Rage Against the Scale

Amy Jaffe, M.S., R.D. L.D. has been an absolute pleasure to collaborate with on a healthcare team. Amy specializes in treating children and adults who struggle with eating disorders, and I have been witness to her gentle guidance, as well as her passionate advocacy work. It with honor that I have her as a guest writer this week on the blog. I hope you enjoy her thought provoking message.

 

Rage Against the Scale

In my office, I have a sign in the scale closet (where it belongs) that says,

“This scale can only give you a numerical reflection of your relationship with gravity. That’s it. It cannot measure beauty, talent, purpose, life force, possibility, strength or love.”

I request all clients to read it when they enter to remind themselves.

I rage against our culture of surface appearance as measures of self-esteem and the scales that perpetrate it.

For example, the scales in the entrance of Publix, a regional supermarket chain… First of all, it is hardly good marketing- after people weigh themselves and don’t like the number, do they really want to go in and buy even more food? And why do doctors and health care professionals make inappropriate comments when weighing ED patients? And worse, if the person has the courage and assertiveness to ask to be weighed backwards, do they tell them anyway or leave the chart in plain sight? And why is weight loss included in so many MD recommendations for people with medical issues when health is measured by so many other parameters more important than body shape and size?

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Speaking of scales, the BMI scale is challenged in an excerpt from Judith Matz’s “Diet Survivors Handbook” in Judith’s spring online newsletter:

Spring 2016 – Diet Survivors Group Newsletter, Judith Matz, LCSW

WEIGHTY MATTERS

We’ve known for a long time that Body Mass Index is a poor measure of an individual’s health. Now, a new study out of UCLA confirms that using BMI to determine health misclassifies nearly 75 million Americans as healthy or unhealthy. The researchers used the latest data from the National Health and Nutrition Examination Survey (NHANES)—considered to be the most reliable health data on the U.S. population = and looked at cardiometabolic health data, which gives measures of blood pressure, triglycerides, glucose, insulin resistance and C-reactive protein (a marker of inflammation).

Consider these numbers:

4 million people (half the people) in the “overweight” category are healthy

8 million people in the “obese” category are healthy

2 million people in the “very obese” category are health

21 million people in the “normal” category are unhealthy.

The authors of the study conclude that this research is the “final nail in the coffin for BMI.”

The take away message? To reach optimal health, focus on behaviors that support your individual, unique body e.g. physical activity, honoring cues for hunger and fullness, eating a wide variety of foods, getting a good night’s sleep, managing stress and/or whatever else you need to do to take care of yourself.

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We can’t escape that we live in a diet/deprivation culture. The media—including all print, all social media, TV, radio, movies, commercials, subliminal messages—every minute bombard us with the message “Your body is not ok. It is flawed. Here is what you can buy to fix it so you can be beautiful or handsome like the images that surround us.” The scale will never say what we want it to say.

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This is a May 2nd article that has been circulating from the NY Times:

“After the Biggest Loser, Their Bodies Fought to Regain Weight”. Contestants lost hundreds of pounds during Season 8, but gained them back. A study of their struggles helps explain why so many people fail to keep off the weight they lose.”

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And then there are our families and friends who intentionally or unwittingly give us the same messages that lead to hurt, guilt, and shame with our bodies, and more harmfully, the essence of ourselves. I get enraged when the 10 year old girl I am treating right now already has an intractable eating disorder, or when I start seeing a client, who was discharged from months at a treatment center, whose mother suggests they do Weight Watchers together the day she returns home. Like the author of “The Good Body,” Eve Enseler, says, “Stop trying to fix your body; it was never broken!”.

In the many years I have specialized with this population, I have found that getting on the scale is one of the most sabotaging events in a person’s eating disorder recovery. In contrast, when the person gives their scale away, throws it away, or smashes it to pieces, it provides the empowerment needed to accelerate their process exponentially.

When I suggest to clients that they can respectfully decline to be weighed at the doctor’s office, they are dumbfounded. It feels radical that they can actually tell them, not ask, to not be weighed. It’s true! I haven’t been weighed in any health care professional setting in over 20 years.

Try it, then suggest it to your clients….

The only scale I would endorse using is the one below:

Rage Against the Scale

Speak Your Mind

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Karin Lawson

2312 Wilton Drive, Suite 22
Wilton Manors, FL 33305

karin@drkarinlawson.com
954-336-4049