Tuesday, August 19, 2014

Day 22, self-compassion

Three weeks down and feeling really (really) good. I've had pretty easy days for the last several days, so I'm feeling very lucky and not at all craving sweets. You've seen my earlier posts on how hard this can be, though, so I thought I would share with you an article I recently wrote on self-compassion while implementing dietary change. I thought that readers of my blog might benefit from what I have found out about self-compassion and why beating yourself up is never the right answer. This may be published elsewhere shortly, but for now I wanted to publish it here for those who are interested. I'd love to hear what you think about this topic! How hard is it for you to be compassionate with yourself?



Self-Compassion To Support Dietary Changes


There’s no question that implementing substantial dietary changes to improve our health and/or lose weight can be difficult; the dietary habits that we practice have been practiced over the course of our lifetimes. It may be tempting to fix the problem by “going on a diet,” but we have seen and heard (and probably experienced first-hand) that dieting doesn’t work long-term for a large portion of Americans. This seemingly fatalistic fact can be demotivating, or worse, can lead to hopelessness, causing dieters to abandon efforts to improve their health. In fact, in a recently published study by Dar-Nimrod et al (2014), patients with obesity who were told that their condition had a genetic (and therefore assumed to be deterministic) cause were more likely to overeat than those who were told obesity has a non-genetic, psychosocial cause.

Dieting as part of the problem

But what if “dieting,” as it has been promoted in America, is more a part of the problem than the solution? Standard dietetic dogma considers all calories as if they are treated equally by the body, and has become deeply engrained in mainstream American society—nearly anyone trying to lose weight will tell you they are counting calories (and probably also limiting fat). From a metabolic standpoint, this advice is not only misleading, it’s damaging. Food quality affects metabolism in several important and intricate ways that a mere calorie count fails to capture. Foods promoted to dieters as being “low-calorie” or “low-fat” are usually also highly processed and contain either large amounts of refined sugar or artificial sweetener. Unlike refined sugar, fat is a vital nutrient for the creation of important appetite- and mood-regulating hormones, and for overall cellular health. Refined sugar also sets off a cascade of metabolic events that counterproductively increase consumption and encourage fat storage. Thus, “diet” foods are typically a misnomer.

Sugar addiction

As with metabolic health, an emerging area of research also supports an effect of food type and quality on mental health (Jacka et al, 2014). A growing body of evidence supports the notion that sugar is addictive, which can cause increased consumption despite efforts to reduce intake, further enhancing its adverse metabolic and mental health effects. In susceptible individuals, sugar stimulates the endogenous dopamine and opioid systems in the brain that reinforce increased consumption, such that eating sugar causes increased cravings for sugar. Far from being fatalistic, the knowledge that sugar is addictive should actually provide hope rather than despair for those who suffer.

Not a personal failing

Mainstream understanding and acceptance of the addictive properties of sugar is on the rise, but unfortunately damaging messages regarding personal responsibility prevail. Some individuals, whose sugar addiction has led to overweight or obesity, regularly hear messages that label them as gluttons and sloths (thinly veiled as the advice to “move more and eat less”) and are often victims of fat-shaming (“you know better, so you should be able to do better”). Hand-in-hand with the profound abundance of negative external messages comes a near-constant barrage of internal negative self-talk. These damaging internal and external messages increase the negative mindset and further encourage comfort eating, making change even more difficult.
Struggling with sugar addiction is not a personal failing; our brains have been hijacked by the intentionally addictive highly processed foods that are so readily available in modern society. Despite this, one of the beautiful capacities of the human body is its seemingly infinite capacity to adapt. We can reestablish a healthy relationship with food by returning to natural, whole foods, and avoiding highly processed foods. During this process, a lot of patience and self-compassion are needed, as the solution is simple, but not easy.

Self-compassion

A practice of self-compassion may bolster against negative self-talk and build resilience against negative external messages. Compassion is a central tenet of several of the world’s religions, most notably Buddhism, though it does not require any religious belief; compassion simply requires observing suffering and a genuine desire to alleviate that suffering. When applied to one’s own suffering, it is termed self-compassion, and encourages a kinder, gentler approach to dietary improvements than what is often described in military terms (eg, “combating” obesity). Self-compassion, with its non-judgmental desire to alleviate one’s own suffering, negatively correlates with depression (Neff, 2003), alleviates psychopathology, and predicts positive psychological states, such as happiness and optimism (Neff, Rude, & Kirkpatrick, 2007). Self-compassionate people are also less likely to catastrophize negative situations, experience anxiety following a stressor, or avoid challenging tasks for fear of failure (Allen & Leary, 2010), all of which may help an individual whose go-to coping mechanism is comfort eating to improve their eating habits, increase resilience in the face of set-backs, and reduce the negative effect of societal norms.
For some reason, our society tends to think the only way to improve oneself is by beating ourselves up for our shortcomings. Treating oneself kindly is often equated with being soft or complacent, and perceived as being incongruous with the motivation to improve one’s condition. Self-criticism, which is often believed to be an effective motivator, correlates strongly with many psychopathological conditions, including depression, anxiety, and eating disorders (Longe et al, 2009). Showing oneself kindness and compassion shows that we understand that our suffering is real and difficult, and is part of the universal human condition.

Self-compassionate eating

For a self-compassionate approach for improving health to work, one needs to abandon traditional forms of dieting, and re-establish trust in the body’s innate abilities to self-regulate. When fed nutritious, whole foods, the body intuitively knows when to start and stop eating. Dr. Ellen Satter has developed a beautiful explanation of what “normal eating” looks like, and I encourage you to visit her website.
While a large component of self-compassionate eating involves not judging what is eaten, being self-compassionate also suggests that one generally eat in a manner that supports overall health, because this approach alleviates the most suffering. Regular or excessive unhealthy eating can lead to great suffering in terms of health and overall quality of life by leading to diabetes, metabolic syndrome, hypertension, high cholesterol, and many other health conditions; a desire to avoid these health problems should be a large part of a self-compassionate approach to eating.

Increasing self-compassion

One way to start increasing self-compassion is to start noticing the sorts of self-talk in which we engage. If you find that you berate yourself for every shortcoming or mistake that you make, it’s an excellent indication that you may benefit from cultivating some self-compassion. A general compassion-developing exercise has been used in the Buddhist tradition for centuries. In this exercise, one sits quietly and focuses on cultivating feelings of loving-kindness for oneself, then progressing to a loved-one, a neutral person, a difficult person, all four of these individuals equally, and then for the entire universe. The progression can be done over the course of a single sitting or over several months, depending on how difficult bestowing these feelings for these individuals may be. There is no “right” or “wrong” way to do this exercise, it simply requires a genuine desire to love oneself and others, and can be done at any pace.
In the end, all beings suffer in one way or another. What better way to acknowledge that than to extend compassion? In the process, we can reclaim our physical and mental health.

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