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Im Not Fat, Im Fluffy
A distorted body image is one of the symptoms that define anorexia and related eating disorders. Patients may be painfully thin but still see themselves as fat while they continue to cut calories, over-exercise, purge, or use enemas in an effort to lose more and more weight. Those of us who enjoy normal weight often also suffer from a warped view of our physical selves. Like the old carnival house of mirrors, we fail to see the true reflection of our bodies because of an inner eye that focuses on the elements we hate: sagging arms, nobby knees, saddlebag thighs, a roll of belly fat. That personal distaste for certain body parts is what drives slender, attractive, healthy individuals, despite the adverse reactions of family and friends who see no need for change, into cosmetic surgery. Those of us who are overweight also display selective vision. We tend to avoid full-length mirrors, preferring to focus on just our upper body and face. When we do catch a full glimpse, we suck in our stomachs and look at ourselves sideways, trying to convince ourselves that we don't look as overweight as the scales so nastily suggest. We believe that our clothes shrank in the wash or that the size tags are in error. In our mind's eye we see ourselves as we yearn to be and linger long on the fantasy of how great we will look when we can get into our favorite outfit. So no matter our weight, our body image frequently fails to reflect what is in the mirror but represents what is held in our mind's eye. The closer we can approach to the differing views being compatible, the more comfortable we will be in ourselves and the more valuable any changes we seek to make. You may have gained, and lost, an appreciable amount of weight several times on your life, as many of us have. There were undoubtedly times, on your way up and down the weight ladder, when your appearance and your self-image diverged. This can be a critically dangerous time. If you are on a diet and losing, but still see yourself as fat, you become anxious: "This diet isn't working," and the chances of your just giving up become significant. If you are gaining and still see yourself as thin, you ignore the need to take immediate action until one day you can't button any of your clothes. You look at the scale in confused surprise: how did this happen without my noticing it ten or fifteen pounds ago? To permanently control our weight requires a constant awareness of our body in all of its full reality. It doesn't matter if we want to be model-thin, enjoy a middle ground, or even have no emotional distress at remaining pleasantly plump, we need to be aware of our external presentation in order to accurately internalize all aspects of our appearance. An accurate self-appraisal of your image-in-the-world makes so many decisions easier: should I eat dessert? Should I drive over to the gym? Should I take a walk or start that new thriller I've been dying to read? Because you're aware of what needs to be done, and what is allowed, you shake the burden of guilt off your shoulders and can truly enjoy the activities you choose to pursue. Your mental and physical efforts are synchronized which avoids self-destructive vacillation -- "Should I or shouldn't I?" - and the later self-disgust when you feel you made the wrong choice. How do we train ourselves to coordinate our self-perception with our self-presentation? It is undoubtedly a difficult task to accomplish. How many times have you been astonished to learn that others see your words and actions in a totally different light than you meant to convey? We judge others, and they judge us, by external criteria. I am only completely and intimately knowledgeable about one person in the world, me, because I am privy only to the internal criteria of myself. We are now going to try to turn ourselves inside out in order to look at ourselves with both an internal and external view. Here are some personal characteristics and attributes. Since we are focused on weight and body image, the primary listing relates to that. Since you're going to a lot of effort to get this information, and to create confusion in your respondents about what is your primary area of concern, I suggest you add the additional areas. Physical: Height Weight Shape General Appearance Hips Chest Arms Legs Posture Ways You Move Attractiveness Grooming Hairstyle Wrinkles Looks What Age Voice Age-Appropriate Clothes Taste In Clothes Make-Up Expertise Bearing Teeth Fingernails Appearance - Strongest Points Appearance - Biggest Shortcomings Other: Usual mood Politeness Attitude Confidence Level Empathy Level Honesty Rating Personality -Strongest Points Personality - Biggest Shortcomings Dealing with People -- Strongest Points Dealing with People --Biggest Shortcomings Next to each personal quality, write down one to three adjectives you feel best describe you on that facet of yourself. Now give the list to several friends, your spouse, relatives, coworkers. Tell them you're involved in a project or survey and make sure they can submit it anonymously. Having it completed by someone you think doesn't like you can be the most revealing of all! How closely do all the lists overlap? Typically, there will be substantial repetition in a number of areas. There will likely be divergence between people who know you very well and those who only see a certain side of you, at work, at school, in business. Now combine the lists, deleting the repetitions, so that you have anywhere from a few words to dozens of words to describe your public persona. Since we are primarily interested here in weight management, concentrate on the descriptors that relate to your physical attributes. Do others see you as you see yourself or are there a few shockers showing up? Focus on those and try to ferret out the source of the contradictions. Are you misleading yourself about the way you look or are you unconsciously facing the world in a manner designed to create a certain image? Do you focus on your "good points" - a small waist you cinch tight with a belt - and forget about other areas - your hips look enormous in comparison? Do you fake something imperfectly such as a hairpiece, a shoe lift, padded underwear? Have you convinced yourself that long, flowing clothes, or oversized suits, make you look slim? Do you always study your face in the glow of bathroom warming lights to convince yourself that the wrinkles don't really show? What can be very gratifying and self-affirming about this exercise is that much of what is written about you is far more tolerant and non-judgmental than how you describe yourself. You are your own biggest critic because you know yourself so well - that old internal criteria stuff. You want to be good, you want to be perfect, but you are acutely aware of your weaknesses and dark secrets. This is where balance can be so nurturing: knowing how others see you can help you make any changes you want to pursue. You can start to emphasize certain aspects of yourself while discarding the tricks that everyone saw through. If you want to modify your appearance, lose weight, build strength, it will be valuable only if it is built on the reality of where the internal and external converge. You are considerably more likely to attain your goals if they arise out of where you are and lead naturally to where you want to be. One more side effect of this little exercise: you find out that no one in the whole world is as interested, or as focused, on you as you are! Even close friends and family may have difficulty in finding descriptors for you: "I just never really thought about it." Of course they didn't because they were too busy concentrating on themselves. Once you really grasp this concept, it can be incredibly freeing. You can start to lose that self-consciousness that tells you others are studying and judging you. That standing-out-from-the-crowd vulnerability can start to fade. That "I can't go looking like this" panic can start to wane. And as you start to realize that your weight and appearance are the primary focus of only yourself, you can start to understand that whatever your physical shape reflects, it is your appreciation which is vital, not other people's. Manage your weight, and manage your life, for yourself - not for those others "out there" who don't even notice. Virginia Bola is a licensed psychologist and an admitted diet fanatic. She specializes in therapeutic reframing and the effects of attitudes and motivation on individual goals. The author of The Wolf at the Door: An Unemployment Survival Manual, and a free ezine, The Worker's Edge, she recently completed a psychologically-based weight control book: Diet with an Attitude: A Weight Loss Workbook. She can be reached at http://www.DietWithAnAttitude.com
MORE RESOURCES: Column | Carolyn Hax: Daughter drops dad after his email suggesting weight-loss drug The Washington Post The plan to rescue Denmark’s weight-loss pioneer The Economist ‘Miracle drug’ or medical gamble? GLP-1 weight-loss meds linked to thousands of severe side effects KRDO Pfizer Adds to Its Big Bet on Weight Loss Drugs Yahoo Finance The Highly Anticipated “Triple Agonist” Weight Loss Med Is Almost Here—What Doctors Say About It Women's Health I'm a dietitian who helps busy people lose weight. Here are 10 protein-packed snacks I get at Costco. Business Insider The Best Time to Take Berberine for Weight Loss and Blood Sugar Verywell Health GLP-1 Receptor Agonists Linked to Weight Loss and Improved Metabolic Markers in Breast Cancer Patients geneonline.com Investigational weight-loss drug trial shows average reduced body weight of 30% The Pharmaceutical Journal Major Weight Loss and Knee-Pain Relief Seen With New Eli Lilly Drug The New York Times Novo Nordisk seeks to block Sun Pharma’s weight loss drug Longevity.Technology Alone: More Than a Weight-Loss Show Reformed Journal DrMedHealth.com Launches Nationwide GLP-1 Medical Weight Loss Program with Board-Certified Physicians ACCESS Newswire 5 Pictures That Show How Much Weight Jelly Roll Has Lost This Year Taste of Country Stefon Diggs’ leading lady Cardi B leaves fans in awe on Instagram as she reveals the secret to her post- The Times of India How Are Weight-Loss Drugs Reshaping Retail? RetailWire Hims & Hers Brings Comprehensive Weight Loss Programme to the UK Hims Investor Relations Cancer Benefits and Risks From Ozempic, Wegovy, and Other Weight Loss Drugs Memorial Sloan Kettering Cancer Center The truth about high-protein diets Harvard Gazette Weight loss injection adverts from CheqUp, MedExpress and WLO pulled after regulator steps in diabetes.co.uk Once-Weekly Retatrutide Reduces Weight and Knee Pain in Patients With Obesity and Osteoarthritis Pharmacy Times Weight Loss Surgery (Bariatric Surgery) Boston Medical Center Prescription drug monitoring needed after weight loss surgery King's College London FDA warns consumers not to use counterfeit Ozempic (semaglutide) found in U.S. drug supply chain fda.gov Obesity and overweight World Health Organization (WHO) Bon Secours: Surgical Weight Loss wspa.com Satellite analysis reveals worrying European groundwater weight loss Environment Journal ASA bands three social media ads for promoting weight loss POMs Pharmacy Magazine Student hopes weight loss inspires others The Herald Palladium World Health Organization issues first-ever guidelines for use of GLP-1 weight loss medications ABC News Skip supplements, eat this Rs 10 fruit: Fitness coach reveals weight-loss & immunity boosting food with fi The Economic Times David Clement: Still one risk to weight loss drugs (Opinion) Charleston Gazette-Mail FTC Sends Refunds to Consumers Harmed by Weight-loss Supplement Marketer’s Deceptive Claims and Review Practices Federal Trade Commission (.gov) WATCH: Jelly Roll Shares How Weight Loss Led to a Surprising Cure Taste of Country Noom Eyes GLP-1s for Longevity, Not Just Weight Loss Athletech News Lilly weight loss drug exceeds targets in Phase III trial Longevity.Technology Q&A: TRICARE For Life Coverage of Weight Loss Medications TRICARE Newsroom (.mil) Never skip taking weight-loss medications, even during holiday season and health coverage changes: UVA Health WRIC ABC 8News Opinion | How to cut the velvet rope to GLP-1s The Washington Post BON SECOURS SURGICAL WEIGHT LOSS wspa.com GLP-1 and health: Beyond weight loss in the Ozempic era University of California - Davis Health What we still don’t know about weight-loss drugs MIT Technology Review Could Weight Loss Drugs Turn Fat Cats Into Svelte Ozempets? The New York Times One in Seven Bariatric Surgery Patients Turn to New Weight Loss Drugs Johns Hopkins Bloomberg School of Public Health Amanda Bynes Opens Up on Ozempic: Says It Makes Her Feel 'Skinny And Cute' International Business Times UK TRICARE Coverage of Weight Loss Medications: What To Know TRICARE Newsroom (.mil) |
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