The Last Supper Syndrome

Happy Mardi Gras! Also known as Fat Tuesday. Or Shrove Tuesday. Or pancakes-for-supper.

It struck me as an odd coincidence that, just last night, I was talking with one of my groups about the thing I call the Last Supper Phenomenon.

Here’s how it happens: Something happens that makes you feel bad about your weight. You feel fat.

Because you’ve been inundated since childhood with the message that being fat is the worst thing that could ever happen to you, an uncomfortable tension (between the fat body you have, and the thin body you think you should have) builds.

Almost automatically, to release the tension, your brain rides the crazytrain straight to restrained-eating-town.

Even if just momentarily, you think of food restriction. You tell yourself, “On Monday I’ll cut back.” Or even, “I’ll start making Smart Choices ™ ” (which is translated from the original Jerkbrain to mean “eat food I dislike, and avoid food I do like.”)

And then the Last Supper Phenomenon kicks in.

As soon as you have that thought of restriction, or that thought of possibly-maybe-in-the-misty-uncertain-future restriction, you begin to think about food – specifically, the foods that will soon become forbidden. You want them. An uncomfortable tension (between the foods you want to eat and the foods you think you should eat) builds.

To resolve the tension, you hit on what seems like a brilliant solution – feast now, fast later. You empty the pantry, make a special run to the store, to your favourite pizza place, in anticipation of self-imposed food scarcity. You make what looks for all the world like a valiant effort to EAT ALL THE FOODS!

Which is kind of like Mardi Gras – the last hurrah before Lent, the time to get all the fat out of the larder and make delicious things. Things you will very soon have to go without. Things that you must eat ALL OF. RIGHT NOW. OR ELSE.

For some of us, because we are completely sick of dieting, Monday never actually comes. Nevertheless, just the thought that Monday might come, that the other shoe might drop, is enough to keep the restraint-disinhibition cycle alive.

Because you are, in effect, threatening yourself. You’re threatening to take food away from yourself, and especially if you have a history of chronic dieting or disordered eating, this is going to scare the shit out of you, and you are going to react violently to the fear of food scarcity.

After the violent reaction, you feel guilty. The dissatisfaction with yourself deepens, and you begin to look forward to NEXT Monday morning, when you will finally, really this time, once-and-for-all, stop eating food like some kind of dirty human being.

Which leads to the reappearance of the Last Supper Phenomenon, which has now escalated to the Last Supper Syndrome – a cycle of bouts of wildly eating, threatening never to eat again, and then even more wildly eating until you have finally become a flesh-and-blood substantiation of a Cathy comic.

The trick, then, to ending the Last Supper Syndrome is to stop threatening yourself.

You do this by first becoming aware of when it happens. You listen to your thoughts, especially the quiet, slippery ones in the background that seem to have a mind of their own. The ones that come automatically, like a knee-jerk reflex, on a bad body-image day. If you listen carefully, you’ll hear them.

They say things like, “On Monday, I’ll cut back.” Or “I’m going to start making Smart Choices ™ .” Or “All I need is portion control.”

The gist of all of them is “I feel fat and that is unacceptable and I need to do something about it RIGHT NOW.”

When you hear them, it means you’ve caught them in the act. When you catch them in the act, you can drag them out of their preferred obscurity into the light, and force them to undergo rational scrutiny. You talk back to them, again and again, as many times as it takes.

You remind yourself that, no matter what your weight, your first duty is to take care of yourself. Which means feeding, not depriving, yourself.

Finally, you make a promise to yourself – that Monday will never come again.

Posted in eating, Humane Nutrition | 25 Comments

Feeling fat.

When my job (and my whole living situation) changed a little while back, I was thrown into body image crises I hadn’t experienced since my early 20s – hating the way I look. Feeling bad about my eating. Zero interest in moving my body. Weight gain.

It is tempting, always so tempting, to rely on the panacea of dieting (or whatever term you like to give to intentional weight loss attempts) to fix these problems. Because, at least in the short term, it can. And when you’re feeling horrible RIGHT NOW, naturally, a quick fix is incredibly attractive.

Here’s how I deal with that urge: I allow myself to have these feelings.

I am not a Body Image Superhero, despite being a Health at Every Size and fat acceptance activist. I go through many more good times than bad, thanks to HAES and FA – but I still live in this culture, and I get all the same messages everyone else does about how I’m yucky and gross and no one will ever want to have sex with me, ever.

My body image is, and likely always will be, a work in progress.

As part of that process, I rely on a Body Image Crisis Algorithm – a sort of Socratic series of questions I ask myself to get to the root of, and solutions to, the crisis. Let’s begin.

So, what’s going on under the hood, beneath disliking my weight or “feeling fat”? What does that really mean?

It means feeling shitty about myself. Feeling undesirable. Not liking the way I look. Feeling socially anxious. Feeling like I am not welcome, and do not belong in this world. Sometimes, it’s feeling physically unfit, and like my eating is very disorganized and chaotic.

Has losing weight in the past helped any of these things?

No, actually. I did like certain things about how I looked when I was losing weight, but it also made me feel weirdly disconnected from my body, and I kept holding myself to higher and higher standards of how I should look. It’s also never helped to make my eating or exercise more healthy and enjoyable for the long-term, and actually caused some disordered stuff there.

Even if it did, or could, help these feelings, is losing weight likely to be a permanent fix?

No. We all know that. The failure rate is somewhere between 80-98% after five years. And given my body’s apparent propensity to gain weight, and given how triggering I find the barest hint of possible food restriction, I seriously doubt I would be one of the lucky ones.

Are there more direct ways of dealing with these problems?

Well, yes. There are body image exercises I can do. There are social anxiety exercises I can do. There are practical, immediate things I can do to help my eating, like eating my meals and snacks on time, offering myself a variety of foods at each meal and snack, and giving myself permission to eat what I want, and NOT to eat what I don’t want. And I have actually been doing that, and I have been feeling a lot better about eating.

[Ed: eating is complicated for me because, ironically, as part of my job I eat strange foods at strange times of the day with my clients. Which makes structure, the part of eating competence that I especially rely on to feel sane around food, uniquely difficult.]

If I’m concerned about weight gain, I can go get a physical – I already know what the factors are that likely have influenced my weight (new medications, major life changes like moving and changing jobs, episodes of depression.) I already know that my blood pressure and blood sugar are good.

What about not feeling welcome in the world?

This one is trickier. It goes to a somewhat philosophical place.

Well, first of all, when you see someone as fat or fatter than yourself, do you feel like they shouldn’t exist?

No, of course not. But then, I’m not a total asshole.

Do you believe most people are total assholes?

It’s tempting sometimes, but actually? No. However, I do know that appearance-based prejudices of all kinds are quite widespread.

That’s true. Maybe prejudiced people don’t welcome you in the world. Does that mean, objectively, that you don’t belong here?

No. I think I belong here. I think I have the right to exist, as I am, and to go about my daily life.

Do you require a welcome from all people in the world in order to live your life?

It’d be nice, but no. I don’t actually require that to live my life.

And is your body objectively wrong in any sense?

No. There is no objective “wrong” when it comes to bodies – it’s mostly a cultural judgment.

Is there a purpose fulfilled even by bodies that are considered outside the norm, or culturally “wrong”?

Yes. “Wrong” bodies add diversity to the population, and even to the sum of human knowledge. They house people who are awesome and valuable in their own right. Even “wrong” bodies allow people to exist in the world and live their lives.

So, could it possibly be argued that the mere fact of a body’s existence may render it objectively “right”?

I guess you could argue that. The cultural tradition is to say that man is made in God’s image.

Do you think there is some truth in that, even from a secular perspective?

Yes. Because I believe in the intrinsic value of all life.

Even yours?

Even mine.

Posted in Fatness, Liking Yourself | 50 Comments

Lesson Five – Putting food in its place.

I want to preface this post by saying that we observe the Division of Responsibility in Blogging around these parts – which means, I offer information, and you decide what and how much of it you want. Not everything applies to all people – because People Vary, and because Reality is Complex.

As Ellyn Satter says, food is one of the great pleasures of life – but only one of them.

It is important, but it has its place – which is to say you should not have to be thinking constantly about it. And you want the thought and attention you do give to be of the useful and pleasurable sort, not of the fretting and obsessive variety.

In this lesson, I’m going to talk both literally and figuratively about putting food in its rightful place.

Let’s get the literal out of the way first, because it is astoundingly simple.

Put it away.

Yes, that’s right – put your food away. Be neat and tidy with it. Organize it a bit.

Don’t leave random stuff laying around on counters, coffee tables, desks, bookshelves. Don’t put food somewhere it will hover right in front of your face, especially if you are slightly food-preoccupied due to chaotic eating and lack of permission, a history of dieting, or just because you are a primate who is immediately attracted to tasty, tasty food, regardless of whether you actually want it at just that moment.

Because if any of these are true, having it constantly before you gives the food more power than it deserves. It interferes with genuine decision-making. It calls to you in that really annoying food-voice.

In a sense, the food begins to boss you around.

We don’t want that. You’re the one in charge here. You get to decide what you eat, what you like, and how much feels good.

You don’t want those important decision-making criteria pushed into the ditch by RANDOM COUNTER COOKIES!!!

Now, it’s one thing to think, “Yeah, some cookies would be awesome right now,” and then you go and get some cookies, and indeed they are awesome.

It’s another thing entirely if you pick cookies by default because they were there and you didn’t have any better ideas.

If they’re right in front of your face, you will probably never come up with tastier or more nourishing ideas, because you’ve got an easy out – something sweet, perennially tasty (even when you’re not particularly feeling cookies), and that requires no thought, effort, or preparation.

You’re human, which means you are an animal. Animals like to conserve effort wherever possible – including when it comes to acquiring food. So of course you’re going to take the easy way out.

However, a strong aside:

This is not a trick to get you to eat less.

This is, however, a trick to help you be the one making the decisions about it. I really don’t care how much you eat, because that is none of my (or anyone else’s) fucking business. That’s entirely between you and your stomach. I only care about your eating being enjoyable, nourishing, and satisfying.

At the same time, especially if you’re of the “Oops, I forgot to eat lunch!” variety, it’s important that food be reasonably convenient to you, so that you can continue having regular meals at regular times.

That still doesn’t mean it should be staring you straight in the face. It means that, if you’re busy and don’t have much time or energy to cook, you should find some quick and easy meals, even frozen or instant stuff…and then put them away until it’s time to eat.

It means that, if you sit at a desk all day long and often forget to take a lunch break, or bring a lunch to work, you should get some tasty, filling snacks…and put them in your desk drawer until it’s time to eat.

Or create a snack box.

I have a snack box. It’s where I store the food that I eat with my clients during sessions. Because we’re dealing with food issues like guilt, or shame, or vague fears about “unhealthiness,” a lot of this food is of the delicious, immediate-gratification variety. Otherwise known as “junk food.”

I discovered long ago that leaving this food just sitting on my desk – a Snickers here, a bag of chips there – instigated both Jeffrey and me to primal feeding sessions of the type not seen since Wild Kingdom. Which was rather inconvenient, since then I would have to go back out and buy the food all over again, and also since we’d not be very hungry for dinner. Which is a crappy feeling.

The solution cost like two bucks at Ikea – one of those cardboard cassette boxes with a lid.

I set that puppy on my desk, all the tasty snacks went in there, and it was just…no longer an issue. Not because we were disallowed from eating the tasty food (we can still raid it, in a pinch, and we still sometimes do), but because it suddenly just didn’t occur to us anymore.

This works because, first of all, neither one of us is a restrained eater, meaning we’re not abnormally preoccupied with food – and second, because it is no longer bossing us around by gazing into our hungry ape souls.

When we do decide to open the snack box, it’s because we really want that food, and it’s going to be awesome enough to be worth the hassle. Win-win.

That said, now for the figurative aspects of putting food in its place.

Food is only one important aspect of your life.

It is necessary for survival, yes, just like sleeping and going to the bathroom and drinking water. But, ordinarily, none of those activities consume our thoughts when we are not doing those things, or preparing to very soon do those things.

When we do start to become preoccupied with them, it’s usually because something is out of whack – we’re stuck in traffic with no bathroom in sight; we’re burning the candle at both ends to get a project done, or to nurse a baby; we’re hiking in hot weather and the water bottle is empty.

So, what does that mean for food? When you are preoccupied with it, outside of planning for meals to happen, or actually sitting and eating, then it could be a sign that something is out of whack.

Normally those things are either 1) you’re not getting enough to eat, or 2) you’re not getting enough permission to eat.

If you’re not getting enough to eat, it may just be a practical issue – you need more time. You need more money. Or you need to be a bit more organized about getting groceries into the house and food on the table.

You need to make getting fed more of a priority, just like most people normally do with sleep and going to the bathroom.

When you gotta go, you gotta go – and when you gotta eat, you gotta eat.

It may also stem from a lack of permission, which is the second issue, and which is something I see very often in my clients.

You need to give yourself permission – by saying explicitly to yourself that you have it, and then following through as though you believe it – to eat as much as you want. To eat the food you really, really like. And to eat frequently enough that you’re not starving in between times.

Sometimes a lack of permission is present even when you are getting enough (or sometimes too much!) to eat – though that sounds totally counter-intuitive. Even so, merely the hint of a thought of possible future food restriction, maybe, at some point, on the Fourth of Vague – that can be enough to set off the alarm bells in your crazy monkey brain.

And here’s how it responds:

“OMG SHE DISAPPROVES. MAYBE SHE WON’T FEED ME AGAIN. WHEN WILL WE EAT? WHAT WILL WE EAT? WILL IT BE GOOD, OR WILL IT BE THAT BLAND CRAP SHE EATS WHEN SHE FEELS BAD ABOUT HERSELF? WILL IT BE ENOUGH? CAN WE GET DESSERT JUST THIS ONCE? MAYBE WE SHOULD EAT THE LEFTOVERS RIGHT NOW JUST IN CASE.”

This is not only the sound of crazy-monkey-alarm-bells, it is the sound of food taking over your life in a completely inappropriate, and totally useless, way.

How do you get over it? Present yourself with enough tasty food at regular times, and then give yourself the permission to eat it. Even give yourself the permission to overeat it, since that is probably going to happen anyway for a while, until your crazy monkey brain starts to trust you again.

You may as well short-circuit the shame spiral, right now, and interrupt the feast-famine cycle. And since it’s hard to interrupt the panic eating part of the cycle, target the thing you can control, and stop beating yourself up about it. And for God’s sake, stop threatening yourself with thoughts of future restriction.

Once you’ve calmed down and stopped obsessing, you can work on directing your attention toward other things – like pre-planning some of your meals for the week. Like asking yourself what you’re hungry for, and then putting in some effort to make that happen. Like making a list of what you need to stock your cabinets and fridge, and then actually going and buying those things.

Like eating with a reasonable amount of attentiveness, and pausing to give yourself explicit permission.

You know – useful stuff. In manageable quantities. Right where it belongs.


If you feel like you need to work on this more, you can sign up for one of my groups, or work one-on-one with me.

And we’re also going to talk about it right here, cause that’s what we do.

Posted in eating, Humane Nutrition | 72 Comments

Lesson four – Emotional eating.

A lot of the time, emotional eating is discussed as a somewhat dirty little secret.

Even in the intuitive eating world (see #7), it’s presented as something undesirable, something that indicates you’re emotionally unstable and Not Very Good at Eating, but most of all, something that causes you to get fat. I’ve even heard emotional eating blamed for the Obesity Epidemic ™ (I’m not going to address that here, except to say: I Really Doubt It’s That Simple.)

But, to be honest, eating is inherently emotional. First, in the sense that it provides us pleasure, otherwise we probably wouldn’t take all the time and effort to find food, prepare it, and eat it. Because it is so essential to our survival as a species, it has, of course, become embedded in our brain’s pleasure-pathways as something intensely enjoyable (much like, ahem, other species-propagating activities.)

So whether you think you’re eating for emotional reasons or not, whether you’re doing it intentionally or not, all eating is fundamentally emotional.

On top of that basic biological foundation, we can place the obelisk of culture – all cultures use food as a way of bonding, expressing aesthetic values, celebrating regional flora and fauna, and marking both sad and happy occasions. To attempt to divorce food from this context and view it purely as biological fuel is not only overly simplistic, it is practically impossible.

This is a large reason why strict diets often do not play well with real life – because as primates, we live social lives, and as Homo sapiens, our social lives are organized into culture. We run into it at every turn: going out for coffee or lunch with a friend who needs some quality time; eating as a family on a Wednesday night; popcorn at the movies; holiday dinners; Shrove Tuesday; casserole to a grieving neighbour; cake at a birthday party.

When dieting turns you away from these traditions, or significantly complicates them for you, that is isolating. Sometimes it’s necessary, when it comes to a food allergy or therapeutic diet, or ethical and religious food restrictions, but its impact can be minimized, or it only centres around a limited set of foods to begin with, and the outcome is vital to survival or one’s moral values.

But I cannot help feeling that, when a voluntary weight-loss diet (by cutting out or significantly reducing broad swaths of the diet) imposes such demands on you, it’s destructive. It’s isolation from the larger culture and a way of bonding with others, done through emotional blackmail of the evillest sort: No one will love you unless you’re thin, or at least repenting of your fatness by making a visible, distinctly pleasure-renouncing effort to become thin.

Which makes dieting, itself, a form of “emotional eating” – eating a certain way in an effort to gain love and acceptance.

But, the way that emotional eating is most commonly understood and portrayed is eating directly in response to an acute emotional upset – stress, trauma, anger, sadness, rejection, worry. This type of eating is institutionalized in media through the trope of Sad Girl Eats Ice Cream from Container; or Harried Woman Eats Chocolate with Eyes Closed; and even Woman Laughs Alone with Salad.

(Which brings me to an important pet peeve, that “healthy eating” is never portrayed in images by anything other than FRUITS AND VEGGIES!!! and, most often, a white lady eating/cooking them. However, one cannot live by salad and laughter alone. Not for very long, anyway.)

I find this annoying because it presents emotional eating in a good-food, bad-food light (and images of orgasmic chocolate experiences have become part of that good-food narrative now that chocolate, or specifically, dark chocolate, has been officially approved by the Foodguilt-Industrial Complex), but also in a very gender-stereotyped way.

Women eat when sad. Women orgasm for chocolate. Women eat virtuous salads.

Men eat things like Manly Steaks and Beef Jerky and Dos Equis and Delicious Bacon and Dr. Pepper Ten (and they wash their faces with soap that comes in gunmetal grey packaging, and their shower gels don’t contain moisturizers, they use HYDRATORS, and they don’t even wash, anyway, they DETAIL because their bodies are machines, MANLY EMOTIONLESS MACHINES.) And they do it all between kickin’ ass and takin’ names. Women, meanwhile, eat and moisturize between bouts of laundry and bathroom-scrubbing.

Why yes, I have been drinking many cups of coffee. Emotionally.

Anyhow. The thing with emotional eating is that we, as a society, are in denial about it. Because it’s bad to have and express emotions, somehow, and that leads us all to do this thing that every single person in the world and all of human history has done at some point, in a secretive, guilty, furtive way.

Herein lies the problem.

When you are secretive, guilty, and furtive about your eating, it is not satisfying.

I absolutely agree that eating cannot solve life circumstances or emotional problems, but it can provide pleasure, comfort, a shared experience, and enough distraction to distance you temporarily from the problem at hand – and this is not a bad thing. We all need things like this in our lives – it is a legitimate coping mechanism for when things get a bit overwhelming. And, if anything, food is one of the more benign substances we can use for this purpose.

Used exclusively for escape, no, it is not healthy. But, ironically, forbidding emotional eating may actually cause people to use it this way – forbidden fruit syndrome being what it is. Forbidding it is also going to distract us from doing the thing that can help – using emotional eating as a trigger to investigate our emotions, and to acknowledge what is actually going on that food can’t fix.

Because we will be too busy feeling guilty and trying to hide the evidence to matter-of-factly assess the situation – or even to enjoy the goddamned food in the first place.

So – emotional eating: learn to do it well. Here’s how.

1) Acknowledge that something is going on for you emotionally. Take a moment to name it, if you can. It can help to write this down on a piece of paper – even just one word or phrase, like “sad” or “bored” or “freaking out.”

2) Pick a food that is really, really enjoyable – not just the random thing sitting on the counter, or even the thing that you always go to, out of habit, without asking yourself “What do I really want right now?” Get enough of it, too – you can always save extras for later, by storing them in a convenient but not distracting place (we’ll talk about this next time.)

3) Find a comfy place, without external distractions, to sit. (Put on pajamas or comfy pants too, if practical.) A recliner or couch is awesome. Turn off the TV and the computer, or turn your chair away. Close the book or the magazine or the newspaper. This will only take a few minutes, and then you can go back to what you were doing.

4) Remind yourself that eating is morally neutral – you are not doing something “bad” by eating delicious food. You are simply being human. (And if you have worries about the ethics of food production, you can address those things with more upstream, systemic approaches – beating yourself up at the point of food-on-plate, or depriving yourself of foods that matter a lot to you, won’t fix a problematic food system.)

5) Give yourself full permission to have as much as you want. Say it out loud if you can, or say it internally, sort of like saying grace before a meal.

5) Eat the food. Pay attention to how it looks, smells, and tastes, how it feels in your mouth and throat, and how it settles in your stomach. Give yourself the mental space to just have the physical experience of eating.

6) Pay attention to whether the food reminds you of anything, has family or other associations, brings up familiar feelings and memories.

7) Your mind will wander to random things – let it. Just check in, periodically, with the food and your body.

8) Eat until you are truly, honestly satisfied. Even if that means going back for more.

9) Afterward, assess how you feel again – have you felt comforted? Do you have a little distance? Is everything feeling a little less…intense? What else do you need to take care of yourself? Go and do that, or make a promise to yourself to do it later, when it’s practical. Write it down.

In short, emotional eating can be healthy and useful – if you do it with your eyes open, and short-circuit the shame spiral with permission.

This will take practice – guilt is not something you can unlearn with one try. If you do it consistently, daily or a few times a week, even when you are not in emotional distress, you will be ready for the times when you are.

If you feel like it’s time to commit to eating well, I’ve just opened sign-ups for January groups, or you can do the program one-on-one with me.

But we can also talk about it (for free!), right here on the blog.

Posted in eating, Humane Nutrition | 68 Comments

On not being a dietitian.

Just a note – this is a post directed at systemic issues, and specifically the way my field is structured, and is not at all a complaint about the work I do currently, which I love – or about my readers and clients, whom I also love. It’s also an explanation of sorts for the media, who often mistake me for a dietitian. Many of my fellow dietetics students have expressed similar frustrations.

So, here’s the thing: I’m not a registered dietitian.

I know it’s confusing, since I have an accredited degree in dietetics, I’m a member of Dietitians of Canada (and formerly of the American Dietetic Association too, but they sent me too much shit in the mail from food and diet companies), I’ve received extra training through DC- and ADA-approved workshops, I’ve attended honest-to-goodness dietetic conferences, and I’ve worked in legit hospitals doing legit clinical nutrition stuff.

But, still, I’m not a dietitian – and I use the generic, mostly meaningless term “nutritionist” to describe myself.

What I am is someone who teaches people about normal, healthy eating.

I teach people to give themselves permission to enjoy food and eat enough to feel satisfied, to have regular, reliable meals, to find out which foods help them to feel good, to pay attention when they eat so that they can enjoy it and learn from it, and to learn to value healthy eating in its own right, because it feels good and makes one’s life better, without it being contingent on weight loss.

Here’s what I don’t do: clinical nutrition. I don’t assess, diagnose, or treat disease with nutritional therapies.

Sometimes my clients, people who want to learn the basics of normal eating, also have diseases with a nutritional component – diabetes, celiac disease, high cholesterol, etc. And I don’t refuse to work with people who have diseases, provided they receive diagnosis, support, and treatment for that disease from a qualified professional – who isn’t me.

Because I don’t practice clinical nutrition. So I guess it’s a good thing I never actually wanted to.

In October I graduated with a science degree that, without the attached RD behind my name, is essentially worthless in my field. I have spent the last nine years not only learning about nutrition at an accredited school, but working in nutrition at various hospitals, and, according to the way the profession is set up in Ontario, I have achieved nothing. I am qualified to do…nothing. Because I have not endured the professional hazing of dietetic internship.

I’m sure you can detect my bitterness.

I am, and always have been, a fan of the scientific method. I believe science is limited in what it can prove, but remains the best way we have to investigate the natural world. Is it perfectly objective? No, but only because it is practiced by hopelessly flawed human beings. But, battered as its practice has been by our nasty little biases, I still love it, and still believe it is the closest we can come to being objective, to learning whatever does exist of universal truth.

I’m a science girl, and a nutritionist in the lay sense of the word. I have a good education, good training, and good experience. The one thing I’m not is a registered dietitian.

When I refer to a dietetic internship as a “hazing,” it’s not because I believe dietitians are mean or evil. In my five years working in various nutrition departments at various hospitals, my bosses have always been dietitians, and I have loved, really loved, them – as people, as practitioners, and as scientists. Because that’s exactly what they are, despite hardly ever being credited as such.

But I’ve also experienced the necessary underbelly of that world. The conveniently gender-, race-, and class-stratified social and professional hierarchies of the clinic. The interpersonal tensions, the brutal systemic limitations, and even on occasion, the subtle violence of professional jealousy.

I had enough – I got my experience, learned what I could learn from the truly remarkable women whose decades of experience made me feel like a tiny speck in a huge, wondrous world; I took my lumps; I jumped through hoops; I got out so I could finish what I started.

Eleven years ago, I decided to study nutrition because I read a passage about normal eating from Ellyn Satter in the book Losing It by Laura Fraser. It was a revelatory answer to the question I’d asked myself – “How then shall I eat?” – and spent my time and energy searching out, only to find a cesspool of lies, disorder, unscientific thinking, and shameless contortions of logic. I decided then that this – teaching ordinary people to eat normally, based on sound science – was what I wanted to do.

Ellyn Satter was (and is still) a registered dietitian, and I wanted to do what she did – so I set out to become a dietitian and to learn about the science in the answer I’d stumbled upon.

Along the way, I figured out that I didn’t actually want to be a dietitian, nor did I need to be to do what I’ve wanted to do all along.

So in October, I walked across a stage and took possession of a hard-won piece of paper that made me…nothing. After spending a third of my life and tens of thousands of dollars on this project, I’m no one of consequence to anyone who matters professionally, and may eventually be called a quack and a charlatan because I do a job that hardly anyone in the world does – defending normal eating against the encroachment of a disordered, deeply classist culture, helping ordinary people pick their steps through the muck of anti-intellectual horseshit that is pop nutrition – and I do it audaciously without those two letters, R and D, behind my name.

Because I don’t have the resources, emotionally or financially, to spend a year doing hard, unpaid labour as an intern at the same hospitals that used to pay me by the hour for doing similar work. And maybe because I am troubled by the financial connections between the letter-granting organization and various food- and diet-industry concerns.

I have an education that makes me more qualified than most of the authors who write mass-market diet books – but because I’m not a dietitian, it doesn’t matter. I exist in the gray margins, professionally and scientifically – and our society does not do margins (or shades of gray) very well.

Do I think it’s unfair? Yes. Does it make me angry? Yes. But I accept it for now, because, thankfully, what I do and what I’ve learned still matters a whole lot to me. If you’re reading this, I suspect it matters to you, too.

So, until I figure out all of this big professional mess, I remain

Yours truly,
Not a dietitian.

Posted in Critical Dietetics | 59 Comments
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