Thursday, April 29, 2010

Who is the Biggest Loser Anyways??

I have a love/hate relationship with the Biggest Loser (well, it's mostly hate- haha! although hate is kind of a strong word but you get the picture...). I watched it a few times last year, but haven't really watched it since. Not because i actually hate it but more because I'm just not sure how comfortable I am with the whole concept of the show! I am all for getting fit and healthy, but I just don't know how healthy a process is that involves three to four hours of exercise a day. Seems just a little compulsive. But that's not the point right now haha. The point is that I read an article that I really enjoyed and wanted to post it for those of you who may be interested. It challenges the flawed cultural ideal that happiness=thinness, and uses the Biggest Loser to illustrate this point. I want to apologize to all my favorite friends and family members who love this show who may be upset with me for talking trash about the Biggest Loser, but I promise I'm not judging... Anyone who knows me knows that I love the Hills. And let's be honest, that is much worse. I have yet to comment on Heidi Montag's new face/body--I have been trying to refrain, but it's getting tougher to ignore and one of these days I am sure I will be posting about that..

Anyways, follow this link for the article! Scroll down just a little bit once the link pops up- and you will see the article. Happy reading!

Sunday, April 25, 2010

Someday Melissa

There has been quite a bit of media coverage over the last two or three days on the story of Melissa Avrin, a 19 year old girl who lost her battle with bulimia last year. (The cause? A heart attack.) Her mother, Judy, was on the Today show last week and there have been a few articles published recently, all aimed at raising awareness about eating disorders, but also honoring and remembering Melissa's life. Judy has become an advocate and will be lobbying tomorrow April 26, and April 27 in Washington DC to support the FREED Act (Federal Response to Eliminate Eating Disorders Act). To find out more about the advocacy work that you can take part in, follow this link which will take you to the Eating Disorders Coalition site.

But back to Melissa's story- I would really, really encourage you to check out this article, which was published in the New York Times on April 21st. Judy has been raising awareness and speaking out about losing her daughter to an eating disorder over the course of this past year and she is also finishing up a documentary on her life (called Someday Melissa), which she is hoping to have completed by June. Sharing Melissa's story may help to dispel myths about bulimia, as well as connect a face and a story with an illness that is so commonly misunderstood. Melissa was young- 19 years old- and did not survive her battle with bulimia. Her eating disorder took her life, and it is a really heartbreaking story. What is so tragic is that she represents so many who struggle; while many do overcome this battle, there are still some who are like Melissa and are losing their fight. The more that we all can do to raise awareness, provide education, and advocate for more accessible treatment is a step towards saving lives.

To view a trailer of Judy's documentary on Melissa's life, follow this link. It is definitely worth checking out. It is a short, five minute video that is really powerful. Judy found Melissa's journal after she passed away, and after reading through it, was inspired to make a movie that would change peoples lives- as that was one of Melissa's goals that she had journaled about wanting to accomplish someday. Judy is using her grief to advocate, raise awareness and instill hope in the lives of others who are struggling with an eating disorder. If you or someone that you know is struggling with an eating disorder, I hope that Melissa's story may inspire you towards health. You are not alone, and it is possible to beat this disorder with the right treatment! To read different stories of hope and freedom from eating disorders, courtesy of the National Association of Eating Disorders (NEDA), follow this link.

Thursday, April 22, 2010

What Defines You?

I was with a group of women yesterday leading a discussion on body image. We had such great conversations, but the one thing that kept coming up in our discussion (that comes up all the time!) is the pervasive idea that once we achieve our ideal weight or our ideal 'look', then we will be happy and complete and fulfilled. I think this is certainly a deception and a myth that our culture and the media sell us and encourage us to believe about ourselves. Have you ever thought that being your ideal weight/size/appearance would make you happy??

I am sure that we all have had thoughts like this at one point or another, but I fear that others of us have such thoughts most of the time. Yesterday, I talked with these women about how they define themselves, and where their self-worth and value comes from. One of the women said that her worth most certainly comes from the number that she sees on the scale each day. She said that she wished it weren't that way, but culturally that is what has been communicated as important, so she feels that the number that she sees each day on the scale is what makes her valuable and worthwhile. That made me so sad because we really are SO much more than our weight, our size, our bodies, our looks. We are too interesting, too complex, too great to be contained or defined by those things; we do ourselves such an injustice when we define ourselves and limit ourselves in these ways.

One thing that I encouraged these women to do, which I challenge myself and all of you to do as well, is to think about the people in your life that mean the most to you- whether it is family, a marriage partner or relationship, friends, or all of the above. When you think of the people that mean the most to you, consider what comes to mind. I doubt it is someone's weight or size. When you think of the people in your life that you love, you think of qualities that make them unique to who they are, or personality traits, or even experiences, memories, laughs and sorrows that have been shared between you.

At the risk of sounding cliche, I think it is important for us to focus our energy on developing character and inner beauty, and a sense of value and purpose which far outweigh our physical bodies. I believe that by simply being alive we have an innate sense of worth! We were created uniquely and wonderfully. It's not that wearing make-up, getting dressed up, or caring what we look like is bad- because it definitely isn't!!! But I think we sell ourselves short when we assume that if we could reach our 'ideal' weight, then our lives would be complete and we would finally be content. If you're not happy now, what makes you think you will be happy 5 pounds from now? This pathway of thinking is so deceptive and so destructive. When we base our worth and our value on things that change (cultural standard of beauty, what others think, etc), our happiness and peace of mind are never secure. That is no way to live! It is important to be rooted and grounded- whether that means finding your sense of worth and value in your faith, or finding it elsewhere, this is something worth meditating on and considering. After all, we only have one life to live, and being content and at peace is a much better way to go through life! It's also much better to go through life loving who you are and being able to appreciate the beauty you possess instead of wishing that you looked like someone else or were different than you are! We were all made beautiful- so let's work on being aware of that beauty and celebrating it in each other and ourselves.

Sunday, April 18, 2010

"I Shouldn't, I've been so bad..."

"I have been SO bad today!" "I ate soo much yesterday, I cannot possibly eat today." "After that breakfast, I'm good until dinner!" How many times have you heard these kinds of comments, or made them yourself?? These are comments that we probably have all made at some point, and have also probably heard someone else make. So what's the problem with this kind of thinking about food?? Well, aside from being a form of 'fat-talk', this kind of thinking is very black-and-white, which is not usually an effective way to think about things. We see each decision or action as a total success or a total failure, which is rarely ever the case.

But even more than that, this kind of thinking about food fuels a diet mentality. I am not a nutritionist, and my training is not in nutrition, so I try to steer clear of getting into specifics about food! However, because I do work with clients who have eating disorders, I work with nutritionists (as we share clients) who educate me, in addition to any reading I might do! Anyways, Anna Lutz, a nutritionist that I have shared many clients with (who is currently on maternity leave- congrats Anna!) has had some helpful things to say on this very topic. First, our bodies do not take days into consideration. The patterns and behaviors that we establish with food over time are what matter to our bodies! In this vein, if we feel we have overeaten one day or are uncomfortable with a meal that we had last night or last week, our bodies do not react directly to that one event. One example of this is the way in which our bodies do not make drastic changes in 24 hours, even if we ate an extra serving or two of dessert the night before! Our bodies just don't work like this, even if we feel like they do! If we are consistently overeating or bingeing, then we are likely to notice a change in our bodies- and that is because we are establishing a pattern, and patterns are what our bodies respond to.

Our bodies will naturally gravitate towards our healthy weight (set point) when we are listening to them, by eating when we are hungry, and stopping when we are full. If we have a mentality towards food in which we have to 'make up for yesterday', it perpetuates an unhealthy cycle or pattern (binge/restrict) which does not move us in the direction of normal/healthy eating. This cycle also interferes with our bodies being able to find our set point! So next time you are tempted to cut out a meal one day or restrict calories because of what you ate the previous day, consider that your body reacts to patterns over time, and perhaps focus on trying to eat 'normally' by responding to hunger, stopping when you are full and choosing foods that you feel will satisfy you. For more information on eating 'normally', follow this link to read about The Rules of Normal Eating by Karen Koenig. This is a great book that I'd encourage you all to check out!

Thursday, April 15, 2010

Michelle Obama and Jessica Simpson?

This has been such a busy week for me and I haven't had a lot of extra time to blog! But I do have some posts I am working on that I'm looking forward to sharing soon. In the meantime, I'd like to share an opinion piece that I read last week because I think it was spot on when it comes to the Goldilocks syndrome I wrote about a few weeks ago (read about that here!). I don't know why, but I'm always pleasantly surprised to read such thought provoking pieces about body image and weight on the Huffington Post. The HP recently added a 'body image' page to their site, which highlights stories about weight, eating disorders, body image and all things related- very cool. Anyways, below is the article I mentioned above, by Charlotte Hilton Andersen. Hope that you enjoy this piece and that it challenges you to examine where you can find middle ground in your life!


You know it's a weird month in celeb-land when Good Housekeeping cover girl, Michelle Obama,is photoshopped within an inch of her life and Marie Claire cover girl, Jessica Simpson, is not only un-airbrushed, but also sans makeup.

Both women are known for their beauty (oh, and by the way, Ms. Obama might also be married to the President of the United States, or something) and have been targets of intense media scrutiny regarding their looks. So it is fitting that each in her own way -- and you can't possibly be more surprised than I am that I'm putting Michelle Obama and Jessica Simpson into the same category -- is on a current campaign to reshape global attitudes about our bodies.

Ms. Obama has made headlines recently for departing from previous First Ladies' safe platforms and tackling the touchy subject of childhood obesity. After launching a nationwide initiative to "end childhood obesity in one generation" she reinforced her point by revamping the traditional Easter celebration at the White House. This past weekend she removed all candy from the candy-infested holiday and instead treated children to exercise stations hosted by Olympic athletes, hand-washing stations and the inexplicably named "pre-screened" fruit in their goody bags.

Strangely, the same media that laments the obesity crisis on a daily basis lambasted the First Lady for "stealing Easter." The Easter Bunny notes that he is "not threatened" by Ms. Obama, although he thinks some of the Olympians might have been looking at him funny.

Also making mixed headlines, Ms. Simpson has been traveling the world for her new reality show "The Price of Beauty" showing what women in other cultures perceive as beautiful and the means they use to achieve it. This week's episode had the girls and their hairstylist visiting Uganda to watch women being fattened in the name of beauty. This ritual, which to my Western eyes seems every bit as eating disordered as anorexia or bulimia, highlights an important point: not everyone thinks thin is as in as we do. In fact, adiposity is adorable in some cultures.

Somewhere in these extreme messages, there is a middle ground. Catwalk thinness and obesity are both undesirable from a health perspective. And neither should be a moral statement about the person possessing said body. Now, if only we didn't have to photoshop our already-gorgeous First Lady or take contrived pictures of the already-gorgeous Jessica Simpson to prove it.

To view the article as it was published on the HP, follow this link.


Friday, April 9, 2010

Teenage Girls and Body Image: A Lesson For All of Us


According to a new study published in the March issue of the Journal of Health and Social Behavior (2010), teenage girls tend to compare their bodies more to their peers (who appear to be more similar to themselves) than they do to celebrities in the media (who appear to be in a 'different league'). An article published recently by Nancy Tracy on this very subject points to the Social Comparison Theory, a psychological theory which holds that more often than not people tend to compare themselves more to people who are similar to themselves than to those who seem to be inferior or superior. So- for example, rather than comparing your cooking skills to someone who is featured on the Food Network, maybe you compare your cooking skills to those of your neighbor, sister, friend, cousin, etc. And the analogy follows with anything- your looks, your athletic ability, your body, etc. Anyways, what they found was that in schools where the average BMI (body mass index) was higher, girls felt less pressure to diet and be thin, whereas in schools where the average BMI was lower, girls felt increased pressure to be thinner.


I think that the results of this study are powerful in that they affirm what we might already know and experience about what happens when we make comparisons about ourselves to others- which is that often, we feel that we need to be something other than what we are. We feel like we don't measure up to those around us, or that we are just not as good as so-and-so. Teenage girls might compare themselves to their peers more than they do to celebrities, but who knows what the statistics look like for adults (who probably compare themselves equally to their peers and celebrities). I think the media still shapes and influences our standards of beauty in a way that we may never fully comprehend, but I think the act of comparing ourselves to others is an important thing to step back and evaluate.


Someone very wise once told me that "comparison is the thief of all joy" and that has stuck with me ever since-- it is so true! That phrase often comes to mind because we are conditioned to look around us to see where we fit in the pecking order, and usually the act of comparing ourselves to others leads to feelings of inferiority, insecurity, anxiety, frustration, discontentment, and so on. Whenever we compare ourselves to others, we don't usually feel better about ourselves- we feel worse! And on the rare occasion that we do feel better, the sense of confidence we gain from that is false and empty. One quote (by Max Ehrmann) that I love which speaks to this: “If you compare yourself with others, you may become vain and bitter, for always there will be greater and lesser persons than yourself.” We all at times are so busy worrying about how we measure up that we lose out on being ourselves, and we aren't able to enjoy who God made us to be. Another one of my favorite quotes is by Judy Garland- she said, "Be a first-rate version of yourself, rather than a second-rate version of someone else." I think she had it right! We are the only ones who can be the best at being us- so let's focus on that!! We all have strengths, talents and interests that make us unique and when we aren't able to see those for what they are, we miss out! The next time you find yourself comparing yourself to someone else, stop and consider your God-given strengths, abilities and beauty. The idea is not to become vain or to become self-absorbed; however, it is important that we strive to see ourselves for who we are, rather than viewing ourselves through a filter that is designed to categorize and classify our worth based on another.






*On a side note, one other thing worth pointing out from Tracy's article is the following: "Perhaps one exception to the rule of teenage girls comparing themselves to their peers is teenage girls with low self-esteem, a subgroup that often develops eating disorders. These teenage girls tend to compare themselves upward instead of to their peers, a possible subconscious attempt to preserve their negative self-image by comparing themselves to a less attainable ideal." Just an interesting sub-point that I will come back to in another post that highlights the perfectionistic nature that tends to pervade those who suffer from eating disorders. And just for the record, how many teenagers out there don't suffer from negative self-image? That is a post for another day... To read Tracy's article in full, follow this link.

Sunday, April 4, 2010

App-orexia??

Apple has secured a pretty dominant place in pop culture (and the world of technology!) and continues to do so with every increasing product that they put out--it's hard to imagine life without the iPod:). Just yesterday, the iPad came out and people woke up in the middle of the night to go wait in line to purchase one. There are many perks of having an iPad (or an iTouch, or an iPhone, etc)- one of them is that you can download applications, or 'apps' as they are commonly referred to. There are over 3 billion (!!), and they serve a variety of purposes (entertainment, news, health, finance, etc).

Something that I have noticed lately is the increased attention being given to apps that are designed to assist people in their dieting endeavors... by tracking their daily intake of food and calories. I read a really good article recently (which you can read here) that challenges the notion that these apps cause eating disorders. A lot of articles have come out saying that these apps cause eating disorders, but many people use these apps to count their daily caloric intake and never develop an eating disorder (although this does not elevate my opinion of them- more on that in a minute). Eating disorders are not usually 'caused' by one thing (for more on this and other eating disorder myths, follow this link). People with a genetic predisposition to developing an eating disorder may be triggered by using a calorie counting app, but the app is not usually the culprit. One phrase that I have heard often (as related to causes of eating disorders) is that 'genes load the gun, and environment pulls the trigger.'

While these apps may not cause eating disorders, I think that they can foster an unhealthy dependence, as well as an unhealthy attitude towards food and calories. It is important to be able to fuel our bodies and get what we need nutritionally, and it is good to be knowledgeable about healthy portion sizes! But if we cling too tightly to numbers, whether it is how many calories we are eating, or the number that is on the scale, I think that we run the risk of being occupied with the wrong things. Health is important. And our health does not just consist of our physical health- it consists of our emotional health, our mental health, and our spiritual health as well. I think that each component of our health is extremely important and without one piece, we cannot function at an optimal level. Rather than getting hung up on numbers, it might be to our benefit to focus on our overall health- how we feel, how quickly we can recover when we are active, building character, finding lasting significance, identity and purpose through faith, and working to maintain stability and positive coping skills through the ups and downs of life!

Friday, April 2, 2010

When Is It Time To Speak Up?

Nancy Matsumoto (a freelance journalist who has contributed to the New York Times, Newsweek, Time, etc..) and Marcia Herrin (a nutritionist specializing in eating disorders who founded the Dartmouth College Eating Disorders Prevention, Education and Treatment Program), have co-authored a great book called The Parent's Guide to Eating Disorders. They also have a blog called Eating Disorders and Nutritional News. To read a little more about Nancy and Marcia, follow this link! I wanted to share a recent blog post written by Nancy because I think it is a very authentic post that addresses a topic that people often ask and wonder about. The title of the post is 'Knowing When to Express Concern About a Friend's Eating Disorder.' Follow this link to read it, or you can read it below (copy and pasted).

In other fun news, I had the opportunity to ask both Nancy and Marcia some questions recently about some different eating disorder topics which I am excited to share with you soon! :) :) Follow this link to check out their website.

Knowing when to express concern about a friend's eating disorder

A recent experience reminded me that even when we know what the right thing to do is, it’s still hard to know when to do it. Over the course of the past year, I have become friends with a woman, I’ll call her Jane, in my Japanese language class. I recognized the telltale signs of anorexia in her right away: the hollow cheeks, the clothes hanging off her skeletal frame, the way she liked to bring food for others, but didn’t want to eat much herself.


Later, Jane told me that she did not see herself as too thin, she thought she looked normal, maybe even a little bit heavier than she wanted to be. This, too, is a classic symptom of the body dysmorphic disorder that often accompanies anorexia.


I wondered if I should say something, to express concern and find out if Jane was in treatment. Had I been just half as emaciated as Jane was, I would not have been able to think straight; I would have felt dizzy and probably fuzzy-headed from malnourishment. But Jane’s mind was razor sharp. She was an encyclopedia of kanjicharacters, devoured the finer points of grammar that made my eyes glaze over, and read the appendix of our dry text book for fun.


Although she was always the most prepared person in our class, Jane was also always late to class. I thought she had a job that she couldn’t leave early. Later, she told me that she had no job; the digestive problems caused by her anorexia meant that she simply had to wait until she felt well enough to leave her apartment. Often, she didn’t arrive until the last 20 or 30 minutes of our two-hour class.


Then Jane went away to Florida on vacation. It was sunny and warm there, but she returned with a wretched cold and looked thinner than ever. She looked terrible. “Feel my hands,” she told me and another classmate. Even though our classroom was overheated as usual, her hands were icy cold. Suddenly, she had entered crisis mode. Being in Florida surrounded by friends who were healthy, fit, and enjoyed active, outdoor lives had suddenly made her want those things for herself. She looked in the mirror and for a moment saw how different she looked, how starved and unhealthy the woman who stared back at her was. It was a moment of clarity that lasted long enough for Jane to realize she needed help.


For the first time, Jane also opened up to me and a few others in our class about her eating disorder. She was desperately seeking a treatment center, she told me. Even though all the doctors she spoke to felt she should be hospitalized, she hoped to stay at home and find outpatient treatment. I was scared for her life, and I could tell she was, too. I berated myself for not saying anything earlier. Maybe I could have prevented this sudden and horrible downturn. I knew what was happening to her and I didn’t say anything.


I thought that she would think me too pushy, or a know-it-all. I worried that I would be intruding. After Jane spoke openly about her worries, I was able to refer Jane to Marcia, who then recommended a good psychologist in New York for her to see. When I saw Jane at class yesterday, she told me she liked her therapist but was worried that she would not be able to afford many more treatments. She couldn’t afford to spend the $5,000 out-of-pocket minimum her insurance plan required before it would cover 50 percent of the therapist’s bills. Even paying for half of the treatments would be a stretch.


When I asked Jane today whether it would have offended her if I had spoken up, she told me, “I wouldn’t have reacted negatively, because I know what’s going on with me. I’m not sure that I would have done anything about it; you have to be ready.”


The kind of epiphany she had recently, when she recognized what she looked like and how sick she was, Jane told me, has happened before, although it never lasts. “I want to do something, and then I’ll go into hibernation again,” she said. Two weeks ago she had a phone interview with the Renfrew Center in Pennsylvania, but then decided not to go.


Jane said she wanted so much to be healthy and active but added, “I don’t know how to be active, to sleep and to squeeze food in. I can’t eat because it makes me feel bad, and I’m afraid I will get sick. I’m like a child; I want to be taught to eat again.” Then, she added, “I don’t know if I’m going to make it. If this can help someone else, please write about it.”


I asked Marcia if she thought I had done the wrong thing by waiting to voice my concerns to Jane. Marcia responded, “You have to trust your instincts on when to speak up, and it sounds like you did. I have reminded other concerned friends in similar situations that you can trust your instincts if your motives are pure. We all need to remember that we can't force another adult to take action (without taking legal action first). What Jane needs now is encouragement to hang in there long enough to benefit from treatment. Sometimes this is a good time to suggest or lend a book. Maybe Life Without Ed byJenni Schaefer or, Gaining: The Truth About Life After Eating Disorders, byAimee Liu. Good books can lead to good discussions, too. “


As a nutritionist who often sees eating disorders patients who cannot afford professional treatment and/or have difficulties with insurance issues, Marcia told me, “I have lots of thoughts about this.” The first is that Jane’s dilemma is typical of our insurance system, which slaps large deductibles on eating disorders treatment and follows with inadequate reimbursements. The patient goes without treatment and, in the worst cases, ends up hospitalized in an intensive care unit at upwards of $1,000 a day.


Marcia’s second thought was that it is often hard for patients make recovery their number one priority in life; everything else should be secondary. This is not easy in cases where the patient doesn’t have the complete support of loved ones, however.


Jane’s comment about feeling like a child who needs to learn how to eat again, Marcia noted, is a perfect description of what a good nutritionist can help an eating-disordered patient do, and why seeing a nutritionist or dietitian who specializes in eating disorders is so important.


“Another thing that can be inspiring,” Marcia said, “is to help the other person see that her life is important to others—children, spouses, families, friends, even pets, and to you!”


I will tell Jane that she is important to me, and to our class. I hope that if you are concerned about a loved who is in despair over an eating disorder, you will do the same thing.


Take care,

Nancy

Marcia Herrin and Nancy Matsumoto, co-authors, The Parent’s Guide to Eating Disorders, Gūrze Books, (www.childhoodeatingdisorders.com).