medical fatphobia

Food Psych #157: The Truth About Weight Science with Fiona Willer

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Anti-diet dietitian Fiona Willer joins to talk about why we need to be critical of current weight research, how the Health at Every Size paradigm can go viral, why weight-inclusive work is a life-saving endeavor, how fatphobia and weight stigma prevent compassionate medical care for people in larger bodies, and so much more! Plus, Christy answers a listener question about how to adjust to a different culture’s eating times when studying abroad.

Fiona Willer, AdvAPD, is the author of 'The Non-Diet Approach Guidebook for Dietitians', and co-author of 'The Non-Diet Approach Guidebook for Psychologists and Counsellors'. Her business, Health, Not Diets, provides online and face-to-face training and workshops for health professionals in the non-diet approach. Fiona's background includes clinical dietetics, private practice and university lecturing in nutrition and dietetics. She is currently conducting PhD research into HAES ® use in dietetics. As an advocacy leader in this field, she represented Australia in contributing to the HAES graduate curriculum for the Association for Size Diversity and Health (ASDAH), and has been an invited speaker at DAA, SDA, ANZAED, DC events and presented at a variety of academic conferences Fiona is a proud member of the DAA, current Vice-President International of ASDAH, and executive member of HAES Australia. Find her online at FionaWiller.com, UnpackingWeightScience.com, and HealthNotDiets.com.
 

We Discuss:

  • Fiona’s relationship with food and her body growing up, including how negative body messaging infiltrated her life during adolescence

  • Fiona’s experience of feeding her family and her children

  • Why diet culture is The Life Thief, and Christy’s process writing her book and exploring the different ways diet culture stole moments from her throughout her life

  • Fiona’s exploration of “clean eating” and vegetarianism, as well as her struggles with binge eating

  • Fiona’s experience pursuing a naturopathy degree, and how she eventually ended up pursuing dietetics instead

  • Fiona’s move to a Health at Every Size perspective, and the problem with current weight science

  • Fiona’s work as a lecturer at universities, and her goal to inject weight-inclusive approaches into dietetics education

  • How rewarding it is to share a message that we ourselves desperately needed to hear when we were stuck in diet culture 

  • How Fiona discovered mindful eating, and how mindfulness helped guide her to recovery

  • Fiona’s PhD journey, how she has showed her supervisors the HAES perspective, the ways in which combining her research with the psychology discipline has allowed her more room to practice in an anti-diet way, and her current HAES research

  • Why Health at Every Size is like an iPhone, and the ways in which the HAES message is spread virally and virtually

  • The generational differences in accepting diversity, and the fear of loss that looms over professionals who stick to the diet paradigm

  • The things that need to be done to create a size-inclusive society, and the money that can be made for creating access for diverse bodies

  • How fatphobia and weight stigma stand in the way of compassionate medical care for people in larger bodies

  • Fiona’s work on unpacking weight science, and why we need to be critical of current weight research

  • Why weight-inclusive work is a life-saving endeavor, and the ways in which weight stigma negatively affects the healthcare experience of people in larger bodies

  • How to introduce a HAES perspective to practitioners who are reticent to embrace it

  • Why we need to move away from black-and-white thinking

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we adjust to new settings and food schedules when we’re in recovery from disordered eating? What do I do if I’m thinking about food constantly?
 

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Food Psych #156: Breaking Free from Diet Culture with Joy Cox

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Researcher and activist Joy Cox joins us to talk about how we can fight back against internalized weight stigma and body shame, how intersecting identities can affect body image, why refusing to conform to cultural and societal expectations can help change the world, the racist roots of diet culture and why fighting it is an important part of creating a more inclusive society, the problems with framing larger body size as “obesity” and labeling it a disease, and so much more! Plus, Christy answers a listener question about intuitive eating for athletes.

Joy is current doctoral candidate and self-professed fatty in the Department of Communication at Rutgers University using her dissertation to study the impacts of identity and social change within the Fat Liberation Movement. Through interviews and content analysis, Joy has been able to unearth answers to questions around member identification, micro and macro discourse, and political action outcomes for movement members. When not conducting research, Joy serves as the Chair of the Diversity and Inclusion team for ASDAH, and hosts her own podcast, Fresh Out the Cocoon, which highlights the lived experiences of Black fat women. She is an avid lover of justice and a fierce defender of those who cannot defend themselves. Find her on Instagram.

 

We Discuss:

  • Joy’s relationship with food growing up, including how coming from a black family created a culture of community and celebration around food, and how her family instilled a sense of body acceptance and body diversity from a young age

  • Joy’s process of learning self-advocacy and facing body shame from her doctor at a young age

  • The role of race in the development of Joy’s body image, and how her intersectional identities placed pressure on her to adhere to diet culture

  • Joy’s experience with weight stigma and medical fatphobia

  • The toxic nature of weight-loss related compliments

  • Joy’s experience going to culinary school, how it contributed to yo-yo dieting, and her struggle navigating the male-dominated restaurant industry

  • The pressure that Joy felt to stay at her suppressed weight and to maintain her extreme weight loss

  • Joy’s move to go back to university in West Virginia, and her realization that there was systemic oppression around her and affecting her experience

  • Joy’s experience with the Atkins diet, and how it reinforced her desire to be in a smaller body

  • Joy’s re-discovery of joyful movement

  • How so-called “obesity” being categorized as a disease led to Joy’s exposure to Health at Every Size and fat liberation

  • The power of research and literature in fighting against fatphobia and weight stigma

  • Why we need to move away from beauty standards and cultural norms

  • How Joy’s intersecting identities of being a black and being a woman and being fat informs her research and doctoral work

  • Why not conforming to cultural and societal expectations is a political act

  • The structural ways in which society excludes people in marginalized bodies

  • What it means to truly be committed to diversity and inclusion

  • Joy’s research into organization communication styles and how they perpetuate structural inequality

  • The ways in which society minimizes the trauma we as a culture inflict on larger bodies

  • Why shame and personal responsibility don’t lead to long-term change

  • Navigating the struggles around fat acceptance

  • The racist roots of diet culture, and why studying history is so important in the fight for social justice

  • How we can combat internalized fatphobia and other internalized oppressions through education and visibility

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we combine intuitive eating with competitive sports? What does intuitive eating tell us about “healthy” vs “unhealthy” foods? How does diet culture sever the connection between our brain and our bodies? What does “health” even mean? How do we recognize and break down the diet mentality? Are there ways to alleviate compulsive behaviors around movement?
 

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Food Psych #153: Healing Body Dysmorphia & Dating While Plus-Size with Sophia Carter-Kahn

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Writer and “She’s All Fat” podcast co-host Sophia Carter-Kahn joins us to talk about her path from extreme dieting to intuitive eating, how dating interacts with fatphobia and weight bias, overcoming body shame and body dysmorphia, how parents are influenced by diet culture and healthism, why we need to think about weight stigma as an important variable in terms of health, and so much more! Plus, Christy answers a listener question about using meal plans in eating disorder recovery.

Sophia Carter-Kahn is a writer and podcaster based in Los Angeles, California. Along with April K. Quioh, Sophie is the co-host, -producer, and -creator of She's All Fat, the podcast for body positivity, radical self love, and chill vibes only. Sophia and April created She's All Fat to tell the stories of fat women and femmes. They discuss everything from pop culture to strategies to approaching tough conversations with family and friends, all through the lens of fat positivity. She's All Fat has listeners all over the world, and will have its first live show at the end of April at Flyover Fest in Iowa.

As a freelance writer and editor, Sophia is interested in obscure history, weird literature, queer culture, and media. You can find more of her writing on her website, or sign up for her TinyLetter for weekly dispatches of curated reading from around the internet.

 

We Discuss:

  • Sophia’s relationship with food growing up, including experiencing body shaming and food shaming from the doctor at a young age

  • Her first experiences with dieting and disordered eating, and how restriction led to bingeing

  • How parents are influenced by diet culture and healthism, and how current parents have more resources to guide their children to body positivity, Health at Every Size, and intuitive eating

  • Sophia’s experience at Weight Watchers, and how the program taught her more creative ways to engage in disordered eating

  • Disordered eating versus eating disorders, and how the current DSM options are limiting in terms of eating experiences

  • The pervasive nature of fatphobia, including medical fatphobia

  • Why we need to think about weight stigma as an important variable in terms of health rather than just assuming that a larger body size equates to an unhealthy body

  • Health outcomes as a product of intuitive eating versus chronic dieting

  • Sophia’s path from extreme dieting to intuitive eating, healing her relationship with food, body positivity, and body acceptance

  • How dating interacts with fatphobia and weight bias, and how Sophia learned to accept her body through online dating

  • The power in validation from our romantic and sexual partners

  • Overcoming body shame and body dysmorphia

  • Sophia’s experience finding her sexuality and queer identity within her fat identity

  • Casting aside beauty standards and turning our back on the beauty ideal

  • Ageism, and the power in aging women

  • Ableism, and why we need to start thinking differently about bodies with disabilities

  • How to determine who is ready to hear the social justice, HAES, body-positive message

  • The power in setting boundaries, both interpersonally and within ourselves, and grappling with negative self-talk

  • The value in helping others feel less alone, why representation matters, and how it helps to overcome shame

  • Sophia’s podcast, She’s All Fat, and the fun of talking about popular culture from a fat perspective

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do meal plans fit into eating disorder recovery? Are meal plans necessary for full recovery? What does recovery look like for people who don’t have or can’t afford formal treatment? Why is it so important to eradicate weight bias within treatment programs?

(Resources Mentioned: Rachel Cole’s Food Psych Podcast episode)

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Food Psych #152: How to Make Peace with Photos of Yourself with Lindley Ashline

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Body-positive photographer Lindley Ashline joins to talk about the power of representation, the process of breaking fashion rules for people in larger bodies, how the diet industry uses aspirational marketing to lure us in and keep us hooked, Lindley’s journey to her career in photography for diverse bodies, and so much more! Plus, Christy answers a listener question about whether it’s appropriate to talk to diet-recovery clients about choosing “whole” foods. 

Lindley Ashline is a professional photographer in Seattle, WA, who specializes in body positive portraits of people of all sizes, genders, orientations, ability levels, and ethnicities, not just the ones whose bodies are likely to be seen in magazines and advertisements. Lindley takes a judgment-free approach to her photographic subjects, with little to no retouching.

She created RepresentationMatters.me in 2016 as a response to (and rejection of) the airbrushed, normative, too-perfect stock photography available on the big mainstream stock sites. The images available on the site focus on representing people who are fat, of color, and/or part of the LGBTQIAP+ community.

Representation Matters gives small business owners a way to represent the real bodies and lives of their customers in their marketing and on websites and social media. It contains Lindley's own photography as well as photos and illustrations from a growing number of contributors, making diverse and body positive artwork accessible and affordable while paying contributors a living wage. 

Find thousands of high-quality diverse stock images and free monthly photos over at Lindley's site, RepresentationMatters.me.

 

We Discuss:

  • Lindley’s relationship with food, including how her family’s class status and her sensitivity to certain flavors and textures impacted it

  • Her journey to finding intuitive eating and learning how to create boundaries

  • How she avoided so much of the diet culture messaging while growing up

  • Lindley’s experience of body shame

  • Her struggle during puberty to find plus-size clothes

  • Dieting as a class marker and indicator of wealth, and how Lindley aspired to dieting due to the class status she felt that it indicated

  • The diet industry’s use of aspirational marketing

  • Lindley’s experience with weight stigma and fatphobia at the doctor’s office

  • The trajectory of “failing” a diet or “falling off the wagon”

  • How being in a relationship with an intuitive eater can help us on our own recovery journey

  • How the Fatshionista community on LiveJournal helped Lindley embrace fat acceptance and fashion

  • The process of breaking fashion rules for people in larger bodies

  • Lindley’s process of coming to body acceptance, and how self-photography played a role

  • How the heritage of body positivity affected Lindley’s relationship with her body

  • Lindley’s journey to her career in photography for diverse bodies

  • The complex issue of choice feminism

  • Lindley’s boudoir photoshoots, and how she balances accessing mainstream beauty standards with rejecting fatphobia and extreme photoshopping

  • The ways in which photos lie about our true, holistic appearance, and how to move away from focusing on the flaws that we see in photographs of ourselves

  • The ongoing process and internal dialogue of body peace

  • Lindley’s work with LGBTQ+ folks, and her efforts to make her work a safe place for people of all identities

  • The birth of Representation Matters stock photos, and how Lindley has used the platform to reject mainstream stock tropes

  • The power of representation

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How is “The Wellness Diet” a new form of diet culture? What’s the deal with “whole foods?” What are the issues with the current food industry? Are there class implications for demonizing “processed foods?” Why is gentle nutrition at the very end of the intuitive eating process?


(Resources Mentioned: Intuitive Eating, 3rd ed. by Evelyn Tribole and Elyse Resch, Food Psych Podcast Episode #127, Intuitive Eating Fundamentals)

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Food Psych #147: Why Nobody Needs "Weight Management" with Jennifer Rollin

Jennifer Rollin

Health at Every Size therapist Jennifer Rollin joins us to talk about dispelling eating disorder myths, why weight stigma in the eating disorder field is harmful, how Health at Every Size work contributed to healing Jennifer’s body image and breaking down her learned fatphobia, the problem with the idea of “weight management,” and so much more! Plus, Christy answers a listener question about how to handle it when a significant other’s family comments on your weight.

Jennifer Rollin, MSW, LCSW-C is a therapist in private practice in Rockville, Maryland, eating disorder and body image specialist, and expert writer and speaker. She is passionate about helping people to find freedom from eating disorders and body-hatred. Jennifer has completed certificates in CBT-E for Eating Disorders, Dialectical Behavioral Therapy, and is a Certified Intuitive Eating Counselor. She is a member of The Junior Board of Directors for The National Eating Disorders Association. Her articles have reached thousands of people through media including The Huffington Post and Psychology Today. She offers eating disorder therapy in Rockville, Maryland and eating disorder recovery coaching to people worldwide. Find her online at JenniferRollin.com.

Ready to learn how to cook, make movies, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

Start sleeping ahead of the curve with Casper. Get $50 toward select mattresses by visiting Casper.com/PSYCH and using the code PSYCH at checkout. That’s Casper.com/PSYCH, offer code PSYCH for $50 off your mattress purchase. Terms and conditions apply.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

 

We Discuss:

  • Jennifer’s relationship with food growing up, including how growing up with a mother who was a dietitian taught her food rules and diet culture at a young age

  • The beginning of Jennifer’s body image struggles, including the role of comparisons

  • How gender plays into body policing

  • Jennifer’s first forays into dieting, and how that eventually led to an eating disorder

  • The roles of isolation and rigidity in disordered eating

  • Why diet culture is The Life Thief

  • How restriction around food leads to obsession around food, including our professional career tracks and hobbies

  • Dispelling eating disorder myths, and what drew Jennifer to the therapy field

  • Jennifer’s discovery of Health at Every Size work, and how it contributed to healing her body image and breaking down her internalized and learned fatphobia

  • Why weight stigma in the eating disorder field and general medical field is harmful

  • The need for evidence-based work in eating disorder treatment

  • How important it is for providers to understand their own size bias and disordered behaviors around food

  • Why it’s necessary to hold compassion for our past selves and our previous weight-centric paradigms

  • The value in finding a Health at Every Size community, and Jennifer’s efforts to create the HAES Therapists and Nutritionists Facebook group

  • The problem with the concept of “weight management”

  • How important social connection is to our overall health

  • The ways in which control over food often hides the desire for control in other areas of our lives

  • Why our body size is really out of our control, and why that’s okay

  • How important it is to work with trained professionals in your recovery and in order to help you identify diet culture thoughts in your life

  • Feeling gratitude for our struggles

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

  • Minnesota Starvation Experiment

  • Project Implicit (resource for implicit bias tests, including weight bias)

  • Submit your questions for a chance to have them answered on the podcast!

  • My online course, Intuitive Eating Fundamentals, which includes monthly listener Q&A podcasts and access to my private Facebook support group

  • Ready to learn how to cook, make movies, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

  • Start sleeping ahead of the curve with Casper. Get $50 toward select mattresses by visiting Casper.com/PSYCH and using the code PSYCH at checkout. That’s Casper.com/PSYCH, offer code PSYCH for $50 off your mattress purchase. Terms and conditions apply.

 

Listener Question of the Week

What do we do when people around us make fatphobic comments about our bodies? How do we set boundaries around what language is and isn’t okay for us? How do we react when our partner’s family participates in this fatphobic language and weight bias and talks about our bodies?

(Resources Mentioned: Rachel Millner’s Food Psych Podcast episode)

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Food Psych #146: Binge Eating Recovery & Intuitive Exercise with Kristy Fassio

Kristy Fassio

Certified Body Trust Provider and Health at Every Size personal trainer Kristy Fassio joins us to talk about the restrict-binge cycle and binge eating disorder; how to make fitness work for people in larger bodies; why diet culture is The Life Thief and how it steals our power, freedom, and joy; how restriction feeds into emotional eating; and so much more! Plus, Christy answers a listener question about how to refute arguments in favor of a particular diet.

Kristy Fassio is a mom, AFAA certified personal trainer, and a certified Body Trust Provider. When she’s not planning her next Disney vacation, she can be found working on her Masters in Clinical Mental Health Counseling, tending to the small menagerie of animals that live on her 10 acres, telling women their bodies are not broken or driving her kids to dance lessons. She believes movement should be joyful, life should be lived wholeheartedly, and that self-care is inescapable. Find her online at KristyFassio.com.

Start sleeping ahead of the curve with Casper. Get $50 toward select mattresses by visiting Casper.com/PSYCH and using the code PSYCH at checkout. That’s Casper.com/PSYCH, offer code PSYCH for $50 off your mattress purchase. Terms and conditions apply.

Ready to learn how to cook, make movies, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)


 

We Discuss:

  • Kristy’s relationship with food growing up, including how the messages around food began to change during puberty

  • How Kristy’s larger body size affected her perception of movement, food, and body image

  • Kristy’s experience with the restrict-binge cycle and binge eating disorder

  • How diet culture tricks us into thinking our hunger and fullness cues are broken

  • The power and love in asking for what we need

  • Kristy’s discovery of other people who struggled with emotional and binge eating, and how helpful it was in her recovery process

  • Kristy’s journey from hitting diet rock bottom, to discovering intuitive eating and eventually coming to a place of body acceptance

  • Dismantling weight bias and embracing a Health at Every Size paradigm in our professional lives

  • How diet culture normalizes disordered eating

  • Welcoming movement and food back into our life in a way that’s nourishing rather than punishing

  • How to make fitness work for people in larger bodies, and how ableism seeps into movement practices

  • Kristy’s process of shifting her exercise classes to a more inclusive experience

  • How people connect and bond over diet talk and food restriction

  • Why diet culture is The Life Thief, and how it steals our power, freedom, and joy

  • Kristy’s journey to embrace a social justice lens on body and food, fat activism, Health at Every Size, and fat liberation

  • The value and power in community and in being seen

  • Kristy’s career change from movement work to therapy, and the work she wants to do in the binge eating disorder community and fat advocacy

  • The need to break down our own fatphobic beliefs within the eating disorder field and outside of it

  • How restriction feeds into emotional eating

  • Embracing the fact that recovery is a flexible and effortful process, and that every day won’t feel perfect

  • Raising kids in a fat-positive, anti-diet environment

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

What’s the deal with intermittent fasting? Is intermittent fasting an intuitive choice, or is it a gateway to disordered eating? What’s the research in support of intermittent fasting?

(Resources Mentioned: *Trigger warning, mention of weight/calorie numbers and specific dieting behaviors* Intermittent fasting interventions for treatment of overweight and obesity in adults: a systematic review and meta-analysis, Weight Science: Evaluating the Evidence for a Paradigm Shift)

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Food Psych #145: Diet Culture and Hidden Anorexia with Rachel Millner

Rachel Millner

Health at Every Size psychologist and Body Trust Provider Rachel Millner joins us to discuss how diet culture masks anorexia, why it’s so important for everyone in our society to address our own weight bias, the power of community in breaking free from diet culture, the role of clinicians as activists, how we can spread the Health at Every Size message and plant seeds for change, and so much more! Plus, Christy answers a listener question about dealing with anger toward a parent who constantly pushed diets on you in childhood.

Rachel Millner, Psy.D., CEDS is a licensed psychologist and certified eating disorder specialist. She sees adults with all forms of eating disorders and disordered eating and those wanting to break out of diet culture in her private practice, and treats children and adolescents with eating disorders as part of the Eating Disorder Assessment and Treatment Program at the Children’s Hospital of Philadelphia. Dr. Millner is a certified Body Trust(r) provider. She practices from a Health at Every Size(r), fat positive, weight inclusive perspective. Find her online at RachelMillner.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

 

We Discuss:

  • Rachel’s relationship with food growing up, including how being raised in a Jewish family resulted in internalizing mixed messages about food being abundant but off-limits

  • How food messaging changes based on body size

  • Rachel’s experience with sneaking food in order to avoid being shamed about her food choices

  • The problem with blaming the individual for health outcomes or body shape, and the role of diet culture in our understanding of health

  • Rachel’s struggles with the binge-restrict cycle

  • How hard it is to integrate body acceptance into our lives even if we intellectually understand and agree with fat acceptance

  • The power of community in breaking free from diet culture

  • The trajectory of Rachel’s eating disorder, including how being in a smaller body allowed her to get the help she needed

  • Why we need to shift away from treating bodies, and move towards treating symptoms

  • How pervasive fatphobia is in the medical field

  • Higher-weight anorexia, and the need for health professionals to break down and engage with their own weight bias

  • How to find a Health at Every Size, fat-positive healthcare

  • Rachel’s path to recovery, including the role of therapy and self-care, and how she set boundaries her family during that time

  • Rachel’s professional trajectory, including how she became more involved in the fat activist community

  • The role of clinicians as activists and the power in trusting your message

  • How valuable age is, both professionally and personally

  • How we can spread the Health at Every Size message, plant seeds for change, give space for people to have their own journey, and let go of the goal of perfection

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we forgive the people in our life that taught us diet culture, especially when those people were our family? Is anger a helpful emotion in this process? How has the wellness industry been co-opted by the diet mentality? Are our parents at fault for putting us at diets when we were young? How do we tell the people who put us on those diets about the Health at Every Size perspective?

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Food Psych #139: The Truth About Weight-Loss Surgery & "Food Addiction" with Lisa DuBreuil

Lisa DuBreuil

Social worker and fat activist Lisa DuBreuil joins us to discuss weight loss surgery and its unexpected side effects, what the research really says about this surgery, how it affects people's body image, what the science really says about so-called "food addiction," the intersection of substance abuse and weight-loss surgery, her own journey to recovery from diet culture, how she became a Health at Every Size clinician, how to handle clients seeking weight loss surgery when you’re a weight-inclusive professional, and so much more! Plus, Christy answers a listener question about how to make the case for Health at Every Size to skeptics.

Lisa DuBreuil, LICSW is a mom, wife, fat activist, and clinical social worker. Since 2003 she has been a psychotherapist doing individual and group work in an outpatient hospital-based clinic, treating people with co-occurring substance use disorders and eating disorders and more recently people with new-onset SUDs and compulsions following weight loss surgery. She also has a private practice in Salem Massachusetts where she treats people diagnosed with binge eating disorder and people dealing with various problems following weight loss surgery. Lisa helps people live peacefully in their bodies by improving self-care skills and teaching how to navigate our challenging body culture. Contact her at LisaJDuBreuil@gmail.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

 

We Discuss:

  • Lisa’s relationship with food growing up, including her self-consciousness about her size and weight from a young age

  • The historical and geographical roots of the Health at Every Size movement and fat acceptance

  • How diets evolve and the ways in which different foods become demonized

  • The need for compassion for those who transmitted diet culture to us as children

  • Lisa’s experience with body shame, and the ways in which people of all sizes harbor body loathing and internalized weight stigma

  • How chronic dieting can develop into binge eating disorder

  • The long road to gentle nutrition and joyful movement in the intuitive eating process

  • Lisa’s discovery of the Health at Every Size movement, and how it helped her find lasting eating disorder recovery

  • Lisa’s experience as a therapist working with clients struggling with trauma and eating disorders, and her eventual path to becoming a social worker and program director

  • The connection between eating disorders and substance abuse, and the ways in which they are both coping strategies

  • Lisa’s experience working with clients with weight loss surgery

  • Why “food addiction” is different from addiction to substances, including the effect of habituation

  • The difficult side effects and disillusionment of weight loss surgery, including malnutrition and continued body dissatisfaction

  • How internalized fatphobia pushes folks towards weight loss surgeries and is correlated with many of the poor health outcomes often blamed on body size

  • The ways in which internalized weight stigma makes it harder for people to pursue self care

  • The lack of research around long-term outcomes for weight loss surgery

  • Body autonomy, and how to work with clients that are making decisions counter to our personal opinions

  • How intersecting oppressions affect the decisions we make

  • The stress of change, and the need for extra support even in the face of positive outcomes

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

What do I do if I’m trying to spread the Health at Every Size message to professionals in the health promotion field? What research is out there to support the HAES paradigm? How does weight stigma factor into health?

(Resources Mentioned: Linda Bacon’s Food Psych Podcast episode, Lucy Aphramor’s Food Psych Podcast episode, "Weight science: evaluating the evidence for a paradigm shift" by Linda Bacon and Lucy Aphramor, Deb Burgard’s Food Psych Podcast episode, “The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss” by Deb Burgard et. al., Ragen Chastain’s first and second Food Psych Podcast episodes, Ragen’s Dances With Fat blog)

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Food Psych #137: How to Navigate Diet Culture with Evette Dionne

Evette Dionne

Writer and editor Evette Dionne joins us to talk about how to fight fatphobia and advocate for yourself in healthcare settings, how to navigate difficult conversations and challenge weight stigma in close relationships, why the body-positive movement needs to be intersectional, how oppression is learned and can be unlearned, why it’s important to acknowledge our privilege, and so much more! Plus, Christy answers a listener question about how to deal with friends and family who are stuck in diet culture.

Evette Dionne is a Black Feminist culture writer, editor, and scholar. Presently, she’s the senior editor at Bitch Media and regularly contributes stories about race, size, gender, and popular culture to Teen Vogue, The Guardian, Cosmopolitan, the New York Times, Refinery29, Harper's Bazaar, MIC, and other print and digital publications. Find her online at EvetteDionne.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

Give your wardrobe an upgrade with MM.LaFleur by going to MMBento.com. Use the code PSYCH at checkout and MM.LaFleur will donate 10% of profits to GlobalGiving.

 

We Discuss:

  • Evette’s relationship with food growing up, including connecting food with family and love

  • Evette’s experience with food and body shaming from authority figures

  • Fatphobic school environments, Evette’s experience with harassment, and how it led to the development of agoraphobia

  • Evette’s transition into the workforce and obtaining her GED, and her experience with food policing from a manager

  • Navigating food choices with newfound independence

  • The pressure on college students to avoid weight gain

  • The connection between emotional eating and restriction, and using food as a coping mechanism

  • The traumatizing effect of weight concerns

  • The threshold of acceptable fatness

  • Medical fatphobia, weight stigma in healthcare, and the need for self-advocacy at the doctor (refusing to be weighed, asking for pillows at the gynecologist, and insisting that any specialist tests are pushed to the yearly physical)

  • Fat shaming getting in the way of proper medical care for people in larger bodies

  • Compassion and Health at Every Size as effective intervention strategies

  • Patriarchy, sexism, racism, ableism, and why the body-positive movement must be feminist, political, and intersectional

  • The radical origins of body positivity in fat acceptance and the need to push for a more equitable world

  • Empowerment vs activism and the need for systemic change

  • Learning and unlearning our own oppression, building the body of knowledge around us so we can fight back, and learning how to have these difficult conversations in order to challenge someone’s fatphobia within close relationships

  • Giving people the space to grow while also barring yourself against toxic relationships

  • How we are all complicit in this culture that makes it unsafe for marginalized bodies

  • The problem with staying in the comfortable stage of the body-positive journey

  • Moving away from black-and-white thinking

  • Acknowledging privilege, moving beyond shame, and grappling with feeling defensive

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we create distance between ourselves and diet culture? What do we do it diet talk is permeating your relationships with friends and family? Is there a way to push people towards anti-diet ideas before they’re ready? How does “planting seeds” work? Can New Year's’ Resolutions fit into this distancing process? How do we make our boundaries around diet talk clear to those around you?

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Food Psych #136: Mental Health, Intuitive Eating, and Postpartum Body Image with Stefani Reinold

Stefani Reinold

Psychiatrist and body-acceptance advocate Stefani Reinold joins us to discuss weight stigma in the medical field, how to handle the body-image issues that emerge in pregnancy and postpartum, why accepting your body is so hard in appearance-focused environments, her experience in Christy's Intuitive Eating Fundamentals course, and so much more! Plus, Christy answers a listener question about how to let go of restriction and accept your body size.

Stefani Reinold is a Psychiatrist, mother of two, and women’s mental health advocate. She completed her psychiatry residency training at George Washington University in Washington, DC. While at GWU, she trained in the renown Five Trimesters Clinic specializing in perinatal mental health, infertility and loss. She has presented nationally and internationally on the topics of eating disorders, body dissatisfaction and body image in pregnancy and postpartum. She is an advocate for Health at Every Size and anti-diet clinical practices in the medical field. Her most recent passion project is “Not the Typical Mom,” a blog, podcast and community about the not so typical, but all too common issues of motherhood and encourages mom to escape the stereotypes and banish mom guilt. Find her online at StefaniReinoldMD.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

Manage your wedding registry with Zola! Receive a $50 credit towards your registry by going to zola.com/psych.

Ready to learn how to cook, make movies, and more from the masters? Just in time for the holidays, MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Get it at MasterClass.com/FOODPSYCH.

Give your wardrobe an upgrade with MM.LaFleur by going to MMBento.com. Use the code PSYCH at checkout and MM.LaFleur will donate 10% of profits to GlobalGiving.

 

We Discuss:

  • Stefani’s relationship with food growing up, including experiencing food in abundance, being preoccupied with her body in childhood, and the introduction of food scarcity due to financial restrictions

  • How gymnastics affected Stefani’s body image and relationship with food

  • Equating self worth with appearance, and the pressure on femme folks to strive for the beauty ideal over intellectual pursuits

  • Stefani’s experience with an eating disorder, and the ways in which colleges and Greek life are breeding grounds for disordered eating

  • How eating disorder awareness events can often encourage disordered eating rather than encourage recovery

  • The consequences of mental health stigma and the effect of untreated mental illness

  • How romantic relationships can help our body perceptions, promote recovery, and encourage unconditional acceptance of self

  • Stefani’s experience with body preoccupation in relation to pregnancy and fertility

  • Stefani’s exploration of intuitive eating, the discovery of different Health at Every Size professionals, and her experience with Intuitive Eating Fundamentals

  • Letting go of the weight loss goal

  • The dire consequences of healthism and weight stigma, and the problems with bariatric surgery

  • Stefani’s experience in her public health education, and how focused it was on the “obesity epidemic”

  • Thin privilege and learning to see the weight bias in the world

  • The need to consider mental health when considering holistic health status, and the higher value we place on body size than on quality of life

  • Taking mental health medication and how to discuss potential weight gain from the medication with clients

  • The demonization of Western medicine

  • Weighing side effects of “natural” remedies vs Western medicine

  • The problem with “clean eating” and “natural food” detoxes

  • Navigating out of the honeymoon phase in intuitive eating and finding food neutrality

  • Why gentle nutrition and balance in eating choice is at the end of the intuitive eating journey

  • How diet culture steals our time and our energy

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we face the fear of weight gain? Is there a way to break free from restrictive eating, internalized fatphobia, and tying our self worth up in our body size? What is the impact of diversifying our social media feed? What is the meaning behind weight gain for us as individuals? Would our food choices be different if they came from a place of desire rather than control? How does reflecting on diet culture as The Life Thief help us liberate ourselves from dieting?

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Food Psych #134: Disordered-Eating Recovery & Body-Positive Power with Megan Jayne Crabbe of @bodyposipanda

Megan Jayne Crabbe

Megan Jayne Crabbe, creator of the @bodyposipanda Instagram movement and author of the new book Body Positive Power, joins us to discuss why we need to ensure the most marginalized groups are included in body positivity, how we can root out healthism in body-positive communities, how diet culture promotes disordered eating, her experience in eating disorder treatment, the need to expand our view of mental health and holistic wellness, exploring perfectionism and all-or-nothing-thinking, and so much more! PLUS, Christy answers a listener question about what the “health” in “Health at Every Size” really means.

Meet Megan Jayne Crabbe, the rainbow-haired creator of Bodyposipanda. She's an anorexia survivor, anti-diet enthusiast, and believer in fat acceptance and intersectional body positivity. Since starting an Instagram account in 2014 to chronicle her own recovery and body acceptance journey, her following has grown to over 850,000. Her bestselling debut book, Body Positive Power is an exploration of the ways we've been taught to hate our bodies, a middle finger to the diet industry, and an uplifting call to arms for anyone who's ever struggled to accept their body. It's been called life saving, game changing, and awe inspiring. When Megan isn't promoting body positivity, she can probably be found in her pjs talking to her dogs, or eating cheese. Find her online at BodyPosiPanda.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

Get Christy's online course for fellow health & wellness pros, Master Your Anti-Diet Message, at christyharrison.com/message.

Ready to learn how to cook, make movies, and more from the masters? Just in time for the holidays, MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

Give your wardrobe an upgrade with MM.LaFleur by going to MMBento.com. Use the code PSYCH at checkout and MM.LaFleur will donate 10% of profits to GlobalGiving.

 

We Discuss:

  • Megan’s relationship with food, including going from having an intuitive relationship with food to learning about the calories-in-calories-out model

  • The effect of being weighed at school, and the increasing messages around body and food in school systems

  • How perfectionism feeds into disordered eating

  • Using the label of “health” to hide disordered-eating behaviors

  • Experiencing body judgement and body shame as a child

  • How weight loss compliments can encourage restriction

  • Megan’s experience with anorexia, and how her relationship with food became a way to to control anxiety

  • The ways in which diet culture promotes eating disorders

  • The problem with all-or-nothing thinking

  • The importance of including mental health in our conversations around true holistic health

  • Weight bias and eating disorder diagnosis

  • Megan’s negative experience with classic eating disorder treatment, including how much emphasis was placed on the physical body rather than the mental health aspects

  • How diet culture contributes to relapse

  • Megan’s experience with the classic restrict-binge cycle, and how our society demonizes bingeing behaviors

  • The consequences of “clean eating”

  • Megan’s experience finding body positivity and intuitive eating, and rooting out the rest of her disordered behaviors

  • Allowing recovery to take the time that it needs, the ways in which we do the best we can to heal, and how revisiting old wounds is sometimes the only way to process trauma

  • How to balance setting boundaries and holding compassion for others

  • Megan’s experience becoming a body-positive Instagram celebrity

  • Using our own healing experience to help others through their own struggle

  • Megan’s experience coming to recognize her own privilege, and using her voice to make sure the most marginalized voices are heard

  • How fatphobia affects body image

  • Shifting to a systemic perspective, rather than an individualistic one, and recognizing the victimization of diet culture

  • Megan’s experience of diet culture as The Life Thief, and her process of learning how to be unapologetically herself

  • The intersections of diet culture and patriarchy, including how women and femmes are socialized

  • The #MeToo campaign

  • Healthism, ableism, and why the body positivity movement needs to include people regardless of health status

  • Thin privilege, and understanding the role of people in thin bodies in the body-positive movement

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

  • Alan Levinovitz’s Food Psych Podcast episode

  • Body Positive Power by Megan Jayne Crabbe

  • Things No One Will Tell Fat Girls by Jes Baker

  • Submit your questions for a chance to have them answered on the podcast!

  • My online course, Intuitive Eating Fundamentals, which includes monthly listener Q&A podcasts and access to my private Facebook support group

  • Learn more about our gift certificates at christyharrison.com/gift

  • Ready to learn how to cook, make movies, and more from the masters? Just in time for the holidays, MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

  • Give your wardrobe an upgrade with MM.LaFleur by going to MMBento.com. Use the code PSYCH at checkout and MM.LaFleur will donate 10% of profits to GlobalGiving.

 

Listener Question of the Week

What does the “health” part of “Health at Every Size” really mean? How does wellbeing and self-care fit into HAES? Does HAES mean I’m healthy at whatever size I am now, no matter what? What’s the best way to go about trying to find a HAES-friendly provider in eating disorder recovery?

(Resources Mentioned: the listener question in Food Psych Podcast Episode #128, NEDA’s Find Treatment Tool and Helpline, HAES Community Registry)

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Food Psych #132: Diet-Culture Recovery, Body Trust, and Plus-Size Representation with Meredith Noble

Meredith Noble

Certified Body Trust Provider and life coach Meredith Noble comes on the show this week to talk about how intuitive eating becomes intuitive living, the importance of finding a Health at Every Size, fat-positive community for finding body acceptance, the problem with diet culture and how it’s embedded within the medical community, giving ourselves space to feel our feelings, and much more! PLUS, Christy answers a listener question about how to get started with this podcast.

Meredith Noble is a Certified Body Trust® Provider and life coach who helps plus-size people find food and body peace. Her practice combines Health at Every Size®, Body Trust® and intuitive eating philosophies with feminism and fat acceptance. With her compassion and expertise, her clients learn how to feel more comfortable in their skin, be at ease around food, and leave toxic diet culture behind. Find her online at GenerousPlan.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

Get Christy's BRAND NEW online course for fellow health & wellness pros, Master Your Anti-Diet Message, at christyharrison.com/message.

 

We Discuss:

  • Meredith’s relationship with food growing up, including the limitations put on candy and learning about dieting and food restriction from a young age

  • Bingeing and overeating in response to the scarcity mentality

  • Puberty, weight gain, and how Meredith’s relationship with her body was integrated into her relationship with food

  • The social experience of shopping, the struggles of being plus size at a young age, and burgeoning body dissatisfaction

  • How the endorsement of weight loss efforts and restrictive diets from medical professionals feeds into disordered eating

  • Meredith’s experience with Weight Watchers, including the idea of community and support around dieting

  • The effect of doctor authority, and remembering that medical professionals are influenced by diet culture as much as the rest of us

  • Shame and isolation around bingeing and emotional eating

  • Feeling out of control around food

  • How effective the victim blaming of the diet industry is

  • The investments we make into diet culture

  • How important community is in the Health at Every Size, body acceptance, disordered-eating recovery journey

  • Meredith’s transition into the “clean eating” world

  • Meredith’s stepping stones to the Health at Every Size paradigm

  • The importance of mental readiness to integrate the Health at Every Size, size acceptance movement

  • Food insecurity as a risk factor for eating disorders

  • Acknowledging our privilege and embracing intersectionality

  • Learning about emotional restriction, giving up on the pursuit of weight loss, and embracing intuitive eating

  • Finding body acceptance through finding a fat-positive community

  • The parallels between compassion and body respect

  • Meredith’s experience of being hyperaware of her body, and how being surrounded by other people in larger bodies allowed her to no longer by hyper-vigilant

  • Creating diet-culture-free spaces, both online and in-person

  • Balancing being aware of your body in order to heal it with forgetting about your body in order to embody healing

  • Intuitive eating, how the mental effort required to tap into your inner wisdom decreases over time, rooting out the diet mentality with our food behaviors, and how body image factors into healing our relationship with food

  • Giving yourself space to feel your feelings and grieve the thin ideal

  • Somatic experiencing techniques, feeling emotions through the body, and working with a therapist to find healing

  • Meredith and Christy’s professional transitions into Health at Every Size work

  • How intuitive eating spills into intuitive living

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

Where does a Food-Psych-Podcast newbie start? Are there some Food Psych episodes that are helpful to return to in order to give us an anti-diet refresher and to remind us how diet culture embodies “The Life Thief” role? How has the podcast evolved since its inception in 2013?

(Resources Mentioned: Food Psych Podcast Episode #127 with Ashley Seruya, Food Psych Podcast Episode #106 with Ijeoma Oluo, Food Psych Podcast Episode #121 with Emily Contois, Food Psych Podcast Episode #99 with Lindy West, Food Psych Podcast Episode #94 with Alan Levinovitz, Isabel Foxen Duke’s first Food Psych episode, Katie Dalebout’s first Food Psych episode, and gain access to Season One of Food Psych Podcast with a Food Psych Premium Membership here!)

 

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