{"id":6639,"date":"2023-08-18T04:12:00","date_gmt":"2023-08-17T21:12:00","guid":{"rendered":"https:\/\/loudhdtv.com\/?p=6639"},"modified":"2023-08-18T04:12:00","modified_gmt":"2023-08-17T21:12:00","slug":"diet-culture-and-artificial-intelligence-dont-mesh","status":"publish","type":"post","link":"https:\/\/loudhdtv.com\/?p=6639","title":{"rendered":"Diet Culture and Artificial Intelligence Don&#8217;t Mesh"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-3711241968723425\"\r\n     crossorigin=\"anonymous\"><\/script><br \/>\n<\/p>\n<div>\n<div class=\"drop-cap text-big text-gray\"> <span class=\"drop-cap__first text-dropcap \">A<\/span>t the beginning of May, the National Eating Disorders Association (NEDA)\u2014which bills itself as the <a href=\"https:\/\/www.nationaleatingdisorders.org\/about-us\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.nationaleatingdisorders.org\/about-us\">biggest nonprofit<\/a> devoted to helping people with eating disorders\u2014debuted\u00a0Tessa, its new support chatbot. Tessa, which was developed by professors at Washington University School of Medicine and funded by the National Institute of Mental Health, was shown in a clinical trial to help women at high risk for eating disorders <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23662\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23662\">feel less concerned about their weight and shape<\/a> by teaching them coping skills based on cognitive behavioral therapy techniques. After over four years of development, experts had evidence-backed reason to believe the bot could be a <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2023\/05\/31\/1179244569\/national-eating-disorders-association-phases-out-human-helpline-pivots-to-chatbo\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.npr.org\/sections\/health-shots\/2023\/05\/31\/1179244569\/national-eating-disorders-association-phases-out-human-helpline-pivots-to-chatbo\">free, accessible alternative to eating disorder treatment<\/a>.<\/div>\n<p>But Tessa very quickly started to go off-script.<\/p>\n<hr\/>\n<div class=\"experts-in-article noskim py-[24px] px-[40px]\">\n<p>Experts In This Article<\/p>\n<ul class=\"!ml-[18px]\">\n<li> <a href=\"https:\/\/drconason.com\/about\/\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/drconason.com\/about\/\">Alexis Conason, PsyD,<\/a> <\/li>\n<li> <a href=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\" rel=\"noopener\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\">Amanda Raffoul, PhD<\/a>, <a href=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\">Amanda Raffoul, PhD<\/a>, is an instructor in pediatrics at Harvard Medical School and researcher at <a href=\"https:\/\/www.hsph.harvard.edu\/striped\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.hsph.harvard.edu\/striped\/\">Harvard STRIPED<\/a>, a public health incubator devoted to preventing eating disorders. <\/li>\n<li> <a href=\"https:\/\/rubyoaknutrition.com\/about\/christine\/\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/rubyoaknutrition.com\/about\/christine\/\">Christine Byrne, RD<\/a>, Raleigh, North Carolina-based registered dietitian <\/li>\n<li> <a href=\"https:\/\/yourlatinanutritionist.com\/\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/yourlatinanutritionist.com\/\">Dalina Soto, MA, RD, LDN<\/a>, anti-diet dietitian based in Philadelphia, Pennsylvania. <\/li>\n<li> <a href=\"https:\/\/krvarshney.github.io\/\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/krvarshney.github.io\/\">Kush Varshney, PhD<\/a>, Kush Varshney, PhD is a distinguished research scientist and manager at IBM Research\u2019s Thomas J. Watson Research Center in Yorktown Heights, NY. <\/li>\n<li> <a href=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\">Nia Patterson<\/a>, <a href=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\">Nia Patterson<\/a> is a body liberation coach and eating disorder survivor. <\/li>\n<li> <a href=\"https:\/\/www.heysharonmaxwell.com\/\" rel=\"noopener nofollow\" target=\"_blank\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.heysharonmaxwell.com\/\">Sharon Maxwell<\/a>, Sharon Maxwell is a fat activist, public speaker and weight inclusive consultant. <\/li>\n<\/ul><\/div>\n<hr\/>\n<p>\u201cThe bot responded back with information about weight loss,\u201d says <a href=\"https:\/\/drconason.com\/about\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/drconason.com\/about\/\">Alexis Conason, PsyD, CEDS-S<\/a>, a clinical psychologist who specializes in the treatment of eating disorders. After inputting a common statement that she hears from new clients all the time\u2014<em>I\u2019m really struggling, I\u2019ve gained weight recently and I hate my body<\/em>\u2014Dr. Conason says the bot started to give her tips on how to lose weight.<\/p>\n<p>Among the recommendations Tessa shared with Dr. Conason were goals of restricting calories, losing a certain number of pounds per week, minimizing sugar intake, and focusing on \u201cwhole foods\u201d instead of \u201cprocessed\u201d ones.<\/p>\n<blockquote class=\"instagram-media\" style=\"background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/Cs18IeRPRl6\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\"><\/blockquote>\n<p>Dr. Conason says Tessa\u2019s responses were very disturbing. \u201cThe bot obviously is endorsed by NEDA <em>and<\/em> speaking for NEDA, yet [people who use it] are being told that it\u2019s okay to engage in these behaviors that are essentially eating disorder behaviors,\u201d she says. \u201cIt can give people the green light to say, \u2018Okay, what I\u2019m doing is actually fine.\u2019\u201d<\/p>\n<p>Many other experts and advocates in the eating disorder treatment space tried the tool, and voiced similar experiences.\u201cI was just absolutely floored,\u201d says fat activist and weight inclusive consultant <a href=\"https:\/\/www.instagram.com\/p\/CtCa3_ZuMA0\/?hl=en\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.instagram.com\/p\/CtCa3_ZuMA0\/?hl=en\">Sharon Maxwell<\/a>, who is in recovery from anorexia and says Tessa gave her information on tracking calories and other ways to engage in what the bot calls \u201chealthy weight loss.\u201d \u201cIntentional pursuit of weight loss is the antithesis of recovery\u2014it cannot coexist together,\u201d Maxwell says.<\/p>\n<div class=\"related-content \" style=\"\" data-module-init=\"related-content\" data-module-immediate=\"\" v-cloak=\"\">\n<div class=\"related-content__wrapper \" v-cloak=\"\" :class=\"{'is-loaded':isLoaded}\">\n<p> <span class=\"inline pr-6 text-seafoam-dark\">Related Stories<\/span> <\/p>\n<p> <related-content class=\"related-content__links\" parent-article-permalink=\"https:\/\/www.wellandgood.com\/diet-culture-artificial-intelligence\/\" current-title=\"AI Is Now a Destructive Steward of Diet Culture\" current-image=\"WG-Editorial_AI-ChatBots-and-diet-culture_v2-1-425x285.jpg\" v-on:parsely-posts-loaded=\"onPostsLoaded\" start-date=\"2023-02-17\" tag=\"div\" inline-template=\"\" url=\"https:\/\/www.wellandgood.com\/diet-culture-artificial-intelligence\/\" secret=\"w5ztterVB03LGZJLfXS0hf3EvQBuFFIWew9hmVQxthU\" apikey=\"wellandgood.com\" limit=\"3\"> <\/p>\n<div>\n<div class=\"related-content__card mb-[10px] sm:mb-[20px]\" :class=\"{'related-content__card--full':posts.length === 1}\" v-for=\"(post, key) in posts\"> <a v-on:click.prevent=\"trackLinkGA($event, key)\" :href=\"https:\/\/www.wellandgood.com\/diet-culture-artificial-intelligence\/post.url\" data-url-source=\"related-content\" class=\"related-content__link\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"\"> <\/p>\n<div class=\"related-content__card--image bg-tan\" :style=\"{ backgroundImage: 'url(' + post.image_url + ')' }\"> <img :src=\"https:\/\/www.wellandgood.com\/diet-culture-artificial-intelligence\/post.image_url\" :alt=\"post.title\"\/> <\/div>\n<p> <\/a>  <\/div>\n<\/p><\/div>\n<p> <\/related-content> <\/div>\n<\/p><\/div>\n<p>Following coverage from a <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fhelix-sleep.tkjf.net%2Fc%2F2372336%2F605588%2F9928%3FsubId1%3DSTMSFD-1101235%26u%3Dhttps%253A%252F%252Fwww.wired.com%252Fstory%252Ftessa-chatbot-suspended%252F&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fdiet-culture-artificial-intelligence%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wired.com\/story\/tessa-chatbot-suspended\/\">number of media outlets<\/a> outlining <a href=\"https:\/\/www.nytimes.com\/2023\/06\/08\/us\/ai-chatbot-tessa-eating-disorders-association.html\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.nytimes.com\/2023\/06\/08\/us\/ai-chatbot-tessa-eating-disorders-association.html\">Tessa\u2019s concerning responses<\/a>, leadership at NEDA ultimately decided to suspend Tessa at the end of May. \u201cTessa will remain offline while we complete a full review of what happened,\u201d NEDA\u2019s chief operating officer Elizabeth Thompson said in an emailed statement to Well+Good in June. The organization says that the bot\u2019s developer added generative artificial intelligence (AI) features to Tessa without its knowledge or consent. (A representative from the software developer, Cass, told the <a href=\"https:\/\/www.wsj.com\/articles\/how-a-chatbot-went-rogue-431ff9f9\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wsj.com\/articles\/how-a-chatbot-went-rogue-431ff9f9\"><em>Wall Street Journal<\/em><\/a> that it operated in accordance with its contract with NEDA.)<\/p>\n<p>The entire incident sounded alarm bells for many in the eating-disorder-recovery space. I would argue, however, that artificial intelligence is often working exactly as designed. \u201c[AI is] just reflecting back the cultural opinion of diet culture,\u201d says <a href=\"https:\/\/www.instagram.com\/christinejbyrne\/?hl=en\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.instagram.com\/christinejbyrne\/?hl=en\">Christine Byrne, RD, MPH<\/a>, an anti-diet dietitian who specializes in the treating of eating disorders.<\/p>\n<p>Like the magic mirror in <em>Snow White, <\/em>which answered the Evil Queen\u2019s every question, we seek out AI to give us clear-cut answers in an uncertain, often contradictory world. And like that magic mirror, AI reflects back to us the truth about ourselves. For the Evil Queen, that meant the fairest in the land. But in our current diet culture-steeped society, AI is simply \u201cmirroring\u201d America\u2019s enduring fixation on weight and thinness\u2014and how much work we have yet to do to break that spell.<\/p>\n<h2>How AI-powered advice works<\/h2>\n<p>\u201cArtificial intelligence is any computer-related technology that is trying to do the things that we associate with humans in terms of their thinking and learning,\u201d says <a href=\"https:\/\/krvarshney.github.io\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/krvarshney.github.io\/\">Kush Varshney, PhD<\/a>, distinguished research scientist and manager at IBM Research\u2019s Thomas J. Watson Research Center in Yorktown Heights, NY. AI uses complex algorithms to mimic human skills like recognizing speech, making decisions, and seeing and identifying objects or patterns. Many of us use AI-powered tech every single day, like asking Siri to set a reminder to take medication, or using Google Translate to understand that word on a French restaurant\u2019s menu.<\/p>\n<p>There are many different subcategories of AI; here we\u2019ll focus on text-based AI tools like chatbots, which are rapidly becoming more sophisticated as proven by the debut of the chatbot ChatGPT\u2019s launch in fall 2022. \u201c[AI-based Chatbots] are very, very good at predicting the next word in a sentence,\u201d says <a href=\"https:\/\/elehman16.github.io\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/elehman16.github.io\/\">Eric Lehman<\/a>, a PhD candidate at the Massachusetts Institute of Technology. Dr. Lehman\u2019s research centers on natural language processing (meaning, a computer\u2019s ability to understand human languages), which allows this kind of software to write emails, answer questions, and more.<\/p>\n<p>In the simplest terms possible, text-based AI tools learn to imitate human speech and writing because they are provided with what&#8217;s called \u201ctraining data,\u201d which is essentially a huge library of existing written content from the internet. From there, Dr. Varshney says the computer analyzes patterns of language (for example: what it means when certain words follow others; how terms are often used in and out of context) in order to be able to replicate it convincingly. Software developers will then fine-tune that data and its learnings to \u201cspecialize\u201d the bot for its particular usage.<\/p>\n<p>From that training, you get two general categories of application: predictive AI and generative AI. According to Dr. Varshney, predictive AI works with a fixed set of possible answers that are pre-programmed for a specific purpose. Examples include auto-responses inside your email, or data your wearable devices give you regarding your body\u2019s movement.<\/p>\n<p>Generative AI, however, is designed to create entirely new content inspired by what it knows about language and how humans talk. \u201cIt\u2019s completely generating output without restriction on what possibilities there could be,\u201d Dr. Varshney says. Go into ChatGPT, the most well-known generative AI program to date, and you can ask it to write wedding vows, a sample <em>Seinfeld<\/em> script, or questions to ask in a job interview based on the hiring manager\u2019s bio. (And <a href=\"https:\/\/www.nytimes.com\/2023\/03\/30\/technology\/ai-chatbot-chatgpt-uses-work-life.html\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.nytimes.com\/2023\/03\/30\/technology\/ai-chatbot-chatgpt-uses-work-life.html\">much, much more<\/a>.)<\/p>\n<p>But, again, AI chatbots only know what is available for them to analyze. In nuanced, sensitive, and highly personalized situations, like, say, eating disorder treatment, AI chatbots present shortcomings in the best of scenarios and danger in the worst.<\/p>\n<h2>The current limitations of AI text tools for health and nutrition information<\/h2>\n<p>There is immense potential for generative AI in health-care spaces, says Dr. Varshney; it\u2019s already being used to <a href=\"https:\/\/www.forbes.com\/sites\/saibala\/2023\/03\/25\/microsoft-plans-to-use-ai-to-solve-a-huge-pain-point-for-doctors\/?sh=3d89df024528\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.forbes.com\/sites\/saibala\/2023\/03\/25\/microsoft-plans-to-use-ai-to-solve-a-huge-pain-point-for-doctors\/?sh=3d89df024528\">help doctors with charting<\/a>, aid in <a href=\"https:\/\/paige.ai\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/paige.ai\/\">cancer diagnoses and care decisions<\/a>, and more. But once you start digging, the risks of generative AI for directly providing consumers with health or nutrition information become pretty clear.<\/p>\n<p>Since these models typically pull information from all over the internet rather than specifically vetted sources\u2014and health-based information on the web is <a href=\"https:\/\/www.webofscience.com\/wos\/woscc\/full-record\/WOS:000361184500008?SID=USW2EC0A9CCBgrwB6qEdRIEKtzQpP\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.webofscience.com\/wos\/woscc\/full-record\/WOS:000361184500008?SID=USW2EC0A9CCBgrwB6qEdRIEKtzQpP\">notoriously inaccurate<\/a>\u2014you shouldn\u2019t expect the output to be factual, says Dr. Lehman. It won\u2019t reflect cutting-edge medical opinion either, since many tools, like ChatGPT, solely have access to information that was online in 2019 or earlier.<\/p>\n<p>Experts say these very human-sounding tools could be used to replace professional care and insight. \u201cThe problem with folks trying to get health and general wellness advice online is that they&#8217;re not getting it from a health practitioner who knows about their specific needs, barriers, and other things that may need to be considered,\u201d says <a href=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.hsph.harvard.edu\/striped\/amanda-raffoul-phd\/\">Amanda Raffoul, PhD<\/a>, instructor in pediatrics at Harvard Medical School and researcher at <a href=\"https:\/\/www.hsph.harvard.edu\/striped\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.hsph.harvard.edu\/striped\/\">Harvard STRIPED<\/a>, a public health incubator devoted to preventing eating disorders.<\/p>\n<p>Furthermore, everyone\u2019s body has <a href=\"https:\/\/www.wellandgood.com\/eating-for-health-zoe\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/eating-for-health-zoe\/\">different health and nutritional needs<\/a> depending on their unique genetic makeup, gut microbiome, underlying health conditions, cultural context, and more\u2014and those individual needs change on a daily basis, too. AI doesn\u2019t currently have the capacity to know that. \u201cI am constantly telling my clients that we are not robots,\u201d says <a href=\"https:\/\/yourlatinanutritionist.com\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/yourlatinanutritionist.com\/\">Dalina Soto, RD, LDN<\/a>. \u201cWe don&#8217;t plug in and out daily, so we don&#8217;t need the same amount daily. We have hormones, feelings, stress, lives, movement\u2014so many things that affect how we burn and use energy\u2026But because AI can spit out an equation, people think, <em>Okay, this must be right.<\/em>\u201d<\/p>\n<blockquote>\n<p>\u201cI am constantly telling my clients that we are not robots. We don&#8217;t plug in and out daily, so we don&#8217;t need the same amount daily. We have hormones, feelings, stress, lives, movement\u2014so many things that affect how we burn and use energy.\u201d<br \/>\u2014Dalina Soto, RD, LDN<\/p>\n<\/blockquote>\n<p>There\u2019s also a huge value in human connection, which a bot just can\u2019t replace, adds Dr. Conason. \u201cThere\u2019s just something about speaking to another human being and feeling heard and seen and validated, and to have someone there with you during a really dark moment\u2026That\u2019s really powerful. And I don\u2019t think that a bot can ever meet that need.\u201d<\/p>\n<p>Even more concerning are the <a href=\"https:\/\/hbr.org\/2019\/10\/what-do-we-do-about-the-biases-in-ai\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/hbr.org\/2019\/10\/what-do-we-do-about-the-biases-in-ai\">known social bias issues with AI technology<\/a>, particularly the fact that AI algorithms often reflect existing societal prejudices against certain groups including women, people of color, and LGBTQ+ people. A 2023 study looking at ChatGPT found that the chatbot could <a href=\"https:\/\/arxiv.org\/abs\/2304.05335\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/arxiv.org\/abs\/2304.05335\">very easily produce racist or problematic responses<\/a> depending on the prompt it was given. \u201cWe find concerning patterns where specific entities\u2014for instance, certain races\u2014are targeted on average three times more than others irrespective of the assigned persona. This reflects inherent discriminatory biases in the model,\u201d the researchers wrote.<\/p>\n<p>But like humans, AI isn\u2019t necessarily \u201cborn\u201d prejudiced. It <em>learns<\/em> bias\u2014from all of us. Take training data, which, as mentioned, is typically composed of text (articles, informational sites, and sometimes social media sites) from all over the web. \u201cThis language that\u2019s out on the internet already has a lot of social biases,\u201d says Dr. Varshney. Without mitigation, a generative AI program will pick up on those biases and incorporate them into its output, which may inform\u2014and incorrectly so\u2014diagnoses and treatment options. Choices developers when creating the training may introduce bias, as well.<\/p>\n<p>Put simply: \u201cIf the underlying text you\u2019re training on is racist, sexist, or has these biases in it, your model is going to reflect that,\u201d says Dr. Lehman.<\/p>\n<h2>How we programmed diet culture into AI<\/h2>\n<p>Most research and discussion to date on AI and social bias has focused on issues like <a href=\"https:\/\/hbr.org\/2019\/11\/4-ways-to-address-gender-bias-in-ai\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/hbr.org\/2019\/11\/4-ways-to-address-gender-bias-in-ai\">sexism<\/a> and <a href=\"https:\/\/www.nytimes.com\/2023\/07\/04\/arts\/design\/black-artists-bias-ai.html\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.nytimes.com\/2023\/07\/04\/arts\/design\/black-artists-bias-ai.html\">racism<\/a>. But the Tessa chatbot incident reveals that there is another prejudice baked into this type of technology (and, thus, into our larger society, given that said prejudice is introduced by human behavior): that of diet culture.<\/p>\n<p>There\u2019s not an official definition of <a href=\"https:\/\/www.wellandgood.com\/diet-culture-wellness\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/diet-culture-wellness\/\">diet culture<\/a>, but Byrne summarizes it as \u201cthe idea that weight equals health, that fitter is always better, that people in large bodies are inherently unhealthy, and that there&#8217;s some kind of morality tied up in what you eat.\u201d<\/p>\n<p>Part of that understanding of diet culture, adds Dr. Conason, is this persistent (but misguided) belief that individuals have full, direct control over their body and weight\u2014a belief that the $70-plus billion diet industry perpetuates for profit.<\/p>\n<p>But, that\u2019s just part of it. \u201cReally, it is about weight <em>bias<\/em>,\u201d says Byrne. And that means the negative attitudes, assumptions, and beliefs that individuals and society <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5100338\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5100338\/\">hold toward people in larger bodies<\/a>.<\/p>\n<p>Research abounds connecting weight bias to direct harm for fat people in nearly every area of their lives. Fat people are often <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1744-6570.1999.tb00186.x\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1744-6570.1999.tb00186.x\">stereotyped as lazy, sloppy, and less smart<\/a> than people who are smaller-sized\u2014beliefs that lead managers to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6452122\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6452122\/\">pass on hiring fat workers or overlook them for promotions<\/a> and raises. Fat women in particular are often <a href=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/00926230902851280\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/00926230902851280\">considered less attractive due to their size<\/a>, even by their own romantic partners. Fat people are also <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5794335\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5794335\/\">more likely to be bullied<\/a> and more <a href=\"https:\/\/www.psychologyib.com\/uploads\/1\/1\/7\/5\/11758934\/ib_psychology_-_weight_discrimination_in_juries.pdf\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.psychologyib.com\/uploads\/1\/1\/7\/5\/11758934\/ib_psychology_-_weight_discrimination_in_juries.pdf\">likely to be convicted of a crime<\/a> than smaller-sized people, simply by virtue of their body weight.<\/p>\n<p>Weight bias is also rampant online\u2014and mirrored to generative AI programs to pick up on. \u201cWe know that generally across the internet, across <a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(22)00194-8\/fulltext\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(22)00194-8\/fulltext\">all forms of media<\/a>, very <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8632711\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8632711\/\">stigmatizing views about fatness and higher weights are pervasive<\/a>,\u201d Dr. Raffoul says, alongside inaccuracies about nutrition, fitness, and overall health. With a huge portion of one\u2019s training data likely tainted with weight bias, you\u2019re likely to find it manifest in a generative AI program\u2014say, when a bot designed to prevent eating disorders instead gives people tips on how to lose weight.<\/p>\n<p>In fact, a report released in August from the Center for Countering Digital Hate (CCDH) that examined the relationship between AI and eating disorders found that AI chatbots <a href=\"https:\/\/counterhate.com\/wp-content\/uploads\/2023\/08\/230705-AI-and-Eating-Disorders-REPORT.pdf\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/counterhate.com\/wp-content\/uploads\/2023\/08\/230705-AI-and-Eating-Disorders-REPORT.pdf\">generated harmful eating disorder content 23 percent of the time<\/a>. Ninety-four percent of these harmful responses were accompanied by warnings that the advice provided might be \u201cdangerous.\u201d<\/p>\n<p>But again, it\u2019s humans who create program algorithms, shape their directives, and write the content from which algorithms learn\u2014meaning that the bias comes from us. And sadly, stigmatizing beliefs about fat people inform every aspect of our society, from <a href=\"https:\/\/www.cnn.com\/travel\/article\/plus-size-travelers-slam-airline-seat-policies\/index.html\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.cnn.com\/travel\/article\/plus-size-travelers-slam-airline-seat-policies\/index.html\">how airline seats are built and sold<\/a>, to whom we cast as leads versus sidekicks in our movies and TV shows, to what size clothing we choose to stock and sell in our stores.<\/p>\n<p>\u201cAnti-fat bias and diet culture is so intricately and deeply woven into the fabric of our society,\u201d says Maxwell. \u201cIt\u2019s like the air that we breathe outside.\u201d<\/p>\n<p>Sadly, the medical industry is the biggest perpetrator of weight bias and stigma. \u201cThe belief that being fat is unhealthy,\u201d Byrne says, is \u201cbaked into all health and medical research.\u201d The Centers for Disease Control and Prevention (CDC) describes obesity (when a person has a body mass index, aka BMI, of 30 or higher) as a \u201c<a href=\"https:\/\/www.cdc.gov\/obesity\/index.html\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.cdc.gov\/obesity\/index.html\">common, serious, and costly chronic disease<\/a>.\u201d The World Health Organization (WHO) refers to the <a href=\"https:\/\/www.who.int\/activities\/controlling-the-global-obesity-epidemic\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.who.int\/activities\/controlling-the-global-obesity-epidemic\">number of larger-sized people<\/a> around the world as an \u201cepidemic\u201d that is \u201ctaking over many parts of the world.\u201d<\/p>\n<p>Yet the \u201csolution\u201d for being fat\u2014weight loss\u2014is not particularly well-supported by science. Research has shown that the majority of people <a href=\"https:\/\/www.bmj.com\/content\/369\/bmj.m696\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.bmj.com\/content\/369\/bmj.m696\">gain back the weight they lose<\/a> within a few years, even patients who <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18392907\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18392907\/\">undergo bariatric surgery<\/a>. And weight cycling (when you frequently lose and gain weight, often due to dieting) has been linked to an increased risk of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6489475\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6489475\/\">chronic health concerns<\/a>.<\/p>\n<p>While having a higher weight is associated with a <a href=\"https:\/\/medlineplus.gov\/ency\/patientinstructions\/000348.htm\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/medlineplus.gov\/ency\/patientinstructions\/000348.htm\">higher likelihood of having high blood pressure, type 2 diabetes, heart attacks, gallstones, liver problems<\/a>, and more, there isn\u2019t a ton of evidence that fatness alone <em>causes<\/em> these diseases. In fact, many anti-diet experts argue that fat people have worse health outcomes <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\">in part because of the toxic stress <\/a>associated with weight stigma. The BMI, which is used to quickly evaluate a person\u2019s health and risk, is also widely recognized as <a href=\"https:\/\/www.wellandgood.com\/is-body-mass-index-accurate\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/is-body-mass-index-accurate\/\">racist, outdated, and not accurate for Black, Indigenous, and people of color (BIPOC).<\/a> Yet despite all of these issues, our medical system and society at large treat fatness simultaneously as a disease and moral failing.<\/p>\n<p>\u201cIt is a pretty clear example of weight stigma, the ways in which public health agencies make recommendations based solely on weight, body size, and shape,\u201d says Dr. Raffoul.<\/p>\n<p>The pathologizing of fatness <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\">directly contributes to weight stigma<\/a>\u2014and the consequences are devastating. Research shows that doctors tend to be <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6650789\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6650789\/\">dismissive of fat patients<\/a> and attribute all health issues to a person\u2019s weight or BMI, which can result in <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4381543\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4381543\/\">missed diagnoses and dangerous lapses in care<\/a>. These negative experiences cause many fat people <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6092785\/\">to avoid health-care spaces altogether<\/a>\u2014further increasing their risk of poor health outcomes.<\/p>\n<p>Weight stigma is pervasive, even within the eating disorder recovery world. Less than 6 percent of people with eating disorders are diagnosed as \u201cunderweight,\u201d per the <a href=\"https:\/\/anad.org\/eating-disorders-statistics\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/anad.org\/eating-disorders-statistics\/\">National Association of Anorexia Nervosa and Associated Disorders (ANAD)<\/a>, yet extreme thinness is often the main criteria in people\u2019s minds for diagnosing an eating disorder. This means fat people with eating disorders often <a href=\"https:\/\/jeatdisord.biomedcentral.com\/articles\/10.1186\/s40337-022-00720-9\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/jeatdisord.biomedcentral.com\/articles\/10.1186\/s40337-022-00720-9\">take years to get diagnosed<\/a>.<\/p>\n<blockquote>\n<p>Research shows that doctors tend to be dismissive of fat patients and attribute all health issues to a person\u2019s weight or BMI, which can result in missed diagnoses and dangerous lapses in care.<\/p>\n<\/blockquote>\n<p>\u201cAnd even if you can go to treatment, it\u2019s not equitable care,\u201d says <a href=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.instagram.com\/thefriendineverwanted\/?hl=en\">Nia Patterson<\/a>, a body liberation coach and eating disorder survivor. Fat people are <a href=\"https:\/\/www.statnews.com\/2023\/04\/25\/eating-disorders-treatment-weight-stigma\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.statnews.com\/2023\/04\/25\/eating-disorders-treatment-weight-stigma\/\">often treated differently because of their size<\/a> in these spaces. Maxwell says she was shamed for asking for more food during anorexia treatment and was put on a weight \u201cmaintenance\u201d plan that still restricted calories.<\/p>\n<p>Byrne says there is even debate in the medical community about whether people who have an eating disorder can still safely pursue weight loss\u2014even though data shows that dieting significantly increases a <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/eating-disorders\/symptoms-causes\/syc-20353603\">person\u2019s risk of developing an eating disorder<\/a>.<\/p>\n<p>The reality is that these highly pervasive beliefs about weight (and the health-related medical advice they\u2019ve informed) will naturally exist in a chatbot\u2014because we have allowed them to exist <em>everywhere<\/em>: in magazines, in doctor\u2019s offices, in research proposals, in movies and TV shows, in the very clothes we wear. You\u2019ll even find anti-fat attitudes from respected organizations like the NIH, the CDC, and top hospitals like the Cleveland Clinic. All of the above makes spotting the problematic advice a bot spits out (like trying to lose a pound per week) all the more challenging, \u201cbecause it\u2019s something that\u2019s been echoed by doctors and different people we look to for expertise,\u201d Dr. Conason says. But these messages reinforce weight bias and can fuel eating disorders and otherwise harm people\u2019s mental health, she says.<\/p>\n<p>To that end, it\u2019s not necessarily the algorithms that are the main problem here: It\u2019s our society, and how we view and treat fat people. We are the ones who created weight bias, and it\u2019s on us to fix it.<\/p>\n<h2>Breaking free from diet culture<\/h2>\n<p>The ugly truth staring back at us in the mirror\u2014that fatphobia and weight bias <strong>IN AI<\/strong> have nothing to do with <strong>THE<\/strong> robots and everything to do with us\u2014feels uncomfortable to sit with in part because it\u2019s <em>seemed<\/em> like we\u2019ve been making progress on that front. We have celebrated plus-size models, musicians, and actresses; <a href=\"https:\/\/time.com\/barbie-new-body-cover-story\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/time.com\/barbie-new-body-cover-story\/\">larger-sized Barbie dolls<\/a> for kids; more expansive <a href=\"https:\/\/www.wellandgood.com\/size-inclusivity-in-fashion\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/size-inclusivity-in-fashion\/\">clothing size options<\/a> on store shelves. But those victories do little (if anything) to address the discrimination affecting people in larger bodies, says Maxwell.<\/p>\n<p>\u201cI think that the progress we&#8217;ve made is not even starting to really touch on the real change that needs to happen,\u201d agrees Dr. Conason. Breaking the spell of diet culture is a long and winding road that involves a lot <a href=\"https:\/\/www.wellandgood.com\/body-liberation\/\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.wellandgood.com\/body-liberation\/\">more than pushing body positivity<\/a>. But the work has to start somewhere, both in the virtual landscape and in the real world.<\/p>\n<p>Dr. Varshney says that in terms of AI, his team and others are working to develop ways that programmers can intervene during the creation of a program to try and mitigate biases. (For instance, pre-processing training data before feeding it to a computer to weed out certain biases, or creating algorithms designed to exclude biased answers or outcomes.)<\/p>\n<p>There\u2019s also a burgeoning <a href=\"https:\/\/www.ibm.com\/topics\/ai-ethics\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ibm.com\/topics\/ai-ethics\">AI ethics field<\/a> that aims to help tech workers think critically about the products they design, how they can be used, and why it\u2019s important to address bias. Dr. Varshney, for example, leads machine learning at <a href=\"https:\/\/research.ibm.com\/people\/kush-varshney\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/research.ibm.com\/people\/kush-varshney\">IBM\u2019s Foundations of Trustworthy AI department<\/a>. Currently, these efforts are voluntary; Dr. Lehman predicts that it will require government regulation (a goal <a href=\"https:\/\/www.whitehouse.gov\/ostp\/ai-bill-of-rights\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.whitehouse.gov\/ostp\/ai-bill-of-rights\/\">of the Biden Administration<\/a>) in order for more tech companies to adopt stringent measures to address bias and <a href=\"https:\/\/www.unesco.org\/en\/artificial-intelligence\/recommendation-ethics\/cases\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.unesco.org\/en\/artificial-intelligence\/recommendation-ethics\/cases\">other ethical issues associated with AI<\/a>.<\/p>\n<p>New generations of tech workers are also being taught more critically about the digital tools they create. Some universities have dedicated AI ethics research centers, like the <a href=\"https:\/\/cyber.harvard.edu\/topics\/ethics-and-governance-ai\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/cyber.harvard.edu\/topics\/ethics-and-governance-ai\">Berkman Klein Center at Harvard University<\/a> (which has an annual \u201cResponsible AI\u201d fellowship). MIT\u2019s Schwarzman College of Computing also offers a \u201c<a href=\"https:\/\/shass.mit.edu\/undergraduate\/interdisciplinary\/conc\/computing\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/shass.mit.edu\/undergraduate\/interdisciplinary\/conc\/computing\">Computing and Society Concentration<\/a>\u201d which aims to encourage critical thinking about the social and ethical implications of tech. Classes like \u201cAdvocacy in Tech, Media, and Society\u201d at <a href=\"https:\/\/socialwork.columbia.edu\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/socialwork.columbia.edu\/\">Columbia University\u2019s School of Social Work<\/a>, meanwhile, aim to give grad students the tools to advocate for better, more just tech systems\u2014even if they\u2019re not developers themselves.<\/p>\n<p>But in order to ensure a less biased virtual environment, the harder work of eradicating weight bias in real life must begin. A critical place to start? Eradicating the BMI. \u201cI think that it is lazy medicine at this point, lazy science, to continue to ascribe to the BMI as a measure of health,\u201d says Maxwell.<\/p>\n<blockquote>\n<p>It\u2019s not necessarily the algorithms that are the main problem here: It\u2019s our society, and how we view and treat fat people. We are the ones who created weight bias, and it\u2019s on us to fix it.<\/p>\n<\/blockquote>\n<p>Meanwhile, Byrne says it\u2019s helpful to understand that weight should be viewed as just one metric rather than <em>the<\/em> metric that defines your health. \u201cIdeally, weight would be just one number on your chart,\u201d she says. Byrne underscores that while it can be helpful to look into changes in weight over time (in context with other pertinent information, like vitals and medical history), body size certainly shouldn\u2019t be the center of conversations about health. (You have the right to refuse to get weighed, which is something Patterson does with their doctor.)<\/p>\n<p>There are already steps being taken in this direction, as the American Medical Association (AMA) voted on June 14 to adopt a new policy to <a href=\"https:\/\/www.ama-assn.org\/press-center\/press-releases\/ama-adopts-new-policy-clarifying-role-bmi-measure-medicine\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ama-assn.org\/press-center\/press-releases\/ama-adopts-new-policy-clarifying-role-bmi-measure-medicine\">use the BMI only in conjunction with other health measures<\/a>. Unfortunately, those measures still include the amount of fat a person has\u2014and still leave in place the BMI.<\/p>\n<p>For tackling weight bias outside of doctor\u2019s offices, Patterson cites the efforts being made to pass legislation that would ban weight discrimination at the city and state level. These bills\u2014like the one just passed in <a href=\"https:\/\/www.nyc.gov\/office-of-the-mayor\/news\/364-23\/mayor-adams-signs-legislation-prohibit-height-weight-discrimination-employment-housing-#\/0\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.nyc.gov\/office-of-the-mayor\/news\/364-23\/mayor-adams-signs-legislation-prohibit-height-weight-discrimination-employment-housing-#\/0\">New York City<\/a>\u2014ensure that employers, landlords, or public services cannot deny services to someone based on their height or weight. Similar legislation is being considered in <a href=\"https:\/\/www.boston.com\/news\/politics\/2023\/06\/06\/size-discrimination-bill-massachusetts\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.boston.com\/news\/politics\/2023\/06\/06\/size-discrimination-bill-massachusetts\/\">Massachusetts<\/a> and <a href=\"https:\/\/newjerseymonitor.com\/briefs\/lawmaker-wants-to-make-discrimination-against-weight-height-illegal\/\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/newjerseymonitor.com\/briefs\/lawmaker-wants-to-make-discrimination-against-weight-height-illegal\/\">New Jersey<\/a>, and is already on the books in <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7511432\/\" target=\"_blank\" rel=\"noopener\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7511432\/\">Michigan<\/a>, says Dr. Raffoul.<\/p>\n<p>On an individual level, everyone has work to do unlearning diet culture. \u201cI think it\u2019s hard, and it happens really slowly,\u201d says Byrne, which is why she says books unpacking weight bias are great places to start. She recommends <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fwww.amazon.com%2FBelly-Beast-Politics-Anti-Fatness-Anti-Blackness%2Fdp%2F1623175976%3Ftag%3Dwgtrx11325-20%26asc_refurl%3Dhttps%253A%252F%252Fwww.wellandgood.com%252Fdiet-culture-artificial-intelligence%252F%26asc_source%3Ddirect%26asc_campaign%3Dno-campaign&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fdiet-culture-artificial-intelligence%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.amazon.com\/Belly-Beast-Politics-Anti-Fatness-Anti-Blackness\/dp\/1623175976\"><em>Belly of the Beast<\/em><\/a> by Da\u2019Shaun L. Harrison and <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fwww.amazon.com%2FAnti-Diet-Reclaim-Well-Being-Happiness-Intuitive%2Fdp%2F0316420379%2F%3Ftag%3Dwgtrx11325-20%26asc_refurl%3Dhttps%253A%252F%252Fwww.wellandgood.com%252Fdiet-culture-artificial-intelligence%252F%26asc_source%3Ddirect%26asc_campaign%3Dno-campaign&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fdiet-culture-artificial-intelligence%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.amazon.com\/Anti-Diet-Reclaim-Well-Being-Happiness-Intuitive\/dp\/0316420379\/\"><em>Anti-Diet<\/em><\/a> by Christy Harrison, RD, MPH. Soto also often recommends <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fwww.amazon.com%2FFearing-Black-Body-Racial-Origins%2Fdp%2F1479886750%2F%3Ftag%3Dwgtrx11325-20%26asc_refurl%3Dhttps%253A%252F%252Fwww.wellandgood.com%252Fdiet-culture-artificial-intelligence%252F%26asc_source%3Ddirect%26asc_campaign%3Dno-campaign&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fdiet-culture-artificial-intelligence%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.amazon.com\/Fearing-Black-Body-Racial-Origins\/dp\/1479886750\/\"><em>Fearing the Black Body<\/em><\/a> by Sabrina Strings to her clients. Parents might also look at <a href=\"https:\/\/clicks.trx-hub.com\/xid\/leafgroup_ca5e0_wellgood?q=https%3A%2F%2Fwww.amazon.com%2FFat-Talk-Parenting-Diet-Culture%2Fdp%2F1250831210%2F%3Ftag%3Dwgtrx11325-20%26asc_refurl%3Dhttps%253A%252F%252Fwww.wellandgood.com%252Fdiet-culture-artificial-intelligence%252F%26asc_source%3Ddirect%26asc_campaign%3Dno-campaign&amp;p=https%3A%2F%2Fwww.wellandgood.com%2Fdiet-culture-artificial-intelligence%2F&amp;event_type=click\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/www.amazon.com\/Fat-Talk-Parenting-Diet-Culture\/dp\/1250831210\/\"><em>Fat Talk: Parenting in the Age of Diet Culture<\/em><\/a> by journalist Virginia Sole-Smith for additional guidance on halting weight stigma at home. Podcasts like <a href=\"https:\/\/open.spotify.com\/show\/3rDR8CfpIEMpITG2UC3w5W\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/open.spotify.com\/show\/3rDR8CfpIEMpITG2UC3w5W\"><em>Maintenance Phase<\/em><\/a> and <a href=\"https:\/\/open.spotify.com\/show\/0bxgpKsCXpiXpHwnY2lSvZ\" target=\"_blank\" rel=\"noopener nofollow\" referrerpolicy=\"no-referrer-when-downgrade\" data-vars-event=\"body text\" data-vars-click-url=\"https:\/\/open.spotify.com\/show\/0bxgpKsCXpiXpHwnY2lSvZ\"><em>Unsolicited: Fatties Talk Back<\/em><\/a> are also great places to unlearn, says Byrne.<\/p>\n<p>Patterson says one of their goals as a body liberation coach is to get people to move beyond mainstream ideas of body positivity and focus on something they think is more attainable: \u201cbody tolerance.\u201d The idea, which they first heard someone articulate in a support group 10 years ago, is that while a person may not always love their body or how it looks at a given moment, they are living in it the best they can. \u201cThat\u2019s usually what I try to get people who are in marginalized bodies to strive for,\u201d Patterson says. \u201cYou don\u2019t need to be neutral to your body, you don\u2019t have to accept it\u2026Being fat feels really hard, and it is. At least just tolerate it today.\u201d<\/p>\n<p>Patterson says that overcoming the problematic ways our society treats weight must start with advocacy\u2014and that can happen on an individual basis. \u201cHow I can change things is to help people, one-on-one or in a group, make a difference with their bodies: their perception and experience in their bodies and their ability to stand up and advocate for themselves,\u201d they share.<\/p>\n<p>In <em>Snow White<\/em>, there ultimately came a day when the Evil Queen learned the truth about herself from her magic mirror. AI has similarly shown all of us the truth about our society: that we are still in the thrall of diet culture. But instead of doubling down on our beliefs, we have a unique opportunity to break the spell that weight stigma holds over us all. If only we all were willing to face up to our true selves\u2014and commit to the hard work of being (and doing) better.<\/p>\n<div class=\"disclaimers__after_content mb-[18px] mt-[16px] pt-[16px]\">\n<div class=\"outline-earmark relative mt-[8px] pt-[10px] pl-[20px]\">\n<p>\n            Our editors independently select these products. Making a purchase through our links may earn Well+Good a commission.          <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p><script async defer src=\"https:\/\/platform.instagram.com\/en_US\/embeds.js\"><\/script><br \/>\n<br \/><div data-type=\"_mgwidget\" data-widget-id=\"1675549\">\r\n<\/div>\r\n<script>(function(w,q){w[q]=w[q]||[];w[q].push([\"_mgc.load\"])})(window,\"_mgq\");\r\n<\/script>\r\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the beginning of May, the National Eating Disorders Association (NEDA)\u2014which bills itself as the biggest nonprofit devoted to helping people with eating disorders\u2014debuted\u00a0Tessa, its new support chatbot. Tessa, which was developed by professors at Washington University School of Medicine and funded by the National Institute of Mental Health, was shown in a clinical trial &hellip;<\/p>\n","protected":false},"author":3,"featured_media":6640,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-6639","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"At the beginning of May, the National Eating Disorders Association (NEDA)\u2014which bills itself as the biggest nonprofit devoted to helping people with eating disorders\u2014debuted Tessa, its new support chatbot. 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