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I want to stand up for myself and others like me, others who are defined as “overweight” and “obese” by the prevailing standards - and marginalized as a result. I want fat people from all walks of life not to feel inferior, or “not good enough” because of their weight. As a dietician, this blog will be about my thoughts and musings on this and related subjects. I hope you'll join me and share your thoughts, too.

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Ellyn Satter has already written a lot about it the Satter Eating Competence Model (ecSatter), and much of what she has written is available on her website http://www.ellynsatter.com. I love browsing on her site, and I think you will, too, if you check it out. I’ll give you some tips about where to find the helpful materials about eating competence there. First, though, let me quote something from Satter’s writing that sort of sums it all up.

“ecSatter, encourages you to feel positive about your eating, to be reliable about feeding yourself, to eat food you enjoy, to eat enough to feel satisfied, and to let your body weigh what it will in accordance with your lifestyle and genetic endowment. Rather than expecting you to manage your eating by the rules, ecSatter encourages you to base your eating on your body’s natural processes: hunger and the drive to survive, appetite and the need for pleasure, the social reward of sharing food and the tendency to maintain preferred and stable body weight.”

On the Website

So, when you go to the site, you will see tabs at the top of the home page. There is a tab called “How to Eat.” How convenient! Click on that tab, and you will find that “Adult’s Eating and Weight” is the first category listed, and “Eating Competence” listed as the first topic in that category.

Of course, ALL of the topics listed under that category are interesting, and I recommend reading them all, as each is very brief and easy to read quickly. To learn more about what “Eating Competency” means, as defined by Satter, click on that topic and go from there. There are links within that reading that lead you to issues of “Family Meals Focus” that elaborate more on the concepts. I especially like Family Meals Focus #21, because it summarizes the components of competent eating. Those four components are context, attitude, food acceptance, and internal regulation. A brief explanation of each of these components is provided, and there are also links to other issues of Family Meals Focus (FMF) which discuss each component in more depth.

I’ll quote a bit more about each of the four components of competent eating.

From FMF#22 about attitude: “Competent eaters…enjoy food and eating and they are comfortable with their enjoyment. They feel it is ok to eat food they like in amounts they find satisfying.”

From FMF#23 about food acceptance: “Being able to be calm and relaxed in the presence of unfamiliar food: to experiment with it; to pick and choose from what’s available, and to say yes, please, and no, thank you.”

About the relationship between appetite and satisfaction: “Being an epicure, valuing and experiencing sensual pleasure, is a critical factor in becoming satisfied.” “As one of my patients put it, ‘I am ready to stop when my mouth is finished as well as my stomach.’ ”

From FMF#24 about internal regulation: “Your body knows how much you need to eat. Essential to eating’s rich reward is having enough to eat. Being hungry and eager to eat can feel positive and exciting on the one hand or negative and distressing on the other. The difference lies in whether or not you are confident that your hunger and appetite will be satisfied, that you can look forward to getting enough of the food that you find rewarding.” “After people learn to trust and honor their true and legitimate needs, they find that rather than periodically cutting loose and eating a great deal of high-calorie food, they eat moderately and consistently of all food, all the time, and find it genuinely satisfying.”

Ok, I want to interject my own comment here. When you see the words “true and legitimate needs,” you may be thinking about vegetables and high fiber cereals. That is NOT what this statement is about. The statement is about recognizing that you need to satisfy your hunger, and not restrict your eating to the point that you stop before your body tells you that your hunger is sated. This requires paying close attention to how you are feeling as you eat, of course. That leads into the final component, which is context management.

From FMF#25 about eating competance: “To reap the rewards of trustworthy, satisfying, internally regulated eating, you must provide yourself with regular, reliable, rewarding meals as well as sit-down snacks if you need them. You will do a good job with eating as much as you need of a variety of food if you reliably feed yourself, go to some trouble to make food taste good, and take the time to tune in and enjoy your food.”

So context management is about structure of meals and mealtimes, not really about rules of what to eat, what to avoid, and how much to eat. It’s about having family meals, if you are in a family situation, rather than the approach of each family member doing their own thing about when and what they eat. It’s about planning ahead for when you will eat and what you will eat, whether you are in a family situation or living alone. That doesn’t mean you can’t get takeout sometimes, it just means it should be fit into an overall plan of structured meals based on some forethought.

How It Works for Me

Personally, I have chosen the convenience of healthy meals prepared for me, for now. I am beginning to tire a little of not having the option of choosing what is on the menu, though. Sometimes I look at the provided meal and say to myself, “Hmmm, that is not all that appealing to me right now. I’ll see what the next meal is and maybe have that instead.” So, I end up saving the less favored meal for when I have no other choice. There have been some changes made in the menus recently, and while some of them are very positive changes (more fresh fruit variety), others are not as appealing (no more crepes or french toast dipping sticks for breakfast, more oatmeal, and the substitution of seemingly unsweetened greek yogurt for the sweeter variety that I prefer). BUT, I still like the convenience of having meals waiting for me in the refrigerator! I may soon have a roommate who likes to cook, and then hopefully the two of us can do some meal planning together.

I hope this information about competent eating will be helpful to you, and inspire you to delve into the subject more by reading more on Satter’s website, and perhaps even in her books. Her writing is easy and entertaining to read, and there is also a lot on the website about raising children to be competent eaters. I especially relate to the practicality of Satter’s approach. I think you will see what I mean if you read some of her writing yourself. I recognize that several others have written about the concept of internally regulated eating, but I have been a devout follower of Satter for many years, and have always found her work to be very helpful and inspiring. While you are at the Satter website, check out “Using Forbidden Foods” under the topic of “Family Meals and Snacks,” the second category under the “How to Eat” tab.  I think it gives some wise guidance for how “treats” can fit into a plan for competent eating and raising competent eaters.

Ellyn Satter is both a registered dietitian and a Licensed Clinical Social Worker, with 40 years of professional experience in counseling clients. If you want to know more about her, check out the “about us” tab on her website, and also, if you want more details, click on the “Curriculum Vitae” link under that tab.

My interest in nutrition developed from the weight issues I had in my youth. My sister and I always tended to be heavier than other kids, and we were teased about it, so naturally I wanted to "fix" myself by dieting. That worked pretty well in my teenage years, but adulthood was much more challenging. I started out as a dietitian who advocated dieting, but due to my own experience with my weight and dieting, as well as my extensive study of the subject of weight management, I have become an advocate of Health at Every Size. The first fellow professional who influenced my "conversion" was Ellyn Satter, who is also a dietitian. I got my Bachelor's Degree in Dietetics in 1975, (LSU) followed by a Master's in 1981(Univ of TN), and a PhD in 1997 (Univ of TN). I have worked in longterm care, public health, and one hospital. For the last 8 years, I have been teaching at the college level. I am the proud mother of a 24 year old son, and have been single since my divorce in 1993. That is when I moved to Atlanta from Cookeville, Tennessee. I moved around a lot in my childhood due to my father's job, but my parents grew up in Texas, and that is where my roots are. I lived in Brazil for 3 years as a teenager, and one of my sisters still lives there.

Comments

Previous Comments

  • Pastor Brad's avatar

    Thank you Brenda.  I will definitely check out Ellyn’s site ASAP, sounds fantastic.  I still feel like such a newbie to the whole FA/HAES thing.  I feel like a little kid—who just got into the pool.  I’ve taken a couple little trips out to the deep end (as I’ve learned new truths about my body—how it functions… what it needs and how to listen to it) but I’m still on the edge of the deep end for the most part—holding onto some of the baggage that our thin-obseesed cultture has place on me.  I.e. “You can’t trust your body.  You have to fight it… you have to restrict calories…. you have to blah, blah, blah…”  I still have what I call, “false guilt” clinging to me… but the more I learn and grow—the looser its grip becomes.  I’m learning enjoy eating more.  I’m learning that it’s okay, and actually wonderful, to eat until I’m stated.  I won’t bore you with details—but my body is functioning more “regularly” and I do find that as a result of choosing to eat when I’m hungry (and sometimes just for the joy of it sometimes) and eating what I want—I tend to eat plenty of really good fruits and veggies.  And I feel good.  I still have a lot to learn—but I’m growing—in knowledge, confidence, trust, self-acceptance and joy.  It’s a great journey to be on.  Thanks again Brenda!

  • Brenda RD's avatar

    Thank YOU, pb, for your feedback and for sharing your HAES journey! I’m happy that you have joined us here at MOMTL! You express yourself so well.

  • You did a great job of summarizing my writings, Brenda. You understood it all and are applying it just the way I intend. As you are well aware, that isn’t easy. Control is such a part of conventional thinking about eating and weight that it creeps in when you least expect it!

    Well, there is ONE little thing, and I think you will like this. In Secrets of Feeding a Healthy Family I say, “you are a family when you take care of yourself. From that perspective, you can be a family whether you live by yourself, with a partner, or with roommates; whether you have lots of children or no children; and whether you are young, middle-aged, or elderly.”

  • Brenda RD's avatar

    Thank you so much, Ellyn, for your comments. I DO like the way you interpret the meaning of family. I’m happy you have joined us here at MOMTL. I think it’s a true oasis of support for those of us who are doing our best to both practice and teach the concepts of Health at Every Size.

  • Interesting, your comment about “true and legitimate needs.” I am so careful to avoid words that imply judgment or prescriptiveness with eating, but “true and legitimate needs” decoded negative and moralistic for you. Guilt and anxiety are such a part of our relationship with food that it is all too easy to trigger those feelings. I have found that the only way to avoid it is to ask my listener(s) what they hear me saying.

  • Brenda RD's avatar

    Thanks for your comment, Ellyn. I said what I did because it has been my observation that some individuals who are trying to switch from dieting to “mindful eating” tend to think a lot about “shoulds” when it comes to eating choices. When asked to think about what they WANT to eat, they seem to think about what they “should” want, or what they have been told their body needs. Do you find this to be true in your work with individuals? As for myself, I try to put the “shoulds” aside to some extent and “allow” myself to think about what would taste good and feel satisfying to me. Being a nutrition professional, it is almost impossible not to think about nutritional value in a cognitive way, of course. On the other hand, I do believe that when thinking about what I want to eat, it’s important to acknowledge that I often want things that are not nutrient dense, high fiber, low fat, low sugar, whole grain, raw, or organic. And furthermore, that it is not “bad” to want foods outside of the typical list of “shoulds”. No foods should be considered taboo, right? So, I guess I think that “true and legitimate needs” could be interpreted by some as referring to only what is on the “should” list. And I agree that the only way you can know how someone interprets those words is to ask them.  Maybe some of our readers would like to comment on what “true and legitimate needs” means to them?

  • I agree that the term “true and legitimate needs” could easily be interpreted as restricted to the kinds of foods people who write diet books talk about, that is, foods that are “good for you” and that your body “needs” for sustenance rather than pleasure. I would prefer to see the phrase “true and legitimate desires.” In this still somewhat Puritanical culture in which we live, it’s difficult to trust that what our bodies and minds desire is not inherently evil, weak, or wrong.

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