Positive Embodiment Research Articles

Efficacy of the Eat Breathe Thrive Recovery Protocol Delivered Virtually to Adults Recovering From Eating Disorders: A Randomized Controlled Trial.

Current treatments for eating disorders have limited effectiveness, leaving over half of patients unremitted. The evaluation of emerging interventions to support recovery is therefore critical. This study evaluated the efficacy and acceptability of an innovative, virtual intervention for eating disorders (Eat Breathe Thrive; EBT-R). Participants recovering from eating disorders from 27 different countries (N = 277) were randomly allocated to EBT-R or waitlist conditions. Assessments were completed at baseline, postintervention, and three-month follow-up. Primary outcomes were eating disorders and co-occurring psychopathology; secondary outcomes included measures of positive embodiment. Compared with controls, participants in EBT-R demonstrated significant improvements in eating disorders and associated psychopathology (i.e., depression, anxiety) than controls. Participants also reported increased appreciation for the body, interoception, interoceptive attunement, intuitive eating, emotion regulation, mindful self-care, and integrity. This study evaluated the efficacy of a brief, virtual, embodiment-focused intervention for eating disorders. The findings suggest that EBT-R may be an effective intervention to support recovery from eating disorders and development of positive embodiment.

A retrospective study of sexual minority women’s gendered sexuality: Butch and femme sex at the turn of the 21st century

This study is a retrospective examination of how sexual minority women have experienced their sexuality. The analysis examined a national archival dataset that was collected online in the US and Canada to examine the relationship between gender and sexuality in 1084 sexual minority women in 2003, with a focus on butch and femme identities. It provided an understanding of how gender and sexuality interacted at the turn of the last century when the gender identity landscape differed from that of today. While this study collected data from butch and femme women approximately 20-years ago, the results have implications for how we develop situated understandings of the relationship between gender and sexuality. Findings indicated gendered patterns in sexual preferences and attraction that can shed light on how gender and sexuality have evolved in connection. At the same time, there were no differences in sexual satisfaction, which suggests that the enactment of gendered sexuality (in which attraction is structured by a gender dynamic) was experienced as empowering rather than oppressive. We examine our findings in relation to current scholarship on gendered sexuality to consider how sexuality is constructed and reconstructed across time. The findings support a view of gendered sexuality as a source of pleasure, affirmation, and positive embodiment. We theorize gendered sexuality as functioning to enhance experiences of authenticity and resist heteronormativity. The study holds implications for research on the interaction of gender and sexuality.

A Retrospective Study of Sexual Minority Women’s Gendered Sexuality: Butch and Femme Sex at the Turn of the 21st Century

This study is a retrospective examination of how sexual minority women have experienced their sexuality. The analysis examined a national archival dataset that was collected online in the US and Canada to examine the relationship between gender and sexuality in 1084 sexual minority women in 2003, with a focus on butch and femme identities. It provided an understanding of how gender and sexuality interacted at the turn of the last century when the gender identity landscape differed from that of today. While this study collected data from butch and femme women approximately 20-years ago, the results have implications for how we develop situated understandings of the relationship between gender and sexuality. Findings indicated gendered patterns in sexual preferences and attraction that can shed light on how gender and sexuality have evolved in connection. At the same time, there were no differences in sexual satisfaction, which suggests that the enactment of gendered sexuality (in which attraction is structured by a gender dynamic) was experienced as empowering rather than oppressive. We examine our findings in relation to current scholarship on gendered sexuality to consider how sexuality is constructed and reconstructed across time. The findings support a view of gendered sexuality as a source of pleasure, affirmation, and positive embodiment. We theorize gendered sexuality as functioning to enhance experiences of authenticity and resist heteronormativity. The study holds implications for research on the interaction of gender and sexuality.

“Abhi Toh Main Jawan Hoon” (For I am forever young): Reflections on the agentic cinematic presence of Zohra Sehgal in British Indian films

ABSTRACT Representations of older women in film and media have reiterated the negative stereotypes of age-induced incapacitation and loss of voice and agency. However, actor Zohra Sehgal, hailed as the “grand old lady of Bollywood”, re-engages with the normative construct of the passive/submissive screen characterization of an older female. Sehgal’s remarkable performances in The Jewel in the Crown (1984), Bhaji on the Beach (1993), and Bend It Like Beckham (2002) highlight the silenced realities of older women within the diasporic space in terms of desire, autonomy, and choice. In British cinema, where the subjectivities of South Asian older individuals (particularly women) were seldom acknowledged, Sehgal’s on-screen presence challenged and overturned marginalization based on age and ethnicity. Through the paradigm of active/successful ageing, this article argues that the politics of gendered representation and ageing have been recontextualized in British Indian diasporic films to reflect on a positive embodiment of Indian older women.

A controlled trial assessing the acceptability and efficacy of a yoga-based eating disorder prevention program among division I athletes: Eat Breathe Thrive (EBT)

ABSTRACT Objective This study evaluated the acceptability and effectiveness of the Eat Breathe Thrive (EBT) program as an eating disorder prevention intervention among women collegiate athletes. Method Change over time in eating disorder risk and competencies of positive embodiment were examined in 94 women (n = 48 EBT participants and n = 46 matched-controls) from one National Collegiate Athletic Association (NCAA) Division I-classified university in the United States. Eating disorder risk factors were measured using the Eating Disorder Examination Questionnaire (EDE-Q) and State Trait Anxiety Inventory (STAI). Aspects of positive embodiment were measured using the Multidimensional Assessment of Interoceptive Awareness (MAIA) and The Mindful Self-Care Scale (MSCS). Data were collected through participants’ completion of online surveys across three time-points. Results Repeated measures ANOVAS revealed EBT participants reported experiencing significantly less state anxiety and greater interoceptive body trusting over time relative to matched-controls. No other significant interactions were found. Respondents found the EBT program acceptable. Discussion Acceptability and partial support for integrative, yoga-based, interventions targeting Division I student-athletes is indicated.

The Impact of Childhood Parenting Styles on Feelings of Embodiment in Adolescence

This research project aims to better understand the relationship between parenting styles and feelings of embodiment. Embodiment is defined as a perceived sense of ownership and awareness that individuals have over their own bodies, and healthy embodiment is believed to positively impact psychological functioning in children. The parenting styles examined within this study were Baumrind’s original three parenting styles: authoritative, authoritarian, and permissive. These parenting styles are based on two dimensions: control and warmth. Authoritative parenting has been found to encourage independence while maintaining a supportive environment. For this reason, there is a lot of research that supports authoritative parenting in young children. Undergraduate participants were asked to complete a modified version of the Parental Authority Questionnaire and the Body Consciousness Questionnaire. Participants were then shown three parent-child interactions related to sleep, food, and bathroom, as well as two potential parent responses to these interactions. Participants were asked to rate the level of autonomy and warmth each of these potential parent responses conveyed, as well as which response they preferred, which response they believed that their parents would have chosen, and which response they would choose if they were the parent. Due to the empirical research supporting the benefits of authoritative parenting in many aspects of psychological functioning, we predicted a correlation would exist between authoritative parenting and positive embodiment. However, there was no significant correlation found between these variables. A new significant relationship between authoritarian parenting and public body consciousness was found. Further research on this relationship is suggested, as well as the development of a better scale for measuring healthy embodiment.

“I tried to appreciate it in a different way”: Older lesbian, bisexual, and queer women’s body image and embodiment across the life course

We examined the life histories of older lesbian, bisexual, and queer women, focusing on the stories they told about their bodies and sexuality from early to later life. Guided by a narrative constructionist approach, a series of two life history interviews were conducted with 17 lesbian, bisexual, and queer women aged 65–86. Two themes were constructed through a narrative thematic analysis: Queering the Corset: Negotiating Gender Expression and (Aspirational) Aging Body Acceptance. Participants experienced body-related freedom through ‘tomboy’ expressions of physicality as children. This body autonomy was constrained in adolescence and adulthood due to heterosexist messages surrounding idealized femininity relayed by family and (heterosexual) men, which disrupted self-care yet catalyzed attuned, queer desire and positive embodiment. Women worked to accept their bodies as they aged; they experienced some body dissatisfaction in relation to age-related body changes, yet gratitude and pride in their older queer identities. The findings highlight concurrent positive and negative body image, and breadth of body-related experiences ranging from attunement and agency to discomfort and disruption throughout the life course. This work contributes to body image and embodiment research by moving beyond dominant (youthful) heteronormative perspectives by illuminating how ageism and heterosexism can shape body-related experiences.

Experiences of embodiment during pregnancy and the postpartum period: A qualitative study

Pregnancy and the postpartum period have been identified as times when women experience important changes in their physical bodies. Yet, little is known about the ways in which these experiences may be related to positive embodiment, or in contrast experienced as restricting and objectifying. Thus, the aim of this study was to qualitatively examine the way in which women experienced embodiment during the course of pregnancy and the postpartum period. Twenty women, mean age (SD)= 31.85, (2.3) years, 95 % White, participated in individual interviews and completed online surveys. Findings revealed that women described experiencing both aspects of positive embodiment including body connection and comfort, agency and functionality, attuned self-care, connection to appetite, and inhabiting the body as a subjective site. Findings also revealed negative aspects including body disconnection and discomfort, disrupted functionality, challenged self-care, appetite suppression, and the body as a public and objectified site. Findings highlight the potential for the pregnancy and postpartum periods to be important times for positive embodiment in women, and a source of appreciation of the body and its functionality. However, social pressures may also constrain embodiment during this period. These findings have implications for identifying pathways to positive embodiment in pregnancy and postpartum.

Sexual self-concept, functioning, and practices of women with binge eating episodes

PurposePositive sexuality has received little empirical attention in relation to eating disorders. Two tendencies related to sexuality have been identified among women with anorexia nervosa (avoidance) and bulimia nervosa (disinhibition), but it is unclear if they also apply to women with binge eating episodes without compensatory behaviors. This study aimed at (1) exploring the sexual self-concept, functioning, and practices of women with binge eating episodes with or without comorbid restrictive and/or compensatory behaviors, considering past experiences of violence, and (2) verifying the presence of distinct profiles of sexual dispositions among this population.MethodsIn total, 253 women reporting recurrent episodes of loss of control related to food intake in the past 5 years, completed a web-based questionnaire. Descriptive and correlational analyses were conducted to outline participants’ sexual self-concept, functioning, and practices and to examine the relationship between these factors. A two-step cluster analysis was also performed to determine whether participants presented distinct profiles of sexual dispositions.ResultsParticipants were generally characterized by a negative sexual self-concept and poor sexual functioning. While a first subgroup of participants displayed a pattern of sexual difficulties and avoidance, a second subgroup had a positive sexual self-concept, better sexual functioning and a wider range of sexual practices. Subgroups did not differ relative to binge eating.ConclusionsSexuality offers a platform for positive embodiment, which can lead to the improvement of body image and mind–body connection and may thus constitute an essential clinical target to improve treatment related to binge eating episodes.Level of evidence: Level II: The experimental study is a non-randomized controlled trial.

Caring for myself while I’m growing somebody else: Mindful self-care buffers between pregnancy body disconnection and distress

Pregnancy embodiment describes the way a pregnant individual inhabits their body, including disconnection and connection, likely influencing both distress and well-being. Emerging work indicates that acceptance of pregnancy-related bodily change may support well-being, particularly when co-occurring with self-care behaviors. Yet, specific associations of pregnant embodiment and intentional, individualized self-care practices (mindful self-care; MSC) with well-being and distress remain unexamined. The present study tested independent and interactive associations between MSC and positive embodiment (body agency), and negative embodiment (body estrangement), respectively, with maternal distress and well-being in a sample of US pregnant women (N = 179; Mage = 31.3 years, aged 21–43; 85.6 % White, 4.9 % Hispanic/Latinx). Challenge and threat/harm appraisals of the COVID-19 pandemic were included in the model to represent responses to the unique sociohistorical context. Measurement-corrected path analytic models explained a substantial proportion of variation in well-being and a smaller proportion in prenatal distress. Among those with higher MSC, the association between body estrangement and prenatal distress was weaker. Results support mindful self-care as protective for pregnancy distress in the setting of body disconnection. Future individualized health promotion might consider how high-stress contexts influence application of self-care practices and impact distress and well-being during pregnancy.

Efficacy of Eat Breathe Thrive: A randomized controlled trial of a yoga-based program

Evidence positions yoga as a promising intervention for enhancing positive embodiment and supporting the prevention of, and recovery from, eating disorders (EDs) by reducing ED symptomatology and building skills that facilitate an ongoing, embodied sense of wellbeing. However, yoga-based programs are few and rigorous literature on their efficacy is limited. This study examined the efficacy and feasibility of a yoga-based program called Eat Breathe Thrive (EBT) which aims to prevent EDs and support embodiment. Participants (N = 168, 93.5 % women) from a community sample in the United States and United Kingdom, ages 18–65, were randomly allocated to a 2-h, 7-week EBT program or waitlist-control condition. Compared to controls, EBT participants experienced significant decreases in ED behaviors, depression, and difficulties regulating emotions. They reported significantly greater use of mindfulness skills, such as interoceptive awareness, mindful self-care, and mindful eating. After a single session, participants reported immediate improvement in their sense of well-being, indicating increased state positive embodiment. Most effects were sustained at 6-month follow-up. The majority of individuals attended most sessions. Self-reported treatment integrity was excellent. Directions for future research are proposed. Results support the efficacy and feasibility of an integrated yoga intervention that fosters positive ways of inhabiting the body.

Associations between Self-Objectification and Lifestyle Habits in a Large Sample of Adolescents.

The aim of the present study was to test associations between self-objectification and health-related lifestyle habits in a large sample of adolescents. In 2019–2020, a large sample of adolescents (n = 1402, 40.4% boys) participated in the survey and, as a part of a larger study, filled in questionnaires on self-objectification and lifestyle. Self-objectification was assessed using the Self-Objectification Questionnaire (SOQ). The lifestyle questionnaire had three batteries: eating attitudes and behaviors, dietary habits, and questions on harmful behaviors together with time spending patterns: sedentary lifestyle and physical activity. The ages ranged from 15–19 years with a mean age of 16.97 ± 0.46 years. Self-objectification (SO) was associated with a less healthy lifestyle: more frequent dieting and unhealthy eating habits in girls, skipping breakfast, and a lower number of meals per day. Adolescent boys and girls with higher SO demonstrated more frequent smoking and alcohol consumption until they felt dizzy and more frequent consumption of soft drinks, energy drinks, and fast foods. Girls with higher SO demonstrated lower perceived physical activity and longer duration of internet browsing for non-educational purposes. The results of the present study inform healthy lifestyle promotion programs for adolescents, suggesting that including psychoeducation about self-objectification, body functionality, and positive embodiment might be an effective strategy.

Positive embodiment for wellbeing researchers and practitioners: A narrative review of emerging constructs, measurement tools, implications, and future directions

Positive embodiment has emerged from the eating disorder field as a psychological construct describing positive experiences of inhabiting the body. As a positive construct associated with wellbeing, new theories, models, and measures may be of interest to researchers and practitioners in the field of positive psychology. No review to date has presented the literature on positive embodiment to this audience. This interdisciplinary inquiry highlights a shared interest in the promotion of wellbeing and the building of protective resources bridging positive psychology and disordered eating prevention. A systematic literature search of six databases was performed (APA PsychINFO, Science Direct, Scopus, CINAHL, Academic Search Complete, and SportDiscus) and empirical research is presented with attention paid to wellbeing concepts and opportunities for further research. This literature search located two measurement tools that operationalize positive embodiment which are explored along with their conceptual roots and underlying theories. This review incorporates quantitative and qualitative studies, and explores concepts across identified studies. Positive embodiment offers further understanding of the role of the body in wellbeing and nuance to the interconnections of concepts frequently viewed as separate, such as eating and exercise behaviour, agency and empowerment, self-concept and body image. Implications for integration in current positive psychology interventions are discussed, along with limitations of current knowledge and future research potential. As a narrative review, the subjective nature of inquiry is acknowledged and this project humbly intends to provide a landscape perspective of an emergent topic area in order to inform future research, practice, and policy possibilities. In conclusion, while research on positive embodiment is still emerging and more research is necessary to generalize, connections to wellbeing have been found, new measurement tools provide opportunities for further study, and practitioners may gain a greater appreciation for the role of the body in wellbeing.

Yoga at Every Size: A Preliminary Evaluation of a Brief Online Size-Inclusive Yoga and Body Gratitude Journaling Intervention to Enhance Positive Embodiment in Higher Weight College Women.

The present pilot randomized controlled trial (RCT) evaluated the feasibility, acceptability, and preliminary efficacy of a 4-week online yoga and body gratitude journaling intervention for strengthening positive embodiment among racially-diverse higher weight college women. Seventy-five participants were initially randomized to either the yoga condition (n = 36) or to a wait-list control (n = 39). Participants completed measures of positive and negative body image, weight bias internalization, self-compassion, drive for leanness, and physical activity acceptance at both baseline and post. Preliminary results among the 42 analyzed completers (mean age = 20.9, SD = 2.4; 30% Black or African American) revealed acceptable feasibility given the low-intensity nature of the intervention reflected in a 36% attrition rate. Self-reported adherence was strong for the yoga component with 81% of participants indicating that they practiced with the videos ≥3–4 times per week as suggested. Although 71% reported completing the body gratitude journal ≥1–2 times per week, daily adherence was minimal. Acceptability was also high among participants randomized to the yoga condition as indicated by 86% expressing at least moderate levels of satisfaction with the overall program. Qualitative feedback from participants further supported the acceptability of the program and pointed to important areas in further refining the protocol in the future. Preliminary efficacy was supported by significant reductions in internal body shame and gains in body appreciation, functional body appreciation, functional body satisfaction, functional body awareness, and behavioral commitment to physical activity engagement among the yoga vs. wait-list control participants. These promising findings once replicated in larger, higher-powered trials may have important implications for extending the reach and accessibility of mind-body wellness practices like yoga to benefit racially-/ethnically-diverse college women of higher weight. This research is further responsive to the growing need for efficacious remotely-delivered, and scalable behavioral health interventions in the ongoing era of the COVID-19 pandemic. However, additional research is warranted to explore ways of enhancing engagement of participants with lower levels of positive embodiment and to further incentivize the journaling component of the intervention.

Feasibility and Acceptability of a Guided Self-Help, Text-Messaging Intervention to Promote Positive Body Image of Emerging Adult Women.

The predominant approach of existing eating disorder prevention programs targets risk factors for development; furthermore, burgeoning evidence suggests that promotion of protective factors against eating disorders (e.g., positive body image) is also a worthy avenue for prevention efforts. The present study considered existing literature gaps in the design of an 8-week guided self-help intervention meant to address the risk for disordered eating through the improvement of positive body image and enhancement of current adaptive functioning. The intervention incorporated elements of weight-inclusive health promotion (e.g., Health at Every Size; HAES) alongside positive psychology and third-wave behavioral interventions [e.g., self-compassion, mindful eating, Acceptance and Commitment Therapy (ACT)] to promote engagement in mindful-self-care. This mixed-methods study evaluated the feasibility and acceptability of the text-messaging based intervention in a diverse sample of cisgender college women (N = 30; 30% Black; 30% bisexual) at risk for disordered eating. Results indicated a high level of engagement and satisfaction with the intervention. Proof of concept was preliminarily supported by the observed significant changes in variables of interest (i.e., body appreciation, positive embodiment, mindful self-care, intuitive eating, self-compassion, disordered eating, and body image dissatisfaction) across the intervention. Overall, results of this study suggest that the use of a guided self-help program based in technology which seeks to reduce risk factors for disordered eating while also supporting adaptive functioning may be indicated for emerging adult women. This article will discuss how the present study provides the groundwork for continued development of innovative and remotely accessible interventions which promote positive body image.

Yoga at Every Size: A Preliminary Evaluation of a Brief Online Size-Inclusive Yoga and Body Gratitude Journaling Intervention to Enhance Positive Embodiment in Higher Weight College Women

Yoga at Every Size: A Preliminary Evaluation of a Brief Online Size-Inclusive Yoga and Body Gratitude Journaling Intervention to Enhance Positive Embodiment in Higher Weight College Women

Towards a Comprehensive Understanding of Body Image: Integrating Positive Body Image, Embodiment and Self-Compassion.

Body image (BI) disturbance is a relevant factor in the etiology and treatment of eating disorders (ED). Although progress has been made in recent decades in understanding BI and its relationship with ED, the efficacy of BI disturbance prevention and intervention programs is still limited. In order to reach deeper understanding of BI disturbance and clarify the interactions between some protective and risk factors related to this construct, we carried out a literature review on some specific BI-related factors that so far have been analyzed independently. We specifically examined positive and negative BI; embodiment and its role in the development of positive and negative BI; and self-compassion as a protective factor that promotes positive embodiment (vs. disembodiment) and protection against body shame. We conclude that integrating the available evidence on these factors into BI models may be used to enhance our understanding of BI and improve the efficacy of prevention and intervention programs to help fight negative BI (by reducing body shame and disembodiment) and promote positive BI (by increasing self-compassion and positive embodiment).

Disordered eating through the lens of positive psychology: The role of embodiment, self-esteem and identity coherence

Applying a positive psychology perspective, this study aimed to identify potential intra-individual factors that might protect against the development of disordered eating in a community sample of young women and men (N = 510; 56 % women; Mage = 24.3). Based on existing literature, the study included the general resilience factors of self-esteem and identity coherence as well as two dimensions of positive embodiment (positive body connection and comfort, and agency and functionality). All factors were negatively correlated with disordered eating among women and men. Hierarchical regression analyses indicated that positive embodiment, specifically positive body connection, was a significant predictor of lower degrees of disordered eating symptoms in both women and men, followed by self-esteem. The overall prediction model accounted for 42.6 % in the variation of disordered eating symptoms for women and 23.9 % for men. Prevention and treatment interventions promoting health factors that protect against the development of eating disorders are much needed. The present study informs such efforts by emphasizing the promotion of positive embodiment.

Updates in the treatment of eating disorders in 2020: a year in review in eating disorders: the journal of treatment & prevention

ABSTRACT Several important studies advancing treatment of eating disorders were published in Eating Disorders: The Journal of Treatment & Prevention in 2020. This review summarizes the recent contributions to the literature on the treatment of eating disorders, including dialectical behavior therapy, yoga for positive embodiment, and treatment innovations in children and adolescents with eating disorders. Dialectical behavior therapy can be effectively used in complex eating disorder presentations, such as with comorbid substance use disorder and with suicidal behavior, and can be adapted for culturally-responsive treatments for binge eating and for guided self-help. Yoga may promote positive embodiment, which is supported by conceptual frameworks, studies evaluating yoga treatment interventions, and systematic reviews. Advances in eating disorder treatment for children and youth include the development of the Emotional Eating Scale adapted for children and adolescents, a review of primary care interventions for eating disorder treatment, and siblings’ perspectives on eating disorder treatment. Research on novel methods including telementoring and innovative treatment modalities invoking feminism are promising areas of future research.

Outperforming iBodies: A Conceptual Framework Integrating Body Performance Self-Tracking Technologies with Body Image and Eating Concerns

Recently, the use of digital self-tracking devices has increased exponentially. Although these devices are positioned as health-tools, an emerging empirical literature has started to document relationships between the use of such technologies and body image and eating concerns. To date, however, these explorations have not been guided by an integrated theoretical framework. The present manuscript aimed to fill this gap by providing a framework to guide and stimulate this area of research. The proposed framework integrates elements of critical sociocultural theories that have been successful in accounting for the development and maintenance of body image and eating concerns and other body change behaviors, including theories of Biopower and those that highlight the role of objectification and self-surveillance, and it extends them to describe how self-tracking devices, and specifically body performance tracking tools, may contribute to pressures to monitor, discipline, and mold the body to unrealistic appearance ideals through the consumption of products and services. The framework focuses on how these processes promote the pursuit of an outperforming ibody, a perpetually optimizing body that leverages technological advancement to fine-tune its appearance and performance. In addition, the integrated framework describes the role of gender, and how women may be disproportionately vulnerable to their negative effects. Thus, such devices may be unhelpful to vulnerable individuals and perpetuate cultural discourses that hinder positive embodiment. The framework laid out here will hopefully contribute to stimulating research in this area.