the body positive

Food Psych #160: How to Fight Healthism and Embrace Body Positivity with Elizabeth Scott


Psychotherapist and co-founder of The Body Positive Elizabeth Scott joins us to talk about the problems with concern trolling and healthism, why it’s helpful to be vulnerable when defending the Health at Every Size paradigm, the process of unlearning diet culture and oppression, why dietitians are in the best position to support body acceptance, and so much more! Plus, Christy answers a listener question about how healthcare practitioners can unlearn everything they’ve been taught about weight and make peace with food and their bodies.

Elizabeth Scott, LCSW, is a San Francisco Bay Area psychotherapist who has been helping people learn to love their bodies and lead happier, more productive lives for more than 25 years. In 1996 Elizabeth co-founded The Body Positive, a nonprofit organization that builds grassroots, peer leadership programs to prevent eating disorders and other forms of self-harm. As Director of Training, Elizabeth instructs treatment professionals, educators, and students to use the Be Body Positive prevention model to promote resilience against body image problems and eating disorders. Find her online at

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We Discuss:

  • Elizabeth’s relationship with food growing up, including experiencing food in abundance during her childhood

  • The role of feminism and dance in Elizabeth’s understanding of her body and the development of her body image

  • The different factors that support embodiment, the definition of “healthy embodiment,” and the current research around embodiment

  • How valuable just one positive influence can be on embodiment and body image

  • The power in the adolescent development of autonomy, and how we can harness it to further the anti-diet message

  • Elizabeth’s professional path, including her training in social work, what led her to work with eating disorders, body hatred, and embodiment, and how she discovered intuitive eating and Health at Every Size

  • The story of the birth of The Body Positive, and the model of peer-led change

  • How we can prevent the co-option of the body-positive movement

  • The history of body positivity, and its roots in fat activism, feminism, and Health at Every Size

  • Why the term “body positive” still has value for the community, and how we can embrace radical body-positive work

  • How race, gender, sexuality, and more ties in with body positivity

  • The ways in which we can confront our fears and take responsibility for them

  • Diet culture, the thin ideal, and the supposed hierarchy of bodies

  • The problem with concern trolling and healthism

  • Why we need to talk about trauma, sizeism, and emotion, and be vulnerable when defending Health at Every Size, intuitive eating, and size diversity

  • How to promote improved self-care, and why shame is an ineffective strategy

  • Why dietitians are in a great position to support body acceptance, food autonomy, and body trust, and ultimately change the culture

  • The process of unlearning diet culture and oppression, and why we need to put gentle nutrition on the back burner in our journey towards healing our relationship with food

  • How to fight back against the scare tactics that are often presented to people about their health

  • Why we need to have self-compassion if we’ve promoted dieting in the past

  • The promising data coming out of the work at The Body Positive, and what they’ve seen produce lasting improvement in body esteem and self worth

  • Why changing our relationship with food and our bodies takes time

  • What we gain when we leave dieting behind

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 seek out health in a non-diet way? Why are the terms “overweight” and “obese” stigmatizing? What is the science behind weight stigma, and how does weight discrimination affect health? How do we respond to concern trolling? Why do we need to be critical of people

(Resources Mentioned: “Moralized Health-Related Persuasion Undermines Social Cohesion” by Susanne Täuber, “Weight Science: Evaluating the Evidence for a Paradigm Shift” by Linda Bacon and Lucy Aphramor, Linda Bacon’s Food Psych Podcast episode, Lucy Aphramor’s Food Psych Podcast episode, “Perceived Weight Discrimination and 10-Year Risk of Allostatic Load Among US Adults.” by M. Vadiveloo and J. Mattei, “Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer.” by T.L. Tylka, R.M. Calogero, and S. Daníelsdóttir, Deb Burgard’s Food Psych Podcast episode, Jes Baker’s first and second Food Psych Podcast episodes, and my Intuitive Eating Fundamentals online course)

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