Families and eating disorders

This story in the Gloucester Daily Times makes me see red. Literally. For its seemingly complete ignorance of the genetics of not just eating disorders but also personality traits like perfectionism, ambition, etc. The story reads as if whenever something goes wrong it's got to be the family's fault.

We know that it just isn't this simple. Fellow blogger Carrie Arnold summed it up wonderfully in this post. We also know that the blam-and-shame game undercuts families, who are often the best (or only real) resource for someone with an eating disorder.

So knock it off, will you? You're not helping. In fact, you're hurting families and sufferers alike. Do some reading. Do some thinking for a change. Then try your hand at some responsible journalism.

They don't even know they're doing it

Like most smallish local newspapers these days, the one in my town picks up a lot of copy from various sources. I'm not a fan of such content recycling, though I understand why it's done.

This item is the kind of thing I mean: a list that ran in a section called The Daily Dose, under a headline reading "Indulge, But Not Too Much." The intro copy reads "Almost everyone needs to indulge once in a while, so why not today, Memorial Day? Here are some ways to limit the damage, nutritionists say:"

Then follows a list of seven tips. Here's number 1 (the quotes are from the original):

Keep it occasional. There's nothing wrong with a little "cheating." Whether it's once a day or once a week depends on your weight, health, overall diet and activity level.

Can I tell you how many ways from here to next week this pisses me off? For starters, the assumption that everyone who reads this is on a diet. And not only are they on a diet, they're always on a diet. Hence the word cheating.

Wake up, people. Diets don't work. You know it, I know it, and researchers at UCLA said so several years ago, so it must be true. Yet this inane little piece assumes that everyone is continually on a diet. Or should be.

It's the assumption that gets me: the idea that any "indulgence" constitutes "cheating," that your entire life is supposed to be spent restricting what you eat, counting calories and fat grams. This assumption underlies 95 percent of the ongoing cultural conversation. It's so insidious we don't even name it, much less question it.

And check out the infantilizing language around this: We indulge like naughty children. We cheat like even naughtier children. When we're not being good, we're being bad. And like naughty children, we must be punished for our transgressions--in this case, by threats of the "damage" we're causing ourselves, and with warnings about how being fat will kill us.

I hated this kind of thing when I was 5. I damn well hate it now.

We don't hear much about findings like this one, which show that overweight heart attack survivors outlive thin ones, including those who follow the doctor's orders and lose weight after a heart attack.

My point is that by now, the bias against fat in every form is so widespread, so widely accepted, that to question it is the equivalent of throwing a rock through the neighbor's window: being a naughty child par excellence.

I wish the editors at my local paper had thought about this item before they plugged it into the hole on the features page*, but I really can't blame them. In 21st-century America, it's far worse to be fat than to be unfaithful to your spouse, to bilk your investors, to not give to charity. Several years ago, researcher Abigail Saguy coined the term moral panic to describe the way we talk and think about being fat in this society. I would add "unthinking, unquestioning moral panic." As items like this underscore all too well.


*In many ways, it doesn't even make sense. The list goes on to suggest that you "eat the real stuff" like ice cream (though only a half cup! Never more than that!) and "mix salt with fat" by adding peanut butter to your pretzels, but ends with the admonition, "Pretzels and baked potato chips are examples of tasty snacks without artery-clogging trans fats." Hello, how do you think we got to where we are now? It wasn't until the low-fat craze of the 1980s that Americans' weight began to rise.

Eight-year-olds

This story in The Sun (admittedly not my typical reading) uses sensationalism and inflated language to hype a story that in itself is disturbing enough: The fact that in the U.K. in the last year, 44 girls ages eight and under were admitted to hospitals with anorexia or bulimia.

Think about that. Eight-year-olds have new front teeth. They might wear their hair in braids and play on a soccer (football to you across the pond) team. They're learning to spell and to multiply. They might have a best friend, someone they giggle with at lunch or on the schoolbus. They might have a favorite doll. They might love to scrapbook or draw.

Now think about a child that age in the hospital with anorexia or bulimia.

And now think about why a newspaper might report this story with this headline:

"Anorexia in girls aged 8 soars 25 per cent"

The second paragraph comments, "Shocking figures showed a huge rise in anorexia and bulimia among young girls over the last five years."

The journalist in me wants you to think about the facts: In 2003-04, 35 girls under the age of 8 were admitted to hospitals for EDs. So we're talking about a jump of 9 girls--hardly a "shocking" figure.

The advocate and mother in me wants you to think about the fact that even one girl with anorexia or bulimia is a tragedy, whether she's 8 or 18.

OT: Need a laugh?

Editor types will especially love the headlines here, on a blog called The Blood-Red Pencil. Today's installment: headlines that should never have been written.

In the apparently imitable style of Wendy McClure of Candyboots, the editors have assembled a glorious collage of headlines from the dark side. My favorite--and it's so hard to pick just one!--is Include Your Children when Baking Cookies. The commentary: Certainly important in some recipes—"Northern Witch Missionary Lip Stew" comes to mind—but a rather expensive ingredient, no?

Yes indeed.

Do you live in Australia? If so, read on . . .

Eating disorders are a huge problem Down Under. And now the Australian government is talking about a project that takes my breath away with its foresight and thoughtfulness. The Australian minister for youth, Kate Ellis, wants to, as she says, "develop a strategic national approach to tackle negative body image in a coordinated, targeted and effective way."

Ellis has created an online consultation on body image, with an eye toward creating a "code of conduct" for media, advertisers, and the fashion industry. Wow. I think Kate Ellis is my new favorite government official on any continent.

If you live in Australia, you can help by taking this online survey. (La-Di-Da over at Fatomatic suggested that anyone could take the survey, but I tried this morning, and you can't complete the survey unless you live in an Australian state. Or at least say you do.)

I look forward to following this story as it develops. Frankly, just to have someone like Ellis ask the questions is very heartening no matter what happens next.

Obesity and suicide

The lede of this story says it all:

As if the many physical health concerns associated with the obesity epidemic weren't worrisome enough, new research shines a light on an alarming mental health connection: Teenagers who are overweight are at higher risk of attempting suicide. Even teens who merely believe themselves overweight -- but actually are not -- are more predisposed to suicidal behavior, the researchers found.

As if reading stories like this weren't enough of a health risk. . . .

Why the shock, ladies and gentlemen? By now we know that the stigma associated with being fat in this society has devastating consequences for your health, mental and physical.

We know that hormonal shifts, poor impulse control, and other factors make teens especially susceptible to suicide.

Put the two together, and what do you get?

Shocking, no?

Say it after me: I-Am-a-Shill

My first reaction to this story on The Daily Beast was to look for the small print labeling it an ad. Sadly, it's not an ad but real-live editorial content. Sort of.

Written by one Dr. Susan Roberts, a professor of nutrition and professor of psychiatry at Tufts University (who also just happens to be the author of a brand-new! fabulous! dieting book), this piece purports to tell you why crash dieting is just as effective as "more gradual weight-loss" regimens.

Dr. Roberts left out one tiny factoid here: No diets are effective in the long-term.

So yeah, Dr. Roberts, maybe crash dieting is "just as effective" as Weight Watchers or Jenny Craig. But how could you have neglected to mention the fact that more than 95 percent of dieters not only gain back the weight they lost but they gain back more? Have you not seen the UCLA study showing that diets don't work? Maybe you think your new diet is better than every other diet that's ever been marketed. Or maybe you just don't care, so long as you make a buck here. Or a lot of bucks.

I expect better than this from a professor of psychiatry. And even, frankly, from Tina Brown's website. Brown used to be editor of The New Yorker, for god's sake, a magazine renowned for its fact-checking and reporting excellence.

How the mighty have fallen.

Watch. This. Please.

Do lesbians have better body image?

That's the intriguing suggestion made by this study, published in the March issue of the Journal of Women's Health (which is currently online free in honor of Women's Health Month). This study of young Australian women showed that lesbians had better body image than either bisexual or mainly heterosexual women. They were less dissatisfied with their weight and shape (notice the phrasing here: "less dissatisfied" as opposed to "happy with"), and less likely to engage in what researchers call "unhealthy weight control behaviors"--i.e., smoking, using laxatives, weight cycling, and skipping meals.

I could speculate as to what's behind this--couldn't we all?--but I'd love to know more. "Understanding why lesbians have a healthier body image would also provide insights into how to improve the body image of other groups," write the study's authors. Indeed.

Fat-friendly doctors

I'm writing a magazine piece right now on "women's diseases"-the disorders (often autoimmune) that have historically been pooh-poohed by doctors. I'm talking about diseases like chronic fatigue syndrome, lupus, MS, fibromyalgia, and PCOS. As part of my research, I've talked to many women with these diseases, especially PCOS, or polycystic ovarian syndrome. One of the telltale characteristics of a woman with PCOS is having very high levels of insulin, which wreaks all sorts of havoc on the body. And which, oh yes, makes you gain weight.

One of the women I interviewed talked about gaining 125 pounds in less than a year, without changing her diet or exercise habits--and then being told by a doctor that she had to "get your eating under control!"

Of course, you don't have to have PCOS or another illness to have had a run-in with fatphobic doctors. Many of the stories here speak to the same issues.

So for anyone who's ever had to deal with a doctor who just doesn't get it, here's a link to a fabulous list of fat-friendly health professionals around the world.

The site is maintained by one Stef Maruch. Thanks, Stef. You're doing us all a big favor.

Why the food and exercise police are unsuccessful

The human body is an amazing thing. Amazing! As every dieter knows, if you cut back on its fuel one day, you'll feel hungrier the next as your body tries to compensate. Turns out the same model applies when it comes to physical activity. If you give kids more gym time, more time spent running around, they become less active when they're not in school.

At least, that what a new study done in the Netherlands shows. The study results, presented last week at the European Congress on Obesity, demonstrated yet again why trying to manipulate kids' eating habits and weight through "interventions" is ineffective. Researchers looked at kids from three schools, who got 9.2, 2.4, or 1.7 hours of scheduled phys ed time in a school week, and found that kids' activity levels averaged out to be exactly the same no matter how much gym they got in school. Those who didn't get much PE time at school became more active at home, while those who got a lot of PE in school did less at home.

"We believe the range of activity among children, from the slothful to the hyperactive, reflects not the range in environmental opportunities, but the range of individual activity set-points in the brains of children," said Alissa Frémaux, a biostatistician (I didn't even know there was such a thing! very cool) who analyzed the study.

I think more PE time in schools is a great thing, especially when there are big gaps in the socioeconomic status of kids. While some kids get carted around to ballet and soccer, too many kids have no opportunities outside of school to move, be active, exercise, and have physical fun. So I'm all for piling it on at school.

Just don't expect more gym time to equal thinner children. And don't think that lowering the fat content of school lunches will translate into thinner kids, either.*



*I am deliberately leaving aside the notion of whether these are desirable outcomes. The plain truth is that they're not achievable. Constant readers know what I think anyway.


**Thanks, as usual, to Jane for pointing me toward this research.

Guest post: One woman's story

This moving guest post, written by a 36-year-old reader, expresses vividly one young woman's slide into disordered eating and then an eating disorder. Her story involves a family that unwittingly triggered her ED. For every family like this, there are many others who do not value their children's thinness above all, and who don't contribute to pathology. So while I don't agree with her conclusion that "It's hard to have an eating disorder without the support of family and friends," I know from my own family's experience just how much validation and--as she points out--admiration comes your way just for being thin. Many of us don't realize we're validating pathological behaviors. I hope this will be a wake-up call for some.

A few months before my younger sister's wedding, she jokingly challenged my older sister and I to lose weight. My younger sister is very petite. She has always been very skinny. My parents (especially my mother) adore her.

At the time I was going through a spiritual crisis and felt a loss of control. I decided to go on a calorie-counting diet. I felt I couldn't control other things in my life. But I COULD control what I ate, and I could control how much I weighed.

It started fairly healthy. I bought a food scale and allowed myself the minimum amount of calories that experts recommend. My feeling is I'd get to my goal weight for the wedding, and when that was done I'd go off the diet.

I started off this diet as someone who has never really been overweight. I just wasn't thin like my sister. My weight was within the recommended ranges.

By the time the wedding came around I was thin. My parents were so proud. My dad even made comments in private about how he thought my beauty overshadowed the bride's. I received so much attention. I felt so proud. One of my parent's friend's kept praising me about my amazing willpower. One aunt did express concern. She said I looked too thin. I remember loving this attention.

At the wedding, I ate...a LOT. After weighing myself I realized that I couldn't just go off the diet. All the weight would come back. I'd have to stay on the diet for life. I told myself that was fine. I'd go on breaks sometimes and eat what I want.

My life and happiness became centered on these breaks which usually occurred on holidays and trips. Food became the center of my life. Nothing else could really excite me or make me happy. I'd spend hours and hours looking at restaurant and food websites.

Meanwhile, I kept wanting to lose more weight. Soon I came to the point where my weight at my sister's wedding seemed fat to me.

I don't think I had a body image distortion problem. I knew I was thin. I didn't look in the mirror and see a fat person. I saw a beautifully thin person. (Now though I look back at these photos and I AM thinner than I imagined).

The wedding had been in May. By Thanksgiving, I was underweight. My birthday was around this time and has a gift my mom took me shopping. She was so proud of my weight loss--bought me clothes to show it off.

At Thanksgiving, I opened my presents. Everyone wanted me to try the clothes on. Even though I was underweight, they had bought me clothes that were still tight. I could wear them, but I knew if I gained a little weight, I could no longer wear them.

I wasn't a teenager during all this. I was a mother with a four year old son and an aunt with two nieces. I think a part of me knew I had a problem, but another part of me denied that. I remember seeing someone horribly thin jogging and thinking. I am NOT like her. I'm okay.

I didn't want to die and leave my child an orphan. I told myself I was fine. I told myself there was a difference between eating disorders and strict healthy dieting. But I think a small part of me knew I was fooling myself. Maybe? I'm actually not sure.

The dieting continued. The numbers on the scale got lower.

During the beginning of the dieting, I had begun walking. I'd put my son in a stroller and do a long walk everyday. (or almost every day) My parents were very impressed with this. I received a lot of praise. Eventually, I bought a pedometer and made outrageous rules about how much I'd have to walk each day. I'd do this by never sitting down. I'd just walk and walk around the house--constantly. I remember having guests over and wanting them to leave because I was too embarrassed to obsessively walk in front of them. I felt they were intruding on my walking time.

I made rules for myself such as you can't eat another piece of food until you walk a certain amount of steps.

I started wanting to take more breaks from the diet. I made rules that if I was at a certain weight I could do this. I started drinking herbal laxative teas in hopes that this would make me lose those extra pounds. I didn't have much luck. My system was so slow at that point. I stopped having daily bowel movements.

About a year and a half after it all started, I received comments on my Livejournal blog from an anonymous stranger. An LJ friend had recovered from an eating disorder and was disturbed by my constant public recording of my weight. She approached another ED friend and they gave me a mini-intervention. She said it seemed like I had an eating disorder. She talked about my issues of control. And she scolded me for recording my weight. She said all this might be a trigger for someone.

I was furious and disgusted with her.

A few months later my sister (the thin one) approached me about the eating disorder. I actually don't remember my response. I can't remember if I denied it, or if by this time I knew I had a problem.

Eventually though I got over it.

I put away the scale (food and body). I stopped wearing a pedometer.

I stopped dieting.

I was disturbed to find myself quickly returning to my old weight, but I have grown to be mostly okay with it.

I have taken the scale back out, but I never weigh myself more than once a day. I also NEVER punish or reward myself based on my weight. I accept the number and realize there are so many things about myself that are much more important.

For the most part, I'm happy with myself.

I'm no longer obsessed with food. I like to eat, but it's definitely not the center of my happiness. My husband is a bit of a foodie and I actually get bored now when he starts going on and on about food.

I have had setbacks. My husband's friend went on a diet where you fast every other day. I read about it, decided it was safe, and tried it too. I lost a few pounds, but found myself obsessing about food again. I decided this was unhealthy and quit after a few weeks.

Every so often I have days/nights where my self-esteem sinks very low...usually caused by some interpersonal conflict. I get very depressed and feel worthless. I make a vow that in the morning I'm going to go back to strict dieting. I think this is less about being thin though and more about feeling self-destructive and needing a sense of control.

Fortunately, in the morning I usually come to my senses and eat normally.

When I first came to terms with my eating disorder--around the spring of 2007, I emailed my family about all of it. I told them about how I now know I had an eating disorder and I'm going to stop the negative behaviors. I expected to get sympathy, concern, and kudos for wanting to overcome my problem. That is not what happened. One of my brother-in-laws didn't believe I had a disorder and told me that. He told me I was just very dedicated. That's all it was. I put my mind to something... a goal and I achieve it. During the ED times, he'd frequently ask me how much weight I had lost. He was so impressed and gave me a lot of attention over this.

My dad showed no concern or regret for what happened to me. He merely scolded me for confessing that I had not gone to certain family outings because I had wanted to avoid food. (in the beginning I was one of those who would happily watch other people eat--even make huge desserts for others, while I ate a piece of fruit or nothing. But later this became harder for me and I sometimes avoided social events so I wouldn't have to jealously watch other people eat). Family togetherness is very important to my dad and he was horrified that I'd choose not to be with family.

After getting the email, I had shocking encounters with my family. Although I told them I was no longer dieting, they still sometimes acted as if I were At one time, we had some kind of celebration that involved cake. My BIL said not to worry. He had fruit for me! Even after I told them my problem and that I'm not on a diet any longer, he went out to get a special meal for me. I was horrified and hurt. I felt they were trying to push me back to the diet.

Another time, we were all about to have cake. My mother turned to me and said something like "Are you going to have some, or are you dieting?"

I was so disgusted that they'd say these things knowing I had an eating disorder. I would think they'd be HAPPY to see me eating.

For the past two years, I have resented their reaction...but I resent a lot about my family. For some reason, the past few weeks I've been thinking about it and wondering why they didn't give me more support.

My mom is on the Jenny Craig diet. I saw her eating a JC cake, and started thinking maybe I should go back to dieting. Maybe this one would work for me because it doesn't involve counting. I know it would be dangerous for me to do any diet where numbers are involved.

I brought it up to her in the car. I asked if she thought it was an okay diet for someone who has an eating disorder. I confess that I think I wanted to see her reaction to the eating disorder thing. After that email, we had never discussed the issue. I guess I wanted to see what she thought.

Well, I found out. She told me she didn't think I had an eating disorder. She says almost everyone goes through yo-yo dieting and if I had an eating disorder probably most women do. She asked...isn't it just as bad to keep eating and gaining weight. Isn't that a disorder?

I told her I'd rather be a few pounds overweight than have an eating disorder again.

I basically then learned she feels to have an eating disorder you have to be in the hospital close to death. She feels because I was never officially diagnosed by a doctor, and was able to gain the weight back on my own, I never had a problem in the first place. I think to her what I did back then was GOOD. The bad thing I'm doing is now--not being thin anymore.

It is really hard to struggle with something, overcome it the best that you can, and then be told you never had a problem in the first place.

I think eating disorders are unique in that instead of getting sympathy and concern....you get admiration.

When I got home from being with my mother, I cried on my husband's shoulder. We talked about the past and how neither of us knew I had a problem back then. I think he feels some guilt. He saw some old pictures of me and realized how thin I had been. He hadn't realize it back then. Then he told me about his friend (the same one who went on the fasting diet). He told me he's concerned with her because she has stopped eating. She is now a very low clothes size. She's in an emotionally abusive relationship. Her boyfriend said something like "I usually date women who are thinner than you." My husband's friend has major relationship and self-esteem issues. She obviously has serious problems. But despite knowing all this, there's this small part of me that's jealous of her. There's a small part of me that admires her.

Anyway, that's my story.

From my experience, I think family members play a big role in eating disorders. I may be going too far in saying this, but my motto is "It's hard to have an eating disorder without the support of family and friends."

I can imagine it's worse for teenagers who actually live with parents. But as an adult, I have a very troubling co-dependent relationship with my parents. They live close by and we see them frequently.

If I had advice for family and friends of people who are dieting, it would be this:

1. Know the signs of an eating disorder and know when your relative/friend is going too far.
2. Do NOT make big deals about someone's weight loss. Do not give them extra attention over this. Find other things to praise them about.
3. Do not point out that a dieting person is eating. Don't say things like "Oh, I can't believe you're eating that" or "Are you off your diet?"
4. Do not praise them for their willpower. Don't praise them for their excessive exercising or their ability to eat an apple while everyone else eats a huge sundae.
5. Do not take them shopping to award them for their weight loss. If parents do this, they should at least buy things that are a little big so the person can grow into them. Do not buy things as small as possible--giving person idea they MUST stay at this weight.

I know ultimately I'm responsible for my own health. It was my fault I had these problems and it's up to me not to return to them. But I do think certain family situations contribute to these problems. For me, it was having a family that highly values thinness, fashion, and beauty.

As a teenager and young adult, I wrote multiple novels and screenplays. My parents gave me much more attention and praise for the weight loss.

Having a skinny sibling who is clearly the favorite also contributed to that. I felt if I got down to her weight, they'd love me like they love her. And in some ways, it did work.

You know ....I think about what contributed to my recovery. I want to say it was the Livejournal visitor or my sister. But you know who probably made me come to my senses. JK Rowling. On her website, (http://www.jkrowling.com/textonly/en/extrastuff_view.cfm?id=22) she has a great essay about eating disorders. I'm a huge fan of hers and I think reading that helped me realize I was doing a bad thing not just to myself but to my son and nieces.

I started thinking what kind of message am I sending to these two little girls. They already have one very skinny aunt. What if they have two? And what if one of them is constantly dieting and exercising?

When you have an eating disorder, you're not only hurting yourself. You're hurting anyone who might see you as a role model. It's great to be a role model, but be one for something that's great. Don't be one for self-destructive behavior.

What will it take?

I write this post in sorrow and distress, after reading this story about a 57-year-old woman in the U.K. who died after 40 years of being anorexic.

It's a tragedy when anyone dies from an eating disorder, especially someone like this woman who, according to the article, died friendless, without family, alone in the world.

But the overarching tragedy here is the profound misunderstanding of anorexia expressed by the medical establishment here. While her doctor obviously cared enough about her to be checking up on her at home (he's the one who spotted her lying on the floor), he clearly doesn't get some of the most basic facts about anorexia.

Here's a quote from the story:

Discussions of her case with psychiatrists and other experts in the past had all concluded that any effort to force her to eat would only make matters worse.

"I believe that she understood the nature of her illness and its perils," Dr Knight told the inquest. "She seemed to have a very firm understanding of her condition. The anorexia was a long-term chronic condition which would not be significantly modified – she was set in her ways."

This makes me want to cry. Then scream. Then change something.

"Any effort to force her to eat would only make matters worse." Let's say a person was delusional about the act of breathing. Breathing makes you sick, they say, and they spend as much time as possible holding their breath. They have to breathe sometimes, but they do it as little as possible. Now imagine a doctor saying "Any effort to force her to breathe would only make matters worse."

I didn't think so.

When someone has been chronically ill with anorexia, their delusions are, as the doctor goes on to say, "set in their ways." But that doesn't make those delusions true. Efforts to force this poor woman to eat would have caused enormous upheaval and distress for her and likely everyone around her. That's the nature of the illness, especially when it's become chronic. (Which is why I'm a big proponent of the Maudsley approach; if you can cure anorexia while someone is still young, they often don't go on to become chronically ill. And that's why it makes me so angry when doctors still take this line with teens who are sick; don't they understand what's at stake? But I digress.)

One of the most well respected ED docs/researchers in the world, Dan le Grange, once told me that there is something about anorexia that seems to affect the people around the anorexic as well as the ill person herself. This story is a heart-breakingly good example of that kind of distorted thinking legitimized. Why is it OK for someone under a delusion like anorexia to starve herself to death? Could it be because of our messed-up ideas about body image and weight?

Here's a later quote from the doctor: "Her body image was such that she thought that she looked the right way even though to everybody else she was very, very thin."

One of the hallmarks of anorexia is an inability to see your physical body realistically. People with anorexia literally look at themselves and see oozing fat even when they're emaciated. This is one of the profound neurological distortions that we know is part of the disease even if we can't understand it yet.

So yes, this woman "liked" the way she looked. But she was in no position to "like" anything about her body, because her self perceptions were profoundly and utterly distorted.

So here's what I want you to take away from today's post:
1. People with anorexia cannot choose to get well. They need at the very least support and help from others. Often they need others to begin the recovery process for them, and stick with it for a long time, until their thinking and ideation is restored to normal.

2. There's nothing sacred about anorexia. It's a terrible, tragic illness. There is nothing glamorous about it.

3. As a society we have a responsibility to help people with this disease recover. Which doesn't include letting someone starve herself for 40 years, only to die, alone and friendless and emaciated, on her bedroom floor.

To this woman's doctor in particular I say: You meant well but you failed. And guess what? Good intentions don't count for shit. What will you do differently with your next anorexic patient?

To the rest of you, I ask that you think about this woman the next time you talk to a friend with anorexia or bulimia. And see if there's anything at all you can do to help your friend recover.

Happy No Diet Day!

Ways to celebrate:

1. Take the I-Love-My-Body pledge. Better yet, print out a few copies and leave it in public places--on subway and bus seats, tacked to bulletin boards, tucked into bathroom mirrors. (I'm working on finding a way to upload the beautiful graphic version designed by Mary Brown and will post that shortly. Blogger doesn't like my files, apparently.)

2. Eat a cupcake. Better yet, bake a dozen and hand them around.

3. Buy your very own copy of Lessons From the Fat-o-Sphere by the inimitable Kate Harding and Marianne Kirby. (If you can get it from an independent bookstore, even better!)

What are YOU doing today? Send me your no-diet-day stories.

Dear Kirstie Alley,

You seem like an intelligent person; I've admired your acting skills over the years. You seem eloquent and tuned in, except on one subject: weight.

Interviews like this one make me cringe for you and with you, Kirstie. There you are on Oprah's show, being watched by millions, most of them women, many of them, like you, beating themselves up over failed diet. How can you not know by now that it's not a question of your failure? That it's not like "falling off the wagon," as Oprah put it, but rather a basic scientific fact: Diets don't work.

Don't take my word for it. The nice researchers at UCLA did a study two years ago that showed that more than 90 percent of diets don't work--in fact, that dieters wind up gaining back all the weight and then some. Just as you did. Just as so many of us have done.

You say you feel bad because you've inspired so many people and now have let them down. I say you have an opportunity right now to inspire people in a much more meaningful way than before--you and Oprah both. You are both smart, powerful women with some of the best resources in the world at your fingertips. If you can't make your bodies look the way you want, maybe the problem isn't you. Maybe your bodies aren't meant to be size 2s or 4s. Maybe you are both tall, strong, powerful women who are built the way you're built because of genetics.

Maybe the real story here is this: What will it take to make you acknowledge your power in the world and use it for good? What will it take to help you stop wasting your time and emotions on an impossible quest?

You want to inspire other women? Try learning to love and accept yourself for who you are. Now that would be inspiring.

--From a fan

Calorie counts in college dining halls

Over on the Academy of Eating Disorders listserv, there's been a discussion going about whether it's good (or even just OK) to post calorie counts for food served on campus. I've listened with interest, and a growing sense of frustration and horror, as both researchers and clinicians debate the pros and cons.

What most of them seem to be missing--or deliberately downplaying--is the damage these calorie listings can do, not just for people with eating disorders but for everyone. And especially women. About three-quarters of women say their eating is disordered in some way, and my personal experience (for myself and watching my friends and acquaintances) certainly bears this out.

It gets right up my nose to hear the sometimes pompous arguments made by academics and researchers on an issue like this. Statements like this one: "Awareness doesn't equal obsession." Um, maybe not if you're a 40-year-old male doctor who's never had an eating issue. If you're a woman in today's culture? I beg to differ. Many years ago when I "did" Weight Watchers I was aware that eating on the WW meal plan simply replaced one food issue with another. Instead of constant anxiety about how much and what I was eating and whether I was gaining or losing weight, I became a good little obsessive weigher of foods and follower of instructions. In nine months on the program I never deviated from it once. Not even for a bite. This was a testament not to my willpower or moral virtue but to the deep level of obsession that being hyper-aware of my calorie intake inspired in me.

I'm quite sure I'm not alone in this.

Which is why I was happy to see this article, written by a senior at Yale, arguing against listing calorie counts for food served on campus.

In theory, maybe "awareness" of calories isn't a bad thing. In reality, I can't see the upside.

AED

I was looking forward to live video blogging from the Academy of Eating Disorders conference in Mexico. Alas, it was canceled due to the swine flu epidemic. A good call, but a tough one for AED. Thanks to Judy Banker and all who had to make this difficult decision.

Why Hillary Clinton should stick to talking about things she knows about

Because of obligatory and, frankly, stupid references like this one, where she compares climate change to losing weight.

I"m with you on foreign policy, Hillary. But please, do all of us women a favor and shut up already about the dieting.

**Thanks, Jane, for pointing this out to me!

Models without makeup! Or Photoshopping!

I love Bitch magazine. And I love it even more for this blog post, pointing out how this month's French Elle features models without makeup, Photoshopping, or other digital manipulations to make them look unreal.


As the Bitch blogger points out, these models are still thin, white, and have gorgeous bone structure.

Hey--at least it's a small counterbalance to the obscenely unnatural images we're bombarded with night and day. A new visual reference point.

I'll take it. For now.

Too fat to fly (but not too tall?)

My daughter took a flight recently and sat next to a man who she guessed was over seven feet tall. No lie. And because there was no elbow rest between their seats, she spent the flight hunched into a corner of her seat.

You can be damn sure this gentleman was not charged for two seats. And yet anyone who now flies United who takes up more than his or her allotted seat centimeters due to weight will be charged for two seats. So flying fat will cost you double, but flying tall won't.

I find United's new policy offensive and discriminatory on many levels. If you do too, consider following the directions in the form letter below, which was created by Marilyn Wann, to protest. Because you better believe that if United gets away with this, all the major carriers will start imposing a fat flyers' penalty. And who's to say what's "too fat" to fly with a single ticket? Down the line, could ticket agents be whipping out BMI charts when you get your boarding pass? I put nothing past this fatphobic society (and the airlines desperation to turn a profit).


Hi:

United Airlines is the last of the major carriers to announce proudly a policy of charging fat passengers double.

They say they received 700 complaints last year (out of 80 million passengers carried) from thin people who did not like having a fat person sit next to them and perhaps take up some of their seat space.

I am convinced that the 700 fat seatmates who didn't complain were not too happy about the situation, either. People in the fat pride community have decided to try and beat that 700 complaints statistic.

I'm writing to ask you and the people you know to complain at United.com about this costly and discriminatory targeting of one demographic group. If this policy stands, it means fat people have less right to interstate air travel than other people. Everybody deserves a safe and comfortable chair on an airplane, at an affordable price!

Here's the link for Customer Relations.

Expect to be asked to fill in some irksome required fields:
- If you don't have a United frequent flier number, you can use mine: 00229870823.
- For flight info, I just put 4/15/2009 (the day United announced its policy).
- For departure and return cities, I put San Francisco in both slots.

Please copy your complaint letter to my e-mail address, so we can keep count as we approach and pass 700.

Thanks tons! - [insert your name and e-mail address]

--Marilyn