Eating Disorders, Dopamine, Salience, & The Status Quo with Molly Robbins

Making It Awkward

Molly Robbins joins the show for a follow-up interview to Jessica's conversation with Dr. David Wiss, about his article, Dismantling the Myth of “All Foods Fit” in Eating Disorder Treatment.”

Molly Robbins is a researcher and clinician with lived experience having gone through treatment for atypical anorexia while in a larger body. Molly has questions about whether Dr. Wiss and his coauthors were truly dismantling myths in their article or reinforcing the norm of the eating disorder field. She also poses questions about whether dopamine means addiction, and asks what we mean when we discuss reward pathways and brain activation. To expand our ideas of these words and phrases regularly tossed about, Molly references research done in fMRI machines.

Today's episode airs thursday july 25th and I’ll take additional comments on both episodes through Friday July 26th.

Molly's articles:

Source #9- Retracted- https://onlinelibrary.wiley.com/doi/10.1155/2024/9792751

ADHD and food additives- Nigg et al, 2012https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4321798/

Those who strongly adhere to FODMAP for IBS are more likely to have EDs https://pubmed.ncbi.nlm.nih.gov/30543574/

Greater food variety (including UPFs) is associated with recovery- https://pubmed.ncbi.nlm.nih.gov/36951232/

Ayton and Ibrahim 2020- Paper that perfectly demonstrated providers and patients fears of weight gain... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682725/​

An article about dietary restraint and control- "Flexible control demonstrated substantial overlap and entanglement with rigid control, precluding the clarity, validity, and utility of flexible control as a construct"https://pubmed.ncbi.nlm.nih.gov/26162949/

Fear is a core component of EDs (AN, BN, BED, and OSFED) transdiagnosticaly. https://pubmed.ncbi.nlm.nih.gov/36782316/

Attempting to avoid hyperpalatable food is an eating disorder safety behavior- https://www.mdpi.com/2076-328X/13/7/574

Dietary energy density and diet variety predicts recoveryhttps://pubmed.ncbi.nlm.nih.gov/18400701/

Citation 118 (Hay et al., 2022) found that over 12 months about 80% of participants failed to achieve ≥5% weight loss.

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