On 'Health'

In going along with my new theme of 'compassion' (see this post for more), I really really want to address the comments that Rush Limbaugh made on Monday about Michelle Obama. I just heard about this-- and am thankful for an opportunity to work on being compassionate:-). For those of you who haven't heard (I almost hate to tell you), but on his radio show on February 21st, Limbaugh made some pretty inflammatory comments about the First Lady. As you may know, she has worked very hard on initiating a campaign to fight childhood obesity. There have certainly been mixed feelings from the eating disorder community concerning her approach, but nonetheless, she ended up adding eating disorders under the campaign's umbrella and is (hopefully) working to address eating disorders as well.

Anyways, from what I understand, Michelle O. was vacationing at a ski resort recently with her family, and it was made known that she enjoyed a nice dinner while she was there, which included ribs. Limbaugh's comments: "The problem is, and dare I say this, it doesn't look like Michelle Obama follows her own nutritionary, dietary advice. We hear that she's out eating ribs at XXXX calories a serving with XXX grams of fat per serving. I'm trying to say that our First Lady does not project the image of women that you might see on the cover of the Sports Illustrated Swimsuit Issue or of a woman Alex Rodriguez might date every six months or what have you." He went on to say, "She's a hypocrite. Leaders are supposed to be leaders. If we're supposed to eat roots and berries and tree bark, show us how." Yikes!!!

While I am really sad that he made these comments, and would like to respond with some choice words, I think this is a great opportunity to address an important issue! Perhaps this whole exchange once again highlights the fact that we really struggle with extremes in our society. Black and white thinking, the 'diet mentality' .... call it what you want. But seriously-- who decided that you can't be healthy and eat ribs at dinner when you're on vacation (or not on vacation)? Being truly healthy requires moderation and balance. Simply eating "roots, berries and tree bark" would be just as much of a problem as if we all ate ribs for every meal.

Another thing I want to challenge is the assumption that looking like a swimsuit model is the picture of health. I could be wrong here, but it sounds like Limbaugh is saying that Mrs. Obama should look like a model. You cannot tell how healthy someone is simply by looking at them. Of course in extreme cases, yes- you can see with your eyes when someone might be ill (very underweight or very overweight). But people who may look fit, toned or 'in shape', thin, those who look average and healthy, ... they may have heart problems, blood pressure problems, bone density issues, etc due to unhealthy behaviors (diet pills, over exercise, steroids, purging, etc)... You never know how someone is treating their body and you never really know how healthy someone is just by looking at them. To infer that Michelle Obama needs to look like a swimsuit model in order to prove that she is following her own dietary advice is almost kind of funny because it is just so not true. The suggestion that swimsuit models or girls that A-Rod dates are the barometer of health is, in my opinion, one of the reasons why women in our culture struggle so much with knowing what it is to be truly healthy, not to mention why they have a tough time believing that beauty comes in all shapes and sizes. Most people (95% of the population in fact) could be healthy, balanced eaters and no matter what, will not ever have bodies that look like models. 5% of the population has a body type in nature that resembles that of a model.  And then there is airbrushing...  many of the models and images that we see are not even real. The point is- we aren't all made the same and we all have different body types, bone structures, etc. It is irresponsible to perpetuate the myth that 'health' looks one way, but it is also irresponsible for us to buy into it.

This post is getting lengthy- so I will conclude by encouraging you to think about what true health is and where you came up with your beliefs about what it is to be healthy. 'Health' is a loaded word. Limbaugh's assertions about health are clearly skewed, but remind all of us that we need to take a step back and consider what true health really looks like. Are extremes a measure of health?? How do you know if you are being truly balanced in your approach with food? These are important questions to consider.

Happy New Year, friends! While I planned on my first post of 2011 being lighthearted with some encouraging thoughts for the New Year (don't worry, those are coming soon), I felt like I needed to first address something that has been coming up the last few days in many conversations that I have had with friends and clients alike. French model Isabelle Caro died at age 28 after a long struggle with anorexia. She had been struggling with anorexia since her youth, the struggle spanning half of her short life. When she entered the world of modeling, she was already struggling with her eating disorder; however, the environmental pressures resulted in further triggering her into an extremely dangerous state which in 2005 ultimately led her into a coma. Doctors thought that she would not survive, but she came out of the coma, was discharged from the hospital and continued to model. She wanted people to see the devastating effects and impact that an eating disorder has on its sufferer, and as a result, she decided to pose nude for an Italian advertisement in 2007 in an attempt to de-glamorize the thin ideal. More recently, within the last few years, she had been on different television shows and news programs discussing her experience with anorexia. Her recent death is extremely upsetting- and this entire story has raised some really important questions for me.

First, in 2007, when Isabelle posed for this campaign, she reportedly said regarding her intentions and hopes for such a campaign.. "I've hidden myself and covered myself for too long. Now I want to show myself fearlessly, even though I know my body arouses repugnance. I want to recover because I love life and the riches of the universe. I want to show young people how dangerous this illness is. " I think what makes me so sad about this is that she wanted to recover, she wanted to live a full life, and yet she wasn't able to do it on her own. Anorexia is a mental illness, and it is extremely difficult for one to recover on her own. I guess I just wonder if her death could have been prevented. Why did the people around her continue to allow her to be the face of anorexia in the media, rather than helping her take the steps to health that she could not take on her own? I am not saying that her death is the fault of her acting coach, or booking agent, or doctor, or whomever, but when someone suffering from an eating disorder reaches a certain point (not just weight wise- but health wise), hospitalization/treatment is necessary for recovery. How is it that she was made famous by her eating disorder, and yet people stood by and let her continue in it? I'm angry that she was encouraged and supported to keep putting herself out there and it makes me wonder why the people closest to her did not stop her and lovingly get her the help that she needed. I know that the sufferer has to want to recover, and no one can force recovery, but it sounds like she did want to recover.. she just was not able to do it on her own, like so many others. I don't know if the people around Isabelle tried to get her into some kind of treatment, and I would have to imagine (or hope) that they tried at some point. But I think this whole story highlights both the nature of anorexia as a mental illness AND the importance of people receiving the appropriate care, treatment and help that they need-- and how sometimes that means that they NEED help from others in order to get there.

Secondly, the Italian fashion house that promoted Isabelle's 'no anorexia' campaign wanted to support Caro by using " the naked body to show everyone the reality of this illness, caused in most cases by the stereotypes imposed by the world of fashion. " I think that eating disorder education certainly needs to happen, and I respect the efforts of those involved to that end. What concerns me is that eating disorders are not caused by the fashion industry. Certainly the thin ideal, the unrealistic standard of beauty created by the media etc contributes, but if the fashion industry causes eating disorders, then why do we not all have them? It is because eating disorders are caused by many different factors, including significant genetic ones. 

I guess all of this got me thinking again about helpful ways to educate people about eating disorders. How do we effectively portray the severity and danger of an eating disorder while also not plastering photos around that can be more triggering and harmful than good for people to see? When someone suffering from an eating disorder sees a deathly looking skeletal body and may not look the same, she may be tempted to think that she is not really suffering or struggling as badly, or that her health is not being impacted. And in some ways, images further stereotype what an eating disorder 'looks like.' One in four college aged women suffers from eating disorders, but that does not mean that one in four college aged women are walking around looking like skeletons... or that their eating disorders are any less of a threat to their health because of what they look like. I think we need to be careful about how we communicate about eating disorders. I don't know that I have any good global solutions at this point, but I think it's important and necessary to ask the questions. 

In all of this, I am just sad that another life has been lost as a result of a devastating mental illness. I hope that her death is not in vain, and that she may serve as a reminder to all of us that anorexia (in addition to other eating disorders) is a real and dangerous illness that is capable of tragic outcomes when not treated.  

Happy November!

It's a new month, and with a new month, comes some good news from a recent study... Results from a national survey (conducted by the National Eating Disorders Association) reveal that the general public's awareness about eating disorders has dramatically increased. Great news! According to the study, 82% of people would agree that an eating disorder is a physical OR mental illness. 78% of people believed that they would know if someone was suffering from an ED, and 95% said if they knew someone that was suffering from an ED, they would help the person seek the appropriate help.

That is definitely progress and encouraging news. : ) One area that the survey highlighted was the fact that overall, specific knowledge about eating disorders has not increased and that the incidence of eating disorders has not declined. Rather than being discouraged by this part of the survey's results, it just reminds me that there is still a need to continue to raise awareness and educate people about eating disorders. There has been a lot in the news this week about eating disorders... between Portia de Rossi sharing about her eating disorder (maybe too explicitly!) and Demi Lovato, who quit her tour to allegedly receive treatment for an eating disorder. An interesting comment that Lynn Grefe (NEDA President) made is that too often we focus on trying to de-stigmatize mental illness and eating disorders, which can sometimes reinforce the stigma. She went on to say that having an eating disorder is no different than having any other illness (breast cancer, etc) and that we need to spend more of our time focusing on educating people, especially in light of this recent data. Two thumbs up, Ms. Grefe.

To check out more of the data from this survey, keep checking back in:) The link is through MedScape Med News and technical difficulties are interfering with the link attaching. You can also google 'NEDA survey MedScape' to find it as well!

For those of you unfamiliar with TLC, it is the cable TV network that has brought us such gems as Jon and Kate Plus Eight, The Duggars: 19 Kids and Counting, I Didn't Know I was Pregnant and Toddlers and Tiaras. If my tone isn't giveaway enough, I won't elaborate any more on my opinion of these shows. [I will say, as a disclaimer, that my mind is just so blown by 'I Didn't Know I Was Pregnant'. How do these women NOT KNOW?!] Anyways, many people really like these shows- and that is just fine. What is not fine is that I just read an article in the LA Times about one of TLC's new shows, airing tonight, which follows people through their issues with food and disordered eating. The name of the show is called Freaky Eaters. Umm... FREAKY EATERS???!!

Now, my thought is that by calling yourself The Learning Channel, your intent is to educate people and help them learn! Part of educating people about eating disorders and helping them to understand disordered eating is to bust myths, emphasize the facts (genetics included), and hopefully in doing so, de-stigmatize mental illness. A show entitled FREAKY EATERS does not help do that- it does just the opposite by stigmatizing eating disorders and disordered eating by calling people 'freaky' who struggle in the ways that they relate to food!! It seems really insensitive and irresponsible.

I would encourage you to follow this link, which will take you to a web page that will allow you to email the network directly and share your feedback with them. You probably have other thoughts in addition to those that I have written- in fact, I am sure that you do! And I would encourage you to share them with the network as well! Part of raising awareness and education is to advocate- and this is a very simple way to do that!

Staying Skinny Beats What??

A headline in August 12's USA Today caught my attention- Women: Staying Skinny Beats Sex. The first line of the article, written by Nanci Hellmich, reads, "For many women, weight control is more important than sex." The stats that back that up? Out of 1001 adults, 52% of women say they would prefer to go without sex for the summer than gain 10 pounds. Even more, according to this same research, more people would rather lose 10-20 pounds than receive a promotion at work!! That is crazy and sad but is a realistic indicator of what the majority of people in our culture value. [As a disclaimer, after hunting around to find out where these statistics came from, I found the answer to be a little self-serving--Nutrisystem!! For those of you who don't know, Nutrisystem is a diet company that is a contender in the billion dollar dieting industry in our country!]

Does anyone else see this drive for thinness as a problem? Why does being thin supercede other values in life, like career and love?! And why aren't we doing more to work on changing the unhealthy notions and beliefs about our weight and bodies? Why are magazines and media outlets making irresponsible comments and perpetuating eating disorder myths (check out one response to W Magazine here)? More education and awareness needs to be happening, and fast!! You can start today by educating yourself about eating disorders- the facts and the myths- by going to NEDA's website for more information! It is important to note that the media does not cause eating disorders. The media can pose a risk to someone who is genetically determined to develop an eating disorder, but it is not one thing that typically causes them. I would encourage you to think about what else can you do today to educate yourself (and others) and then raise awareness.. I would love to hear your ideas- you can post a comment or send me an email if you have any ideas!