Tag Archives: ASDAH

Tales of a HAES RD in weight loss surgery

All of November and December I will be posting about my experiences working with a weight loss surgery team.

This series will chronicle the rollercoaster of experiences and emotions that present with this work. It will hopefully create an opportunity for HAES dietitians who work with bariatric clients to seek support and share ideas because right now that’s lacking. Emails to HAES-related listservs about bariatric surgery outcomes often result in comments shaming the original poster and those who choose the surgery, stifling discussion about this topic.  I’d like this to change.

I will address the gaps I see in the surgery “science” and also in the support and respect weight loss surgery (WLS) clinicians receive from some people in the HAES community.  I had fashioned a plan to post these blogs anonymously, to protect myself from those who cannot fathom a HAES RD working with WLS patients, but that would only reinforce the shame and stigma associated with this work, so instead I am “coming out.”

How did this happen?

This work came with appointment to an eating disorder-specific position.  During my second interview that I was told that I may work with WLS clients. Had I worked with them before? Sure! after they’d gained all the weight back. I kept on and got the job, and was then appointed to the WLS team.  I was one of the dietitians last to clear a patient for surgery.   Great colleagues, benefits, salary, and opportunities to connect to eating disorder community; I couldn’t turn that down, and that’s how it happened. Maybe you would have quit, and bravo for you, quitting takes guts; it also takes privilege to decide that no job is better than a job you dislike. I decided to see what would happen if a HAES RD became the one to clear patients for WLS.

I have since left this job, but in this short stint my mind has been blown multiple times. I chronicled this journey to share with others what I have learned; invaluable insight into an insidious industry, capitalizing on our collective fatphobia, and the ways that professionals justify their work in the name of “health.”*

Hang tight, this will definitely be a bumpy ride.

If you’re interested in contributing to this project, I’d love to hear from you.


*Names, terms, and identifying details will be changed to protect patients, employees, and myself, from my former employer.

Let’s Broaden the Talk About Thin Privilege

Last fall, Melissa Fabello posted a piece about thin privilege. It had a meme that caught my eye; two women, one thin the other fat, with assumptions about them based on their size written on their naked bodies. I thought the piece was great and reposted it. Only afterward did I wonder how the assumptions would have been different if meme and author were people of color. I reached out to the author on twitter for her thoughts, but got no response so I left it until now.

As this article was circulating again this spring, Dr. Linda Bacon, one of the more prominent pioneers for Health at Every Size® (HAES), reposted it along with another article she adapted from a speech she gave to the National Association for the Advancement of Fat Acceptance (NAAFA). Dr. Bacon was speaking from her own experiences of thin privilege. She listed things that are different in her own life:

  • “Because of thin privilege, I had a larger dating pool, which made it easier for me to find the incredibly wonderful and supportive partner that I have.
  • Because of thin privilege, I have had easier access to meeting and gaining approval from other people socially, some of whom have provided career opportunities for me.
  • Because of thin privilege, I can go into a clothing store, get treated with respect, and have a larger choice of fashions and at cheaper price than fatter people.
  • Because of thin privilege, I can be assured of only having to pay for one airline seat, making travel and its accompanying opportunities much more accessible to me.
  • Because of thin privilege, I have developed a platform and persona that resulted in being asked to speak to you today.”

When I read her list, my first response was, “Absolutely” my second response was “because you’re thin…and white.” I then wondered if there was another thin person of color, like me, in the room and how they felt about that list. Was there anyone in the room at the NAAFA conference who, like myself, has walked into a clothing store and been asked to leave their bag at the door only to find other white shoppers with their bags? Was there anyone in the room who has been followed around a store to ensure payment for desired items, as I have? I wondered how it would have felt to listen to that speech as a fat person of color, and reflect on the ability to find a loving and supportive partner in a culture of thin privilege and white supremacy. Was there anyone in the room who needed to buy two airplane tickets to travel and experience a public hair pat-down by TSA, as I have, because they wore their hair naturally? Did anyone in the room wonder about the way that thin privilege intersects with other identities? Thin privilege definitely makes life easier for me, for Dr. Bacon, and many others, I am not questioning that. To fully address fat oppression in our society, though, I believe the conversation needs be broadened from the one-dimensional topic I have found it to be.

Some people may tell me I’m complicating the issue by adding topics like race to the mix. Yet, if I don’t “muddy the waters” about this then thin privilege and HAES will continue to come from a white narrative, and remain stagnant. By broadening the conversation, discussing what we know and more importantly what we don’t know, we can begin to notice the gaps and work to move the conversation forward.

While walking with a colleague of mine and telling her about this piece she asked me, “Do you think that [those authors] are able to write about thin privilege because they’re white?” She went on to explain that they won’t ever be judged as people who “complain about everything” as underrepresented groups discussing oppression often are. These white authors are better able to stick to a single issue of oppression, she said, and are therefore better able to be heard regarding the topic. This possibility broke my brain for a second, but also made a lot of sense. I had not thought to apply access to a conversation.

I’m glad the conversation was started by those authors, but let’s not let it end there; there are other chapters to this book. Let’s begin learning how thin privilege and fat oppression present to people of color and people with intersecting identities. A colleague and I have started a monthly conversation, currently focused on anti-racism work in the context of the HAES model. I’m excited to be part of the process to make the HAES movement more inclusive. Another opportunity to hear more about this presents at a 1-day event on October 25th in Oakland CA, where I will moderate a panel of diverse individuals discussing their experiences with weight stigma. I also hope to return to the thin privilege article by Ms. Fabello and recreate the meme of assumptions with bodies of all shapes, colors, abilities, and gender identities showing where we all intersect and where we don’t.


Jessica Wilson, MS RD is the owner of My Kitchen Dietitian, LLC, a dietetic practice devoted to the HAES® principles. She sees private clients in the San Francisco Bay Area, and has expertise in helping those healing from chronic dieting, and eating disorders.



Creating the Health at Every Size of my Dreams!

My efforts these days are not about me.  They are about improving access to Health at Every Size®  (HAES) for all people, ensuring that someday everyone will enjoy the benefits that I have realized with HAES.  I imagine a future when HAES is known throughout every country, when we understand how weight stigma and fatphobia present in different cultures, and we have non-English speaking countries and individuals involved in the movement.

As a dietitian, HAES gave a name to something that I was practicing in isolation in Oregon.  Without this community I wouldn’t have the science and support to help folks understand why their weight loss diets and food rules just aren’t working, but in fact, are harmful.  I am very grateful to have found HAES, and my primary goal is for others to find it too.  I hope newcomers both see themselves in the movement, and feel comfortable contributing, should they desire.

ASDAH is the primary organization for HAES professionals, and I am a member.  I hope to see our organization grow exponentially and serve a broader community of people.  I look forward to the day that I can recommend ASDAH to any colleague without needing to describe the demographics of the group first.  It will be wonderful when the membership closely resembles the US population.  I look forward to doing the ongoing and ever changing anti-oppression and inclusion work needed for this to happen, and learning from my many mistakes along the way.  I can’t wait for an organization in which a diverse group of people will feel as comfortable saying, “I have found my people” as many current members do.

If you’re similarly interested in making HAES more inclusive I’d love for you to join the conversation!

Jessica Wilson is a dietitian in Oakland, CA

Good Intentions Only Go So Far

The last HAES’d and Confused meeting to discuss ways that Health at Every Size® can become more diverse was electrifying.  There seemed to be an understanding amongst the predominantly white group that we cannot have a conversation about the barriers to HAES experienced by underrepresented people until these people are actually at the table.  We then decided that we will make anti-racism work and creating a space that is inclusive of all voices the work of the group.

Fast forward four days.  The other HAES realm of my life, the Association for Size Diversity and Health (ASDAH), sent out an email announcement for their 2015 conference. The title is “Connect(ability): Creating an Inclusive Health At Every Size Movement.”  Okay, I know what inclusive means, but not “connect(ability)” so I read on to learn that it is an umbrella term for all of the ways ASDAH wishes to include people in HAES.  Not only from a power, privilege and intersectionality standpoint, but also from a some-people-think-HAES-emcompasses-sustainably-farmed-food-and-some-do-not-so-let’s-make-sure-everyone-feels-included-in-HAES standpoint, as was explained to me by someone on the planning committee.  Hmmmm, that definitely expanded my definition of inclusive.  The announcement ends by proclaiming to “bear witness to voices that have been silenced” at the next conference.

As one of two or three people of color at the last conference I was excited that ASDAH was stating commitment to do the work to make sure that there were more voices at this next one.  But a quick look at the planning committee members (all white, cis women except for one white man) told me otherwise.  There are some points I’d like to make clear:

  • To appropriately include new voices in a conference, these voices need to be on the Conference Committee
  • Inventing a new word like “connect(ability)” and making it a catch-all for any and all inclusion criteria—thus putting people who disagree about whether to shop at the farmers market under the same umbrella as societal oppression—feels really crummy
  • Excluding diverse voices from the planning of a conference that aims to address oppression within HAES is painful to watch
  • The nothing about us, without us mantra I hear from this community when lamenting that fat people are not often in conversations of “obesity” politics also applies to the voices that have been historically absent from discussions of intersectionality and oppression within HAES
  • Half-assed attempts at addressing issues like oppression are worse than not addressing them at all

I know that the people of ASDAH really do try their hardest and truly mean well, but good intentions don’t mean the work is done.  ASDAH declares that it is a social justice organization.  For me, that declaration comes with incredible responsibility to its members and community.  I would like to see the following:

  • The conference theme changed for 2015
  • Opportunities for members and leadership to learn more about oppression and privilege before attempting a conference like this in the future
  • People of underrepresented identities present on the Conference Committee
  • A Leadership Team that reflects the population that ASDAH would like to see in its membership
  • Transparency with membership, should there be a change to the conference theme
  • The support of other community members in asking ASDAH to reconsider the 2015 conference plans

I really do believe that HAES can one day be a movement for all people.  And I believe that most people want HAES to be inclusive.  The reality is that change takes time and effort if done well, and it’s time to begin reflecting upon what that process needs to look like for the ASDAH community.

Jessica Wilson is a dietitian at My Kitchen Dietitian in Oakland, CA.