

Bumpy Roads

What do Kim Kardashian, Jessica Simpson, and Kate Middleton have in common?  Yes, they're all famous, and yes, they're all pregnant, but all three have also been criticized for their pregnancy shape.

As if the physical and emotional aspects of pregnancy aren't enough stress to bear, women's pregnant bodies are constantly scrutinized and judged by others.  Are you gaining enough weight?  Are you gaining too much weight?  Or are you the Goldilocks of motherhood?

For those who struggled with food prior to pregnancy, these 10 months can be exceptionally challenging.  Morning sickness, weekly weight checks, a growing belly (and body. . .  even despite a real and delicious purpose), sometimes well-intentioned comments about the "right" things to eat--all can rile up an already shaky relationship with food and weight.  And, as more and more women are turning to fertility treatments these days, tack on additional pre-pregnancy gain.

A lot of this cannot be stopped.  But the comments, they need to cease.  Internet magazine Jezebel recently ran an article lambasting the media hoopla around Kim K's gain.  I say, we need to apply these words to every expecting mother.  Not one woman should be critically commenting on another woman's growing belly.  It's the quickest, surest way to devalue the miracle of life.  

I Recommend This Book to No One

Remember those book reports from grade school, which inevitably concluded with your recommendation for a target audience ("I'd recommend this book to other boys and girls my age. . . .")?

Well, I found a book that I would like to recommend to no one.

I was browsing in my local novelty shop and came across this title:

Never have I been so disappointed by a subtitle. And to think, the title had such promise!

So, I found myself mentally rewriting the subtitle (and, of course, by extension, the book).   Six Weeks to OMG:  Never Pick Up a Diet Book Again. . .  Six Weeks to OMG:  Learn How to Challenge Current Media Representations of Women. . .  Six Weeks to OMG:  Finally Organize Your Sock Drawer. . .  really anything than the one they chose.

How would you rename this book?  What can you accomplish in six weeks that is healthier and more productive than the promise laid out here?

NEDAwareness Week

You do know that it's National Eating Disorder Awareness Week, right? 

Check out NEDA's new graphics on eating disorders in men and women.  Did you learn something new?

Here are my NEDAW plans:

1) This past weekend, I attended FBT training at Stanford University.  What an informative weekend!

2)  Yesterday, I attended this great talk on evidenced-based treatment.

3)  On Friday, I kick off Sierra Tucson's Symposium for Eating Disorder Treatment (Remember those questions I asked you a while back about therapist preferences?  I'll be drawing from your responses.)  I'll be followed by a number of impressive names in the field.  

4)  On Saturday, I'm joining colleagues for the first-ever Los Angeles NEDA Walk!  

What are you doing to move yourself and others along in recovery this week?  

Are you talking the talk and walking the walk?  

OA (Oh No?)

12-step programs have guided countless individuals to sobriety and recovery.  I've worked with patients who fully attribute their substance abuse recovery to participation in "the rooms."  While some patients never take to the fellowship, citing a variety of objections (e.g., don't like the idea of a higher power, feel the organization is cultish, etc.), many find these self-help groups to be helpful and supportive.

Do these same benefits translate to the world of overeating? Is Overeaters Anonymous helpful or hurtful?

We know that that there is something inherently addictive about alcohol and other drugs.  With food, I'm not so sure.  Despite plentiful claims in the popular media, we don't have any good research that suggests that "food addiction" exists.  For an interesting summary on this debate, check out this dietitian's blog.  We know that people can demonstrate an addictive relationship around food, but this doesn't mean that the food itself is addictive.  Rather, behaviors like restriction and bingeing can be incredibly habit-forming.

Moreover, most of the foods that people label as addictive (e.g., sugar, carbohydrates, fats, etc.) are foods that they've tried to restrict in some ways. Deprivation can, as we know, lead to overeating.  For instance, almost every patient I see who tells me she's addicted to sugar happens to be restricting her carbs.  Once she  supplements her carbohydrate intake, much of the sugar cravings subside.

The problem with OA is that many groups (not all, but many) conceptualize food or certain foods as addictive.  As a solution, they preach abstinence (similar to other 12-step programs).  OA members will speak of their abstinence from sugar, wheat, etc.  Some OA sponsors will prescribe their sponsees specific meal plans.  Any departure from the meal plan is considered a relapse (i.e., back to Day 1).

The problem with this approach, if you're not guessing this already, is that abstinence equals deprivation!  As a result, many who try out OA, find themselves developing even greater problems with bingeing or overeating, as a result of the diet-binge cycle.  We're able to carve out an existence without alcohol or drug. but abstinence from food is impossible and abstinence from certain foods increases the experience of deprivation.  By defaulting to abstinence, OA does not teach members how to eat in moderation (which, in my opinion, is necessary to be functional around food in this world), contend with emotions that lead to overeating, or heal one's relationship with food.  It only makes it worse.  OA members may practice abstinence from various foods until a time in which they're presented with that food/can't take it any longer/give up. . . leading to one colossal binge.  I've worked with a number of patients who come into treatment, precipitated by an increase in disordered eating, which they attribute to OA.

Now, it may be possible to find OA groups and/or sponsors that are less restrictive and offer the typical benefits associated with 12-step groups.  But unless that's possible, those who struggle with compulsive eating may be better served through Anorexics and Bulimics Anonymous or emotional eating groups run by private practitioners who espouse a more intuitive approach to eating and food.

Thoughts?

*thanks to Meliss, who begged the question : )

News and Such (Is That a Bird?)

1)  Here's the press release for ED Hope's 25 Best Blogs of the Year.  As the release suggests, the blogs represent a diverse pool on perspectives and writing on ed's yet are unified in their drive toward health and recovery.  While you're at it, take a peak at ED Hope, a great resource for ed's.
2)  I've succumbed.  I'm now on Twitter:   Follow @drstaceyla

3)  And finally, don't you just love Kate Winslet?

Another Award!

DEWHAED has been selected as one of Eating Disorder Hope's "Top 25 Eating Disorder Blogs of 2012."  Check out the other 24 blogs here.  I'm excited to be in such good company!

Honored as a top resource for eating disorder treatment, recovery, and awareness.

Objectify

For another take on women and our bodies, check out All this beauty.

Help!

I'm giving a talk on eating disorder treatment in March, and I'd like to ask for your help.  Two questions I want to address are:

1)  What are the perceived benefits of seeing a therapist who specializes in eating disorders?

2)  Do you have any feelings (or preferences) regarding the shape/size of your eating disorder therapist?

If you have any responses, please feel free to post as comments or email me privately.  If I choose to use your response, I will, of course, remove any identifying information for the talk.

Thanks!

The Times They Are a Changin'?

Happy New Year, DEWHAED readers!

And a happy new year it is. . .  Several news pieces this year have already made me squeal with delight!

Have you heard that the percentage of Americans (women, in particular) who are on a diet has drastically declined in the last 20 years?  The NPD Group, who conducted the study, report:

Our data suggests that dieters are giving up on diets more quickly than in the past. In 2004, 66 percent of all dieters said they were on a diet for at least 6 months. In 2012, that number dropped to 62 percent. Perhaps people are not seeing results quickly enough. . . Americans still want to lose weight, but we are seeing a change in attitudes about being overweight.

According to the NPD, from 1992-2012, the percentage of female dieters has dropped from 34% to 23%.

Then, of course, there was the recent JAMA publication, a meta-analytic research review (that means the results are powerful!) that found that overweight people have a lower risk of mortality than people of "normal" weight.  The study even found that those who are low grade obese (BMI = 30-34.9) had equal rates of mortality as their "normal"-weight peers.

And, just last week, UCLA Sociologist, Dr. Abigail Saguy wrote a fabulous OP-ED for the LA Times.  Saguy recently published the book, What's Wrong With Fat?, which I can't wait to get my hands on when it (hopefully) arrives in my mailbox this week.  Take a peak here:

I was able to book Dr. Saguy to speak in March to a group of local eating-disorder professionals I chair, and I can't wait to hear her talk.

Hope your new year is off to a healthy and happy start. . . .

Happy Body Days!

Christmas, Hanukkah, the New Year.  Want to add your body to the list of celebrations?

Here are some powerful messages from powerful women to get you started:

Happy holidays and happy body days.  See you in the new year. . .

Nutritional Recommendations

Recently, I attended an eating disorders talk given by a well-known local dietitian.  Boy, was I in for a surprise!

The R.D.'s talk centered around the benefits of proteins, the dangers of carbs.  Toward the end, she gave us some sample high-protein breakfasts, including a couple she routinely eats. Each contained about 50% of the  calories typically recommended for breakfast by nutritionists.

I was surprised that someone was sharing this information at a gathering of eating disorders professionals and when I asked her how she presents this information to her clients without triggering their symptoms, the facilitator noted that the dietitian was focusing mainly on nutritional recommendations for medical populations (e.g., diabetics).

An eager hospital-based internal medicine doctor in the crowd supported many of the RD's points, stating that he often places his patients on "no-carb" diets for successful weight loss.  I'm guessing that this physician does not follow his patients long-term.

My takeaways from this talk?

1)  Physicians shouldn't be prescribing diets for their patients.  A 2010 study revealed that medical students receive, on average, 19.6 hours of nutritional education, hardly enough to qualify them as nutritional experts.

2)  Again and again, weight loss through restrictive dieting is recommended for medical populations, but typically, these restrictive diets lead to weight-cycling (which has more deleterious effects on health than remaining at a higher, stable weight).  Significant weight-cycling occurs as a function of deprivation-influenced overeating.

3)  Those who struggle with eating disorders need to be VERY careful in selecting their providers.  It is not enough to see a dietitian who lists eating disorders as one of her specialties.  Instead, those with e.d.'s must vet their providers to ensure that they understand typical symptom triggers, promote a healthy relationship with food, and operate from a recovery perspective.

Hot Pants

Have you heard of fat-burning Hot Pants?  One day, I overheard a woman claim to her friend that she was consistently burning extra calories at the gym due to the specific athletic shorts she wore.

Is it that simple?  Can the clothing you choose increase your energy expenditure?  Is hotter better?

Doubtful.  

A visit to the Zaggora Hot Pants website reveals that their research studies were conducted on 13-14 participants, a far cry from the robust sample sizes needed to draw meaningful conclusions.  This exercise physiologist's website does a good job at challenging Zaggora's claims about their products.

As with many weight loss programs, plans, products, gimmicks, etc., if it sounds too good to be true, it probably is.  When you learn about the new it-product, remember to think objectively, critically, and scientifically.

So, skip the Hot Pants and save your hard-earned cash for gym wear that provides fit, function, and style.  

Jenni, Jenni, Who Can I Turn To?

A couple of months back, I received an email from Jenni Schaefer, Author of Life Without Ed and Goodbye Ed, Hello Me.  She and a colleague had stumbled across my blog and asked me to elaborate on my DEWHAED theory.  

We exchanged a few messages, and then I asked her what she thought of the DEWHAED philosophy, to which she replied:

Everyone living in Western society hears that negative voice that tells us our bodies aren't good enough. After fully recovering from my eating disorder, I choose to call that voice Societal Ed -- society's eating disorder. What I have learned is that all people might hear that voice, but we don't all have to listen. I choose not to listen anymore!*

Recently, I had the opportunity to meet Jenni and to hear her speak.  She's a great speaker, funny, informative, and warm.  And check out this amazing poem she wrote.  Can you make these words your own?  Can you turn to and honor this voice, rather than the voice of Societal Ed?

*Jenni Schaefer, Author of Life Without Ed and Goodbye Ed, Hello Me - www.JenniSchaefer.com

L.A. Woman

(from Los Angeles magazine)

The current issue of Los Angeles magazine has an 18-page spread on plastic surgery.  The cover story beckons:  "Say Hello to the New You. . . "

And what exactly does the new you look like, if you happen to live in L.A.?

        

One piece, entitled, "Meet the New L.A. Ideal" discusses the features of the new and improved Beverly Hills housewife, whom writer Nancy Miller says is less Pamela Anderson, more Sofia Vergara.  Think long, full hair; bigger facial features; mid-size breasts; and, owing to Sir Mix-A-Lot, an Oakland booty.

Is Miller's prototype on point?  How does the ideal woman (as judged by the plastic surgery procedures du jour)  in your city compare?

Diet Central

Most of us are familiar with Albert Einstein’s definition of insanity: doing the same thing over and over again and expecting different results. However, you wouldn’t know it from our 60 billion (and counting) diet industry. Women try diet after diet after diet, somehow hoping that this one will be the one that works. . . and lasts.

It’s hard to go a few weeks (or minutes, if we happen to have just celebrated a new year) without seeing or hearing commercials from our nation's power players, often pitched by celebrities who have signed multi-million dollar endorsement deals to show how this plan has worked for them.  Does anyone not know what Jessica Simpson has been up to lately?  

How many diet plans can you name off the top of your head?  Can you name more diets or Supreme Court justices?  (no cheating on either!)

The Best Eating Disorder Blogs

DEWHAED is honored to be included in Healthline's "18 Best Eating Disorder Blogs of 2012."  Check out the rest here.

Olympic Pride

As the Olympic fever has settled,  I've paused to reflect on this year's games.

By all appearances, the London Olympics celebrated the female athlete.  More women competed in these games than any in history.  More American women made the team than men, and they won their fair share of our nation's hefty gold medal count.

And by most appearances, the female athlete in London was prized for her strength, her endurance, her power, and speed.  There were bodies of different shapes and sizes, but it seems we focused more on what these bodies were capable of doing, rather than how they looked.

Except that we had to hear about gold medalist Gabby Douglas's hair (occasionally at the expense of her gold-medal accomplishments and the records she set for American women and women of color).

And Holley Mangold's weight (often at the expense at how much weight she was lifting).

And one news story reported that the Brazilian women's soccer team were called "a bit heavy" by the coach of another team.

Can we continue to move beyond these inconsequential details in our appreciation of female athleticism?

A friend of mine recently posted on Facebook that her trainer, with whom she had recently begun kickboxing, commanded her a few weeks ago to "Stop throwing punches like a girl!"

After the games, and in light of American, gold-medalist slugger Claressa Shield's victory, my friend wrote:  "He needs to rethink that statement."

He does.  Because women can be strong and fit and powerful and fast and flexible and tough and determined and fierce, and the shape of their bodies is nothing near as important as their prowess in sport.

Congrats Team USA.

Give Pizza a Chance

Sometimes these blog topics just fall into my lap. . .

Recently, I took a fun, challenging yoga class on a late Sunday afternoon.  After class, as I walked out of the studio, tired and hungry, I peeked into a pizza parlor down the block to check out their menu.  Over my shoulder I heard a voice whisper loudly, "Don't do it!  We just took yoga!"  No, this was not my inner Jenny Craig, but a fellow female yogi. I suppose this woman, about my age, had seen me in class.  And there I was, standing on a summer sidewalk, caught in the moment, trying to walk that fine line between maintaining civility and promoting a cause.

On the spot, what I came up with was, "Aw, it's all part of feeling good." What I really wanted to say was, "What does one thing have to do with the other?" or "Why are you telling me what to eat?"

Why can't yoga and pizza peacefully coexist?

Ironically enough, the website for the aforementioned pizza shop (a place known for its salads, paninis, pizzas, and pastas, as well as its gluten-free pies), proclaims "Eat Well and Be Happy!"

And isn't that the ultimate goal?

Big Gulp

By now, you've probably heard that New York City Mayor Bloomberg has pushed for a measure that will limit soda consumption in the city.  If the soda crackdown passes, restaurants, movie theaters, sports, arenas, food carts, and delis will all be banned from selling sodas larger than 16 ounces.  Of course, diet soda is exempt from the ban, illustrating the mayor's ongoing approval of consumption of mass quantities of sugar substitutes.  And, other loopholes abound, ensuring you can still get your 16+ ounces of sugary soda if need be.  


Is this measure the answer to our nation's expanding waistline?  New York City has already mandated posted calorie counts at many restaurants and banned the use of trans fats.  Banning soda seems to be the next logical step.  Supporters note that heavily taxing cigarettes in the NYC has led to significantly lower rates of smoking.  But are food-based "nanny state" tactics the solution?  What about the underlying questions of money and class?  In this week's New Yorker, Fran Lebowitz notes: "'These issues are class issues.  Soda is the recreation--the summer-house--of the poor.  It's an indulgence, and it's something they can indulge in.'"  Critics would argue that our tax dollar shouldn't go toward footing the (medical) bill for recreational indulgences.  But, the proposed soda bill begs the issue, where do we draw the line?  Sources have already revealed that milkshakes and movie theater popcorn may be up to bat next.   What about subsidizing fruits and vegetables, instead?  Is there a way to educate, not legislate? 

Recovery

The Journey

One day you finally knew
what you had to do, and began,
though the voices around you
kept shouting
their bad advice --
though the whole house
began to tremble
and you felt the old tug
at your ankles.
"Mend my life!"
each voice cried.
But you didn't stop.
You knew what you had to do,
though the wind pried
with its stiff fingers
at the very foundations,
though their melancholy
was terrible.
It was already late
enough, and a wild night,
and the road full of fallen
branches and stones.
But little by little,
as you left their voices behind,
the stars began to burn
through the sheets of clouds,
and there was a new voice
which you slowly
recognized as your own,
that kept you company
as you strode deeper and deeper
into the world,
determined to do
the only thing you could do --
determined to save
the only life you could save. 

 

 Mary Oliver 

Fat Shame

Thanks Again

Have you been gravitating toward higher calorie foods since 2008?  In a study presented back in August at the yearly meeting of the American Psychological Association, University of Miami marketing doctoral student Anthony Salerno suggests that your choices may be due to the economy.

Salerno's research found that study participants primed to focus on deprivation chose higher calorie foods, compared to those who focused more on pleasure than survival.

Most of us have accepted the fact that, for any, deprivation around food tends to lead to overeating.  What makes this study interesting is that it widens the playing field to include deprivation as general concepts.  Salerno's results indicate that if we feel deprived at all (not just around food), we may have a tendency to eat more.

Assuming this data translates beyond the lab, it suggests that to curb this form of (biologically induced?) emotional eating, we bring our focus to gratitude.  What is it that you have (vs. have not) in your life?  Can you highlight areas of abundance, rather than deprivation?  This shift in mindset can be profitable across the board.

And, where can you add indulgences that don't cost much?  Can you treat your senses with appealing scents, comfortable fabrics, enticing flavors, soothing visuals, and melodic sounds?  Doing so can ease distress, increase our experience of pleasure, and, perhaps most importantly, communicate to ourselves that we are worth it.

A Must Read

Well said, Ashley. . .

The Not-So-Hunger Games

Current film sensation Jennifer Lawrence recently told Life & Style magazine that she, for one, is not going hungry.

Lawrence says:  "'I remember when I was 13 and it was cool to pretend to have an eating disorder because there were rumors that Lindsay Lohan and Nicole Richie were anorexic.'"

Now, considered somewhat plump for Hollywood, Lawrence feels differently:  "'I'm just so sick of these young girls with diets.  I think it's really important for girls to have people to look up to and feel good about themselves.'"

And, in another declaration that may serve to benefit the general public, the Equinox chain of fitness facilities recently unveiled a new personal training campaign (see below).  While the focus is still on skinny/fat, it's good to know that a major company is moving toward recognizing that weight is not a proxy for health.  Now if they could just focus on fitness, rather than fat. . .

Israeli Model Law

Government officials in Israel have passed a new law banning the use of significantly underweight models in country-wide advertising.  The law, designed to challenge the glorification of the thin ideal, will also require advertisers who use airbrushing/editing to slim models down to acknowledge this in print.

Officials are hopeful that these measures will reduce the rates of anorexia in Israel.  What do you think?

Fitness, Faith, and Fun

Here's what I like about exercising:  Physical activity improves my mood; it makes me feel accomplished; it keeps my blood pressure low and my heart in good health; it makes me strong and, for instance, capable of carrying all the groceries in in one shot, it helps me burn off some restless energy before an entire workday spent seated in a chair; it gives me an opportunity to listen to my favorite tunes and participate in an individual dance party in my head; it allows me to work toward various goals; in a class setting, it helps me to feel the camaraderie of being part of something bigger; when accomplished outdoors, it provides me fresh air, beatific vistas at times, and an opportunity to connect with our earth; and it provides a portal through which I can practice mindfulness, following both movement and my breath.

Here's what I dislike about exercising:  fitness instructors who use weight/food intake to motivate their students.  In a few short months, I've heard several iterations of this.  In a spinning class, an instructor tried to inspire us by telling us that so-and-so celebrity burned x-many calories in her class.  I think it may have been the same instructor who encouraged us to push through a challenging portion near the end of the ride in order to "burn off" a recent holiday meal.  In a yoga class I took several weeks ago, the instructor suggested that a benefit of an inversion practice is reduced cellulite. This weekend, I tried another indoor cycling class at a trendy new studio.  Halfway through the class, the instructor yelled out, "Who wants to change your bodies?" As if dissatisfied  by the moderate, collective cheer, he repeated the question with more oomph to garner more of a response.  Now, if he meant "change," as in get stronger, faster, more flexible, etc., I may have seen his point, But, somehow, I'm not sure that that was where he was going, and it concerns me that the expectation is that, by the very fact that we're there, we're unhappy with ourselves.

The more we exercise to lose weight, burn calories/fat, or to change ourselves, the more likely we are to push ourselves beyond our limits (hour-long inversions, anyone?), turn exercise into punishment, and reduce the joy associated with the inherent act of moving our bodies.  It's no wonder that such a large percentage of people who start an exercise program drop out.  When we exercise to realize the physical and psychological gains associated with movement, to improve our fitness, empower us, and (gasp!) for fun, we can easily sign on for a lifelong commitment.  When we so enjoy dancing and hiking and climbing and swimming and cycling and strengthening and stretching, why would we ever stop?

New Model Guidelines

The Council of Fashion Designers of American has recently released new guidelines for models who work Fashion Week and other industry events.

As a whole, I applaud the group's focus to educate the industry and encourage healthy eating and treatment, if necessary.  Do you think these guidelines will help?  Do you see any limitations to the guidelines?  Take a minute to read the new guidelines and let me know what you think. . . .

Georgia. . .

A new campaign in Georgia targeted at childhood obesity has raised significant alarm  in the eating disorder community.  Specifically, many of us who treat eating disorders are concerned that the campaign focuses more on body size than on the promotion of healthy eating and exercise behaviors.  It is negative, shaming, and could actually encourage the development of eating disorders in those who may have such tendencies.

As such, the Binge Eating Disorder Association has developed an online petition, with the hopes of arresting the campaign.

What do you think?  Will you sign?

Losing the Battle

If, for some reason, you missed the fact that we recently celebrated a new year, you surely cannot miss the barrage of weight-loss advertising appearing in our media this week.  By now, you've probably viewed commercials from our nation's power players, each starring its own celeb:  Jennifer Hudson for Weight Watchers, Janet Jackson for Nutri-System, and Mariah Carey for Jenny Craig (can someone please help me identify exactly what Mariah is doing in this commercial?)  


Upping the ante in cyberspace is a new site that allows dieters to gamble on how much weight they lose.


What I know is that if I had $100 riding on my weight loss, I'd somehow make it happen. What might happen after, though, is likely what happens to most dieters after the fact, highlighted by a recent study among adolescents, which appeared in the Journal of Adolescent Health and which concludes in its abstract, “Findings clearly indicate that dieting and unhealthy weight control behaviors, as reported by adolescents, predict significant weight gain over time.”


If you begin a diet, chances are that you'll lose weight.  Chance are also that if you end the diet (which you may do after a pre-specified time or earlier, due to difficulty in adhering to the diet), you will gain the weight back.  In many cases, you will gain even more.  The statistics have spoken loud and clear, and not one product, plan, or gimmick has shown the ability to compete successfully with them.   

(Photo)shopping for the Holidays

By now, you've probably heard about H & M's recent advertising snafu, in which the Swedish retailers plugged real-life faces on computer-generated bodies.  The story was exposed earlier this month.

And what about the notorious Faith Hill photoshopping job on Redbook magazine?



Revealed several years back, the side-by-side comparison spoke volumes about what the industry will do to sell a star.

But, in all of this, we're reminded of what this re-imaging does for the every woman--setting an unrealistic, unattainable standard.  H & M models do not exist in reality.  Not even Faith Hill can look like Faith Hill. Let's continue to expose the myths that fuel the fire.  It's so important that we do.

Happy holidays. . .

Let's Say. . .

Scenario 1:  Let's say that there's this young woman who comes to therapy.  We'll call her Diana.  Diana doesn't have an eating disorder.  What brings her into treatment is panic attacks.  In the course of her anxiety, let's say Diana loses weight.  She's panicky, on edge, and she's not eating enough.  Let's say that Diana was "at a normal weight" (whatever that is) before and that when she loses weight, she looks unhealthy.  Let's also say she has a psychiatrist who's treating her for her anxiety.  Then, let's say that Diana's therapist expresses concerns about her weight loss and discusses with her how she can get adequate nutrition even with low appetite.  Remember, Diana doesn't have an eating disorder, so this isn't the most complicated thing.  Next, let's say that Diana starts to feel less anxious.  Some combination of medication and therapy is helping her, and her panic attacks remit.  Let's say, that in the process of this, she gains back the weight she had lost.  Let's say that Diana is again "at a normal weight" (whatever that is).  Finally, let's say that she visits her psychiatrist after some time, who mentions Diana's weight gain and states that 1) Diana needs to lose weight and 2) She needs to do so by their next visit.


Scenario 2:  Let's say that another woman who has been in therapy for many years for anxiety, depression, and a sub-clinical eating disorder, is seeing a relatively new psychiatrist.  We'll call her Sharon.  Sharon likes her new psychiatrist because she seems compassionate and responsive to her.  Like many psychiatrists she's had in the past, Sharon's current psychiatrist is eager to try out new medications and doses of medications with her, in order to alleviate her symptoms.  During one appointment, Sharon, who is "at a normal weight" (whatever that is), expresses concern about her psychiatrist's recent recommendation that she up the dosage of her medication in order to address her residual anxiety.  "Doesn't that cause weight gain?," she asks.  Sharon is concerned because she has a history of binge eating, and she doesn't want to be on anything that exacerbates this condition.  "It could," her psychiatrist replies, "But that's when you just need to focus on portion control."  To Sharon, who again has a history of binge eating, hearing the phrase "portion control" creates such anxiety in her that she actually wants to binge.  She's had many attempts at trying to restrict what she eats (in fact, that's what led to her binge eating, according to her understanding of it all), and this does not seem to be an adequate solution.  

Do you have any reactions to these scenarios?  They can and do occur, highlighting the importance of consulting with professionals who have specific education and training in the field of eating disorders.  A simple, innocuous comment as processed by someone with an eating disorder can do significant, unintended damage.  Ideally, those struggling with eating disorders can arrive at a place in their recovery where a single comment isn't so threatening (as they may come from various sources), but until and unless this happens, it's important to select a treatment team sensitive to these concerns.

Celebrities with E.D.'s

A while back, a reporter asked me my position regarding celebrities disclosing that they have struggled with eating disorders.  She asked if I thought the disclosure was helpful or hurtful for the general public.  I went with "helpful," and here's why:  Obviously, I wish that no one had to suffer the physical and psychological damage of an eating disorder.  But, since people do develop them, and since we're still learning how to best treat them, pay for treating them, etc., I think any type of public awareness is beneficial.  For fans who struggle with eating disorders, learning of someone else's struggle may help with feelings of shame or isolation around the disorder.  Moreover, I think it's important for the public to understand that a number of the singers, actresses, and models they admire are not as naturally thin as they appear.  In many cases, they must go to drastic measures, in order to conform to our current body ideal (see Adriana Lima's recent revelation to the Telegraph for proof).  For some, these measures may lead to the development of full-blown eating disorders.  In my opinion, the more information we have that counteracts the idea that skinny (for all women) is healthy and effortless, the better.

What are your thoughts?

Come Back to Carbs

Can one woman hail the return of entire macronutrient?  I'd like to try.

We live in a carb-free, low-carb, healthy-carb country.  We're encouraged by experts to up our protein intake and lower our carbohydrates, with the premise that this is the key to arriving at a healthy (read: aesthetic) weight.  

Recently, I went to a dinner party and brought a lovely quinoa.  It went untouched.  Because of the carbs.

Later that week, I stopped at my gym's snack bar to pick up a sports drink prior to yoga class.  Amidst a sea of no-carb, high-protein drinks (many infused with artificial sweeteners in order to claim the title), I finally stumbled on some fruit juice that fit the bill.  

I get it.  We realized that we'd weigh a little less if we cut back on carbs.  But, what we didn't realize is that we'd be eliminating a major energy source, one that fuels our muscles, organs, and brains.  Carbohydrates have a significant impact on mood, as well.  Just ask someone who's going carb-free.  

Your trainer tells you to cut out bread.  Your gossip magazine shows you a day in the life of your favorite celebrity, proving that lean protein and vegetables for lunch and dinner is not only doable, but leads to the intended results.  Your coworker went low-carb and quickly dropped 15 pounds.  

The thing is. . . not one nutritionist I respect has ever recommended this type of diet to anyone I know.  They understand the importance of all three macronutrients.  They understand what cutting carbs does to one's energy and mood.  And then understand, as I do, that the weight-loss benefits of going low-carb are temporary (only for as long as you're on the diet), and that depriving ourselves of something (anything, really) often backfires, obfuscating the point entirely.  

I wish that I had a dollar for every person I meet who complains of an inability to ward off mid-afternoon candy runs, or who shamefully confesses to late-night binges on chips, cookies, or cake, who, by the way, is also restricting her carbs.  When she begins to reintroduce this necessary nutrient, she finds that her carbohydrate cravings remit.  It's her body's way of saying, "Thanks for giving me what I need."

America the Beautiful 2

Have you seen it?  I went to the Hollywood premiere a couple of weeks ago, and Darryl Roberts, the filmmaker, was there, along with several members of the cast, and all were available for a Q & A!

It isn't ground-breaking, but it does bring more, much-needed attention to eating disorders and our national focus on obesity.

And, speaking of fighting stigmas against weight and shape, try this one on for size:

The editor writes:

"I'm seeking personal essay submissions from women who have made strides in overcoming societal stigma around body size/weight and who now love/feel positive about their curvy/chubby/fat bodies. The submission deadline is quickly approaching. . . . I am offering contributors of accepted submissions $50."  


Because if you're going to fight this stigma, you may as well earn some cash in the process!

The Weeks Keep on Coming!

Did you know that this week is Fat Talk Free Week?  Check it out here!

Can you commit, for the remaining few days, not to utter a word about your body or anyone else's?  I know, I know, there may still be that silly negativity squatting in your head.  But, at least for conversational purposes, can we spend the rest of the week avoiding comments about weight, shape, or size?  Can we, if approached by others to join in such dialogue, respond like Jessica Weiner does?  ("I'm sorry, I don't speak that language.") And can we, freed up from useless chatter, use our time and energy to connect with others in a more meaningful and authentic way?

Try it out.
Take the pledge.
Then tell me, what will you talk about instead?

Health At Every Size

Did you know that last week was the Binge Eating Disorder Association's First Annual Weight Stigma Awareness Week?  Either did I, which is why I'm posting about it now.  This gives us plenty of time to prep for next year!

In light of this, I'd like to share Dr. Deb Burgard's recent piece on Health Speech.  Burgard is a key player in the Health At Every Size and Association for Size Diversity and Health movements.  

It never ceases to amaze me how medical doctors will often tell heavy people to lose weight, even when the patient shows no objective signs of disease.  At the same time, the significantly underweight, eating-disordered patient will often fly under the radar, reporting that she's never discussed her eating disorders with her primary care provider who has, in turn, never asked about her about her low weight.  

I hope that by promoting these movements we can move toward a place of greater size acceptance and can refocus agendas and efforts on health, rather than weight.

Sweet Honey in the Rock

Don't you just love it when you come across something so wonderful?

Body Image and the Media

I'm often asked to provide quotes and commentary to the media about eating disorders and body image.  Sometimes, I'm told where the interview will appear, and other times, (no laughing!), I find my words by periodically googling myself.  Recently, I answered a reporter's questions via email.  I'm not sure if my words will appear in print, but I thought they might be of interest here, and I'd love your feedback on what I said. . .  .

1) Where does our unrealistic body image come from?  Is it different for men vs. women?

Our ideas about the ideal body are contextual, linked to time and place.  The media portrays certain images that are judged to be ideal given the context, which reinforces the ideal.  I think it used to be that women seemed to have a more unattainable body ideal, while men were allowed to "get by" w/other attributes, but the tide seems to be turning, and the standards for men are becoming increasingly difficult to reach (see the new male mannequins w/27-inch waists!)

2) Why is comparison (with celebrities or people around us) so counterproductive?

Only a certain, small percentage of people have the genetics consistent with the current media ideal.  That means that the rest of us, to varying degrees of success, and with varying degrees of negative physiological and psychological consequences, will be forever chasing the thin ideal.  We're just not all mean to be or look the same.  In just the same way that many of us are forced to accept our height or shoe size, it would be wonderful if we could do this with weight, exercising in a healthy way and eating a balanced diet, but not doing these things to contort our bodies to unrealistic proportions.

3) How can you figure out what your own "ideal" body is?

I usually say that your natural weight is how much you would weigh if, over time, you ate in a balanced way (eating nutritious foods AND responding to food cravings), were eating primarily out of physical, rather than emotional hunger, ate when you were hungry and stopped when you were full, exercised regularly, but not compulsively, and refrained from food restriction, bingeing, purging, use of diet pills, enemas, laxatives, or other compensatory strategies. 

4) Any tips for correcting negative thinking when it comes to body image?

I think it's important to challenge the thoughts that suggest that body shape/size (or even appearance in general) determines happiness.  I've worked with plenty of heavy, happy women, as well as plenty of women who are skinny and unhappy.  We're conditioned by the media to place way too much emphasis on body image in terms of where we think it will get us in life. 

5) Are body image issues on the rise in the US? if so, why?

I think we're seeing more issues among men, plus we continue to see eating disorder rates increasing, especially among younger and younger children.  Media access is so available and immediate these days, and the images come to us through various forms.  We now have people comparing themselves to their "friends" on Facebook.  I've spoken with a number of women who avoid social events because they know that the pictures taken there will be posted on social media sites, which will stir up their body dissatisfaction.

6) How can our readers be more accepting of their bodies?

One of the best things I think people can do is learn about how the media distorts images to promote the ideal. The more we learn about cropping, airbrushing, etc., the more we realize that even the celebrities don't look like themselves.  Also, see attached (article I wrote on radical body acceptance) for more recommendations. 

Fall, 2011

Check out this magnet I found in the UCLA bookstore:

At first, I loved it, but then, as I walked away, I began to think: "No, wait, Barbie should be happy being Barbie!"

We psychologists over-think everything.

Have I mentioned I moved to Los Angeles?  That's what I did during my summer vacation.  How about you?

As I return to blogging this fall, I'm interested in what you'd like to see me write about.  Any requests for topics?

There's a lot brewing in the Does Every Women Have an Eating Disorder? world. . . .  I already have talks lined up for September and March, and now, being in Los Angeles, where eating disorder treatment centers seem to be everywhere, I have a number of meetings scheduled with other professionals.  I've hung my shingle in Southern California and am seeing new patients here.  I continue to scour the internet, magazines, and television ads for cultural illustrations of my premise.  Just the other day, I saw a commercial (I believe it was for Home Goods), in which a woman returns from her lunch break, bragging to her colleague that her meal was both affordable and calorie-free.  As it turns out, she visited a Home Goods store and made a home purchase there, skipping lunch entirely.

Please help me in fighting this fight. . . .

Bringing Summer Back

On this weekend, the unofficial start to summer, I'm aware that we've lost the meaning of the season.

Summer is not supposed to be about hating your body.

It's about coconut lotion, popsicle tongues, and cartwheels in the sand.  Summer camp, porch swings, and shvitzing in the shade. Slip-and-slides, fireworks, and forever dusk.

And yes, it's about food. . .  hot dogs, ice cream, and corn. . .  picnics and barbecues, blueberries, and tea (iced tea, that is).

As a child, no one had to tell you how to prepare for swimsuit season.  The same holds true now.  Getting "bikini-ready" is as simple as: 1) taking off your clothes and 2) putting on your bikini.

So, join me these next few months in bringing summer back.  Let's keep in mind the wonderful culture of summer, where the size or shape of your belly, upper arms, thighs, hips, and butts have nothing to do with barreling into the surf,  hurling watermelon seeds, or catching fireflies in a jar.

Goodbye, Mia

I'm deeply saddened by the loss of Mia Amber Davis, plus-sized modeling pioneer (Mia's site).  It's difficult to conceptualize a loss at such a young age.  Even more so when you've met her.

I met Mia a couple of years back, when we served on a television panel together.  I was immediately impressed by her presence, a confident, intelligent, beautiful young woman, who spoke so articulately about the relationship between culture, self-esteem, and weight.

It's sad to think that the (plus-sized) modeling industry has lost such a bright, young star.

Glee?

In the latest issue of Self Magazine, Gwyneth Paltrow "shares her secrets for eating healthy and having a body to envy."  Paltrow, promoting her new book, My Father's Daughter:  Delicious, Easy Recipes Celebrating Family & Togetherness, discusses the evolution of her relationship with food, from developing an interest in cooking with her father; to adhering to an organic, local, macrobiotic diet (eliminating dairy, sugar, meat, liquor, and gluten); to fulfilling pregnancy cravings; and finally to preparing delicious offerings for those she loves.  Sounds good, right?

But then, in a sidebar titled, "How She Got That Body," Paltrow is interviewed regarding her exercise regime.  The super-slim Paltrow, who admits to being in the best shape of her life, fesses up to 90 minutes of exercise five days a week.  She goes on to say, "If I'm prepping for something or I've been eating a lot of pie, I do two hours a day, six days a week for two weeks."

Last I checked, this constitutes excessive exercise.  I get that stars like Paltrow have to look the part, and I understand that logging hours with celebrity trainers and chefs helps them fit the bill.  However, exercising more to compensate for one's eating (and by more, I mean hours more a week!) gets a little fuzzy, don't you think?

Self advertises the story to explain how Paltrow arrived "at her happy relationship with food."  Paltrow seems to enjoy cooking and eating, even her no-fry fries, recipe included, her raw almonds, and homemade kale and lemon juice.  But, it's the relationship she's forged between food and exercise that seems not-so-happy to me.  Paltrow states, "I say I always eat right, but last night, I had fried clams, pasta with duck sausage and two glasses of red wine.  When I want to lose, I eat less pasta, bread and potatoes. Before last year's Iron Man 2 premiere, I did green juices and salads for three days."

So that's how celebrities achieve the red-carpet look!

When asked about her motivation for working out, Paltrow responds, "I like feeling strong and healthy, but mostly I think about the fried zucchini I'll eat later."

My concern is that millions of readers may believe that exercise-as-compensation is the way to go.  Many women will come to me in frustration that they can't maintain a celebrity diet (think the magazine sidebars we often see, detailing the egg-white breakfast, salad-with-grilled-chicken lunch, and fish-and-veggie dinner that many celebs will tout).

What I try to remind people is that most of us do not live celebrity lifestyles, have celebrity staff, or know what goes on behind closed doors.  Just like non-celebs, stars will often go to extreme, unhealthy measures to maintain their weight.  I'm not trying to condemn Paltrow's food or exercise choices.  It's just important for us to recognize that Gwyneth isn't gospel, that a celebrity's relationship with food or her body is not always attainable or ideal.

So Sad

Did you hear about this?

Eating Disorder Study

I'd love to have a dollar for all the people who, after learning that I work with eating disorders, say something to the effect of, "I wish I had an eating disorder."  Then, there are those who think recovery is simple--just eat, or just limit what you eat--when it's not.  Eating disorders are not simply choices.  New research (see the abstract below) actually provides evidence for such interpretations of eating disorders and recovery.

A Comparison of Stigma Toward Eating Disorders Versus Depression. Objective: The goal of this study was to compare the degree of stigma associated with anorexia nervosa (AN), bulimia nervosa (BN), and depression. Method: Participants read one of three vignettes describing clinical cases of AN, BN, or depression, and answered questions assessing stigma toward individuals with one of these three mental disorders. Results: Attitudes toward individuals with eating disorders were significantly more stigmatizing than attitudes toward individuals with depression. Individuals with an eating disorder were rated as more fragile, more responsible for their disorder, and more likely to use their disorder to gain attention than individuals with depression. Furthermore, the majority of participants reported that they admired certain aspects of eating disorders, thought that there might be some benefits to having an eating disorder, and that others would be motivated to imitate eating disorder behavior. Discussion: Stigma toward individuals with eating disorders is greater than stigma toward depression and includes unique features such as attitudes of envy. Implications of these results for the understanding of mental disorder stigma and eating disorders are discussed. Source: Int J Eat Disord. 2010 Nov 1;43(7):671-4.