Cognitive Behavioral Strategies

Lynne S. Gots, Ph.D.
Licensed Psychologist

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So You Want Your Kids to be Healthy Eaters

By Lynne Gots, posted on April 9th, 2012.

In my last post, I took Dara-Lynn Weiss to task for the tactics she used to get her seven-year-old daughter to lose weight. I was speaking as a psychologist, having treated many (mostly) women with clinical eating disorders and also those with what’s been called a “normative discontent” about their bodies.

But I’m a mother, too, and I often grappled with how to promote healthy dietary habits in my own kids, now all in their twenties and no longer within my direct sphere of influence, dietary or otherwise. Looking back, I can see that some of the ways I tried to nourish them were sound. But I also made my share of mistakes, vacillating between acceding to their pleas for sugary snacks and trying to implement stricter food rules.  So in the spirit of the parenting confessionals that have become so popular these days (book deal, anyone?), I’ve decided to go public with some of my experiences.

I fed my first baby no processed foods or sweets. She was a paragon of healthy eating—until she turned one, that is, and got her first taste of homemade birthday cake (carrot with cream cheese frosting, which she still requests to this day). She stuffed fistful after fistful into her mouth before she fell dead asleep in a sugar coma, head on the tray of her high chair and face smeared with cream cheese and crumbs.

I was a little more lax with my second daughter, choosing ease of preparation over nutritional value. As a result, she became hooked on frozen fish sticks. I once tried preparing a more wholesome version from scratch with cod and breadcrumbs. But, then as now, being in possession of a highly discriminating palate, she rejected the substitute.

It was all down hill from there. By the time the third kid came along, convenience foods had completely infiltrated my kitchen. Graham crackers and juice boxes were easy to feed my toddler in his car seat as I chauffeured his two older sisters to school and gymnastics. McDonald’s became a too frequent destination. So it’s no wonder my son’s first two-word sentence was “mo’ soda.”

When my kids were in elementary school, I instituted a radical approach I’d come across in a book somewhere.  Tired of the nightly dinner table whining (“Can we have dessert now?”), I decided to start serving dessert with dinner—peas, potatoes, chicken, ice cream, all together. The rationale was to give every food group equal status, making dessert just one component of a meal rather than a reward for a clean plate or good behavior. If the kids didn’t think of sweets as forbidden fruit, maybe they wouldn’t go so crazy over them. It made sense to me at the time, and it worked. Or so I thought.

The experiment didn’t turn out as I’d hoped. One day my daughters pulled me into the family room and gleefully showed me what they’d unearthed from behind the couch cushions:  a stash of empty, crumpled candy wrappers big enough to have filled all the Trick or Treat bags in the neighborhood. Their brother was busted, and we went back to serving dessert in the conventional fashion.

The unintended outcome didn’t dissuade me, however, from trying a similar method with each of them when they were high school seniors, only this time with beer and wine instead of sweets. I hoped that letting them see how an alcohol buzz feels—while in the safety of their own home (and legally, in our county)—would make it unnecessary for them to turn drinking into an act of teenage rebellion. For the same reason, a consortium of college presidents has been advocating lowering the drinking age to eighteen. So I offered them the occasional glass of Cabernet or a bottle of IPA during holiday dinners. Although I’m not suggesting this approach would be appropriate for all teens, particularly those with a family history of alcoholism or those with impulse-control problems, it worked pretty well with mine. To my knowledge, with the exception of a few embarrassing, alcohol-fueled incidents in their collective histories, they’ve all turned out to be fairly responsible drinkers.

As for eating, they’ve each developed their own distinct preferences, some healthier than others. My oldest daughter has been a vegetarian since she was thirteen, more out of compassion for animals than from a desire for greener eating. She relies heavily on frozen dinners from Trader Joes, which she microwaves in the tiny kitchen alcove of her studio apartment while she’s hitting the books. My middle daughter, the erstwhile fish stick connoisseur, is my culinary soul mate. We swap recipes, and she’s introduced me to her favorite food blogs and restaurants. My son favors red meat, a taste he can indulge often in Austin with Texas barbeque.

And he still loves chocolate.

 




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Vogue Article Sparks Controversy: Should Kids Diet?

By Lynne Gots, posted on April 4th, 2012.

There’s been much buzz recently over an article in the April issue of Vogue, in which writer Dara-Lynn Weiss chronicles her yearlong mission to put her overweight seven-year-old daughter Bea on a diet. At four feet four inches tall and 93 pounds, Bea was in the ninety-ninth percentile for weight and, technically, “obese.”

To her credit, Weiss acknowledges her own problems with food and body image. “Whether I weighed in at 105 pounds or 145 pounds hardly mattered—I hated how my body looked and devoted an inordinate amount of time to trying to change it.” By her own account, even though she’s currently at a healthy weight, she still seesaws between bingeing on “decadent pursuits” (cheeseburgers, cupcakes, and cookies) and purging—if not through vomiting or laxative abuse (although she admits to having used those methods, too), then by going on juice cleanses or rigidly adhering to a restrictive food plan for a week or two.

Clearly, then, Weiss is no role model for either healthy eating or body acceptance. “Who was I to teach a little girl how to maintain a healthy weight and body image?” she says, in her only display of self-awareness in the entire article.

Who, indeed?

Over the course of the weight loss project she undertakes on behalf of Bea, Weiss earns herself a lifetime membership in the Tiger Mother club. (Ironically, she criticizes the “Tiger Moms who press their kids into private-school test prep at age four, or force them to devote countless hours to piano or dance or sports [yet] find it unthinkable that anyone would coax a child to lose weight.”)

She polices the little girl’s food choices. She berates a Starbuck’s barrista for not knowing the exact calorie count in a kid’s hot chocolate. She withholds dessert, extra portions, and dinner (when she felt her daughter had consumed too many calories at a school French heritage celebration). She alienates friends and family, including her husband, who “soon tired of the food restrictions and the glacial rate of weight loss and stopped actively participating.”

The “Red Light, Green Light, Eat Right” program the family followed, created by Joanna Dolgoff, MD, seems, at least on the surface, to promote sensible eating habits without being overly restrictive. For example, on her website, Dr. Dolgoff distinguishes between “healthy” and “junky” green light (low calorie) choices. But Weiss manages to put her own personalized, eating-disordered spin on the doctor’s recommendations, filling Bea up with diet soda and fat-free, processed snack foods while limiting fruits (which can be eaten freely) because she found Bea’s consumption of them “excessive.”

By demonizing entire categories of foods, making others available solely on the basis of their negligible calorie counts, and subverting Bea’s hunger with low-cal cookie facsimiles devoid of nutritional value, Weiss might as well be giving her daughter a tutorial on how to develop an eating disorder. And instead of seeing Bea’s weight as a behavioral issue involving modifiable eating and exercise habits, she prefers to medicalize it, liking the word “obese” because it “carries a scary, diagnostic tone.” Some sports are added, and Bea even enjoys them, but physical activity doesn’t become a family endeavor because Weiss herself hasn’t been to a gym in over a decade.

By her eighth birthday, Bea had grown two inches, lost sixteen pounds, and acquired, as a reward for her weight loss, a feather hair extension and wardrobe of designer dresses. Weiss hastens to add, “Incredibly, she has not yet exhibited symptoms of intense psychological damage.”

Talk to me in ten years.

When Weiss presses her daughter to take pride in her new appearance, telling her how different she is from “that fat girl [who] is a thing of the past,” Bea responds with a depth of insight that far surpasses her mother’s. “That’s still me,” she replies. “I’m not a different person just because I lost sixteen pounds. Just because it’s in the past doesn’t mean it didn’t happen.”

In the way of many controversial media figures these days, Weiss has gotten herself a book contract. I wonder what she’ll write. . . A parenting book? A diet book? Or a sociopolitical treatise on the childhood obesity epidemic in early 21st century America?  I can hardly wait to find out.

 




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This blog is intended solely for the purpose of entertainment and education. All remarks are meant as general information and should not be taken as personal diagnostic or therapeutic advice. If you choose to comment on a post, please do not include any information that could identify you as a patient or potential patient. Also, please refrain from making any testimonials about me or my practice, as my professional code of ethics does not permit me to publish such statements. Comments that I deem inappropriate for this forum will not be published.

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