Posts by :

    The Lizard Brain Chases the Dragon

    January 28th, 2015

    Red Dragon

    The “lizard brain,” the primitive tenant in a person’s skull, is easily fooled into thinking that just because something feels good, it is actually beneficial. As writer Jim Dickey (25 years sober) says:

    While the concept is no longer fully embraced by most of the scientific community, the term reptile brain, lizard brain, or monkey brain was picked up in recovery circles as a way of describing the parts of the brain which are evolutionarily primitive and control our emotions, drives and urges.

    Although more of a metaphor than an anatomical reality, the evocative image was adopted by Terrance Hodgkins, an addiction researcher with 14 years of sobriety. The primitive lizard, or base, brain falls for the cruelest trick played by addictors and addictogens. A user starts out thinking this will be the romance of a lifetime, but the honeymoon ends swiftly. Hodgkins notes:

    A “virgin high” is the high you get the first time you take a particular drug. It is often much higher than anything you will ever get from that drug again … if you keep on using that drug, then it stops working, and won’t kill your pain any more … You end up still in pain, just feeding a habit.

    With its low IQ and lack of sophistication, the lizard brain just doesn’t get it. It keeps on “chasing the dragon,” trying to recapture the ecstatic initial experience with a substance or behavior, but the first time does not return for a repeat performance.

    Last time, we talked about a young man whose first night of drinking awoke an inner voice that said, “This is who we are.” He came to feel that his alcoholism was like another sentient being that shared his body. Hodgkins (who quit nicotine along with alcohol) mentions the same phenomenon, a voice that says things like “Why don’t we sneak outside and smoke a quick one?”

    Sometimes, it is almost like we are two people, a split personality … sometimes, what the higher brain thinks is the opposite of what the lower brain thinks … I developed the habit of calling it “The Addiction Monster.”

    The Lizard Brain Addiction Monster wants what it wants now, and does not give a fig about long-term consequences. Instant gratification is the only game in town. As Jim Dickey phrased it:

    The short term goal is to give in to the addictive behavior, which conflicts with the long term goals of being happy, productive and experiencing love and companionship while living a life which honors our values.

    Even though dull-witted, the reptile brain is at the same time dangerously clever. The Orange Papers website contains comprehensive lists of all the sneaky, persuasive, undermining things the Addiction Monster will say to the recovering addict — and say, and say, and say. Fortunately, Hodgkins also includes ways to overcome the reptilian tactics and ploys.

    Still, we have to give the lizard brain its props for keeping us alive by, for instance, pushing air in and out while we sleep. And it tells us to eat food, without which we would starve. It must create this need, or the whole ball game is over before it even starts. Hodgkins writes:

    Food is our first addiction … If we don’t get our fix, we start to experience withdrawal symptoms like stomach aches and headaches, and then we develop a snappy short temper, and feel weak and shaky. Then we will start feeling desperate, and start thinking about stealing or mugging someone to get money for a fix. And the longer we go without a food fix, the worse it gets. That sure sounds like a strung-out junkie to me.

    Your responses and feedback are welcome!

    Source: “Reptile Brain?,” Reptiledysfunction.org, undated
    Source: “The Lizard Brain Addiction Monster,” orange-papers.org, 11/17/14
    Image by rumpleteaser

    No Comments "

    Substance Love at First Sight

    January 27th, 2015

    love at first sight

    Under the current model (as set forth in the 5th edition of the Diagnostic and Statistical Manual) for what used to be known as addiction, unhealthy dependency has become measured on a graduated scale. “Substance Use Disorder” is rated by degrees ranging from mild to moderate to severe. The severity depends on the number of symptoms that are ticked off from a checklist.

    Still, many authorities hold that addiction denotes not a difference in degree, but a difference in kind. According to this mindset, the spectrum paradigm is inaccurate, because while some people are not addicts, others simply are. Even with 30 years of sobriety, the term “addict” still applies. A person with this kind of dependency never graduates to non-addict, only to recovering addict. As Dr. Stuart Gitlow says:

    …no such continuum exists. Those with addictive disease generally recognize that they are using in a manner that differs from their peers from the time of their very first use.

    Here is a real-life example. Growing up, professional comedian Jayson Thibault was so repulsed by the drinkers in his family, his rebellion took the form of shunning alcohol. But when he went away to school, all that changed. He told an interviewer:

    The first time I got buzzed, my freshman year of college, something in me went “This is who we are.”

    The seeming allusion to a split personality is explained by Thibault himself:

    I always hear the word “we”… There’s no “I”… It’s me and this disease, this other thing, that addicts just naturally live with all the time…
    There’s half of me that is always looking for an excuse, and there’s half of me that knows better. One of them is always driving the bus, the other one is always the passenger. It’s just a matter of who I give the car keys to…

    “This is who we are” was said by an alcoholic discovering his nature for the first time. Probably a similar admission is made by a person on first experiencing the pleasure-center-rewarding rush of gambling. And DSM-5’s comprehension of this reward mechanism is so all-encompassing, it even includes gambling. But not compulsive eating.

    The hallmark of the human condition that was formerly known as addiction is the activation of the brain’s reward system, and DSM-5 recognizes this — except when it comes to food and eating. Many studies have shown that eating food undoubtedly and demonstrably activates the brain’s reward system. Like Thibault did with alcohol, compulsive eaters have discovered the deceptive temporary comfort that is available. Here is an interesting side note:

    … intense feelings of romantic love affect the brain in the same way drugs like cocaine or powerful pain relievers do… The hypothesis was that love affected the brain in the same way many addictive drugs do, by targeting the “feel good” chemical in the brain known as dopamine.

    With other substance and behavioral hangups, the person might very well be able to remember the “love at first sight” moment, the “this is who we are” moment. The difference is that the joy of taking in nourishment is something we all discover as newborn babies, and have always known. It’s too bad, in a way, because it would make a great survey question. But with food, that first moment of revelation was so long ago it can’t even be recalled.

    Your responses and feedback are welcome!

    Source: “DSM-5: New Addiction Terminology, Same Disease,” Drugfree.org, 06/07/13
    Source: “#189: Catastrophic Alcoholic (@TheTeeb),” libsyn.com, 10/20/14
    Source: “Romantic Love Affects Your Brain Like a Drug,” WebMD.com, 10/13/10
    Image by justine warrington

    No Comments "

    The Brain and Its Rewards

    January 26th, 2015
    Symbol

    “The artist formerly known as Prince” changed his name to this symbol.

     

    The human brain’s pleasure/reward center likes three things: dopamine, serotonin, and noradrenalin. Upon receiving those molecules, the pleasure center translates them into good feelings such as confidence, energy, pleasure, and euphoria. In his latest book, The Future of the Mind, physicist and futurist Dr. Michio Kaku explains what addictive substances do:

    These drugs first penetrate the blood-brain barrier and then cause the overproduction of neurotransmitters like dopamine, which then floods the nucleus accumbens, a tiny pleasure center located deep in the brain near the amygdala. The dopamine, in turn, is produced by certain brain cells in the ventral tegmental area, called the VTA cells. All drugs basically work the same way: by crippling the VTA-nucleus accumbens circuit, which controls the flow of dopamine and other neurotransmitters to the pleasure center.

    The limbic system has been a part of us since before modern humans evolved, and sometimes we call it the lizard brain. Its primitive and very necessary function is to make us feel good about doing things that are good for us. Because the lizard brain is so simple, it is easily fooled by the chemical con artists known as substances. What they do is “hijack” the limbic system and give us good feelings about doing stuff that is actually bad for us.

    The Inescapable Parallel

    A person may do something that provides good feelings, but which is harmful when seen from an objective viewpoint. It also taps into the age-old conflict between immediate gratification (yummy taste right now) and delayed gratification (healthy body for the rest of life). An example might be eating a plate of chocolate-covered bacon with a side order of cheese with cheese sauce.

    Edible substances very easily provide good feelings. That meal delivers immediate gratification — it’s not like taking a pill, where there is a delay while digestion releases the effects. It’s more like mainlining a hard drug by shooting it into a vein. Even though its long-range effects are devastating, food consumption will very often perform as advertised, making us feel better right away. In fact, it acts just like those substances and activities that are recognized by DSM-5 as dispensing pleasure to the brain’s reward center.

    While the admission is made that substances and activities can enslave people in this particular way, the word “addiction” is all but absent from the book of definitions. Like “the artist formerly known as Prince,” it changed its name while remaining the same entity. Currently, the accepted term for what laypeople still call addiction is “Substance Use Disorder” or SUD. It comes in three degrees: mild, moderate, and severe. Some authorities dispute this model, seeing addiction as an either/or proposition.

    In “Food Addiction in Children,” Dr. Pretlow noted how easily children learn that the pleasure of eating is a quick fix for pain, stress or boredom. He went on to say:

    As the children continue to eat to ease emotional distress, dopamine receptor changes presumably take place in their brains. Once significant dopamine receptor changes have taken place in their brains, the children are unable to cease the comfort eating – they are addicted. … The addiction to the pleasure of food appears to be on a continuum: overweight children would seem to be partially addicted; obese children fully addicted; morbidly obese children are likely in tolerance mode.

    Strangely, food overconsumption is exactly the type of substance abuse that might most appropriately be seen as a spectrum. It can be mild, moderate, or severe. Ironically, though it fits the incremental “Substance Use Disorder” paradigm well, food addiction isn’t recognized by DSM-5.

    Your responses and feedback are welcome!

    Source: “The Future of the Mind: The Scientific Quest to Understand, Enhance, and Empower the Mind
    Mkaku.org, 2014
    Image by Nicholas Babaian

     

    No Comments "

    DSM-5, Scientific Advances, and the A-Word

    January 23rd, 2015

    Don't tell your mother

    For members of the Task Force concerned with the conceptual evolution of DSM-5 (Regier, Narrow, Kuhl, and Kupfer), the primary goal was “to produce diagnostic criteria and disorder categories that keep pace with advances in neuroscience.” This is where we return, as promised, to the words of Prof. Graham Davey:

    DSM-5 has continued the process of attempting to align its diagnostic criteria with developments and knowledge from neuroscience, when there is in fact very little new evidence from neuroscience that helps define specific mental health problems…

    What? What was Dr. Davey thinking? Since the previous edition of the Diagnostic and Statistical Manual came out in 1994, the advances in neuroscience have been enormous. That was, after all, almost 20 years ago. Surely one of the more attention-getting obesity news events of 2011 was the publication of “Neural Correlates of Food Addiction,” in which brain scans showed:

    Similar patterns of neural activation are implicated in addictive-like eating behavior and substance dependence: elevated activation in reward circuitry in response to food cues and reduced activation of inhibitory regions in response to food intake.

    In other words, when you put certain people into MRI machines and tell them to think about milkshakes, their brains light up just like those of cocaine addicts contemplating their drug of choice. This was big news!

    That study, and subsequent brain-scan explorations, have undeniably sparked discussion about the validity of the food addiction paradigm. In laboratories from coast to coast, lab rats have shown neuronal changes and addiction-like behaviors. Study authors Adrian Meule and Ashley N. Gearhardt wrote:

    This increased scientific interest in this topic was in part driven by the rise of neuroimaging and subsequent findings that obesity and binge eating are associated with alterations in dopaminergic signaling and food-cue elicited hyperactivation of reward-related brain areas which are comparable to processes seen in drug users.

    How did the DSM-5 Task Force, or Dr. Davey, or anyone, manage to hold onto a notion that the advances in neuroscience in the last 20 years have been negligible or nonexistent? Actually, the newest edition does acknowledge that the hallmark of addiction is the activation of the brain’s reward system, though it does this without using the word “addiction.” Medical writers interpret freely and just kind of work around it. This example is from addiction expert Elizabeth Hartney, PhD, specifically outlining “DSM 5 Criteria for Substance Use Disorders”:

    While the pharmacological mechanism for each class of drug is different, the activation of the reward system is similar across substances in producing feelings of pleasure or euphoria, which is often referred to as a “high.”

    Another example is from TranscendRecoveryCommunity.com:

    The DSM explains that the activation of the brain’s reward system is the key to drug abuse problems. Once the cycle of addiction activates the internal reward system, a rush in the brain, that behavior can become the sole focus of one’s life to the exclusion and detriment of other life-activities.

    Your responses and feedback are welcome!

    Source: “Changes in DSM-5,” Blogspot.com, 02/13/13
    Source: “Neural Correlates of Food Addiction,” YaleRuddCenter.org, 04/04/11
    Source: “Food addiction in the light of DSM-5,” NIH.gov, 09/06/14
    Source: “DSM 5 Criteria for Substance Use Disorders,” About.com, 09/03/14
    Source: “From Addiction to Recovery: Learning Leads the Way,” TranscendRecoveryCommunity.com, 05/14/14
    Image by torbakhopper

    No Comments "

    How was Food Addiction Left Out?

    January 22nd, 2015

    Read the Sign

    As Childhood Obesity News has discussed before, the latest edition of the Diagnostic and Statistical Manual managed to omit recognition, in any way, shape, or form, of the reality of food addiction. What causes this ongoing delay? The medical establishment in Great Britain, as in other places, seems to have made up its mind. For a BBC Radio 4 program titled “Constant Cravings: Does Food Addiction Exist?” journalist Frankie Mullin wrote:

    Addiction is defined by the National Health Service as “not having control over doing, taking or using something, to the point where it could be harmful to you.” Although addiction is most commonly associated with gambling, drugs, alcohol and nicotine, the NHS goes on to say that it is possible to be addicted to “anything.”

    Yes, that word is “anything.” But DSM-5 is strangely silent on the addictive potential of edible products. Its chapter on “Feeding and Eating Disorders” includes anorexia and bulimia, but nothing about the most prevalent eating disorder on the planet, the one that causes millions to morph into grotesque, bloated caricatures of human beings. While anorexia and bulimia are serious and even life-threatening, they affect a very small fraction of the populace compared, for instance, to the devotees of chips or soda.

    Maybe that explains the silence. If the Drug Enforcement Agency had to define chips and soda as Schedule I or II substances along with heroin, methamphetamine, and cocaine, it would lead to a legislative nightmare and a great deal of societal awkwardness. For instance, school sports teams, which are not currently allowed to let South American drug cartels pay for their uniforms, would no longer be allowed to accept sponsorship from food and beverage corporations.

    The easiest and most superficial reason for the omission of food addiction could be that while experts do recognize the basic phenomenon, they just haven’t been able to classify it to their own satisfaction. Does compulsive overeating stem from the addictogenic nature (either inherent or contrived) of some foods? Or has it really been a behavioral addiction all along? But still — many other disorders are included and acknowledged as illnesses, even though they are not understood in every detail.

    Is There Motion? Yes. Is it Body-Focused? Yes. Repetitive? Yes.

    Food addiction might have fit into the book under “Obsessive Compulsive and Related Disorders.” Consider a person’s need to repeatedly cut a slab of meat with a knife; or to repeatedly clench a pizza slice between the teeth and sever a bite; or to repeatedly plunge the hand into a popcorn bag and then bring the fingers to the mouth; or to repeatedly chew or swallow. A case could be made that all those things are body-focused repetitive behaviors, or even (in a different chapter) stereotypic movement disorders.

    Why not? When someone compulsively bites her or his own lip, cheek, or nails, “These symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.” That’s according to the book — which, by omitting compulsive eating, seems to imply that the daily habit of robotically ingesting many pounds of food somehow does NOT cause distress and impairment.

    But we know that it does — in every possible functional realm, not just occupational and social, but in basic physical health. Indeed, compulsive overeating is so destructive, it could easily fit into the section on “Nonsuicidal Self-Injury” or even make its debut as star of the “Suicidal Behavior Disorder” category. Again — why not?

    By the way, anyone who thinks that the newest edition of the Diagnostic and Statistical Manual makes sense, even to professionals, or who believes that the latest set of changes went down easily, is invited to read Dr. Stuart Gitlow’s “DSM-5: New Addiction Terminology, Same Disease.”

    Your responses and feedback are welcome!

    Source: “Food addiction: know the facts,” Food.UK.MSN.com, 01/05/2013
    Source: “DSM-5 Table of Contents
    Psychiatry.org, 2013
    Image by Valerie Everett

    No Comments "

    More Addiction Lore

    January 21st, 2015

    Elvis

    Recently, Childhood Obesity News talked about the advantages and pitfalls of self-reporting as a research tool, and there is more to say on the subject. More was, in fact, said at the most recent European Childhood Obesity Group meeting, where Session 4 included Dr. Pretlow’s invited keynote talk, “Treatment of Child/Adolescent Obesity Using the Addiction Model.”

    In the scientific realm, reports must fulfill certain criteria in order to be published. Publication implies that at least some of a researcher’s colleagues find plausibility in the proposed new addition to the literature. On the question of successfully treating obesity as an addiction, it seems that only two programs — Overeaters Anonymous and Energy Up — have published material, and both depend on their human subjects to self-report honestly.

    Not long ago, we looked at Pathways to Health, a school-based program with an interesting origin story. It began as a way of dealing with substance abuse and violence. What do those behavioral problems have in common with the compulsive overeating that leads to obesity?  All three stem from an inability to regulate emotions, make good decisions, or control impulses. But even this highly-regarded program has a weakness — it is based on self-reported information. As Healio.com described, students fill out surveys with over 100 questions.

    Inquiry … included questions such as, “How often did you eat any fruit, fresh or canned?” Questions about physical activity asked students to self-report how often they were very active in certain situations or whether they were involved in sports. Other questions were posed based on sedentary activity, such as amount of time spent watching television or playing video games.

    Is it churlish to wonder how much fudging of the truth, or even how much self-deception, might be involved in self-reporting situations? But what alternative could be satisfactory? Unlike lab animals, humans cannot be observed 24 hours a day. When they are, the psychological disruption is enough to negate the usefulness of any experimental results.

    From a website called StepsToRecovery.com, we learn that eating disorders  and substance misuse disorders often co-exist in the same person, and “they both involve urges to abuse the body.” This recalls how the singer Elvis Presley ate and drugged himself to death, surrounded by a cadre of sycophantic enablers:

    Elvis demanded that every day he receive 3 separate doses of drugs that he called “attacks.” Each “attack” contained a dangerous combination of pills or shots of Valium, Nembutal, Demerol, Quaalude, and Seconal. David Stanley says the first “attack” was usually given between 2 and 3 a.m:
    “After he’d take his attack, attack one, he would have a couple of cheeseburgers, potatoes. The “attack one” effect would get him groggy and sleepy…”
    After sleeping for a few hours, Elvis would receive “attack” number two:
    “That would last for several hours… Then it would be attack 3, which was the same contents of attack one and 2.”

    Here was a man with all the fame and fortune the world could offer, who wanted nothing more than to assault his body with potent toxic chemicals, in between consuming equally suicidal meals. His story clearly shows the importance of treating underlying problems.

    Your responses and feedback are welcome!

    Source: “Childhood eating habits influenced by peers,” Healio.com, 2014
    Source: “Starving Yourself to Achieve the Impossible Figure of Barbie,” StepsToRecovery.com, undated
    Image by Ian Burt

    No Comments "

    Childhood Obesity and Cross-Addiction

    January 20th, 2015

    Needle Exchange

    People who get hooked on nicotine, alcohol, and street drugs all have something in common: they are also likely to be addicted to food. As food addiction expert Phil Werdell says:

    They often come to Overeaters Anonymous or one of the other food–related 12 Step fellowships because they find themselves reacting to food just like they had reacted to alcohol or their drug of choice many years before…

    This is how we know food addiction  exists. The conviction is not based on overheard cute remarks, made by ladies who lunch, about irresistible chocolate mousse. No. Legitimate, bona fide recovering addicts from other genres have identified food addiction as a reality, and they should know. Werdell says, “Often they will identify sugar, flour or fat as a substance that is acting in their bodies like a narcotic.”

    But in the context of more exigently life-threatening drug and alcohol habits, the specter of food addiction has traditionally taken a back seat. The Alcoholics Anonymous (AA) guidebook recommends using candy to help fight the drinking urge. Sure, weighing 300 pounds is not a desirable state, but when compared to crawling inebriated through a gutter, it is considered the lesser of two evils.

    The Other Addictors

    Ex-smokers are notorious for gaining weight. Once the cigarettes are gone, many people find that the fingers and the oral cavity need something to do — in many cases, the solution is to eat. The hands and the mouth are habituated to engaging in activity, which is hard enough to deal with, but there is more to it than that.

    Werdell brings up the fact that tobacco is often cured with sugar. Perhaps through the cigarettes, the reformed smoker was getting enough sugar to sustain that habit, as well as the jones for nicotine. Sadly, the absence of cigarettes leaves behind not only a behavioral addiction centered around mouth pleasure and manual occupation, but a lonely, orphaned sugar addiction that now needs another feeding source.

    The All-or-Nothing Dilemma

    The big, unavoidable hitch for recovering food addicts, even if they successfully beat alcohol with AA or another 12-step program, is that food doesn’t fit the paradigm that allows for abstention. You can decide not to drink liquor, but you can’t decide not to eat food — not without bringing on a whole raft of new, different, and potentially lethal problems. The author writes:

    It is difficult to move from the “all or nothing” model of no alcohol to a structured eating plan… It is not possible to just “not be around food” the way it is possible to avoid alcohol or smoking.

    Plus, ex-drinkers face the same deprivation as ex-smokers. However much sugar was being supplied by their liquor of choice, that chemical is now missing from their diet. In fact, Werdell seems to almost suggest that alcoholism is just a variety of food addiction, albeit more blatantly intoxicating and obviously psychoactive.

    What is alcohol but grain and a form of sugar? The most common addictive foods are sugar and flour. A majority of these sober alcoholic food addicts can quickly remember using and abusing food years before they picked up alcohol… When raw emotions came up in early alcohol recovery, one could still use food to cope.

    For hard drugs, the case is similar:

    Foods can break down in the digestive symptom into bio-chemical compounds that are similar to the opioids in narcotics. The dosage and effect of using morphine, heroin or cocaine is much stronger, but once these are out of their blood, some physically sober drug addicts can get high and chemically addicted just by using more and more food.

    Detoxification from food can be worse than getting over the other substances. Food issues bring a person all the way back to the beginning, to the breast and the bottle and the sugar-saturated formula, and the attention or the lack thereof, and the basic equation of nourishment with love that keeps millions of people enslaved to substances.

    What’s It to Us?

    Now, what does this have to do with childhood obesity? Very few children use nicotine, alcohol, or street drugs. They do not typically sign in to a program with other addictions, or with a history of either failure or success in beating those life-threatening habits. So, why are we even thinking about this stuff?

    Because we don’t want our kids who are rescued from food addiction to be vulnerable to other addictogens. We want them treated and helped and healed in such a way that NO other substances or behaviors can swoop into the emptiness and opportunistically colonize that void. We want treatment that proofs them against the alluring false promises of any substances or habits – with no empty spaces left to fill.

    Your responses and feedback are welcome!

    Source: “Cross Addictions,” FoodAddiction.com, 05/02/13
    Image by Todd Huffman

     

    No Comments "

    Self-Reporting Addiction: the Pros and Cons

    January 16th, 2015

    Filling Out The Official Paperwork

    After the most recent Gallup-Healthways Well-Being Index was published, an uncredited writer at Conscienhealth.org questioned the means by which the 10 fattest and leanest states, and similar lists, are generated. The page states that “most of the coverage has been free of any critical thinking about the conclusions presented as definitive facts,” and goes on to say:

    All these obesity prevalence numbers are based on how tall and heavy people say they are in anonymous interviews. Such numbers have two big problems. First, people are always taller and lighter when they get to self-report. And second, the little fibs people tell about their height and weight are not uniform.

    The expression “pros and cons” is shorthand for the Latin words that mean for and against. But in this instance, the modern meaning of “pro” as a professional person, and “con” as a deceptive person, as in “con artist,” are strangely appropriate. If all you seek are public relations talking points and a bit of entertainment, these numbers may be acceptable. But for any serious purposes, they are not, because “comparisons based on self-reported data are inherently flawed.”

    The Only Game in Town

    Still, in the soft sciences, self-reporting is often the only tool in the shed. Childhood Obesity News has mentioned a piece by Steve Sussman and five colleagues that appeared in the Journal of Behavioral Addictions last March. For starters, “Prevalence and co-occurrence of addictive behaviors among former alternative high school youth” distinguished itself by saluting the importance of the First International Conference on Behavioral Addictions, a 2013 convocation at which Dr. Pretlow spoke.

    The article by Sussman et al. offered numerous paragraphs that hinted at jumping-off places from which to visit complex questions worthy of entire books in themselves. The mere mention of so many byways and side roads shows an awareness that there are no simple answers. For instance, take this short, almost throwaway observation:

    Future studies might address shifting trends in addictions and the implications of being addicted to certain behaviors versus others. That is, self-reported prevalence on measures of addiction may change as the acceptability of being addicted to certain behaviors changes, along with varying associations.

    Inevitably, the more open-ended the questions posed by researchers, the more the results will be skewed. Humans being what they are, the acceptability factor is huge. People’s self-esteem is almost entirely other-directed, and they really, really care what the neighbors think.

    For instance, even in the most securely anonymous survey, engineered to ensure truthfulness in self-reporting, how many people will report their nose-picking addictions? What about people with the behavioral addiction of messing around with barnyard animals? How many will be honest enough to out themselves?

    Still, self-reporting is the best current source of information about addiction. On the question of whether a person will walk a mile in a blizzard at 3 a.m. for a pack of smokes, only the nicotine addict knows for sure. From people excessively attached to food, some equally disturbing admissions have been heard.

    Your responses and feedback are welcome!

    Source: “Obesity top 10 lists — the fattest and leanest states,” Conscienhealth.org, March 2014
    Source: “Prevalence and co-occurrence of addictive behaviors among former alternative high school youth
    NIH.gov, 02/03/14
    Image by slgckgc

    No Comments "

    Cross-Addiction’s Long Reach

    January 15th, 2015

    Julia Sweeney

    When interviewed by Marc Maron, Saturday Night Live cast member Julia Sweeney revealed how alcoholism  affected some members of her family, but not her:

    Sometimes I think I’m so lucky that my drug was food, actually, because you can survive that. Unless you really go crazy, that’s a much more survivable stress-reducing mechanism than alcohol. When I feel stressed out, I want to eat … My blood pressure goes down, I get focused. It absolutely does the job, and I know that’s the feeling my brother and dad had, for example, and what did that was alcohol.

    Physicians are aware of “cross-addiction” and of how easy it is to upset the equilibrium of a patient in recovery by accidentally prescribing a drug that will undermine sobriety and cause a relapse. The trouble is that a lot of substances increase the release of dopamine, which the brain’s pleasure center likes too much for the patient’s own good. A recovering alcoholic can be sabotaged by a prescription that was meant to assuage anxiety, pain, sleeplessness, or even attention deficit disorder.

    But the situation may be even more serious, and the danger even more pervasive. In addiction studies, one school of thought holds that all addictions are one. According to this theory, attachment to a certain addictor, whether it is a substance or a behavior, can be severed – but another addictogenic behavior or substance will certainly step in to fill the void. Childhood Obesity News explored this idea recently, citing Dr. Vera Tarman’s essay, “Finally Sober, Suddenly Fat: Food Addiction is Another Drug Addiction.”

    Not Even a Substance

    A reader who found that article interesting and helpful sent an email to express appreciation, and also described the website she had connected with to make weight loss more fun by adding monetary rewards and penalties. Having read the definitions and rules, she signed on for a 6-month DietBet game. Becoming more familiar with the intricacies of the program, she said…

    …made me take note of all the players who were actively enrolled in more than one “game” and made me wonder how many of them are shifting from an addiction to food, to addiction to tracking/gambling.

    The same reader sent along the link to a fascinating article titled “The Dark Side of Activity Trackers.” Electronic devices and their applications do an excellent job of providing immediate feedback and increasing self-awareness, and can definitely save lives when used properly. But just like anything else, this tracking technology can be abused by humans. Journalist Anna Medaria Miller spoke with psychology professor Mary Pritchard about her area of expertise, where the combination of eating and exercise can morph into pathology. Dr. Pritchard says:

    [For] anyone who has any existing eating disorder or excessive exercise tendencies, using a fitness tracker is a very bad idea because it just makes them even more obsessive and compulsive about the fact that they’re not meeting their unrealistic goals.

    These questions are worth wondering about. If all addictions spring from a common root, the recovering opiod addict, for instance, must avoid not only other drugs of the same family, but every potentially addictive substance and behavior on the planet, from overexercise to chocolate-covered bacon. This way of looking at things shows, more obviously than ever, the importance of healing a person’s most basic psychological problems.

    Your responses and feedback are welcome!

    Source: “Episode 553 – Julia Sweeney,” wtfpod.com, 11/24/14
    Source: “The Dark Side of Activity Trackers,” USNews.com, 01/06/15
    Image by Franco Folini

     

    No Comments "

    The Up Side of Fat Acceptance

    January 14th, 2015
    Nikki P

    Plus-Size Model Nikki P

     

    America, where tolerance is a national virtue, truly is the land of opportunity. Acceptance is viewed as a positive value, even when intuition tells us it may be doing harm. But in the realm of personal behavior, spiritual leaders and psychologists alike will affirm that people cannot change until and unless they have been accepted for who they are. And some people are okay with not changing.

    At a Hollywood party, Ari Shaffir’s attention was captured by an unusual sight – a pretty young woman enthusiastically devouring the hors d’oeuvres with seemingly no thought for calories or their effect on her waistline. The young woman, Jamie Caparulo, agreed to a recorded interview, and divulged that she was raised in the Midwest, where you ate what your parents put on your plate, whether you were full or not.

    Her life partner is hefty professional comedian John Caparulo, and their marriage operates on its own rules, with fat acceptance as one of its pillars. He used to be thin; she used to have a serious alcohol problem. As a couple, they enjoy hanging out together, watching TV, and eating not just snacks, but full meals, in bed.

    Some entrepreneurs take acceptance to the next level, and turn it to their advantage. Just ask Justin Harrison, author of a very grown-up book called Confessions of a Fat Player: A Big Man’s Guide to Dating Beautiful Women.

    Since 1985 – a period of not quite 30 years – the average American woman’s dress size has gone from 8 to 14. To put it another way, the average increases by one dress size every five years. If that mathematical progression continues, by 2050 the average American woman could be up to dress size 20.

    Fashion for Big Women

    The concept of high fashion for bigger women has caused tremors in the bedrock of the clothing industry. Of course, some established retail giants branched into plus-size offerings a long time ago, but the product tended to be dull and shame-driven, with the “tent to hide your body” look. Creators of full-figured fashion now strive to depart from that aesthetic. Complacent old-timers have been forced to reassess their options and step up their game.

    For plus-size garments that look nice and have some ooomph, entrepreneurs (and established clothiers who saw which way the wind blew) have been rewarded to the tune of well over $15 billion in a single year. Still, insiders are frustrated that national brands like Macy’s are still peddling clothes to size-24 women by photographing the garments on size-12 models.

    “Fat is where it’s at!” – Root Boy Slim

    For the New Yorker, Lizzie Widdicombe related how Full Figured Fashion Week was invented six years ago by former plus-size model Gwen DeVoe, whose confidence in the concept was such that she threw in some of her own money to get it started. Of course DeVoe accessed funds from investors, too, who are happy that they got on board. The annual main events are accompanied by many peripheral exhibits and retail operations such as:

    …an Indie Designer show, which displayed the work of eleven plus-size designers from cities around the country… and a runway show, which featured larger companies…

    Alexandra Boos, another former plus-size clotheshorse, divulged to the journalist that big fashion models are sometimes mistreated at photo shoots. Unlike the skinny haute couture models, they often have to do their own makeup. They put up with the same grinding work schedules and routines as superstars like Heidi Klum, with only a fraction of the fame or the income. Still they remain, as stated by the motto of the PhatGirlFresh website, “Passionate, Happy, Appreciative, True.”

    “Rubenseque” women are also appreciated by such artists as Root Boy Slim, who says:

    She’s got a shape that makes me drool
    Lord I’m just a fat girl’s fool
    She weighs in at two-oh-two
    That’s fine with me, I’m portly too

    Your responses and feedback are welcome!

    Source: “Ari Shaffir’s Skeptic Tank #91: Good Fatitude (with Jamie Caparulo),” Arithegreat.com, 12/10/13
    Source: “The Plus Side,” NewYorker.com, 09/22/14
    Source: “Root Boy Slim “Dare to Be Fat”,” YouTube.com, 02/20/09
    Image by PhatGirlFresh.com

     

    No Comments "

Childhood Obesity News | OVERWEIGHT: What Kids Say | Dr. Robert A. Pretlow
Copyright © 2014 eHealth International. All Rights Reserved.