Diet Culture: A Major Barrier in Making Peace with Food

Diet Culture: A Major Barrier in Making Peace with Food

Are you trying to heal your relationship with food and improve your body image? Do you feel like everywhere you turn, there is talk about what you should or shouldn’t be eating? Whether you have an eating disorder or have been on the diet roller coaster, you are probably overwhelmed with diet culture.

Our social media feeds are littered with “fitspiration” images, diet trends, and the like.

We hear messages from well-meaning friends, family, fitness instructors, news sources, and the medical community about dieting. Furthermore, it is socially acceptable for women (and now men, too) to bash our bodies and talk about dieting.

In the world of eating disorder treatment, the constant barrage of messages about dieting and how we should look is termed “diet culture.” Diet culture is alive and well in our country. It can be damaging for those who struggle with an eating disorder because it perpetuates the eating disorder.

For those dieting, it can make you feel like a constant failure because diets don’t actually work. Furthermore, dieting is a risk factor for developing an eating disorder.

Diet culture makes us question how we feed ourselves.

It makes us feel disconnected from our bodies and food. Also, it makes us reinforce the habit of comparing ourselves to others to see how we are supposed to look and feed ourselves. It teaches us to ignore our bodies’ cues of hunger, fullness and food choices. Let’s face it-diet culture can make us feel downright nutty at time, leading to a preoccupation with food and weight or even a full-blown eating disorder.

Rejecting the diet culture is a key step in healing your relationship with food. If you are trying to get off the diet roller coaster or are in recovery from an eating disorder, rejecting the diet culture is an important step in your healing.

Diet culture is everywhere, but there are things you can do to avoid its destructive path:

Identify diet culture.

When you see, hear, or read diet culture, name it.

For example, let’s say you are eating dinner with a friend and she says to you, “I am going to have to work out double tomorrow I because I am eating so much.” Normally, you may think to yourself, “Gosh, she is right.  We are eating a lot” or “I guess I need to, too.” Rather than continuing on with the diet narrative or talk, say to yourself, “This is diet talk, and it is not helpful to me.” Labeling the thought as “not helpful” prevents you from going down the rabbit hole of diet culture.

Clean-up your social media feeds.

Delete and unsubscribe from folks who promote dieting, and weight loss. Cleaning up your social media feed will significantly reduce the amount of messaging you get about dieting. Avoid “health” and fitness magazines because the whole purpose of these magazines is to sell diet culture!

Seek out and support messaging that is body positive and discourages dieting.

Once you have decluttered your social media feed and inbox from diet talk, stock up with messages that you find helpful. That could mean following folks like Christy Harrison, an intuitive eating coach, and anti-diet dietitian. Or follow Judith Matz, a therapist and author who supports the anti-diet movement. It could also mean subscribing to more things that “fill you up” and make you happy. These could be things like hobbies, travel, support groups, inspirational post, or humor.

Set boundaries with friends and family.

You may come from a family of chronic dieters where diet talk is the norm. But maybe don’t know how to get the conversation headed in a different direction. Diet culture may be pushed on you with simple yet well intended statements like “You shouldn’t eat that,” “Let’s skip dinner tonight,” or “What is the calorie count on this?” Or maybe you are a college student on a campus where diet culture and eating disorders often run rampant. Here are a few ideas to set boundaries up around diet talk. Simply don’t engage in the conversation either by ignoring the comment or changing the subject. Depending on your relationship with the person, you may say something like, “These types of conversations aren’t helpful for me. Let’s talk about something else.” If you struggle setting boundaries, consider the workbook Setting Boundaries without Guilt.

You may feel ambivalent about rejecting diet culture.

Perhaps you are worried about missing the opportunity to find the “magic bullet” to perfect eating. But if you are reading this post, chances are that succumbing to diet culture has made you feel miserable. Since diet culture is everywhere, it is going to take time, patience, and practice to tune it out. However, there will be a huge payoff. It will result in less preoccupation with food, weight, and shape, so you can spend your energy on things that matter most to you.

Forget About Diets To Improve Your Health This Year

Forget About Diets To Improve Your Health This Year

It is that time of year: Everyone’s talking about their New Year’s Resolutions. Many headlines promote the “newest” diet trends to “jumpstart” weight loss in 2018. A 2014 study found that “stay fit and healthy” and “lose weight” were the top contenders as New Year’s Resolutions, at 32% and 37%, respectively.

 

In my blog post, 5 Reasons Not to Diet in 2017,  I encourage readers to stop dieting in order to feel in more control of their eating and health.  

 

So, maybe you are concerned about your health. Maybe you have diabetes or a family history of heart disease, or maybe you are noticing that it is harder to move in your body at its current fitness level.  

 

Maybe you are so tired of dieting that you just can’t diet anymore (the diet is the problem, not you), or maybe you are recovered from an eating disorder and you know that dieting is a risk factor for relapsing.

 

Choosing not to diet for weight loss doesn’t mean ignoring your health.

 

Dieting sets-up this all or nothing thinking. You follow the diet, watching meticulously what you are eating to lose weight.  Dieting usually is paired with an exercise routine. On the other hand, if you aren’t dieting, you may have developed a “screw it” attitude. You don’t pay attention to how you eat and you don’t exercise until you are on your next diet. (By the way, this is no personal failing of your own- studies show that dieting doesn’t work long-term).

 

The third option is not often presented by the medical community or diet programs. This option is to eat nutritious foods, move your body in a way that feels good to you, get enough sleep, get medical screenings or check-ups as recommended, and so on in the spirit of health, not weight loss.

 

You may be thinking, “But don’t I need to lose weight to be healthy?”

 

No!

 

This answer never wins me any popularity contests. There is not great scientific evidence to show that having a larger body causes medical problems.  I would argue that the disconnection from our bodies that dieting causes is what leads to health problems. Additionally, modern medical science has NOT come up with a non-surgical intervention or treatment for weight loss that works long-term (meaning the ability to keep the lost weight off).

 

There is good evidence that dieting can be a predictor of weight gain and problematic eating behaviors such as purging, binge eating, or other types of eating disorders.  Additionally, it is natural for folks to stop exercising if it isn’t producing weight loss, despite the cardiovascular, muscular and mental health benefits of exercise.

 

There is evidence that health-promoting behaviors (weight is not a behavior) do improve our health.

 

Health as a Value

 

If you are reading this, I am guessing that one of your values is health.  What is a value?  A value is what you judge to be important in life.  Examples of values include family, being financially independent, or acting in an ethical manner. Values can help us guide our behaviors.  Honesty is a value that most of us share, so we do our best to not lie, steal, or cheat.  

 

Oftentimes goals are confused with values.   A goal is something achievable such as running a marathon or having a fancy car.  With values, there is no completion date, and they can’t be crossed off our to-do-list.

 

When you put on your seatbelt or wear sunscreen you are practicing a behavior that is guided by your value of health. Every time you put on your seatbelt you are reducing your risk of serious harm when you drive. Going to the doctor for physicals and screenings or going to the dentist is another behavior that supports the value of health.

 

You may be asking yourself, “Isn’t body weight a value?” Unlike wearing your seatbelt, weight is not a behavior or a value. It is a biomedical marker. Lowering your cholesterol is not a behavior. You do things like take medication, eat a heart-healthy food or exercise to try to reduce your cholesterol levels. Eating nutritious food and moving your body in a way that feels good to you are behaviors that support a value of health.

 

What to do:

 

  1. Get clear on your values around health.  

 

Why do you value health?  Maybe you love to travel and having good health allows you to do this.  Maybe you want to have a long-life in order to see your children or grandchildren grow-up.  The media or diet programs encourage you to “take charge of your health”, but these are vague statements that are only helpful in the short-term, not the long-term.

 

  1. Set realistic measurable goals that support your values.

 

Getting physical movement in for a certain amount of time each week is an example of a concrete and measurable goal.  Other goals include getting a mammogram once a year or getting a certain amount of sleep every night.

 

  1. Set meaningful goals that align with your values.

 

Imagine that one of your values is traveling and you have a vacation coming up that requires a lot of walking.  If you achieve a certain level of physical fitness you will be able to enjoy your vacation more. Focusing on the reasoning behind your value of health will help make the exercise more meaningful even though it may be uncomfortable or inconvenient at the time.  (Instead of, “I should go exercise because it is good for me.”)

 

  1. If you notice that you aren’t achieving your goals, consider if the goals you are setting are really meaningful to you.

 

Do you actually want to do these things, or do you just think you should want to? Set goals that are achievable (sometimes we set goals that are too big and we get overwhelmed). Consider psychotherapy if you think you may have an eating disorder, depression, anxiety, or other mental illness.

 

Finally, check out these other resources to learn how to ditch dieting & make peace with food: Intuitive Eating and Health at Every Size.

Forget About Diets To Improve Your Health This Year infographic
Forget About Diets To Improve Your Health This Year
Dieting is a risk factor for an eating disorder.

Breaking-up with Dieting (For good.)

Starting a new diet can feel like starting a new romantic relationship—exciting, hopeful, and thrilling at first. Dieting promises that when the weight is lost, life will really begin.

The reality of dieting.

Just like a new relationship, starting a new diet usually feels really good. There is ease in following a new diet because you don’t have to feel preoccupied about what to eat.  While there is effort in planning meals, there is this sense of relief that goes along with it. This dieting euphoria can last for a while. Just like a new relationship, starting a new diet usually feels really good.Continue reading

Medical System: Friend or Foe in Reducing Body Shame?

Aren’t we suppose to feel good about the medical care we receive?  Don’t we want to feel empowered by our medical team to improve our health?  And we certainly don’t want to feel ashamed of our bodies when we visit a medical provider.  Unfortunately, body shame and frustration is what some feel when they leave their providers office.

It has been my clinical experience that people often feel shame about their weight when going to the doctor.  I think this is particularly true for those with larger bodies.  According to a 2012 Rudd Center for Food Policy and Obesity policy brief titled “Weight Bias: A Social Justice Issue” indicates that in a study of 2,449 overweight or obese women, 69% experienced weight bias by doctors.  And 52% indicated that weight bias had occurred on more than one occasion.  Rudd Center’s policy brief indicates that weight bias in medical practices is a deterrent for seeking medical and preventive care.

Weight Stigma Awareness week sponsored by the Binge Eating Disorder Association (BEDA) was last week .  I was glad to see that BEDA had an information sheet (Toolkit ) on how to talk with your provider medical about weight.

Unfortunately, well meaning and highly qualified health professionals including doctors, can sometimes be a barrier to patients accessing medical care.  Part of the work that I do with clients is to help them navigate the health care system in such a way that feels empowering vs. demoralizing.

Here are tips to help feel empowered, not shamed, about body weight at medical appointments:

Before going to the doctor take stalk in how you feel about your body.  Do you feel as though your body weight is affecting your health?  Do you believe that you have to be a certain size to be healthy?  Have you experienced bullying from family or friends about your body?  Are you comfortable in your body?  Do you have a distorted body image?  Getting clear about your own experience and beliefs about your body may make it easier to communicate with your healthcare team around body image.

Remember we are health care consumers.  Just like we shop around for a new car-visit different dealerships, test drive different makes and models-we can shop around for medical providers.  For example, if trying to find a new primary care doctor schedule an initial appointment with the sole purpose of assessing if the doctor is a good fit for you.  Think of it like taking a car for a test drive.

Before visiting your doctor think about how you want the discussion of body weight to go.  BEDA’s toolkit suggests encouraging  your health care team to “focus on health vs. weight”.  Imagine yourself saying something like,”I know body weight is one component of my health.  I am here today to talk about how else I may improve my health, besides focusing on my weight.”  Or, “I am looking for a new primary care doctor that I can collaborate with.  My last doctor ridiculed me about my weight.  How can we make that different in your office?”  If you are not ready to have a discussion with your doctor about your body weight then state that.

Write down questions ahead of time.  And if comfortable, bring a friend or family member along to the appointment.

Click here to read the toolkit from the BEDA.