weight inclusive

Food Psych #159: How Diet Culture Harms Your Health with Joanne Ikeda

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Pioneering Health at Every Size dietitian Joanne Ikeda joins us to discuss the history of the HAES movement, how the dietetics field and the role of the dietitian has changed over time, the effects of dieting on weight gain and weight cycling, and so much more! Plus, Christy answers a listener question about the food industry and diet soda.

Joanne Ikeda has been a trailblazer in the development of the Health at Every Size® paradigm and the fight against weight stigma. As founding co-director of the Center for Weight and Health in the College of Natural Resources at UC Berkeley, Ikeda has been a leader in efforts to refine approaches to childhood wellness at the local, state and national levels. She is author or coauthor of research publications as well as pamphlets, books, and training kits designed to help health professionals, paraprofessionals and parents instill healthy eating habits and encourage physical activity in children and adolescents. Her most recent effort involves empowering community coalitions to change local environments so they are more supportive of healthy lifestyles in families. She is dedicated to protecting children from becoming casualties in the “war on obesity” by promoting a Health at Every Size approach.

She has also conducted extensive community collaborative research on the food habits and dietary quality of California’s low-income, immigrant and ethnic populations. Her findings are used to develop culturally sensitive and relevant educational programs for these groups, which have included Hmong families in the Central Valley; Vietnamese-American communities in Northern and Southern California; Native Americans in rural areas; and African American women in urban areas of the state.

Ikeda has served as president of the 8,000-member California Dietetic Association. She has chaired the American Dietetic Association’s Nutrition Education for the Public Practice Group and more recently chaired the pediatric subunit of the Weight Management Practice Group. She helped establish the Association for Size Diversity and Health (ASDAH), and served as its secretary for two years. She recently finished a 3-year term as President of the Society for Nutrition Education & Behavior. She has been active on many advisory boards and committees and received numerous awards and honors, including the Society of Nutrition Education Weight Realities Achievement Award; the Ethel Austin Martin Nutrition Education Distinguished Lecturer Award from South Dakota State University; the University of California Outreach Award for service to minority communities; and more.

In 2003, Ikeda received the Community Awareness Award from the National Association to Advance Fat Acceptance (NAAFA) for her dissemination of the message of size acceptance. In 2008, NAAFA gave Ikeda its highest honor for her efforts towards ending size discrimination. She is also the primary author of NAAFA’s Child Advocacy Toolkit.  

She retired from the University of California, Berkeley, on January 1, 2007, and has been awarded the title of Nutritionist Emeritus. She currently is the Nutrition Consultant for the Cartoon Network, and a nutrition expert for ABC News and NAAFA.

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We Discuss:

  • Joanne’s relationship with food growing up, including her lack of cooking skills as a college student

  • How the dietetics career and the role of the dietitian has changed over time

  • Joanne’s experience with old-school weight-loss groups and developing weight-loss programs, and her realization that the weight-loss paradigm is ineffective

  • The role of food insecurity in weight gain and hunger

  • Joanne’s exploration of weight science, and her discovery that health is not dependent on weight

  • How the fat-acceptance movement opened Joanne’s eyes to the realities of weight stigma

  • The effects of dieting on weight gain and weight cycling

  • Joanne’s experience getting her research published in the Journal of the American Dietetic Association

  • The creation of the Health at Every Size principles and guidelines, and the reticence of the current dietetics community to embrace HAES

  • Why there isn’t enough HAES research out there, and why we need to fund more HAES projects

  • The value in and importance of weight stigma research and the negative impacts of long-term weight cycling

  • Why the calories-in-calories-out model is ludicrous

  • Why individuals are so invested in diet culture, and why we as a culture resist embracing a weight-inclusive perspective

  • What a weight-inclusive, fat-accepting world would look like

  • The problems with the National Weight Registry data


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 find a balance between knowing that the food industry is problematic, but not falling down the disordered-eating-rabbit-hole by demonizing foods? How does diet soda tie in with disordered eating? What role does restriction play in feeling out of control around high-sugar or high-carb foods?

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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 #151: Emotional Eating and Diet Culture with Judith Matz

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Anti-diet therapist and author Judith Matz joins us to talk about shifting the focus of emotional eating toward the underlying deprivation and diet mentality, why turning to food to meet emotional needs isn’t an “eating problem” but a “soothing problem,” how diet culture and marginalization rob us of the ability to meet our needs, why Health at Every Size and intuitive eating are better approaches for true health, Judith’s work teaching other therapists about weight stigma, and so much more! Plus, Christy answers a listener question about how to frame public health efforts to change the built environment in a way that doesn’t stigmatize people in larger bodies.

Judith is the co-author of two books on the topics of eating and weight struggles.

Beyond a Shadow of a Diet: The Comprehensive Guide to Treating Binge Eating Disorder, Compulsive Eating and Emotional Overeating has been called “the new bible” on this topic for professionals. The Diet Survivor’s Handbook: 60 Lessons in Eating, Acceptance and Self-Care was a #1 bestseller on Amazon and a favorite resource for therapists to use with clients. She is also the author of Amanda’s Big Dream, a children’s book that helps kids to pursue their dreams – at any size!

Judith has a private practice in Skokie, IL, where she focuses her work with clients who want to get off the diet/binge rollercoaster and learn to feel at home in their bodies. Through her individual counseling, groups, workshops, presentations and books, Judith has helped thousands of people to develop self-care skills that increase physical, emotional and spiritual wellbeing without a focus on the pursuit of weight loss. Through educational programs, she is dedicated to helping people end the preoccupation with food and weight and to fighting weight stigma.

Judith is a popular speaker at national conferences and descriptions of her work have appeared in the media including the New York Times, LA Times, Allure, Fitness, Self, Shape, Today’s Dietitian, Diabetes Self-Management, Psychotherapy Networker, NBC News Chicago, Huffington Post Live, and she appears in the documentary America The Beautiful 2. Find her online at JudithMatz.com.

 

WE DISCUSS:

  • Judith’s relationship with food growing up, including how intuitive it was when she was young, and how that changed with the introduction of body comparisons and commentary from peers

  • Recognizing the connection between restriction and binging

  • Judith’s experience with weight gain, weight cycling, and the restrict-binge cycle

  • How thin privilege shielded Judith from some of the negative impact of diet culture

  • The ways in which we can make children resilient against fatphobia and body shaming

  • The bonding experience of dieting and the toxicity of weight-related compliments

  • How many of us are complicit in diet culture even when we don’t realize it

  • The Weight Watchers announcement about their free program for teens, and why it’s unethical to be pushing intentional weight loss onto impressionable young kids

  • Why Health at Every Size is a better approach for true health

  • The shame attached to the diet-binge cycle and the inevitable weight regain

  • Judith’s professional work in mental health and therapy, and her experience working in a diet-centric program

  • Why eating behaviors aren’t all about the psychology, and why intuitive eating needs to be factored into the healing process for people struggling with binge eating

  • The ways in which physical deprivation, rather than emotional eating, drives binge behaviors

  • Why we need to suss out the influence of the diet mentality on our food choices before we ask questions about whether or not we’re emotionally eating

  • Judith’s work teaching other therapists about weight stigma, and how professionals who continue to perpetuate the diet-centric paradigm are complicit in the oppression of people in larger bodies

  • The problem with assumptions about eating behavior based on body size

  • Shifting the focus of emotional eating from being an “eating problem” to being a “soothing problem”

  • Utilizing compassion on our journey to find new coping mechanisms, and why we can always use food as an emotional coping skill

  • Shifting from being in control to being in charge

  • How leaving behind dieting and shifting to intuitive eating can decrease anxiety and allow ourselves the space to take care of ourselves through depression and other stressors

  • The ways in which diet culture and marginalization rob us of the ability to meet our needs

  • How marginalization and food insecurity affects our relationship with food and our ability to heal, and how the restrict-binge cycle becomes protective and adaptive in this situation

  • The grief process of letting go of dieting

  • The negative health outcomes related to weight cycling and weight stigma, and the health benefits of intuitive eating

  • Judith’s efforts to integrate Health at Every Size and social justice into her therapeutic practice

  • The positive and negative implications of social media, and how diet culture has gotten more aggressive while resources have become more abundant

  • Why diet culture is The Life Thief, and how it robs people of meaningful conversations

 

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 support health for everyone and support increased access to health-promoting variables without resorting to fatphobia? Are there ways to sneak weight-incisive language into public health research? How can changes in the unit environment improve people’s health, regardless of body size? Are there ways in which individuals can develop a compulsive, extreme relationship to exercise or food commonly thought of as “healthy?” How does cultural familiarity with certain foods affect people’s ability to interact with these foods? What research is out there about weight stigma and health disparity related to social inequities?

(Resources Mentioned: "Weight Science: Evaluating the evidence for a paradigm shift” by Linda Bacon and Lucy Aphramor, Linda Bacon and their Food Psych Podcast episode, Lucy Aphramor and her Food Psych Podcast episode, "Weighed down by stigma: How weight-based social identity threat contributes to weight gain and poor health,” Journal of Social Issues, Vol 70, Number 2)

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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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