"Normative Discontent"
03/03/2010

I have always tended to experience “normative discontent” with my body.

This term refers to the widespread dissatisfaction experienced by women regarding their appearance. Studies have shown that women who experience normative discontent are more likely to diet. Many of these women have overly rigid rules for eating that are impossible to keep. Once the rules are broken, there may be an over-indulgence in food that is associated with a feeling of being out of control. This cycle inevitably ends with feelings of guilt and shame and, of course, more discontent.

The above scenario describes my adolescence and college experience. I had a reprieve from the constant thinking about my body while I was in medical school and residency (no time or money for food), but upon graduation, there it was again. This time accompanied with a 15 lb weight gain. I was terrified.

At no point would I have been diagnosed with an eating disorder so I didn’t know how or where to get help. I was afraid to go to Weight Watchers, a weight loss program highly respected by physicians. What if I weren’t overweight enough? What if they didn’t let me in? Well, of course they welcomed me. Using the behavioral methods I learned while attending meetings, I returned to my baseline weight. I was happy and proud when I became a Lifetime Member and continued on my journey of Maintenance.

But, believe it or not, this was when things got harder for me. Though I was at my goal weight, I was continued to be plagued with constant concern about my body image and the fear of regaining weight. I was still terrified.

During this time I was practicing Cognitive Behavioral Therapy (CBT) in my psychiatric practice for patients with depression and various of anxiety disorders. I was taking an advanced training course from The Beck Cognitive Institute when Judith Beck, PhD, published her book The Beck Diet Solution. Finally, there was an approach that addressed the non-pathologic, but terribly distressing way I felt about my body.

I began to utilize the cognitive exercises and daily routines. Over time, I became less afraid of weight gain. I could resist cravings. I could quiet the negative talk in my mind about my body. This total life change is something I want to share.

My measurements Height 5'4'' Weight 117 lbs Pants size 4 Shirt size xsmall Body type pear