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Trusting the Body to Trust Its Hunger Signals: An Evidence Based Investigation Into Intuitive Eating: IAEDP Symposium 2011

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About the Course:

Webinar from the 2011 International Association of Eating Disorders Professionals Symposium.

Punitive and obsessional thoughts about eating and weight perception underlie most eating disorders. Dietary and nutritional guidelines are laden with rules that suppress the body’s natural intuitive eating ability. Proponents of the “intuitive eating” philosophy contend that patients can relearn to trust the body’s hunger/satiety signals and reestablish its innate food wisdom. Researchers, cognitive of the numerous physiological pathways controlling hunger and the current psychosocial conditioning, argue that reestablishing mechanisms of self-regulation are an illusion and unobtainable. This presentation attempts to introduce a practical middle ground that will reduce the confusion, establish trust and result in long term recovery.

I. Conventional Diets do not Work

A. Pathological diets and eating disorders B. Health and psychological risks C. Failure and rebound D. Counter regulation: Deprivation triggers binging E. Preoccupation G. Emotional eating

H. Habituation: sensory specific satiety

II. Intuitive eating: without conscious reasoning

A. Reliance on internal hunger/satiety cues to determine when and how much food to eat B. Unconditional permission to eat when hungry and whatever food desired C. Eating food for physical rather than emotional reasons D. Nutrition is not the driving force i. Orthorhexia: Health consciousness as a negative attribute ii. Gentle Nutrition E. Natural weight: Health at every size F. Children: intuitive eating is innate G. American Style eating: Low in pleasure; high in health consciousness H. History

III. Research: Bacon ’05; Hawks ’05; Tylka ’06; Smithian ’08; Messinger ’09

IV. Limitations of studies and criticisms

A. Too small; non-definitive; self-reported data B. Technique: vague; subjective; ambiguous C. Gentle eating too subjective, individualized, and subtle D. Too much time, effort, trial and error, nebulous outcome E. No gastrointestinal, neurological or biochemical data F. Deterioration of trust

V. Review of internal and external hunger

1. Hunger; Appetite; Satiety; Satiation 1. Internal Cues a) Digestion; nutrients b) Nuclei; neuropeptides c) Inflammatory markers d) Gut peptides e) Hormones; receptors 2. Externality 1. Genetics 2. Disease; medications 3. Sleep; Seasonality; Exercise 4. Hedonistic System 5. Restraint Theory; cognitive 6. Cultural 7. Sensory 8. Conditioning 9. Instinct 10. Implied Norms of Appropriateness 11. Emotional Triggers

VI. Suggestion for alternative

Note: For this course there is a small additional fee to obtain the webinar. Please see the “Get Course Materials” link in the right sidebar for details.

This course is based on the recorded webinar, Trusting the Body to Trust Its Hunger Signals: An Evidence Based Investigation Into Intuitive Eating: IAEDP Symposium 2011 created by Ralph E. Carson, RD, PHD

Course Material Author

Ralph E. Carson, RD, PHD
Dr. Carson has been involved in the clinical treatment of obesity and eating disorders for over 30 years. His unique background in medicine (BS Duke University and B. H. S. Duke University Medical School) coupled with nutrition and exercise (BS Oakwood College, Ph.D. Auburn University) has prepared him to integrate biophysiological intervention with proven psychotherapeutic treatment. He consults with eating disorder programs and presents at conferences around the world. Dr. Carson is currently the nutritional consultant of the Women's Center, A Pine Grove Program and an IAEDP board member. He has recently published Harnessing the Healing Power of Fruit.

Ralph E. Carson, RD, PHD authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Course Creator

Recommended For:

This course is recommended for health care professionals, especially psychologists, therapists, and counselors who seek to update their research knowledge and competency in treating patients with eating disorders, increase and acquire new skills, learn new intervention strategies, and obtain continuing education credits. It is appropriate for professionals at all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Following this presentation, participants will be able to describe the mechanisms by which one can identify comfortable satiety.
  2. Following this presentation, participants will be able to identify the differences between biological (internal) and emotional (external) eating behavior.
  3. Following this presentation, participants will be able to define intuitive eating and examine its contribution to eating disorder recovery.


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Author

The authors have disclosed any disclosures within the material.

Course Creator: Keith Gibson, Ph.D.
There are no relevant disclosures.
Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 101901
2 CE credit hours
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  • Recorded Webinar
Exam Fee $11.94
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Course Materials $25.00

26 members have taken this course

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