Webinar from the 2011 International Association of Eating Disorders Professionals Symposium.
Punitive and obsessional thoughts about eating and weight perception underlie most eating disorders. Dietary and nutritional guidelines are laden with rules that suppress the body’s natural intuitive eating ability. Proponents of the “intuitive eating” philosophy contend that patients can relearn to trust the body’s hunger/satiety signals and reestablish its innate food wisdom. Researchers, cognitive of the numerous physiological pathways controlling hunger and the current psychosocial conditioning, argue that reestablishing mechanisms of self-regulation are an illusion and unobtainable. This presentation attempts to introduce a practical middle ground that will reduce the confusion, establish trust and result in long term recovery.
I. Conventional Diets do not Work
A. Pathological diets and eating disorders
B. Health and psychological risks
C. Failure and rebound
D. Counter regulation: Deprivation triggers binging
E. Preoccupation
G. Emotional eating
H. Habituation: sensory specific satiety
II. Intuitive eating: without conscious reasoning
A. Reliance on internal hunger/satiety cues to determine when and how much food to eat
B. Unconditional permission to eat when hungry and whatever food desired
C. Eating food for physical rather than emotional reasons
D. Nutrition is not the driving force
i. Orthorhexia: Health consciousness as a negative attribute
ii. Gentle Nutrition
E. Natural weight: Health at every size
F. Children: intuitive eating is innate
G. American Style eating: Low in pleasure; high in health consciousness
H. History
III. Research: Bacon ’05; Hawks ’05; Tylka ’06; Smithian ’08; Messinger ’09
IV. Limitations of studies and criticisms
A. Too small; non-definitive; self-reported data
B. Technique: vague; subjective; ambiguous
C. Gentle eating too subjective, individualized, and subtle
D. Too much time, effort, trial and error, nebulous outcome
E. No gastrointestinal, neurological or biochemical data
F. Deterioration of trust
V. Review of internal and external hunger
1. Hunger; Appetite; Satiety; Satiation
1. Internal Cues
a) Digestion; nutrients
b) Nuclei; neuropeptides
c) Inflammatory markers
d) Gut peptides
e) Hormones; receptors
2. Externality
1. Genetics
2. Disease; medications
3. Sleep; Seasonality; Exercise
4. Hedonistic System
5. Restraint Theory; cognitive
6. Cultural
7. Sensory
8. Conditioning
9. Instinct
10. Implied Norms of Appropriateness
11. Emotional Triggers
VI. Suggestion for alternative
Note: For this course there is a small additional fee to obtain the webinar. Please see the “Get Course Materials” link in the right sidebar for details.
This course is based on the recorded webinar, Trusting the Body to Trust Its Hunger Signals: An Evidence Based Investigation Into Intuitive Eating: IAEDP Symposium 2011 created by Ralph E. Carson, RD, PHD