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    Kids & Family

    Can I Have Another Snack?

    Can I Have Another Snack? podcast is an exploration of appetite, identity, and bodies. We talk about how we feed ourselves and our kids (in all senses of the word!), and the ingredients we need to survive in diet culture. We’re sitting with the questions: who or what are we nurturing? And who or what is nurturing us? Hosted by Laura Thomas – anti-diet nutritionist and author of the Can I Have Another Snack? newsletter.

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    Latest Episodes:
    31: Gentle Parenting Has a Diet Culture Problem with Eloise Rickman Feb 02, 2024
    Show notes

    In today’s episode, I’m speaking to writer and parent educator Eloise Rickman. Eloise’s work focuses mainly on challenging adultism, championing children’s rights, and helping parents and educators rethink how they see children. In this episode, we touch on how diet culture shows up in gentle parenting spaces and how mainstream ideas of gentle parenting don’t always challenge where power comes from and how it’s leveraged. We’ll also talk about kids’ embodied resistance and Elosie’s new book, It’s Not Fair.Don’t forget to leave a review in your podcast player if you enjoy this episode - or let me know what you think in the comments below.Find out more about Eloise’s work here.Pre-order Eloise’s new book here.Follow her on Instagram here.Follow here on Substack - Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here. Here’s the transcript in full:INTRO:Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? Newsletter.Today we’re talking to . Eloise is a writer ( ) and parent educator. Her work focuses on challenging adultism, championing children’s rights, and helping parents and educators rethink how they see children. Today we’re going to talk about how diet culture shows up in gentle parenting spaces and how mainstream ideas of gentle parenting don’t always challenge where power comes from and how it’s leveraged. We’ll also talk about kids’ embodied resistance and Elosie’s new book, It’s Not Fair.But first - just a quick reminder that Can I Have Another Snack is entirely reader and listener supported. If you get something from the newsletter or podcast, please consider a paid subscription - it’s £5/month or £50/ year which helps cover the cost of the podcast, gives you access to our weekly subscriber only discussion threads, the monthly Dear Laura column, and the entire CIHAS archive. Head to laurathomas.substack.com to subscribe now. And thank you to everyone who is already a paid subscriber.Alright team, here’s this week’s conversation with Eloise Rickman. MAIN EPISODE:Laura: Alright Eloise, can you start by telling us a bit about you and your work?Eloise: Yeah, of course. And whenever I do these, I'm always absolutely terrified, that I'm gonna forget something really big , like “I'm a writer” or “I work with parents”. So yeah, I'm a writer and I work with parents. I write books about children and about children's rights.And I've just finished writing my second book, which is on the idea of children's liberation. which looks at all different sorts of topics from parenting to education to children's bodies. And alongside my writing work, I also work with parents running courses on home education and on rights-based parenting and on workshops as well.I'm also – at the same time as doing this – home educating my daughter, who at the time of recording is eight, which also kind of feels like a full time job and just because life is not complicated enough, I'm also doing a Masters in children's rights at the moment, which is brilliant.Laura: Okay, I have no idea how you find the time in the day to do all of those different things, but I am in awe. And you mentioned that you just finished writing your second book, but you didn't say what it's called.Eloise: Sorry, I didn't, you’re right! So it's called It's Not Fair. Which is a title we deliberated over for a really long time, but I really like it because it's something which we hear so often from our children's mouths.It's not fair, this isn't fair. So it's called It's Not Fair: Why it's Time for a Grown Up Conversation About How Adults Treat Children. And that really does sum it up. It's really looking at how we treat children in all different aspects of life. And why a lot of that treatment isn't fair and why we need to rethink it as adults who have more power than children.Laura: Yeah, and I mean, that's really what I want us..we're going to explore these ideas a little bit in a second. But yeah, I've had a little sneaky peek of the book so far. And what I read is incredible. And I'm so excited for this book to be in people's hands because – we'll talk about this a bit more as well – but unlike a lot of just, you know, gentle parenting, like, more prescriptive books, I think that just tell you how to parent, what I really appreciate about your work is that you bring in the kind of socio-political lens, which I feel often gets missed out of a lot of these conversations. So, yeah, I'm really excited about your book coming out and we'll pop a pre-order link to it in the show notes so that people can have that little happy surprise delivered to their doorstep. There's nothing better than, just like, a book showing up that you've forgotten… Eloise: Oh, I love it. Laura: …that you ordered six months ago! Okay. A lot of your work centers on the idea of dismantling adultism. I'm not sure that people will be completely familiar with that term, so for anyone who is just coming across it, can you explain what even is that and where do we see it show up in our kids’ lives?Eloise: Absolutely, and I think you're totally right that it's not a term that most of us are familiar with at all, and I think that's a huge problem actually.You know, we are now, I think, generally, as a society, getting better at spotting things like sexism or racism or ableism, and that is really important, you know, being able to name injustice when you see it is the first step to dismantling it, to tackling it. Otherwise, how do you really know what it is that you're dealing with and why it's a problem?But yet, when we think about some of the treatment which children experience at the hands of adults, whether that's the fact that in England, at the time of recording, it's still legal to hit your child, even though we would never dream of women being allowed to be hit by their partners, or the fact that, you know, it's still really normal in so many school settings for children to be publicly humiliated, to be losing their break times and so on.All of these seem to be quite disconnected from one another because we don't have the language to join them up. And I think that's why having a word like adultism is the first step in kind of joining those dots and being able to see that children as a social group are marginalised and discriminated against vis-à-vis adults.And I think that term probably feels quite uncomfortable for a lot of us, especially if our children are relatively privileged. You know, if you have a wealthy white child who is not disabled, the idea that your child is discriminated against or is somehow marginalised might feel really shocking. Like, whoa, what do you mean?You know, our child is so lucky, but again, as we've seen with times, like with racism, we talk about white supremacy. The idea isn't that if you have white privilege, you don't have any other problems. You know, you can still be poor or disabled and still have white privilege. And I think in the same way we can see that adults have it easier in a lot of different aspects of their lives.And that doesn't mean being a child is always terrible. It just means they're discriminated against because they're children. So the idea of adultism is really just a way of referencing this age based discrimination, which children face. And I think it really encapsulates this idea that in so many of our societies, adults are seen as the kind of default position, and they are seen as more competent, more capable, more rational, more sensible than children are. And there's a wonderful academic called Manfred Liebel, who talks about these four conditions of adultism. And one of them is that children are just seen as less capable, less competent, less rational, and that they're seen as sort of unfinished. So there's this idea that you're not really a proper person until you become an adult. And that justifies a lot of adult control.Laura: Yeah. Sorry. I was just going to say, there's like this sense that, okay, well, you don't really know what you're talking about. You don't really have any kind of, like, say in what's going on until you turn 18.And, and it's almost like this idea that, yeah, your life is..it doesn't matter, anything that happens to you before 18. It's kind of like a write off somehow. Yeah. Anyway, that was just what was coming to my mind. And I'm sorry for interrupting you. I'm curious to hear more about these conditions of adultism!Eloise: Yeah, but I think that absolutely is true. And that's a really big part of it or where we don’t see children's lives as important or their experience as important. And I think we're getting better now as a society at noticing when things are traumatic or when things are adverse childhood experiences, but often those are described in terms of: this has an impact when they become adults.So they have poorer earning potential or it harms their future intimate relationships, but it's not…so much of it is not focused on children's lives in the here and now, and under adultism, it's very frequent, I think, whether it's in policy documents or whether it's in the language that schools use, or whether it's in parenting manuals, this idea that childhood is this sort of preparation or training ground for when you're a real person, for when you're an adult, and that parenting, education, all of these different things, thus, should be you know, optimising the child's future life without really thinking very much about children's experiences right now. So, and some other examples of adultism as well are, that tied to this, we often think that because parents know best, parents can protect their children from things that we see as harmful. And I think this probably links quite a lot also to diet culture and the way that we see that, you know, oh, I must protect my child from ultra processed food or from sweets because I know best, but actually these things can end up being quite harmful to children because they're not given the opportunity to take risks or make mistakes or to figure out their own body's needs, decide what's best for themselves. And I think there is this real assumption that adults know best and that if a child makes a decision, which is against what adults believe is best, then the child must not be capable of making that decision yet. They must be incompetent. So even if we're saying to a child, okay, you choose. And then the child says, well, I'm going to eat all of my Hallowe’en sweets in one go, or I'm going to eat all of the, you know, chocolates out of my Christmas stocking in one go. And then the adult says, well, actually that shows they can't be trusted. And next time we'll have to, you know, divvy them out or give them more slowly. And I think that sense that children cannot make good decisions if they vary from what we as adults believe are good decisions, also have a wider consequence in that children are really excluded from political decision making.And I think this is twofold, both in terms of the fact that children can't vote, which as you're listening to this, you might think, ‘well, of course children can't vote, you know, why would they be able to vote? They're only children.’ But yet, this is exactly the kind of argument which used to be made for women not being able to vote.And actually, over the course of history, we've seen huge changes in which populations were seen to be considered sort of capable and sound of mind and able to take part in the very scary business of voting and putting a cross in a box. And again, there are lots of people now challenging this, but I think just the very fact that we have a whole section of society who we say ‘you don't have a voice’ is really important to grapple with.I think there could be an argument made for this if our politicians were genuinely taking children's voices, views, concerns into account. But as we've seen with things like education funding, childcare funding, the complete lack of any sort of meaningful action on the climate crisis, children's priorities and futures aren't being safeguarded by those in power. And we tend to have very short termist political structures. Which again, exacerbates this sort of, you know, serving adult populations, but actually the things that children need, the things that are important to children get completely left out of the conversation.Laura: Yeah. Oh, I mean, I don't even really know where, where to kind of go from there. I think you've just…Eloise: Sorry, it's a lot!Laura: It is, it's a lot. And you summed it up. And I think, like, what I kept thinking about as you were speaking is, I think, there is this, like, notion or fantasy that we're not living in Victorian workhouse era, kind of, you know, we're not putting kids into workhouses anymore.And there's this sort of sense that, like, childhood is held in such high esteem, such high regard, like…But what you're saying is there's a real disconnect, right, between this kind of, like, fantasy of childhood versus the reality of how we're treating our children. Do you know what I mean?Eloise: Absolutely. Yeah, totally. And I think that's exactly right.And I think, again, to a lot of people, it will seem strange to talk about children being discriminated against because we're spending, you know, hundreds of pounds on Christmas presents for the children in our families or because we are seeing that children now have access to all these cool opportunities that we didn't when we were their age. And we tend to think that childhood is generally getting better. And in some ways it is, you know, in terms of things like corporal punishment, we are actually getting better as a society. Fewer children are being smacked. It's becoming less normalised, but there is still this real disconnect between the fact that children are…in some circumstances have better material goods, except we're definitely not seeing that for everyone. And actually, you know, as we know in the UK, one in three children more or less lives in poverty, which is a huge political issue in terms of adultism, actually. And it is a real…it's a political choice rather than just a side effect.And, you know, we might not need to get into it now, but there have been lots and lots of policy decisions over the last decade or so, which have pushed families deeper and deeper into poverty. But even for those of us living in very privileged households, we might see, oh yes, well, my child now has an iPad or my child has this, that or the other.But actually in terms of the things that really matter to children, having a safe, healthy environment, having the freedom to be able to go out and see their friends without being overly controlled, having privacy, having independence. We're not really doing much better on any of those sort of key indicators, really. And that power discrepancy. And I think that power is probably the main word in all of this, that adults still have the say, adults still have a final decision. Adults still have more power in our families…hasn't changed since those times. And I think that's what we're really needing to grapple with now.Laura: And I think that that is shifting a little bit in terms…

    Full show notes at the publisher

    30: The Inconvenient Truth about Sugar with Dr. Karen Throsby (Part 2) Jan 19, 2024
    Show notes

    Hey everyone, and welcome back to the Can I Have Another Snack? Podcast where we talk about food, bodies, and identity, especially through the lens of parenting. I’m Laura Thomas, I’m an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter.Today I’m sharing part 2 of my conversation with Professor Karen Throsby, author of Sugar Rush. If you’re just joining us then make sure you go back and listen to part 1 of this episode before you jump into this one. We talk about mortified mothers, how removing sugar from the diet is gendered work that falls on women, and how the certainty around the ‘badness’ of sugar belies a lot more doubt and ambiguity coming from the scientific community. So go back and check out part 1 if you haven’t listened already. Today we’re getting into why the so-called ‘war on ob*sity’ has to constantly reinvent itself to stay relevant, and how it fails to meet its own objectives. We also talk about how ultra-processed foods are quickly becoming the new sugar and how that conversation fails to acknowledge the role that convenience foods play in offering immediate care or the privilege in being able to eat for some nebulous future health. And we couldn’t talk about sugar and not talk about Jamie Oliver and the sugar tax.INTROBefore we get to Karen, a super quick reminder that all the work we do here is entirely reader and listener supported and the podcast is my biggest operating cost. I will do everything I can to keep it free and accessible to everyone, and you can help by becoming a paid subscriber - it’s £5/month or £50 for the year (and you can pay that in your local currency wherever you are in the world). Paid subscribers get access to the extended CIHAS universe including our weekly discussion threads, my monthly column Dear Laura and the whole back archive. You also support the people who work on the podcast, and help ensure we can keep the lights on around here. You can sign up at laurathomasphd.co.uk and the link is in your show notes. As always, if you’re experiencing financial hardship, comp subscriptions are available, please email hello@laurathomasphd.co.uk and put the work ‘snacks’ in the subject line and we’ll hook you up. Thank you as always for your support and for making this work possible.Alright team, I know you’re going to love the second installment of this episode so let’s get straight to it - here’s part two of my conversations with professor Karen Throsby. Here’s the transcript in full:MAIN EPISODELaura: Karen, I want to come back to this idea that you articulate so well in the book. You say that “the so-called war on ob*sity has been unable to warrant its core empirical claims” – I'm quoting you now, “and has been a notable failure when measured against its own goals of sustained population level weight loss.”Can you explain how in order to sustain itself, the war on ob*sity had to reinvent itself like Madonna? By casting a new villain…and kind of talk about that arc a little bit? Karen: Yeah. So if we think about, I mean, obviously the sort of attack on fat bodies has, has a very long history, but if we think about its most recent history in, in the form of the war on ob*sity, which dates to around the turn of the millennium as a new kind of intensified attack where dietary fat was seen as the core problem.Sugar has always been seen as a problem. We can even go back to the 1960s and the rise of artificial sweeteners. and their take up in the diet industry. So it's always been there as a problem, but it was really fat, fat, fat, fat, fat. And that's why, when I looked at the newspaper articles, sugar was hardly talked about because the focus was different.And I think what we get is then with that repeated failure, where there has been a base, I mean, there's…in the UK, there's been a leveling off of ob*sity rates, but it doesn't meet the aspirations of the attack on ob*sity. It has been a failure. And I think it runs out of steam because it's not achieving the change.And, and yet you get this kind of constant hectoring and sort of constant renewal. I can't…there's been…I can't remember. It's like 17 policies or something, you know, in the last 20 years. And it's, you know, none of them are successful, have been successful. And then, so we get to about 2012, and one of the things that happened in the UK, of course, was the Olympics, where there was a lot of anti-ob*sity talk.It was seen as a way of refreshing the war on ob*sity, and I think that partly opened the door. Laura: Yeah. I'm sort of smirking, because I was in the States at that point doing my PhD, so I kind of, like, missed a lot of what was going on here, around 2012 in the Olympics. So yeah, it's really interesting that you're, you're not, you noted that, that that kind of anti…Karen: Like a core, a core justification for the, for funding, you know, a mega event like the Olympics was that it would boost sport, which would boost attempts to reduce ob*sity. And so you've got that in the background, you've got the fact that it is losing steam, you know, and so it needs to find another, another enemy, something to pick it back up again. And sugar, I think…because at the same time, as I mentioned earlier, we've got austerity measures being consolidated through the Welfare Reform Act in 2012, all of those welfare cuts in place. So then the idea of sugar, and the kind of an austerity worked really well together, the idea that individuals should make small economies to get by to manage their own consumption, that you shouldn't over consume because it costs the state, it costs other people money. And so those narratives came together perfectly and sugar just became this, this model enemy for the moment.And then what we see then is the rise of interest in the sugar tax. which was announced in 2016, which is the peak in the newspaper coverage, and then was launched in 2018. So in a, in a sense, the history of the social life of sugar during this moment is an arc that sort of covers the rise to the sugar tax and then its implementation.But all of the expectation that had been laid on fat is then laid onto sugar as the problem. If only we can solve this problem. And so again, as I said before, it creates this erasure of the absolute complexity of food and eating. The idea that food is only ever swallowing and metabolising, it's, you know, it's so social, it forms so many social functions around love, care, comfort, you know, all of those things that it’s just completely inadequate.And then what we've got now is a tailing off. And actually it tailed off during the pandemic, there was a little peak at the beginning, if you can remember when Boris Johnson launched an anti-obesity policy, when he came out of hospital, he was blaming his own body size on the fact that he'd been very unwell. And so we saw a little peak then, but it's basically dropped off now.So in sort of 10 years, we've had a sort of complete focus on sugar and then this tailing off of interest in it. And I think now what's coming in instead is ultra processed food is now filling that gap, but it's folded sugar into it because obviously ultra processed food is, as almost all, I mean, has always got sugar in it. And so it's picked up the sugar as it's gone. So it's, all of that is still there, but it's now being talked about in terms of ultra processed food.[SMALL PREVIEW OF FIRST UPF ARTICLE]Laura: I imagine that what you, you might say about kind of almost this like third phase of the, the ‘war on ob*sity’ in terms of who or what is responsible, because there almost has to be this singular entity that we can point at.And at the same time, I think it's so interesting that ultra processed food has just kind of subsumed every kind of nutritional villain that we could have. Fat, sugar, sweeteners, and just the complexity within the concept of ultra processed food in terms of just from a lay perspective, right? To try and wrap your head around what is and isn't.I mean, I have a PhD in nutrition and I struggled to get through the NOVA documentation on ultra processed food. And to bring it back to the sort of gendered aspect of this for a second, something that I noted that…so Carlos Monteiro is the guy, right, that developed the NOVA classification. I'm not sure if you've read much around this.I don't know if this is a book that's in the works for the future, but one of the things he said is that ultra processed food is the undoing, basically of the family meal. I mean, there's…there's a lot that we could unpack there in terms of, like, the sort of putting a family meal on a pedestal and how that even has sort of classed and, you know, all kinds of connotations.But, I mean, as a mother of a small child, to my thinking, actually, ultra processed food saves our family meals, right? Like, it makes it feasible to get something on the table while you have, you know, a child kind of hanging around your legs begging you to play with them. All of the, kind of, the rhetoric from Carlos Monteiro and the men of science, it kind of, it misses the piece of labour, around labour, which we've talked about, but it also misses this piece of just how we're all just struggling to survive in late stage capitalism, and how none of us in our lives have the conditions available to us where, you know, we have affordable childcare or family close by because we're living in these like hyper isolated, splintered, you know, individual houses, and we have no community and I think there's this a piece that gets missed out of this conversation about the bigger, broader social structures that we're living within, which I suppose, you know, speaks to the thesis of your book.So yeah, I was just tying it back to some of my observations around ultra processed food, so it's really interesting that you've gone there and I'm curious to hear what additional thoughts you have about that?Karen: Yeah, I mean, I think for me, the, the alarm that goes off for me when I hear this talk about ultraprocessed food is very similar to my alarm around the way the sugar, that sugar is talked about. It's carrying a lot of weight that it's, it's being now framed as again, the problem. But now it's a very different kind of problem to sugar. So we know that sugar is in a lot of foods. If you go to a supermarket, it's, you know, there's a considerable proportion of the foods will have added sugar.But there's a real difference there between, say, observing that, where you could, for example, purchase lower sugar items and so on. But to say that, I mean, what is it, 60 to 80 percent of, of food that we eat – this is the figure that we get, I mean again, who is we? – is ultra processed food and we shouldn't eat it. What, what do they expect people to eat?Are they seriously suggesting that people take out 60 to 80 percent of their habitual diet?Laura: Well, I have an answer to that actually, Karen. So Gyorgy Scrinis, who I know you reference a lot in your book, he thinks that we should all… well, he had two recommendations from one podcast I listened to. One was that we should all, there should be lots of markets everywhere that people can just pick up food, fresh food, right?And secondly, he also thinks we should all be able to go into our garden and pick a salad. Karen: Right. I mean, it's a lovely fantasy. It's a lovely fantasy. Promised on the labour of women, again.Laura: I would love to have a garden, first of all, that I could be able to do that. Karen: Lots of people don't have those gardens. They don't have farmer's markets.It's a lovely fantasy. It's probably not a bad idea, but realistically, people can't do that for all kinds of complicated reasons. And I think what gets lost there is, I think, the idea of health in the present. So, for example, we know that, when I talk about the, we, you know, the, we are eating this, what's often meant there is they are eating this, right?We know that a lot of the people, the, the big figures in the anti UPF field are not and yeah, they're not eating it. So they are eating it and there is this complete lack of understanding around, for example, if you have no money, if you really have no money, if you're very poor, if you're poor in every way, which many, many people are in this country, to feed your child a processed meal that is highly palatable, calorific, that you know they'll finish and not be hungry, is an act of care in the present, that your kid's not going to be hungry. They'll be able to concentrate at school, get a good night's sleep, those things. Whereas those…that act is not credited. So if you were to cook food from scratch or buy an unfamiliar food, for example, and give it to a child. Now I've never raised a child, but from what I kind of understand, children are incredibly conservative and it takes many, many goes at a new food before they will eat it. So if you have no money and you give your child an apple that they won't eat, you can't give them anything else. And so the cost of experimentation is very, very high for people with nothing to fall back on. And so there's lots of reasons. And then we talk about time poverty. It's better to, you know, sit down and grab something that is processed rather than not having the time to cook anything. And so lots of those reasons why people might eat this food. And until you address, I think, the inequalities that are absolutely central to food choice, it makes no sense to actually dictate food choice unless you are prepared to entrench those very same inequalities.Laura: Yeah, thank you for that. I think you articulated it so beautifully with that example around the opportunity cost of feeding a child or, you know, exposing them..we would use the language of ‘exposure’ in nutritional science in terms of, you need 15 to 20 exposures before a child will accept a food and even that's horseshit, right?We know that it can take a lot more than that and, and, and even then, you know, the…say they do eat the green beans or the broccoli or whatever it is, that's unlikely to fill them up and stave off hunger for, for that child. So, yeah, I think framing it as an act of care is such a beautiful way to, to put it because, you know, the, the alternative that's being peddled by these, UPF sort of evangelists is that that you're doing something harmful for your child and setting up that binary is so problematic because again, you're just flattening down so much nuance there.Karen: Yeah, exactly that. This idea that food is either good or bad and sugar is…is bad. And if you say it's good, then you must work for the sugar industry. And if you make, if you make a set of claims, as I have, a kind of critical claim where I, I refuse the idea that it's either good or bad, I've never said that it's good or bad, I just get accused of working for Coca Cola.You know, which I'm not, by the way.Laura: Yeah, no, you're, you're an academic and what you're doing is complicating a lot of these things that, that seem….are, I suppose, where the, the rhetoric around them is so, um, binarised and flattened and yeah, just, just, uh, you're, you're asking questions, which I think we need to do a lot more of.Speaking of questions, there is one, one more thing, little topic that I'd like to – I say, little topic, it's not a little topic at all, but one of the things that you, or one of the threads that felt really important in your book that I feel often gets obscured from any conversations about sugar is the really troubling history…

    Full show notes at the publisher

    30: The Inconvenient Truth about Sugar with Dr. Karen Throsby (Part 1) Jan 05, 2024
    Show notes

    Hey everyone! Happy New Year and welcome back to the Can I Have Another Snack? podcast, where we talk about food, bodies, and identity, especially through the lens of parenting. I’m Laura Thomas, I’m an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter.I am really excited to share this week’s conversation; it is the perfect antidote to the January diet culture hellscape that we’re all living through. My guest today is gender studies professor and author Dr. Karen Throsby, whose book Sugar Rush (affiliate link) was an absolute highlight for me in 2023. I have been recommending it to everyone. Karen’s thesis in the book is essentially how the public health and popular science discourse around sugar obscures the social and structural inequality responsible for health disparities and by doing so, actively embeds it further into the fabric of society. I’ve split this conversation into two parts - so you’ll get the second half of the conversation in two weeks. But today we talk about how the conversation around sugar being bad for you is framed with so much certainty, whereas the science holds a lot more doubt and ambiguity. We talk about how nostalgic fantasies of a past where nobody ate sugar and everyone climbed trees all day long erases the unpaid labour of women, and how even modern day efforts to eliminate sugar are dependent on unequal distribution of household labour and are framed as work that is pleasurable, or else women get scapegoated as bad mothers. So much great stuff in this episode and like I said, I’ll share part two soon, where we get into the rhetoric around ultra-processed food, how the so-called war on ‘obes*ty’ fails to live up to it’s own aims and loads more. Before we get to Karen just a quick reminder that the entire CIHAS universe is reader and listener supported, meaning I literally can’t do this work without your support. If you like what we do here and want to help keep the lights on then you can upgrade your account to become a paying subscriber - it’s £5/month or £50/year. Not only do you support the time and labour that goes into producing the newsletter and podcast, but you get access to our weekly community discussion thread Snacky Bits. You can comment on posts, and you get access to my monthly Dear Laura column and the full archive. You’ll also see a bit more bonus content on free essays that’s just for paid subscribers in the coming months, so make sure you’re signed up to get in on that action. Head to laurathomas.substack.com or check out the show notes for that link. Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:MAIN EPISODELaura: Karen, I'd love if you could begin by sharing a bit about you and the work that you do.Karen: Yes, thank you. So I'm a sociologist, I'm a professor of gender studies at the School of Sociology and Social Policy at the University of Leeds. And throughout my 20 plus years of career, I've been looking at issues of gender, bodies, technology and health.So I've done work on reproductive technology, on surgical weight management, I've done work on endurance sports and what you do to a body when you engage in endurance sports socially, what does that mean? And then most recently, I've been working on what I've been calling the social life of sugar. How can we think about sugar in a moment when sugar is being attacked as a kind of health demon, the constant in my career has been this idea about bodies and how we try and change bodies or how bodies change and then most recently in relation to food and particularly sugar,Laura: Tell us a little bit more about that because, you know, you kind of say this almost quite flippantly. “Oh yeah, I’ve been doing sugar”, but that's like a whole like undertaking in terms of research and then the book that came out of that. So, could you maybe tell us a little bit about the research that you did that went into, you know, studying the social life of sugar and, and maybe a little bit about the process of writing the book as well?Karen: Yes, of course. So, it started from observation, which is where a lot of research comes from – of noticing just a lot of sugar talk in the media, for example. And so, I decided to look at it more formally. So, I actually did a, I started with newspapers and I looked at newspaper coverage from 2000. So I ended up looking to 2020 when I searched for newspaper articles in nine UK newspapers. So across the political spectrum and broadsheet, tabloids as well, looking for articles of quite substantive articles like sort of 500 words or more with the word sugar in the title.And then I filtered those. So I took out all of the irrelevant things. So there's lots of mentions of Alan Sugar, uh, for example, lots of sugar metaphors, like a ‘spoonful of sugar’ that you get in business reporting. And I took all those out. And then I kind of looked at the pattern and what you see from 2000 to about 2012, it's very, a very low level of coverage, just trickling along very low.And then in 2013, it starts to shoot up. And then by 2016, it's really high and it peaks there. And then it drops off a little bit, picks up again at 2018 and then slowly falls away. And so I took 2013 through to towards the end of 2020 as the period of study, and that ended up with about 550 newspaper articles that then became my objective analysis of what's happening with sugar.And then I dug out anything else I could find. So policy documents and newspaper, medical articles, self-help books, popular science tracks – anything I could find about sugar. And that became the body of data that I then was analyzing just to see: how is sugar being talked about? Who is being excluded when we talk about sugar?Trying to see it, not literally, but thinking about what is sugar doing socially when we talk about it.Laura: Yeah. It's, it's an, I'm just thinking of this from a research perspective. It's a huge undertaking. I'm just imagining you going through your Nvivo now, it's just like,Karen: exactly. You're right there. I mean, it was an unusual project for me, because all my other projects have been broadly ethnographic. So I've actually gone and observed groups, a social, social organization, and so on, um, or done interviews and things like that. So this was a departure for me that it's very text based. It's looking at how it's reproduced and represented in text, in different kinds of text.But you ask the same questions, what is a newspaper trying to achieve in writing in this particular way? What is a popular science track trying to achieve in writing about sugar in a particular way? And then you can start thinking about, so what does sugar mean in different contexts, but also what kind of work does sugar enable us to do socially?Laura: Mm hmm. So can you tell us a little bit more about the sort of, maybe just like the headline conclusions that you drew out with this and then and we can kind of get into some of the more specifics in a second. Karen: Yeah, I mean the bottom line for me was that sugar and what I'm calling the attack on sugar, this targeting that happens quite suddenly around this time and and taking over from fat in that sense as being the enemy that this talk around sugar appears to be in relation to everyone. It's seen as a problem, a problem that we all have. So you'll see the opening line of, there's a Public Health England document in 2015. And the opening line is ‘we're eating too much sugar’, and it's bad for our health. Right? So it seems like it's everybody's problem.But actually, what happens when you do that is that you ignore social inequality. And so the core argument of the book is that actually by focusing on a single nutrient – like sugar – as the cause of multiple problems, you actually make inequalities worse rather than better. Because it actually relies on erasing inequality from the start to say, we eat too much sugar.So a sociologist would always want to ask, well, who is ‘we’ here? And in fact, what we see by looking at the newspaper coverage and so on, is those who are deemed to be eating ‘too much sugar’ are also those who are already the most marginalized in society. So it provides cover for actually an intensification of attacks on marginalized groups in society. And I argue in the book that that rise that happens in 2012, 2013, is actually related to the implementation of austerity measures in the UK, which is the retrenchment of benefits, the cutting welfare and so on, and targeting particular groups as somehow as ‘over consumers’ of public resources.And therefore they're easily translated as ‘over consumers’ in other ways. And so that this figure of the kind of poor, fat, irresponsible, individual as a caricature comes up as kind of someone who can be blamed and targeted. So the argument in the book is really that by focusing on a single nutrient, you not only ignore those groups, but you actually compound the inequalities that they're already experiencing.Laura: Yeah, you're furthering the marginalization and the stigmatization of those groups. There are a few things within what you've just said there that I wanted to kind of come back and revisit if it's okay. And the first is this idea of certainty. You know, you say at the beginning of those Public Health England documents, and I think throughout the headlines and the media reporting and some of the documentaries that you discuss, there's this thread of certainty.Certainty that sugar is bad for us. Certainty that sugar makes us fat. Certainty that fat is even a bad thing in the first place. Can you talk to us a bit more about how certainty is used in this way as a sort of political device to drive discourse in a specific direction?Karen: Yeah, that's a really good question.And what we can see with these certainty claims, I mean, that sugar is bad for you. That's the core claim is that it's bad for us. But actually, when you look at the arguments against sugar, there isn't very much agreement over what kind of problem it is in the first place. There's two core ways that this plays out.The first is that it's bad for you because it makes you fat. Because it's empty calories. It's more calories than you need. So that's why it's bad for you. It could be anything, but it just happens to be something that is very calorie dense without bringing other nutritional benefit. The other version of the problem of sugar is that it is actively toxic.So not just a source of calories as much as any other, but that it's actively disrupting; it's creating a metabolic dysfunction and disruption. That it creates this chaos around your management of blood sugar and brain chemistry and everything. And they seem to be in opposition to each other, but in fact have managed to coalesce around the certainty that sugar is bad; almost as if it doesn't really matter why it's bad, but it just is.And it's created a kind of lowest common denominator platform that brings everyone together. And so it's provided a space where multiple vested interests can meet. So politicians, for example, have a vested interest in this kind of narrative because it provides targets of blame. It provides a site where you can appear to be doing something about a problem.And people who are writing books saying that it's toxic are invested in that because they have a kind of a brand that is then created. And then there's a whole diet industry that is invested in the idea of empty calories and, you know, and, and so on. And so I'm not suggesting it's a terrible plot. Right.I'm just saying it provides an opportunity for multiple interests to come together. And I think there's a number of ways this is facilitated. So, for example, around the idea that ‘ob*sity’ is a disaster. Is an awful thing. Tthat ‘ob*sity’ is terrible. Around the idea that sugar is ‘addictive’. Yeah. Which is a very common thing that's used.Again, what constitutes addiction is extremely vague. And then there's a nostalgia that comes back. We didn't use to eat like this. Sort of in the 1950s, post war rationing. Although we didn't eat like this. We all just ran around all day and we never ate sugar and we were all fit and healthy. And so those things kind of tie these together to create the certainty that sugar is bad.And that we eat too much of it and it's bad for our health. And so certainty for me, this certainty is manufactured and it is providing political cover for doubt. Which, actually, when you look at the science, science is always much more riddled with doubt and uncertainty than the claims that are made for it.Um, and often that doubt is in the journal articles and so on, but then it gets sort of extracted as a certainty. And so we get this, this sense of certainty that creates an imperative to act. A sense of urgency. For example, and sugar by sort of, as its proxy, is framed as a problem about which something must be done.And so in a sense, then, the need is to be seen to act. And so you could have an intervention, say, like the sugar tax, um, which I would argue is much more about being seen to do something that actually achieving its stated goal. And so I think what this sense of certainty does is it provides cover, and it also erases the inconvenient uncertainties around why do some people eat in particular ways? What are the social reasons? What are the inequalities and the other factors that determine how people choose to eat? And I think those get erased by that certainty. So it's very functional in that way.Laura: Mm hmm. Everything just gets flattened down and collapsed in this, yeah, really problematic way.I mean, there's, there was so much that we could kind of get into what you just said there. But I suppose one section of the book, I mean, I enjoyed all of your book, but I really enjoyed the section where you talked about nostalgia as well, that you just mentioned there in this kind of like going back to a time where we didn't have much sugar in our diet and we, you know, we had all these home cooked meals, everything was, you know, freshly pulled from the ground and we could just climb trees all day.First of all, what kind of utopia were these men living in anyway? But secondly, I think the part that I really appreciated there was how you talked about the erasure of women's labor in making that a reality in the first place. Do you want to just say a little bit about that? Because I want to come back to gender in a bigger, more expansive sense in a second, but I would just be interested while we're there.Karen: In that particular context, you know, there is this vision that it's never, it's never located strictly in time, but it clearly speaks to some kind of post war, sort of immediate post war imagination – fantasy really – that rests, if we were to accept that this vision is true, that everyone was running around, burning off calories, never snacking, coming home to splendid, home cooked, home grown meals.What isn't discussed, of course, is who cooked these meals? How does this food appear? You know, this, this handcrafted food. And of course, that is the completely unrecognized and largely unpaid labor of women. That a lot of these fantasies around the sugar free life are built on this idea. That food just somehow happens that what's often referred to as real food.It just sort of happens. And then the labor of women is completely written out. Which of course then leaves standing that expectation that women should do that work because it doesn't even count as work because; it's…

    Full show notes at the publisher

    29: "Store Bought Insulin Works Really Well" with Erin Phillips Dec 01, 2023
    Show notes

    Hey and welcome to the Can I Have Another Snack? Podcast. This week I’m talking to specialist diabetes dietitian Erin Phillips about all things insulin resistance and type 2 diabetes. Erin shares some background on what happens in the body that leads to type 2 diabetes, why ‘prediabetes’ is a dubious diagnosis and the things the keto-bros often leave out this conversation. We talk about why sugar and higher weight aren’t the cause of type 2 diabetes, and how there is so much more we can do to care for diabetes outside of cutting carbs and losing weight, especially if you have a background of an ED or disordered eating. Lots of you have requested more content around this topic - let me know what questions you still have after listening to this episode!Find out more about Erin’s work here.Follow her on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTROErin: I think sometimes a diagnosis of prediabetes or type 2 diabetes can be a traumatic event, especially when it's not in the presence of someone caring and that you trust. Or especially if you have a family history of diabetes where you've seen…maybe some scary things. Which I will – now that I said that – I will add that it's, that's not a definite outcome either, those scary things, yeah.But it can be, that can be really stressful, and that's the opposite of what is helpful for blood sugars.Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? newsletter.Today's guest is registered dietitian Erin Phillips. Erin's work is grounded in health at every size and fat positive nutrition. She has an advanced certification as a diabetes specialist and has spent most of her career working with people living with all types of diabetes. She has a private practice that focuses primarily on the intersection of diabetes and eating disorders. She works with people living with diabetes through individual counselling, as well as providing consultation to clinicians looking to be more grounded and confident in supporting their clients and patients with co-occurring diagnoses of diabetes and eating disorders. So I've had a lot of feedback from newsletter readers and people who listen to the podcast saying that you'd like more information about weight-inclusive approaches to so-called prediabetes – which we'll get into in a minute – insulin resistance and elevated glucose levels as well as type 2 diabetes. Most of the advice out there centers on carbs. So I was excited to talk to Erin about why these approaches are not only unhelpful for a lot of folks, but how they can be harmful. And why you don't need to get sucked into diet culture to care for yourself. In this episode, we discuss why type 2 diabetes isn't caused by too much sugar or having a bigger body, why pre-diabetes is a fake diagnosis, and why you don't need to cut out carbs to manage your blood sugar. I'm so excited for you to hear this episode. But before we get to Erin, I want to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year. And as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter, have a say in the work that we do here and help ensure I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app, and the deep dive on folic acid and folate that I just did recently.All of those you can read at laurathomas.substack.com if you haven't already. And if you're not totally sold yet then maybe this lovely review that I got recently will help convince you. So one reader wrote: “I feel so lucky that I found your work around the same time I started feeding my kid real food. It saved me so much angst and has allowed me to relax and really enjoy seeing him explore eating. Your essays on sugar especially was a game changer. I'm sure it won't always be plain sailing, but I feel so much more prepared to ride the waves of his changing appetite. and tastes as he grows, accepting them as a feature and not a bug.So hopefully he can have a much more relaxed relationship to food than I had for a long time. And I pay my £5 a month because I so value the work you put into your writing and think it's worth paying for. There's a lot of free advice out there, but I never know what I can trust. This is such a safe haven.”So yeah, it's £5 a month or £50 for the year. You can sign up at laurathomas.substack.com or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription. No questions asked. You don't need to justify yourself. Just put ‘Snacks’ in the subject line. This is actually going to be our last podcast of the year. I'll be back in your ears in January with brand new guests. Paid subscribers will continue to hear from me in your inboxes and in the group chat, where I'm going to be holding space for all the venting and screaming at diet culture shit that gets dredged up over the holidays and into January. If you'd like to join us, you can sign up at LauraThomas.substack.com. Otherwise I'll speak to you in January. Okay, team. Over to Erin. MAIN EPISODE:Alright, Erin. Can you please start by telling us a bit more about you and the work that you do?Erin: Yeah. I am a registered dietitian. Well, in the United States, based in, um, the Seattle, Washington…I was gonna say, the ‘state of Washington’! And I'm also a certified diabetes care and education specialist. It used to be a certified diabetes educator and they wanted to add more letters. So I'm in private practice and I focus on working with people with diabetes and eating disorders at the same time, or people who had a history of an eating disorder and then were recently diagnosed with diabetes but don't want like It wouldn't be helpful or safe for them to go to just any diabetes educator.So those are the folks that I work with.Laura: Okay, so you're kind of working at that intersection between eating disorder care and diabetes care. And I think, like, what's important to highlight, which people might not be...aware of or familiar with is the idea that people who have type 2 diabetes, I would say in particular, but all forms of diabetes are at a heightened risk of disordered eating and eating disorders. And does that relationship…? No, it doesn't go the other way, does it?Erin: I think it does.Laura: You think it does?Erin: I think it does. There isn't a lot of research on it, but clinically, I absolutely see that.Laura: Okay. That's interesting. Erin: And eating disorders and gestational diabetes. I was talking with a colleague about this, that we see people with a history of, of an eating disorder, it feels like are at much higher risk of gestational diabetes.But the research…I don't, I haven't looked into the research on that, but we definitely see it clinically.Laura: Yeah, that's an interesting observation that you've noticed. So, you use this term diabetes educator. We don't have that here so it might be helpful to just kind of explain a little bit about what that is and then maybe we can unpack what exactly we're talking about here when we talk about diabetes and sort of associated terms.Erin: Yeah, yeah, yeah. Thanks for clarifying that. I love talking to people in other countries to learn about like, what do things look like there? So, a diabetes educator, I know they have them in the States and in Canada, maybe Australia, but basically what it is, is...Laura: Just to clarify, like, okay, in case my, like...dietetics colleagues are all like yelling at me right now. We do have dieticians that specialise in diabetes, but it's like the diabetes educator title is kind of a, like a bolt on right to your, your like baseline nutrition training. Is that right?Erin: Yes. Yeah. Yeah. Yeah. So here to become a. a certified diabetes care and education specialist – that's such a mouthful! You, yeah, you need, I think it's 2000 hours of working with people with diabetes after you've become, become a dietitian or you can be a social worker, you can be a pharmacist, you can be a nurse. There's lots of nurses that are diabetes educators. So you get those practice hours, you get continuing, I don't know how many hours of continuing education a lot. And then you take an exam, right? Then it's like, well, at least here, like the dietitian renewal where every five years you renew by getting enough continuing education credits.Laura: Okay, so it's safe to say you know a lot of stuff about diabetes.Erin: Yes, I think so, yeah.Laura: It's kind of your thing. So, I really wanted to talk to you specifically about type 2 diabetes today because, 1) there seems to be a lot of confusion about it. 2) It kind of gets bundled up with a lot of anti-fat bias and carb-phobia and diet culture. And then 3), it's something that listeners of the podcast and readers of the newsletter have requested that we talk about. Would you mind starting by just telling us what exactly type 2 diabetes is, and how it relates to concepts like prediabetes and insulin resistance? So that's a big question. Where feels like the best place to start?Erin: I think actually starting with insulin resistance, because I think of that as kind of an umbrella and then prediabetes and type 2 diabetes fall underneath that umbrella. Yeah. So, insulin resistance is a term that means…so all humans have glucose floating around in their blood at all times. That is the main source of fuel. It's so funny to look at you while I'm talking about this because I'm like, you know this! But anyway, all humans have glucose floating around in the blood. It's our main source of fuel for the body. And then for glucose to get into our cells, we need insulin. And I always use the analogy of: insulin is the key that unlocks the cell to let the glucose in. And so insulin resistance is where that key gets a little, like, sticky or…kind of like the key to my car right now that I have to wriggle it the just the right way. So it can take a little bit longer for the glucose to get into the cell. It still happens but it just takes a little bit longer.So that is insulin resistance and that is one of the key features of both ‘prediabetes’ and type 2 diabetes. Often, when I say ‘prediabetes’, I do bunny ears or air quotes because it's a misunderstood term and we can totally get into that later. But so type 2 diabetes is where a body has either lived with insulin resistance long enough or something else has happened that has made, in addition to insulin resistance, glucose levels get high enough in the blood to meet this diagnostic criteria.And we've actually…this is something I love sharing with people because often type 2 diabetes is just like, all we focus on is insulin resistance, but there's actually at least 10 other changes in the body that lead to elevated glucose levels that are going on in addition to insulin resistance.Laura: Okay, before we go on, I want to actually reverse and back up a little bit here, because…so you talked about how we have glucose in our bloodstreams that needs to get into our cells all the time.That's like everybody, always – even if you're like a keto bro. What I just wanted to make really clear for anyone who's totally new to these conversations is that glucose…it gets into our bloodstream from the food that we eat and it's a sugar, right? So I think those are two important points to clarify, that we consume food, it gets broken down and digested and absorbed across the gut lumen. And that's what raises our blood glucose levels. And then insulin is the hormone that's secreted by the pancreas that unlocks the door to the cell, to let glucose move into the cell, so we have energy, so we can do things, so we can go about our business as being humans. Sometimes what can happen is that the door gets a little rusty, or the key gets a little rusty, and it's harder for that insulin to get into the cell. Is that like a fair summary of... Wow. What's going on? Erin: That was beautiful. I was nodding furiously.Laura: Yeah. Yeah. Yeah. It's almost like I know something about this! Right. So then can you tell us a little, like – I think you alluded to this – but maybe speak to it a little more to how the kind of the cells get rusty and how it's harder to shift insulin into the cells.Can you talk to us about what happens next? Maybe some of the symptoms people might experience and then what's going on physiologically as well.Erin: Yeah. So when a body is experiencing those like rusty cell doors, there's a lot of different hormones that are actually involved in not only glucose regulation or blood sugar regulation, but just metabolism.So glucose regulation is just one part of metabolism. And when I say metabolism, I mean using energy from food and turning that energy into energy for the body and then using energy to the body.Laura: Yeah, thank you for clarifying that because this is something I come up against a lot where like metabolism is used as this kind of catch-all phrase to mean how quickly your body burns energy or it's like this really diet culture-y kind of thing.But when you and I are talking about it... I think we're talking about all the biochemical processes that are going on inside your body, all these cascades of reactions and like how a nutrient that we ingest in food or in a supplement winds its way into our body and becomes part of these chemical reactions that are going on, like, deep inside our tissues.Erin: Yep. Yeah, that good old Krebs cycle. So when the cell door gets rusty, that's a big kind of flag for the body, I guess you could say, for the metabolic process. So, I think you mentioned the pancreas already. So the pancreas is the organ in the body that produces the hormone insulin, along with other hormones. When the pancreas notices the cell doors getting rusty, the pancreas will say, Oh, that's cool. I got this. And we'll start producing more and more insulin because the signal that the pancreas is getting is from the cells. The cells are saying, we're not getting the glucose that we're wanting, that we need, that we need to survive or not getting it as quickly or as much. And so then the pancreas starts producing more and more insulin.Laura: So it's trying to, it's getting the message that there's not enough insulin to, to get the glucose from the bloodstream into the cell so it starts to produce more. And can you maybe speak to the impact that this can have on the pancreas? Is it helpful to explain that a little bit?Erin: Yeah, yeah, I think so, because I think that's also something that people don't think about or aren't explained. Yeah. So the beta cells are the cells in the pancreas that produce insulin, and as they produce more and more insulin, they start to, after... I should say after decades of producing more and more insulin, those beta cells start to kind of poop out.Laura: Yeah, they get exhausted.Erin: Yeah. That's a better word.Laura: Crap out, poop out, exhaustion. Yeah, like ultimately they're working re…

    Full show notes at the publisher

    28: The Dinosaur T-Shirt to Toxic Masculinity Pipeline with Kirstie Beaven Nov 17, 2023
    Show notes

    Hey and welcome to the Can I Have Another Snack? Podcast. I have been so excited to share this week’s episode with you. Our guest today is Kirstie Beaven from Sonshine magazine - a publication dedicated to raising boys for a more equal world. Kirstie and I talk about how seemingly innocuous things like dinosaur t-shirts and shark pants send a message to our kids about who they can and can’t be, how they should expect to be treated, and how they should treat others. Kirstie gives us a fascinating history lesson on how kids’ clothes became gendered (spoiler, colonialism and capitalism have a lot to do with it) and why these have massive repercussions for gender equality. We also talk about why Kirstie is low-key obsessed with pants (the underwear kind), and why we can’t just empower girls in a vacuum; we also need to be teaching boys emotional literacy and allowing them to have an identity outside of the ‘big boy’, or the sporty one. Just a heads up that we talk about some distressing statistics around sexual harassment, suicide, and violence towards women and girls, but not in explicit detail.This is without a doubt one of my favourite episodes we’ve done on the CIHAS pod - if you’ve never listened before then this is a great place to start, even if you don’t have kids. Don’t forget to leave a review in your podcast player if you enjoy this episode - or let me know what you think in the comments below. Find out more about Kirstie’s work here.Follow her on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTROKirstie: That's one of the things I really want to do, is just gently point out the things that we take for granted that we say are normal or natural, but they're not. They're totally constructed. Many of the things that we just take for…oh yeah, pink and blue. Pink is a girls’ colour, blue is a boys’ colour. We think of that as completely normal and it's totally made up and it's so recent.Laura: Hey, and welcome to the Can I Have Another Snack? podcast, where we talk about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Kirstie Beavan.Kirstie is the founder and editor of Sonshine Magazine, raising boys for a more equal world. Sonshine is a print and digital quarterly, as well as a social profile for parents who want to change the way we talk to and about our sons, to create a better society for all children.I've been so excited to share this episode. We recorded it a while back and I'm really glad that you're able to finally listen to it. It's such a great discussion about gender inequality and why seemingly innocuous things like how we dress our kids have really long term implications for their emotional development and the roles that they learn to occupy in society. Kirstie is a wealth of knowledge about the gendered history of kids clothing, which you won't be surprised to hear is entirely rooted in capitalism, rather than any real biological or physical differences between sexes. I can't wait for you to hear this conversation, and if you don't already, you need to get your hands on a copy of Sonshine Magazine, which is available in print and digitally. I'll link to it in the show notes so you can order yours. It would make a really lovely holiday gift for your co-parent or some other parents that you have in your life, maybe even for yourself. But before we get to today's episode, I'd love to tell you all about the benefits of becoming a paid subscriber to the Can I Have Another Snack? Newsletter. And of course there are cool perks like being able to comment on posts, our Thursday threads, Snacky Bits, and exclusive posts on intuitive eating, weight inclusive health, and responsive feeding. But more than all of that, being reader and listener supported means I can better control who comes into this space. In other words, we can keep the trolls and the fatphobes out. And if they do sneak in, at least they've had to pay for the privilege, and I can still boot them out. Having control over who comes into the space is essential for creating a safe, nurturing space away from diet culture where we can discuss difficult topics like how we deal with diet-y friends, gender division of labour, and body shame. All the way through to more light hearted stuff like the weird shit that mummy influencers say. If you're still not convinced, then here's a recent testimonial from someone in the CIHAS community. So they wrote: “I wish I had access to the advice and information you share when my kids were little, but it's still valuable now that they're nearly adults for a couple of reasons at least. Firstly, having only been diagnosed as autistic in middle age, I have had a complicated relationship with food for most of my life. From childhood fussy eating, through stigma over my higher body weight and internalised fat phobia, to temporary success with dieting, followed by the inevitable return to my previous size. Your writing has helped me cast off many of my own hang ups about food, weight, and health, making me a better role model for my kids. Secondly, your advice helps me to support and advise my kids with their own food, health, and body image issues, and to advocate for them to family and friends. I believe in showing my appreciation for people who provide me with help and support, at least by saying thank you, and where possible, with feedback and or financially. I can't financially support everyone I'd like to all of the time. But I do what I can when I can. Thank you for all you do Laura.”So what are you waiting for? You can sign up today at laurathomas.substack.com or find the link in your show notes. It's £5 a month or £5 for the year and if you can't stretch that right now just email hello@laurathomasphd.co.uk with the word “Snacks” in the subject line and we'll hook you up with a comp subscription. No questions asked. You can also gift a subscription to a friend for the holidays to give them unfettered access to the CIHAS community. I can even send you a gift certificate. Just email hello@laurathomasphd.co.uk and we'll hook you up. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.All right team, let's get to today's conversation with Kirstie Beavan from Sonshine Magazine. MAIN EPISODEAll right, Kirstie, to start with, can you tell us a little bit about yourself and what you do?Kirstie: I'm Kirstie and I run Sonshine Magazine, which is a quarterly print and digital magazine and a social profile and community looking at raising.Laura: You said that with sort of like eyes rolled so we'll come back to that!Kirstie: I'm looking at raising boys for a more equal world so specifically it's parenting, thinking about parenting through the lens really of how we talk to and about our boys.Laura: Okay, and I'm curious to know, like, where this interest in gender equality comes from and like what spurred you to start a magazine about it?Kirstie: I think…so I've got two children and when my daughter was born, I think I felt more confident about how I was going to break down gender stereotypes for…I felt like, you know, I grew up in the 80s and 90s, which is a time of real flux in terms of how women were portrayed and expected to behave. It's a real…there's lots of progress and lots of backlash. And I think I felt – by the time I had my first child who happened to be a daughter – I felt quite confident about the things that I wasn't going to do and the stereotypes that I wasn't going to inflict on her and how I was going to help her navigate the world that I had already grown into womanhood through. And then two years later I had my son and I started to see that there were a lot of negative stereotypes associated with raising boys. And I felt like I had absolutely no model for managing that as a mother, not as a father, obviously. I just felt like, Oh, this is something I hadn't really considered or thought about. So I went to look for…where are the resources to help me parent a boy who I want to be able to grow up in a way that's free of the strictures of sort of gender stereotyping, but also who is going to be what we might now call a good man? You know, where are the resources for that? And I couldn't find any.Laura: Right. There wasn't a playbook.Kirstie: No, there's really few and far between. There weren't websites talking about it at the time. There weren't Facebook groups dedicated to this. There wasn't something that sort of scratched the itch that I had.And I had been working in content. I work mainly in the museums and gallery sector, working on the stuff that you see on the walls when you go into a gallery, like labels. Laura: I always wondered who wrote that stuff!Kirstie: Yeah, it was me. So that sort of stuff. So like presenting information for a general audience, that's been my job for a long time.So I was like, well, I'm a writer. I'm going to write one. I'm going to write the things that people needed, or that I needed really. And that's how I started.Laura: So you found that there weren't the resources that you as a new parent to a boy needed to help you navigate parenting that child in, so that they didn't grow up to be an asshole, basically. I think?Kirstie: Yes, exactly. I mean, yeah, partly that, but also partly because I noticed a lot of things about how my children interacted. Having an elder daughter and a younger son, I mean, I think it's the same if you…for many children, if you have an older sibling and a younger sibling quite close in age, that the younger one, is desperate to do all the things that the older ones do.So they're like, because, and I get it, like there's this person who's so close to you, but they're just better at everything than you are. So you're like, I just want to be them. Like that looks so good. And so she was like the leader. She was, you know, he was following her around, wanted to be just like her, wanted to wear her clothes, do the things that she liked doing, all of this stuff.And I sort of came to realise that I was really happy with this idea of my daughter. breaking stereotypes. I was really confident with this, like, Oh yeah, she's, you know…dress her in blues and darks and comfy clothes and all of that sort of stuff. And that seemed…that sat very easily with me. But when my son is saying, well, I actually want to wear a pink tutu, yeah, a dress and we're going to the shops. And I'm actually feeling a bit uncomfortable about that. Oh right, why am I feeling uncomfortable? I'm not uncomfortable about my daughter wearing trousers. I'm uncomfortable about my son wearing a dress. What is it in me? Because there's no problem for either of them. What is it in me that is the problem here?And having to confront that I have a problem with boys doing things that are feminine or coded as feminine. And what does that mean about how I feel about things being girly? Basically made me feel like, actually, that's not okay. That is something that I need to think about because the message I give to both my son and my daughter, if I don't want someone to be girly is because I think being girly is not aspirational because I think being a girl is not enough.So that is something that I felt like, Oh, that's work I have to do. That's work I have to unpick. And I'm the sort of person who likes information to unpick that stuff. And so there just wasn't that information out there to help me with that. Laura:Yeah, that's so interesting that you, I guess, noticed that tension in yourself, because you're absolutely right.There's social acceptance of, for want of a better phrase, maybe like ‘tomboyishness’, where girls can, you know, have names that are traditionally masculine names and they can wear trousers and they can climb trees and that's all very well, but we don't have the same leniency for boys who want to do things that are perceived as being ‘more feminine’.And I have the same thing. I have a three year old boy, you know, assigned male at birth, but you know, we try, we like…we let him wear the tutu to the shop and it is, there is a discomfort that I've noticed in myself that I have to work through and kind of push through and I just haven't gone to the lengths of creating an entire magazine about it!But I, I'm really impressed that you have to kind of work through your shit. You made a whole magazine about it. But I'm curious, like, why a magazine and not, say, a podcast or, you know, and I know you do a lot of stuff on social media, which we can also talk about, but why did that feel like the medium for you?Kirstie: I think it's partly because of the way my brain works. So I prefer to organize things. In a way where I, I'm thematically grouping things.Laura: Okay, yes. I just... I get that instinct very much.Kirstie: I just wanted it to feel like, I didn't want to write a diary, I didn’t want to write a straight up blog. And I wanted it to be written content, that's where I feel most confident expressing my ideas.But I didn't want to share too much actually about my children. Because, because... My experience as a parent is my experience, but their experience of being a child is their experience and that felt like that's…their private. It's not for me to talk about that for them. Laura: Right. You don't want to commodify your child, you know, to make money and capital.Kirstie: That's not for me. That's not for me. And I didn't want to feel like I was sharing their lives without their permission, but also telling a story about their lives, which maybe isn't the story that they would tell later on. Yeah. So I wanted to sort of use what I'd noticed in my own experience of parenting to give me a jumping off point to think about lots of other things.And so it made sense to me to work it like a magazine. I started online. So I would publish a series of articles grouped around a theme: clothes, books, screen time, whatever it is. You know, looking at these things, but through this idea of what have I noticed in this space about gender stereotyping and the constraints placed on children time after time, but through lots of different themes.Laura: Yeah. So it becomes a lens to explore a particular topic.Kirstie: Exactly. And the magazine lends itself to that. So each magazine now has a theme and I collate articles around that theme. Yeah. But all with that thread that runs through them, thinking about how you might just. poke at the things that we take for granted.I think that's one of the things I really want to do is just gently point out the things that we take for granted that we say are normal or natural, but they're not. They're totally constructed. Many of the things that we just take for…oh yeah, pink and blue. Pink is a girl's colour. Blue is a boy's colour. We think of that as completely normal and it's totally made up and it's so recent that that has come into being.Laura: Oh, really? Do you know the history of that?Kirstie: Yeah, so basically up until the sort of 1800s, a bit later, all children are wearing white because...Laura: Why? That's, that's a terrible idea!Kirstie: Well, I guess it was probably grey, right? Laura: Yeah. Kirstie: But they're basically wearing…

    Full show notes at the publisher

    27: "I'm so Sorry That Anybody Has Made you Feel That Your Body is Flawed and Needs Fixing" with Dr. Molly Moffat Nov 03, 2023
    Show notes

    Today on the podcast I’m joined by Dr. Molly Moffat - A GP who practices medicine from a weight inclusive, neurodiversity affirming lens, celebrating both diversity of bodies and of minds. In this episode, we are talking about how Molly moved away from recommending diets and weight loss to her patients, towards an anti-diet, weight-inclusive approach, focused on treating individuals with care and compassion. We get into what exactly medical anti-fat bias is and why it's so harmful, and she has some really lovely suggestions for how to talk to patients who come in with the idea that they have to lose weight for medical reasons. Find out more about Molly’s work here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTRO:Molly: Fat folk don't go and see their doctor when they need to. And you know, I don't need to explain why that is a concern. That is a concern. It means that diagnoses are missed, diagnoses are made late, and it absolutely contributes to stress, mental health, physical health and health inequity in an already marginalised group of people.Laura: Hey, and welcome to the Can I Have Another Snack? podcast, where we talk all about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Molly Moffat. Molly is a GP with a special interest in learning disability and autism. She practices medicine from a weight inclusive, neurodiversity affirming lens, celebrating both diversity of bodies and of minds. She's neurodivergent herself and has three children. In this episode, Molly and I are talking about how she moved away from recommending diets and weight loss to her patients towards an anti diet, weight inclusive approach, focused on treating individuals with care and compassion. We get into what exactly medical anti-fat bias is and why it's so harmful, and she has some really lovely suggestions for how to talk to patients who come in with the idea that they have to lose weight for medical reasons. I really loved talking to Molly and I think you're going to enjoy this episode.But before we get to today's conversation, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community. Now, I know we're not used to having to pay for content on the internet. and why would you pay for something where 85% of the content is free anyway?Well, because without paying supporters, this work just wouldn't be possible. None of the newsletter, not the podcast. As well as supporting me in the time it takes to research, interview contributors, and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and a newsletter editor, so it's a whole team effort.You also help me keep the space ad and sponsor free, so I don't have to sell out to advertisers or exploit my kid for freebies. Plus, keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out. I recently asked the CIHAS community why they support the newsletter, and this is what one reader had to say:“I'm a mum of one fairly adventurous, self proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well meaning and pretty mellow, but by seven years in, I was more frustrated, confused, and full of self doubt than ever.Enter CIHAS. The no nonsense, cut through the bullshit, science backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an antidote to my extremely anti fat/diet culture conditioning. And as an American, the British references are just an added bonus. To say your work is actively changing my life is not an understatement. Thank you.”Well, thank you to the reader who sent that really lovely review. Becoming a paid subscriber is a fiver a month or £50 for the year. And you get loads of cool perks as well as just my undying gratitude for supporting my work. Head to laurathomas.substack.com to subscribe now. All right, team, here's my conversation with Dr. Molly Moffatt. MAIN EPISODE:Hey Molly, can you start by telling us a little bit about you and the work that you do? Molly: Sure, yes. So I'm a GP, although I actually only do one day of general practice at the moment. I have a special interest in learning disability and autism. I've been working in that field for a few years, and I've recently started working in paediatrics, doing some neurodevelopmental assessments, and I also do some teaching for medical students. The reason I'm here is because I do my very best to practice in a weight inclusive manner, so I'm not worried about fat bodies, but I'm really worried about the way fat bodies are treated, particularly when they're trying to seek healthcare.Laura: Yeah, that's what you're here to talk about today, but I feel like we could probably have a whole other conversation about neurodivergence and feeding differences and all of that stuff, but I will try and rein myself in because, yeah, like you said, I really wanted to talk to you about how fat bodies are perceived and how they're treated in medical settings.So I'm wondering if you could kind of take us on a bit of a journey with you. Can you set the scene for us? You're a medic, straight out of training, going into your GP specialisation. At that point, what do you believe to be true about the relationship between weight and health?Molly: Okay. So I mean, all of my medical school teaching, all of my junior doctor training, and my GP training was absolutely based in this weight normative approach.So the idea that weight was a marker of health, and that we should be pursuing weight management for our fat patients. And there was never any discussion around where that came from. So, you know, it was just stated as a fact that ‘ob*sity’ came with all of these comorbidities and put people at increased risk of X, Y, and Z.And, like I say, I never remember – and I'm really confident it didn't happen – any discussion around where the evidence behind those statements came from, and the fact that actually...it was really complex and that maybe there were some other factors at play that cause that association between body size and certain diseases.And I also never remember any conversation about weight stigma and the impact that that can have on people's health.Laura: Okay. Well, there's so much that I could kind of, like, tease out of what you just said there, but I think the sort of headline for me is just how this information was presented to you as complete certainty. I think if I'm kind of reading between the lines, or what I've even learned in my own training, that as weight goes up, the worse the health outcomes, right? Like in this linear sort of fashion. It sounds as though you learned something similar, but the evidence behind that was never really presented or unpacked or challenged in any way.And that's the part that I find most, like, terrifying because as medics you should be, like, challenging the evidence and not just, like, swallowing it whole and, you know, swallowing information whole and not kind of having any critical thought around it.Molly: I know, I agree. And of course there were things that we critically appraised and we were taught how to critically appraise, but the world of ‘ob*sity’ was just something that was presented as a fact.And I feel so sad that I kind of missed out on all of those years of a greater understanding of how complex it was.Laura: You also mentioned weight stigma, which we'll come back to in a second, but coming back to this idea of how complex it is. So what were some of those messages that you received that oversimplified the relationship between weight and health?You know, I've kind of mentioned this idea that as weight goes up, that health invariably goes down. I'm wondering what other kinds of things that you picked up on that sort of reinforced those ideas.Molly: Yeah, I mean, absolutely kind of ‘eat less and move more’ was something that we spouted. And, you know, when we were kind of practicing role play scenarios, one of the tick boxes was ‘give lifestyle advice’.Part of that was, you know, absolutely eat less and move more. And, you know, assumptions around a person's lifestyle and diet again was very much part of that message. That people were fat because they didn't exercise and they ate too much.Laura: And then they also lie to you, right, about how much they've eaten?That's…at least, that's the thread that we got in nutrition training, is that people who are higher weight, they're almost always lying about their dietary intake. And so you are already…I mean, think about how problematic that is, that you're already going in with the assumption that this person is lying to you about, you know, their lived experience, like, what does that do from the perspective of forming any kind of therapeutic relationship to go in with that understanding and assumption?Molly: Yeah, no, I agree entirely and, you know, let's think about when people are presenting to a healthcare setting, they're generally a bit nervous and anxious and feeling quite vulnerable and they are essentially quite powerless in that situation. And then imagine that they're also giving you information and telling you about their lifestyle and that's being doubted. It's horrible, isn't it?Laura: Yeah, it's really, really messed up when you slow it down and think about it. I'm wondering if there were any particular moments or specific patients that you remember that started to change that understanding a bit for you? That kind of threw a kink in that really simple narrative of ‘weight equals health’, and ‘calories in equals calories out’ and you know, we just need to go on a diet and then everyone will be thin?Molly: Yeah, I mean, my path towards kind of health at every size was quite convoluted. And actually it began with an interest in lifestyle medicine. So I was feeling quite…Laura: Oh, a detour into lifestyle medicine! Okay. The plot thickens.Molly: Yeah, the plot thickens. Absolutely. So. You know, I was feeling quite demoralised by the fact I was seeing a lot of chronic disease and that people were not getting any better and they were coming back to see me and I was giving them lots of medications and, you know, often those medications would come with fairly significant side effects. And so I guess what lifestyle medicine offered me, or what I thought it offered me, was the opportunity to really get to the bottom of those problems without the need for medication and the kind of idea that prevention was better than cure.And it appealed to me from a holistic perspective, you know, this was an opportunity to kind of see the person as a whole, rather than just focusing on an individual symptom. So I was actually really excited and really motivated. But what I found with time was that, first of all, I became more uncomfortable with the dynamic that was being played out, which was me as this middle class professional who carried a significant amount of privilege telling people how to live their lives that with time felt more icky.And also that people weren't able to do all the things we were discussing, or if they did do…follow the advice that I was giving them, it wasn't really making them feel any better because, hey, you know, there are these things called social determinants of health, which actually great…you know, carry a greater significance than personal behaviours.Laura: I'm just wondering for people who maybe aren't familiar with like, the world of lifestyle medicine, if you could say a little bit more about that and kind of the type of advice that you were giving people, like when you say lifestyle advice, what exactly does that mean? And I understand it's like a whole range of things, but yeah, I'm curious to hear how you applied that in your practice.Molly: So, I mean, it was looking at kind of core areas. Those core areas were: sleep, stress management, nutrition, and exercise and, you know, within the nutrition arm, I'm really sad to say that weight loss played a part of that. And, you know, whilst I tried to make that as individualised as possible to the person in front of me, inherently, there is an element of elitism really with lifestyle advice, I feel that, again, just didn't really quite sit right with me. And I actually found myself feeling a bit irritated. If I'm honest, I was feeling irritated that people weren't doing what I was asking. And luckily I had the insight to acknowledge that, you know, that was a me problem, not a them problem.What I realised was that I wasn't really irritated with them. I was just really frustrated that, you know, here was what I thought was this chance to really make people's lives better. And actually it wasn't having the impact that I thought it would.Laura: It's almost as though…and this is totally my perspective and my, I think, a little bit of prejudice against lifestyle medicine.But there…it’s kind of this underlying assumption that people need you to tell them what to do because they don't know any better.Molly: Yeah, they don't know. Oh, it's so patronising. Laura: Yeah. And it's like a kind of a knowledge deficit. Molly: Absolutely. Laura: When most people, they do understand the importance of sleep and they do understand, like, it's helpful to, like, move their bodies in some way and to eat some vegetables.Molly: Absolutely. That rings true so much with me. You know, I hear these conversations where people are talking about healthy weight management and you know, the suggestions are, well, ‘let's teach people how to cook’. And I just think, oh, for goodness sake. You know, it's so patronising to assume that people don't know how to cook and that you're kind of…it's this kind of saviour complex that, well, let's teach them how to cook because they don't know that and therefore their life's going to be okay.They do know how to cook, but what if they've, you know, got three jobs because they need to work three jobs in order to pay the bills? They don't have time to cook.Laura: What if they just don't like…because they've got their own cultural background, they cook food in a very different way than how you cook food or like there's a whole number of reasons why like that might just not only fall flat but It could be problematic for some people. You know, especially if they're like, well, ‘my doctor is telling me I need to do this, but this doesn't really align with either my values or you know, what I'm able to access or have time for the competing messages that I'm getting from within my family’ or whatever it might be.So there's a lot of idealisation I think that goes on in the lifestyle medicine community and not a deep enough understanding of social determinants of health, like you said.Molly: I think that's the big, big part that's missing in lifestyle medicine and the recognition…recognition of the social determinants of health.Laura: Absolutely. And even just like the understanding that even if everybody did eat whatever Rangan Chatterjee is spouting off that we should eat, it doesn't mean that our health will all kind of play out along the same…

    Full show notes at the publisher

    26: Joe Wicks, 'Roids, and the Toxic Fitness Space with Michael Ulloa Oct 20, 2023
    Show notes

    In today’s CIHAS episode, I’m speaking to online personal trainer and performance nutritionist, Michael Ulloa. Michael is on a mission to make the fitness industry a more welcoming and accepting space for all, which is exactly what we dive into in this ‘sode. We are unpacking some toxic myths about exercise, Michael spills the beans on his feelings about Joe Wicks, and we discuss what really goes into professional fitness models’ photo shoots. Plus we answer loads of your questions like how to find a more joyful relationship with movement after a lifetime of using it as punishment for eating. Find out more about Michael’s work here.Follow his work on Instagram here.Follow Laura on Instagram here.Subscribe to Laura’s newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:INTRO:Michael: The way that we're being sold health and fitness just isn't sustainable or achievable in any way and then people blame themselves and feel worse and then therefore they're more likely to spend money on all these other programs repeatedly and it's just a vicious cycle that just doesn't ever end.Laura: Hey, and welcome to the Can I Have Another Snack? Podcast, where we talk about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas. I'm an anti diet registered nutritionist, and I also write the Can I Have Another Snack? Newsletter. Today, I'm talking to Michael Ulloa.Michael is an online personal trainer and performance nutritionist who is on a mission to make the fitness industry a more welcoming and accepting space for all. In today's episode, Michael and I are shooting the shit about the fitness industry, unpacking some toxic myths about exercise, and answering loads of your questions: like how to find a more joyful relationship with movement after a lifetime of using it as punishment for eating.Some of you have been asking for more episodes on movement and fitness, so I think you're going to enjoy this conversation. We'll get to Michael in just a second, but first, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? Newsletter and community.For just £5 a month, or £50 a year, you get access to the extended CIHAS universe. That means exclusive weekly discussion threads, links and recommendations, you get commenting privileges and access to my monthly Dear Laura column, as well as the whole CIHAS archive and a few other sweet perks, but more than anything, you're supporting independent evidence based nutrition information free from diet culture and anti fatness. I can't do this work without the help of paying subscribers. So if you get something out of being here, then please consider upgrading your subscription today. And if you're still not convinced, then check out this recent review I received from a reader. They said: "Laura's podcast and newsletter are always thought provoking, filled with care and compassion, and a respite from one size fits all health and nutrition advice."So if that sounds good to you, then head to laurathomas.substack.com and become a paying subscriber today. Alright team, let's get to today's episode, here's Michael. MAIN EPISODE:All right, Michael, I need to know what the deal is. Because you're like one of maybe five PTs who isn't pushing aesthetic or weight loss goals on us.Has that always been your deal? Or is this more of an evolution for you? Michael: Yeah, it's definitely an evolution and it's funny you mentioned that because I get a lot of angry messages from personal trainers that don't think that my approach is right, which is always quite funny to me. I don't know, it's, I definitely, when I first started off in the fitness industry... I've been a personal trainer now for nearly 10 years.And in terms of personal training, that kind of makes you a bit of a veteran because a lot of trainers are quite short lived on average. When I first started off, I definitely did have your typical, like, mainstream slightly bro approach to fitness and nutrition. And I know most people that maybe work in the kind of space that, like, you operate in, for example, there tends to usually be a reason or a thing that caused them to go down that path.But I didn't have that at all. It really has just been a really slow evolution of just actually reading the research, working with people on a day to day basis, getting feedback from clients about what is working and what isn't, and then just really tweaking things over a very long period of time. I've also had some very honest clients, which have been great too, who kind of really follow my content on social media and they would message me like, oh, that's not very helpful. How about approaching it like this? And i'm always open to feedback, I always want to improve my practice and my messaging and I was always just quite receptive to that and I don't know... 10 years later I now finally feel like i'm working with people in a way that genuinely helps them long term and i'm actually creating content that is useful for people rather than just almost creating content for other personal trainers, which seems to be what a lot of fitness professionals do.Laura: Tell me about the angry messages. Why are other PTs up in your shit about...? Michael: I really don't know. I wish I knew the answer. I think... I guess if you're attacking someone's entire being and their work and their ethos that they've believed in for so many years, then I guess that a lot of people will react to that in quite a negative way.I really don't understand it at all either. Usually male coaches too, are very angry in the way that I approach social media and some of the names and things I've been called are pretty grim, but I only... I wish I knew the answer to that, but some, for some reason people get very angry in the way that I am approaching fitness and nutrition.But yeah, I really don't mind. Like I, as I said, I feel like I'm really helping people now and I'm happy to keep championing that message. Laura: I mean, I'm just wondering if part of it is because that myth, certain myth of no pain, no gain. And that you need to like, basically punish yourself with exercise in order to achieve a particular body type.You're saying, actually, we don't need to do that. It's okay if you don't kill yourself with exercise. We shouldn't be weaponising it against ourselves. For me, it speaks to how deeply internalised people's anti fat bias is. You're challenging the fundamental sort of premise that their beliefs are resting on, which is that, you can't be fit and fat.Or you...yeah, like I said before, that you have to punish yourself with exercise or like that... it's somehow okay to exist in a body that isn't fulfilling this ideal that we have been told that we should not strive for. Michael: Completely. And I mean, if we're completely honest about it, the way that the fitness industry is set up now is way more profitable for these people too.So if you do start attacking the way that they're approaching their lives or their businesses too, then they're probably going to be a little bit grumpy about that. It's so much easier for me as a personal trainer to make money saying, here we go, come sign up for the six week program and we'll strip body fat off you in such a short space of time, rather than me saying, cool, let's work together for three, six, 12 months. And let's really work on those habits and have you feeling and performing better. Like it's just such a hard sell. I mean, especially for, as I mentioned, like, personal training tends to be quite a short lived career for a lot of people. And I appreciate that when people first start off, the best way to get clients is shock and awe, like showing before and after photos, like having the secrets or whatever it is. And the best way to get clients at the start is by doing that. So people are going to follow that path rather than doing it the right way. That is a bit of a slow burner. I know that a lot of coaches aren't really up for that, sadly. Laura: Yeah, no, I think you make a really good point when you're talking about... the financial aspect of things, because, yeah, there's no money to be made in being like, yeah, take a rest day or go for a gentle walk and look at the sky. Yeah, those like making huge promises of around body transformations and then making people sign up for some sort of like intensive bootcamp situation. Of course, that makes sense from like a business model perspective, but as so often is the case, anything that involves capitalism is probably not great for our health overall. Okay, so I am absolutely not in the fitness space at all. I've purged my social media account. I think I follow you and maybe a couple of other personal trainers, because I find it really annoying, honestly, watching fitness content.Michael: I strongly relate to that. And first of all, thank you for following me, but yeah, I honestly, I feel exactly the same way. Laura: And I think, especially since having had a baby and because I have some enduring physical stuff going on as a result of my pregnancy in terms of, like, pelvic health, even the stuff that is like geared towards women who have had babies and like postpartum stuff.It's just anyway, so I've just checked out of it. So I have no idea. What is going on in that space, really? So I need you to like, translate it all for me. What are some of the most pervasive and toxic fitness myths that you're seeing at the moment? Michael: Everything. Honestly, every topic is so toxic at the moment.It's really frustrating. And I speak to... There's a few coaches that I'm really good friends with, who I think you probably know as well, that I tend to follow their content, I like engaging with them and talking about the fitness industry, but I have also removed myself from a lot of the mainstream approach because...I don't find it motivating or helpful in any way. Like I think a lot of the... Laura: You don't even hate follow some people just to have like stuff to...? Because I hate feed a lot of big feeding. I hate-feed?! I hate-follow a lot of big accounts. I just have this folder on my Instagram called Ammunition.And I just save posts in there that I want to come back and get angry about at some point. What are you seeing from... I know you do it! But what are you seeing from those folks? Michael: So I do a little bit of that. And I, so I've also, I've got an Instagram account for my dog, but I started up ages ago. I don't post anything to it, but every time I see something pop up on, like, the explore page or I see another trainer share, I'll send it to her account. And then I'll use that as fodder for, like, creating content and coming up with ideas. But I do not, I don't hate follow that many people now because like I spent a lot of time on social media, right?And I know that because of that following these accounts and seeing them on a day to day basis all of the time does massively negatively impact my mental health. And I think if i'm feeling that way as a fitness professional who knows the research, knows what these accounts are doing to us and can see through the nonsense... how are everyday people feeling? When they're seeing this content and they don't really know if it's the truth or not. So I actually don't follow that many trainers. There's probably a lot of trainers who... . Laura: So very evolved of you. Michael: Yeah. Thank you. Thank you. There's a few trainers who, like, I know through just from working in gyms or whatever, I'll follow them, but I mute them so that I don't have to see their content.Laura: Yeah, that's smart. Michael: But yeah, I don't know. There's so many myths about every topic. Like you mentioned there about, like, women's health and pelvic health and anything pre and postnatal. The stuff around that is really gross because it's not even just the fact that they're spreading misinformation. They somehow always tie in with just losing weight, like this is pretty much what it all comes down to, right? Laura: Yeah. Yeah. That's the subtext. It's always there. Michael: It's always like improve your pelvic health and slim your waist, like it's everything. It just pushes people down the route of still obsessing about body weight and focusing on body weight rather than focusing on general health and wellbeing and health promotion, and it's infuriating.I guess the same as, like, building muscle. Like it's nearly always advertised by these guys that are absolutely jacked, clearly taking steroids, using images of themselves going... you can look like this if you work out like me and buy my programs and my nutrition plans, and you're just never going to look like these people. So you're always going to fail. Like everything within the fitness space is geared towards repeat sales and having people come back for more because the way that we're being sold health and fitness, just isn't sustainable or achievable in any way. And then people blame themselves and feel worse. And then therefore they're more likely to spend money on all these other programs repeatedly. And it's just a vicious cycle that just doesn't ever end. And that's why with my page, I'm trying to step away from any aesthetic goals. Like you'll probably see through my social media, I don't, I'm not against people having aesthetic goals. I just don't really ever talk about it because I don't think it should ever be the focus of someone's fitness journey. I mean, I think that's the bit that seems to piss people off. Laura: Yeah. And I mean, there's some interesting research that shows that people who exercise for aesthetic goals, they're less likely to engage in something that is sustainable for them.Like, it's more likely that they will give up. And I don't mean that in, like, defeatist kind of way, but it just won't be sustainable for them. Versus for people who are approaching, I don't know, a type of exercise or training or whatever it is from a place of maybe wanting to feel stronger or feel more comfortable in their bodies or because they have mobility stuff that they're working through or something like that.So it's really difficult though, because And we'll get to some of the listener questions in a bit where they're asking this, like, how do you uncouple the aesthetic goals from, those more internally motivated goals from the perspective that we are just constantly being drip fed, idealised images of people all over the internet? And then, like you say, half the time those images aren't even real, right? There's people on ‘roids. There are people who are like starving themselves, like making themselves dehydrated, like posing in particular ways. I don't even know what other tactics people use to stylise these images.But I feel like the sort of falsification of these pictures is huge in the fitness industry. Michael: It's honestly horrific. And I would probably go as far as to say, like, every professional fitness model has taken or is taking steroids of some form. That's like the level of manipulation that the fitness industry...I don't know, I don't think there's any issue with... having aesthetic goals. Like I always like to hammer this point home because I think sometimes with my content, I…

    Full show notes at the publisher

    25: “John, The Kids Are Playing With Condoms” with Sex Educator Sarah Sproule Sep 29, 2023
    Show notes

    Today I’m speaking to Sarah Sproule (she/them), a sex educator, an occupational therapist, as well as a mother of three teens. Sarah uses their skills to ensure that every parent and caring adult knows how to build a deeper connection with their growing kids, and believes that no child should ever feel alone and unable to reach out for help with their body, their boundaries, or their needs. Or their knowledge about sexuality.In this episode, we are talking about ‘sensitive things’ with our kids, plus reclaiming the ‘C word’. We dive into the following topics;* The ‘invisible influence of normal’* Showing kids we’re a trusted person to talk to about sensitive things* Why we don’t want to wait until sex ed classes to start talking about sex* Teaching kids about body boundaries* Answering your Qs about: * How to explain to kids why you do some things in private?* 4 year olds asking BIG questions you’re not sure they’re ready for* 3 year olds who are resistant to challenging gender stereotypes* How to support your child when someone is asking invasive questions* Plus Sarah shares the unknown history of the C word!Find out more about Sarah’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here.Enrol in the Raising Embodied Eaters course here.Here’s the transcript in full:Sarah Sproule: I drew analogies between talking about sensitive things and other parts of parenting. So, I don't know a single other parent who waited for their child to ask them for a stem of broccoli before they gave it to them. Right? And we know that broccoli's really great. I don't know a parent who waited for their child to ask them, Can you please show me how to cross the road? Because I want to stay safe. Like, there are so many things we do, we take initiative for, because we know it's important for the health and safety and joy of our child. INTROLaura Thomas: Welcome to the Can I Have Another Snack? podcast, where we are talking about appetite, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today, I'm talking to Sarah Sproule. Sarah, who uses she/them pronouns, is a sex educator, an occupational therapist, as well as a mother of three teens.Sarah uses their skills to ensure that every parent and caring adult knows how to build a deeper connection with their growing kids. She believes that no child should ever feel alone and unable to reach out for help with their body, their boundaries, or their needs. Or their knowledge about sexuality.In this conversation, we talk about what Sarah calls the ‘invisible influence of normal’; all the things, spoken and unspoken, that shape how we think about bodies, sex, pleasure, periods, and more. And we talk about why it's important to approach these conversations with our kids early and in a non-judgmental way that prioritises connection and helps inoculate them against body shame.We talk about supporting kids to trust their body boundaries and how that can help them use their voice when something doesn't feel right. Plus we answer your questions like how to teach kids that maybe it's best not to touch their penis at the dinner table, without inadvertently shrouding them in shame.Obviously this is a conversation about sensitive topics to do with sex, and at one point we do mention rape and other forms of violence. We also use the C word quite liberally towards the end, which Sarah and I are comfortable with, but we understand that it may not be for everyone. So all of that is to say, listen at your discretion and take care of yourself. I will say, though, that Sarah is extremely compassionate and thoughtful in how she approaches these topics. So I hope you'll find this to be a safe and nourishing conversation. Just before we get to Sarah, I wanted to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community and whole wider universe.So until the end of September, I'm running a 15% off sale on the cost of annual memberships. So instead of paying £50 a year, you would pay £42.50 and that gets you access to the monthly Dear Laura columns where I answer your questions. It gets you access to the whole CIHAS archive, it gives you commenting privileges, plus weekly discussion threads tackling the big issues like…how clean is your fridge? And who are you dressing for on the school run? It's a really welcoming space where we learn from each other, share with folks who have a similar world view to us, and we have a lot of fun. And of course it's a completely diet, body shame-free space. I wanted to quickly share what one CIHAS reader said recently. They shared this review saying: “Laura's Substack is a lifeline in a world where diet culture and fatphobia is pervasive in all aspects of our lives including how we feed our children. Every time I start to worry about my toddlers eating and that internalised diet culture mentality starts bubbling up, it's Laura's voice telling me that it's all going to be okay. Through her invaluable work on CIHAS, she's genuinely keeping me sane and empowering me to navigate feeding my child and making the right decisions for my family. The paid subscription is more than worth it. Thanks, Laura.” Well, thank you for that really sweet review. And like I said, we're running a sale for the rest of September and you can sign up at laurathomas.substack.com and I'll drop the link in the show notes so you can find it really easily. And by becoming a paid subscriber, not only do you get the sweet perks that I mentioned earlier, but more importantly, your contributions help make this work sustainable. All right, team, let's get to today's guest. Here's Sarah. MAIN EPISODEHey, Sarah, can you start by telling us a little bit about you and the work that you do, please? Sarah: I support parents and other adults who are raising children to speak about sensitive things. So that's a euphemism for puberty, genitals, babies, growing up, sex, relationships, all that sort of stuff that might seem a little bit like…eeeeh!...when you think about having conversations about that with kids.And that work is important to me. I'm an occupational therapist, but I do that work because I was one of the kids that would have really benefited from way more open and sort of practical conversations about all that sort of stuff. My mum and dad were missionaries and we grew up in Nigeria for most of my teens, but yeah, even though mum was a nurse and she would have told me how my brother was born and all the bits and bobs and… Laura: Yeah, the gory details.Sarah: Yeah. I think because I had undiagnosed ADHD particularly, it meant that if things weren't repeated and part of everyday life, I just forgot. So I got to be nine years old and I thought sperm flew through the air to get to the egg. So I didn't want the children that I was raising to have that same experience.And so here we are now, Masters in Sexuality Studies. I've been doing this now for a few years, and it just feels like the more I do it, the more I realised that this is the exact sort of work that…all my experiences growing up and being a neurodiverse person…it's all set me up for this. So that's a great sense of joy to feel so aligned with work and with who I am as a person.Laura: For sure. And thank you for sort of walking us through that transition from OT to sexuality studies to what you're doing now. And I think it's so interesting that your background is in OT because – and that's occupational therapy for anyone who isn't familiar with that acronym – because it really shines through in the work that you do.And I think that's the only other allied health professionals, I think, would see that, but definitely you can see the echoes of that. And I think it's such a great foundation for the more coaching-centered work that you're doing. So you sort of alluded to this in what you were saying there, but you talk a lot about this concept of the ‘invisible influence of normal’. Can you unpack that a bit more for us and tell us what that is? Sarah: Yeah, absolutely. So wherever we live, in whatever sort of country or city or family, there are influences on us from those cultures, whether it's family culture, city culture, farm culture, Irish culture, Australian culture, whatever. Those influences or those…the messages we're given subtly show us what normal is.So normal could be being married with children, for example, and not that anyone might have ever said that to us, what's normal is to get married and have kids, but maybe it's an assumption in the way people ask young children or growing people questions about what they want to do in the future, how many kids they want. Like if someone asked someone how many kids you want, there's an invisible assumption there that they want children. So this invisible influence of normal impacts us, not just when we're growing up, but it impacts adults who are raising children as well, because if we lived in a family that didn't use penis and vulva or clitoris as words for genitals with children, then we're going to grow up into adults who…the invisible influence of normal will have said, sort of shaped, you don't use those words with kids. And that's just normal. That's what sort of we grew up to expect. And that's just one example. There are lots of other ways like what is normal just gets sort of embedded into our consciousness, maybe without even our own awareness. So a lot of the times this “normal idea of normal” – and I'm using my fingers in air quotes – we might not realise that it's impacting how we speak to the small people in our life until we have a particular experience. Like it could be something like having a conversation with another parent at the school gate or in childcare, where they speak about, say, walking around nude in their home and all of a sudden you realise, what? Some people think it's normal or okay to walk around nude in front of their kids at home. What? And all of a sudden everything sort of shakes a bit, you know, in our world view. Laura: What I'm hearing you say is that this invisible influence of normal, it shapes our ideas of what is acceptable, what is taboo.And ultimately, I think it shapes whether we have a shame response to something, or whether we can talk openly and transparently about, you know, like you say, sensitive subjects without them becoming, yeah, something that we have to hide or feel shame about. Is that a fair way of kind of putting it? , Sarah: Yeah, that's a beautiful way of saying it.So this story came into my mind and I wanted to share it. So picture me 13 years ago. And I have like a five year old, a three year old and a one year old and it's Saturday. So if any of the people listening are anything like us…Saturdays, we're like, we're just trying to eke out every single minute of sleep, or at least being horizontal in the bed that we can manage, you know, and so our three kids playing around the room, the doors locked so that they can't get into trouble. And you can hear this sort of splashing in the bathroom and I get out of bed and I go in and have a look. There's a five year old has taken some condoms out of the bedside drawer – because condoms were our contraceptive method of choice at the time. And opened up the packet, given one to her brother, one for herself, and they've got them in the basin, they’re trying to fill them up like water balloons. And I'm at the door and I'm looking in the door and, like, my breath catches in my throat….cause, like, your kids are touching something that is related to penises. Laura: Oh it’s so dirty! Sarah: So it's sort of like, this is the first time I ever thought of anything related to this work, right? And I call out to my partner. I go, John, the, the kids are playing with condoms…and this is my really traditional Irish Catholic husband sort of says, Yeah, so what? I'm like, they're condoms! And he goes, So? And it was in that moment that I was like, Oh, hang on a minute. So for me, that was a moment when that invisible influence became visible. It was like, yeah, if he thinks this and I don't think that, what's going on here, what's…what's happening? And so it was a really clear moment in time for me.I was like. Oh, there are things at play here. There's, there is influences at play here that I didn't even realise. Um, and I think it was particularly clear because in my mind, John was sort of very traditional and I was like the uber progressive Australian parent living in Ireland. So it was quite a shock.And that's where this whole process for me of really looking and seeing what I thought was right that was unexamined and how that was really leading me down the same path to treat my kids the same way that I was treated, which was…yes, we can answer questions, but at the end of the day, sex and things related to adults, like life, children had to be protected against because it is in some way dangerous and sort of wrong. And of course there are lots of things about adult sexuality that, yes, are not appropriate for children, but there are a whole stinking lot of things that families can talk about in a way that is educational and supportive and kind and open and connecting. And when we don't allow ourselves access to those topics of conversation, we’re losing the chance, not just to inform our children. That, to me, in my work is a secondary thing. The information exchange, that's a secondary thing. What's more important is that we are creating moments over and over again, where we prove and show ourselves to be someone, an adult, a trusted adult, who can talk about pretty much anything and everything. And we do that with understanding and we do it in a way that is respectful of our children and their ability to understand stuff. When that shift happens in an adult's mind that they realise that talking about sensitive things is a bridge over which they build a connection with their child and which will last a lifetime because it will last a lifetime, then all of a sudden it's like, Oh, okay. So this might be awkward and I might not know how to do it, but God damn it. I really want to try because I understand what is possible if I make this effort. Laura: Yeah, and again, what I'm hearing you say is that you're prioritising the relationship that you have with your child over and above your own comfort and probably other people's comfort, people around you, maybe grandparents, maybe other parents at the school, teachers even, that your, your child might come into contact with. And that kind of leads me to a question that I, I was thinking about for you, which was around why it is so important for us, as parents, as carers, as guardians, to be the people that are starting these conversations with our children, these, like you say, sensitive conversations, and that could, I think, range from calling genitals by their correct names all the way through to puberty and periods.Why does it feel so important for it to be coming from us rather than, you know, waiting until Sex Ed at school or waiting until they hear something in the playground? Sarah: Again, it's about creating connection. I think about it from the perspective of how many years an adult, either a parent or a caregiver in some other capacity, is with their child or their young person, right?So I will often say that, okay, so If our kids stay with us until they're 23, just pick a n…

    Full show notes at the publisher

    24: Should We Really Weigh Kids in Schools? with Molly Forbes Sep 15, 2023
    Show notes

    Alright team, after a little hiatus from the CIHAS pod for a month, we’re coming back hard with Molly Forbes. Molly joined me back in May 2022 on the Don’t Salt My Game pod where we discussed how to stomp out diet culture in schools, and I’m so excited to have her join us in today’s episode.This time around, we discuss what the NCMP is, what it looks like in different schools, why you might want to opt your kid out, how you even go about doing that, and what you can do if you're worried about your child feeling left out if they're the ones who are left in the classroom while everyone else goes to get weighed.Find out more about Molly’s work here.Follow her work on Instagram here.Follow Laura on Instagram here.Subscribe to my newsletter here.Read more about the history of and evidence behind the NCMP here:Here’s the transcript in full:INTRO:Laura Thomas: Hey and welcome to the Can I Have Another Snack? podcast, where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack newsletter. Today I'm talking to Molly Forbes.Molly is a journalist, campaigner and non profit founder. She's the author of the book Body Happy Kids: How to Help Children and Teens Love the Skin They're In and she's the founding director of the Body Happy Organisation CIC a social enterprise dedicated to promoting positive body image in children. I asked Molly to come on during the back to school season because we need to talk about the National Weight Measurement Programme, or the NCMP.This is the programme where children in England have their height and weight taken in schools at age 4-5, so in reception and then again in year six, which is ages 10 or 11. My understanding is that this happens in various forms throughout the UK. So in Scotland, Wales and Northern Ireland too. Although let me know in the comments how it's different for you or, you know, what the similarities are if you're in one of those countries. The UK government have taken the position that this is an innocuous practice. But, as I discussed with Molly, this is not reflected in the body image research. The programme is associated with poorer body image, which in turn is linked to disordered eating, body preoccupation, and lower overall sense of well being.So Molly and I, in this episode, go on to discuss what the NCMP is, what it looks like in different schools, why you might want to opt your kid out, how you even go about doing that, and what you can do if you're worried about your child feeling left out if they're the ones who are left in the classroom while everyone else goes to get weighed.I really hope you will share this episode with your school WhatsApp group, your friend group, with the teachers in your school, and help end the tyranny of the NCMP. You can also share Body Happy Org and Any Body UK's Informed Decision Making Pack and my writing on the NCMP, all of which I'll link to in the show notes for you.All right, before we get to Molly, I want to tell you real quick about the benefits of becoming a paid subscriber to the Can I Have Another Snack? newsletter and community. Now, I know we're not used to having to pay for content on the internet, and why would you pay for something where 85% of the content is free? Well, that's a great question. I'd love to answer it for you. Well, because without paying supporters, this work just wouldn't be possible. As well as supporting me in the time it takes to research, interview contributors and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and newsletter editor. You also help keep this space ad and sponsor free so I don't have to sell out to advertisers or exploit my kid for freebies. Plus keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out.I recently asked the CIHAS community why they support the newsletter, and this is what they had to say: “I am a mum of one, fairly adventurous, self-proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well-meaning, and pretty mellow. But by seven years in, I was more frustrated, confused, and full of self-doubt than ever. Enter CIHAS. The no-nonsense, cut through the bullshit, science-backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an anecdote to my extremely anti-fat slash diet-culture conditioning. And as an American, the British references are just an added bonus to say your work is actively changing. My life is not an understatement. Thank you.” Well, thank you to the reader who shared that lovely testimonial, and if that hasn't inspired you to become a paid subscriber, I don't know what will. It's just a fiver a month or £50 for the entire year, and you get loads of cool perks, as well as just my undying gratitude for supporting my work.Head to laurathomas.substack.com to subscribe now. All right team, here's Molly. MAIN EPISODE:Laura Thomas: Hey Molly, can you start by telling us a bit about you and the work that you do? Molly Forbes: Yeah. So I run an organisation called the Body Happy Organisation. We're a CIC, so a Community Interest Company, or a social enterprise. Or if you're in the US, you might know that model is like a non profit. And essentially what we're all about is trying to create environments that allow children's body image to thrive.So we're really looking at prevention and we're looking at how we can create, kind of, culture change in schools and youth clubs and anywhere that children hang out and are to help, kind of, create an environment that just allows kids to just be at peace and friends with their body. And then all the other benefits that come with that, including how they treat other children with bodies that don't look or function like their own.And I also wrote a book called Body Happy Kids, which is for adults, teachers, parents…I'm not a nutritionist. I'm not a dietitian. I'm not a psychologist. But I'm a journalist by trade. So I've really interested in that kind of media and culture angle when it comes to this subject. And that kind of informs, I guess, the lens that I come to this through. But in our organisation, we do have lots of different people from a range of different disciplines, which I think is also what makes us kind of special because we're not at it just from like a body image researcher lens, for example, or just from a nutritional food lens.We're looking at it from, like, a range of different perspectives.Laura Thomas: Yeah, the work that you do is really important. And one sort of thread of the work that you're doing is around the National Child Measurement Programme or the NCMP, which is what I wanted to ask you about today. So when this goes out, it's September, it's back to school time. And I know there's a lot going on on parents’ radars at point in time, but I don't think that the NCMP registers as like something that's high up parents list, you know, in that back to school period.And in fact, I think a lot of parents don't even know what that is, or the fact that their kids will automatically be enrolled in it. So I wondered if you could start by explaining what the NCMP is and why do schools do this?Molly Forbes: Okay, so the NCMP, it stands for National Child Measurement Programme. it was brought in to schools in 2006. And then in 2012, they started including the feedback element of the programme. And essentially what it is, it's exactly what it says on the tin. It's a national child measurement programme.So what happens is if your child goes to a state funded school, and they're in reception or year six, then they will be weighed and they will have their height and their weight measured in school, as part of that programme, unless you opt them out.So in 2018, when the GDPR rules changed around GDPR, they kind of changed the way that, like, the logistics will work. So what you really need to know is if your child's in reception or your child's in year six from September, like in this next academic year, they will be weighed in school, unless you actively opt out.It's a way for the government to collect data on kids' height and weight. across the UK. But it's been reframed as this sort of health intervention over recent years as the, you know, the rhetoric around, you know, the O word, obesity, which I don't use that word in my work, but that's the word that we'll see, we'll see in here in the media.As that kind of rhetoric has really got more aggressive then the argument for the NCMP has been that, like, this is a positive thing for our children's health and it's really important and…it's a totally politicised programme.Laura Thomas: Yeah, and so for people who aren't in England, reception is, sort of, I guess the equivalent of like kindergarten or primary one if you're in Scotland, where those kids are four turning five years old. So they're really little still. And then the other thing that I think is important to point out is that year six kids are sort of around that 10,11 mark and their bodies might be preparing for and getting ready to go through puberty or might already be starting the process of puberty. And that is something that is not factored into the sort of the BMI equation and the feedback that is given to parents. And that, that's kind of another piece of this story as well, isn't it, Molly, that the introduction in 2012 of what is colloquially known as the obesity report. And of course, I don't use that word either, but that's the terminology that families will hear. And so basically, the NCMP transitioned from being just a very objective measure of, you know, population changes over time to something that that offers direct feedback, but also in a way that can be stigmatising and judgmental and really upsetting for for families to receive, which we will talk a bit about in a minute.But can you, like, get us into the government's mindset, if you can, around this programme? Why do they think that this is a helpful exercise to put kids through to weigh them in schools, you know, around their peers, with no kind of like real measure of their health, just looking at you know, what we know to be sort of a bullshit measure of their relationship with gravity, their body's relationship with gravity,Molly Forbes: There's the public reasoning and then there's, like, the real reasoning. Actually like we could just cut out all of the waffle around the public reasoning, which is what they'll say that actually, it's good for kids health. It's important that we know what you know, the trends are when it comes to height and weight. It helps us make public policy decisions. It's really important that we have this data. But we could actually just cut all of that out and actually get to the heart of the matter, which is it's all about money. So previously, like back in the day, many schools would have had a school nurse and that nurse would have been like on site and been the person that, you know, if the kids had a tummy ache, they go and see the school nurse, the school nurse would have done like head lice checking. They would have done health education with the kids in terms of like that kind of public health education piece and they would have been like, quite a key part of the school environment just in the way that like the teachers were.And the role of the school nurse was… the focus was really on that holistic kind of health and thinking about health in a holistic way. It's really expensive to do that. So what's kind of happened over the years is the NCMP has been brought in as almost a way to kind of replace that sort of holistic school nurse approach.Now, what you need to know about the NCMP is that many people delivering the NCMP aren't actually school nurses. They work for local authorities and they work in the health team. So they work in the school nursing teams but they're healthcare assistants. They don't have the training and the expertise that a school nurse has.It's not the schools that, that take the measurements. What will happen is the outside teams will come into the school on a pre-organised and agreed day of the year, if the school agreed to it, and the children will basically be lined up and it'd probably be in the school hall or in a separate classroom.And one by one the children will go in and they'll stand on a scale and they'll have their height and their weight measured and they'll probably get a sticker and they'll go back out into the classroom. And the people who are actually taking those measurements are, nine times out of ten, not school nurses, they are healthcare assistants.Now that is so much cheaper to run than having a school nurse who's on site in a school who's actually going in and like teaching kids about like personal hygiene maybe or being there, like if a kid has a tummy ache or like they fall over in the playground, like having someone who's got that level of expertise to actually treat the child on site. It's expensive to, to run that kind of programme and it's much, much cheaper – even though the NCMP costs loads of money – it's much cheaper as a form of public health policy programming than actually having like dedicated school nurses who actually like proper teams who come in and do like proper impactful work with kids and with schools.And so what's happening is the NCMP – which it is a data collection exercise, it's being reframed as a health check – and so lots of parents are then worried about opting out because they think, well, it's a health check. Just the same way that, like, your child's two year check with their health visitor is a health check. People think it's the same thing. And it's really important to know that it is not the same thing. It is absolutely not the same thing.Laura Thomas: And I think I've seen definitely in the sort of the template letters that the government has for schools to use and local authorities to send out to parents about it. The way that it's framed is very much as not just as a, an exercise in health, but also it's framed as being…they don't go as far as to say that it's mandatory, but they give the impression that it's you know, quite a critical check, almost like, like you say, the two year checkup.So tell me a bit more about how that government narrative compares and contrasts with what you see at Body Happy Org and what other researchers and advocates are saying about this programme.Maybe you'll get into this, but you know, it's something that, that really strikes me again in that literature that they, I say literature, but you know what I mean? Like the template letters that they send home to schools…is one of the things that they say very clearly is that there's no negative impact whatsoever of this programme and they claim to have tested that. But I don't think that…well, I know that's not the full story because I've written about it and I know you know that's not the full story. So can you kind of, like, fill us in on maybe some of the things that is, is less transparent in the communications from people administering this programme?Molly Forbes: Yeah. In 2021, the Women and Equalities Committee released the B…

    Full show notes at the publisher

    23: Why It's OK if You Feel Mad at Your Body with Dr. Colleen Reichmann Aug 18, 2023
    Show notes

    Today, I’m joined by Dr. Colleen Reichmann - licensed clinical psychologist and eating disorder specialist with lived experience with anorexia, founder of Wildflower Therapy, and author of The Inside Scoop on Eating Disorder Recovery: Advice From Two Therapists Who Have Been There. Colleen is also an advocate for intersectional feminism, body liberation, and HAES, and she's also a passionate advocate for maternal mental health, and an IVF mom times two. Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.In this episode, Colleen and I talk about a lot of pretty difficult themes. She discusses her journey to parenthood through IVF and through multiple miscarriages. We talk about grief, ambiguous loss, and being really angry and mad at your body and why it's important to allow all of that to be there. We talk about these topics as sensitively as we can, but if it's not for you right now, then just give this one a miss. There are loads more episodes that you can go back and listen to and just come and join us in the next episode. Find out more about Colleen’s work here.Follow her work on Instagram here.Subscribe to her Substack here.Follow Laura on Instagram here.Subscribe to my newsletter here.Here’s the transcript in full: Colleen Reichmann: But I felt like my body did let me down.I wanted those babies. Like, so much, and it didn't do what I wanted it to do. I can't imagine anything more important in my life than that, and it let me down, like, repeatedly. I had such rage. Like, I am at this point, just like any relationship we have with like a spouse, for example, your points where you're going to be just so angry and need space from your spouse or your partner. And that's how I felt during that period. I didn't want to be, like, pushed to, like, reunite at that time, I was like, no, I want to sleep in different bedrooms.INTROLaura Thomas: Hey, and welcome to Can I Have Another Snack? podcast, where we talk about food, bodies, and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Colleen Reichmann.Colleen is a licensed clinical psychologist practicing in Philadelphia, Pennsylvania. She works at her group practice, Wildflower Therapy. She has lived experience with anorexia and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorder specialist and has worked at various treatment facilities as well as authored a book, The Inside Scoop on Eating Disorder Recovery, advised from two therapists who have been there.She's an advocate for intersectional feminism, body liberation, and health at every size, and she's also a passionate advocate for maternal mental health, and an IVF mom times two. So in this episode, Colleen and I talk about a lot of pretty difficult themes. She discusses her journey to parenthood through IVF and through multiple miscarriages.We talk about grief, ambiguous loss, and being really angry and mad at your body and why it's important to allow all of that to be there. We talk about these topics as sensitively as we can, but if it's not for you right now, then just give this one a miss. There are loads more episodes that you can go back and listen to and just come and join us in the next episode.We're also going to be talking about raising embodied kiddos towards the end of the episode, so you can also just skip forward and listen to that part. And Colleen shares some of her really great advice as a mother and an eating disorder specialist psychologist about how we can help protect our kids’ embodiment.But before we get to Colleen, I really wanted to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year and as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter and have a say in the work that we do here as well as ensure that I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app and a deep dive on helping kids have a good relationship with sugar.. All of those articles I've already written and you can read at laurathomas.substack.com. And if you're not yet totally convinced, then maybe this lovely review that I got recently will help. So this reader and listener wrote: “I want to support the work you're doing as I think it's really important and I believe that you should be paid for your work.” I agree! “I value the model of subscriber direct support rather than ad revenue. I really like all your comments and interviews on the podcast about internalised capitalism and how it affects our views of things without us even realising. Thank you for spending your valuable time and skills to do all this research and writing it up.I would love to see you talking about all of this in mainstream newspapers, TVs, magazines, and other media. It's such an important topic and I really hope you get more and more moment for your work. Also on a personal note, you are helping me change my children's lives for the better by educating me about all of this. Really appreciate all that you're doing.” Such a kind review, thank you to the person who emailed that in, you know who you are. So yeah, it's £5 a month, or £50 for the year, and you can sign up at laurathomas.substack.com. Or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email hello@laurathomasphd.co.uk for a comp subscription. No questions asked, just put ‘Snacks’ in the subject line. All right gang, here's Colleen.MAIN EPISODE Colleen, can you start by letting everyone know a little bit about you and the work that you do?Colleen Reichmann: Sure. So my name is Dr. Colleen Reichmann, and I'm a licensed clinical psychologist and an eating disorders and body image specialist with a small group practice in Philadelphia. We see people virtually and in person, there's 5 of us, we all focus on body image and eating disorders and then sort of sub-niches within that community and and one of mine is also perinatal mental health. That's me professionally. I'm also the co-author of the book The Inside Scoop on Eating Disorder Recovery and a speaker and a writer of other things, and then just a mom, somebody with lived experience of an eating disorder, as well as infertility and IVF. And I have two IVF babies, Ezra and Marigold, who live with me, and two, like, very chaotic dogs, and I live with all of them, and my partner, outside of Philadelphia.Laura Thomas: Wow, there's, yeah, loads of different parts of your identity, I suppose, that I'd love to dig into and talk to you about, but I'd love to start by talking about your journey to parenthood. You mentioned there that you had your babies through IVF and I know you talk really openly about this, uh, on your social media platforms and on your Substack. And I'd love just to help orient the listeners a little bit to some of your experiences, if you could share what that journey has been like for you. Colleen Reichmann: For some reason for me the piece about having both of my babies through IVF feels really important to share. It almost just feels like a lot of my parenthood, like my identity hinges on, it just feels so integral to who I am as a mother at this point and a parent, so I feel compelled to make it like, I have it in bios and even my partner at one point is like, why do you have like your professional psychologist and then also IVF mom?And I was like, I don't know. It just, it feels like it factors so much into the whole lens that I view perinatal mental health at this point. So I was somebody who went through about 5 years of infertility. Once you launch into the process of digging into what's going on with infertility, there's like a cascade of interventions that happens, and mine was pretty standard,. And looking back, I just kind of, like, fell into the cascade and did what everybody said to do.I have, like, just different questions now about the process. But essentially, I did rounds of medication, medicated cycles, and then IUI is kind of, like, the next part of the process. And we had multiple failed IUIs, which is interuterine insemination. And then when you have enough of those, you know, failures, the next step is IVF. Which I would joke with my partner and call it the…what did I call it? What's like the team, you know, in high school, there's like the…varsity! I was like, well, I'm varsity and fertility now because I'm in the IVF process. Laura Thomas: You've graduated on to the next step. Yeah, I guess that you need some sort of like levity in amongst what sounds to me to be like a, an extraordinarily heavy process otherwise..Colleen Reichmann: Yeah. I think infertility and especially, I think IVF is its own specific form of trauma, but infertility is very traumatic in my opinion. And for me, there was like this specific part of it that felt traumatic that I had this whole history of an eating disorder, like a decade long and part of the reason I had…just reasons to recover or reasons to get into a more stable place and having children was one of them.And so it felt like a slap in the face, like I did all the work that I didn't want to do for many years. And I just felt like, I was promised something by professionals, even though that's not true. Like, it was just, it was discussed a lot in sessions.Laura Thomas: No, but I am, I'm just sitting here reflecting on how many times I've…you know, I, I'm not sure that, like, leveraged that is quite the right phrase, but you know when, when people ask me about what are the long term impacts on my health of, of my eating disorder, you know, I will say fertility is, is one of the, one of those long term things.I can see how that's really a double edged sword to say something like that, because, you know, further down the line, if that person goes through the motions of recovery and does that really excruciating work, and then comes out the other side and their fertility…and, and we don't know if I'm not trying to insinuate that people's infertility is necessarily related to their eating disorder or not, but I hear what you're saying is that you were promised this prize at the end of, of eating disorder recovery and it wasn't there for you.And that in and of itself must have been so painful.Colleen Reichmann: It's so painful. There was a specific instance that stuck in my mind. When I was in, I think it was high school or maybe like early college, but really young and I was sitting with a therapist who was also trying to kind of like leverage fertility or I would say trying her best to motivate me, in a way that backfired because I was overly, I was just not in a place to be motivated at that point.But she asked like, do you want to be skinny or do you want to be able to have kids one day? And I remember like…yeah, I remember just saying “skinny”, like looking at her and, it haunted me for like all those years of infertility. I had that in my mind, that like session and that exchange and I was like, I did it.I guess I brought this on myself and I, you know, I said that and I…just like the whole thing was just very complex and painful, and it felt like, yeah, just a twisting of a knife and I… but also like I did it to myself, and it was just a really, they were like devastating years, the years of infertility.Laura Thomas: And it sounds like so much self blame there as well. It's no one's fault yet I can imagine that that adds another layer of sort of pressure and complexity and pain to the situation that was already really upsetting.Colleen Reichmann: Yeah,Laura Thomas: So how did it play out from there? What was the sort of next step, if you will, through these years of infertility?Colleen Reichmann: Well, once I started the IVF process, I ended up actually getting what's called ovarian hyper simulation syndrome. So, I produced like a lot of eggs and then got really sick after IVF, I was actually hospitalised. I then had a lot of embryos from that, which is like, such a great thing, but also was arguably, like, a little bit aggressive, the IVF treatment that I got. But anyway, so we went through the process of several failed frozen embryo transfers and then several transfers that ended in miscarriage and then ended up at some point – after I moved to Philadelphia, because we, I was doing all this while I was living in a different state and then we moved and relocated – and I remember saying, I'll do it. I'll try one last transfer and then I think I need to either pause or just stop this for right now and find another way to pursue happiness. Like, I have to…this is consuming everything. I'm becoming like a husk of a person, like I'm just infertility. And so then that transfer ended up being my now three year old son, Ezra, but I was so burned out by that point that I, when I took the pregnancy test after I had the, like, the two week wait and everything, I left it on the bathroom sink and went to like fold laundry because I was just so sure that it wasn't going to be positive. And then I remember when I came back and saw it, I didn't…my mind after just like years and years and years of only negatives was like, I can't, it must have been a full 60 seconds where I was just like, What's this? Like, what? I could, I could not compute.And then, yeah, after I had him, I did another embryo transfer, another miscarriage, and then my now one and a half year old daughter, Marigold, came after that. Laura Thomas: Wow. There's such a lot to process in there… such a wild, wild roller coaster by the sounds of things. And I can, yeah, I can totally see why you would be in that state of disbelief and kind of not allowing yourself to really let it wash over you, that this thing that you'd longed for for such a long time was, was real.I could imagine that there was a kind of sense that it could be taken from you at, at any moment. And so allowing yourself to just get in touch with that must have been, yeah, putting yourself out there to, to let it be real. You also mentioned, in amongst your IVF journey that there were some losses, some pregnancy losses. You've written really beautifully about pregnancy loss, body image and grief, and specifically about miscarriage as a form of ambiguous loss. This is a concept that I find really helpful just in body image work, body embodiment work generally. But I wondered if for anyone who was unfamiliar with that concept, if you can share that, what that is and what that means and looks like in the context of pregnancy loss.Colleen Reichmann: So ambiguous loss…I guess the simplest definition would be loss without any real closure, loss where there's not…not that there's ever a clear cut path, but where there's a less, even less of a clear cut path than normal from loss to acceptance. And I definitely think miscarriage and pregnancy loss falls underneath that umbrella, for sure, just because there's often loss, with no tangible evidence of ever having anything.Other things, of course, in our society fall under ambiguous loss, like loss where it somewhat, it feels like a death, but the person is still physically present, like if somebody has dementia or, if you're es…

    Full show notes at the publisher

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