So much of Western medicine has been tied up with body weight. Weight is often disproportionately and inaccurately associated with health. Weight loss is a common recommendation for many health conditions.
Although eating disorder treatment typically emphasizes body acceptance and weight neutrality, weight remains central to so many aspects of the treatment process.
Body mass index (a measure of weight in relation to height) is used to diagnose: Is this anorexia, atypical anorexia, or OSFED? It's used to monitor recovery progress: Is this person “weight restored”? It is used to determine what level of care is needed, and when a person is ready to reintroduce physical activity.
Taking a person’s weight is easy. It's clear, objective, and requires only that they step on a scale—all of which makes it an appealing assessment measure. However, like most shortcuts, it carries the risks of promoting inaccurate conclusions about the individual and perpetuating harmful stereotypes and biases.
In this episode, Cathryn Williams, PsyD, discusses decentralizing weight as a marker of health and recovery. She shares her experience teaching Health at Every Size and eating disorder awareness to medical students, and touches on alternative physical and psychological markers that can provide more accurate, weight-neutral indicators of someone’s eating disorder status and recovery progress.
Cathryn Williams, Psy.D (she/her) is a licensed clinical psychologist and graduated with a doctoral degree from Massachusetts School of Professional Psychology ( William James College) in 2014. Dr. Williams completed her post-doctoral fellowship at the Cambridge Eating Disorder Center and has expertise in the treatment of eating disorders (cognitive-behavioral therapy, Radically Open Dialectical Behavioral Therapy, Family Based Treatment), substance use disorders (Motivational Interviewing, Dialectical Behavioral Therapy, Acceptance and Commitment Therapy) and Borderline Personality Disorder (Dialectical Behavioral Therapy; Internal Family Systems therapy). Prior to joining the department of psychiatry and behavioral sciences at UMass Chan Medical School in 2022, Dr. Williams provided individual and couples’ therapy and served as the clinical director of two outpatient mental health clinics. She has provided clinical supervision and didactic seminars for pre-doctoral trainees, post-doctoral fellows, and psychiatry residents.
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