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Archive for February, 2011

Order of the Chocolate Fish

Dr. Jen Richards, OCF

Jennifer Richards, MD, MBA, the attending psychiatrist on the inpatient eating disorders unit, is the latest recipient of the Order of the Chocolate Fish (OCF). Dr. Richards joins a distinguished list of staff and faculty of the UNC Eating Disorders program who have been inducted into the OCF. The OCF acknowledges individuals who go above and beyond the call of duty as either clinicians and/or researchers in the Eating Disorders Program. Since joining the program, Dr. Richards has shown extraordinary leadership and dedication to delivering the highest possible evidence-informed care to all patients in her care.

Dr. Richards is a graduate of the joint MD/MBA program at the University at Buffalo. She completed the General Psychiatry residency training program at UNC Hospitals in 2009, and graduated from the Child and Adolescent Psychiatry Fellowship at UNC Hospitals in 2010. Dr. Richards’ areas of interest include eating disorders, psychotherapy, developmental disabilities, and PTSD. Although she hails from Buffalo, NY, she and her family consider themselves at home in North Carolina.

We are deeply grateful for all that Dr. Richards does and recognize her commitment as a physician to do whatever is in her power to benefit individuals and families in her care.  Congratulations Dr. Richards.

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The Binge Eating Disorder Association (BEDA) Objects to Language and Inaccuracy of Statements Perpetuating Stereotypes of the Obese in the New York Times February 19, 2011 Article.

Today’s Lab Rats of Obesity: Furry Couch Potatos

2.20.2011

To the Editors of NY Times,

I am writing in response to an article published in the NY Times on February 19th, 2011 entitled, “Today’s Lab Rats of Obesity: Furry Couch Potatoes” by Andrew Pollack. I have two major concerns with the article: (1) terminology used that perpetuate negative stereotypes of individuals with obesity, and (2) inaccuracy of statements that are not based on empirically-based research.

Regarding the first concern, the terminology – couch potatoes – is pejorative, offensive, and not scientifically sound. This type of language perpetuates the negative stereotype that all obese individuals are lazy, inactive, and blameworthy for their excess weight. Obesity research shows that there are genetic, biological, and environmental factors implicated in the etiology of obesity. In fact, research suggests that 40-80% of weight is due to genetic factors (Herrera & Lindgren, 2010; Lee, 2009), suggesting strong genetic underpinnings and a predisposition to obesity. By describing obese monkeys as “couch potatoes,” the New York Times is maintaining the stereotype that behavioral characteristics are solely to blame for excess weight, discounting the role of biology. I am shocked that the “obese resource” director at the Oregon National Primate Research Center used the “couch-potato” term himself – whether implicit or explicit prejudice, this shows just how pervasive these negative stereotypes are today. Research does not support that “many [people] these days….sit around too much, eating rich, fatty foods and sipping sugary drinks,” as implied by the author.

Such stigmatizing attitudes and bias against obese individuals may lead to weight-based discrimination in the educational, employment, and health care setting, and may negatively impact interpersonal relationships (Teixeira & Budd, 2010; Brownell & Puhl, 2003). These stereotypes make individuals with “greater than average” weight vulnerable to social injustice, unfair treatment, and impaired mental health and quality of life (Puhl & Heuer, 2009). I urge you to be mindful of the language you use when discussing weight-related problems, and to refer to the scientific literature for accuracy in reported statements; these faulty descriptors have major implications in the lives of many of your friends, family members, peers, and colleagues.

The above touches on my second concern regarding statements made that are not based on empirical research.  In the article, humans are accused of “fudging their daily calorie or carbohydrate counts” when questioned and go on to state that nonhumans “‘don’t lie to you.”‘ While research does suggest that dietary recall is not the most accurate assessment of actual food intake, we cannot say whether this is due to blatant lying (as implied in the article), memory disturbances, difficulty with estimating portion sizes or other factors. Such over- or underreporting may be unintentional. Further, as with non-human samples, other measurements exist for use in humans to increase accuracy with dietary assessment. If we do lie on dietary recall, it is likely partly a result of the negative messages (such as those in the article) that tell us we lack self-control and are to blame for any weight-related issues. This may lead to guilt and shame and render some hesitant to fully disclose health behaviors. Even if people are honest, would they be trusted by those who hold these stereotypes in the first place? And do those who hold these stereotypes respond in such a way that make these individuals feel unsafe to disclose anything personally sensitive?

I feel it important to write you about these concerns because language can significantly impact societal perceptions about individuals with obesity. As weight is not necessarily an indicator of health, it is important for us to dispel the myth that individuals with “above-average weight” are lazy, inactive, and lack self-control. I appreciate your coverage on the current research in obesity, but strongly advocate for greater sensitivity to the language used in describing such research. I also urge for a more critical review of the research to prevent misinterpretation of data and ensure evidenced-informed statements.

Sincerely,

Cristin Runfola

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Cristin Runfola, M.S.

Eating Disorders Psychology Intern

Eating Disorders Program, Dept of Psychiatry

University of North Carolina School of Medicine


Doctoral Candidate, Clinical Psychology

Palo Alto University

Pacific Graduate School of Psychology

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From the moment we are born a central part of being human is being connected with others through our relationships. In fact, relationships with others are so important for healthy human development that infants are wired to connect with others from the day they are born. So why are relationships so important for humans?

Much of our personal growth and well-being comes directly from our close relationships with others including our friends, family, significant others and even pets. Healthy relationships allow us to be our authentic self, faults and all, safe in the knowledge that we are okay just as we are. However, our drive to be in relationships with others often collides with our insecurities. We may try to keep parts of ourselves that we most insecure about hidden from others in an attempt to appear different or better than we really are.  Paradoxically, by not sharing our true selves, we create barriers to engaging in healthy, growth-enhancing relationships.

For people with eating disorders, relationships can be particularly challenging.  The secrecy that often goes along with an eating disorder can lead to distance and disconnection in relationships. That disconnection can create additional emotional distress that pushes one further towards eating disordered thoughts and behaviors. The UNC Eating Disorders Program, in collaboration with Mary Tantillo, PhD, RN, CS, is now offering a relational therapy group for individuals with binge eating disorder.

This relational therapy group will help people identify patterns of connection and disconnection in current and past significant relationships, and understand how eating disorder behaviors are related to disconnection in relationships. Through this exploration, new strategies can be developed to help people strengthen their relationships while decreasing their eating disorder behaviors. In addition, this approach examines cultural myths about weight and dieting and identifies how to develop a healthier relationship with food. This 16 week group will meet on Wednesdays at 5:00pm and will be led by Frances Ulman, PhD and Millie Maxwell, PhD.  For more information, please contact Dr. Ulman at 966-7662 or frances_ulman@med.unc.edu.

~Frances Ulman,  PhD

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