A Positively Embodied Approach to Psychotherapy

Abstract

This article introduces a practical model for therapists to promote recovery from eating and body image problems in their clients. The history of The Body Positive, a nonprofit eating disorders prevention organization that addresses the impact of gender and other intersecting identities on body image, is shared. Five competencies are offered that were developed through The Body Positive’s feminist-informed process of dialog with students engaged in activism against sizeism in their communities. The competencies (Reclaim Health, Practice Intuitive Self Care, Cultivate Self Love, Declare Your Own Authentic Beauty, and Build Community) offer resources to support therapists to model an alive, attuned relationship to their own bodies as well as skills to guide their clients to a kinder and more passionate embodiment.     

Muscularity rationality: An examination of the use of Rational Emotive Behaviour Therapy (REBT) upon exercisers at risk of muscle dysmorphia

Research in the area of body image suggests that muscularity dissatisfaction is a prominent concern among men and women. At its apex, this concern manifests into a convoluted and debilitating body image disorder termed muscle dysmorphia (MD), characterised by a marked preoccupation with ones (subjective) muscularity and leanness inadequacy. Prevention of MD is critical, however, empirical evidence informing intervention protocols are profoundly scarce. The principal aim of this study was to examine the effectiveness of a one-to-one Rational Emotive Behaviour Therapy (REBT) intervention, comprising five, 60-min one-to-one sessions, in decreasing MD symptomatology, irrational beliefs and increasing unconditional self-acceptance in a mixed-sex cohort of four exercisers at-risk of MD. A single-case, staggered multiple-baseline across participant A-B design was adopted to examine the effects of REBT. Visual and statistical analyses, and social validation data, indicated reductions in MD, irrational beliefs, and increases in unconditional self-acceptance across all participants from pre-post intervention phases, with reductions upheld at a 6-month follow-up. This study highlights the potential role of rational and irrational beliefs in the onset and maintenance of MD. This study is the first to report the application of a CBT approach to MD symptomology, and has demonstrated the use of REBT as a potential preventative approach for individuals at risk of MD. Practitioners working with individuals at risk of MD should take a benefit-focussed approach to support individuals in developing unconditional self-acceptance beliefs, as well as a problem-focussed approach to support individuals in reducing irrational beliefs.     

Show me the meaning! The contextual relevance of images influences the recall and understanding of multimedia RSVP paragraphs

ABSTRACT

This study examined whether images facilitate contextual grouping as effectively as words. College students (N?=?102) read RSVP paragraphs with topics located at the beginning, middle, or end of the paragraph. Paragraph topic was presented as a topic-related image, topic-unrelated image, or written explicitly in text. Topic identification was equally accurate for topic-related images and topic sentences, and less accurate for unrelated images. Paragraphs from the text condition were recalled more accurately than the related and unrelated image conditions. Further, recognition of unrelated images was a positive predictor of the number of logical errors committed during recall. Therefore, related images did not improve memory and comprehension as much as text, and paragraphs with unrelated images negatively affected understanding of the meaning of the paragraph, but not recall. These findings have implications for multimedia information sources such as textbooks or articles that use images to clarify the meaning of the material.     

Physical activity and body image: Intertwined health priorities identified by transmasculine young people in a non-metropolitan area

Abstract

Background: A dearth of research exists about the health behaviors of transgender young people (TYP). As we seek to learn more about transgender (trans) health, community-based participatory research (CBPR) approaches are crucial for incorporating TYP’s needs into the formulation of research questions and development of health behavior programing.

Aim: Explore body image and exercise as priorities among TYP.

Methods: Trans masculine young adults (N?=?16) in a small city in the Midwest took part in semi-structured interviews about their health behaviors and priorities. Theme analysis was used to capture key patterns in participants’ responses. Specific analysis steps included initial and more specific coding, analytical memos, organizational matrices and reports, and discussion about results with participants.

Results: Participants identified exercise and body image as connected primary health concerns. They discussed these issues in terms of three themes: Body shape as motivation for exercise; Poor body image, stigma and fear as exercise barriers, and; Exercise or lack of, as destructive. Participants wanted to exercise to achieve a certain body shape, not for health or as stress relief. They cited gyms as unwelcoming, however. They also worried about discrimination and did not feel sufficiently comfortable with their bodies to exercise. When they could not exercise, they used harmful behaviors, like restricted eating, to achieve a specific male shape.

Conclusions: Using participatory methods allowed us to understand the priorities of a group of Transmasculine young people. Our findings suggest that it is important to continue to explore TYP’s body-related motivations for exercise and understand the balance between exercise as a positive health behavior, and a potentially harmful one, in light of TYP’s complex body image concerns. Trans friendly gyms and gym policies could promote safe exercise and continued anti trans discrimination work and policy advocacy can promote the safety of TYP in all spaces.     

Impairment of the Body Image: Perceptions and Subjective Evaluations in Adolescents and Young Adults

The construction of body image consists of the ways in which the body is considered, perceived, and evaluated. The ideal body image has been changing considerably over the centuries; the discrepancy between real and ideal body, today, leads many individuals to be dissatisfied with their body, develop negative feelings, and, in some cases, unhealthy behaviors. All this has led, in recent decades, to a sort of cult of the body. As a matter of fact, in Western culture the body has turned into an idol, a strict and demanding god to which one often becomes a slave. This article presents a bibliographical review on the main theories concerning body image, thus opening a space for reflection on its relative disorders, first of all that of body dysmorphism.     

A structural equation model of intuitive eating with adolescents

IntroductionThe tendency to eat by paying attention and respecting the body's hunger and satiety cues is called intuitive eating. This eating behavior has been linked to positive health and well-being outcomes.ObjectiveThe purpose of this study was to test a global model linking intuitive eating with self-esteem, body esteem, media influence and including fear of negative appearance evaluation in adolescents’ boys and girls.MethodIn total, 740 adolescent high school students (51.5% girls; M age = 14, SD = 1.5) completed self-report questionnaires with measures of intuitive eating, body esteem, self-esteem, media influence and fear of negative appearance evaluation.ResultsStructural equation modeling revealed an overall excellent fit for the final four-variable model excluding the fear of negative appearance evaluation variable. Mediation analyses showed an indirect relationship between intuitive eating and body esteem via media influence, for girls but not for boys. Body esteem mediated the relationship between intuitive eating and self-esteem, for girls and boys.ConclusionA new model is proposed where intuitive eating is associated with self-esteem through body esteem and media influence. These findings suggest that regulating attitudes and behaviors toward food may be related to higher psychological well-being.