accessibility

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) (CW: Dr. Bacon no longer recommends the book Health At Every Size and instead directs people to their second 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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