Body Image: Deflect Criticism & Accept Compliments (cont.)

Larrian Gillespie, MD, a urologist/gynecologist who is the author of The Goddess Diet, says as a doctor, she sometimes has to comment or advise about weight and weight loss. But in her personal life, she doesn't do it.

"When someone tells someone they have 'such a pretty face,'" she says, "there is a subconscious tagline that the rest of you isn't so hot."

Gillespie advises dieters to respond to that patronizing chestnut with: "Thank you, so do you." That leaves the person nowhere to go with their next, supposedly constructive, comment.

Part of the problem, especially for women, is that we are so often judged by our physical attributes, Gillespie says: "How you look is hooked to your success."

There is also the implication that an overweight person is stupid: Can't they read that extra weight is unhealthy? There is no shortage in the media of what some overweight people call "U&D" articles -- for ugly and doomed.

Part of the problem is that people often don't understand complicated conditions like obesity.

Ruth Kava, PhD, RD, director of nutrition for the American Council on Science and Health in New York, says obesity may be a result of underlying genetic tendencies, thyroid problems, or even lack of exercise. But it's hard to exercise when you're heavy, so it's a cycle, she says.

"Others may never understand the struggle overweight people go through," says Catherine Vieira-Baker, PhD, a psychologist with the May Institute in Walpole, Mass., a behavioral health facility.

"This whole country has poor eating habits. People don't differentiate between those who are trying hard and those who aren't."

Some people, Gillespie says, venture to advise out of a sense of misguided caring. Her own daughter has a medical condition that caused her to gain weight. "She has to tell people to accept her as she is."

"Don't forget," she adds, "what people say comes from their own back story. Sometimes prejudice is a way of gaining superiority." Often these comments hide hostility or a desire for you to fail in your dieting efforts.

How to Respond

On the WebMD Weight Loss Clinic "Daily Journaling: Friends Talking" message board, Elizabeth0505 posts that whenever she eats anything "vaguely unhealthy," she gets the "I-know-why-she's-fat" look.


"Deal with judgmental people one person at a time. There isn't a formula."

Even if it was your only meal of the day, you could be eating a hamburger and have people throw looks!

"Consider the source," advises Viera-Baker. "Is this person someone you need to wrap up energy in? It depends on the nature of your relationship with the person. If you know this is a sincere person who cares about you, you may not take offense."

Diet4Me, on the "Daily Journaling" message board, says she deals with judgmental people one person at a time.

"There isn't a formula," she says. "Some people you have to ignore; they aren't worth your time. With other folks, you can turn the comment into a joke. Then there are those you have to slam with a barbed insult."