I just posted to say I love you.

Hi! I’ve missed you.

I’ve been working like crazy, but we’ll get together again soon. I have some stuff I’ve been thinking about, not least of all, my own weird realizations about food and the way I eat.

Not surprisingly, focusing so much on food and eating with my clients has bled over a bit into my personal life, and I find myself noticing some interesting things. For example:

  • Pizza is more satisfying when cut into smaller (and more) pieces.
  • Pizza only feels like a “real” meal when I have a salad on the side.
  • Ditto macaroni and cheese.
  • Eating lunch earlier in the day feels better than having it at a “normal” time.
  • Meals don’t feel complete without a big, cold glass of water alongside.
  • I accidentally ate reduced-sodium tomato soup today and didn’t notice it. I previously hated it.

What about you? I miss you.

Love,
Michelle

P.S. Sharing and caring in comments. Cookies may or may not be served. Hugs guaranteed.

Posted in Random Shit, eating | 155 Comments

Mini-editorials on obesity/HAES.

Reader closetpuritan sent me this link to a series of mini-editorials in the New York Times.

Our friends Harriet Brown and Ellyn Satter are among them, along with confused crusader Kelly Brownell (I’m sure he’s perfectly lovely, really.)

And, in comments, the always-amusing Ms. M. Roth!

I’m having a catching-up-on-email day, so I should be hanging around to moderate comments and get into arguments. Read and let’s discuss.

Note: Please let’s not smear Roth (or anyone else.) I obviously disagree with her pretty strenuously, and I also think her tactics are in poor taste, but we should stick to the facts when discussing her and not delve into speculation about her personal life and/or psychological state. There’s still plenty to criticize without going there. She’s also a for-reals human person, and I’d prefer not to be unkind.

Posted in News | Tagged | 79 Comments

Watch me eat a Cadbury Creme Egg.

Posted in eating | Tagged | 144 Comments

Saying goodbye to my waist.

This is going to be a rambly, self-indulgent, stream-of-consciousness kind of post, so I apologize in advance.

But it recently occurred to me that I have been in a long, gradual process of saying goodbye to my waist. I’ll explain.

As a teenager, I was never thin. I passed for mostly normal (with a big butt), and was always “overweight” by BMI standards. Needless to say, I pretty much hated myself, since that’s par for the course as a teenage girl in this culture. Frankly, I thought I was gross.

(Despite many helpful men in trucks loudly assuring me I was not.)

My one redeeming feature, it seemed to me, was that on top of my wide hips sat a comparatively narrow waist. And I fixated on it. It was, at times, the only thing that kept me from abandoning myself to the despair of total self-hatred, odd as that sounds. It was the one part of me that I felt was, for certain, socially acceptable.

Not my big nose, not my oily skin, not the cellulite on my thighs, not my fat ankles. My waist, and only my waist.

Over the next ten or so years, I would gain a hundred pounds. I would go from being a curvy-but-basically-normal teenager to a frankly fat woman.

For much of that time, through my twenties, my body shape itself did not change much. I looked the same, comparatively small waist and all, just…wider.

But in the last couple of years, as I’ve approached and then passed 30, that has changed. I’ve been watching with interest (and a little anxiety) as my body ages and does the things that it’s programmed to do: tiny surface creases have appeared around the outer edges of my eyes when I smile. Silvery-grey hairs are appearing with more vigour along my temples. My fingers are plumper, the skin on my hands more creased.

And I’ve grown a belly.

I denied it for the first couple of years. I resisted so strongly, in fact, that I wore corset-style bras just to feel normal in my body, so I would look the way I was accustomed to look in clothes.

I look back on it now as a transitional stage I had to go through — and I still keep a waist-nipper on hand in case of sartorial emergency — but I got rid of the corsets not long ago, and began to comfortably wear my clothes without them.

A friend I’ve been close with since the sixth grade came to visit me in the summer. We were at a someone’s house, talking, and I’m sure the topic turned to weight and body image. My old friend has always had a remarkably different body type than mine — long and slender instead of squat and pear-shaped, but with just a hint of belly. We’ve both admitted to having envied the other’s body shape through the interminable torture of adolescence.

Anyhow, on this evening, I stood up to walk into the kitchen, our conversation about bodies trailing off, and I heard her say, quietly, “…you always had such a tiny waist.”

I looked down at myself and had my first conscious thought that that was no longer the case. The body I had mentally defined myself with for so many years was gone, replaced by another I was still getting to know.

Even during all the corset-wearing and fretting about keeping my waist looking slender in clothes, I hadn’t really admitted to myself what it meant. It was just something I had to do to feel normal, and I tried not to think too much about it. Probably for fear of what I’d have to face, which are the things we all face — growing older, changing, losing the easy social acceptability of youth.

But when the realization hit — that I was, indeed, losing my waist — it came with another realization, totally unexpected: I really don’t mind very much. I actually kind of like my new body. And I can look back on old pictures of myself and appreciate what I thought was so hideous at the time, but still feel happy to have what I’ve got now.

If you know me personally, you know that I don’t wear much jewelry, aside from my watch and wedding ring. Nothing on me is pierced, including my ears, and I’ve never really owned a necklace or bracelet as an adult.

If you follow my inane ramblings on Twitter, you’ll also know that I got pearls for Christmas. Or, rather, that I strong-armed them out of my mom (thanks again, Mom!) because I’m an insistent brat who suddenly takes a fancy to something and cannot let it go.

When I turned 17, my mom gave me another piece of jewelry as a gift — another thing I’d suddenly and inexplicably fixated on: a shell cameo brooch, carved in the typical profile of feminine youth. I wore it constantly on a velvet ribbon around my neck, and then put it away when I got married. It’s not surprising that I strongly associate that shell cameo with youth. In my mind, it’s become a token of that period of my life.

And, subsequently, I think the reason I got those pearls, why I wanted them so intensely, was that they signified something about passing from youth into maturity. It was an assertion that there is as much beauty in maturity as in youth — even though it’s rarely admitted by our culture.

I decided I wanted to cultivate that, to appreciate it, after having spent much of my twenties stealthily avoiding cameras, wishing I could reinhabit my teenaged body, and absolutely dreading the thought that I was aging and would soon end up on some kind of social refuse-heap of oldness.

When I got them, I took the shell cameo out of storage. It now lives pinned on the lapel of my coat, like a merit badge of something accomplished, an adolescence survived. I wear the pearls daily, in the cameo’s former place, as an acceptance of finally feeling like a Real Adult, and as a way of showing how pleased I am with it.

The same goes for my belly. When I got rid of the corsets, it took a while to get comfortable wearing my belly so openly. Now it doesn’t faze me, and for the first time in my life, I can look at recent pictures of myself without cringing in horror. When I get up in the morning, and take my usual pains in getting dressed, I actually like how I look in a way I haven’t since early childhood.

I can’t help but think how funny it is that, in the end, gaining a hundred pounds and losing my waist really hasn’t turned out to be so bad. Actually rather nice.

Posted in D-d-dancing with myself, Liking Yourself | Tagged | 57 Comments

An open letter to my inbox.

Dear anyone who has emailed me recently,

I’m sorry I haven’t gotten back to you. For some reason, my inbox has seen a torrential avalanche of activity lately. (And a mixed metaphor, apparently.) I want to respond to you, particularly to anyone who’s struggling and needed to ask a question. And I will get back to you eventually. Thanks for waiting on me.

I’ve also heard that lots of people’s emails are bouncing, and I’m going to figure out what’s going on. If this happens, comments are pretty reliable way of reaching me, and I’m also on Twitter as @fatnutritionist, so you can try reaching me there.

I’ve also noticed my site is loading veeeeery sloooooowly. I’m working on it.

In the meantime, I hope you will accept this photographic evidence of me trying to figure stuff out:

Sincerely,
Michelle

Posted in Random Shit | 7 Comments

Getting good at eating.

When I was recovering from dieting, I was terribly conflicted about how to eat. I went through a period where I ate chocolate by the box, and then stopped paying attention to nutrition entirely for several years, because it was too fraught for me. Eventually, I got to the point where I alternated between undereating and overeating because I just had no idea what to do.

During that time, I encountered Ellyn Satter’s approach to nutrition in the first book I read on fat acceptance, Losing It by Laura Fraser. Reading that book brought me the realization that I no longer wanted to diet, and, because of the interview with Ellyn Satter, I also realized I wanted to work in nutrition, helping people to overcome chronic dieting and disordered eating.

So, just the other day, a conversation on one of Lesley’s posts at Fatshionista brought me to the point where I had to introduce the idea of eating competence.

A lot of what I’ve written on this blog has been leading, slowly, up to this. But I haven’t broached it yet, because it’s been critical for me to first build the foundational argument that it is your right as an adult to eat whatever, and however you want.

And that it’s no one’s business to tell you to do otherwise. End of story.

So, what of eating competence? Also known as ecSatter, it’s a concept developed by Ellyn Satter (and protected by her — this will become important later) that’s based on her clinical observations of how people who do well with eating…eat:

I consistently found prescriptive dietary interventions to undermine my patients’ foodways, to destroy their ability to intuitively regulate food intake, to worsen their nutritional status and to spoil their attitudes about eating. Because eating is so central to life, my patients were not only demoralized about eating, they were demoralized overall. Because it was so glaringly clear to me that the harm far outweighed the benefit, I changed my ways. Rather than trying to control or subvert their natural tendencies to regularly provide themselves with ample and enjoyable food, I learned to build on those tendencies by emphasizing permission and discipline:

Basically, eating competence describes how “normal” eaters eat. It’s descriptive in that sense, and prescriptive only for those people who are uncomfortable with their current eating, or who worry about their nutrition and health, and seek to make a dietary change.

People who already feel they are doing fine? Excellent.

This is not a set of “shoulds,” nor is it a prescription to change the way you currently eat. Discard at your leisure.

But the people who come to me to learn to eat don’t feel they’re doing fine. They have considerable anxiety around food, and feel lost or resentful when it comes to nutrition. And the purpose of my work is to help them get good at eating.

I do that by using the best-researched approach available, which is the eating competence model — and, not, incidentally, Weight Watchers:

Even Weight Watchers, which many people tout as the best of the diet centers because of its reliance on real, fresh food and flexible menu choices, doesn’t help people learn to develop a sense of inner competence about eating. ‘What it comes down to is the issue of trust versus control,’ says the nutritionist Ellyn Satter…who treats what she calls ‘dieting casualties’ in her practice. She believes that people need to learn to trust that they will get full, even on food they consider highly desirable, and know that they can reliably regulate their own food intake, rather than depending on outside rules to manage those choices. ‘Weight Watchers is pretty good at liberalizing food choices, teaching people how to eat attentively, and encouraging them to increase the variety of food in their diet,’ says Satter. ‘But it’s still fundamentally a control stance they use.’ When people rely on outside rules, scales, and diet cops to regulate their eating, their relationship to food remains brittle.

-Laura Fraser, Losing It

As it turns out, there are four factors that comprise eating competence:

  1. A good attitude toward food and eating. People with good eating competence enjoy eating, and they don’t feel guilty about either food or their enjoyment of food. They are pretty relaxed about it.
  2. They are also decent at trying new things, and at eating not-super-favourite foods when the situation calls for it. They are not afraid of food — even “unhealthy” food — and, as such, they manage to eat a decent variety.
  3. They are pretty good at internally regulating how much they eat. They can feel hunger. They can feel satiety. They can comfortably eat until they are truly satisfied, both physically and emotionally.
  4. They plan ahead to feed themselves. They do the work necessary to ensure there is food on hand, and they have regular meals. They give some thought to nutrition, as well as taste, when selecting food. They make the time to eat, and to give some attention to their food while eating.

What are the outcomes for people who tend to eat this way? Well, they tend to have stable body weights (even if they are fat.) They also tend to have better blood pressure and blood cholesterol levels, which translates into a lower risk of heart disease.

The basis of Ellyn Satter’s message is that good nutrition depends on the enjoyment of food, first and foremost. She is famous for saying, “When the joy goes out of eating, nutrition suffers.”

From the perspective of ecSatter, enjoyment and pleasure are primary motivators for food selection, and nutritional excellence is supported by enjoyment and learned food preference based on subjective reward from eating.

-J Nutr Educ Behav. 2007 Sep-Oct;39(5 Suppl):S142-53.

That’s why, when it comes to teaching people eating competence, the first priority is to enhance their enjoyment of food, and reduce their anxiety and guilt about eating — before any thought to nutrition enters the picture.

Population food surveys have consistently shown that people’s first priority in selecting food is how it tastes. This is not going to change just because the nutrition establishment thinks it should — instead of fighting against people’s desire to eat pleasurable food, the eating competence model works with it.

And, instead of fighting against your own body’s natural weight tendencies, eating competence also endorses self acceptance.

This has just been a brief introduction to the concept. We’ll discuss it in more detail in posts to come.

Pelt me with rotten (or sundried) tomatoes in comments.

Posted in eating | Tagged , | 108 Comments

Get Out of Jail Free cards.

I was making my coffee the other morning (I’m an apostate who drinks instant coffee at home, for various practical reasons, most of which have to do with me being a super-clutz who’s broken more coffee carafes than the coffee carafe industry can possibly keep up with) when I noticed something odd about the coffee label.

Let’s back up for a moment to detail my reasons for drinking coffee. Reasons which, I think, probably apply to the vast majority of coffee-drinkers.

  • I like the taste.
  • I like the caffeine buzz.
  • I like the ritual, and the emotional comfort of it.

You notice what’s not on that list?

Antioxidants.

That’s why it tripped me out to notice the big label on the can.

I mean, it’s been there a while. Sure, I’ve noticed it before. But I never really noticed it until that morning.

Inspired — and in a half-awake undercaffeinated haze — I decided to grab the nearest thing and look for a similar label.

Since we ran out of milk the day before, and since we drink Canadian-style wussy coffee (meaning with milk or cream, plus sugar — black coffee is an abomination unto the Lord and shall not defile this house), the nearest thing was a delicious powdered non-dairy creamer. Which we keep as back-up to avoid a potential coffee crisis.

(Priorities, people. We have them.)

So I grabbed it, and guess what?

CHOLESTEROL FREE, YO.

Which, you know, I suppose is useful information if you have significant dyslipidemia (that is, high blood cholesterol levels) and are sensitive to cholesterol in food (which not all people are, especially not at levels as low as a spoonful of cream or milk in your coffee. Saturated fat is now pretty well-known as the culprit in raising people’s blood cholesterol, and it’s been established that the dietary cholesterol panic of the 80s turned out to be misguided.)

The lactose-free label, well…I take no issue with that. It’s something useful to have, front and centre, if you want to expand your market to include the many folks wishing not to endure a torrent of gaseous mishaps in the course of enjoying their morning brew.

So, quick analysis, what’s up with these largely irrelevant labels on things? Especially things that I wouldn’t really think of as “food” in the first place, and which don’t contribute significantly to your total intake? (I mean, coffee is largely non-nutritive, and a teaspoon or two of fake coffee creamer is pretty damn close to non-nutritive. And, in any case, most people don’t drink more than one or a few cups of the stuff in a day.)

My hypothesis is that, rather than the default cultural attitude toward food and food-like substances being “it’s fine to eat this, and it probably has things in it which are good for me, or, at least, are not actively harmful” we’ve reached a point, collectively, where our default attitude tends to be, “Should I eat/drink/ingest this? Is it poisonous? Am I allowed?

Coffee (and caffeine itself) has become a particularly loaded substance in certain dietary circles. When I was dieting, I also avoided drinking coffee…for no specific reason I’m aware of. Because it was The Thing to Do. Because coffee was vaguely regarded as A Bad, Unnatural Thing.

Part of the package of virtuous self-denial included giving up coffee (and diet soda, and and and…whatever not-particularly-harmful or not-particularly-nutrition-impacting thing someone enjoyed just for the sake of it. Because food had become a tool, and only a tool. Everything consumed required instrumental justification.)

That’s a whole lot of anxiety to carry around. Enough that it’s going to make you second-guess your habitual purchases. Which is not very good for the folks who sell instant coffee.

So, what can the food-industrial-complex use to smuggle its products through the barbed-wire fence of ambivalence erected by its twin sister, the diet-industrial-complex?

A label.

A label that, despite seeming to give you straightforward, useful information about antioxidants and cholesterol, is actually telling you, “Just this once, you’re exempted from guilt. You are granted permission to drink this coffee for Specific, Nutritional Benefits — not for the evil caffeine buzz, not for the comforting emotional associations. Not just because it’s enjoyable. Because it has antioxidants, and it’s cholesterol free.”

In short, it’s a Get Out of Jail Free card. From a jail I believe they helped build.

To you, the guilt-ridden consumer, from the food industry with love.

ETA: Awesome reader Bookwyrm made an equally awesome Get Out of Jail Free card. Read it and weep.

Kaffee klatsch in comments.

Posted in eating | Tagged , , | 119 Comments
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