On Airbrushing..

In brand-new, not yet published research, my friend and colleague Dianne Neumark-Sztainer and colleagues at the University of Minnesota and the University of California, San Diego have found that messages from parents about weight and body image have a significant effect on adolescent body image. I have worked with a number of families in which a child, usually a daughter, is all of a sudden worried about her weight triggered by a parent who is dieting and/or talking a lot about how much she (or he--dads can have an affect here too) doesn’t like her body. I tell parents that if they are going to diet, DON”T TALK ABOUT IT!! in front of the kids. Dianne’s group also found that when parents when parents eat well, overweight teens tend to follow their example. Watch for this study: Family Weight Talk and Dieting: How Much Do They Matter for Body Dissatisfaction and Disordered Eating Behaviors in Adolescent Girls? in next issue of the Journal of Adolescent Health. I think that it is important to point out that parents are not to blame for eating disorders!- however, there are ways that a parent can impact her child for the better and support the child in such a way that is effective! I had the awesome opportunity to ask Marcia Herrin, a nutritionist specializing in working with eating disorders and weight issues, a few questions, and wanted to share some of the helpful tips that she suggests for parents. Dr. Herrin is very respected in the eating disorder field- she founded the Dartmouth College Eating Disorders Prevention, Education and Treatment Program. She has a masters in public health as well as a doctorate in nutrition education. She currently runs a private practice and works with children and adults struggling with eating disorders and weight issues. For more information on Marcia, follow this link. Me: If you are a parent who suspects that your child is struggling with food, whether an eating disorder or disordered eating, what steps might you encourage them to take to help their child? Marcia: First call your child's doctor or your area's most respected expert for their assessment of the situation. Then talk directly (calmly and kindly) to your child about your concerns and observations. Let them know that you are worried but not mad. In our book we say if you are "open, receptive, curious, honest, tentative, and work hard at understanding your child's point of view... no matter what words you use, your chances of success will be greater." Me: Chapter 8 in your book is wonderful. It touches on body image and the ways that our own body image affects the body image of our children (and by extension those around us). Can you share a little bit about how a parent's negative or unhealthy view of their body or food can affect a child? Do you have any advice for parents who struggle with their body image or self-esteem? Marcia: "Keep it to yourself" is the advice I give parents about their own struggles with body image or self-esteem. One of the riskiest situations is when a child observes one parent teasing the other about their weight or eating habits. Parents, even if they struggle to believe it themselves, need to preach "it is not what you look like that matters; it is who you are as a person and what you do." Me: You write about PAMS (Parent-Assisted Meals and Snacks) and appear to have much success with this model, which has been adapted slightly from the Maudsley method. Can you share the heart behind this method and the success that you have seen with teenagers that you have worked with? Marcia: One strength of PAMS comes from "saving face." When parents take over responsibility for the eating disordered child's food, the child has to eat even if she doesn't want to. She doesn't have to give up her eating disorder. She can relax knowing her parents aren't going to let her starve to death. She doesn't have to agree to eat, she is made to eat. PAMS helps parents know what and how much to feed their child. Some parents can figure this out on their own, but PAMS helps parents who are stressed and overwhelmed by their child's eating disorder hit the ground running with an approach to food that works. I have been in the field of eating disorders for nearly 25 years and I have never seen any other technique turn an eating disorder around as dramatically as PAMS does.Watch Dieting and Bad-Body Talk in front of your Kids
Marcia: Do not comment on your child's weight. Eat together as a family as often as possible. Do not talk about dieting or weight issues (yours or anyone else's) in front of your child. Do make sure lunch and dinner meals include protein and dessert.
"I have been SO bad today!" "I ate soo much yesterday, I cannot possibly eat today." "After that breakfast, I'm good until dinner!" How many times have you heard these kinds of comments, or made them yourself?? These are comments that we probably have all made at some point, and have also probably heard someone else make. So what's the problem with this kind of thinking about food?? Well, aside from being a form of 'fat-talk', this kind of thinking is very black-and-white, which is not usually an effective way to think about things. We see each decision or action as a total success or a total failure, which is rarely ever the case.
You know it's a weird month in celeb-land when Good Housekeeping cover girl, Michelle Obama,is photoshopped within an inch of her life and Marie Claire cover girl, Jessica Simpson, is not only un-airbrushed, but also sans makeup.
Both women are known for their beauty (oh, and by the way, Ms. Obama might also be married to the President of the United States, or something) and have been targets of intense media scrutiny regarding their looks. So it is fitting that each in her own way -- and you can't possibly be more surprised than I am that I'm putting Michelle Obama and Jessica Simpson into the same category -- is on a current campaign to reshape global attitudes about our bodies.
Ms. Obama has made headlines recently for departing from previous First Ladies' safe platforms and tackling the touchy subject of childhood obesity. After launching a nationwide initiative to "end childhood obesity in one generation" she reinforced her point by revamping the traditional Easter celebration at the White House. This past weekend she removed all candy from the candy-infested holiday and instead treated children to exercise stations hosted by Olympic athletes, hand-washing stations and the inexplicably named "pre-screened" fruit in their goody bags.
Strangely, the same media that laments the obesity crisis on a daily basis lambasted the First Lady for "stealing Easter." The Easter Bunny notes that he is "not threatened" by Ms. Obama, although he thinks some of the Olympians might have been looking at him funny.
Also making mixed headlines, Ms. Simpson has been traveling the world for her new reality show "The Price of Beauty" showing what women in other cultures perceive as beautiful and the means they use to achieve it. This week's episode had the girls and their hairstylist visiting Uganda to watch women being fattened in the name of beauty. This ritual, which to my Western eyes seems every bit as eating disordered as anorexia or bulimia, highlights an important point: not everyone thinks thin is as in as we do. In fact, adiposity is adorable in some cultures.
Somewhere in these extreme messages, there is a middle ground. Catwalk thinness and obesity are both undesirable from a health perspective. And neither should be a moral statement about the person possessing said body. Now, if only we didn't have to photoshop our already-gorgeous First Lady or take contrived pictures of the already-gorgeous Jessica Simpson to prove it.
To view the article as it was published on the HP, follow this link.