Archive for the 'CED Events' Category

Utilizing Transference & Countertransference to Deepen the Treatment of Eating Disorders, with Kathryn Zerbe, M.D.

Following an incredibly positive response to her April 2009 presentation on integrated treatment for eating disorders, we are thrilled to welcome Kathryn Zerbe, M.D. back to Baltimore for our 2010 annual professional symposium.  Dr. Zerbe will present, along with 5 other distinguished experts, at Eating Disorders: State of the Art Treatment on Saturday September 25th, 2010.  Her much anticipated  presentation will focus on psychodynamic approaches and the use of transference and countertransference to enhance clinical practice in the treatment of individuals with eating disorders.

Kathryn Zerbe, M.D. is a Professor of Psychiatry and Obstetrics & Gynecology at Oregon Health & Science University.  She also serves as the Director of the Oregon Psychoanalytic Institute and has authored over 60 clinical papers and four books including, Integrated Treatment for Eating Disorders: Beyond the Body Betrayed.  Dr. Zerbe is a Distinguished Fellow of the American Psychiatric Association and a Fellow of the Academy of Eating Disorders. She has been repeatedly selected as one of “America’s Top Doctors” and is a highly sought after speaker both in the united states and internationally.

Find out more about Dr. Zerbe’s work and her upcoming presentation in Baltimore by reading her insightful and thought provoking responses to our questions below.  And don’t miss your chance to attend all six expert presentations on September 25th, 2010. (This event has been approved for 7 CME/CEUs). REGISTER soon!  Space is limited. 

Q & A with Kathryn Zerbe, M.D.

The title of your upcoming talk in Baltimore is “Resiliency, Vulnerability and Growth: Utilizing Transference and Countertransference Reactions to deepen the Treatment of Eating Disorders”.  What specific role does vulnerability play in this process?

KZ: Bewilderment, boundaries, and burnout — these are just a few of the concerns that clinicians are liable to struggle with when treating patients with an eating disorder.  Recognizing that in our quest to be helpful to our patients, we also face a potential undertow because the work to preserve life is taxing in the short run and often takes a commitment of time, energy, and sacrifice in the long run.  Clinicians ‘in the trenches’ know these facts, but what do we do to help ourselves to deal with the hurt feelings that arise when tenacious negative transferences arise, or when we are in a seemingly unwinnable battle with 3rd parties, or experience powerlessness when the patient refutes our counsel?  Awareness to these vulnerabilities, and others, are the first line of defense in staying attuned, steadfast, and nimble in robust clinical practice.

What would you say is the biggest barrier clinicians may face in trying to implement improved strategies for utilizing transference and countertransference in the clinical setting?

KZ: “To know thyself’ and “To be true to thyself’ have been laudable goals since the time of Socrates and Shakespeare, respectively, but such ideals are easier to write about in the abstract than to achieve in real time.  With the daily challenge of managing a lively practice and tending to one’s busy personal life, it is easy to put one’s own needs on the back burner.  Taking a small amount of time weekly to think about the impact of clients is enormously helpful.  In this way, one works on the feelings and clinical formulation one has about each specific person in practice but is simultaneously humbled by what each person teaches us by sharing their unique history and viewpoints.

 

What are the potential consequences of ignoring or ineffectively addressing transference and countertransference issues in the therapeutic process?

KZ: Like most clinicians, I feel extraordinarily blessed to be working in this field where one has the opportunity to witness individuals grow and change over time.  However, burnout is a formidable foe to contend with because change is often difficult, slow, and painful for the patient.  Sensitive clinicians pick up on, or in technical parlance, “contain,” these feelings.  To avoid burnout and to keep the work fresh, invigorating, and growth promoting, the therapist  who ‘knows himself or herself’ best is in a better position to assist the patient, and this is a ‘work in progress’  that is never done until one retires from practice altogether.

In your upcoming presentation, you will discuss strategies for managing “cultural countertransference”. Can you briefly define this term in the context of treating individuals with eating disorders?

KZ: Therapists as well as patients are prone to having conscious and unconscious reactions to media stereotypes, idealized body images, and culture norms as a whole.  We clinicians are in a better position to help our patients by becoming more aware of these potential ‘blind spots’ to  the  prevailing cultural  in ourselves and thinking them through.  Recovery can be enhanced by a timely discussion and critique of noxious cultural norms in therapy.  Both patient and clinician can make use of reading, media, movies, self-scrutiny, and ongoing dialogues with peers or consultants to become more cognizant of our largely unconscious idealization and overvaluation of beauty.   However, as Dr. Catherine Steiner Adair of Harvard University pointed out when she defined the term ‘cultural countertransference,’ in the early 1990s, we must also be wary that too much focus on the culture can be a defense to deepening the patient’s treatment.

Overall, what do you hope symposium attendees will take away from your presentation at The Center for Eating Disorders on September 25th?

KZ: If participants emerge from my talk (which will use art history slides to demonstrate concepts and to provide encouragement for each therapist to bring his/her unique creativity and tenacity to the therapy hour) with permission to ‘take care of yourself’ as you take care of the patient, I will be very happy, indeed.  Perhaps there will be an idea or two that will be new to the ear, but more likely the listener will simply take more seriously the need for ‘time outs’ and the pragmatic and psychodynamic reasons that undergird that need and recommendation.  One of my heroines, Eleanor Roosevelt, said “Do something that is scary everyday!”  I keep that saying on my desk as a reminder that our daily work as clinicians presents us with mysteries and a summons for personal growth that we can’t predict when we get to the office in the morning.  The more tools that we have in our therapeutic hip pocket, the better!  So, I’m looking forward to gaining wisdom from the other speakers who come first and hearing the comments and questions from the audience to, very selfishly, enhance my individual practice!

Our enduring thanks to Dr. Zerbe for taking time out of a busy schedule to provide such thorough answers. Be sure to join us on September 25th for what is sure to be an engaging and enlightening presentation.  Download the Eating Disorders: State of the Art Treatment PROGRAM BROCHURE (pdf) for registration details and deadlines.

If you’d like to order or find out more about Dr. Zerbe’s publications, please click on the links below.  These titles will also be available for purchase at the upcoming symposium.

Published by Kate Clemmer
August 20th, 2010 in CED Events, Editor's Picks, Enhancing Clinical Practice, In the News, Professional Education, Q & A, Therapies, Treatment Providers
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Q & A with Harriet Brown: Part II

On Monday we began a 3-part blog series featuring Harriet Brown, author of the upcoming book, Brave Girl Eating: One Family’s Struggle With Anorexia.   If you missed it, you can go back and read Part I in which Harriet shared about her family’s initial discovery of her daughter’s anorexia and where their journey to recovery began. Today in Part II, we resume our conversation with her about that journey to help her daughter recover, how it affected their family, and what she has learned from it.

Harriet Brown will be speaking at a free community event in Towson, MD on August 25, 2010 – click here for details.

Q & A with Harriet Brown: Part II

You describe your daughter’s recovery as a “slow, painful, infinitely courageous climb back up to health and hope.”  Can you share some of the most important steps your family took along this difficult journey?

HB: The most important step in the journey came when we decided to use family-based treatment and, essentially, empowered ourselves to help her recover. Until then we’d been more or less sidelined; we felt helpless and we didn’t know what to do. We wanted the doctors to tell us what to do and how to cure our daughter. It quickly became apparent that they weren’t going to do that, that they didn’t seem to know much more than we did in certain ways.

When we took on the FBT, we took on both the responsibility and the power to intervene. That was a tremendously liberating step. The worst part of my daughter’s illness for me was standing by helplessly, watching her suffer and starve. The notion that my husband and I could help her required a huge mental paradigm shift—but once we made it, we were much more effective.

Externalizing the disease makes it easier to stay calm, not engage with the eating disorder, and not get angry at what often feels like oppositionality. It helps you understand, as a parent, that your child is essentially being held hostage by an illness, not acting out or being stubborn. It’s very, very helpful.

Another important step was learning to externalize the disease. Anorexia is insidious; it speaks with your child’s voice and looks out of her eyes. It’s natural to think that it’s your child refusing to eat, resisting, raging, or whatever the behaviors are. We made a conscious effort to think of the illness as something separate from our daughter, and that let us see the glimpses of the real her under the savage face of the disease. I characterize the disease as the demon in the book—it’s not that I thought she was literally satanically possessed. Rather it was my metaphor for the way the illness took over her thinking and behavior.

As parents, how did you and your husband manage to take care of yourselves and other aspects of the family while putting the necessary time and energy into supporting your daughter’s recovery?

HB: Well, I don’t think we managed this very well! We made our daughter’s recovery our top priority in the family for many many months. We more or less gave up having a social life, because most social events revolve around eating, and it was a long time before we could eat in public comfortably. We cared for our younger daughter, which mostly consisted of getting her out of the house sometimes so she didn’t have to deal with all the chaos and noise and angst. I went to work sometimes and worked at home sometimes, thanks to a very supportive boss; my husband is a freelancer, so he was home a lot. Other than that we did very little that wasn’t related to re-feeding and recovery. We became very single-minded. And honestly, I think that’s what we needed to do. When you’re engaged in such a full-on onslaught, such an encompassing, overwhelming effort, you have to focus on that as much as possible. In fact that’s advice I would offer families: Don’t think you have to keep up a normal social life during this time. Take care of recovery first, and if you want to fit in other things and they nurture you, great. But don’t feel like you have to. Most families find this process pretty absorbing.

What is the most important thing you learned in the process of parenting and caring for someone with an eating disorder?

HB: I learned the power of love. I know that sounds corny, but the truth is that no one loves your child the way you do. And no one, therefore, has the power you do, the utter commitment, the doggedness, the resilience, to see her through the hell of an eating disorder. And you need every ounce of those qualities as a parent, because this is the most grueling experience your family will likely go through.

We would like to express continued thanks to Harriet Brown for taking the time to address these questions and share her insight and experience with our readers.  Be sure to check back for the third and final Q & A post with Harriet next week.

Interested in hearing from Harriet in-person and getting a signed copy of her book? Download the EVENT FLYER for her August 25th presentation at The Center for Eating Disorders at Sheppard Pratt and find driving directions on our Events page.

Published by Kate Clemmer
August 12th, 2010 in CED Events, Celebrity Topical News, In the News, Recovery, Therapies
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“Brave Girl Eating” – Q & A with Harriet Brown, Part I

On August 25th, 2010, The Center for Eating Disorders will welcome Harriet Brown – journalist, professor and parent of a child who almost died from an eating disorder.  Harriet Brown will be traveling to Baltimore to speak about her oldest daughter, Kitty’s difficult struggle with anorexia and  how their family used love, persistence and Family-Based Treatment (FBT) to help her recover.  In anticipation of her presentation and the upcoming release of her new book (left), we asked Harriet to share a little bit about her family’s experience in this three-part blog series. Her strikingly honest and insightful responses are sure to resonate with and empower countless other families who’ve been impacted by an eating disorder.

Harriet Brown’s presentation on Aug. 25th at The Center for Eating Disorders is FREE and open to the public. More information is available on our Events Page.


Q & A with Harriet Brown: Part I

Before your family went through this very personal experience with anorexia nervosa, what knowledge did you have of eating disorders and the treatment process?

HB: Probably about what most people know, which is basically nothing. I bought into all the usual myths: Anorexia affected white girls from rich families. Anorexia was a bid for attention, a way to act out in a dysfunctional family. I had no idea what I thought about treatment—I probably never gave it a thought, honestly.

When and how did you first become aware that your daughter was struggling with an eating disorder?  What were your initial reactions?

HB: We’d been aware of the possibility for a while—Kitty was a gymnast, and she’d always been on the thin side. I’d even asked her pediatrician about six months before she was diagnosed whether Kitty was maybe too thin; she’d grown half an inch and not gained any weight in a year, at age 13. The pediatrician reassured us, which in retrospect was a mistake; all adolescents need to be growing and gaining weight, and failure to gain can be as much a symptom as losing weight.

My husband and I first noticed an uptick in anxiety, but no weight loss. That’s why I was confused—I thought there had to be sudden dramatic weight loss. Kitty developed some obsessive tendencies around food and other areas, and her anxiety bloomed to the point of interfering with daily life. By now my husband and I were very alarmed. Around then Kitty lost a few pounds—4 or 5—and suddenly we put 2 and 2 together and realized we were dealing with anorexia.

Our first reaction was to push her to eat. That’s when we began to understand what we were dealing with. The harder we pushed her to eat, the more she resisted, and that was not like Kitty. By the time she was formally diagnosed, three weeks later, we were in a state of utter shock and panic. That sense of panic persisted for several months as we tried and failed to get her to eat, as her physical condition deteriorated; she landed in the hospital for dehydration and bradycardia at one point. That hospitalization was a turning point for all of us. We’d been trying to get her to eat, and failing; she was insisting she wasn’t hungry, she’d already eaten, her stomach hurt, all the excuses an individual with an eating disorder offers up. And part of us believed her, because we’d always been able to believe her. I think I was in denial. I know I was, actually. There was a moment, in the hospital, when after 4 hours of re-hydration, her heart rate still didn’t come up. The doc transferred her to the peds ICU. I remember distinctly running alongside the bed and arguing with the doctor about why she didn’t need to be in the ICU. I look back on that moment with horror, because it shows how much in denial I was that this was a life-threatening illness. No parent really wants to think that. And in retrospect I think all families pass through a stage of denial like this, and the best thing you can do is hurry them through it so they can get to the hard work of helping their child recover.

We flailed around unsuccessfully from June to August, when we stumbled on the notion of family-based treatment and decided immediately to try it. That’s when we started to make progress.

…to be continued.

Check back to read more of Harriet’s incredibly poignant account of her daughter’s illness and recovery.  In part II, Harriet talks about the most important thing she learned in the process of parenting a child with anorexia and the critical steps her family took along the way.

If you’d like to comment on this blog, or you want to receive updates when Parts II and III of this blog are posted, please join in the discussion and become a fan of CED’s Facebook page.

You can learn more about Harriet Brown and the upcoming release of her book, Brave Girl Eating: A Family’s Struggle With Anorexia, by visiting her website, www.harrietbrown.com.


Published by Kate Clemmer
August 9th, 2010 in CED Events, Celebrity Topical News, Editor's Picks, In the News, Nutrition, Recovery
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“Love Your Tree” at ARTSCAPE: July 16-18, 2010

The Center for Eating Disorders at Sheppard Pratt will host an interactive art exhibit within the Target Family Art Park at Artscape, the largest free arts festival in the country.   This upcoming exhibit at Artscape is part of The Center’s community outreach efforts to prevent eating disorders and promote a positive self image.  Children and families are invited to write positive messages about their bodies on a leaf, in response to the phrase, “Like a tree my body is…”  The empowering messages inscribed on the leaves will be hung on the branches of a 7-foot tall tree sculpture which blends elements of both female and male shapes, as a metaphor for the human body.  Below are some of the very inspiring messages that have been hung on the tree by Artscape attendees in previous years:

“Like a tree, my body…holds a powerful spirit.”

“Like a tree, my body…has roots…my family, my spirit and the love I receive.”

“Like a tree, my body… is changing, like a deciduous tree, beautiful in all seasons.”

The interactive Love Your Tree exhibit is part of The Center for Eating Disorders’ larger body image campaign, based on Eve Ensler’s play, “The Good Body” which sends a message to women to stop hating their bodies and encourages everyone to challenge society’s narrow definition of beauty.  The central theme, “Love Your Body, Love Your Tree” encourages self awareness and self care as well as an appreciation for the diversity of beauty.

The Love Your Tree exhibit at Artscape will officially kick-off this year’s Call for Posters which invites middle school, high school and college students from across Maryland to create and submit original posters that illustrate their responses to the phrase, “Like a tree, my body is…”.  This campaign provides students with an opportunity to use art as an avenue for learning about and expressing messages of body appreciation. Poster entries must be no smaller than 9″x12″ and no larger than 12″x18″.  Only two-dimensional media will be accepted.

Visit our online gallery of student artwork from last year’s Love Your Tree poster campaign.

To get involved with the Love Your Tree program stop by our booth at Artscape on July 16, 17, and 18 from 12:00 – 8:00 pm or contact Kate Clemmer at kclemmer@sheppardpratt.org.

Find out more about Artscape by visiting the official Artscape website.

Published by Kate Clemmer
July 8th, 2010 in Body Image, CED Events
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Motivational Mini-Clips from Jenni Schaefer!

Each year, The Center for Eating Disorders sponsors a Fall Outreach Event to help promote messages about eating disorder recovery, awareness and prevention within the community.  Last October, we were proud to host best-selling author, advocate and recovery role model, Jenni Schaefer.  Jenni spoke about her own experience with an eating disorder and about her latest book Goodbye Ed, Hello Me: Recover from Your Eating Disorder and Fall in Love with Life.  While its been almost eight months since Jenni’s presentation here in Baltimore, we know that the summer season can offer specific challenges related to eating disorder recovery, and so it seemed like a good opportunity for us to share some motivational moments from the presentation.  Check out these short, inspirational clips from Jenni’s talk – we hope that watching them might help others to stay focused on saying “Goodbye to Ed” too! 

Are you or someone you love working hard on recovery from an eating disorder?  Jenni speaks about “mediocre stages of recovery” in this clip and offers a little perspective on why its worth it to keep going. 

http://eatingdisorder.org/blog/wp-content/uploads/2010/06/schaefer1.flv

Have you ever felt that you have to be unhappy or that you were “born to be miserable”?   You certainly aren’t alone.  In this clip Jenni talks about breaking away from this belief and adding joy back into life. 

http://eatingdisorder.org/blog/wp-content/uploads/2010/06/schaefer2.flv

What is recovery about for you? 

For everyone who could use a little ongoing motivation - check out Jenni Schaefer’s Recovery Support Blog  as well as her regular blog contributions to The Huffington Post  which often span the topics of eating disorders, recovery and dating.  And if you’re curious about that guitar she was talking about or the song she sang later in her presentation- check out her website for the lyrics.

Many thanks to Jenni Schaefer for continuing to inspire so many people and for being a role model not just in recovery but in living a balanced and joyful life. 

Appointed to the Ambassador Council of the National Eating Disorders Association, Jenni Schaefer is a singer/songwriter, speaker, and author of Life Without Ed: How One Woman Declared Independence from Her Eating Disorder and How You Can Too(McGraw-Hill) and Goodbye Ed, Hello Me: Recover from Your Eating Disorder and Fall in Love with Life(McGraw-Hill 2009). She is a consultant with Center For Change in Orem, Utah. For more information: www.jennischaefer.com

If you’d like to receive updates about future community events at The Center for Eating Disorders at Sheppard Pratt, please visit our website and sign-up on our mailing list.

Published by Kate Clemmer
June 11th, 2010 in CED Events, Celebrity Topical News, Editor's Picks, Recovery
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Introducing CED’s Spring 2010 Blog Series…

The Center for Eating Disorders at Sheppard Pratt is excited and proud to announce a new web resource for family-centered women and the health professionals who work with them.  Our Spring 2010 blog series began as an idea for a single blog addressing the  issue of post-pregnancy body image struggles, a topic that affects millions of women across the country and seems to grow more and more complex with our culture’s continued focus on weight and dieting.  However, as we began developing this resource for new and expecting moms, additional topics, questions and related issues kept sprouting.  As a result, we enthusiastically decided to address the intersection of body image, pregnancy, disordered eating and motherhood in a more comprehensive way, one that examines these issues across the broader timeline of motherhood from a holistic and health-focused perspective. 

What we ended up with is Nurture., a series of blogs that we hope will: 1) cultivate a conversation about the effects of negative body image and disordered eating on fertility, pregnancy and parenthood and 2) provide resources and information that will encourage women to resist negative cultural messages about food and weight, for themselves and for their families.  In reaching towards these goals, we will touch on a number of relevant, and sometimes sensitive topics including  infertility,  post-partum weight struggles and the mother-child feeding relationship.  We will draw from and reference a variety of sources – clinical research, popular media, current events, web resources, professional publications - to help women find peace with their pre and post-baby bodies so that they can nurture their families and, most importantly themselves.

Body image issues and disordered eating don’t just affect women and mothers – they affect the whole family system. Whether you are an expecting mom, a concerned husband or partner, a supportive Obstetrician, an individual struggling with an eating disorder, or a veteran mother of five – we hope you will join us over the next several months as we journey through the Nurture. blog series which launches next week, April 12th, 2010.  

Follow The Center for Eating Disorders on Facebook and Twitter to receive updates and Nurture. blog entries as soon as they are posted.

If you have questions about this blog series or about treatment options at The Center for Eating Disorders, please call (410) 938-5252.

Published by Kate Clemmer
April 8th, 2010 in Body Image, CED Events, Nurture. Blog Series
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Q & A with Rosalind Wiseman – Part II

On Sunday we posted Part I of our interview with best-selling author, Rosalind Wiseman, an expert in teaching parents, educators and other adults how to effectively guide youth through the social challenges of Girl World and Boy World.  Today’s post includes Part II of our Q & A which ventures into the effects of parents’ own body image issues, adolescent “beauty pageants”, and the role of teachers in developing kids’ body image.  Read on to find out what Rosalind has to say about these important topics, then join us in Baltimore on February 21st for her keynote presentation, “Positive Parenting for a Healthy Self Image: Helping Children Develop Social Competence and Body Confidence in Girl World and Boy World.

In your book, Queen Bees & Wannabes you write, “Adolescence is a beauty pageant. Even if your daughter doesn’t want to be a contestant, others will look at her as if she is”.  How can we teach our girls to socialize effectively without engaging in that competition? 

All of us, but particularly adolescents, tend to focus on what other people think about them, and pleasing and conforming to what other people want. So there are three things I think are key to helping your child successfully disengage from the competition.  The first is having an adult in addition to your parent whom you feel comfortable going to with problems. Second is having one friend who really has your back and whose loyalty means they will confront you respectfully when they’re worried about you or see you behaving in destructive ways. And third is having one competency (a sport, a skill, etc.) that allows you to feel good about yourself apart from how you look – it’s a reminder that you are more than your appearance.

How can a parent help their child develop social competence and body confidence if they are still struggling with their own body image and self-esteem issues? 

When your child is faced with a problem in any capacity having to do with body image, you’re on a road together to support the child.  A parent’s sacred responsibility is to ask themselves difficult questions about themselves and their own behavior. That means examining your beliefs about how your self worth is determined by your body image, and the messages that you’ve imparted about that to your child.  This is important not only for a parent who has eating issues or is struggling with their weight, but also the parents who in the things they say, even if they mean well, may come across as really degrading.  So, saying things like, “Do you really want to eat that?” or, “If you lose 10 pounds, I’ll give you X reward.”

And if you as a parent have or are struggling with these issues, one of the most important, profound things you can do is to admit the challenges you’ve had and how that impacts the way that you speak to them.  You need to ask your child, “Do I say things that annoy you about the way you eat or how you look?  How do you feel when I say those things?  What’s a better way for me to talk to you about this?”

And if your child sees you doing anything – small concrete things – that reflect your thoughtfulness about this and your commitment to helping them and helping yourself, that is profoundly meaningful to them. You’re taking the risk to change, and that is one of the most important things for your child to be able to see because it’s going to be so much easier for them to take that leap themselves.

What role do teachers, school staff and other professionals play in “girl world & boy world”?  As non-family members, can they make a difference (for better or worse) in a child’s long-term self-esteem or body image?

Of course teachers and other adults in kids’ lives can, for better or worse, have an effect on a child’s self-esteem. A helpful adult can pierce the notion that it’s normal to feel self-loathing and that you’re nothing unless you look a certain way. It may be common, but it doesn’t mean it’s right. Secondly, the same as with parents, you allow students to have conversations that make you uncomfortable, and don’t answer them with cliché statements like “everyone’s beautiful in their own way.”

Educators must not allow children to ever tease others about their looks or make comments themselves about a student’s appearance.  Even if the teacher or professional doesn’t have the expertise to help a child who’s suffering from a problem with body image or eating disorders, the relationship they have with the child serves as a bridge to encourage them to take the enormous risk of asking for help.

Many thanks to Rosalind Wiseman for taking the time to provide such insightful and thorough responses to our questions!  If you are interested in attending her presentation on February 21st at The Conference Center at Sheppard Pratt, please RSVP by calling (410) 938-3157 or email rsvp@sheppardpratt.org.  Admission is FREE but seats are limited so reserve your’s today! 

Visit our Events page for a listing of additional free community events hosted by The Center for Eating Disorders in recognition of the upcoming, National Eating Disorders Awareness Week (February 21-27).

Did you miss Part I of the Q & A blog with Rosalind Wiseman yesterday?  Read it here .

Published by Kate Clemmer
February 9th, 2010 in Body Image, CED Events, Celebrity Topical News, Editor's Picks
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Q & A with Rosalind Wiseman

Each year, the last week of February marks National Eating Disorder Awareness Week across the country.  This year, on Sunday February 21st, The Center for Eating Disorders at Sheppard Pratt will kick-off a full week of events designed not only to promote awareness for the cause, but ultimately to spread education that will help prevent eating disorders before they begin.  Who better to give this message than author, educator and parenting expert, Rosalind Wiseman? Wiseman is the author of the bestselling book, “Queen Bees & Wannabes”, “Owning Up” body image curriculum, and a new young adult novel, “Boys, Girls & Other Hazardous Material”.  In anticipation of her keynote presentation in Baltimore, we asked Rosalind Wiseman to answer some tough questions about body image concerns and weight issues among youth.  This is what she had to say…

  

Simply stated, what are some of the most effective things parents can do to help their children develop confidence and a positive self image? 

From the earliest ages you have to teach your child how to navigate Girl and Boy World – a world that will try to convince your child that they are not good enough unless they conform to a rigid belief system of how you should look and how you should act.

It’s almost impossible, as much as parents want this to be the case, to completely protect your child from the influence of these Worlds.  More realistically, parents should, age-appropriately, inform their children how to withstand its insidious ability to make people feel worthless unless they buy into it. Are you teaching them – by word and deed – that you are more than your physical presentation? For example, when you’re watching TV, listening to the music your kids like, or talking about their friends and the people they gravitate towards, use it as an opportunity to help the child think critically about what they are learning in those moments.  The lessons are not only about how they define “beautiful,” but about how they can be convinced that they will never physically match up – pretty enough, masculine enough – to what they’re “supposed” to be.

Another important part of this is to allow room for having the difficult but important conversations about body image -particularly when children feel rejected -instead of ignoring it or responding with common yet often ineffective responses like, “Everyone’s beautiful in their own way,” “Those people are just insecure,” or “People should see you for what you are on the inside, and if they don’t they’re not worth it.”

Instead, while of course you can tell your child that he or she is beautiful, allow the child to talk about how and why they are feeling like they’re not good enough. Sit with these uncomfortable feelings so you can get to a place where the child feels that it’s not weak to talk about it, and that everyone has to deal with these feelings of insecurity.  The very process of talking with your child goes a long way toward being able to withstand the pressures of Girl World and Boy World, and toward developing healthy body image.

In Queen Bees & Wannabes, You refer to the management of weight as “The Competition No One Wins” – can you elaborate on this?

For the vast majority of kids, you feel like you never measure up, and it’s so easy to get to a place of “I’m worthless unless I fit this impossible ideal in my head.”  As soon as that happens you’re on a path to low self-esteem.  But the reason I say that there really are no winners in this “competition” is that everybody looks at certain people and thinks that because he/she is so beautiful they must never struggle with these issues or they must not be insecure.  The reality is, in my experience, even those girls and boys feel like they’re never good enough, or they feel like they would be nothing if that façade were taken away.

Here are some recent blogs from my Website that help to illustrate this point: The Price of Success: Girls, Stress and Being Your Own Worst Enemy and Why We’ve Turned on Heidi Montag.

At what age should parents start actively addressing body image concerns with their children? Is there anything we can do when our kids are infants and toddlers to build a good foundation?

By the time kids are four and five years old, it’s not unusual for them to start making comments about their own or others’ bodies. They may say things like, “I have a big belly” or “That person is so fat.” 

Now, there’s a tendency among parents to ignore this, hush it, or say it’s not true.  The problem with that strategy is that children are still going to believe what they see but they just won’t have the opportunity to talk about it. So then, it’s left up to the kids on the playground to talk about it and define how to treat people based on how they look. And that’s even more harmful because it will probably be in the context of teasing, shame, or embarrassment.  And so as soon as your child starts making comments or asking questions about how people look, you have to take that as an opportunity to talk about people’s differences – you can explain that just like people can have different skin colors, people also come in different sizes and that’s just the way they are. 

If you’re child is making negative comments about his or her self at this age, you can respond by telling them, “You have a beautiful body. It’s healthy for kids to have a tummy and what’s more important than what you weigh or look like, is how you eat, eating nutritious food, and being physically active.” My colleague, Julia V. Taylor has written a wonderful children’s book about body image called “Perfectly You”, which I encourage you to check out. 

Stay tuned for Part II of our Q & A with Rosalind Wiseman tomorrow! If you have your own questions for Rosalind you can ask them live in Baltimore following her presentation, “Positive Parenting for A Health Self Image” on February 21, 2010, 1:00 – 3:00 PM at The Conference Center at Sheppard Pratt.  Visit our Events page for more information about this free event and how to reserve your seat!  Want to find out more about Rosalind Wiseman and her publications?  Visit her website at www.rosalindwiseman.com.

Published by Kate Clemmer
February 7th, 2010 in CED Events, Celebrity Topical News
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Baltimore’s Jewish Community Braves Snow to Attend Eating Disorders Conference

“Promoting Self-Esteem & Positive Body Image: A Program for the Jewish Community” 

On Sunday January 31, 2010, The Center for Eating Disorders (CED) at Sheppard Pratt, in partnership with The Orthodox Union and in collaboration with Hadassah of Greater Baltimore and Jewish Community Services, hosted an event to help shed light on the issue of eating disorders and body image concerns within the Jewish community.  Sunday’s free event, which attracted nearly 200 people to The Conference Center at Sheppard Pratt in Towson was the first of its kind to take place in Maryland.  Key players in the event’s success include those pictured above, from left, Frank Buchweitz (National Director of OU Community Services and Special Projects), Rabbi Dr. Tzvi Hersh Weinreb (Keynote Speaker), Dr. Harry Brandt (CED Director), Catherine Steiner Adair (Plenary Speaker) and Dr. Steven Crawford (CED Associate Director).

 

Despite an unexpected dose of winter weather the night before, the day began as scheduled with Rabbi Dr. Weinreb, a Baltimore native, speaking to the crowd about the intersection of the Jewish faith and eating disorders.  Rabbi Dr. Weinreb, pictured above during his keynote presentation, discussed the importance of nourishing one’s body and caring for it in a way that simultaneously promotes health and the Jewish culture.  Following this presentation, conference attendees dispersed into five diverse morning workshops including a screening of the documentary “Hungry To Be Heard”, moderated by the film’s Executive Producer, Elisheva Diamond, M.A. (pictured below, left).

Also pictured above (right) is Catherine Steiner Adair, Ed.D. who provided the plenary address entitled, “Raising Strong and Resilient Children in Today’s Society”.  During her talk, Dr. Steiner Adair discussed the progression of body image pressures throughout the twentieth century as well as the implications of society’s obsession with thinness on today’s young Jewish women. Later in the day, a panel of Jewish high school students from various Baltimore schools, discussed the real life pressures they feel to succeed academically, socially, and to fit the standard definition of beauty.

Those in attendance at the conference included religious and community leaders from Baltimore’s Jewish community, parents, young people, psychologists, social workers and other mental health providers, as well as individuals in recovery from eating disorders.  After a successful event, Dr. Crawford and Dr. Brandt of the Center for Eating Disorders, along with additional CED staff (pictured above) look forward to coordinating additional follow up community events to help continue creating awareness about the need for the prevention, early identification and treatment of eating disorders within this community and others affected by eating disorders.   

If you missed this event but are interested in finding out whats coming up next on the calendar, please visit our Events page and visit our Facebook page to see additional photos from this event.

Published by Kate Clemmer
February 5th, 2010 in Body Image, CED Events, Celebrity Topical News, Editor's Picks
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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

Published by Kate Clemmer
January 7th, 2010 in Body Image, CED Events, Editor's Picks, In the News
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