Archive for January, 2010

Risky Retail: CVS Circular Sends Dangerous Message About Laxatives

Unfortunately we are all too familiar with a constant undertone of media and societal support for the “thin ideal” and a perpetuation of the dieting culture.  It’s not as often though, that we see messages from media or other advertising outlets that blatantly encourage dangerous eating disorder behaviors.    

This was our experience yesterday when we were shown the most current circular sent out in print and distributed online by CVS Pharmacy.  The promotional flyer included a sales section entitled “shape up & save.”  Not surprisingly, in light of the New Year, and in response to an over abundance of weight-related New Year’s resolutions, CVS is apparently offering low-cost products for customers looking to “shape up.”  This yearly obsession, although disheartening given prior information we’ve shared on our blog about why diets don’t work, is not what caused us to pause.

Our concern came when we saw a brand name laxative among the sale items featured in the weight loss section. By highlighting this product as part of the “shape up & save” category, CVS is inadvertently suggesting that using laxatives is an acceptable and healthy way to lose weight.  This could not be further from the truth.  Laxatives are not intended, nor are they effective, for weight loss and when used for these purposes can result in serious medical consequences.  Laxative use and abuse is common amongst individuals suffering from eating disorders, and CVS’ placement of the product promotion sends a harmful message that this very dangerous behavior is appripriate or, even healthy. The Center for Eating Disorders at Sheppard Pratt would like to take this opportunity to educate retailers about inappropriate health care product marketing tactics and remind the public of the dangers associated with laxative abuse.

Steven Crawford, M.D., Associate Director of the Center for Eating Disorders, had the following to say in response to the concerning advertisement: 

“The CVS ‘Shape Up & Save’ circular is a prime example of retailers sending subliminal and harmful messages to consumers. While we doubt CVS’ intention was to support, or suggest, eating disorder behaviors and tendencies, we feel that companies have an obligation to understand what their marketing practices are suggesting to their customers. Laxative abuse can lead to serious health-related problems including severe dehydration, electrolyte imbalances, severe constipation, chronic diarrhea, and significant edema [an abnormal accumulation of fluid inside the body].  Persistent use may result in anemia, laxative dependency, and may even increase the risk of colon cancer. “  

Our hope in reaching out to CVS and other retailers, is that harmful ads such as this will be removed from circulation and a dialogue can be started around responsible retail actions as they relate to eating disorder prevention, awareness and treatment.  We plan to keep all of our readers updated on this important topic.  Stay tuned!  

If you have any thoughts about this topic, please feel free to join in the discussion on our Facebook page.

Eating Disorders in the Jewish Community

Tackling issues often wondered about and little discussed…

Eating disorders are amongst the most serious of medical conditions with high rates of morbidity, including the highest death rate of any psychiatric illness.  It is important to note that within diverse populations, the stressors that may exacerbate an eating disorder can vary greatly, as can unique cultural factors which may serve as preventive or protective factors.  In recent years, more attention has been paid to these issues within the Jewish community specifically, as concerns continue to surface about increasing numbers of Jewish girls and boys struggling with eating disorders such as anorexia nervosa and bulimia nervosa. 

An increasing rate of eating disorders is certainly not unique to the Jewish population – numbers are rising across the country regardless of ethnicity, religion or race.  However, the effective prevention, early identification and treatment of eating disorders within the Jewish community is dependent upon education and discussion that is socially and culturally relevant to those who are affected.  For example, the centralized role of food in Jewish heritage and traditions, including celebratory feasts and fasting, as well as stressors associated with the shidduchim, or traditional Jewish matchmaking, may influence one’s relationship with food and weight.

Research around eating disorders in the Jewish community has been done but studies regarding the prevalence are somewhat conflicting. According to one study, eating disorders affect one out of every 19 girls ages 14 – 16 in the Orthodox and Syrian communities, a rate that is 50% greater than in the general population.  Other studies have shown that while the incidence of eating disorders among the Jewish population may not necessarily be greater than that of the general population, Jews are often part of a demographic that would be more susceptible to eating disorders.  Orthodox women were found to have similar rates of eating disorders as secular Jewish women, however Orthodox women may be less likely to seek treatment given the cultural stigma that exists around the issue.  This stigma is a key reason why it has become so important to shed light on the topic of eating disorders in the Jewish community.   

On January 31st2010, the Center for Eating Disorders and the Orthodox Union will host a workshop in collaboration with Jewish Community Services and Hadassah of Greater Baltimore to address the topics identified above as well as the importance of self-esteem, body image and family communication in the Jewish community.  The free community event, Promoting Self Esteem & Healthy Body Image: A Program for the Jewish Community, is intended to help people develop a better understanding of the seriousness of these illnesses and help them identify risk factors and utilize prevention techniques.  This program is focused on addressing these concerns as they uniquely affect the Jewish Community and is geared toward educators, clinicians, parents, lay persons, and family members of affected individuals.

With a large Jewish population in the Baltimore area, we hope to provide the community with education about prevention strategies, risk factors for early identification, and the effective treatment of individuals with eating disorders. This workshop will include a plenary session from Catherine Steiner Adair, Ed.D,Director of Education and Preventions at the Klarman Eating Disorders Center at McLean Hospital in Belmont, MD.  Dr. Steiner Adair is a leader in the field of eating disorder treatment and the author of Full of Ourselves: A Wellness Program to Advance Girl Power, Health, and Leadership. She has also published a supplement to this guidebook, titled Bishvilli- For Me, specifically to assist those in the Jewish Community to utilize these activities in a way that compliment their lifestyle.

The program’s keynote address will be presented by Rabbi Dr. Tzvi Hersh Weinreb, Executive Vice President, Emeritus of the Orthodox Union.  He will be focusing on the issues of self esteem and eating disorders as they affect those in the Orthodox Jewish Community.  Eight other workshops will be facilitated by eating disorder professionals and mental health providers who have an understanding of the concerns of the Jewish Community.  For a full listing of presenters and workshop titles, download the Event Program.  Those who attend the program will have an opportunity to learn about and discuss the following subjects:

  • Recognize the signs and symptoms of eating disorders
  • Identify early warning signs and risk factors of eating disorders
  • Become aware of the effects of eating disorders and related issues in the Jewish community
  • Understand how modern therapeutic techniques can be applied while maintaining respect for traditional Jewish culture and values
  • Utilize Jewish tradition, culture, spirituality, and rituals as resources for health and protective factors against the development of negative body image and eating disorders

Attendance at this event is free but pre-registration is required. Please call 410-938-3157 or email rsvp@sheppardpratt.org to reserve your seat. Download the FINAL PROGRAM BROCHURE for complete details and share the promotional event flyer with others who may be interested in attending.

photo courtesy of jewishharlem.com