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Irene Rubaum-Keller

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Should Eating Disorders Be Covered on Reality TV?

Posted: 05/03/10 02:20 PM ET

I hear Oprah is going to introduce a reality show about eating disorder rehab. We already have The Biggest Loser, and Intervention, both dealing with types of eating issues, but this will be a look into an intensive inpatient experience of eating disorder treatment. I have mixed feelings about this!

As an eating disorder therapist, who has overcome her own eating disorder, I can tell you that if I were in treatment, and suffering, I would not want camera crews, microphones and lights in my face. This would so alter my experience of treatment as to make it something completely other than it is supposed to be. Would I get a major discount if I say yes? Will I get paid to be on this show? I wonder.

Eating disorders are very serious. Anorexia is a possibly lethal psychological diagnosis. The longer you have it, the more likely you are to die of it, as it destroys the body. The current figures are five percent to 20 percent of people diagnosed with anorexia will die from the complications of the disease. Bulimia is also very serious, and if left untreated, 10 percent of bulimics will die as a result of the disease. It too destroys the body. Compulsive overeating leads to obesity and that too is deadly.

So, if I am so sick that I need inpatient treatment, do I want to be concerned with my hair and make-up while I talk about how I want to die and how much I hate myself? I don't think so. In addition, if I am severely ill with either anorexia and/or bulimia, my brain is not functioning properly. The malnourished brain is not logical, rational or capable of approving a camera crew and a reality show to take part in the treatment. If my parents, or another responsible party, OKs it on my behalf, how will I feel about this once I get well?

On the other hand, rehab is very expensive. The costs for a 30 day stay can run from $30,000 to $90,000 and up. Insurance may pay a small portion of this but generally insurance will only pay for a few days and after that you are on your own. Since not too many people who are suffering can afford this, I do think that they may benefit from seeing what does happen in treatment and may be able to apply it to themselves. However, treatment is not a one size fits all bag and you may see something on TV that is not right for you, individually, at all.

So, how do you feel about it? Let's talk.

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I hear Oprah is going to introduce a reality show about eating disorder rehab. We already have The Biggest Loser, and Intervention, both dealing with types of eating issues, but this will be a look ...
I hear Oprah is going to introduce a reality show about eating disorder rehab. We already have The Biggest Loser, and Intervention, both dealing with types of eating issues, but this will be a look ...
 
 
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HUFFPOST SUPER USER
mssreader
eat, read, sleep, read and be happy
03:42 PM on 05/05/2010
I think Michelle should have a serious talk with Oprah about her obesity! But then Oprah knows this and she must know it's back for her health especially as she's tried ever diet plan ever devised. To me it's difficult to even look at all the fat that Oprah is carrying and she's definitely not a role model for those who are conscious of their overweight situations. I don't think Oprah should be involved in interviewing people with or about obesity which is an eating disorder.
HUFFPOST SUPER USER
Sapientia
01:00 AM on 05/05/2010
I also don't think this is a good idea. Not only it will affect those in treatment who are in the show, but also people watching them. Eating disordered people usually don't want to get better (not because they don't want to lead a normal life, of course they do, but because they are extremely scared of being "fat"). Putting extremely skinny people on a TV will not make the eating disordered viewers want to recover; it would just be extremely triggering for them, not to mention those already recovered who are extremely vulnerable to relapse.

As people who have suffered from eating disorders would already know, it's scary what these disorders do to your thoughts. You will see a person on the verge of death from hunger and wish you looked like that and look up to them for inspiration. These disgusting thoughts take over you. This show will become a source of "tips" and "thinspiration" for those with an eating disorder, no matter how much they try to deglamourize it.

On the other hand, I can see how it would be good for eating disorder awareness. However, I think that can be done in other ways than doing it through filming people who are struggling with low, if not nonexistent, self-esteem and extreme self-consciousness for a show on mainstream TV involving celebrities.
HUFFPOST SUPER USER
healthy blogging
10:33 PM on 05/04/2010
Personally I do not think that this is a good idea. A person for whom conscious awareness maybe severely compromised, it will be very difficult for them to weigh the pros and cons of appearing on a reality show where their problems are on display for millions to see. The media is always looking for ratings so despite the possible educational merit of a TV show about inpatient rehabilitation, intrinsically there will be sensationalism of the patients' problems to satisfy the desire for entertainment which the majority of the viewing public will demand.

-healthy_blogging

Published daily, "Living Fit, Healthy and Happy" is a family-friendly health and wellness resource website with articles on fitness, anti-aging, obesity, diabetes, eating disorders, cardiovascular and respiratory health, mental illness and many other health related issues. There's always something for you at "Living Fit, Healthy and Happy".

http://www.livingfithealthyandhappy.com
09:41 PM on 05/04/2010
Bulimics and anorexics will learn new tricks...susceptible people will discover it...it's a slippery slope. Very tricky.
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warriorwoman73
06:24 PM on 05/04/2010
Reality shows are basically scripted drivel that glamorize whatever their subject matter is. Having said that, how anyone can think reality shows about eating disorders are a good idea is truly beyond me.

We would all be better off if reality shows were disposed with altogether.
05:07 PM on 05/04/2010
As someone who's gone through residential treatment for an ED, I can tell you that I would NOT have wanted cameras documenting my every move, behavior, disordered thought process, what have you. Being in treatment is hard enough without having to deal with people following you around and filming you constantly. If someone had been filming me throughout my treatment process, I know that I would have been much more stressed out, not to mention that I would feel that my privacy had been quite invaded. Eating disorders are ugly things -- why do we want to film every nitty gritty detail of them? I don't understand it.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
06:20 PM on 05/04/2010
I totally agree with you puichra. I hope you are better!
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KellyRyan
A micro-bio for one who has none.
03:29 PM on 05/04/2010
I have a problem with this for two reasons. Frist, is the lack of privacy when one is dealing with deep psychological issues. A sense of intimacy, respect and privacy is, I believe, a necessity.

Second, the various reality programs are scripted or staged and this gives both an inaccurate perception to a viewing public and is also not healthy for the participants.

For those who've commented on this best be left as a documentary, I agree.
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HUFFPOST BLOGGER
Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
06:21 PM on 05/04/2010
Yes, I agree. You would think Oprah would have the means, and the smarts, to do an excellent documentary on the subject if her goal is to educate the public.
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KellyRyan
A micro-bio for one who has none.
09:03 PM on 05/04/2010
"If her goal is to educate the public." It isn't Oprah's business model. Oprah's model is based on ratings.

And for those of us who enjoy an occasional protest, and good information, we'll rely on Stanton Peele, Andrew Weil, Dr.Keith Ablow, Charlotte Kasl, Anne Fletcher, and Dr. Charles Whitfield.
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Ljilja
http://graciouslivingdaybyday.com/
12:17 PM on 05/04/2010
Are we going to have reality shows about cancer treatments soon?

Eating disorder is a disease. People who suffer should not be exploited and this is not entertainment. All the boundaries seem to be breaking in our society.

http://graciouslivingdaybyday.com/
10:30 AM on 05/04/2010
I have a problem with that "hoarders" show on TV as well - it's a mental illness that is being exploited for entertainment. Although, in that case, there isn't so much of a life-threatening illness being followed. I really think we're going down the wrong path with these shows.
12:27 AM on 05/04/2010
I think its all awful but people are voyeurs. The biggest loser turns my stomach.

http://www.heavy2healthy.com
no spam just my weight loss journey.
10:35 PM on 05/03/2010
No, people suffering from eating disorders should not be turned into fodder for the entertainment industry. I'm a psychotherapist in Los Angeles specializing in eating disorder recovery for adult women. I get at least two calls a week from producers or their lackeys asking me help them find people with eating disorders for their shows.

They also ask me to talk to my patients and encourage them to be on such shows. Confidentiality, respect for the healing experience, honor to the individual's process goes out the window in search of ratings based on voyeuristic interests.

If I sound angry, I am. People who strive for eating disorder recovery are courageous, dedicated people committed to doing the deep and personal work necessary to free themselves from their eating disorder and step into a healthy and more fulfilling life. If they want to write about it later, fine. That could be encouraging to others. But to film it while it's in process is like digging up a seed periodically to see how it's doing. The growth experience is distorted or stopped.

I see such shows as going for ratings and turning recovery work into a circus - not giving consideration to the people who are serious about getting well.

Joanna Poppink, MFT
http://www.eatingdisorderrecovery.com
http://www.twitter.com/joannapoppink
12:17 PM on 05/04/2010
Agree with you 100%. Having gone through the hell of dealing with a loved one that suffers from Anorexia a show like this could be deadly for many young women. It is difficult enough to stop them form visiting internet sites that encourage them. People do not understand the mental illness that this is and for any subject person to be "made up" with make up and paraded in front of a camera crew can actually contribute to the disorder and make true healing very difficult. Ironically, my teenager was hospitalized many times and while in the hospital she and her co-patients could not get enough of "The Biggest Loser". This illness does need to be exposed and people need to be educated about it but the format for this proposed program does not seem to have considered the impact and well being on its subjects over salacious audience interest.
06:54 PM on 05/03/2010
I read it and I say it is a bad idea. Most treatment centers use behavior modification as part of the treatment and for me that never worked (I was in 3). I’m a food addict and must abstain from certain foods and also quantities. My concern is that they are going to only show one side of treatment and parents of these kids are going think that it is the only way, so if for instance the patient was introduced to a abstinent eating plan might think this is not necessary. There are food abusers (they can recover with behavior changes) and there are food addicts (and we must abstain from certain foods). I also don’t like the biggest loser. Their show is not reality. People can’t spend the time they do with working out, so when they go home, most eventually regain it. I for one do not like treatment centers on TV, but I do wish there were better treatment centers out there. Too many people are dying of this disease and I was almost one of them.

Jeanie Smith (one of the 5 speakers in Seattle Food Addiction Summit last April, 2009)
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
07:17 PM on 05/03/2010
Thank you Jeanie! Great to hear from someone who has been there.
06:36 PM on 05/03/2010
Anything that can help someone recover should be considered. Some people thrive on attention, visibility, being in the spotlight. I believe there is as much room for a reality show on eating disorders as there is for any of the numerous, endless, irredeemable parade of human frailty they call entertainment nowadays.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
07:18 PM on 05/03/2010
Thank you for weighing in WhiteRabbitGrins.
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Skye
05:37 PM on 05/03/2010
Nope....no way should eating disorder rehab be part of reality show.. Nor should any disorder including drug and alcohol abuse rehab but I think that ship has already. What's next for reality TV....people going through chemo? Eating disorders are serious and the people suffering from them don't need to be thrown in front of a camera so the world can watch and judge their progress in treatment. What on earth is Oprah thinking.....their disorders are not for our entertainment.

On the other hand I have no problem with some of the documentaries that have come out on eating disorders . They don't exploit their subjects in the same way reality shows do.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
07:19 PM on 05/03/2010
Skye you make a great point about the difference in educating the public with say a well researched documentary vs. reality show "entertainment". I agree completely!
05:31 PM on 05/03/2010
When I was 13, the inpatient unit I was being treated in was frequently visited by the media. This was before anorexia and bulimia were as familiar as they are now; and, as a child, this attention gave me some really mixed messages and glamourised the condition.

It has taken me another 15 years to recover and, whilst there were many factors in play, I am distinctly uncomfortable with the idea of cameras filming treatment, particularly of younger people; and I would also feel wary of watching this kind of programme now in case it re-triggered my illness.

I appreciate that raising awareness is key and that it might help people to recover should they realise how difficult inpatient treatment is - but I think there are other ways of doing this that might be equally effective and less risky for those involved.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
07:20 PM on 05/03/2010
Thank you FindingMelissa. I'm so happy you have recovered and that you took the time to comment here. Someone who has been there is in a much better position to know, than someone who has not. Best to you!
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09:18 PM on 05/03/2010
These days, anyone who is filmed has to sign a release. And you can decide what TV shows to watch.

Better now, or still invested in being a victim?
11:48 AM on 05/04/2010
Exactly! I'm sorry while some may not be comfortable with the concept of having people with eating disorders video taped, these same people are willingly signing release forms and volunteering to let the public view their journey. Is this any different than blogging, which puts a persons personal struggles in a public venue? I'm also on the road to eating healthy and losing weight, and I have to say that I don't mind putting myself out there because it may help others who are going through the same things, fights, or struggles. Maybe the people signing the release forms feel the same way.

Either way, they are making a conscious decision to put their eating struggles out there for the world to see.