{"title":"Pup Philms for Nutritional Counseling","authors":"Phillip Joy, Olivia Bonardi, Kinda Wassef, Olivier Ferlatte","doi":"10.32920/jcd.v7i2.1962","DOIUrl":"https://doi.org/10.32920/jcd.v7i2.1962","url":null,"abstract":"The aim of this research was to explore body image and well-being within the pup community for gay, bisexual, trans, and queer (GBTQ) men in Canada. Data was collected through cellphilming methods (production of short films by participants using their cellphones) and workshops from seventeen self-identifying GBTQ pups. Transcripts were analyzed through discourse analysis. Three discursive considerations were noted: 1) (re)defining sexual bodies, 2) wearing the pup hood, and 3) rejecting gender and gender norms. Implications for nutritional counselors working in the areas of body image are discussed.","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":" 731","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Queering as Process","authors":"Lucy Aphramor","doi":"10.32920/jcd.v7i2.1964","DOIUrl":"https://doi.org/10.32920/jcd.v7i2.1964","url":null,"abstract":"This article is a composite narrative case study exploring my experience of facilitating workshops around food and eating with participants who have a conflicted relationship with food or are confused by nutrition messages. Many of the workshops have been with queer, especially trans and gender-expansive, participants. I use a Freirean, interactive, story-based teaching style that I call ‘kitchen table pedagogy’.\u0000 \u0000An aim is to investigate any role that thinking beyond the binary - or queering as process - may have in helping us relate to food and our bodies in new ways that are more conducive to personal flourishing as entangled with collective liberation and hence climate justice. I illustrate how a liberatory pedagogy and queer praxis address the root of oppression by considering the provocation “How does public health nutrition perpetuate a racist, capitalist cisheteropatriarchal world view as normal, desirable, inevitable and how can queer(ing) food narratives interrupt this drive and replace it with something liberatory and life-affirming?”","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":" May","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141823718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Bombak, Lee Turner, Lisa Thomson, Kathleen O'Keefe, Norma Chinho, Courtney Burk, Sumaiya Akhter
{"title":"“You're Just Too Much”","authors":"Andrea Bombak, Lee Turner, Lisa Thomson, Kathleen O'Keefe, Norma Chinho, Courtney Burk, Sumaiya Akhter","doi":"10.32920/jcd.v7i2.1922","DOIUrl":"https://doi.org/10.32920/jcd.v7i2.1922","url":null,"abstract":"Both higher-weight individuals and sexual and gender minorities report experiences of stigma in healthcare and everyday life. However, little is known about how these stigmas may interact in individuals who identify as both a sexual and/or gender minority and as currently or formerly higher weight. This study reports on the findings of a micro-ethnography, which incorporated two interviews at 2-to-3-month intervals and participant observation, exploring the intersectional experiences of higher-weight sexual and gender minority adults (≥ 18 years of age) (n=12) in a Canadian Atlantic province. Given reported heteronormativity and weight-stigmatizing attitudes within dietetics, findings are highly relevant to dietitians. Participants described weight-centrism, microaggressions, and prejudice in healthcare, revealed a strong relational sense of identity and self, and recognized the need for advocacy. Ultimately, a radical ontological shift in dietetics may be necessary to eliminate the sense of exclusion that diverse, higher-weight individuals experience in healthcare settings.","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":"106 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141821657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jake Sallaway-Costello, Dorothy Balhatchet, Jane Musson
{"title":"Training Dietitians to Champion LGBTQ+ Health","authors":"Jake Sallaway-Costello, Dorothy Balhatchet, Jane Musson","doi":"10.32920/jcd.v7i2.1994","DOIUrl":"https://doi.org/10.32920/jcd.v7i2.1994","url":null,"abstract":"Health inequalities experienced by LGBTQ+ people motivate a call for the queering of dietetics, through an embodiment of queer pedagogies in dietetic training. A critical review of LGBTQ+ inclusion strategies identified a paucity of focused pedagogic research, limiting the queering of dietetic training programs. This study appraised such teaching practices in the UK through a positive focus on “what works?”. An interview study was undertaken with 14 participants who were dietitians, dietetics lecturers, or current dietetics students, all identifying as LGBTQ+ people. Semi-structured interviews generated qualitative data on LGBTQ+ journeys through dietetic training and into practice. An appreciative inquiry approach was used to develop a solutions-focused template analysis to appraise innovative, imagined, and inspired practices in the queering of dietetic training in the UK. Thematic outputs were informed by appreciative inquiry’s positive modalities of change, illustrating diverse perspectives on the definition of cis-heteronormativity in dietetics, and the discovery, dreaming, design, and deployment of queering practices to support their disruption. The analysis generated complex multi-stakeholder actions to bring about the queering of dietetic training, and appraising current educational practices in universities, clinical placement, and other learning environments. The study revealed opportunities for the queering of dietetic training, exposing spaces of educational queering far beyond the classroom. For the queering of dietetic training, we present recommendations concerning the development of LGBTQ+ inclusive curricula, teaching practices, and wider professional strategy through the dietetics governing bodies. Further studies should expand appreciative exploration of the queering of dietetic training to allies and LGBTQ+ patients.","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141822704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pain and Progress","authors":"Eric Ng, M. Wellington, Nadia Pabani","doi":"10.32920/jcd.v7i1.1860","DOIUrl":"https://doi.org/10.32920/jcd.v7i1.1860","url":null,"abstract":"","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":"27 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140753198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revalidation of the Client Perceptions of Nutrition Counselling (CPNC) Instrument","authors":"Catherine Morley, Kathleen MacDonald","doi":"10.32920/jcd.v7i1.1720","DOIUrl":"https://doi.org/10.32920/jcd.v7i1.1720","url":null,"abstract":"The purpose of this project was to reassess the utility and content validity of the Client Perceptions of Nutrition Counselling (CPNC) instrument, originally developed in the early 1990s as a valid and reliable means to evaluate the effectiveness of nutrition counselling from the perspectives of those who consulted with a dietitian in an ambulatory care setting, while in hospital, or at a clinic. Outcomes assessed using the CPNC include trust in the dietitian per the Value of Nutrition Education conceptual framework (Hauchecorne et al., 1994), perceptions of and confidence in one’s ability to manage one’s health condition through diet, and comprehension of nutrition advice. These measures contrast with traditional outcome measures of weight and body composition, laboratory findings, clinical status, and dietary intake. A three-step progressive development design was used to assess and update the instrument: 1) a literature and report review; 2) an advisory panel (AP) consultation; and 3) based on Step 2, instrument revision if required. Findings from the literature review were that a more recent instrument based on user reflections on their nutrition counselling experiences was not available. The AP determined the CPNC remained relevant and updated the instrument. The revised CPNP 2.0 instrument is included in the article. Use of the CPNC 2.0 instrument makes it possible for people who have consulted with a dietitian to report on their perceptions of the service, and on personal outcomes related to using the service. These findings have implications at the unit/departmental level; dietitians and managers can consider how they might modify their services (for example, timing of consultations, virtual meetings rather than face to face, or integrating food skilling/culinary therapy into programs) to address service users’ needs and preferences. Findings can be used to advocate for nutrition counselling services to administrators, foundations, boards, health ministries, and others. Individually, and as a group, findings can inform dietitians’ decisions about professional development needs.","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":"260 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140754220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"That’s Not Me","authors":"M. Miles, Megan Whelan","doi":"10.32920/jcd.v7i1.1847","DOIUrl":"https://doi.org/10.32920/jcd.v7i1.1847","url":null,"abstract":"This qualitative case study explored young Black and Latina women’s perceptions of the dietetics major and profession. We sought to examine young Latina and Black women’s motivations and reasons why they did not choose the dietetics major and profession after exposure to the major and profession. This research as a qualitative case study was part of a larger two-year project within a health profession opportunity program at a small, private college located in an urban area in the northeastern United States. This study explored the interviews of six young Latina and Black women who decided not to enter the dietetics major. Results connect the stereotypical image of the dietitian and the beliefs around perceived requirements for a dietitian’s effectiveness in practice, the importance of role modeling for patient success, and its impact on underrepresented women of color. Recruitment and retention of underrepresented populations are discussed.\u0000 ","PeriodicalId":486847,"journal":{"name":"Journal of critical dietetics","volume":"47 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140755270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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