Moving on: from cabin fever to the world free from weight bias
In 2020 we all had a chance to experience social distancing. We
practiced it, day-in and day-out, for many months in a row. It was not
fun. Some people ended up suffering from cabin fever. But social
distancing is not a new thing for everyone. People living with obesity
are, in real ways, experts at it. As we re-enter the world as a
society, I wonder if we can choose this to be a better place for everyone?
Dr Michael Vallis
August 2020
I am from Canada, which is a generally safe and friendly place. I
actually am from Eastern Canada, which is known to be friendly even by
Canadian standards. Yet, since March we have had this sense that we
can’t trust our neighbours and when we encounter someone in the
grocery store walking down the aisle that we are in we feel threat and
are suspicious.
Enforced social
isolation and the perception of threat is hard, and we are all looking
forward to getting back to normal. So, let’s consider what a new
normal might look like. Is it possible that our new normal can be
better than our old normal?
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“Is it possible that our new normal can be better than our old normal?”
Individuals living with obesity are, in real ways, experts at social
isolation. They have developed ways to avoid being in places where
the likelihood of experiencing bias is high.
Grocery shopping late at night to decrease the chances of someone
criticizing what is in your basket, ordering clothes online to avoid
trying things on in public, watching Netflix to avoid the
embarrassment of fixed seats in movie theatres. Should I go on?
The perception of threat naturally produces the emotion of anxiety.
This is how the brain is wired for survival. Threats must be dealt
with before they cause harm. Humans
are social beings so our threat response to social danger
(humiliation, criticism) is equal to our threat response to physical danger.
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“Humans are social beings so our threat response to social danger
(humiliation, criticism) is equal to our threat response to physical
danger. The experience of living with obesity in a biased world is the
same as the experience of living with the risk of COVID-19
infection.”
In this way the experience of living with obesity in a biased world
is the same as the experience of living with the risk of COVID-19
infection. Maybe, just maybe, we can draw this parallel between social
isolation during COVID-19 and social isolation due to threat of
prejudice for some benefit.
One unfortunate consequence of our social survival instinct is that
we favour others that are like us. And if something goes wrong in a
relationship it is easy to blame that on any differences between people.
So, we are starting to see that in some circumstances those of Asian
descent are being biased against due to COVID-19. Do you know that the
Spanish flu did not start in Spain? It was called the Spanish flu
because Spain was the first country to admit to its existence. Boy,
bias is easy to create.
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“One unfortunate consequence of our social survival instinct is that
we favour others that are like us.”
Bias originates from the instinctual aspects of human functioning.
But as mankind has evolved as a species, we have moved beyond the
instinctual to develop intellectual and moral functions as well.
In fact, the brain is a developmental organ. What I mean by this is
that as new brain structures have developed over evolution old brain
structures do not stop functioning. The new functions are developed on
top of the old systems.
When it comes to psychology this is an important issue. It really
means that we have two psychological systems operating. The primitive
original instinctual brain functions are located in the midbrain.
This is primarily an impulsive and emotional based system (“I want it;
I want it all; I want it now”). Then, in the prefrontal cortex (the
surface of the brain just inside your forehead) we have the executive
system. This is the logical, intellectual system that is capable of
problem solving, reflective thinking and delay of gratification.
“Bias originates from the instinctual aspects of human functioning.
We have two psychological systems operating. Much of the time we
experience tension between these two systems.”
Much of the time we experience tension between these two
systems. What do you feel like? What should you do? Notice that
often the answers to these questions are not the same. The
emotion-based system wants immediate gratification and thinks
automatically (as in: “looks like me – good; doesn’t look like me –
bad”). The logical system looks to principles and values (as in:
“don’t judge a book by its cover; we all are equal as humans”).
Social isolation will be temporary; we are beginning the process of
getting out of our houses. As we re-enter the world, I wonder if we
can choose this to be a different world? Bias
is an issue we can address. Bias against those of Asian descent is
unjustified; Black Lives do Matter, and bias against those living in
larger bodies is equally unjustified.
As a Psychologist, I sometimes encourage people to change their
circumstances when they change their behaviour. For instance, imagine
you are a smoker and you are about to change jobs. I might ask
permission to raise the possibility, if the person is interested in
becoming a non-smoker, of using the new job to help. That is, go to
the new job as a non-smoker. Tell people at your new workplace that
you don’t smoke and act like a non-smoker.
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"As we re-enter the world, I wonder if we can choose this to be
a different world? Bias is an issue we can address."
This helps because it allows new habits
and it changes the way people perceive you. COVID-19 might be like a
new job. We can go back out into the world acting as if it is a new
world. This is important right now. Being Asian does not mean you
caused COVID-19, being black does not mean you can be treated
differently and living in a larger body is not a sign of weakness.
Disclaimer: The views and opinions expressed in this blog are
those of the author and do not necessarily reflect the official
policy or position of any other agency, organization, employer or company
These eight questions can help to start a dialogue and take the first
steps towards understanding what treatment options for weight management
are available.
Partner with your healthcare professional and make a plan
Obesity is a complex disease but treating it does not have to be.
Trained healthcare providers have the knowledge and tools to create a
treatment plan that works for you.
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