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Archive for February, 2012

Last night, students, faculty, and community members gathered at the UNC Bookstore to celebrate the release of Dr. Cynthia Bulik’s newest book, The Woman in the Mirror: Stop Confusing What You Look Like With Who You Are. Dr. Bulik highlighted key points from her book, such as separating body-esteem from self-esteem and how the media consistently tries to make us feel discontent about our appearance.  The reading and presentation were followed by a book signing and the opportunity to participate in Dr. Bulik’s Mirror Project!  To celebrate this wonderful evening, we have decided to include another excerpt from her book.  To read more about The Woman in the Mirror, please visit
http://womaninthemirrorbook.com
  

Women are on a treadmill and for many, running faster than ever. The fortunate ones are developing more respectful and accepting inner dialogue about their bodies, but women are still uttering disparaging and disrespectful comments about themselves that undermine their goals and diminish their achievements.

If you are working or in academe, chances are good that you are embedded in a male-dominated environment. The structure, culture, and norms were developed long ago when women were still in the home. Just like the elementary school playground, the ground rules are set by the boys. Decades later you may still be experiencing that sense of not fitting in or of your work environment not really being a place where you can be yourself and thrive in a way that is congruent with your sex.

Etta Pisano, M.D., Dean of the College of Medicine at the Medical University of South Carolina has devoted a considerable portion of her career to promoting women in the medical school setting. In medical schools across the country you see a similar pattern. There are more female medical students than male, but as you go up the ranks of faculty through Assistant Professor, to Associate Professor, to full Professor, the percentage of women drops precipitously. The percentage of female faculty drops from 38% at the Assistant Professor level, to 27% at the Associate Professor level, all the way down to 15% at the Full Professor level! Only 11% of chairs and 10% of deans are women. The higher up you go, the fewer women there are. Medicine is just one example, but this pattern holds in many fields. Although women comprise over 50% of the population, of those 435 public servants who represent us in the U.S. House of Representatives, only 76 are female—a whopping 17%. Finally, between 1901 and 2009, only 41 Nobel Prizes and Prizes in Economic Sciences have been awarded to women and 765 to men. With some individuals honored more than once, the actual total is 40 females and 762 males.

There are myriad reasons that women don’t make it to the top or choose not to strive for the top. Some of the barriers require broad social change, but some of them are under our control. Women are not as skilled at or comfortable with self-promotion as men. Over the years, Dean Pisano noticed that whenever she encouraged or nominated women for powerful positions, often their responses were in the vein of  “ I’m not ready” “I’m not qualified” or “I don’t know enough about management, finances, etc.” This was in stark contrast to male nominees who, if anything, overestimated their own qualifications. She counseled women to take a risk, grab these positions, and learn as they go, yet many still hesitated. Her advice dovetails perfectly with career advice given by a wise colleague in Portugal who says that if you want to move up the ladder, and someone offers you something, “Don’t think, just say yes, and panic later.”

Not to advocate developing a completely male approach to self-promotion, but our inability to do so is wrapped up in our wavering self-esteem. Women can be mindful of and rewrite their internal script in order to self-promote more effectively and still stay within their comfort zone.

Introduction by: Lauren Janson

Book excerpt by: Dr. Cynthia Bulik

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ImageWe all have special people in our lives. Ms. Stephanie Crayton has been one of those special people for me during my work with the UNC Eating Disorders Program. We were honored to have her be one of the panelists at the UNC screening of Miss Representation on February 27th. The first speaker on the panel, she set the tone for an afternoon of honesty and passion by sharing this poem with us. By allowing us to share her words, Stephanie is helping us to inspire others to be themselves and to make the world a more accepting place.

Do you see me?    

Unpublished work © 2012 Stephanie Crayton

Do you see me?

Do you see who I REALLY am?

Or do you see the person who I want you to see?      

Full of life, love, laughing hysterically…  

Do you see me?

Do you see who I REALLY am?

Or do you see the person who I want to be?

Strong, independent, approaching life daringly…

Go ahead take a look

Take a long look

Do you see my tightly coiled, kinky hair?

You know the hair that causes you to try and not to stare

No longer straight, smooth and shiny, swinging in the wind like so…

Oh, and do you see my full lips and wide nose?

They stand out in a crowd, you know.

And the imperfections in my skin?…

Clue you in on the time of month and sometimes the amount of stress I am in.

Not to mention my sometimes-bulging stomach and my curvaceous hips…

Not quite the hourglass figure you were looking for?

Just remember what I said about my nose and my lips.

But you know, it’s ok; it’s all good really.

‘Cause you see when I see me,

I see a beautiful black queen.

One who is regal and divine…

This hair, nose, stomach and these hips, I love because they are mine.

When I step in to any room all eyes are on me.

Not because I’m a supermodel but because of my unique beauty.

Do you see ME?

Can you see who I REALLY am?

No, I may not be what you wanted me to be

*Society’s prescription of beauty

But can we simply agree…that I am who God created me to be?

 

(*not part of original work)

Introduction by Dr Cynthia Bulik

Poem by Stephanie Crayton

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Yesterday marked the official start of National Eating Disorder Awareness Week!  In an effort to educate readers and generate discussion, we will be providing a new post every day this week.  We hope that these blog entries will allow you to step out of your busy schedule and reflect on what this week represents.  

ImageYoung girls are only graced with a few years when they are not self-conscious. Watching little girls play, run, swim with abandon without any awareness of being watched or judged is a beautiful experience—until the bubble pops. Far too early, little girls become aware of “the Look.” Almost overnight, their carefree sprit retreats as self-consciousness takes center stage. Excerpted from The Woman in the Mirror: How To Stop Confusing What You Look Like with Who You Are (
http://womaninthemirrorbook.com
), the following story about Maya illustrates this disheartening transition.

Maya was a six-year old girl living with her family in Wisconsin. She loved anything that had to do with princesses. Her favorite game was Pretty Pretty Princess. She most loved playing with her Dad because she could make him wear bracelets and necklaces and that made her laugh. She practically memorized every movie that came out with a princess theme. Her mom would often find her deep in her princess fantasy play in her bedroom. She had princess costumes of every color, tiaras, jewelry, and glittery slippers. There was never any question what Maya was going to be for Halloween! One day Maya was watching a princess movie all dressed up her own pretty princess costume. She was dancing and singing in her room completely lost in her own fairy princess world. With the DVD still on, she caught a glimpse of herself in the mirror. She looked at herself, then back at Princess Jasmine, then back at herself in the mirror again. She placed her hands on her stomach, then on her hips and tried to suck in and stand on her tippy toes. When she could suck no further, she said to herself “Princess Jasmine’s tummy doesn’t stick out like mine! She’s skinny and pretty.” Zing. That brief moment of comparison and her fantasy bubble burst. She turned off the DVD, took off her princess costume and buried it deep in the recesses of her closet. Then she went downstairs to find comfort in cookies and chocolate milk. That was the end of her princess phase. Her mom never did understand why Maya stopped being interested in princesses almost overnight.

How can we stay true to ourselves and insulate ourselves from the soul-crushing effects of “the Look?” Only by disentangling our body esteem from our self-esteem can we withstand the external judgments about our physical appearance that whittle away at our sense of self.

By: Dr. Cynthia Bulik

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It’s that time of year again – time for me to blog about upcoming eating disorder conferences, that is. Every Spring we can look forward to gathering with our colleagues and friends to learn about and discuss the latest and coolest basic, clinical, and translational science related to improving the treatment and prevention of eating disorders. Keen on my list are the Binge Eating Disorder Association (BEDA) and Academy for Eating Disorders (AED) annual conferences. This year, BEDA will convene March 2-4 in historic Philadelphia, PA, and AED is holding its international conference May 3-5 in Austin, TX.

The BEDA conference will feature keynote speakers Rebecca Puhl, PhD, from Yale University’s Rudd Center for Food Policy and Obesity, and Anita Johnston, PhD. Dr. Puhl will discuss the ramifications of weight stigma and Dr. Johnston will discuss finding meaning in struggles with food, weight, and body image through metaphors and storytelling. BEDA is a great venue for individuals struggling with an eating disorder, family members, and educators & activists to mingle and converse with researchers, clinicians, and healthcare practitioners, all of whom are striving to get to the heart of some of the most talked about weight, body, and eating disorder issues. Hot topics this year include:

  • What is BED (compulsive overeating/food addiction/emotional overeating)? Who gets it? How is it treated?
  • Weight stigma, discrimination, and size bullying
  • Clinician body size and impact on treatment
  • Impact of shame and trauma
  • Pursuing weight loss
  • Bariatric surgery
  • Exploring food addiction
  • Underserved/recognized populations
  • Neurochemistry
  • Impulse regulation
  • Social media tools
  • Medication options
  • Spirituality and recovery

AED kicks off this year’s conference with its opening Clinical Teaching Day on May 2, which is chocked full of interesting workshops covering topics such as DBT treatment for complex eating disorder patients, the role of the brain in eating disorders, and nutritional management and medical complications in eating disorders. On May 3, Dr. Scott Lilienfeld will give the keynote address on “The Great Myths of Popular Psychology: Lessons for Eating Disorder Researchers and Practitioners”, and other plenary sessions will focus on biological links between stress and eating disorders, integrating clinical practice and research, and the influence of language and labels on patient perspectives and outcomes.

While you’re there, be sure to check out the UNC Eating Disorder Program team’s presentations, which will cover a range of topics including: interventions for Latinas with eating disorders, the role of weight in relationships in overweight couples, body image and eating concerns in women over age 50, genetic and environmental risk factors in bulimia nervosa and anorexia nervosa, weight trajectories in offspring of mothers with eating disorders, body mass index and binge:purge ratio in bulimia nervosa, and the relationship between therapeutic alliance and treatment outcome in adolescents with anorexia nervosa.

I encourage you to check out the BEDA (
http://www.bedaonline.com/2012conference/
) and AED (
http://www.aedweb.org/AM/
) websites for more information, and to consider attending one or both conferences. It’s not too late to register!

By: Dr. Kim Brownley

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When I came to work at the UNC Eating Disorders Program, I was hired to coordinate CBT4BN, a clinical trial that provides no cost cognitive behavioral therapy for bulimia nervosa. I knew the project would be difficult. CBT4BN provides online therapy so I had to learn a lot about computers and fast! But the one part that I thought wouldn’t be difficult was recruiting patients for the study. Therapy at no cost! I had worked at another clinic doing intake assessments. Every day I talked to people who desperately wanted to get better but didn’t have the insurance or the money to pay for treatment. I assumed word would spread like wildfire that UNC was providing evidence-based treatment and you didn’t have to pay a dime for it.

Boy, was I wrong! And at first, I had the hardest time finding an explanation for it. We had no cost treatment! Why was it so hard to get the word out to those who were suffering from bulimia and desperately wanted to get better? I’ve thought about it a lot and I think I have a partial answer. It’s hard to build word of mouth about bulimia treatment even if it doesn’t cost anything. Very few feel comfortable chatting with their group of friends, posting a status update, or tweeting about the bulimia treatment group that they’ve just joined. Mental illness stigma–experience of the negative judgments that others make about mental illness–prevents people from talking openly. Stigma silences. It causes us to omit details because of a fear of other people’s judgment or ignorance.

When you sneak out of work rather than tell your boss you have to go see your therapist, that’s because of stigma. When you don’t tell your roommates or close friends about your mental illness or make excuses rather than tell someone that you’re in a therapy group on Tuesday night, that’s because of stigma. One of the cruel ironies of mental illness stigma is that many mental illnesses actually improve when you have someone else to talk to about them. Social support is critical and yet finding people who understand mental illnesses and can support without judgment can be hard.

I hope for a day when mental illness stigma is a thing of the past and I’m starting to see signs that people are talking more openly about their struggles. I’ll write more about that in an upcoming blog post. In the meantime, we’re hoping that CBT4BN can circumvent stigma. When your identity is hidden behind computer screen, it can be a lot easier to reveal who you are. You hear other group member’s stories that sound just like yours and you say “Me too” in surprise because you thought you were alone but now you realize you’re not.

By: Dr. Stephanie Zerwas

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Been anxiously awaiting to take your picture with The Mirror? Now’s your chance! Kick starting National Eating Disorders Awareness Week, the UNC Eating Disorders Program has partnered with Counseling and Wellness Services and Campus Dining Services to bring you The Mirror Event, including a book reading and signing with Dr. Cynthia Bulik, author of The Woman in the Mirror: How to Stop Confusing What You Look Like With Who You Are, live music, activities and PRIZES, and pictures with The Mirror!

At 5:30-6:00pm in The Pit, enjoy free food, games, giveaways, and access to informational booths hosted by peers and experts in nutrition, eating disorders, body image, and self-esteem. Participate in the “Great Jeans Giveaway!” Getting comfortable in your own genes may require you to ditch a pair of jeans that no longer fit. Donate a pair of jeans and enter a raffle to win a SURPRISE gift! Also, “Chalk It Up”—grab a friend, choose a color, and have your body traced on UNC sidewalk to be filled with positive body affirmations.  What motivational messages can you “chalk up?”

At 6:00pm in the student bookstore, meet UNC’s own, Dr. Cynthia Bulik! Helping women and men around the world reclaim body esteem and self-esteem, Dr. Bulik’s new book, The Woman in the Mirror, has been regarded by Claire Vickery, founder of The Butterfly Foundation, as a “significant culture kicker around the globe.” At The Mirror Event, participants will listen to excerpts from The Woman in the Mirror and engage in lively discussion facilitated by Dr. Bulik, followed by the chance to have their book signed and their picture taken with The Mirror! With just a “flash,” you can launch your new relationship with your reflection, cultivating inner peace with your appearance, and freeing precious brain-real estate for work, relationships, and community.

From 7-7:30pm, Elysse Thebner, local musician, and a surprise bandmate will hit the stage, performing live, while raffle winners are announced and festivities (and pictures) continue!

Join us for a self-esteem booster shot by celebrating all of the varied and colorful qualities that make us unique individuals.

Join UNC to raise awareness about eating disorders during NEDAwareness Week! Check out The Mirror Event facebook page and invite your friends!

By: Cristin Runfola, PhD

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Everybody knows somebody who wants to see Miss Representation!  On Sunday, February 26th, 2012, UNC Eating Disorders Program is hosting a FREE screening of “Miss Representation” in Carroll Hall 111, as part of National Eating Disorders Awareness Week.

Described by viewers as “an inspiring call to action,” “thought-provoking, and “time changing,” Miss Representation, written and directed by Jennifer Siebel Newsom, was premiered at the 2011 Sundance Film Festival, aired on the Oprah Winfrey Network (OWN), and has been viewed by more than one million people world-wide. Our own Dr. Christine Peat wrote a spectacular review
http://bit.ly/vKCx7Q
, adding to the long-list of glowing accolades.

Revealing the misrepresentation of women in the media, this powerful documentary exposes media’s influence in perpetuating negative beliefs about women in power, often preventing them from reaching higher and more respected leadership positions in the United States. By screening “Miss Representation,” the UNC Eating Disorders Program hopes to enhance medial literacy, encourage healthy advertising skepticism, increase general awareness about society’s influence in shaping the persistent “glass ceiling,” promoting body dissatisfaction, and eroding the self-confidence among women of all ages.

Following the screening, audience members will enjoy lively discussion with a panel of exceptional activists including Mr. Frank Stasio, familiar voice and host of The State of Things for North Carolina Public Radio, Freelance News Anchor for National Public Radio (NPR), and guest host of Talk of The NationDr. Cynthia Bulik, Distinguished Professor Eating Disorders and Nutrition and author of The Woman in the Mirror: How to Stop Confusing What You Look Like With Who You Are; and Ms. Stephanie Crayton, Media Relations Manager for UNC Healthcare with a decade of broadcast experience.

Enjoy FREE frozen yogurt, compliments of tcby.

Join UNC to raise awareness about eating disorders during NEDAwareness Week!  Event Details, click HERE.

 

By: Cristin Runfola, PhD

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