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Videos

The Well Now Magic Biscuit meets Compassion Theory – Video Link

Untangling Health Behaviours, Respect, Weight & Wellbeing – Video Link

Well Now Magic Biscuit – Video Link

Body First Nutrition (GAMES and Well Now Donut) – Video Link

Articles and Blog Posts

Articles are written by Lucy unless otherwise indicated.

1. Validity of claims made in weight management research: a narrative review of dietetic articles

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2916886/

In this article, I look at claims made by weight science researchers published in the British Dietetic Associations’ Journal of Human Nutrition and Dietetics. I investigate a number of common claims around weight correction and health, including claims relating to diabetes and the effectiveness of dieting. I highlight discrepancies between what the evidence shows and what the researchers say it shows. I finish by recommending another approach called HAES. However, since writing the article I have developed my thinking and I think my conclusion, somewhat ironically, misrepresents the science. I no longer support HAES. Instead, I recommend another approach called Well Now.

2. Weight Science: Evaluating the Evidence for a Paradigm Shift. L. Bacon and L. Aphramor

https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-10-9

This co-authored article makes the case for dropping a conventional weight-centred approach to health and using a weight-neutral approach called HAES instead. The article is really useful as a go-to source of references and is a stepping stone on a path in which I find, endorse and then reject HAES. It highlights flaws in some of the core assumptions that drive a focus on weight correction and offers alternative ways to think through taken-for-granted views. However, it contains a central contradiction which makes it a normative statement for neoliberalism and an unwitting illustration of doublethink. It was in getting to grips with the significance of its theoretical shortcomings that I came to recognise the weight-equitable approach Well Now as distinct from HAES.  As of December 2016, the article has been viewed more than 211500 times and I am not aware of any specific critique of it, a phenomenon which in itself may be of scholarly interest.

3. How Compassion Supports Innovation and Effectiveness in Addressing Weight Concerns: A Critical Review of Compassion Theory and Weight Science

Aphramor, L. The Journal of Psychological Therapies in Primary Care, Vol. 5, July 2016: pp. 26–46.

For copyright reasons I am unable to share this article on my website. You can access it by signing up to www.academia.edu. Follow me on Academia.edu

Compassion focused therapy (CFT) and Acceptance Commitment Therapy (ACT) are increasingly being used in work with people with eating and weight concerns. This ‘compassionate mind approach’ is used to promote weight-correction rather than weight-equity. I wrote this article because I want to challenge this development as danger and error. I demonstrate that weight-correction approaches misrepresent  the biomedical evidence and completely eclipse the social justice evidence. Approaches that claim to deploy compassion to meet end goals of weight correction are theoretically incoherent. I show how compassion can be used congruently to support people with eating and weight concerns by outlining some of the theory relied on in Well Now. Well Now is a weight-equitable approach teaching health-gain and body respect.

4. Mindfulness in healthy weight and diabetes

Aphramor, L. Mindfulness in healthy weight and diabetes. Journal of Diabetes Nursing, 19: 401–7.

For copyright reasons I am unable to share this article on my website. You can access it by signing up to www.academia.edu. Follow me on Academia.edu

This article is written for practitioners. The topic I was asked to write about is mindfulness in diabetes. Through this lens, I raise awareness of the dangers of weight-correction. I also give an overview of how Well Now principles translate into practice.

5. Re-orientating Dietetic Interventions for Adults with Eating and Weight Concerns: A Qualitative Study of the Well Now course Parts 1 and 2       L. Aphramor and N. Khasteganan 

This research examines the impact of attending a Well Now course on participants’ wellbeing and contrasts this with their reports of previous experiences of seeking support with weight concerns. The Well Now course teaches health-gain and body respect. As such, it offers people a way of making sense of their experiences around food and eating that is premised on criticality, compassion and respect. There are two articles discussing research findings.

Participants described how engaging with the Well Now philosophy in a supportive group had beneficially impacted their sense of wellbeing and self-worth. The reorientation made available through Well Now enhanced psychosocial variables and behaviours known to impact on health, such as mood, self-esteem, eating/exercise habits and interpersonal relationships. They recounted instances where recommendations to follow a weight-corrective approach, and attendant size bias seen in health practitioner’s attitudes, had had a detrimental impact on their wellbeing and sense of self-worth. A professional commitment to socio-politically aware practice, such as Well Now, is recommended as a means of advancing equity, helping people heal from body shame and meeting our ethical responsibilities as health practitioners.

Log in for free to The Journal of Critical Dietetics to read these articles

 

6. Blog: Body Respect disrupts business as usual to advance nutritional wellbeing for all

Disruptive women blog – Click here to read article

This blog explains why I use the term ‘body respect’. I outline three ways in which body respect supports, and makes links between, an individual’s ability to nourish themselves and enhanced overall population wellbeing and equity. The theory is Well Now theory although I don’t mention this as it was not permitted to publicise ‘own brands’. I have seen the blog promoted as describing HAES theory. Please note this isn’t the case.

Book

Body Respect: What Conventional Health Books Leave Out, Get Wrong, or Just Plain Fail to Understand about Weight L. Bacon and L. Aphramor, Benbella: USA 2014.

Buy indie: http://shop.benbellabooks.com/body-respect.html

I co-authored a book called Body Respect that was published in 2014. Since writing it, I changed my mind about a central point we make in the book. You can read more here.

Meanwhile, I am working on several books –watch this space!

Well Now Think Papers and Handouts

Think Paper – Body Respect – The Book
Think Paper – Well Now Theory and HAES Theory
Think Paper – What is a Think Paper?
Think Paper – Untangling Health Behaviours, Respect, Weight, Wellbeing and Social Factors
Think Paper – Myths About Well Now and Non-Diet Approaches
Worksheet – Strengthening the Compassion Muscle
Worksheet – The Hunger-o-meter
Worksheet – Untangling Health Behaviours, Respect, Weight, Wellbeing and Social Factors
Takeaway – The Well Now Cycle

Miscellaneous

NHS Well Now Evaluation  – more info

wellnow_homepage