October 04, 2008

Nike's joining in!

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October 01, 2008

Thank You Dove!

Check out Dove’s efforts to help "free your and other’s from beauty stereotypes" at www.campaignforrealbeauty.com. You’ll find helpful tools, activities and resources. Also be sure to watch the Evolution and Onslaught videos!

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December 20, 2005

Eating Disorder Treatment Option – Somewhat Controversal

The Maudsley Method / The Maudsley Approach

Defining It...
1. The first phase (Sessions 1-10) puts the parents in charge of the eating behaviour of the AN adolescent, making food the medicine to be administered to a patient. The first two sessions engage the family to determine their eating habits and assemble a picture of the AN impact on all family members. The therapist externalizes the illness by presenting the eating disorder as controlling the patient, freeing parents and patient from blame. The therapist then encourages the parents to find their own method to control the adolescent eating behaviours without using force or punishment, but rather through a system of creative measures that include functional rewards, such as "I cannot let you get your driving licence while you are too weak."
2. The second phase (Sessions 11-16) transfers the control of the feeding process back to the adolescent, and addresses related family problems.
3. The third and final phase of the treatment focuses on encouraging the processes of adolescent development that unfold as the AN wanes, and establishing new family relationships disentangled from the eating disorder.

Used appropriately, and as intended, the Maudsley Method is based on the foundation that where an Eating Disorder started matters little in it's treatment. This isn't to belittle the issues a sufferer may feel in relation to their [possibly dysfunctional] family... This is to stop playing the blame game, and instead, for all members of the family to accept responsibility in "fixing what is broken."

When sufferers often feel "invisible" in their families, this type of intense involvement may suddenly act as a psychological facilitator in improving the overall relationship. It may help to make the sufferer feel seen, to feel cared about and loved.

While it seems on the surface that the focus of the Maudsley Method is to treat just the symptoms of the disease (behaviors/eating), you could make a lot of arguments that the impact of such involvement in teen treatment carries many hidden psychological messages. Getting family members (ie., parents) this inherently involved in their child's treatment obviously carries many hidden psychological messages and lessons.

Theoretically, Anorexia caught in an early stage (during developmental teen years), in a manner such as this, that [slowly] establishes appropriate boundaries, shows an immense concern from the family, provides proper nutrition, emphasizes that there is no need for shame (from either family or patient), teaches appropriate control, and reestablishes positive family relationships (in phase 2 and 3), responds well to this treatment for a variety of reasons, and does encompass many of the aspects of what more "traditional" treatments try to (and do).

As stated, this treatment is meant for dependent teens. It is important to determine if this is the right treatment for your child. It is important to consider your entire family dynamic when making this decision.

Without sounding like it's appropriate to put the "blame" on anyone, I often hear from sufferers things like my parents don't care, my family doesn't get it, they don't understand, they get so mad about my anorexia -- the Maudsley approach puts patient and parents into a mutual place -- one to battle the Eating Disorder together -- in an understanding, caring, nurturing way that does address issues (again, phase 2 and 3). That isn't to say that this specific approach is for everyone. One simple example... a child with a particularly controlling parent may resent this type of treatment all the more.

"The treatment is not for everyone. Abusive parents are excluded from family therapy. The treatment is suitable only for minors living at home, where some degree of parental control is assumed. 'For young adult anorexics, individual therapy seems to work best,' says Dr. Loeb, an advocate of the method." (source: Columbia University)

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November 22, 2005

To Weigh or Not to Weigh?

Are scales helpful or hurtful? What does that number on the scale tell you about yourself or someone else? Does it say you are good or bad? Does it make you like yourself/someone else more or less?

Ask yourself these questions:
1. When you think of the word SCALE what is the first word that pops into your mind?
2. When you think of weighing yourself, what feelings come up for you?
3. When was the last time you weighed yourself and how did you feel afterward?
4. If someone were to ask you what you weigh, would you tell them the truth and how would you feel about telling them?
5. When was the last time you had a positive experience when weighing yourself and how long did that feeling last?
6. Think about three Individuals you care about and/or respect. Would you care about them or respect them any less if their weight was different?
7. If you never weighed yourself again and only had feedback by how your clothes fit, what would you miss?

You are more than what you weigh.

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August 10, 2005

A for Effort.

This is interesting. Teen and fashion magazines are starting to use "average" sized women as models. Ever flip through one of these magazines and see a recipe for triple chocolate cake and then an article on how to lose weight and look like the stick figure model in the picture? Eat this cake and look like this. Realistic, right? The average woman today is about 5'4" and 140 lbs. However this is a great effort by magazine editors in today's world of poor body image and unrealistic weight goals. Let's see if anyone else follows suit or how long this will last...

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June 01, 2005

Ana, Mia and Ed

Pro-anorexia movement has cult-like appeal

Experts alarmed by Web sites that promote self-starvation
The Associated Press

CHICAGO - They call her “Ana.� She is a role model to some, a goddess to others — the subject of drawings, prayers and even a creed.

She tells them what to eat and mocks them when they don’t lose weight. And yet, while she is a very real presence in the lives of many of her followers, she exists only in their minds.

Ana is short for anorexia, and — to the alarm of experts — many who suffer from the potentially fatal eating disorder are part of an underground movement that promotes self-starvation and, in some cases, has an almost cult-like appeal.

Followers include young women and teens who wear red Ana bracelets and offer one another encouraging words of “thinspiration� on Web pages and blogs.

They share tips for shedding pounds and faithfully report their “cw� and “gw� — current weight and goal weight, which often falls into the double digits. They also post pictures of celebrity role models, including teen stars Lindsay Lohan and Mary-Kate Olsen, who last year set aside the acting career and merchandising empire she shares with her twin sister to seek help for her own eating disorder.

“Put on your Ana bracelet and raise your skinny fist in solidarity!� one “pro-Ana� blogger wrote shortly after Olsen entered treatment.

The movement has flourished on the Web and eating disorder experts say that, despite attempts to limit Ana’s online presence, it has now grown to include followers — many of them young — in many parts of the world.

No one knows just how many of the estimated 8 million to 11 million Americans afflicted with eating disorders have been influenced by the pro-Ana movement. But experts fear its reach is fairly wide. A preliminary survey of teens who’ve been diagnosed with eating disorders at the Lucile Packard Children’s Hospital at Stanford University, for instance, found that 40 percent had visited Web sites that promote eating disorders.

“The more they feel like we — ’the others’ — are trying to shut them down, the more united they stand,� says Alison Tarlow, a licensed psychologist and supervisor of clinical training at the Renfrew Center in Coconut Creek, Fla., a residential facility that focuses on eating disorders.

Experts say the Ana movement also plays on the tendency people with eating disorders have toward “all or nothing thinking.�

“When they do something, they tend to pursue it to the fullest extent. In that respect, Ana may almost become a religion for them,� says Carmen Mikhail, director of the eating disorders clinic at Texas Children’s Hospital in Houston.

She and others point to the “Ana creed,� a litany of beliefs about control and starvation, that appears on many Web sites and blogs. At least one site encourages followers to make a vow to Ana and sign it in blood.


People with eating disorders who’ve been involved in the movement confirm its cult-like feel.

“People pray to Ana to make them skinny,� says Sara, a 17-year-old in Columbus, Ohio, who was an avid organizer of Ana followers until she recently entered treatment for her eating disorder. She spoke on the condition that her last name not be used.

'Helping girls kill themselves'
Among other things, Sara was the self-proclaimed president of Beta Sigma Kappa, dubbed the official Ana sorority and “the most talked about, nearly illegal group� on a popular blog hosting service that Sara still uses to communicate with friends. She also had an online Ana “boot camp� and told girls what they could and couldn’t eat.

“I guess I was attention-starved,� she now says of her motivation. “I really liked being the girl that everyone looked up to and the one they saw as their ’thinspiration.’

“But then I realized I was helping girls kill themselves.�

For others, Ana is a person — a voice that directs their every move when it comes to food and exercise.

“She’s someone who’s perfect. It’s different for everyone — but for me, she’s someone who looks totally opposite to the way I do,� says Kasey Brixius, a 19-year-old college student from Hot Springs, S.D.

To Brixius — athletic with brown hair and brown eyes — Ana is a wispy, blue-eyed blonde.

“I know I could never be that,� she says, “but she keeps telling me that if I work hard enough, I CAN be that.�


Treatment often fails
Dr. Mae Sokol often treats young patients in her Omaha, Neb., practice who personify their eating disorder beyond just Ana. To them, bulimia is “Mia.� And an eating disorder often becomes “Ed.�

“A lot of times they’re lonely and they don’t have a lot of friends. So Ana or Mia become their friend. Or Ed becomes their boyfriend,� says Sokol, who is director of the eating disorders program run by Children’s Hospital and Creighton University.

In the end, treatment can include writing “goodbye� letters to Ana, Mia and Ed in order to gain control over them.

But it often takes a long time to get to that point — and experts agree that, until someone with an eating disorder wants to help themselves, treatment often fails.

Tarlow, at the Renfrew Center, says it’s also easy for patients to fall back into the online world of Ana after they leave treatment. “Unfortunately,� she says, “with all people who are in recovery, it’s so much about who you surround yourself with.�

Some patients, including Brixius, the 19-year-old South Dakotan, have had trouble finding counselors who truly understand their struggle with Ana.

“I’d tell them about Ana and how she’s a real person to me. And they’d just look at me like I’m nuts,� Brixius says of the counselors she’s seen at college and in her hometown. “They wouldn’t address her ever again, so it got very frustrating.

“Half the time I’m, like, ’You know what? I give up.�’

Other days, she’s more hopeful.

“I gotta snap out of this eventually if I want to have kids and get a job. One day, I’ll get to that point,� she says, pausing. “But I’ll always obsess about food.�

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