Food Psych #189: False Pictures of Health with Tiffany Roe

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Mental-health counselor and fellow podcaster Tiffany Roe joins us to discuss how diet culture paints false pictures of what health and eating disorders “look like”; the connections between religion, shame, diet culture, and eating-disorder recovery; why we need to fight fatphobia in the eating-disorder-treatment field; the importance of learning to sit with feelings of distress and discomfort; why even therapists have internalized stigma about mental illness and treatment, and so much more! Plus, Christy answers a listener question about how navigating emotional eating fits into the intuitive eating process.

Tiffany Roe is a Licensed Clinical Mental Health Counselor, psychology teacher, speaker, podcast host, & the owner of Mindful Counseling in Orem, Utah. She passionately helps her clients remember they are enough. Tiffany has focused her career on treatment for women navigating disordered eating, poor body image, poor relationships with themselves and food, anxiety, life transitions, and low self-worth. Tiffany personally survived an eating disorder and has been fully recovered for over 12 years. She passionately works to dismantle diet culture and feels called to work with women and to help them find their true purpose and self-worth. Tiffany believes you can love yourself, your mind, your body, and your relationship with food.

She attended Argosy University where she graduated with honors and received her Master of Arts degree in Mental Health Counseling in 2011. She received her Bachelor degree in Sociology from Brigham Young University in 2008. Tiffany is an award-winning teacher & speaker. She taught psychology courses in the Behavioral Sciences Department for Utah Valley University from 2012-2017. Tiffany regularly speaks for community events, workshops, and retreats. She wants to change the mental health game and make therapy accessible and cool. Find her online at TiffanyRoe.com.

This episode is brought to you by Ori, a new clothing brand that makes cute, comfortable, and modern pieces specifically designed to fit larger bodies. Head over to WearOri.com/Psych for an exclusive 15% discount for Food Psych® listeners.

This episode is also brought to you today by Katie Dalebout’s let [a podcast] out course. If you’ve ever wanted to start a podcast, this workshop, which features interviews with over 100 podcasters (including Christy,) will help you learn the ins-and-outs of podcasting, so that you can focus on crafting your own unique content. To learn more and sign up, visit LetAPodcastOut.club, and use promo code FOODPSYCH for $25 off at checkout. Sign up before March 21, 2019 to receive an additional $75 off the course.

We Discuss:

  • How growing up in a large family steeped in diet culture affected her relationship with food and with her body

  • The factors that led to her eating disorder

  • How disordered eating is often normalized or ignored because of stereotypes of what eating disorders “look like”

  • Why people who are diet culture’s “picture of health” are often secretly struggling

  • How moving to another country as a Mormon missionary exacerbated her eating disorder

  • How recovery changed her relationship with her faith and identity

  • The connections between shame, religion, and diet culture

  • Post-traumatic growth

  • Intuitive eating, and its role in eating-disorder recovery

  • What inspired Tiffany and Christy to work with eating disorders

  • Why we need to fight fatphobia in eating-disorder treatment and dietetic training

  • The importance of recognizing our own biases

  • Being open to being called out/in and educated

  • Why it’s essential for helping professionals to be aware of social justice and systems of oppression

  • Healthism in healthcare institutions

  • Sitting with our shame and discomfort in growth and recovery

  • Mental-health stigma amongst therapists

  • Tiffany’s work to break down the stigma around mental illness and treatment

  • Vulnerability, and arriving at a place where it feels safe to share personal information and experiences

  • Trust in eating-disorder recovery and intuitive eating

  • Tiffany’s podcast, Therapy Thoughts

 

Resources Mentioned

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

  • Be Nourished, and Food Psych® episodes with co-founders Dana Sturtevant and Hilary Kinavey

  • Therapy Thoughts podcast

  • Tiffany’s website, counseling practice, Facebook, Twitter, and Instagram

  • This episode is brought to you by Ori, a new clothing brand that makes cute, comfortable, and modern pieces specifically designed to fit larger bodies. Head over to WearOri.com/Psych for an exclusive 15% discount for Food Psych® listeners.

  • This episode is also brought to you today by Katie Dalebout’s let [a podcast] out course. If you’ve ever wanted to start a podcast, this workshop, which features interviews with over 100 podcasters (including Christy,) will help you learn the ins-and-outs of podcasting, so that you can focus on crafting your own unique content. To learn more and sign up, visit LetAPodcastOut.club, and use promo code FOODPSYCH for $25 off at checkout. Sign up before March 21, 2019 to receive an additional $75 off the course.

     

Listener Question of the Week

Given that emotional eating is normal, does the intuitive eating principle “Honor Your Feelings Without Using Food” still apply? What truly drives what we call “emotional eating?” Is it possible to turn to food for comfort without a background of dieting or deprivation? Why is simply replacing emotional eating with other coping mechanisms usually not effective? What are the first steps that a person take to recover from disordered eating? What are some coping mechanisms that a person can use in addition to emotional eating? What are some ways to reframe the idea of emotional eating?

(Resources Mentioned:

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Food Psych #188: How to Improve Treatment for Disordered Eating with Marcella Raimondo

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Eating-disorders psychologist Marcella Raimondo joins us to discuss how to improve disordered-eating treatment for people who don’t fit diet culture’s idea of what an ED “looks like,” how eating disorders can affect our career choices, why more representation of marginalized identities benefits everyone, how fatphobia was born out of racist beliefs about body size, and so much more! Plus, Christy answers a listener question about how to handle the fact that there are hateful corners of the internet devoted to tearing down the fat-acceptance movement.

Marcella Raimondo, PhD, MPH is a passionate and spirited clinical trainer speaking from her heart on multicultural issues in eating disorders since 1995. Marcella is a licensed psychologist for Kaiser Permanente’s adult eating disorder clinic in Oakland and part of a regional leadership team. She runs her own practice in Oakland. She is also on the Board for Eating Disorders Recovery and Support (EDRS) as President, advisory board for Association of Size Diversity and Health (ASDAH,) Advisory Board for Nalgona Positivity Pride (NPP) and Board of Founders for About-Face. Marcella herself recovered from anorexia nervosa over 15 years ago. Her recovery and her martial arts training inspires her dedication to multicultural body nurturance and community celebration. Find her online at MarcellaEDTraining.com.

This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

We Discuss:

  • The mixed messages that Marcella received in adolescence about food as a way to connect to her heritage, while being aware of the changes in her body

  • Anti-fatness as a response to racism and trying to assimilate

  • The thoughts and emotions that pushed her to start dieting, and eventually fueled her eating disorder

  • What motivated her to pursue recovery

  • How eating disorders can affect our career choices

  • Her eating-disorder recovery experience

  • The effect of learning about the experiences of other women of color on her recovery

  • Privilege, and how it affects a person’s ability to access treatment

  • Why acknowledging eating disorders and disordered eating in marginalized identities helps everyone

  • Grassroots efforts to make eating-disorder treatment more accessible to everyone

  • Finding the balance as a small-business owner between making a living and offering accessible eating-disorder treatment

  • Fatphobia as a barrier to treatment and recovery

  • The many ways in which our current healthcare system is broken and harms marginalized folks

  • How martial arts and yoga can play a role in various parts of recovery

  • The importance of self-compassion and forgiveness

  • What drew Marcella into martial arts training, and how it affected her recovery and work today

 

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 advice is there for dealing with anti-fat discourse on the internet? What motivates people to be hateful toward larger-bodied people? Why do some people get defensive toward the idea of fat acceptance? What are some strategies to handle the fact that there are hateful corners of the internet devoted to tearing down fat acceptance and other forms of social justice? How does the structure of the internet itself uphold hateful rhetoric? What are some trusted resources for fat-positive information?

(Resources Mentioned:

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Food Psych #187: How to Make the World More Accessible for ALL Bodies with Alissa Sobo

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Software engineer and Ample co-founder Alissa Sobo joins us to discuss how being fat-shamed at the doctor’s office inspired her to create the Ample app, how to improve the accessibility of public spaces for people in ALL bodies, her journey through disordered eating and recovery, why business reviews are a form of education and advocacy, and so much more! Plus, Christy answers a listener question about whether the principles of intuitive eating and Health At Every Size® still apply for older people.

Alissa is a software engineer and a cofounder of Ample, a review website, like Yelp, for rating doctors, services, and establishments on their accessibility and inclusiveness towards fat, trans, disabled, and BIPOC bodies. Ample has amassed over 700 reviews and recommendations across 10 countries since its beta launch in 2018. Alissa began the open-source, volunteer-led project in 2017 after experiencing fat shaming at the doctor during her pregnancies. While there were some nascent resources for finding fat friendly services at the time, she started Ample with the hope of improving these tools with up-to-date technologies, centralizing the information into one easy-to-find repository, and honoring the intersectional identities of communities. When she’s not coding, she can be found riding bikes and gardening with her family in Portland, OR. Find her online at IsItAmple.com.

Help us and our potential advertisers learn a little bit more about you. Visit podsurvey.com/foodpsych to take an anonymous survey, and you can enter to win a $100 Amazon gift card. Terms and conditions apply.

This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

We Discuss:

  • Alissa’s experiences growing up as a larger-bodied child

  • How her relationship with food and her body developed into an eating disorder

  • How she learned about Health At Every Size

  • How where we live can influence our relationship with food and our bodies

  • Body acceptance, and how it can look different for everyone

  • Her experience of being fat-shamed at the doctor’s office, and how it inspired her to start Ample

  • How creating the app helped her to learn more about accessibility

  • Why Ample is for all marginalized identities, not just larger bodies

  • The mechanics behind the app

  • Practical strategies for increasing accessibility, even when space and/or funds are limited

  • Advocating for ourselves, and the work that it can take to be comfortable doing so

 

Resources Mentioned

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

  • Virgie Tovar’s work, and her first, second, and third appearances on Food Psych®

  • Health At Every Size by Linda Bacon (and their Food Psych episode) (TW: Healthism. Linda has stated that they no longer stand by parts of the book and prefers directing people to their other book, Body Respect)

  • Hot & Heavy by Virgie Tovar

  • Shoog McDaniel’s work

  • The Ample app

  • Corissa Enneking’s work, and her Food Psych episode

  • Fat Friendly Docs

  • Ragen Chastain’s work, and her first and second appearances on Food Psych

  • Ample on Facebook and Instagram

  • Help us and our potential advertisers learn a little bit more about you. Visit podsurvey.com/foodpsych to take an anonymous survey, and you can enter to win a $100 Amazon gift card. Terms and conditions apply.

  • This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

     

Listener Question of the Week

Is there any point in Health At Every Size and/or intuitive eating where an older person with health concerns should consider weight loss? Is there an age limit to HAES and intuitive eating? What are the effects of dieting, or any intentional weight loss? What are the consequences of weight cycling and weight stigma? How can a person access healthcare that doesn’t involve weight cycling or weight stigma? What are some things you can prepare ahead of a doctor’s appointment?

(Resources Mentioned:

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Food Psych #186: How to Rebuild Trust in Your Body with Jenna Hollenstein

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Non-diet dietitian, certified intuitive eating counselor, and author Jenna Hollenstein returns to discuss her new book, Eat to Love: A Mindful Guide to Transforming Your Relationship with Food, Body, and Life, the role of self-compassion and non-judgment in recovery, how to rebuild trust in your body and inner wisdom, the importance of having enough, and so much more! Plus, Christy answers a listener question about whether or not you need to cut out certain foods for Hashimoto’s thyroiditis.

Jenna Hollenstein, MS, RDN, CDN, is a non-diet dietitian who helps people struggling with chronic dieting, disordered eating, and eating disorders. She uses a combination of Intuitive Eating, mindfulness techniques, and meditation to help her clients move toward greater peace, health, and wellness. Jenna’s private practice is located at 750 Lexington Avenue in New York City where she consults with clients in person and virtually.

Jenna is a Registered Dietitian Nutritionist (RDN) and a Certified Dietitian Nutritionist (CDN) in New York State. She has a Bachelors degree in Nutrition from Penn State, a Masters degree in Nutrition from Tufts University, is a Certified Intuitive Eating Counselor and an Open Heart Project meditation guide. In 2018, Jenna joined the board of The Center for Mindful Eating.

Jenna is the author of Understanding Dietary Supplements, a handy guide to the evaluation and use of vitamins, minerals, herbs, and botanicals for both consumers and clinicians, and more recently the memoir Drinking to Distraction. Her third book, Eat to Love: A Mindful Guide to Transforming your Relationship with Food, Body, and Life, was released in January 2019. Find her online at Eat2Love.com.

This episode is brought to you by Blinkist, where thousands of non-fiction books are condensed into key takeaway information that you can read or listen to in just 15 minutes. Start your FREE 7-day trial by going to blinkist.com/foodpsych.

This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

We Discuss:

  • Jenna’s process in writing her new book, Eat to Love: A Mindful Guide to Transforming your Relationship with Food, Body, and Life

  • What she’s learned from being a mother of a young child

  • The role of the “honeymoon phase” in intuitive eating

  • The “three objects, three poisons, and three seeds of virtue” in Buddhist philosophy, and how they can relate to our relationship with food and body

  • The benefits of learning to sit with our discomfort

  • Non-judgmental mindfulness, meditation, self-compassion, and their roles in recovery

  • The similarities between mindful eating and intuitive eating

  • The “fix-it” mentality of modern culture, and why it can be problematic

  • Diet culture and intuitive eating through a spiritual lens

  • Learning to rebuild trust in our body and inner wisdom

  • How intuitive eating and Buddhist philosophy overlap

  • How self-improvement is actually limiting us

  • Waking up to our inherent goodness

  • Self-esteem vs. self-compassion

  • Learning to accept fullness, satisfaction, and having enough

  • Using our values as our guiding principles

  • Asking ourselves what we really want

  • How conformity is sometimes necessary to keep us safe

  • Why the law of attraction is problematic

  • Unchecked privilege in health and wellness spaces

  • How different parts of our culture are responding to uncertainty in nutrition science

  • Embracing uncertainty and the unknown

 

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

Do I need to cut out certain foods to manage Hashimoto’s thyroiditis? How can a person with a history of disordered eating safely navigate the advice to restrict certain foods? What is Hashimoto’s thyroiditis and how is it diagnosed? What is something to watch out for when working with an alternative or conventional healthcare practitioner? How can meeting with an endocrinologist help with Hashimoto’s thyroiditis? Why are so many sources promoting a “Hashimoto’s diet” despite the lack of evidence? Where do some of the claims for cutting out certain foods come from? What are some ways that a person can manage their Hashimoto’s, with or without medications? What is the “nocebo” effect?

(Resources Mentioned:

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Food Psych #185: How Diet Culture Hurts Your Relationships with Kristina Bruce

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Health At Every Size® life coach Kristina Bruce joins us to discuss how diet culture can affect relationships, how to find self-trust and self-acceptance in recovering from disordered eating, how diet culture shows up in spiritual communities, why health and well-being is about so much more than eating and exercise, and so much more! Plus, Christy answers a listener question about weight stigma in the military.

Kristina Bruce is a Certified Integrative Life Coach and advocate of the Health at Every Size paradigm. Calling upon her education in health studies, sociology, yoga, meditation, and The Work of Byron Katie, Kristina works one-on-one with people to help them reconnect to their bodies and feel more trusting and accepting of themselves. Find her online at KristinaBruce.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • Some of the covert diet culture messaging that Kristina received growing up, despite her parents avoiding overt diet talk

  • The evolution of diet culture, particularly over the last few decades

  • How Kristina’s relationship with her body changed from childhood to young adulthood

  • Yoga culture, and how it uses “spirituality” to reinforce The Wellness Diet

  • How relationships—particularly romantic relationships—can highlight and be affected by disordered relationships with food, exercise, and/or the body

  • What helped Kristina stop dieting and embrace Health At Every Size

  • Her experience of returning to dieting while in recovery

  • Diet culture in spiritual communities

  • Relearning self-trust, and why the “honeymoon phase” is sometimes necessary to get there

  • The body-soul connection

  • Self-acceptance, and its importance in recovery

  • Letting go of our inner critic

  • How relationships transform with recovery

  • Why health and well-being is about so much more than eating and exercise

 

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

Is it possible to challenge the BMI and body-size standards required by the military? How can a person choose between their health and their career? How can individuals advocate for systemic and institutional change? Why are some organizations and people quicker to adopt new ideas than others?

(Resources Mentioned:

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Food Psych #184: Why Diet Culture Is a Form of Oppression with Virgie Tovar

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Activist and author Virgie Tovar returns! We discuss her newest book, You Have the Right to Remain Fat; the intersections between fatphobia, sexism, and diet culture; how dieting is a form of oppression and assimilation; the influence of American history on diet culture; body liberation as a collective movement; and so much more! Plus, Christy answers a listener question about how to navigate the dating pool while working to accept your body and maintain your feminist values.

Virgie Tovar is the author of You Have the Right to Remain Fat and is one of the nation's leading experts and lecturers on fat discrimination and body image. She is the founder of Babecamp, a 4-week online course designed to help women who want to break up with diet culture. She started the hashtag campaign #LoseHateNotWeight and in 2018 gave a TedX talk on the origins of the campaign. She pens a weekly column called Take the Cake on Ravishly.com and is a contributor for Forbes.com. Tovar has been featured by Tech Insider, The New York Times, NPR, Al Jazeera and Self. Find her online at VirgieTovar.com.

This episode is brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

This episode is also brought to you by Blinkist, where thousands of non-fiction books are condensed into key takeaway information that you can read or listen to in just 15 minutes. Start your FREE 7-day trial by going to blinkist.com/foodpsych.

We Discuss:

  • What Virgie has been up to since her last appearance on the podcast, including her new book, You Have the Right to Remain Fat and other writing projects

  • Diet culture as a barrier to feminism

  • How weight-neutral messaging is being co-opted to market weight loss

  • How fatphobia, sexism, and other forms of discrimination have not gone away, but have only become subtler and sneakier

  • Internalized inferiority, and what it looks like in our culture

  • The effort required to pinpoint subtle forms of marginalization

  • One strategy to help bring a different perspective to diet culture

  • The link between diet culture and fatphobia

  • The dietary reform movement of the 1800s as a precursor to present-day diet culture

  • Dieting as a form of oppression and assimilation

  • The National Fitness Test and its nationalist roots

  • Common narratives in American culture and history, and why they are problematic

  • Gaslighting, and how it shows up in the body-positive movement

  • Why body liberation is a social justice movement rather than an individual pursuit

  • What was lost when fat liberation morphed into body positivity

  • How seeking personal relief often brings people to anti-diet work

  • The link between internalized inferiority and unexamined privilege

  • Gentrifying vs. pupil energy

  • Why collective liberation is important

  • How separating ourselves from our thoughts can help with liberation

  • Virgie’s latest project, Camp Thunder Thighs

  • Her five principles/practices for meaningful change in our relationship with our bodies

 

Resources Mentioned

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

  • Virgie’s previous Food Psych® episodes #45 and #100

  • You Have the Right to Remain Fat

  • Sander Gilman’s work

  • James Baldwin’s work

  • Camp Thunder Thighs

  • Virgie’s website, Facebook, Instagram, and Twitter

  • This episode is brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

  • This episode is also brought to you by Blinkist, where thousands of non-fiction books are condensed into key takeaway information that you can read or listen to in just 15 minutes. Start your FREE 7-day trial by going to blinkist.com/foodpsych.

     

Listener Question of the Week

What are some tips for navigating the dating scene as a person in a larger body? How can a person stop feeling hurt by being rejected for their size? How does one reconcile their feminist critiques of dating culture with feelings of loneliness? How does dating culture reinforce patriarchal ideals? Why is it important to work on self-acceptance in the context of dating? What are some qualities to look for in a potential partner?

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Food Psych #183: How The Wellness Diet Harms Your Health with Katherine Zavodni

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Eating-disorders dietitian Katherine Zavodni shares her own experience with chronic illness and The Wellness Diet, how it ultimately led her to embrace a Health At Every Size® approach in her work, why the popular narrative of personal responsibility in diet and wellness culture is harmful, what to do when others are stuck in diet mentality, and so much more! Plus, Christy answers a listener question about how to stop obsessing over getting “enough” exercise.

Katherine Zavodni is a registered dietitian in private practice in Salt Lake City, UT. She is a certified eating-disorders dietitian and specializes in child and family feeding concerns, intuitive eating and Health At Every Size in addition to nutrition therapy for disordered eating. She is passionate about non-diet work and particularly about a non-diet approach to school nutrition education, and is working on developing a curriculum to teach food and nutrition within a positive, age-appropriate framework. Find her online at KZNutrition.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • How going through puberty earlier than her peers affected Katherine’s relationship with her body growing up

  • Fatphobic messaging in children’s media

  • Chronic illness, medications, and how they can affect weight

  • How diets often get the “credit” for weight loss outcomes, despite many confounding factors

  • What motivated Katherine to embrace a Health At Every Size, non-diet approach to her work

  • Why the popular narrative of personal responsibility in health and wellness is actually causing harm

  • The multiple therapies that Katherine tried to manage her chronic inflammatory condition

  • The lack of evidence behind applied kinesiology

  • Why it’s common to blame ourselves when diets and treatments don’t work

  • Elimination diets, and how they’re ineffective or harmful for most people

  • Shame within diet and wellness culture

  • The pressure on people with chronic illness to find a therapy that “works”

  • How the internet has accelerated the spread of The Wellness Diet

  • The similarities and connections between diet culture and wellness culture

  • How health and wellness messaging often comes from people with privilege

  • Katherine’s work in eating-disorder recovery

  • Taking off the “expert hat” as a helping professional

  • Why it’s important to respect body autonomy even when others are dieting

  • Being conscious of your influence on others, particularly for helping professionals

  • Turning inward instead of looking outside in regards to self-care

  • Intuitive eating, and how it often gets turned into another diet

 

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 can a person stop obsessing over getting “enough” exercise, or making weight loss the main motivator? What are some of the ways that diet culture influences our relationship with exercise? What are some of the consequences of both systemic and internalized fatphobia? How can we become more conscious of our motivations for movement? How can our relationship with movement affect our relationship with food?

(Resources Mentioned:

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Food Psych #182: Fitness Culture, Hypothalamic Amenorrhea, and Why Health Is Not an Obligation with Cara Harbstreet

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Non-diet dietitian Cara Harbstreet joins us to discuss hypothalamic amenorrhea and the lack of adequate care in conventional and alternative health, the normalization of diet-culture thoughts and behaviors in collegiate athletics and dietetics education, why thin privilege and other privileges don’t necessarily protect a person from internalizing body shame, why you don’t have to engage in or value movement or health, and so much more! Plus, Christy answers a listener question about whether weight loss is necessary for conception and pregnancy.

Cara Harbstreet is a Kansas City-based non-diet dietitian. She's the owner of Street Smart Nutrition, a food blog that celebrates fearlessly nourishing meals and explores food-related topics. She's also the founder of Libre Connections, a digital platform that connects clients to HAES-informed dietitians for virtual coaching services. Her mission is to provide greater access to the support so many of us need for our healing journeys to take place, as well as providing opportunities for dietitians who aspire to work in this area. She is passionate about advocating for change both within and beyond the dietetics profession. Cara is an active volunteer for multiple professional organizations and recently authored a cookbook, The Pescetarian Cookbook: The Essential Kitchen Companion, to promote a more realistic and simple approach to home cooking for health and happiness. When not occupied with work, she can usually be found checking out the local food scene, spending time outdoors, or experimenting in the kitchen. Find her online at LibreConnections.com.

This episode is brought to you by Blinkist, where thousands of non-fiction books are condensed into key takeaway information that you can read or listen to in just 15 minutes. Start your FREE 7-day trial by going to blinkist.com/foodpsych

We Discuss:

  • How Cara’s parents’ emphasis on family meals positively influenced her relationship with food growing up

  • Thin privilege, and how it and other privileges don’t necessarily protect a person from internalizing body shame

  • The normalization of diet culture in collegiate athletics, and how this affected Cara’s relationship with her body

  • How over-exercising affected her athletic performance and overall health

  • Hypothalamic amenorrhea (HA) (aka missing periods), and her experience of being misdiagnosed with PCOS

  • The lack of competent care from conventional and alternative health practitioners when it comes to menstrual and hormonal issues

  • How “fear talk” associated with some medical diagnoses perpetuates diet culture

  • How diet culture skews our view of how much food or activity is “normal”

  • Dietetics education, and how it reinforces diet mentality and behaviors

  • Cara’s experience working at a weight-loss camp for children

  • One of her key strategies to help recover from diet mentality

  • What helped her push diet culture away and start to heal her relationship with food and her body

  • Her experience with the “honeymoon phase” of intuitive eating

  • Why she credits some of her business success to intuitive eating

  • Exploring other forms of movement after her collegiate athletic career

  • Giving ourselves permission to not engage in physical activity

  • Why you don’t owe anybody your health, even if it is something that you value

  • How participating in The Wellness Diet is a form of privilege

  • A quick litmus test to see whether an activity is right for you

 

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

Can weight loss help regulate hormones and increase fertility? Is it possible to try to lose weight without relapsing into eating disorder behaviors? What are some ways that the eating disorder voice or diet culture messaging can show up for people? What is harmful about intentional weight loss? What is likely behind difficulties with conceiving for people in larger bodies and why don’t we hear about them? What is hypothalamic amenorrhea (HA) and what are some of its risk factors? What can a person do instead to help increase their chances of conception?

Resources Mentioned

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Food Psych #181: How to "Just Eat It" and Break Free from Diet Culture with Laura Thomas

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Intuitive eating counselor and author Laura Thomas joins us to discuss the problems with The Wellness Diet, why subtle levels of weight stigma are so hard to pinpoint and eradicate, why "emotional eating" and turning to food for comfort are falsely demonized in diet culture, why people in the nutrition field often struggle in their own relationships with food, her new book Just Eat It, and lots more. Plus, Christy answers a listener question about whether the 12-step model works for food issues.

Laura Thomas, PhD is an AfN Registered Nutritionist and Certified Intuitive Eating Counsellor specialising in intuitive eating, mindful eating, weight-inclusive and non-diet nutrition. She has a BSc in Health Sciences from the University of Aberdeen, a PhD in Nutritional Sciences from Texas A&M University, and completed her post-doctoral research at Cornell University in behavior change. She is the host of Don’t Salt My Game podcast and was the Nutritionist for the 2017 BBC1 documentary Mind Over Marathon. She established the London Centre for Intuitive Eating in 2017 to help clients and train clinicians in Intuitive Eating. Her first book, Just Eat It: How intuitive eating can help you get your shit together around food was published this month by Bluebird Books. Find her online at LauraThomasPhD.co.uk.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • How Laura’s difficult family life mirrored her complicated relationship with food and her body

  • Why it’s normal for people, especially children, to turn to food for comfort

  • The factors that reinforced Laura’s disordered eating

  • How we were introduced to Health At Every Size®, and why it can be difficult for people to embrace the paradigm

  • Why people in the nutrition field often struggle in their own relationships with food

  • Our experiences with The Wellness Diet, and what helped us realize that it’s actually diet culture in disguise

  • How a lot of “anti-wellness” work is still rooted in diet culture

  • Christy’s FNCE debate, and the response from the Academy of Nutrition and Dietetics

  • The problem with how the “obesity”-industrial complex is trying to combat weight stigma

  • Our gratitude for the pioneers of the HAES® movement and the difficult work that many continue to do

  • Privilege, and how it interplays with HAES work and activism

  • Microaggressions, and how they affect people in marginalized bodies

  • Why subtle levels of weight stigma are so hard to pinpoint and eradicate

  • Why the “o-word” and labeling larger body size as a disease is problematic

  • Laura’s experiences of weight stigma in nutrition academia

  • Her book, Just Eat It: How intuitive eating can help you get your shit together around food

  • The oppressive nature of diet culture, and why liberation is important

  • How Trump embodies patriarchy

 

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

Does the 12-step model work for food issues? What is the difference between addiction to alcohol and substances and addiction to food? Is the feeling that food has addictive qualities the same as food addiction? What is the role of restriction and deprivation in the addictive qualities of food? What is The Restriction Pendulum? Is it possible to be “starving” without looking emaciated? What do physical and psychological starvation look like? How can intuitive eating stop The Restriction Pendulum? Why doesn’t the abstinence model work with food issues? How does the 12-step model reinforce diet culture? What is the problem with food-addiction research? What is the role of pleasure in human life?

Resources Mentioned

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Food Psych #180: Body Policing, Social Class, and Diet Culture with Sonalee Rashatwar

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Anti-diet social worker and sex therapist Sonalee Rashatwar joins us to discuss body policing, the non-consensual nature of dieting for many kids, how body size gets treated as a marker of class status and cultural assimilation, how gender identity changes people’s relationships with food, and so much more! Plus, Christy answers a listener question about whether there are any reasons to focus on fullness other than fatphobia, and whether a particular statement in the book Intuitive Eating is fatphobic.

Sonalee Rashatwar (she/they) is a licensed clinical social worker, sex therapist, community organizer, and public speaker based out of New Jersey. They are paid for their labor as a sexual assault counselor with specialties in ethnic identity development, sexual trauma, general sexuality or gender issues, and fat identity or body image issues. She is a sought after speaker on topics related to fat trauma, sexual colonization, reproductive freedom, consent culture, race as a body image issue, and unlearning diet culture. Her fame hit an all time high when she was featured on Breitbart in March 2018 for naming thinness as a white supremacist beauty ideal. In additional to her paid labor, they organize with two South Asian collectives around creating healing spaces for radical youth political education. As a nonbinary bisexual superfat donut queen, Sonalee brings their whole vulnerable self to all of her work and does not attempt to live within artificial boundaries of professionalism. Her spirit breathes for black, brown, and indigenous liberation. Find them online at SonaleeR.com.

We Discuss:

  • Sonalee’s relationship with food and her body growing up in an Indian-Hindu family in New Jersey

  • How patriarchy affects how we view our fathers

  • Dieting as a form of cultural and racial assimilation

  • How different social classes experience and uphold diet culture and other forms of oppression

  • The caste system in Indian communities

  • Healing from sexual trauma

  • Reclaiming agency in sex

  • Body policing based on gender presentation and size, and Sonalee’s experiences of this in her family and relationships

  • What helped her to resist pressure to have weight-loss surgery

  • Capitalism, and how it contributes to oppression

  • What disability justice can teach us about activism

  • How Sonalee’s size affects their ability and access

  • The medical model vs. social model of disability

  • How they are rebuilding their relationship with their parents

  • Setting and enforcing boundaries in our relationships

  • What fatness and being fat means to her

  • Our bodies as heirlooms

 

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

If you take away the fatphobia, why does the book Intuitive Eating emphasize that eating past fullness is something that ought to be avoided? How can chronic conditions, particularly ones that affect the digestive system, change how fullness is perceived? Why do some people consistently eat past fullness? What is The Restriction Pendulum?

Resources Mentioned

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Food Psych #179: How to Avoid Falling for The Wellness Diet This New Year with Colleen Reichmann

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Anti-diet therapist Colleen Reichmann joins us to discuss how to keep from falling prey to diet culture, the problem with Whole30 and other forms of The Wellness Diet, why true well-being is about so much more than food and movement, a quick way to tell if your “lifestyle change” is really a diet, why eating-disorder diagnoses are often problematic, and so much more! Plus, Christy answers a listener question about how to handle envy for people who seem to be “successfully managing” their weight.

Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for intersectional feminism, body liberation, fat acceptance, and Health At Every Size. She speaks at national and regional eating disorder conferences, and writes about body image and eating disorders for MORELove Project, Project HEAL, The Mighty, Recovery Warriors, Adios Barbie, and more. Find her online at ColleenReichmann.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • The different factors that contributed to Colleen’s multifaceted relationship with food growing up

  • The insidious nature of wellness culture

  • Colleen’s foray into dieting, and eventually her eating disorder

  • How diet culture keeps disordered eating under the radar

  • Why eating-disorder diagnoses are often problematic

  • The importance of receiving treatment even when diagnostic criteria are not met

  • The power of empathy and validation, and how feeling invalidated triggered Christy further into her eating disorder

  • How Colleen’s college experience intensified her eating disorder, and the restrictive culture at some college campuses

  • Bamboo as an analogy for eating-disorder recovery

  • How Colleen’s eating disorder morphed to a “wellness” focus in graduate school

  • The problem with Whole30 and other “wellness” diets

  • Orthorexia, and the need for more research and awareness

  • The Wellness Diet, how it is really the modern incarnation of diet culture, and why it’s so problematic

  • How wellness culture capitalizes on people’s fears of illness and death

  • Privilege and oppression in clean eating and diet culture

  • Christy’s upcoming book, and how it traces the history of diet culture

  • A quick way to tell whether your lifestyle change is really a diet

  • How true well-being is about so much more than food and movement

  • How Colleen recovered from her eating disorder, and why she works in eating disorder recovery today

  • Health At Every Size®, and why it is crucial in eating-disorder treatment and recovery

  • Diet culture and fatphobia in eating-disorder treatment, and how it gets in the way of full recovery

  • Why it’s important for clinicians to work through their own biases in order to provide ethical eating-disorder treatment

 

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

  • Colleen’s website, Instagram and Facebook

  • This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

     

Listener Question of the Week

How can we give up the envy of those who seem to be able to stay at a lower weight through dieting and restriction? How can we give up the feelings of failure for not being able to stay at a lower weight? What is some of the research that shows the high failure rates of diets? What is likely happening when people are able to maintain a lower weight? What is thin privilege, and how is it related to other forms of privilege like male privilege or white privilege?

(Resources Mentioned:

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Food Psych #178: The Truth About High-Weight Anorexia with Erin Harrop

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Weight-stigma researcher Erin Harrop joins us to discuss how anorexia is treated (or not) in people of different sizes, how diet culture and weight stigma influence treatment and recovery for disordered eating, the problem with the “atypical” anorexia label, how improving eating-disorder treatment in people with larger bodies can benefit everyone, and so much more! Plus, Christy answers a listener question about what to do if you develop binge eating in recovery from restrictive eating behaviors.

Erin Harrop received her B.S. and MSW from the University of Washington, where she is currently a fourth-year doctoral student in social welfare. Her research interests concern eating disorders, substance abuse, and weight stigma. She sees weight-based discrimination as a critical, and often ignored, social justice issue, and her research agenda seeks to address this limitation by focusing on the systemic factors of weight stigma which impact the illness journeys of eating disorder patients. She employs an interpretive, critical feminist theory and anti-oppression lens to her work, as well as an explicit Health at Every Size® approach to the promotion of health behaviors. Her research is informed by her clinical experience as a medical social worker at Seattle Children’s Hospital, where she has worked for the past five years. Erin recently was funded for two NIH TL1 Translational Research Training grants for her dissertation research with women who have atypical anorexia. Erin is also active in the student group, SWAG (Sizeism, Weightism Advocacy Group), which she co-founded in 2012. Find her online at facebook.com/erin.harrop.3

From now until New Year’s, we’re offering gift subscriptions to the Intuitive Eating Fundamentals course. It’s the perfect gift for someone looking for anti-diet inspiration, or put it on your wishlist so that others know to get it for you. For more information, visit christyharrison.com/gift.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • “Intuitive cooking,” and how it helped to bring experimentation and joy to Erin’s relationship with food

  • Gendered messages around food

  • Diet culture, and how it steals our pleasure from food

  • Learning to trust our body’s desires for different foods

  • How diet culture and The Wellness Diet can twist our expectations of intuitive eating

  • The Restriction Pendulum

  • The role of Health At Every Size®, fat activism, and intuitive eating in Erin’s eating-disorder-recovery journey

  • Pushing beyond the “Recovery Diet”

  • How diet mentality and weight stigma amongst eating-disorder clinicians and treatment centers can hinder people’s recovery

  • Erin’s personal experiences in treatment as someone with anorexia in a lower-weight and higher-weight body

  • Why improving eating-disorder treatment for people in higher-weight bodies would improve treatment for everyone

  • Erin’s research on how anorexia is treated (or not) in people of different sizes

  • The reliance on weight in anorexia diagnoses, and how that is causing harm

  • How restriction, not weight loss or low weight, leads to the medical complications associated with anorexia

  • The delays and gaps in eating-disorder care

  • How our own biases can affect eating-disorder treatment and recovery

  • Why we shouldn’t make assumptions when people say that they’ve “restricted” or “binged”

  • How diet culture blurs the line between normal eating and disordered eating

  • Why we need to validate people’s problematic experiences with food

 

Resources Mentioned

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

  • 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. From now until New Year’s, we’re offering gift subscriptions! It’s the perfect gift for someone looking for anti-diet inspiration, or put it on your wishlist so that others know to get it for you. For more information, visit christyharrison.com/gift.

  • Erin’s Facebook page and email

  • This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

     

Listener Question of the Week

What can a person do if they’re still binge eating after they stop restricting their food? How can they accept their body while believing that they’ll gain weight eating so many calories? What are some less-obvious signs of disordered eating or thinking that can still lead to a feeling of deprivation? What’s the difference between physical and mental restriction? What’s the difference between diet culture and diet mentality? How are diet mentality and binge eating linked? Where can a person get support to overcome diet mentality and pursue eating-disorder recovery? How can a person tell whether they’re binge eating as a result of restriction or as a coping mechanism for difficult emotions? What are some ways that eating-disorder treatment can hinder recovery?

(Resources Mentioned: Anti-Diet, Health At Every Size, and Intuitive Eating Providers for Disordered-Eating Recovery, Food Psych® podcast episode 151 with Judith Matz)

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Food Psych #177: Intuitive Eating, Chronic Illness, and Breaking Free from The Wellness Diet with Linda Tucker

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Health At Every Size® health coach and certified intuitive eating counselor Linda Tucker joins us to discuss how dieting causes health problems even while purporting to solve them, how diet culture and its new guise as the Wellness Diet twist the definition of self-care and health, how intuitive eating can help with managing a chronic illness, and so much more! Plus, Christy answers a listener question about how to handle the feeling that things were just *easier* in a smaller body.

Linda is a Certified Intuitive Eating Counselor who incorporates Health at Every Size, body liberation, and intuitive living into her private coaching practice. Linda works through a truly holistic lens, meaning that ALL aspects of someones lived experience are examined. She has her own history of disordered eating and chronic illness and wants to raise awareness and release shame around both. Find her online at LindaTuckerCoaching.com.

Registration for my Master Your Anti-Diet Message course is open for a few more days! If you’re a fellow Health At Every Size practitioner who would like to learn how to refine your marketing messages so that they are aligned with HAES philosophy, sign up at christyharrison.com/message.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • The different factors that affected Linda’s relationship with food and her body growing up

  • Scarcity mentality, and how it played into her relationship with food

  • Struggling with body image despite having lots of privilege

  • Men and dieting

  • How fatphobia shows up in people with thin privilege

  • The toxicity of complimenting weight loss

  • Linda’s experience with diet pills and their side effects

  • Her personal journey with dieting, weight loss, and “wellness”

  • The tendency to give dieting the credit for weight loss and deny the harm that it can cause

  • Clean eating, and how it worsened her health and triggered or exacerbated chronic illness

  • Having compassion for people who are stuck in diet mentality

  • How diet culture and The Wellness Diet twist the definition of self-care and push us to blame ourselves for poor health

  • Isolation, and how it can make us susceptible to perfectionism and performing

  • Social media, and how it can perpetuate disordered thoughts and behaviors

  • Praising productivity, and how that can be problematic

  • What inspired Linda to start doing the work that she does today

  • How we sometimes use health and wellness goals to hide our true desire to lose weight

  • Diving into the meaning behind our wellness and weight goals

  • The contradictory messages from popular diet programs

  • Why intuitive eating alone isn’t enough for full recovery

  • Using the principles of intuitive eating, HAES®, and body liberation together

  • How Linda’s health concerns helped to solidify her belief in body liberation

  • Ableism, and its damaging messaging

  • The intersection of body liberation and chronic illness

  • The healing qualities of holding space versus offering solutions

  • How she uses self-care to manage her chronic health conditions

  • How our digestive system can carry a lot of tension

  • Why it’s important to oppose healthism

  • Acceptance and letting go, and how they can improve health

  • Being our “own client” first

 

Resources Mentioned

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

  • This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

Listener Question of the Week

What if being in a smaller body was easier? How can a person reconcile the freedom of intuitive eating with mourning a thinner body? Any advice to make peace with my body and its limitations today? Can changes in body size be seen as neutral? Can we manage the changes associated with weight gain without losing weight? How do diet culture and weight stigma make it difficult to live in a larger body? How can we harness our anger in mourning a smaller body? What are some ways to help reframe the discomfort that is associated with a larger body, and practice self-care and self-compassion?

(Resources Mentioned: Food Psych® episodes #113 with Sonya Renée Taylor, #119 with Ragen Chastain, and #62)

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Food Psych #176: Confessions of a Former Weight-Loss-Surgery Dietitian with Vincci Tsui

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Anti-diet dietitian and certified intuitive eating counselor Vincci Tsui joins us to discuss weight loss surgery and its consequences on physical and mental health, her journey from working in bariatrics to specializing in intuitive eating and Health At Every Size®, how dietitians get caught up in The Wellness Diet, what thin privilege really means, disordered eating and how it interplays with bariatric surgery, and so much more! Plus, Christy answers a listener question about how to deal with the fear of weight gain in recovery from an eating disorder.

Vincci Tsui is a former bariatric dietitian turned Certified Intuitive Eating Counselor and Health At Every Size advocate. She is passionate about helping people find freedom in their relationship with food and with their body, so that they can worry less and get the most out of life. Ultimately, she is on a mission to prove that it is possible to improve health without focusing on weight.

Vincci takes a collaborative and compassionate approach to nutrition counselling and coaching that is rooted in HAES® and Intuitive Eating philosophy. She believes in helping clients learn to listen to their body and their inner wisdom when it comes to making decisions around food, eating and health. Aside from her private practice, Vincci serves as the Community & Content Manager for Food Psych® Programs Inc, and is the author of The Mindful Eating Workbook: Simple Practices for Nurturing a Positive Relationship with Food. Find her online at VincciTsui.com.

Early bird registration for my Master Your Anti-Diet Message course is open for a few more days! If you’re a fellow Health At Every Size practitioner who would like to learn how to refine your marketing messages so that they are aligned with HAES philosophy, sign up at christyharrison.com/message.

Sleep better with Casper! Get $50 toward select mattresses by visiting casper.com/foodpsych and using the code FOODPSYCH at checkout.

This episode is brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

This episode is also brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • How her different privileges helped to protect her relationship with food and body

  • Some of the food rules that she had growing up

  • Why so many people value “cleaning their plate”

  • Thin privilege, and how it can show up in our society

  • Why losing weight isn’t the answer to avoiding weight stigma

  • Why she pursued a career in dietetics

  • How becoming a dietitian changed her relationship with food

  • Diet culture, and how it can affect dietitians and nutrition advice

  • Her work with bariatric surgery patients

  • How current narratives around “obesity” actually helped her become a HAES practitioner

  • The Wellness Diet’s rhetoric, and how it shows up in “obesity” and bariatric care

  • What sparked her interest in HAES and intuitive eating

  • How she tried to introduce HAES concepts to people pursuing weight loss surgery

  • The Association for Size Diversity and Health (ASDAH), and its position on bariatric surgery

  • Finding the middle ground between respecting body autonomy and holding the position that weight loss surgery is harmful

  • Complications that are associated with bariatric surgery, including strictures, nutrient deficiencies, and dumping syndrome

  • Disordered eating, and how it can interact with weight loss surgery

  • Why diagnostic criteria for eating disorders can sometimes be problematic

  • Eating disorders, and how they can get missed in diet culture

  • Nutrition recommendations post-bariatric surgery, and how they can affect a person’s relationship with food

  • How bariatric surgery is presented to patients, and how that can affect their mindset and expectations of the surgery

  • The consequences of bariatric surgery on physical and mental health

  • When bariatric surgery outcomes don’t meet expectations

  • HAES as an alternative to weight loss surgery

  • Finding her niche in HAES and intuitive eating

  • Attracting clients as a private practice dietitian

  • Vincci’s current and upcoming projects

  • The overlap between yoga, intuitive eating and mindful eating

 

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 if my set point weight is much higher than my current weight? How can I keep my fear of weight gain from getting in the way of my eating disorder recovery? Why is getting rid of the diet mentality and embracing Health At Every Size so important in eating disorder recovery? What are the risks of bulimia and other eating disorders to health? If higher weights don’t cause poor health, then what does? What are some strategies to help overcome internalized weight stigma? Why is it not recommended to jump into intuitive eating directly from an eating disorder? Where can I find support for eating disorder recovery? What if my finances are limited?

(Resources Mentioned: Intuitive Eating Fundamentals course, Food Psych® Podcast episode #172, Slides from Christy’s FNCE debate, Meredith Noble’s work and Food Psych® Podcast episode, Body Positive Instagram Accounts, Certified Intuitive Eating Counselor directory, Heidi Schauster’s work and Food Psych® Podcast episode, Jessi Haggerty’s work and Food Psych® Podcast episode, Haley Goodrich’s work and Food Psych® Podcast episode, Marci Evans’ work and latest Food Psych® Podcast episode, Project HEAL, Nalgona Positivity Pride)

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Food Psych #175: The Truth About Digestion and Gut Health with Marci Evans

Fellow anti-diet dietitian Marci Evans is back! We discuss the intersection of digestive disorders and eating disorders, the risks associated with elimination diets, the role of the gut microbiome in digestion and health, the importance of consistency in self-care and well-being, and so much more! Plus, Christy answers a listener question about why she as a dietitian doesn’t advise people to shift their food choices to less-processed foods.

Marci is a Food and Body Image Healer™. She has dedicated her career to counseling, supervising, and teaching in the field of eating disorders. She is a Certified Eating Disorder Registered Dietitian and Supervisor, Certified Intuitive Eating Counselor and Certified ACSM personal trainer. In addition to her group private practice, Marci launched an online eating disorders training platform for dietitians in 2015 and co-directs a specialized eating disorders dietetic internship at Simmons College. She volunteers for a number of national eating disorder organizations and has spoken locally and internationally at numerous conferences and media outlets. She loves social media and you can find her on all outlets @MarciRD. Find her online at MarciRD.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

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We Discuss:

  • What Marci has been up to since she was last on the podcast

  • Christy’s upcoming book

  • How Marci became interested in digestive concerns in her work as an eating disorder dietitian

  • The risks associated with the low-FODMAP diet and other elimination diets

  • Alternative therapies to elimination diets

  • What defines a functional gut disorder

  • The overlap between eating disorders and functional gut disorders

  • The role of mental health in digestion

  • Why we shouldn’t dismiss psychosomatic symptoms

  • Whether eating disorders lead to functional gut disorders, or vice versa

  • The common risk factors between disordered eating and digestive issues

  • The mechanisms that lead to digestive concerns in eating disorders

  • Why symptoms can sometimes persist after recovery

  • How any disordered eating behaviors can contribute to gut symptoms

  • How dieting can lead to digestive concerns

  • The gut microbiome, and its role in digestion, weight, and health

  • Why it’s too early to draw many conclusions from gut microbiome research

  • The consequences of a restrictive diet

  • The limitations of nutrition and weight research

  • Anti-diet dietitians and medical nutrition therapy

  • Pelvic floor disorders, and how their symptoms can be similar to functional gut disorders

  • Why in many cases dietary interventions should be the last resort, not first-line care

  • The importance of consistency in self-care and well-being

  • Christy’s own experiences with digestive symptoms

  • Stress-management techniques, and how they can help calm gut symptoms

  • Body image and its intersection with digestive disorders

 

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

Is it possible to eat intuitively when you are choosing mostly highly-processed foods? Shouldn’t dietitians and health advisors be advising people to move away from fast food? How can you attune to your internal cues when there is so much external messaging associated with fast food and highly-processed foods? What does the science say about how our food environment and how it affects our eating habits? Why do we need to be skeptical of Brian Wansink’s research? What made his research so popular and widely cited? How can listening to our internal cues versus external cues change our eating habits? What is “gentle nutrition” in the context of intuitive eating? Why is gentle nutrition the last principle of intuitive eating? Why doesn’t Christy advise people to shift away from choosing fast food and highly-processed foods? What is the connection between food insecurity and disordered eating?

(Resources Mentioned: Food Psych® Podcast episode #127, Restrained Eating and Food Cues: Recent Findings and Conclusions, Food Insecurity and Eating Disorder Pathology - TW/CW for the last two resources for specific numbers and fatphobic language )

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Food Psych #174: How to Make Peace with Your Body in Pregnancy & Beyond with Angela Garbes

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Angela Garbes, author of Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy, joins us to discuss how pregnancy changed her relationship with her body, how writing her book helped her develop greater body acceptance, how our society dismisses body diversity and encourages body hatred, the importance of self-compassion, the lack of diversity in science and medicine, and so much more! Plus, Christy answers a listener question about whether eating dessert every day is a sign of “sugar addiction.”

Angela Garbes is a Seattle-based writer specializing in food, bodies, women’s health, and issues of racial equity and diversity. Garbes began writing for The Stranger in 2006, and became a staff writer in 2014. Her piece The More I Learn About Breast Milk, the More Amazed I Am is the publication’s most-read piece in its 24-year history, and the inspiration for her book, Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy. Garbes is an experienced public speaker, frequent radio and podcast guest, and event moderator. She grew up in a food-obsessed, immigrant Filipino household and now lives in Seattle with her husband and two children. Find her online at AngelaGarbes.com.

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We Discuss:

  • How growing up in an immigrant Filipino household affected Angela’s relationship with food

  • How being a person of color influenced her relationship with her body

  • Some of the contradictory messaging around food and bodies in Filipino culture

  • Christy’s relationship with food and her body, and how her careers in journalism and dietetics helped her in her recovery

  • Pregnancy, and how it changed Angela’s relationship with her body

  • Realizing that the problem is not with our bodies, but with societal ideals

  • The judgment that often comes with parenting

  • Having generosity and compassion for ourselves and others

  • Acknowledging the strength it takes to survive and stay alive

  • Angela’s book, Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy

  • Her path to becoming a food writer and author

  • How she almost had a career in public health and nutrition

  • Breastfeeding her daughter, and how it inspired her to write her popular piece, The More I Learn About Breast Milk, the More Amazed I Am

  • How the process of researching and writing her book helped her own body acceptance

  • Wishing that we’d heard more positive messaging around bodies growing up

  • Appreciating body diversity

  • Why Angela included parts of her own story and beliefs in her book

  • The lack of diversity in depictions of pregnancy

  • Our society’s policing of pregnant bodies

  • Intuitive eating in pregnancy

  • The surprising lack of evidence behind many of the recommendations for pregnancy

  • How intuitive eating can help with fertility

  • The non-inclusive history of science and medicine, and how that affects our understanding of bodies today

 

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

Is having dessert every day a sign of “sugar addiction?” Am I not getting intuitive eating in some way? Is it possible to be addicted to sugar? How do diet culture and the Wellness Diet reinforce the idea of “sugar addiction?” Is it possible to eat sugar every day and still be healthy? What are some of the benefits of eating sugar? What is the difference between intuitive eating and the diet mentality? What does “unconditional permission” mean

(Resources Mentioned: Food Psych® Podcast episode #80 with Marci Evans, Food Psych® Podcast episode #139 with Lisa DuBreuil, Sugar Addiction: The State of the Science (TW: weight/BMI numbers), etc.)

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Food Psych #173: How Diet Culture Steals Our True Culture with Melissa Carmona

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Health At Every Size® counselor Melissa Carmona joins us to discuss how her Colombian roots shaped her relationship with food and body, the role of discrimination and food insecurity in triggering her disordered eating, how diet culture took her away from her heritage, how to set boundaries with people who are less receptive to the HAES message, how she’s helping her young daughter preserve her natural intuitive eating skills, and so much more! Plus, Christy answers a listener question about how to handle overeating after a period of food insecurity.

Melissa is a bilingual Clinical Mental Health Counselor in Greensboro and Winston-Salem, North Carolina. Her experience as a counselor includes helping people heal from eating disorders, trauma, depression, and anxiety. She works through a HAES® and Intuitive Eating lens, which has allowed her to view other aspects of our identities through that same lens as well.

Being the daughter of immigrants, growing up in Colombia (South America) and having Latinx roots are an essential part of what shaped who she is—including her personal beliefs, the route of her career, and the relationship with her body and food. It was in Colombia that she had her first exposure to mental illness and the stigma that comes with this as well.

The experience that she’s had in both the USA and Colombia is allowing her to reflect on the influence that culture has on the way we see and treat ourselves, and being able to acknowledge her privileges or lack thereof within these have also been a powerful awakening of how much control our cultures can have over any type of healing that needs to happen in our lives. Find her online at ThreeBirdsCounseling.com.

Tomorrow, November 6 is Election Day! This could the most important midterm elections in our lifetime, so make sure you have a plan on when and how you’re going to get out and vote. Visit Vote.org for general election information, including registering to vote, and VoteSaveAmerica.com to find out about events and rallies in your area.

We Discuss:

  • How her family’s Colombian roots influenced her relationship with food

  • Beauty pageants in Colombian culture, and how this affected her relationship with her body

  • The mixed messages that she received about food and body growing up

  • How the desire to fit in contributed to her eating disorder

  • The role of food insecurity in binge eating

  • The problem with restricting the types of food that can be purchased with food stamps

  • How dietitians and nutritionists cause harm when prescribing weight-loss diets

  • The importance of cultural awareness in healthcare

  • How her eating disorder stole her connection to her cultural background

  • Reconnecting with the pleasures of food in eating disorder recovery

  • The discrimination she faced when she moved to the US

  • The influence of oppressive patriarchal systems on diet culture

  • What led Melissa to her work as a counselor and in social justice

  • Helping clients navigate our current political climate

  • How Melissa’s work in Health At Every Size has influenced her own relationship with food

  • The sneaky, shape-shifting nature of diet culture

  • Seeing her young daughter naturally eat intuitively

  • Imagining what the world would be like without diet culture

  • Sharing the HAES message with her family members, and setting boundaries with those who are less receptive

  • Connecting with personal experience instead of science

  • The negative experiences that her family members have had with bariatric surgery

  • The difficult journey through diet culture to HAES

  • Recognizing a person’s worth beyond their size

  • Why we shouldn’t compliment people on weight loss

  • How we start receiving diet culture messaging at a very young age

  • Sharing the anti-diet messages we wish we had heard when we were younger

 

Resources Mentioned

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

  • Audre Lorde’s work

  • Maria Paredes’s work, and her Food Psych® Podcast episode

  • Gabriela Stein’s work

  • Nalgona Positivity Pride, and founder Gloria Lucas’s Food Psych® Podcast episode

  • Melissa on Facebook and Instagram

  • Tomorrow, November 6 is Election Day! This could the most important midterm elections in our lifetime, so make sure you have a plan on when and how you’re going to get out and vote. Visit Vote.org for general election information, including registering to vote, and VoteSaveAmerica.com to find out about events and rallies in your area.

     

Listener Question of the Week

How do I handle overeating after a period of food insecurity? What can the Minnesota Starvation Experiment teach us about the effects of deprivation? (CW/TW if you decide to look up the study.) How do diet culture and diet mentality affect our eating? What are the subtle ways that we might be experiencing deprivation, and how can we overcome that?

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Food Psych #172: The Wellness Diet and Feeding Kids with Virginia Sole-Smith

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Journalist and author Virginia Sole-Smith joins us to discuss why The Wellness Diet is really diet culture in disguise, how journalists like her and Christy played unwitting roles in creating this new manifestation of diet culture, how her daughter’s experience with significant medical issues affected her relationship with food, how to help kids navigate diet-culture messaging in different stages of life, how to teach children about nutrition and health in a non-diet way, and so much more! Plus, Christy shares an excerpt from her "HAES vs. weight management" debate at FNCE (the national dietitians’ conference).

Virginia Sole-Smith is the author of The Eating Instinct: Food Culture, Body Image and Guilt in America. She's also a freelance writer whose work has appeared in the New York Times Magazine, Harper's, Slate, and Elle, as well as a contributing editor with Parents Magazine. She lives with her husband and two daughters in the Hudson Valley. Find her online at VirginiaSoleSmith.com.

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Next Tuesday, November 6 is Election Day! This could be one of the most important midterms in our lifetime, so make sure you have a plan on when and how you’re going to get out and vote. Visit Vote.org for general election information, including registering to vote, and VoteSaveAmerica.com to find out about events and rallies in your area.

We Discuss:

  • Growing up as a picky eater, and what motivated her to try more foods

  • How her relationship with food and with her body shifted in college

  • The subtle ways fatphobia showed up in Virginia’s childhood

  • Third-wave feminism, and trying to marry feminist values with societal expectations of femininity

  • Virginia’s career in the magazine industry, and what sparked her interest in reporting on health and nutrition

  • Being a part of the cultural shift toward The Wellness Diet, and not realizing at the time that it is still a form of diet culture

  • How the so-called “obesity epidemic” was invented in the late ’90s

  • Privilege, and its role in spreading diet messaging in our society

  • How being a mother helped Virginia to see that The Wellness Diet and the alternative food movement are really diet culture in disguise

  • The trauma of having a young child with major health concerns

  • Virginia’s daughter Violet’s journey with a congenital heart condition and its required medical interventions, including being fed with a feeding tube and being on a medically required diet

  • The available research on treating feeding disorders in children: the behavioral approach versus the child-led approach

  • How current feeding therapies mirror diet culture

  • Our society’s reliance on external experts to tell us what and how to eat

  • Using Ellyn Satter’s Division of Responsibilities (DOR) model to help rebuild Violet’s relationship with food and her feeding cues

  • Diet-culture messaging in schools and elsewhere outside the home

  • Violet’s current relationship with food, and how she is sharing that with her younger sister

  • How parenting advice often reinforces diet culture

  • Sharing the anti-diet message with other parents

  • Accepting kids’ eating habits and helping them attune to their own cues in a helpful way

  • The demonization of sugar amongst parents and kids

  • Helping kids navigate diet culture at different stages in life

  • How to talk to children about food and health in a non-diet way

  • Having compassion for people who are still stuck in diet culture

 

Resources Mentioned

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

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Food Psych #171: Healthcare Without Diet Culture with Jennifer Gaudiani

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Physician and eating disorder specialist Jennifer Gaudiani joins us to discuss how healthcare professionals are doing harm by perpetuating diet culture, why people with eating disorders are often missed in our medical system, medical outcomes she has seen in some of her patients who have adopted Health At Every Size®, the role of social justice and acknowledging privilege in our work, and so much more! Plus, Christy answers a listener question about whether it’s a contradiction to be an eating-disorder treatment provider who also does bodybuilding and fitness competitions.

Jennifer Gaudiani, MD, CEDS, FAED, is the Founder/Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency/chief residency at Yale. From 2008 to 2016, she was one of the leaders of the ACUTE Center for Eating Disorders. She left after serving as its Medical Director to found the Gaudiani Clinic, which provides expert in-person and nationwide telemedicine outpatient medical care to patients of all genders with eating disorders/disordered eating and to those in recovery. The Clinic is a HAES-informed provider and embraces treating people of all shapes and sizes. Through a collaborative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

She has lectured nationally and internationally, is widely published in the scientific literature as well as on blogs and is a current member of the editorial board of the International Journal of Eating Disorders and the Academy for Eating Disorders Medical Care Standards Committee.

Dr. Gaudiani is one of very few outpatient internists who carries the Certified Eating Disorder Specialist designation. She is also a Fellow in the Academy for Eating Disorders. Find her online at GaudianiClinic.com.

This episode is brought to you by Paribus. Paribus helps you save money by monitoring online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

Ready to learn how to cook, make movies, write books, 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.

This episode is also brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

We Discuss:

  • How her privilege and family background shaped her relationship with food

  • Her sister’s struggle with bulimia, and how that influenced her work in eating disorders

  • Weight stigma in the medical field

  • Recognizing the harm that we as health professionals have done in perpetuating diet culture

  • When she realized ‘calories in, calories out’ doesn’t work

  • How she discovered the Health At Every Size® model and began to use it in her practice

  • Why people with eating disorders are often missed in our medical system

  • What an initial assessment looks like at her clinic

  • Medical outcomes that she has seen in some of her patients who have adopted HAES

  • The importance of having a multidisciplinary, HAES-informed team

  • The links between our healthcare system, the supposed “obesity epidemic,” and diet culture

  • How our bodies adapt to starvation

  • “Survival” genetics vs. “sensitive” genetics

  • How diets can make health issues worse

  • Why she doesn’t recommend moderation (and what she recommends instead)

  • Letting go of diet fads and embracing all foods

  • What draws people to problematic alternative-medicine practices, and what providers can do to help them re-engage in evidence-based healthcare

  • How she’s continuing to learn and integrate HAES into her practice and her book

  • The role of social justice and acknowledging privilege in our work

  • Jennifer’s book, Sick Enough: A Guide to the Medical Complications of Eating Disorders

  • The problems with our current diagnostic criteria for eating disorders

  • Atypical anorexia nervosa, and its high mortality and complication rates

  • How we can stop the spread of diet culture

 

Resources Mentioned

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

  • 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

  • Carmen Cool’s work, and her Food Psych® Podcast episode

  • Deb Burgard’s work, and her Food Psych® Podcast episode

  • Hilary Kinavey’s work, and her Food Psych® Podcast episode

  • Desiree Adaway’s work

  • Jennifer’s book, Sick Enough: A Guide to the Medical Complications of Eating Disorders (TW: Contains detailed descriptions of eating disorder behaviors)

  • Gaudiani Clinic

  • Jennifer and the Gaudiani Clinic on Facebook, Twitter, and Instagram

  • This episode is brought to you by Paribus. Paribus helps you save money by monitoring online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

  • Ready to learn how to cook, make movies, write books, 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.

  • This episode is also brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

     

Listener Question of the Week

Is it contradictory for eating disorder professionals to promote body acceptance and intuitive eating alongside bodybuilding and fitness competitions? What is diet culture? Would bodybuilding and fitness competitions exist without it? How are other sports related to diet culture? What if you’re an eating disorder professional with diet culture beliefs? How do you approach someone who is sharing triggering content?

(Resources Mentioned: Sand Chang’s Food Psych® Podcast episode)

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Food Psych #170: How to Combat Fat Stigma with Cat Pausé

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Fat-studies scholar Cat Pausé joins us to discuss why you can’t fight “obesity” and fat stigma at the same time, the effects of stigma on health, how fat studies differs from conventional paradigms, the implications of using the word “fat,” and so much more! Plus, Christy answers a listener question about why elimination diets shouldn’t be the first line of treatment for irritable bowel syndrome (IBS).

Cat Pausé, Ph.D. is a Senior Lecturer in Human Development at Massey University. She is lead editor of Queering Fat Embodiment (2014, Routledge), and coordinated two international conferences - Fat Studies: Reflective Intersections (2012) and Fat Studies: Identity, Agency, Embodiment (2016). Her research is focused on the effects of fat stigma on health and well-being on fat individuals and how fat activists resist the fatpocalypse. Her work has appeared in journals such as Fat Studies, Feminist Review, and Narrative Inquiry in Bioethics, as well as online in the Huffington Post, The Conversation, and in her blog. Her fat positive radio show, Friend of Marilyn, is travelling the world – make sure your city is on the tour! Find her online at about.me/FriendofMarilyn.

This episode is brought to you by LinkedIn, where a new hire is made every 10 seconds. Go to linkedin.com/foodpsych to get $50 off your first job post.

Save money with Paribus! Paribus monitors online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

This episode is also brought to you by TomboyX. Visit tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH!

We Discuss:

  • Cat’s positive relationship with her body as a child, despite a “confused” relationship with food

  • The fat-positive role models that she had in her life

  • How pop culture can spread diet culture messaging

  • What influenced her to become a feminist

  • Learning about asking for more and getting her needs met

  • How diet culture teaches women to socialize over dieting

  • Speaking to our parents and loved ones about our changing relationships with food and bodies

  • Slipping into younger versions of ourselves when we’re around our parents

  • How Cat learned about the field of fat studies

  • The difference between fat studies and conventional paradigms like critical obesity studies or weight studies

  • Why you can’t fight “obesity” and weight stigma at the same time

  • The defining characteristics of fat studies

  • Framing stigma within fat studies versus weight studies/healthcare framework

  • The implications of using the word “fat”

  • Why we need to turn our attention to the experiences of people in superfat bodies

  • Privilege and its role in fat studies work

  • Why Cat no longer uses the “fat isn’t unhealthy” argument

  • Fat stigma as a social determinant of health

  • Our role in the work of fat liberation

  • Cat’s latest project, Fat Studies MOOOs

 

Resources Mentioned

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

  • 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

  • The Diet Myth by Paul Campos

  • Michael Gard’s work (TW: o word)

  • Paul Ernsberger’s work

  • Deborah Lupton’s work

  • Angela Meadows’ work (TW: o word)

  • Chris Crandall’s work

  • Cat’s Fat Studies MOOO

  • Cat’s about.me page, blog, Facebook page, Twitter, and Instagram

  • This episode is brought to you by LinkedIn, where a new hire is made every 10 seconds. Go to linkedin.com/foodpsych to get $50 off your first job post.

  • Save money with Paribus! Paribus monitors online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

  • This episode is also brought to you by TomboyX. Visit tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH!

     

Listener Question of the Week

Can you incorporate an elimination diet along with intuitive eating concepts in people with IBS? What is the link between disordered eating, mental health concerns, and gastrointestinal (GI) issues? What is the “nocebo” effect, and what is its role in GI concerns? What is the science behind certain diets for IBS? What are some other ways to manage IBS without going on an elimination diet?

(Resources Mentioned: Psychological features are important predictors of functional gastrointestinal disorders in patients with eating disorders, Disordered eating practices in gastrointestinal disorders, Alan Levinovitz’s Food Psych® Podcast episode)

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