The document discusses focusing on life rather than weight when it comes to food choices and behaviors. It argues that strict dieting can lead to binge eating and negative psychological effects due to starvation. Emotions and hunger are often confused, triggering unhealthy eating patterns. The conclusion advocates using kindness rather than severity when helping others, noting that the sun was able to get the traveler to remove his cloak where harsh wind could not. Professionals should empathize with patients, ask open questions, and avoid criticism when discussing eating behaviors and body image.

1. “ACT on LIFE, NOT on Weight”
Diététique & philosophie
Fondateur et vice-Président de
Nicolas Sahuc Nîmes/Montpellier
l’association “L’ACT, redonnons du
sahuc.nicolas@gmail.com
sens au comportement alimentaire”
www.nicolassahuc.fr
www.sudtca.fr

2. Plan
A. Food identity
B. Primun non nocere
C. Foodchoice and confusion: Hungry /
Emotions
D. In practice
E. Conclusion: “the wind and the sun”

3. A Food identity
“ACT on LIFE, NOT on Weight”

4. Food identity 1/2

5. Food identity 2/2

6. B Primun non nocere
“First do no harm”
“ACT on LIFE, NOT on Weight”

7. Game
Connect the 9 points with only 4 straight line. You could not up the stylo
of the paper.

8. TRY

9. TRY
They try to control hungry but every time they
loose and sometimes binge eating.
Need to take care with people who wants to
loose weight
Elisa Cossonnet

10. “Plate focusing”
BMI Vs body perception
“Find the answer into the plate to
losse weight: dieting, calories
count...People focus on their body
and weight scale”. (N. Sahuc)
Elisa Cossonnet www.elisacossonnet.com

11. Over-evaluation of shape and weight and their control
Strict dieting;
non-compensatory
weight-control behavior
Events and
associated
Binge eating Significantly
mood
low weight
change
Compensatory
vomiting/laxative The “transdiagnostic”
Impact sur les
misuse cognitive behavioral theory EDNOS
Christopher G. Fairburn
choix alimentaires Professor of psychiatry at the university of Oxford

12. Over-evaluation of shape and weight and their control
Strict dieting;
non-compensatory
weight-control behavior
Events and
associated
Binge eating Significantly
mood
low weight
change
Compensatory
vomiting/laxative The “transdiagnostic”
Impact sur les
misuse cognitive behavioral theory EDNOS
Christopher G. Fairburn
choix alimentaires Professor of psychiatry at the university of Oxford

13. breakfast
10h
Lunch
17h End of the day ?
Dinner
After

14. breakfast
10h
Lunch
17h End of the day ?
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

15. breakfast
10h
Lunch
“Tomorrow I
restrictive day”
17h End of the day ?
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

16. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
10h
Lunch
“Tomorrow I
restrictive day”
17h End of the day ?
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

17. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
Strategies to fight hunger and thoughts about Hungry
10h
food “I want to eat
but eat=gaining weight”
I crack and give in
Lunch
to my craving or I eat a low-calorie meal
“Tomorrow I
restrictive day”
17h End of the day ?
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

18. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
Strategies to fight hunger and thoughts about Hungry
10h
food “I want to eat
but eat=gaining weight”
I crack and give in
Lunch
to my craving or I eat a low-calorie meal
Eaten too
much Frustrated
Guilty ECHEC
E.S.➘ Hungry
“Tomorrow I
restrictive day”
I must not
crack
17h End of the day ?
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

19. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
Strategies to fight hunger and thoughts about Hungry
10h
food “I want to eat
but eat=gaining weight”
I crack and give in
Lunch
to my craving or I eat a low-calorie meal
Eaten too
much Frustrated I need suggar
Guilty ECHEC
E.S.➘ Hungry
I fight to not
“Tomorrow I eat
restrictive day”
I must not
crack
ECHEC
?
E.S.➘
17h End of the day
Binge eating
Dinner I crack and give in to
my cravings
After Guiilty

20. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
Strategies to fight hunger and thoughts about Hungry
10h
food “I want to eat
but eat=gaining weight”
I crack and give in
Lunch
to my craving or I eat a low-calorie meal
Eaten too
much Frustrated I need suggar
Guilty ECHEC
E.S.➘ Hungry
I fight to not
“Tomorrow I eat
restrictive day”
I must not
crack
ECHEC
?
E.S.➘
17h End of the day
Binge eating I want to eat
Hungry
Control my hungry
Dinner I crack and give in to
my cravings
I fight to not
Frustrated
ECHEC eat
Hungry
After Guiilty E.S.➘

21. breakfast
Breakfast
control “Are you hungry in the morning?” “No”
Strategies to fight hunger and thoughts about Hungry
10h
food “I want to eat
but eat=gaining weight”
I crack and give in
Lunch
to my craving or I eat a low-calorie meal
Eaten too
much Frustrated I need suggar
Guilty ECHEC
E.S.➘ Hungry
I fight to not
“Tomorrow I eat
restrictive day”
I must not
crack
ECHEC
?
E.S.➘
17h End of the day
Binge eating I want to eat
Hungry
Control my hungry
Dinner I crack and give in to
my cravings
I fight to not
Frustrated
ECHEC eat
Hungry
After Guiilty E.S.➘

22. C Foodchoice confusion:
Hungry / emotions
“ACT on LIFE, NOT on Weight”

23. Dichotomia behavior
Guilty
Craving Craving Craving
Tmie
Food Restrictive behavior Food Restrictive behavior Food Restrictive behavior
Frustrated
Hungry/mood

24. The Minnesota semi-starvation
experiment (Keys et al., 1950)
significant increases in mood (depression) sexual interest was drastically reduced
and important personality changes
The volunteers showed signs of social
most of the subjects experienced withdrawal and isolation
perdiodsof severe emotional distress and
depression the participants reported a decline in
concentration, comprehension and
extreme reactions: self mutilation and binge jugement capabilities
eating during the rahbilitation phase
Participants exhibited a dramatic increase
in food preoccupation while the both phase
Severe and prolonged dieatry restriction can lead t o
serious physical and pshycological complications. Many
of the symptoms once thought to ne primary features of
anorexia are actually symptoms of starvation

25. Strict dieting
Breakfast Lunch Snack Dîner
25% of Energy 40% of energy 10% of energy 35% de l’AET
1 2 3 4 5 6 7 8 9 10 11 12
8h 12h30 17h 20h
1 ounce
bread Omelette Food crisis zone
fat-free with a green
yagourth tea salad and
without one fruit
sugar
I’m not I’m not
150kcal hungry / 300kcal hungry / ? Fight ?
hungry / or hungry / or
against
600kcal strategy 960kcal strategy 240kcal hungry 840kcal

26. Strict dieting
Breakfast Lunch Snack Dîner
25% of Energy 40% of energy 10% of energy 35% de l’AET
1 2 3 4 5 6 7 8 9 10 11 12
8h 12h30 17h 20h
I can hold
1 ounce
bread Vs well being Omelette Food crisis zone
fat-free with a green
yagourth tea salad and
without one fruit
sugar
I’m not I’m not
150kcal hungry / 300kcal hungry / ? Fight ?
hungry / or hungry / or
against
600kcal strategy 960kcal strategy 240kcal hungry 840kcal

27. Dieting Sensory Specific
Sensory Satiety
Specific Satiety Real too much pleasure
Sensory Specific
Satiety
-4 -3 -2 -1 Feeling +1 +2 +3 +4 Food
quantity
myself
Frustrated Guilty
Feeling well in my body
➚ self-esteem

28. The triggers
(“Vaincre l’anorexie” Ed. Dr. Vanderliden)
4 cases:
Emotions: qualify as negative (ex: feeling alone)
Not eating
Negative thinking
Seeing food
A are nutrition-related
Seeing food
Not eating

29. Unacceptable
Strategy to erase Aboard strategy
mood
the mood
feeling bad
mood
Acceptance well being
no strategy
to erase
Barlow et Allen (2007)

30. D In practice
“ACT on LIFE, NOT on Weight”

32. Focus on emotions = loose psuchological flexibility
“the more I try to control my weight, more I loose energy, more I cannot
use it for the essential of my life”

33. “Plates focusing” vs Dietetic
Work on body perception Wok on dieting behavior
and cognitions
Dietetic:
CBT-E
Focus on when I hungry
Prevent Eating Disorder (?)
Feel sensory specific
satiety
correction du flux
alimentaire
Mindfulness

34. Psychoeducation on Hungry
Not the same “I prefer people craving
when they are hungry
Always different as an
more than people dieting
other day
when they are hungry”
Not weird to feel hungry
Could be different if:
Depend from the last
I’m tired
meal
Feeling bad...
Could appear many
times per day

35. Professionnal strategy
Empathie Hypnotic communication
Expert
Links between client and
professional
Motivational approaches
Reflective listening
Philosophia

36. DO DO NOT
Collaborate with patient Argument too much
Ask “open” question Put patient on the weight
scale
Be patient
Criticize the patient
Explore the views of the
patient Judge morally
Ask for what the patient is Start a debate
worried
Threat or warn the patient
Show interest and
understanding Make the patient ridiculous
Use Socratic style of Order the patient
interviewing
Ignore the patient point of
If the patient shows view
ambivalence, show
Propose solution
understanding

37. E Conclusion:
“the wind and the sun”
“ACT on LIFE, NOT on Weight”

38. The North Wind and the Sun were disputing which was the stronger,
when a traveler came along wrapped in a warm cloak.
They agreed that the one who first succeeded in making the traveler
take his cloak off should be considered stronger than the other.
Then the North Wind blew as hard as he could, but the more he
blew the more closely did the traveler fold his cloak around him;
and at last the North Wind gave up the attempt. Then the Sun
shined out warmly, and immediately the traveler took off his cloak.
And so the North Wind was obliged to confess that the Sun was the
stronger of the two.

39. The North Wind and the Sun were disputing which was the stronger,
when a traveler came along wrapped in a warm cloak.
They agreed that the one who first succeeded in making the traveler
take his cloak off should be considered stronger than the other.
Then the North Wind blew as hard as he could, but the more he
blew the more closely did the traveler fold his cloak around him;
and at last the North Wind gave up the attempt. Then the Sun
shined out warmly, and immediately the traveler took off his cloak.
And so the North Wind was obliged to confess that the Sun was the
stronger of the two.
“KINDNESS EFFECTS MORE THAN SEVERITY.”

40. Questions time !
“Let us think of interesting
questions, rather than
criticise”
Next Eating Disorder Convention
Nîmes 1 et 2 avril 2011
www.sudtca.fr

41. Questions time !
“Let us think of interesting
questions, rather than
criticise”
Next Eating Disorder Convention
Nîmes 1 et 2 avril 2011
www.sudtca.fr
Thanks for your reading