From Perfectionism to Resilience: An invitation for providers to examine the role of social justice in eating disorder treatment (July 12, 2019)

Latinx & Indigenous Voices:

LGBTQ+:

Anti-Racism: 

Fat Activists:

Disability/ Chronic Illness: 

CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study

Social Determinants of Health. Centers for Disease Control and Prevention.

Association for Size Diversity and Health

Questionnaires and resources to identify biases: 

Danielsdottir, O’Brien and Ciao (2010). Anti-fat prejudice reduction: A review of published studies. Obesity Facts, 3(1), 47-58. 

Interrogate your intentional and unintentional promotion of diet culture (Source: Hilary Kinavey & Carmen Cool, p. 7 of The Broken Lens: How Anti-Fat Bias in Psychotherapy is Harming Our Clients and What To Do About It)

 White Privilege: Unpacking the Invisible Knapsack By Peggy McIntosh

Books, Articles & Videos:

Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination by Kimberlé Williams Crenshaw

The Body is Not An Apology by Sonya Renee Taylor

A Clinician's Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients (S. Chang, A. Singh, l. dickey and M. Krishnan) 

An Open Letter to the Eating Disorders Community by Nicole McDermid

How Fatphobia Prevented Me From Getting Help For My Eating Disorder by Shira Rosenbluth

Re: Treating Patients of Size by Sam Dylan Finch

Why Eating Disorder Treatment is Failing Us All by SJ Thompson

So You Want to Talk About Race by Ijeomo Oluo

Body Respect by Linda Bacon, PhD and Lucy Aphramor, PhD, RD

Statistics Cited:

  • Black teens are 50% more likely to engage in binging and purging than white teens (Goeree, Michelle Sovinsky, Ham, John C., &  Iorio, Daniela. (2011). Race, Social Class, and Bulimia Nervosa. IZA Discussion Paper No. 5823)

  • "Even after controlling for severity of self-reported eating disorder symptoms, both Latino and Native American participants...were significantly less likely than Whites to receive a recommendation or referral for further evaluation or care." (Becker, Franko, Speck and Herzog. Ethnicity and differential access to care for eating disorder symptoms. Int J Eat Disord. 2003 Mar;33(2):205-12.)

  • 16% of transgender participants reported an ED dx within the last year (compared to 1.85% cisgender heterosexual women and 0.55% cisgender heterosexual men) (Diemer et al. (2015) Gender Identity, Sexual Orientation, and Eating-Related Pathology in a National Sample of College Students. Journal of Adolescent Health, 57:2, 144-149)

  • Of 84 transgender people who experienced eating disorder treatment, zero reported a positive experience (Mary E. Duffy, Kristin E. Henkel & Valerie A. Earnshaw (2016) Transgender Clients’ Experiences of Eating Disorder Treatment, Journal of LGBT Issues in Counseling, 10:3, 136-149)

  • Latin American countries lead in Google search volumes for anorexia nervosa and bulimia nervosa (Eli, K. Latin American countries lead in Google search volumes for anorexia nervosa and bulimia nervosa: Implications for global mental health research. Int J Eat Disord. 2018 Nov 26.)

  • "...participants with the highest level of food insecurity (i.e., adults who reported having hungry children in their household) also endorsed significantly higher levels of binge eating, overall ED pathology, any-reason dietary restraint, weight self-stigma, and worry compared to participants with lower levels of food insecurity." (Becker CB, Middlemass K, Taylor B, Johnson C & Gomez F. Food insecurity and eating disorder pathology. Int J Eat Disord. 2017 Sep;50(9):1031-1040.)

  • "...compensatory behaviors also increased as level of food insecurity worsened." (Becker CB, Middlemass K, Taylor B, Johnson C & Gomez F. Food insecurity and eating disorder pathology. Int J Eat Disord. 2017 Sep;50(9):1031-1040.)

  • "the poorest girls exhibit a 32% increase of symptoms of bulimia when compared to middle class girls, and a 40% increase when compared to wealthier peers.” (Goeree, Michelle Sovinsky, Ham, John C., &  Iorio, Daniela. (2011). Race, Social Class, and Bulimia Nervosa. IZA Discussion Paper No. 5823)

  • "Atypical" anorexia nervosa is more common than AN in community and treatment samples (Community—Stice, Marti, Rohde 2013: Prevalence, incidence, impairment and course of the proposed DSM5 diagnoses; Treatment samples- Ricaa, Mannucci Mezzani 2001 Psychopathological and clinical features of outpatients with EDNOS)

To request this presentation to be given at your organization, please contact Bethany Wheeler at bethany@bwheelernutrition.org or Sarah Pannell at sarah@wepsychotherapy.org.