More History of a Concept

Professionals in various fields say all sorts of things about the idea of addiction in relation to food and eating. An uncredited author commenting on an obesity conference wrote,

Faced with clients who insist that they’re “addicted” to junk food, dietitians tell us they roll with it. Rather than putting energy into arguing with someone’s convictions, they wisely move on to behavioral strategies for helping with healthier eating behaviors.

At the same conference, presenter Lorenzo Leggio spoke about research into the craving for alcohol and for potentially addictive foods, and mentioned preliminary data about the role of the hormone ghrelin in promoting both alcohol and food cravings.

The power of words

How much does it matter whether or not the client is invested in the addiction paradigm? Is it more helpful or less helpful if the people fighting obesity have a mental picture of themselves as being in the same category of trouble as, for instance, a heroin addict? Many people have been set on a better path by the kind of intensive intervention offered by a multi-disciplinary weight management clinic. Yet it is possible to get significant results, as in Dr. Pretlow’s pilot study with teens, of an addiction-model-based mobile health weight loss intervention. He says,

It has been theorized that overeating may have addictive qualities and a sizable number of adolescents with obesity endorse addictive eating habits. However few weight loss interventions have utilized an addiction approach to target adolescent weight loss.

Cost, of course, is also a factor. In these times when healthcare is more and more difficult to finance, a workable alternative to expensive inpatient treatment is important.

In 2009, Michael R. Lowe was one of the numerous authors of a report on the Power of Food Scale (PFS), a tool to assess the “psychological impact of living in food-abundant environments.” Hedonic hunger is defined as the “preoccupation with and desire to consume foods for the purposes of pleasure and in the absence of physical hunger,” and the PFS was designed to help study hedonic eating behaviors, or eating driven by cravings that look like addiction.

It measures appetite for, rather than consumption of, palatable foods, at three levels of food proximity (food available, food present, and food tasted)… The PFS may be useful as a measure of the hedonic impact of food environments replete with highly palatable foods.

Nine years later, Lowe was one of three authors of “A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale,” a paper that set out to examine “whether preoccupation with palatable foods translates to adverse psychological and behavioral outcomes.” It had a lot to do with the tendency of people to eat even in the absence of physical need. The authors delineated four different domains of research: “motivation to consume palatable foods; level of actual consumption of such foods; body mass; and subjective loss of control over one’s eating behavior.”

Loss of control is a major topic here. Does hedonic hunger cause it? The evidence seems to indicate that foods “meticulously engineered to be craveable” are more likely to cause a loss of control, which is also a hallmark of addiction. The first thing a recovering addict has to acknowledge is that loss of control, or powerlessness.

Your responses and feedback are welcome!

Source: “Food Addiction: Science and Storytelling at OW2018,” ConscienHealth.org, 11/13/18
Source: “The Power of Food Scale. A new measure of the psychological influence of the food environment,” ScienceDirect.com, August 2009
Source: “A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale,” Wiley.com, 02/09/18
Image by Randy Fath on Unsplash

Some Addictive History

Almost 10 years ago, carbohydrates were under scrutiny, as Dr. David Ludwig and others explored the properties of fast-digesting carbs. Brains were scanned, to discover changes triggered by the anticipation of delicious treats that the subjects had tasted before. But science was starting to realize that the brain can be affected even when people don’t know what they are eating.

NPR correspondent Allison Aubrey wrote of a typical experiment,

After the participants drank the rapidly digesting carb shake, their blood sugar spiked and then crashed four hours later. And it’s at this point that researchers documented activation of a part of the brain called the nucleus accumbens, a small area that is involved in emotions and addiction.

The possibilities and implications of food addiction were starting to look scary in a lot of ways. A 2015 study (encompassing 120 students and 384 community people) started out with these words in its declared objective. The researchers kind of half-stepped it, referring not to actual addiction, but to “addictive-like eating.” The study’s authors wrote,

We propose that highly processed foods share pharmacokinetic properties (e.g. concentrated dose, rapid rate of absorption) with drugs of abuse, due to the addition of fat and/or refined carbohydrates and the rapid rate the refined carbohydrates are absorbed into the system, indicated by glycemic load (GL).

In the report’s Conclusion, they referred to “food addiction” in quotation marks, but did credit the study with giving preliminary evidence that highly processed foods can share characteristics with drugs of abuse.

Dr. Bret Scher was one of the professionals who felt there were not enough human studies in the area of food addiction. He wrote about how a University of Michigan research team looked for one of the defining conditions associated with addiction, withdrawal symptoms. They devised a “Highly Processed Food Withdrawal Scale.” Over 200 students cut back on their junk food and reported feeling sad, irritable and tired.

With hard drugs, withdrawal can be severely debilitating; with alcohol, it can be fatal. No one was expected to actually die from reducing their intake of highly processed foods. Still, they did feel crummy, and there were questions:

Was it a true withdrawal? Could it have been due to decreased calories? Or were they having the “carb flu” from getting rid of the main source of carbohydrates? That is unclear and makes it a little murky if these were true withdrawal symptoms.

In the article there seemed to be a slight hint of scolding, of maybe trying to put across the idea that people seem to be hypocritical when debating food addictiveness, “and that may be important for policy and regulatory decisions.” Who is kidding whom? The longer society continues arguing policy and regulatory points, the longer we can put off needing to really do something.

Of course, everybody knows junk food is harmful, and everyone should act accordingly right now, in their own lives and in the lives of any minor children they happen to be in charge of. Sometimes, to the untrained eye, bureaucratic procedures can look very much like stalling and denial.

Your responses and feedback are welcome!

Source: “Can You Be Addicted To Carbs? Scientists Are Checking That Out,” NPR.org, 06/26/13
Source: “Which Foods May Be Addictive? The Roles of Processing, Fat Content, and Glycemic Load,” Journals.PLOS.org, 02/18/15
Source: “Processed food addiction — Is it real? Does it matter?,” DietDoctor.com, 10/02/18
Image by Jamie/CC BY 2.0

Food Addiction Angles

As previously mentioned, the Food Addiction Institute (FAI) says that 87 million Americans are obese, and maybe half of those fulfill the FAI’s definition of addicted. Other sources place the number much lower. For instance, health coach Marissa Vicario wrote a few years back,

According to a study that used the Yale Food Addiction Scale, 5 percent of the population suffers from clinical food addiction, but there is a high number of individuals who, while they don’t meet food addiction criteria, show a strong propensity to addictive behaviors around food.

Vicario has no doubt that, at the very least, sugar addiction is a real thing, and has written about her own experience of following another nutritionist’s two-month sugar-quitting program. It finishes up with a note on how she stays both un-addicted to sugar, and sane:

Nothing is ever completely off limits and I never try to hold myself to standards of perfection: two sure-fire ways to invite failure from the get-go. I simply had a bite or three and moved on.

And yet, that is not the experience of many other people in similar situations, in which a bite or three could quite possibly lead to “falling off the wagon” and an extended binge. Childhood Obesity News has often quoted Zoe Harcombe, whose years of studying these matters led her to say, “I absolutely believe in food addiction.”

Harcombe defines four stages:

1) We want a particular food e.g. chocolate
2) We want more of that food — one bar of chocolate is no longer enough, we want two and then three, daily
3) We feel bad when we don’t have the food — we literally get withdrawal symptoms in the absence of our fix
4) We suffer consequences…

Getting back to the numbers, no doubt several more estimates could be found, of how many Americans are food addicts, and they would all be different. One reason is that pesky phrase, “food addiction criteria.” Some don’t even believe that FA is a real thing, so are uninterested in any superfluous talk of criteria. Others propose varying definitions and parameters for any discussion of addiction.

An interesting aspect here is that while a relatively small number of people have dealt with addiction to, for instance, narcotics or gambling, the opportunity to become addicted to food and/or eating is pretty much all-embracing. Many people find that they have something to contribute to the conversation. The sensation of being powerless over food/eating is a very democratic one, open to the masses — affecting those of any gender or sexual orientation, any age, any race, and any economic level.

Everybody says things

Because the problem is so widespread, just about everyone can find something to say about their own struggles, or those of their relatives and acquaintances. It is a subject that star podcaster Joe Rogan mentions a lot:

I have friends that have food addictions and I’ve been around them when they satisfy those addictions. It’s like you’re watching lions eat.

Billi Gordon, Ph.D., was an unconventional and controversial figure we have quoted before on food-related issues. Perhaps his most memorable remark on the subject was, “If Moses had seen me eat barbecue there would be another commandment.”

Your responses and feedback are welcome!

Source: “ Food FOMO (Fear of Missing Out) and How to Handle It,” WhereINeedToBe.com, 11/30/16
Source: “The men who made us fat,” ZoeHarcombe.com, 06/14/12
Source: “The Joe Rogan Experience #635,” JRPodcast.com, 04/16/15
Source: “Moderation – Strategy or Fantasy?,” PsychologyToday.com, 07/06/16
Image by Ola Mishchenko on Unsplash

Displacement Thoughts

Sometimes, a professional gently lets the regular people in on a secret: There is an ideal version of how experimental science is supposed to work; also, there is the version where things play out in real life. This difference was remarked on decades ago. Then, for a while, it seemed as if computers would make everything much more precise and inarguable. Sadly, that turned out not to be the case.

In a 1960 paper, G.I.C. Ingram quoted sociologist/scientist Harry Collins:

In general, when scientific discoveries are first made they’re messy and untidy, and they get cleaned up in retrospect. If you’re a scientist you’ll say that it all comes out in the end, because nature speaks with an unambiguous voice. Speaking as a sociologist, I’d say it’s a historical process, and the judgement of history can’t be anticipated.

In some areas, history moves slowly. Humans used to take it for granted that we knew a lot more about animals than we actually did, and to a large extent that is still true. There are police officers who have convinced themselves that they infallibly know when a suspect is lying, because of a particular “tell,” but their assumptions are not always correct.

Likewise, even the most dedicated scientists might not always have a handle on what animals are up to. As in any other field, previous theories were built upon or revised, or quietly discarded. Like any other idea, the whole displacement conversation had its enthusiasts. In 1964, H. Zeigler published “Displacement activity and motivational theory: A case study in the history of ethology.” He wrote,

Such behaviors were originally explained by reference to energy models of motivation…. [I]t is suggested that drive and energy concepts no longer serve any useful function in the study of species-specific behavior.

He not only suggested, but asserted it, because there were concepts that the motivational therapy practitioners needed to take into account. He wrote:

It is now known that the nature and intensity of such activities are primarily a function of 3 sets of variables: type and intensity of peripheral stimulation, the existence of behaviors incompatible with the activity in question, and the existence and duration of states of motivational equilibrium with respect to such incompatible behaviors.

In 2011, Dr. Dalbir Bindra mentioned again that observations of frustrated animals either doing the same activity to a different object, or doing a different activity, did not go anywhere near enough to explain things. He wrote:

Both psychologists and ethologists currently interpret these phenomena in terms of some kind of displacement mechanism, which is assumed to displace the “energy” or “drive” from one reaction system to another.

He too named three conditions under which “all instances of displacement phenomena can be adequately accounted for,” and they did not exactly line up with Zeigler’s:

In particular, it is suggested that in terms of the operation of three factors: (a) an increase in the level of arousal of the animal brought about by the obstructing event, (b) the relative habit strengths of the various activities in the repertoire of the animal, and (c) the nature of the sensory cues provided by the altered stimulus situation.

Meanwhile, in 1967, Dr. Juan D. Delius had been back in print again to say that while several theories had been advanced to explain the causal mechanisms of displacement activities, he was not satisfied, and felt that some notions needed revision. He wrote,

Monographic treatments of the behaviour of any one species usually indicate only two or three activities which according to the judgment of the observer occur commonly as displacement. None of the theories on displacement activities gives cogent reasons why particular behaviour patterns should be more common than others as displacement activities…

Your responses and feedback are welcome!

Source: “An interpretation of the displacement phenomenon,” ResearchGate.net, April 2011
Source: “Displacement Activities and Arousal,” Nature.com, 1967
Image by Andy Morffew/CC BY 2.0

Some Displacement Background

In 1960, G.I.C. Ingram published “Displacement Activity in Human Behavior.” The product of a different time, it was replete with classic literary references, and was largely about hobbies. He quoted an earlier authority, Niko Tinbergen, who had published “The herring gull’s world” in 1953. Ingram said that Tinbergen’s work…

[…] describes the reactions of two herring gulls contending for nesting territories on a sand dune. If both the birds are standing near the edges of their territories so that in each the urge to drive off the intruder is matched by the urge to retire into the heart of the territory, they may suddenly leave their confrontation for a few moments and pull with their beaks at grass stems.

It could be reasonably suggested that this seems to make certain assumptions about animal behavior; for instance, that aggression is always the chief and only motive for anything. It seems to suggest that creatures should prefer confrontational behavior at all times. It might be interpreted as an implication that to remove the focus from hostility, even for a moment, is some type of aberration. It seems to deny the possibility that animals might adapt their behavior in a preference for peace, love, and understanding.

Overall, there seems to be a lot of anthropomorphizing in this field. People want to ascribe motives that may be either too harsh, or too kumbaya. A gull is an animal accustomed to being in vigorous motion, much of the time. Maybe he’s just intrinsically uncomfortable with immobility. He wants to be doing something, not simply standing there like a dummy.

Also, maybe he does not particularly want to go to war with his neighbor, either — and what would be wrong with that? However, he does not have a keychain or a cigarette for a prop, to interact with. For miles around, there is nothing but grass, and his options are limited.

Are humans hubristic?

Tinbergen had said that if an animal is stimulated to want to act out a basic drive, but then that action is frustrated, one possibility would be that an outlet could be found by “inducing fragments of the pattern of behavior properly belonging to another drive.”

For instance, nest-building is a necessary and proper activity that requires stalks of grass. Technically, grass-pulling was seen as a “fragment” of a different, major part of life, nest-building. It is also one of the few available actions in that time and place. It may be that nest-building is the furthest thing from a gull’s thoughts, but there is nothing else to do out there but futz around with grass, and maybe humans tend to read too much into it.

Now, skip ahead several years, to 2009, when for Nature, John Whitfield wrote about researchers who duplicated Tinbergen’s 1947 work on herring gulls. That study was not about nest-building, but about the begging behavior of chicks. Immediately, childhood obesity-related ears perk up, because what would these chicks beg for other than food? Without going into excruciating detail, the study was about different-colored spots on the beaks of parent gulls. Whitfield wrote,

The story that made it into the textbooks is that chicks have a powerful innate tendency to peck at red dots, which has evolved as a way of getting their parents to feed them. The original paper, however, shows that Tinbergen found that chicks actually pecked more at a black dot than a red one.

Tinbergen never fully tested this idea. Instead, he did another experiment… He was initially explicit about this, but by the time of his books […] he had stopped mentioning this correction, and presented the finding as if it were based on unmodified data.

Tinbergen did other experiments with gull chicks — showing for example, that they will peck even at a disembodied red spot on a stick — so he may have felt he had made his point. He may also have simplified his results for rhetorical purposes.

At any rate, the discrepancy attracted the attention of later academics, but some found “There’s no hint of fraud in Tinbergen’s work […] and we shouldn’t think any less of him.” Sure, it was sloppy, but for the time, it was advanced work. Hans Kuuuk, Tinbergen’s former student — and biographer — wrote, “He’d often simplify and gloss over complications: if these publications appeared now, they’d get hammered, but the ideas are lovely.”

Your responses and feedback are welcome!

Source: “Displacement Activity in Human Behavior,” Wiley.com, 1960
Source: “Classic behavioural studies flawed,” Nature.com, 03/24/09
Image by John Haslam/CC BY 2.0

Displacement Phenomena, Questions and Problems

Even decades ago, researchers faced many potential complications in their quest to pin down the notion of displacement and designate what they were talking about. To anyone who knows a lot about any subject, the urge to formulate rules is irresistible.

Already there is a problem, because “rule” can mean different things. “As a rule” means it happens most of the time, or it means it is legally required and there will be painful consequences for ignoring it. There are always rule-breakers, and the fact that they often succeed in breaking a rule is a clue that “rule” does not imply “ironclad.”

For scientific purposes, and certainly for publication in journals, accuracy is highly prized. Yet, the speed of light has been recalibrated several times. The farther away from that old faithful standard a work reaches, the more complicated it gets.

Back to Dr. Bindra

In the 1950s, displacement activity was seen as an outlet for thwarted drives. Dr. Dalbir Bindra said of the displacement mechanism,

[I]t is thought that, when an animal is prevented from engaging in an activity (or “expressing a drive”), the particular response tendency or its accompanying “energy” remains active until it can be dissipated either by “displacing” it on to an irrelevant object or into an irrelevant activity.

Bindra characterized this as “quite inadequate.” A much more nuanced explanation was needed, for why a particular animal might do a certain thing, and for whether the action was appropriate to the situation, and so forth. But as for the activity itself, he saw only two possibilities. It might resemble the prevented activity, or it might be different. Some of his words were quite brisk, and he asserted that…

In order to formulate a meaningful and experimentally fruitful hypothesis, the exact empirical variables that control the occurrence of displacement activities must be stated explicitly.

Dr. Bindra also saw only two basic questions:

First, how did the particular activity develop in the organism’s repertoire?

We can assume that the activities usually described as displacement activities (preening in birds, grazing in sheep, grooming in chimpanzees. thumbsucking in the human infant, and so on) have already developed in the organism’s repertoire.

He placed much more emphasis on the other question:

Secondly, what factors determine that this activity, rather than any other activity of which the organism is capable, will occur at a given time and place, and the details (e.g. latency, duration, errors) of the way in which the activity occurs?

Dr. Bindra proposed that all displacement phenomena depended on three general types of variables: “level of arousal, habit strength and sensory cues.” He considered this not an explanation, but a guideline to more fully exploiting the benefits of research in order to reach an explanation. Figuring out how various animal responses fitted into the three categories could be accomplished by pinpointing the appropriate experimental frameworks to demonstrate the differences.

Your responses and feedback are welcome!

Source: “History of the Speed of Light ( c ),” OU.edu, 1996, 2002
Source: “An interpretation of the “displacement phenomenon,” Baillement.com, 1959
Image by various brennemans/CC BY-SA 2.0

Displacement Is a Multifactorial Thing

Not surprisingly, this whole topic started with Sigmund Freud and his talk of a displacement mechanism, back in 1913. Childhood Obesity News will look at several of the other works that helped form thoughts and opinions, in the minds of both professionals and the general public, about these ideas.

As we have seen, early displacement theorist Dr. Juan D. Delius opined that, as yet, there have been no defining rules for the condition. In looking back to some previous writers on the subject, perhaps it will become evident why he thought that. With all due respect, the conclusion that the subject had such fuzzy boundaries is reminiscent of Judge Potter Stewart’s pronouncement about hardcore pornography: “I know it when I see it.” This is the sort of distinction that separates the hard sciences from the soft sciences.

Dr. Pretlow once had occasion to remind a colleague that “contributions to the literature largely ceased in the 1970s.” They were talking about displacement, and a perhaps inadequate amount of discussion of it. This happens in life, sometimes. Promising leads are dropped because of — well, many reasons. Funding resources shift, and that is often due to a change in the priorities of a fickle public. In any field it is important, for many reasons, to check back on the efforts of earlier experts. Every conscientious researcher is part historian.

In 1959, the British Journal of Psychology published Dr. Dalbir Bindra’s interpretation of the “displacement phenomenon.” It was recognized that, in certain scenarios involving conflict and frustration, animals would do things that seemed illogical to scientists. It was assumed that the purpose was to “displace the ‘energy’ or ‘drive’ from one reaction system to another.” The displacement phenomena possibilities fell into two categories:

[A]nimals obstructed in the execution of a particular ongoing or customary activity tend either to direct the same activity toward another object or to engage in a completely different activity.

Dr. Bindra called these interpretations “vague and ad hoc,” at best providing “only a redundant description of the observed phenomena.” His idea was that so-called displacements activities are “a special case of the general question of the factors determining the occurrence of any activity that exists in an animal’s repertoire. ”

It was generally believed that displacement activities arose from three scenarios, which Delius enumerated: “motivational conflict, frustration of consummatory acts and physical thwarting of performance.”

As we have seen, those interested in this topic have tended to say there are two possible outcomes when an animal is thwarted or threatened; two possible meanings of “displacement.” The first is the same (or “same general class”) activity directed toward a different object. The second occurs if the animal “shows some other, “irrelevant,” but fairly specific, activity.” It was fair of Bindra to place “irrelevant” in quotation marks, because the question has been raised whether humans are qualified to judge relevance in a realm so unknown to them.

So, each of the three scenarios has two ways it could go at the next stage. That unfolds to six possibilities. Additionally, Bindra wrote,

In particular, it is suggested that all instances of displacement phenomena can be adequately accounted for in terms of the operation of three factors: (a) an increase in the level of arousal of the animal brought about by the obstructing event, (b) the relative habit strengths of the various activities in the repertoire of the animal, and (c) the nature of the sensory cues provided by the altered stimulus situation.

So each of the six possible activities also includes those three possible branches, making a total of 18 plausible definitions of displacement behavior.

Your responses and feedback are welcome!

Source: “An interpretation of the “displacement phenomenon,” Baillement.com, 1959

Images by aeneastudio, Enrico, and poppet with a camera/CC BY 2.0

Displacement As a Concept

Before looking at earlier writings about displacement, there are some interesting points in a relatively recent (1967) assessment of the situation from psychologist/zoologist Juan D. Delius. At the time, it was taken for granted that animal displacement activities arose from three scenarios: “motivational conflict, frustration of consummatory acts and physical thwarting of performance.”

Dr. Delius wrote that “no binding rules exist by which displacement behavior can be recognized.” In general, displacement comes into discussion of “behavior patterns which appear to be out of context with the behavior which closely precedes or follows them…”

Precedes or follows — that covers a lot of ground!

If an enemy threatens, and a bird flies away, it is reasonable to conclude that there is a connection. It is seen as cause and effect, “in context” with the previous event, the perception of a threat. Whether the bird continues to fly for a while, or immediately lands on a branch — wouldn’t either one of those choices be equally in context with what came before — i.e., the flying off?

If an enemy threatens, and a bird starts to preen itself, this is seen by humans as displacement behavior, a way of discharging nervous energy through arbitrary activity, because for some reason flight is not an option, and neither is fighting or other possible actions that might actually be useful in averting the threat.

This may be where unjustified anthropomorphism comes into the picture. Human judgment might cloud the understanding of another, as-yet-unrealized truth. One point is, preening is not the same for birds as for humans. The bird isn’t just checking its teeth for lipstick smears, or tossing a lock of hair aside. Preening is essential maintenance, a combination of cleaning, pest removal, waterproofing, and other necessary chores. If the feathers are not in good order, flying might be impossible — a serious consequence.

Okay, says the human, so it’s not just fiddling, it’s important survival-oriented behavior. But the timing is inappropriate. An enemy is poised to pounce. This failure to defend oneself, or to at least remove oneself from the scene, is looked upon by humans as aberrant.

An open question?

But with what rationale? Maybe the animal has good and sufficient reasons to try out this tactic. Maybe it hears some inner voice: “Pick your battles. Try distraction. Try waiting out the clock. Try hoping that the enemy is so dim, it will forget it was even looking at you.” Many creatures have been getting along for millennia without human opinions, operating on criteria that humans would perhaps condemn as poor judgment. Maybe we don’t know everything about why animals do the things they do.

Dr. Delius said another thing that seems to deserve more attention than perhaps has been granted:

None of the theories on displacement activities gives cogent reasons why particular behavior patterns should be more common than others as displacement activities, apart from stating that the causal agents which usually elicit them in non-displacement situations can also be presumed to be present, if only weakly, in the displacement context, or remarking that these patterns are prepotent in the repertoire of the animal.

The phrase, “the causal agents which usually elicit them in non-displacement situations” seems meaningful, and connected to the idea that preening, for instance, is not just a silly distraction, but an activity that is quite ordinary and vital to the bird’s existence. Just possibly, it is not for humans to judge whether he is doing it at the right time, or not. Possibly, this is what the author meant by saying that “no binding rules exist by which displacement behavior can be recognized.”

Your responses and feedback are welcome!

Source: “Displacement Activities and Arousal,” Nature.com, 06/17/67
Image by Emmy Silvius/CC BY-ND 2.0

Addiction and Displacement

The previous post included a quotation from the informational pages of the Food Addiction Institute, describing the organization’s view that certain foods cause a biochemical reaction similar to alcohol or drugs, and that food addicts need to identify and abstain from those foods. Dr. Pretlow notes, “It’s not been shown that so-called addictive foods cause a biochemical reaction in the brain. Otherwise, addicts would shoot up on IV glucose and saline.”

In the view of Dr. Pretlow and many others, foodstuffs do not contain enough potentially addictive chemicals to cause classical addiction, as the word is associated with such substances as alcohol, nicotine, opiates, etc. Food chemicals are insufficient, or not the right kind, or don’t hit the brain in the same way. He writes,

We acknowledge that the reward mechanism is a central component underlying addictive eating behavior, but we posit that rewards (e.g., pleasurable food sensations and celebrations) rather act as cues to trigger the displacement mechanism, leading an individual to lose control over eating, once started.

It’s not the food that is addictive, it’s the eating. As Dr. Pretlow says, “It’s not the cues (taste, texture, temperature), it’s the displacement (biting, chewing, licking, sucking, crunching, swallowing). Displacement is the brain’s goal. Nevertheless, cues (stimuli) are essential to trigger the displacement mechanism.”

Which offers hope that the displacement mechanism “may be a useful basis for treatment of eating addiction and obesity.” Eating addiction is conceptualized as “having sensory (e.g., taste, texture) and motor (e.g., crunchy, chewy) components,” and it is suggested that there may be a specific treatment for each component. At any rate, success might be more likely through this approach, than by relying on such a feeble defense as willpower.

Manage that stress

It all goes back to stress management, to “assisting the person in forming strategies to either avoid or effectively resolve these problems/stressors.” In this regard, looking at the displacement mechanism component could be very useful. One clue here is that “displacement behavior bears a striking resemblance to addictive behavior,” in that it is irrepressible or “out of control.” Another characteristic shared by addictive behavior and displacement behavior is that they are out of context, “not an appropriate response in the various sets of conditions in which it occurs.”

Along with “fight or flight,” feeding is indeed one of the responses observed in nature when an animal perceives a threat. The bottom line here is, grooming, or rolling up in a ball and playing dead will not really help an animal escape a life-endangering situation, and neither will feeding. This is equally true of humans. If a person is accosted by a mugger who jumps out of an alleyway, eating a quarter-pounder is not going to save the day. Whether it is an armed criminal or an upcoming exam, the subconscious reads all threats as existential. Nevertheless, consuming a bag of chips will not help pass the exam.

Even if no foods are addictive in the sense of causing a biochemical reaction in the brain, there is certainly at the same time some powerful force that compels people to eat too much of foods characterized by varying degrees of “wrongness.” That is what some of the most prestigious institutions and most innovative brains on the planet are trying to figure out and fix.

Your responses and feedback are welcome!

Source: “Food Addiction Institute,” FoodAddictionInstitute.org, undated
Image by Bas Wallet/CC BY 2.0

Unraveling the Mysteries of Addiction

The big difference between overeating and the overuse of heroin, or even caffeine, is that a person can live without heroin and caffeine, but not without food. This is one of the main stumbling blocks in many discussions of the whole concept of food addiction, or FA, as some fondly call it. Dr. Pretlow has said,

A central barrier to the success of treatment for obesity that is distinct from drug addiction is the fact that food consumption is essential for survival; thus, abstinence is not a feasible or appropriate treatment goal.

Zoe Harcombe is a polymath with a Ph.D. in public health nutrition and a very substantial reputation. When she reviewed Dr. Pretlow’s book, Overweight — What Kids Say, the piece included these words:

We need to start treating food addiction for what it is — a serious addiction with serious consequences. People cannot be addicts in moderation.

And yet, they must — if they are food addicts. Because abstinence is not an option, moderation appears to be the only road out of the swamp. This paradox is quite a problem, making it obvious that what moderation means, in terms of food addiction, needs more exploration.

According to the Food Addiction Institute, 87 million Americans are afflicted by obesity, and perhaps half that number are actually addicted. Their take on FA is that it is “a physical and emotional reaction to certain food substances, similar to drug and alcohol addiction.” In food addiction, certain foods trigger cravings that dieting and willpower can’t touch.

In the same way that alcoholics and drug addicts must abstain from their addictive behaviors and substances, food addicts need to discover and abstain from the foods that cause a biochemical reaction in their brains.

Here is a viewpoint from Dr. Martin Lerner of SelfGrowth.com, who teaches that FA “always involves a need to identify and abstain from offending food substances much like an alcoholic must abstain from alcohol and related substances” which act as biological triggers. He wrote,

[T]rying to teach someone with food addiction to eat their trigger foods moderately is almost always unsuccessful. Moderation is not the appropriate treatment for food addiction. When moderation is prescribed to the food addict, it can cause harm and needless suffering.

As if matters were not complicated enough already, he also issues a warning about something important to acknowledge: that eating disorders and FA can both exist in the same person, at the same time.

Your responses and feedback are welcome!

Source: “Overweight — What kids say — by Robert Pretlow,” ZoeHarcombe.com, 01/14/11
Source: “Food Addiction Institute,” FoodAddictionInstitute.org, undated
Source: “Food Addiction and Eating Disorders,” SelfGrowth.com, undated
Image modified from ZoeHarcombe.com, 01/14/11

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Profiles: Kids Struggling with Weight

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The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources