thin ideal

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

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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 TheBodyPositive.org.

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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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Food Psych #149: The Truth About Binge Eating with Amy Pershing

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Anti-diet therapist and Binge Eating Disorder expert Amy Pershing joins us to discuss how our fatphobic culture hinders eating disorder recovery, how diet culture steals our personal power, the healing that can be found in getting angry, the role of restriction and trauma in binge eating, and so much more! Plus, Christy answers a listener question about quick ways for primary-care providers to talk to patients about intuitive eating and HAES.

Amy Pershing LMSW, ACSW is the Clinical Director of the Center for Eating Disorders (CED) in Ann Arbor. In 1993, she developed “Bodywise™,” a comprehensive treatment program to serve a growing population of clients coming to the center with binge eating disorder (BED). In 2008, Pershing and Chevese Turner, CEO and founder of Binge Eating Disorder Association (BEDA), joined forces to found Pershing Turner Consulting LLC which offers training to clinicians treating BED nationwide.

Pershing has pioneered an integrated approach based on almost 30 years of clinical experience. Her approach is strengths-based, incorporating Internal Family Systems, mindfulness strategies, Self Compassion interventions, and a range of somatic trauma techniques. Her approach also integrates intuitive eating and movement and a “health at every size” philosophy. Pershing offers two- and three-day Intensives for those in recovery, as well as “Hungerwise™,” a 10-week program for ending chronic dieting and weight cycling offered jointly with with St. Joseph Mercy Health System in Michigan.

Pershing lectures internationally and writes extensively on the treatment of BED and her own recovery journey for both professional and lay communities. She has been featured on numerous radio and television programs speaking about BED treatment and recovery, relapse prevention, weight stigma, and mindful eating and movement. She is the winner of BEDA's Pioneer in Clinical Advocacy ward. Pershing has also served on a variety of professional boards and is the Past Chair of the Binge Eating Disorder Association. Her book, published by Taylor and Francis, will be out in late summer 2018. She maintains a clinical practice in Ann Arbor. Find her online at TheBodyWiseProgram.com.

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We Discuss:

  • Amy’s relationship with food growing up, including learning conflicting narratives related to food

  • The ways in which parents try to shield their children from fatphobia and weight stigma

  • The many different iterations of diet culture over the years

  • Amy’s experience with restriction and hunger, and internalizing the moralization of food and the virtue in being hungry

  • Amy’s discovery of intuitive eating, and why food preoccupation is an inevitable side effect of restriction

  • Why foods with quick energy are most desireable in times of deprivation, and the role of pleasure and joy and eating

  • Diet culture’s message of personal responsibility and blaming the victim

  • How body shame and the thin ideal feeds into diet culture

  • Diet culture’s shift from aesthetics and the beauty ideal to health and “clean eating”

  • The classism embedded within the moralization of food

  • The seduction of the thin ideal, including the messages around desirability and love

  • Amy’s experience with weight stigma

  • How our fatphobic culture hinders eating disorder recovery

  • The value in weight-inclusive communities and the Health at Every Size message

  • The intersection between body image and self-compassion

  • Amy’s experience with the restrict-binge cycle and Overeaters Anonymous, and how she eventually reached out for help and support in her path towards recovery

  • The soothing effect of food, and understanding that food behaviors are often more about coping than about willpower

  • Amy’s training in trauma, and learning that our body will push us towards survival

  • How feminism, gender studies, and learning about the trauma of weight stigma informed Amy’s professional path

  • The power of shame and trauma narratives

  • How we attach moral value to movement, and how Amy embraced joyful movement

  • The power in throwing food and movement rules out the window in the recovery process

  • How Amy’s clients and colleagues have taught her to appreciate beauty in new ways

  • The value, healing, and power that comes with getting angry at the systems that oppress us

  • How diet culture steals our personal power, and how moving away from diet culture allows us to take that power back and put it towards more beneficial pursuits

  • Amy’s process of finding organic structure around movement and food

  • Why we need to focus on self-care, not self-control

  • The other ways in which the beauty ideal oppresses those around us

 

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 primary care providers give compassionate care around intuitive eating and Health at Every Size? What are some ways that physicians can promote an anti-diet perspective when they only have a short amount of time with each patient? How does weight stigma and chronic stress put individuals at risk for health conditions that are often blamed on a larger body size? How do referrals play a role in helping people break free from diet culture?

(Resources Mentioned: Body Respect by Linda Bacon and Lucy Aphramor, Intuitive Eating, 3rd ed. by Evelyn Tribole and Elyse Resch)

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Food Psych #138: Body Peace, Fat Acceptance, and Yoga for All Bodies with Sarah Harry

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Psychotherapist and yoga instructor Sarah Harry joins us to discuss how to handle fatphobia in the family, the most important step in her journey to body peace, how diet culture drives eating disorders, weight stigma in the fashion industry, the complications of weight-loss surgery, the role of yoga in diet-culture recovery, moving from body-positive activism to fat activism, avoiding burnout as a clinician, and lots more! Plus, Christy answers a listener question about how intuitive eating can help end the restrict-binge cycle.

Sarah Harry is one of Australia’s leading Body Image and Eating Disorder specialists. Her roles in this field are varied and she offers a unique perspective as an experienced Clinician, Lecturer, Researcher, Yoga Teacher and Author. She is the co-director of Body Positive Australia alongside the amazing Fiona Sutherland.

Sarah was the first yogi in Australia to offer yoga for bigger bodies. She has practised yoga for more than 20 years and has been running specialist classes and retreats for the last few years all over Australia.

Sarah has more than 15 years’ experience counselling individuals and groups with all kinds of eating and body image issues, she has worked in the public and private sectors, lectures at universities and has just published her first book Fat Yoga - Yoga for All Bodies. Find her online at FatYoga.com.au or BodyPositiveAustralia.com.au.

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We Discuss:

  • Sarah’s relationship with food growing up, including how the thin ideal contributes to a disordered relationship with food

  • Food and body policing, including Sarah’s first diet and the rules around what she was and wasn’t allowed to wear

  • Navigating diet culture in the family

  • How we as a culture connect lovability to body size

  • Sarah’s shame around her lap band surgery

  • How diet culture and a job in fashion contributed to her eating disorder

  • Confronting the myth that eating disorders have a certain body type

  • Sarah’s experience seeking out recovery, including the most important ingredient in getting started on the path to making peace with food and her body

  • How recovery led her to go back to school for counseling and become an eating disorder clinician, and her discovery of yoga

  • Sarah’s winding path to becoming a yoga teacher focused on liberating all bodies

  • Sarah’s work with Fiona Sutherland and her practice of body peace

  • Body image, body acceptance, body shame, and the ways in which body dissatisfaction transcends body size

  • The difference between body positivity and fat activism

  • The various levels of fatphobia, including the interpersonal, the intrapersonal, and the internalized

  • How therapy has helped Sarah to heal and maintain her recovery and mental health, and the importance of therapy in general

  • How to support people through mental health struggles, and navigating the care-taking role

  • The power of supervision in professional development and support

  • How often people who are attracted to helping professions are those who have grappled with these issues themselves, and how important it is to manage our own recovery before venturing into working in the field

  • The power in sharing your recovery story

  • Navigating body acceptance and body image work, and understanding that it’s not a perfect experience

  • The malleable nature of health, and why it’s more important to pursue self-care and health behaviors that work for you than the idea of “perfect health”

  • How chronic pain and chronic illness can fit into our personal definitions of health

  • The ways in which health has become a new manifestation of diet culture and privilege

  • The myth of the “golden ticket,” and how various industries attempt to sell us products that promise happiness and a perfect life

  • Respecting everyone’s journey to Health at Every Size

  • How Health at Every Size and anti-diet work is spreading in Australia and the US

  • Sarah’s experience with lap band surgery, how it affected her body image journey and her eating disorder recovery, the dangerous side effects, and the importance of doing body image work after folks have found recovery

  • Sarah’s process of learning to eat intuitively and letting go of weight loss

  • Sarah’s experience embracing the public persona of her fat-acceptance work

  • Why diet culture is The Life Thief and how it shape-shifts in this new age of wellness

  • Prioritizing self-care, and the embracing the right to do nothing

 

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 manage binges during the intuitive eating process? Can intuitive eating eliminate binges completely? How does self-compassion support our recovery journey? What’s the biological processes that contribute to binge behaviors (AKA The Restriction Pendulum)? How can working with an intuitive eating dietitian help us to heal our food behaviors?

(Resources Mentioned: Certified Intuitive Eating Counselor Directory)

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