Dare to Resolve to Ditch Dieting

Official logo for the Ditching Dieting campaign.

Dieting is toxic to your health.

By Sharon Haywood

Aside from bikini season, late December and early January is the other time of year that we’re especially susceptible to feeling bad about our bodies. Special thanks to the media and the diet industry for ensuring we do by reminding us that we overindulged during the end-of-year festivities and we must resolve to lose (at least) that holiday weight come the new year. Weight Watchers in the UK is making certain you hear that message loud and clear. On January 1, 2012 almost all the major UK television networks will simultaneously air a three-minute Weight Watchers commercial aka music video worth over US$23 million. In it, Weight Watchers proudly parades 180 clients, mostly women, who have lost a total of 5908 pounds using its trademarked ProPoints program launched just a year ago.

What I’d like to see is how many of those slimmed-down success stories will have kept the weight off by New Year’s Day 2016. According to the studies, within four to five years most of them will have regained the weight, and at least 60 to 120 of them will weigh more than their pre-diet weight. Yes, I said diet. Regardless of what Weight Watchers (or SlimFast or Jenny Craig or any other system or product designed to lose weight) calls it, a diet is a diet. And diets don’t work. Sure, if you eat only protein and avoid carbs or measure your portions or adhere to a system of points that limits your caloric intake, yes, you will lose weight… initially. But research[1] clearly shows that any weight lost is sure to creep back within five years.

Researchers at California’s UCLA sought out specific evidence on the long-term results of dieting by analyzing every published diet study—31 in total[2]—that monitored participants’ weight from two to five years after their initial weight loss. The study’s lead author, Traci Mann, summarized their results:

“You can initially lose 5 to 10 percent of your weight on any number of diets, but then the weight comes back. We found that the majority of people regained all the weight, plus more. Sustained weight loss was found only in a small minority of participants, while complete weight regain was found in the majority. Diets do not lead to sustained weight loss or health benefits for the majority of people.”

You may have already heard this information but you may have very well just resigned yourself to playing the losing and gaining game. It’s understandable considering how barraged we are with the message that fat will kill you. But the truth is fat can actually protect you against certain diseases including osteoporosis, chronic bronchitis, and some cancers.[3] Furthermore, the evidence strongly supports that continued yo-yo dieting or losing and gaining weight repetitively does real damage to your body, not to mention the mental and emotional self-abuse that dieting demands. The research is clear: weight cycling plays a large role in various ailments, ironically often attributed to obesity: high-blood pressure, congestive heart failure, diabetes, and even premature death.[4] Unfortunately, the studies that attract the most press are those that support weight loss as a means to health; such studies are substantially funded by the pharmaceutical[5] and weight loss industries. And these industries are certainly not lacking in profits; in only two more years, the worldwide weight-loss market is predicted to be worth a staggering US$586.3 billion.

It’s time to say “No” to big business making money off our bodies. Enough of believing the propaganda that fat is the enemy. Enough of trusting that the label ‘overweight’ or even ‘obese’ obtained from an unsound BMI chart translates to ill health. As the year comes to a close and you compile your list of New Year’s resolutions, dare to do something different. Dare to listen to your body. Dare to ditch dieting. And know that you don’t have to do it alone. Across the pond, the Endangered Bodies campaign, launched by the Endangered Species International March 2011 Summit, is in full swing. The Endangered Bodies (EB) team in the UK[6], led by Susie Orbach, launched its Ditching Dieting campaign last month at UK Feminista’s national conference where they invited attendees to “speak out against the misery caused by the diet industry.” And you can, too.

Anyone, anywhere can hold a SpeakOut in the name of Ditching Dieting. You can organize a few friends around your kitchen table or you might fill an auditorium. The point is to create a safe space where the suffering caused by dieting can be expressed and validated. A SpeakOut and the subsequent support group that can emerge from it offer similar peer support that diet clubs such as Weight Watchers provide; however, instead of focusing on working against your body’s natural impulses, a SpeakOut club facilitates strong bonds as you explore collaboratively with other members how to truly take care of yourself. In the words of the UK EB team:

“In general, the aim is to become really aware of where dieting puts you, and to start making important choices about how much you want to play along with a game that is making you miserable… It is about taking on the challenge to accept and understand how natural it is to eat happily, in response to your hunger, and without guilt.”

Learning how to eat intuitively is a process that takes time, especially if you’ve historically relied on external factors, such as a meal plan or a point system to guide you on when and how to eat. Diets teach us to ignore our internal cues, which only contributes to eating disorders and obesity. As Susie Orbach has asked many times,

“If dieting worked, why would we need to do it more than once?”

Let’s kick off the New Year off by Ditching Dieting and move toward eating “happily ever after.”

* * *

Whether you’re in the UK, the US, Canada, or Europe, consider hosting your own SpeakOut. For more information visit www.ditchingdieting.org and write to info@any-body.org to obtain a SpeakOut package.

Currently in the UK, a Body Image Inquiry is underway looking into the causes and consequences of body image anxiety. If you’re based in London, take the day off work on January 16, 2012 and join the UK EB team in speaking out against the diet industry at Parliament. Full event details here.


[1] Gina Kolata, Rethinking Thin, New York: Picador, 2007, 188.

[2] Contrast that with the fact that the obesity “crisis” was primarily borne out of four studies. See Paul Campos’ The Obesity Myth, New York: Penguin Group (USA) Inc., 2004, pages 13-20 for more details.

[3] Linda Bacon, Health at Every Size, Dallas: BenBella Books, Inc., 2008, 138-139.

[4] Paul Campos, The Obesity Myth, New York: Penguin Group (USA) Inc., 2004, 32-33.

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Eating Disorders and LGBT: What’s the Connection?

Actress Portia de Rossi, shown here with wife, Ellen DeGeneres, struggled with near-fatal anorexia, which she attributed in large part to keeping her true sexuality a secret for so long. Photo credit YourCelebrityStuff.com

Actress Portia de Rossi, shown here with wife Ellen DeGeneres, struggled with near-fatal anorexia, which she attributed in large part to keeping her true sexuality a secret. Photo credit YourCelebrityStuff.com

By Valerie Kusler

October is LGBT history month, and as the resident eating disorders geek here at Adios Barbie (perhaps I’ll upgrade myself to “specialist” after I finish my MSW), it got me thinking about how little I know about the connection between eating disorders and LGBT population. The default assumptions I’ve heard are that eating disorders (EDs) are more common in gay males than straight males due to increased pressure to be thin and attractive in the gay community, while lesbians have fewer eating disorders than straight women, since they apparently eschew our society’s narrow beauty standards. How much truth, if any, is behind these stereotypical assumptions? Is there a connection or correlation between sexual orientation/gender identity and eating disorders? 

I recently attended the NEDA (National Eating Disorders Association) Conference in Los Angeles and I was delighted to discover a session about exploring the interconnections between sexual orientation and eating disorders, given by Courtney Long (MSW, LC, CHt) of Phoenix, Arizona. Courtney shared that her own personal experience with EDs began in her early teens. She had a lot of the risk factors already such as a controlling mother with rigid rules, black-and-white thinking, perfectionism, and suppression of emotions in the family. Around the same time, she had a brief sexual encounter with a female that left her confused and doubting herself for years, always feeling like there was something wrong with her that she couldn’t quite put her finger on. She began exercising compulsively, cutting, restricting her food, and her ED behaviors got more and more serious.

Fast forward to adulthood, and one day, Courtney met a woman and fell madly in love. At that point, coming out didn’t feel like a choice. She knew couldn’t hide her love. Thankfully, her family was very accepting. By accepting her own sexuality and having the support of her family and friends, Courtney then felt she was able to examine her ED behaviors and seek treatment. “I had somehow convinced myself that salad tasted good without dressing,” she joked. “I love ranch dressing, and today I eat it whenever I want.” Now, Courtney is a Life Coach, Hypnotherapist, author, speaker, and more, all to spread the gospel of self-care, authenticity, fluidity, and acceptance.

Courtney’s success story is uplifting, but it’s not always the norm. In an environment that’s not always supportive and accepting, people in sexual minority groups often face additional pressures and challenges that lead to increased self-doubt, shame, and depression. LGBT adolescents are especially at-risk, as they often struggle with accepting their identity, coming out, and fitting in with peers who can be downright cruel. In Courtney’s situation, coming out helped her face and get treatment for her ED, but in other cases, coming out could be so stressful (especially when friends and/or family are not supportive) that it could actually intensify ED symptoms. Does authenticity lead to recovery or is it so painful that it can make existing conditions even worse? Courtney says there’s not much research out there on the topic; based on her experience, some LGBT folks see these factors as related, while others don’t.

So, what about those prevalent assumptions that gay men suffer from EDs much more than straight guys and lesbian women are more “immune” to EDs than heterosexual women? Researchers would say that both of those assumptions stem from a sociocultural perspective. For gay men, sociocultural suggestions state that the values and norms in the gay community place a heightened focus on physical appearance, and that by aiming to attract other men, they are subject to similar pressures and demands as heterosexual women (bodies as sexual objects, and thus, increased body dissatisfaction.) Although the sociocultural perspective is only part of the picture, it turns out that homosexual and bisexual men do in fact have significantly increased prevalence of EDs and ED behaviors including increased dieting, greater fear of gaining weight, lower body satisfaction, and dysfunctional beliefs about the importance of body shape (Kaminski, Chapman, Haynes & Own, 2005.) One recent study found that 6% of gay or bisexual males met the criteria for an eating disorder, compared to 1% of heterosexual males (Feldman & Meyer, 2007).

The sociocultural explanation for EDs does not hold up as well when it comes to lesbian and bisexual women. The suggestion is that these women do not share the same standards of feminine beauty espoused by western culture that straight women do, and thus, will be less likely to subscribe to the thin ideal and supporting behaviors. In fact, some studies have found lower levels of body dissatisfaction than heterosexual women; however, other studies have shown conflicting results, either finding no difference between heterosexual and lesbian/bisexual women among ED symptoms, or even higher levels of EDs (specifically, binge eating disorder) in lesbians compared with straight women. So what gives? This idea that lesbians are immune to EDs just because they supposedly eschew the Barbie beauty standard doesn’t seem to fit, especially when you consider that social is only one-third of “biopsychosocial,” the buzz-phrase in the mental health field for explaining the complex causes behind eating disorders. Sure enough, Feldman and Meyer’s study (one of the most recent and methodologically sound studies on this subject) found that the prevalence of EDs among lesbians and bisexual women is comparable to heterosexual women.  Although the sociocultural factors associated with being a sexual minority can increase risk factors for EDs (as with gay and bisexual men), the positive aspects may not be enough to actually decrease risk factors substantially (as we see here with bisexual/lesbian women.)

As for transgender individuals, they often feel tremendous body dissatisfaction. As Courtney put it, “There is so much body dissatisfaction in our society today anyway. Just imagine if you also felt like you were born into completely the wrong body.” Not surprisingly, there is a dearth of research on EDs among transgender individuals, a population lacking in research overall. One attendee in Courtney’s session mentioned that brand new research has found that transgender people with EDs who go through transition recover from their ED based solely on the transition. So, when the body dissatisfaction subsides, the ED tends to go away. An intriguing idea, but I have yet to see the published study so I’m on the lookout for it. To the contrary, another session attendee, who frequently worked with homeless transgender teens and young adults at a center in New York City, stated that she often saw male-to-female transgender people develop EDs as they were transitioning because they felt the need to be delicate, feminine, skinny, and small. Also, being young and uneducated, many of them felt like the only work they could get was sex work, so “passing” was a big deal. They perceived that “passing” as female was the only way to be attractive as a sex worker, the only way to get the money to pay for gender reassignment surgery, so if “passing” meant extreme weight loss, it was a risk they felt they had to take.

At the end of the day, research on eating disorders among people who identify as LGBT is still insufficient and conflicting. However, based on the research we do have, it’s clear that some segments of the LGBT population face increased risk factors for eating disorders and body dissatisfaction. Thus, it is important for mental health practitioners, medical professionals, parents, and educators not to buy in to the assumptions that lesbian and bisexual women are less vulnerable to eating disorders than straight women, or that just because EDs are more common in gay men that they never affect straight men. Although some people unfortunately still discriminate on the basis of sexuality or gender identity, eating disorders do not.

Read the complete study from Feldman & Meyer

For more information about Courtney Long and to learn about her upcoming memoir, Authentic and Free: A Journey from Shame to Self-Acceptance, visit her website.

Related Content:

Transgender History Makers

Body image and transgender folks

Transgender Beauty in India

NOW’s Love Your Body Campaign And NOH8 Join Forces To Promote Acceptance For All

Gay/Trans dance crew, Vogue Evolution, brings it to ‘America’s best dance crew’

Gays on TV: Despite Growth, Real Portrayals More Urgent Than Ever

 

 

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Mirror-Less Schooling: A Positive Initiative?

Girl Applies Makeup

By Sharon Haywood

Last month, a UK high school attracted media attention when its administration chose to remove all mirrors from its bathrooms. Shelley College in Huddersfield, West Yorkshire put the policy in place only a few weeks into the new school year to enforce the no-makeup rule for students between the ages of 14 and 16. The radical move also aims to minimize the social time students spend in the bathroom, an initiative that has been met with parental support. I know my parents would have stood behind mirror-less schooling.

When I was 16, I spent an awful lot of time looking at myself. My hair and makeup demanded time. (Think Madonna’s Big Teased hair, circa early 1980s coupled with an obsession with the color purple—painted heavy-handedly on my eyelids and lips.) I went to a Catholic high school so a uniform was a must, leaving hair and makeup as the primary vehicles to visually explore and express my sense of style, my sense of me. The importance of how I looked was magnified as I was also suffering from an eating disorder. When reading about Shelley College’s decision, I couldn’t help but wonder if I had lived without mirrors during school hours, would it have affected the way I viewed myself? Would it have created an alternative culture among my schoolmates where accomplishments overshadowed looks? Would I have valued my intelligence, my sensitivity, and my gifts over my appearance instead of the other way around? Potentially.

When this story broke last month, Margaret Hartmann of Jezebel straddled both sides of the argument:

“Teenagers have enough trouble accepting their looks and it seems a bit cruel to take away something that could make them feel a bit more comfortable…. On the other hand, maybe it’s a good time for girls to learn that they look fine even when their faces aren’t coated in makeup, or as 14-year-old student Rebecca Mannifield put it, ‘nobody is no prettier or uglier, we all just look normal.’”

Jessica Wakeman at The Frisky took a firm stand by stating she could support the makeup ban but she thought removing bathroom mirrors was “harsh.” Here at Adios Barbie we couldn’t think of a more appropriate person to weigh in on the issue than Kjerstin Gruys, the PhD student who has vowed to live mirror-free for a full year.

We featured her story and the first 100 days of her self-imposed experiment this past July. Since then she successfully navigated the adventure of getting married without peeking at her reflection (with the exception of one fantastic photo she has allowed herself to see and share with readers). Gruys supports mirror-less schooling and I agree with her. Like myself, she also suffered from an eating disorder while in high school. Neither one of us believe a mirror-free secondary education would cure an eating disorder but we both recognize the potential preventative and positive effects it could trigger.

Here is Gruys’ straight-shooting stance in her own words:

Day 181: Why Taking Mirrors Out of Schools is FABULOUS!

By Kjerstin Gruys

1) Removing mirrors sends a clear message to girls that their bodies should be used for doing things (hugs! sports! thinking!), not just for being looked at. When is the last time somebody told YOU this message so blatantly?  Did anybody tell you this as a young teen? Okay, how about this: when was the last time you saw any form of popular media share this message, in any way or form? Bottom line: this school is trying to fight the good fight. They (and we!) are up against a powerful toxic cultural environment. Yes, I realize that removing mirrors doesn’t get rid of this larger environment, but every little bit helps. Let’s be supportive of positive change.

2) Some people have suggested that this ban prevents creative expression. I call bullshit. I agree wholeheartedly that makeup and fashion can be a form of self-expression. I enjoy these things in my own life, though not without angst and expense. That said, let’s not forget that there’s a powerful beauty industry that wants us to believe that we’re “expressing ourselves” when we buy their products and then apply them exactly as directed by magazines. This industry benefits even more when we decide we can’t be “ourselves” without these products. Here’s a crazy idea: without makeup, without mirrors, and because of the strict dress code, these poor, poor girls will be forced to express themselves through things like: creative writing, drama class, music class, journaling, or by (gasp!) just being themselves.  

3) Finally: vanity makes us dumber. Don’t believe me? Check out the research for yourself. Numerous psychological studies find that worrying about appearance (called “self-objectifying” in the literature) leads to poorer performance on all sorts of mental tasks, from math tests to word recall, and even something wacky-cool called the Stroop Test. Given this, if removing mirrors helps reduce the mental energy that students had been putting toward their looks, that mental energy can now be put toward helping them be more successful learners. Since giving up mirrors, I can’t claim to have become any smarter, per say, but I’m definitely better able to focus.  

In closing, I admit that I am biased about this topic. But… I’m not biased because I’m avoiding mirrors; I’m biased because I had an eating disorder when I was in high school. I’d never suggest that getting rid of mirrors could ever cure a full-blown eating disorder. But, creating a daily environment in which young women are valued for their minds and spirits instead of their looks just might help prevent one.  

Every little bit helps.

Cross-posted with permission.

Related Content:

100 Days Without Mirrors

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Expressing Disorder: Art Therapies for Eating Disorder Treatment

A still image from "Expressing Disorder"

A still image from the documentary "Expressing Disorder"

By Valerie Kusler

Several years ago, David Alvarado learned that the woman he had recently fallen in love with was severely bulimic. Never having been exposed to eating disorders (EDs) at a personal level, questions swirled around his head, but answers were elusive. The more David read about EDs, the more he wanted to understand the deep, painful emotions underlying the destructive attitudes and behaviors of EDs. As a filmmaker, he decided that the best way for him to do so was to make it his next project.

As he began researching and speaking with experts in the ED field, David came across discussions about expressive art therapy and immediately gravitated toward this style of treatment for a number of reasons:

“Art therapies are a highly visual approach to treating eating disorders, which made them ideal for a medium like film,” he explains. “I was also drawn to how engaging this type of therapy is. In art school, they teach you that art is first and foremost a way of eliciting an emotional reaction from your audience. So, if you can spill you emotions out on the page and make someone else feel how you felt, then it seems to me that this is an excellent way to connect with other people and feel that you’ve been heard.”

After a successful fundraising event in which Dallas-area artists contributed pieces for a silent auction, David began to plan for filming. However, when he found out he got accepted to Stanford’s MFA program in Documentary Film and Video Production, he made the decision to put the project on the back burner. Over the next three years during and after his graduate program, David filmed in art therapy ED treatment programs in north Texas, Florida, New York, and Colorado. He has filmed variations including drama therapies, movement and photo therapies, and traditional visual art therapies. Today, the filming is complete, and David is now focused on raising additional funds to pay for a post-production team.

A self-proclaimed neophyte to the field of eating disorders, David assembled an Advisory Board of seasoned ED therapists and experts to counsel him throughout the process of filming. His goal with “Expressing Disorder” was to make a film that would be a message of hope and healing to those suffering from EDs, and a vehicle to showcase art therapies and how powerful they can be for the journey of recovery. “There are numerous books and films out there about eating disorders, but many of them are sensational and go for shock value,” he says. “The way they tell the story focuses on the disorder, not the individuals, and they can be very damaging for people actually suffering from eating disorders themselves because they can be very triggering.” For David, it was important to create a film that would be healthy to watch for people currently struggling with EDs, and help – rather than hinder – their recovery process. As someone who has been in successful recovery from an ED for several years, I am grateful to see a film like this being made. It is a much-needed breath of fresh air and will be a valuable asset for those struggling to find hope in their recovery, as well as a message to professionals to see the potential of multidimensional, eclectic treatment.

Anorexia nervosa was named in a recent study as the most fatal psychiatric disorder, with bulimia and other eating disorders also increasing risk of death. With illnesses that are so serious and also highly secretive, finding a way to film enough footage of therapy sessions was no easy task. “The brave women who participated in the film stepped forward for this project because they recognized it as a way to help other people who might be struggling with similar issues,” David said.  He also knew he needed to ensure that the filming process was in no means counterproductive to the recovery of any participants. The therapists he worked with would contact former clients who had been in recovery a significant length of time and ask them to come back for the filming. “We used the filming process to revisit their therapy, but it was not compromising because these individuals are already in a sustaining phase of recovery from their disorder.”

Body image is typically a major component of an ED, though the root issues go much deeper than just food and weight. So, whether a person has negative body image or a full-on eating disorder, David believes art therapy is a powerful vehicle for raising awareness of the problems buried beneath these surface manifestations. From his perspective, art therapies can help a person uncover and face the underlying issues in a way they may not have been able to in the past.

“Art is such an important tool for communication, especially for emotions, so it is the perfect tool for facilitation of a meaningful conversation about those problems,” he said. “When you add in the element of a professional therapist along with those artistic mediums, pinpointing underlying or subconscious concerns becomes more possible.”

At Adios Barbie, we believe it’s important to discuss diversity (or lack thereof) in the media, and this issue is especially poignant regarding EDs. There is an antiquated popular perception that EDs are a “rich white girl” thing. Although this belief is increasingly recognized as outdated, the fact is that many individuals in ED treatment programs do fit the profile of white, female, and at least middle class. However, it is important to distinguish between the prevalence of EDs and formal ED treatment. Only one in 10 people with an ED receive treatment, and only 35% of that group gets treatment in a specialized facility. Thus, those in treatment centers do not come close to representing all those suffering from an ED — and most professionals now acknowledge that EDs do, in fact, affect everyone. A survey by Essence Magazine reported that African American women were at risk and suffer from EDs in at least the same proportion as white women. Additionally, in some cases, cultural attitudes can impact whether a person suffering from an ED seeks treatment. According to the Renfrew Center, EDs are one of the most common psychological problems facing young women in Japan; yet, many people go undiagnosed due to the shame in seeking treatment.

David concurs that cultural norms and expectations could certainly be one of the reasons he did not see diversity in the programs he visited. “Taking my family as an example, I can’t imagine any of my Mexican family members seeking professional help about body image issues. In that culture, the more common path is to seek out healing in your church and amongst your family.” Additionally, socioeconomic status come into play to some degree as well, as many ED treatment programs are enormously expensive, leading many to face their struggle without professional help if they do not think they can afford treatment. [1] With regard to men, since about 90% of people suffering from EDs are female, it’s also not shocking that David did not come across men in the programs.

Moreover, David explains that making an encyclopedic, comprehensive documentary about EDs was not his goal in creating the film.

“I wanted to showcase the impact these amazing therapies can have on individuals with eating disorders, and I felt it would be unnecessary and detrimental to the project to get bogged down in too many details or explanations,” he said. “There are already numerous resources out there for learning the basics about EDs, such as understanding the various types of disorders, warning signs, and who is affected. This film has a very specific focus and was made for specific reasons: First, I wanted to create a film that illustrated that eating disorders are not about food. They’re about something much deeper, and this film helps dispel that popular myth. Second, there has never before been a documentary that shows such a wide array of art therapies; and finally, most popular media today about eating disorders is unhealthy to watch for people who have eating disorders themselves.”

As for David’s favorite type of therapy he encountered, drama therapy takes the cake (though I’ll come right out and confess, anything involving masks gives me the heebie-jeebies.) “It is amazing to see the women acting out their ED, personifying it for the first time. I thought I understood how intense the experience of EDs were based on my discussions and research, but after seeing people externalize and speak to their EDs like that – I truly realized how severely they loathed their own bodies in a way I could not have understood before.”

During the next 15 days, David is attempting to reach his fundraising goal of $25,000 for a post-production team for “Expressing Disorder,” which would include an editor, colorist, audio mixer, educational programs for outreach, and DVD production. A former film student myself, I can tell you that all of these things are necessary for creating a quality film with the production value a project like this deserves.

Watch the film’s teaser here:

To learn about how you can contribute, visit http://www.indiegogo.com/EDdoc.

For more information about David Alvorado and this project, visit the website for “Expressing Disorder” at http://arttherapydoc.com/.

 


[1] Although cost for comprehensive treatment can indeed be prohibitive, there are therapists and ED programs that work on a sliding scale or are flexible with payment; contact the National Eating Disorders Association for information about programs and professionals in your area.

 

Related content:

EDNOS: The Eating Disorder You Haven’t Heard Of

Discrimination and EDNOS: One Woman’s Story

Celebrating Eating Disorder Recovery: Inaugural NEDA Walk in Texas

Study: Black Girls 50% More Likely to be Bulimic than Whites

Multicultural Women & Body Image

You Don’t Have to Have an Eating Disorder to be Image Obsessed

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“Shut Up, Skinny Bitches!” Tells Readers To Love Their Bodies—Or Else

shut-up-skinny-bitches

 

By Valerie Kusler

“In America, we no longer fear God, or the communists, but we fear fat,” stated David Kritchevsky, a former professor with Philadelphia’s Wistar Institute and long-time advocate of health and nutrition issues. This is just one of many poignant quotations that Dr. Maria Rago and her friend and co-author Greg Archer borrow for their new book, Shut Up, Skinny Bitches! (The Common Sense Guide To Following Your Hunger and Your Heart), first published by NorLightsPress in January 2011. The book – though guilty of sometimes oversimplifying complex body image issues or adopting a forceful tone with its readers – offers important messages about overcoming fear of food, body hatred, and how serving the community can help you “see your body as an instrument, not an ornament.”

Rago, who runs an eating disorder treatment program in Naperville, IL, first got the idea for the book when one of her patients came into her office angrily clutching the bestseller, Skinny Bitch, by Rory Freedman and Kim Barnouin.  Rago was in disbelief at exactly how far Skinny Bitch had taken the message that happiness requires thinness, at any cost – including shaming and demoralizing readers into feeling that their worth is absolutely dependent on their size.

Although Shut Up is not intended to be a direct response to Skinny Bitch, discovering the book lit a fire in Rago, who enlisted her childhood friend and writer, Greg Archer, to team up and write a manifesto on how to find real happiness by making peace with food and your body. The book drills in the idea that dieting doesn’t work, supporting it with plenty of salient research studies. It also deems society’s obsession with unattainable thinness the “Skinny Bitch Mindset,” or “SBM” – which it notes is a “real form of bullying.”

Well-intentioned as they are, the first couple of chapters may be difficult for some readers to get through. Throughout the book, Rago and Archer seem to trivialize exactly how complex body image and food issues can be, and that even the most educated, self-aware individuals can struggle immensely with these issues, which can be as mentally destructive and difficult to overcome as full-blown eating disorders. Of course, Rago must be acutely aware of this given her profession, but the tone of Shut Up – which aims for “cool” and informal with a side of tough love – sometimes comes across as harsh, punitive, and patronizing in its oversimplification. While the issue is most obvious at the beginning of the book, some cringe-worthy examples of this tone are sprinkled throughout:

“You can either force-feed the SBM – a mindset that only lets you feel good about yourself when you starve and are skinny – or you can open the refrigerator door of life and enjoy the smorgasbord. Do the latter more often, and surprise! You won’t be a bitch.”

“Let’s face it, skinny bitches sit in their popularity castles and try to rule the world by sticking their bony derrieres out there for all mankind to see.”

“Myth: I could always be more beautiful if I was thinner.

Reality: Shut up and go eat something. Every person is beautiful in every size. Yeah, it’s true. We will always be beautiful if we’re loving and grateful in our lives.”

“Yes, the best alternative to dieting is happiness. The best thing you can do is get happy. Now is good. You can start by not bitching. Think about it; how much progress can you make in moving any part of your life forward when you’re constantly harping on yourself and others?”

Nowhere in the book do the authors explain that this punitive tenor, and repeatedly telling the reader to “shut up,” is intended to be tongue in cheek – which is starkly contrasted with statements telling readers how beautiful, awesome, and worthy they are. Additionally, Shut Up does not acknowledge individuals who are naturally thin and may feel hurt by others assuming that they are “bitches,” who surely must constantly diet and hate their bodies. Given how many times the book tells “skinny bitches” to “shut up,” this message begs to be included.

In an interview with the Santa Cruz Sentinel about Shut Up, Archer clarifies, “What we’re doing is we’re saying shut up to a mindset, a belief, a form of bullying, which insists on and pressures us to look a certain way, be a certain way, don’t eat this or that, be something other than what we are … We’re taking a stand for anyone who’s ever been teased or bullied or pressured to look or feel a certain way, especially thin, in order to be happy.” It’s certainly hard to argue with that explanation, but it is one that should be included in the introduction of the book, not just in the minds of the authors.

Beyond these misgivings, the book has a lot to offer for readers who are looking for validation that they don’t need to buy in to the hysteria of the Hollywood ideal. Rago and Archer offer concrete steps to take for re-learning how to listen to your body’s hunger, how to integrate exercise into your life in a healthy way, and the all-too-real dangers of eating disorders when dieting gets out of control. They also don’t neglect to include guys in the equation, devoting a whole chapter to the body image and food challenges men face, especially the stringent physique expectations placed on gay and bisexual men.

Perhaps the most unique and intriguing topic in the book is that of giving back to the community as a method for healing and redirecting your life focus from the thinness obsession to what really matters. As the clinical director of the Eating Disorders Program at Linden Oaks at Edward hospital, Rago created a treatment intervention program called “Real Meals,” in which the patients must shop, prepare, and serve a meal to a group of homeless individuals, and then eat the meal with them. This program was the subject of a 2008 article in O, the Oprah Magazine and penned by Archer himself. The concept behind Real Meals is to show the patients what true hunger looks like, and thus, the real value of food as something that we all need to survive. One participant shared in the O Magazine article,

“Here I was taking food for granted and denying myself, and there was this group of homeless people who needed food and couldn’t get it. Once we were in the actual process of making the meals, it was suddenly like I didn’t have an eating disorder. It became natural just to eat and talk with the others.”

If you can get past the book’s occasionally overpowering informal tone, it offers a serious dose of passion and action steps that can help you reevaluate your approach to food and your body. Just be prepared for a little tough love.

For more information about Rago & Archer’s book, visit their site at  www.ShutUpSkinnyBitches.info

Or connect with them on Twitter at @suskinnybitches

 

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Battling the Beauty Myth in Argentina

Typical Argentine mannequins found in the capital of Buenos Aires/Photo by Sharon Haywood

In March 2011, the grassroots organization AnyBody is holding international summits around the world. The aim is to save future generations of girls from the misery that turns women against their own bodies. The challenge is to make people understand how and why this is an emergency, to show them how they can do something about it, and to inspire them to embrace change.

When and where:

Below you will find the cross-post “Battling the Beauty Myth in Argentina,” which highlights a major focus of Endangered Species in Buenos Aires.

Typical Argentine mannequins found in the capital of Buenos Aires/Photo by Sharon Haywood

Typical Argentine mannequins found in the capital of Buenos Aires

Text and photos by Sharon Haywood

María Pérez (pseudonym), a 34-year-old Argentine, works as a sales clerk in a clothing store in the capital of Buenos Aires, but she doesn’t wear the clothes she sells. She’s a size 46 (UK 18/US 16) and the largest size her store offers is 38 (UK 10/US 8). She told AnyBody, “The only clothes that I can find to fit are imported name brands like Levis but they’re really expensive, at least twice the cost of an Argentine brand. The problem is, I can’t fit into any Argentine brands. There aren’t that many speciality shops for larger sizes and even then the clothing is quite boring, not fashionable at all.” She deals with the problem by asking friends who travel to North America or Europe to bring her back the clothes she wants.

Kasandra Shay, a 40-year-old American living in the province of Buenos Aires wears a US size 6-8 (UK 10-12) and said, “it’s impossible to find anything that fits.” She told AnyBody that for the last three years she has resided in Argentina she only buys clothes when visiting the States. “I feel like if you aren’t five feet tall and an absolute stick with twigs for arms and legs, (and no hips), then clothes just aren’t for you.”

Luciana La Morgia, a 34-year-old Argentine residing in the capital of Buenos Aires, doesn’t know what her size is. Depending on where she buys her clothes, her size ranges from a 30 to a 40 (UK 2-12/US 0-10), sometimes even in the same store. She stated that it is challenging to find clothes that fit properly and said that women’s clothing in Argentina “is made for little dolls and girls without hips.”

According to Monique Altschul, the executive director of the feminist organisation Fundación Mujeres en Igualdad (Women in Equality Foundation), approximately 70% Argentine women have difficulty finding clothes that fit. As a result, women have no choice but to shop at speciality stores that carry larger sizes, but in Argentina, fashion and larger sizes are not congruous. By comparison, women in the UK and the US can shop at popular and style-conscious chains like Marks & Spencer or specialists such as Evans and Lane Bryant. AnyBody also spoke with Dr. Mabel Bello, the executive director of ALUBA, Argentina’s Association Against Bulimia and Anorexia who said, “Argentina has the second highest rate of eating disorders in the world … and 95% of its women believe they are fat.” Taking such facts into consideration, the lack of a full range of clothing sizes isn’t just an inconvenience. It’s feeding a national health crisis.

Activists and key governmental forces recognised the problem and lobbied for change. In December 2005, legislators implemented the country’s first size law (la Ley de Talles) for the province of Buenos Aires, which covers the extensive suburbs outside of the country’s capital. The law states that retailers of clothing for teens must stock sizes 38 to 48 (UK 10-20/US 8-18) of all items available for purchase. It also mandates that sizes small, medium, and large, and sizes 1 through 4 be abolished. Furthermore, every size must be accompanied by a ticket that specifies bust, waist, and hip measurements that adhere to standards set by the National Institute for Normalisation and Certification, otherwise known as IRAM. The penalties for noncompliance include fines and even store closure. Argentine consumers and activists applauded the legislation. But the celebration didn’t last long.

In 2007, Fundación Mujeres en Igualdad (MEI) conducted a follow-up of store compliance at one of the province’s largest shopping malls, Unicenter, which revealed discouraging findings. Most stores carried only up to a size 42 (UK 14/US 12); various store employees asserted that they did not carry size 48 (UK 20/US 18); and a good number of retailers had incorrectly labelled the sizes of clothing items in which larger sizes were actually a size or two smaller than stated. Furthermore, none of the size labels included the IRAM-specified bodily measurements, and the majority of store employees were not aware of IRAM’s norms. Shortly after its inspection, MEI contacted the 100 representatives appointed by the Consumer Advocate’s office to enquire about their monitoring activities. Only two officers responded, stating that they had conducted educational campaigns with store owners and had subsequently issued fines and temporary store closures for those retailers who failed to conform with the law. After MEI’s assessment, the organisation calculated that the current compliance rate sits at 25% due to minimal to non-existent government monitoring and enforcement.

The ideal Argentine body type is reflected in its mannequins/Photo by Sharon Haywood

The ideal Argentine body type is reflected in its mannequins

The problem of noncompliance is threefold. First, designers, manufacturers, and retailers staunchly oppose the law. Designers told the country’s national newspaper La Nación that the law was “nonsense.” Manufacturers state they cannot afford the additional raw materials and extra labour required to produce a full range of sizes. Shop owners assert that it is not economically feasible to increase their on-hand stock. Altschul of MEI concurred that their concerns are valid: “They need loans to help them make the transition.” Bello of ALUBA, who advised the Senate on both the provincial and the capital size laws, believes enforcement would be more successful if retailers were provided with incentives, rather than punishments by fines: “I believe taking the stance that the retailers are guilty of this situation is a strategic error.” She added that the size law could act as a catalyst for further awareness and education surrounding body image issues if it were regulated differently.

The second barrier to size law compliance is corruption. During MEI’s inspection at Unicenter, the organisation reported that many store employees were reluctant to offer information for fear of losing their jobs; however, some staff explained that monthly inspections ceased when inspectors “made deals” with store owners. Bello reinforced such realities by stating, “It’s very difficult to regulate the law where corruption exists and inspectors receive bribes.” Additionally, Altschul reported that a representative from the Consumer Advocate’s office pressured the organisation to cease their lobbying efforts. She said, “They told us that if we insisted on this law we would only be doing damage to our own neighbourhood because they [the retailers] would need to move to another neighbourhood.” Shortly thereafter, Altschul said that the Secretary of Commerce for the province of Buenos Aires called a meeting with MEI and echoed the same message, encouraging the organisation to sympathise with manufacturers and retailers.

The resistance from manufacturers, retailers, and the Consumer Advocate’s office reveals the third and most relevant barrier to seeing the law enforced: Argentina’s commitment to the beauty myth. Bello said that in Argentina “we are slaves to image. Appearances are more important than who a person is. We have to look a certain way, be a certain person. This is our cultural imperative.” The executive director of MEI cited an example of her country’s bias against fat illustrated in a particular Argentine brand of jeans: “They have jeans that young girls love but the brand only carries up to size 42, and for sizes higher than that, the size ticket reads ‘anonymous.’” She also told AnyBody that the Spanish-based clothing retailer Zara has a store in Unicenter shopping mall in the province of Buenos Aires that was legally granted permission to not comply with the size law. Altschul said, “I’ve been to Zara stores in Berlin, Athens, Washington, DC and Switzerland and they have all sizes. But not in Buenos Aires.”

Glorification of thinness is not a phenomenon exclusive to this South American country. In North America, an example of size discrimination can be found at the teen and women’s clothing store American Apparel. Activists and consumers alike have criticised the wildly popular retailer for not stocking many of their clothing items over a US size 6 (UK 8). Brianne Widaman of the body activism movement Revolution of Real Women in the United States stated, “American Apparel is not the first company to do this, but they are currently one of the most popular and most obvious examples of undisclosed size limitation … its lack of size diversity on its racks begins to come across as elitist and size-shaming.” The Argentine fashion industry is sending the exact same message as American Apparel: If you want to be fashionable, you must be thin.

According to Altschul, the Argentine Senate takes the issue seriously. In December 2009, the Senate passed a size law for adults within the capital of Buenos Aires; at present, enforcement is pending budget allocations. Additionally, a national size law for adults is currently under review in the Senate. MEI believes they are “good laws but the problem is how to translate them into public policy.” Until then, consumers must make their voices heard. MEI recommends that shoppers file a formal complaint when they discover their clothing size is unavailable. Altschul admits that the Consumer Advocate’s office demands a lot of consumers: Each consumer complaint must be submitted in writing accompanied by a notarised copy. MEI will continue to lobby against what Altschul calls “pure discrimination” but without the unified support of the public, change is not forthcoming. Bello believes that education is the answer. In a culture where Bello said, “mothers want to look like their daughters,” achieving size law compliance isn’t just a political issue. It’s a public health emergency.

Article originally published at www.Any-Body.org on July 6, 2010

* * *

Stay tuned for additional posts about the other Endangered Species summits.

Further information on the ‘Body Wars of Argentina’ includes a video of Sharon Haywood speaking on the subject at Endangered Species London. Also see International Women’s Day in Buenos Aires.

Other Endangered Species related content:

Endangered Species: Challenging Body Beautiful Culture

This March: The Body Image Activist Movement Leaps Forward Across the Globe

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Celebrating Eating Disorder Recovery: Inaugural NEDA Walk in Texas

Team "Freedom is Beauty" at the Austin NEDA Walk - I'm the smiling blonde team captain!

By Valerie Kusler

Firstgiving image300When I was 15, I went on a diet. I was always a skinny kid, but as a freshman in high school, I was starting to fill out a little – and as a cheerleader freshman surrounded by dozens of beautiful, thin, dieting juniors and seniors in a gym with mirror-lined walls, I didn’t like it one bit.

Let me rewind a little. When I was 10, my Dad’s girlfriend Kim lived with us. She was 28, perma-tanned, Barbie-doll thin, always had perfectly drawn eyebrows, and never went anywhere without her hot rollers. She could French-braid my hair, even tried a home perm on me once, and would make (but never eat) delicious tater tot casserole. I idolized her. One day, I read her diary. The only thing I remember – and this says a lot, because I can’t recall the plots of books I read just two years ago – is this: “I would rather die than be fat and out of control.” Kim moved out maybe a year later, and I never forgave her for not sending the birthday cards she said she would, and for hurting my Dad. But I always wondered what happened to her. A few years later, I Googled her but found nothing. I never told my Dad. I don’t think he knew where she was either, and I certainly didn’t want to bring it up. Every couple of years I would think to search for her again, most recently just a few months ago. This time I sleuthed a little deeper and found her. Her obituary, at least. One sentence made my heart drop into my stomach: “Kimberly died Wednesday after suffering for years from anorexia.” She died three years ago at age 38. Even though I hadn’t known Kim for years, it was a sad and unexpected ending to my decade-long mystery and a reminder of how lucky I am to have recovered so fully.

When I was 10, I didn’t know what anorexia was – but I never forgot that one sentence from Kim’s diary or how thin and beautiful she was to me. When I was 13, I’d laugh at stories I read in Teen magazine and CosmoGIRL! about girls with eating disorders – not because I thought they were stupid, but because I literally couldn’t understand it. I loved food, I could never do that! Sure, my parents encouraged healthy meals, but I could also down a whole package of E.L. Fudge cookies with the girls in a single night without a second thought. That all changed when I was 15.

A few months and a handful of compliments about “how great I looked” later, I was down to eating 500 calories a day and eventually wasted away to 87 pounds on my then 5’6” frame. I was so miserable that I didn’t even care I was killing myself physically – I knew I had to be rescued from the emotional hell I had built myself or I was going to die.

I could go on for pages about my struggle and what worked for me and what did not, but it all comes down to this: I was lucky enough to have so many people in my life who loved me and knew I needed treatment, whether they understood my illness or not. And most of them didn’t but that didn’t matter. Because of the financial and emotional support that I had and the amount of work I did myself to heal, today I like to say that I probably have a more “normal” body image than the average person. That came with love and support from family and friends, and knowledge from experts in the field like my counselor and the wonderful author Geneen Roth (years before her recent Oprah-driven fame), whose retreat had a huge impact on my recovery.

I say I am one of the lucky ones – and unfortunately it’s true, but it does not have to be that way. The National Eating Disorders Association (NEDA) formed in 1999 is a non-profit organization dedicated to supporting individuals and families affected by eating disorders. NEDA “campaigns for prevention, improved access to quality treatment, and increased research funding to better understand and treat eating disorders. [They] work with partners and volunteers to develop programs and tools to help everyone who seeks assistance” A couple months ago, I was visiting the NEDA website to research statistics, and saw a promotion for the upcoming 2nd Annual NYC NEDA Walk. I noticed that several other cities were hosting walks as well, including Austin where I live. I have never done any type of charity fundraiser on my own, but I knew instantly that this was my time. I set up my fundraising page and got to work soliciting friends to join me. I posted links to my sponsorship page on Facebook and Twitter and emailed them out to family. I was overwhelmed with the support I got from family and friends.

Freedom is Beauty team

Freedom is Beauty team. I'm the smiling blonde second from the right.

NEDA held their First Annual Austin Walk (the first-ever in Texas) on November 6 – and being Texas in the fall the weather could not have been more perfect. Over 100 people registered and the volunteer team did a great job putting the event together. In total, participants raised $5,000. At the beginning of the walk, it was announced that my team, “Freedom is Beauty,” was the number one fundraising team, so we had the privilege of leading the walk.

Afterward, we listened to the keynote speaker, Shannon Cutts, author of Beating Ana and the founder of MentorCONNECT, a free support system that pairs individuals who have achieved recovery from an eating disorder with those who are currently working toward recovery. Shannon’s story was touching. She had struggled with eating since she was a child and was anorexic by her teen years – but at that time, there was not even a word for it.

We have come a long way since then, but there is much work to be done. That’s why I chose to get involved with the walk, and why I believe our society should work toward dispelling the myths about eating disorders and uncovering the truths, the pain, and continue working toward paths for recovery. Every person is different, and every person’s recovery is different, too.

Check out these statistics from NEDA:

  • Despite its prevalence, there is inadequate research funding for eating disorders. Funding for eating disorders research is approximately 75% less than that for Alzheimer’s.
  • Anorexia nervosa has the highest premature mortality rate of any psychiatric disorder. The majority of deaths are due to physiological complications.
  • In the United States, as many as 10 million females and 1 million males are fighting a life and death battle with an eating disorder, such as anorexia or bulimia. Millions more are struggling with binge eating disorder.
  • The incidence of bulimia in 10-39-year-old women TRIPLED between 1988 and 1993.
  • Only one-third of people with anorexia in the community receive mental health care.
  • Only 6% of people with bulimia receive mental health care. The majority of people with severe eating disorders do not receive adequate treatment.
  • 35% of “normal dieters” progress to pathological dieting. Of those, 20-25% progress to partial or full-syndrome eating disorders.
  • 25% of American men and 45% of American women are on a diet on any given day.

If someone you know is suffering from an eating disorder or you are battling with one yourself, and you live in the United States, visit NEDA’s website today or call their Information & Referral Helpline at 800.931.2237.

If you live in Canada, visit NEDIC’s (National Eating Disorder Information Centre) website or call 1.866.NEDIC.20.

If you are in the UK, visit the National Centre for Eating Disorders’ website or call 0845.838.2040.

Related content:

Discrimination and EDNOS: One Woman’s Story

EDNOS: The Eating Disorder You Haven’t Heard Of

Expressing Disorder: Art Therapies for Eating Disorder Treatment

Study: Black Girls 50% More Likely to be Bulimic than Whites

Multicultural Women & Body Image

You Don’t Have to Have an Eating Disorder to be Image Obsessed

 

 

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The Beauty Myth: Worth Fighting Against?

TooSkinny-1024x4805-300x140

TooSkinny-1024x4805-300x140

By Guest Contributor Melanie Klein of Feminist Fatale

In light of Britney Spears’ recent unaltered photos, a recent guest post at Jezebel proclaimed feminism’s battle with the beauty myth as bourgeois and not worth the fight. Author, Helen Razer, claims that the efforts to expose the gruesome reality behind the beauty myth is a tiresome and unworthy battle that detracts focus from issues of  “real gender equality.”

I recall an era when feminism’s purview was not limited to banging on about the need for more fat chicks in glossy magazines. While others fight for the right to force-feed Kate Moss, I continue antique fretting over equal pay, domestic violence and federal representation. At 40, I am old and clearly out of step with a movement that demands Size 14 representation.

She continues:

Yes. This just in: heat is hot, water is wet and teenagers are obsessed with their appearance. As such, let’s spend money on developing an industry code of conduct so that we can all enjoy the spectacle of more cottage cheese on Britney’s thighs.

Is it as simple as “teenagers are obsessed with their appearance?” I don’t think so. While the obsession with beauty has long been considered a narcissistic rite of passage among teens, beauty and body image issues are not limited to this demographic. Research shows that eating disorders and the preoccupation with beauty is found younger and younger girls as well as increasingly older women. Disordered eating, eating disorders and an overall obsession with the physical form is not limited to teens as part of a passing trend.

Not only are the consequences of the beauty myth not limited to a specific age group, it is not limited to rich (“bourgeois”), white girls. In fact, the Eurocentric beauty ideal is exported the globe over via the mass media and continues to erase our physical diversity. The global reach of these manufactured and altered images result in more and more  individuals conforming to homogeneous definitions of beauty.

As Brumberg traces in The Body Project: An Intimate History of Young Girls, physical beauty has become the sole measure of the worth of girls and women. This reduction of value and self-identification to the numbers on the scale and shape of one’s figure signals a  sociohistorical shift in the ways in which girls and women are valued. It doesn’t matter if you’re intelligent, independent, competent, charismatic, artistic, or successful unless you’re thin, toned and flawless. In other words, you’ve got to be hot, too.

The pursuit of hotness, as an extension of the battle to achieve the elusive beauty myth, trumps all other facets of  a woman’s character or accomplishments. Even pregnancy and motherhood are not excluded from the pressures of the socially constructed measure of beauty. The MILF, a term made popular by the film American Pie, has become a staple fixture in pop culture.

Naomi Wolf sounded the alarm over twenty years ago with the publication of The Beauty Myth: How Images of Beauty are Used Against Women. As women began making strides thanks to the tireless efforts made during the second wave of feminism during the Women’s Liberation Movement, we began to be bombarded by increasingly unrealistic images of female beauty. This proliferation of our cultural space with skantily clad or nude women has continued and increased. The relentless and one-pointed focus on beauty has resulted in generations of women imposing, what Brumberg calls “internalized control,” on themselves.

Beauty in itself is not the problem. Dominique Millette tackles this debate in a recent post. So, what is the problem and why is it important?

Melanie Klein of Feminist Fatale states five excellent reasons why the beauty myth must be deconstructed. Read the rest of her article here.

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You Don’t Have to Have an Eating Disorder to be Image Obsessed

girl-in-mirror

Claire Gould, The Review

The signs on the mirrors in the bathroom said “You are Beautiful.” Even so, girls stood in front of them, applying makeup, fixing their hair and adjusting their clothes to make themselves look different than their natural appearance.

Feb. 21 to Feb. 27 was National Eating Disorders Awareness Week, but it should have been called “National Body Image Week.” Although NEDA focuses on preventing eating disorders and finding help for girls who suffer from them, a big part of this mission is helping women of all ages and sizes be happy in their own skin. But one week in February didn’t seem to do much towards this cause.

In the dining halls, advertisements for the week were inside the napkin dispensers, yet listening to people comment on them, the predominant sound bites were “people with eating disorders wouldn’t come to the dining halls anyway” or “prevent an eating disorder: take that burger away from that fat kid.”

Read More: The Review

Related content:

Discrimination and EDNOS: One Woman’s Story

EDNOS: The Eating Disorder You Haven’t Heard Of

Expressing Disorder: Art Therapies for Eating Disorder Treatment

Celebrating Eating Disorder Recovery: Inaugural NEDA Walk in Texas

Study: Black Girls 50% More Likely to be Bulimic than Whites

Multicultural Women & Body Image

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Study: Black Girls 50% More Likely to be Bulimic than Whites

thecolorofhunger

By Tamika Thompson from Tavis Smiley-PBS

In 2005, The New York Times published an article called “Blacks Join the Eating-Disorder Mainstream.” The article explained that “more blacks and other minorities have been seeking help from eating disorder clinics” and that “[n]o reliable numbers exist for how many minority women suffer from eating problems, but experts suspect that cases are increasing.”

Yesterday, I shared my conversation with Stephanie Covington Armstrong, author of Not All Black Girls Know How to Eat, whose story of struggle to overcome childhood trauma, as well as an eating disorder that she developed in adulthood, serves as a cautionary tale to those who think that bulimia doesn’t impact members of the African American community.

Today, I wanted to share my conversation with Michelle Goeree, a USC economics professor, who, along with researchers from the University of Maryland and the Autonomous University of Barcelona, published “Caught in the Bulimic Trap?

Their study found that African American girls are 50% more likely to be bulimic than White girls and that girls from low-income families are more likely to be bulimic than girls from middle- and high-income families.

Goeree says those results surprised her.

“Prior to this research, we also held the popular conception that eating disorders (and bulimia) were more common among girls from White, mid-to-high income families,” Goeree says.

“We were less surprised after we realized that insurance may not cover the expensive doctor visit where a girl with an eating disorder gets diagnosed,” she adds.

“If two girls both suffer from bulimia nervosa, but one is from a low-income family and the other from a high-income family, which girl is most likely to be diagnosed if it requires a visit to the expensive psychiatrist?” Goeree asks.

“Girls who are African American and/or come from low-income families are much less likely to be diagnosed with an eating disorder conditional on having an eating disorder,” Goeree says.

In other words, we all have the idea that bulimia impacts middle-class white girls because they are more likely to receive the diagnosis when, according to the study, African American girls are more likely to exhibit and persist in bulimic behavior…

Read More: Bulimia Study: “Treat Blacks” and “Treat Bulimia as an Addiction”

Related content:

EDNOS: The Eating Disorder You Haven’t Heard Of

Discrimination and EDNOS: One Woman’s Story

Expressing Disorder: Art Therapies for Eating Disorder Treatment

Celebrating Eating Disorder Recovery: Inaugural NEDA Walk in Texas

Multicultural Women & Body Image

You Don’t Have to Have an Eating Disorder to be Image Obsessed

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