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Positive Body Image Workbook A

Clinical and Self Improvement Guide


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Positive Body Image Workbook
Positive Body Image Workbook
A Clinical and Self-Improvement Guide
Nichole Wood-Barcalow, PhD
Tracy Tylka, PhD
Casey Judge, PhD
University Printing House, Cambridge CB2 8BS, United Kingdom
One Liberty Plaza, 20th Floor, New York, NY 10006, USA
477 Williamstown Road, Port Melbourne, VIC 3207, Australia
314–321, 3rd Floor, Plot 3, Splendor Forum, Jasola District Centre,
New Delhi – 110025, India
79 Anson Road, #06–04/06, Singapore 079906

Cambridge University Press is part of the University of Cambridge.


It furthers the University’s mission by disseminating knowledge in the
pursuit of education, learning, and research at the highest international
levels of excellence.

www.cambridge.org
Information on this title: www.cambridge.org/9781108731645
DOI: 10.1017/9781108758796
Cambridge University Press © 2021
This publication is in copyright. Subject to statutory exception and to the
provisions of relevant collective licensing agreements, no reproduction of
any part may take place without the written permission of Cambridge
University Press.
First published 2021
Printed in the United Kingdom by TJ Books Ltd, Padstow Cornwall
A catalogue record for this publication is available from the British Library.
ISBN 978-1-108-73164-5 Paperback
Cambridge University Press has no responsibility for the persistence or
accuracy of URLs for external or third-party internet websites referred to
in this publication and does not guarantee that any content on such
websites is, or will remain, accurate or appropriate.
...........................................................................................................

Every effort has been made in preparing this book to provide accurate and
up-to-date information that is in accord with accepted standards and
practice at the time of publication. Although case histories are drawn
from actual cases, every effort has been made to disguise the identities of
the individuals involved. Nevertheless, the authors, editors, and
publishers can make no warranties that the information contained herein
is totally free from error, not least because clinical standards are
constantly changing through research and regulation. The authors,
editors, and publishers therefore disclaim all liability for direct or
consequential damages resulting from the use of material contained in
this book. Readers are strongly advised to pay careful attention to
information provided by the manufacturer of any drugs or equipment
that they plan to use.
Contents
Foreword vii
Acknowledgments x

Section I Introduction and Preparation 13.


14.
Objectification and Self-Objectification 183
Sexual Intimacy 203
1. Introduction to the Positive Body Image Workbook 1 15. Social Comparison 219
2. Client and Reader Preparation 7 16. Body Talk 231
3. Clinician Preparation 32 17. Protective Filtering 249
18. Rippling Effect: Mentorship 267
Section II The Journey Toward Positive Body 19. Self-Care 280
20. Fueling Our Bodies 296
Image 21. Life-Enhancing Movement 319
4. Appearance Ideals and Media Literacy 43 22. Adaptive Appearance Investment and Quality of
5. Weight Stigma versus Weight Inclusivity 68 Life 342
6. Body Acceptance by Others 95
7. Defining Beauty and Cultural Pride 107 Section III Continuing Our Journeys
8. Self-Compassion and Body Image Flexibility 118
9. Approaching Our Bodies 133 23. Next Steps in the Journey 361
10. Body Appreciation 147
11. Functionality Appreciation 156
12. Embodiment 175
Index 365

Online resources
All assignments from the book are available to download
and print for use in sessions via: www.cambride.org/PBIW
Password: PBIWorkbook21
v
Foreword

For 33 years I taught abnormal psychology, introductory psy- middle school resumed in the fall (see the epigram at the
chology, and an upper level seminar on eating disorders at a beginning of chapter 22). And a mere 2 years later the Beatles
liberal arts college. Most of the students I taught were in the top and their “mop top,” ear-obscuring hair became an interna-
10% of their high school classes. Around 75% eventually went tional sensation, and a sexiness ideal for White boys in middle
on to graduate school and/or professional training in fields and high school, including those of us with curly hair . . . .
such as psychology, medicine, law, the arts, or business. Body image. Body dissatisfaction. Shame. Should. Ought. If
Typically, the students were very bright, curious, and analyti- only I looked like . . . . A few words, easily processed and
cal. We had lively, sometimes boisterous discussions, often with elaborated in cool, conceptual form (e.g., actual-ideal dispar-
personal examples, of a great many topics. These included lan- ity) while reading about and in some instances discussing these
guage, symbolism, and Freudian psychosexual stages; the plea- topics. But where to begin—as a person who wants to be
sures, hilarity, risks, and all too frequent tragedy of alcohol and healthier, as a grand/parent determined to resist imposing
other drug use; and people we have known—and, in some sad their past and the culture’s stifling present on children, as a
instances, grown up with—who had The Dark Triad of person- counselor or a coach or a physician who wants to be a positive
ality characteristics (Furnham, Richards, & Paulhus, 2013): nar- influence—to understand the hot emotionally and morally
cissism, subclinical psychopathy, and Machiavellianism. Only charged layers of body image? The whole matter is complicated
one topic, from fall 1980 through spring 2012, unfailingly evoked by the fact that the geography of body image reflects an unruly
uncomfortable silence. If your first thought is trauma, think and set of influences ranging from genetics, to teasing, to trauma,
feel again. to gender/sexual identity, to advertising as it represents eco-
Body image was and remains for most people simulta- nomic and political forces.
neously too personal, too interpersonal, and too complex. It It’s hardly sage advice for me to offer you Internet platitudes,
is freighted with strong emotions, it is deeply rooted in our past such as “Stop. Breathe deeply. Step up, be mindful, and begin
while always lurking in the immediate future, and it is influ- somewhere. Love yourself. Embrace health. Be the change you
enced by a network of powerful forces in our cultures. When wish to see in the world . . .” But “Read and use the Positive
“body image” became the focus of that social phenomenon we Body Image Workbook” is not only sage advice, it is a compas-
call a “college class,” one could almost see and smell the self- sionate, effective, and socially constructive move on my part.
consciousness and shame seep into the room, like foul-smel- In fact, this is a book not only to be read, it calls us to engage
ling smoke under a door. with it mindfully, frequently, and in an intentionally recursive
I offer this observation neither as an experienced college way. Whether you are a curious teenager, a frustrated 30-
professor nor as a body image expert. Standing or sitting something dieter, or a pediatrician, this book is a unique and
with my students in class I experienced it, too. Every time. rich means of beginning to learn and practice the very skills
And right now in memory, as the adult form of a small, necessary to improve our own body image, those of people we
physically frail boy growing up in 1950s and 1960s southern know and care about, and our societies in general. And, ulti-
California, with big ears, easily irritated skin, and curly hair mately, the Positive Body Image Workbook will likely enable
and long eyelashes that girls envied, right above eyes that you to “love yourself” and “be mindful” and “embrace health”
necessitated glasses at age 7 . . . a mere 2 years after I really and “be the change you wish to see in the world.”
began to need them. In the early 1960s, puberty and acne With its focus on skills and learning as they apply to each
underway, I and my misery/shame/helplessness prevailed person, this book is, in the words of Dr. T. Aaron Beck, founder
upon my thrifty middleclass parents to give money and time of Cognitive Therapy, person-centered and problem-focused
they could ill afford to securing for me what was then called (Beck, Rush, Shaw, & Emery, 1979). In this regard, I call your
“plastic surgery.” At a hospital 50 miles away in Los Angeles attention to the chapter that covers one important aspect of
the bones in my “hey, there’s Dumbo!” ears were rearranged in positive body image: body acceptance. Chapter 6 of Positive
order to set them back toward my head. This helped for a while, Body Image Workbook exemplifies how this book helps each
although I wonder how many of my peers noticed, really, when reader as an individual to understand, accept, and overcome
vii
Foreword

without a wasteful, self-critical fight the neurotic dynamics of healthy, sustainable changes toward body positivity within a
negative body image, that is, the self-defeating and self-perpe- fuller life. This book literally enables you to practice engaging,
tuating vacillation between dysphoria (shame, anxiety, guilt), instead of avoiding, the dialectic between acceptance of the
avoidance, and rumination. The Positive Body Image unchangeable and commitment to applying skills for what can
Workbook directly, matter of factly, and compassionately be changed—and the proverbial wisdom to know the differ-
helps the reader to identify nonjudgmentally and then address ence. This encouragement is particularly important for
the many external and internal forces that threaten and some- approaching one’s body image, which may feel intractable.
times overwhelm body acceptance. This book itself, infused Tracy, Nichole, and Casey are authoritative—knowledgeable
with the wise voices of its authors, is a great foundation, in and nurturing—throughout this book. They also consistently
terms of modeling, advice, knowledge, and support, for begin- serve as models for the courage to change. They know the task
ning to build and participate in what the authors call a of transcending the past and the culture (not to mention the
Community of Acceptance (see chapter 17). self) is daunting. They know there will be experiences of con-
The methodology of the Positive Body Image Workbook is fusion, anxiety, and shame, and they know there will be set-
grounded in a flexible form of therapy, teaching, and strategic backs. And in every chapter they are willing to be there—and
encouragement that emerged nearly 100 years in the decidedly for us to join them in the enterprise—with their healthy values
non-Freudian eclecticism of Alfred Adler (1929). Adler’s and to stay present and mindful, and to take action, all in the
approach to therapy, education, and indeed social change presence of anxiety, doubt, and humility.
combined brief lectures, guided discussion, analogies, stories, I was initially a bit reluctant to agree to write a foreword
homework assignments, humor, and careful, multifaceted ana- about a “workbook,” even though I have known, admired, and
lysis of cognitions we accept as painful, suffocating truths drawn upon the work of Tracy and Nichole for over 15 years.
instead of the mis/guiding, malleable fictions they really are. After all, I am not a clinician, I was trained to be suspicious of
And yet the Positive Body Image Workbook couldn’t be more anything that was not a peer-reviewed journal article, and, yes,
rooted in and guided by current research and evidence-based I’ve spent too many painful hours either avoiding or ruminat-
practices to reducing negative body image while developing a ing about my own body image issues. And as an advocate for
positive body image. I counted explanations, guidance, and the prevention of negative body image and disordered eating, I
exercises, from, in alphabetical order: Acceptance and believe in the prospect and the psychosocial significance of
Commitment Therapy (ACT), Behavior Therapy, Cognitive positive body image, and I need to practice being courageous.
Therapy, Cognitive Behavior Therapy (CBT), Dialectical I found, to my delight, that in reading the Positive Body Image
Behavior Therapy (DBT), Feminist Therapies, Health at Workbook I had the privilege of learning much more about
Every Size® principles, Media Literacy, Mindfulness-Based negative body image (e.g., self-objectification; chapter 13) and
Therapy, Motivational Interviewing, and Stress Inoculation positive body image (e.g., protective filtering; chapter 17). I
Training. These are integrated by the book’s systematic yet also had the “life-enhancing” (see chapter 21)—personally,
flexible approach to helping people make significant changes professionally, politically—opportunity to discover in each of
and by the wisdom of the authors, drawing on their vast the 23 chapters four of the pillars holding up the foundation of
experiences in research, clinical work, and self-reflection. positive psychosocial development, of which positive body
Another truly unique aspect of the Positive Body Image image is so clearly a major dimension.
Workbook is its layered approach to self-assessment. This fea- The first pillar is compassion for the complexity, confusion,
ture derives from the authors’ expertise, and in some instances and challenges evoked by “working” in any manner, including
their leadership, in the science of tests and measurements for use of a workbook, on body image. The authors understand, at
assessing facets of body image. The authors guide the reader in all levels, that body image is not “just” anything. Rather, it is a
self-assessment—and thus a deeper understanding of impor- fascinating but bewildering network of beliefs, strong feelings,
tant constructs—by making extensive use of valid question- sensations, visual images, auditory echoes, and, to paraphrase
naires and opened-ended, semi-structured questions. At the Carl Jung (1965), “memories, dreams, and reflections.”
simpler levels this connects with the reader’s desire to under- Moreover, all these important dimensions are embedded in
stand multidimensional concepts more fully and how they transactions with how we behave and the contexts in which we
apply to the self. Here there is guidance for scoring question- live. Second, the authors, by virtue of their extensive years of
naires and interpreting total scores. However, two truly dis- research, clinical work, advocacy, and self-reflection, have the
tinctive features of the Positive Body Image Workbook skills to provide us with the specific skills we personally need to
constitute the more complex levels. One is inviting the reader (a) understand the positive and negative dimensions of body
to return to their responses to individual questionnaire items image, and then (b) gently and fiercely tackle the challenge of
to explore those responses, as well as the productive potential long-term change while embracing the process of discovering
inherent in alternative responses. This sets the stage for the what positive body image means to us in the context of our
transition to using such in depth self-assessment for goal- own body agency.
setting and for anticipation of both supports and obstacles. Third, along with compassion, the authors infuse this work-
Without either complicating or oversimplifying the task, the book with the determination, reinforcement, humor, and
Positive Body Image Workbook provides, in clear steps, the patience necessary to help people learn through doing that
perspective, the motivation, and the skills necessary for change is a practice. This is the rare workbook that is well-
viii
Foreword

researched by world-class experts and well-organized by scien- memory, but well into pain that can be all too fresh. This book
tists who are clear thinkers and effective writers. And these has provided me with knowledge, inspiration, self-compassion,
authors know that to use this workbook effectively, one has to skills, and more, including the willingness to learn and practice
do what one does while engaged in any process of meaningful embodying its important lessons.
change—go back and forth, across the chapters, across the
exercises, across the years of one’s life, across the skills, across – Michael P. Levine, Ph.D., FAED
the dialectic between acceptance and change. This leads to the Goleta, California, 9 March 2020
final pillar, which is the importance of being guided by experts
who are part of a community in which they themselves con- Adler, A. (1929). The practice and theory of individual psychology
tinue to develop personally, professionally, and politically in (Rev. ed.). London: Kegan Paul, Trech, Trubner & Co.
terms of the power to transform a world that all too often Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive
makes positive body image sound preposterous. therapy of depression. NewYork: Guilford Press.
I am a psychologist who works in the body image and eating Furnham, A., Richards, S. C., & Paulhus, D. L. (2013). The Dark Triad
disorders fields. As noted, I am also an advocate for prevention of personality: A 10 year review. Social and Personality Psychology
of eating disorders and related conditions, including body Compass, 7, 199–216.
dissatisfaction. And I am a 70-year-old husband and father Jung, C. G. (1965). Memories, dreams, reflections (A. Jaffé, Ed.). New
whose body image issues stretch sideways and back beyond York: Vintage Books.

ix
Acknowledgments

Thank you . . . invaluable feedback to contribute to the success of this


Cambridge University Press and the amazing editorial staff workbook.
for believing in us and joining with us in this exciting Cherished clients for your wisdom, courage, trust, and vul-
collaboration. nerability. May this workbook be in honor of your struggles
Esteemed colleagues for contributing to the field of positive and successes.
body image, encouraging us to engage in this endeavor, Dear families, friends, and mentors who walked with us each
allowing the use of your intellectual property, and offering step of the way with unwavering support and love.

x
Section I Introduction and Preparation
Chapter
Introduction to the Positive Body Image Workbook

1
Welcome to the Positive Body Image Workbook! In this chapter, workbook) as well as our clinical experience of witnessing
we offer an overview of positive body image, introduce our- clients transform from negative to positive body image.
selves and our work, share what inspired us to write this work-
book, and describe how you may use it in your clinical practice Who We Are and Our Guiding Beliefs
(for clinicians1) and everyday lives (for clients and readers2).
We are three colleagues and friends who have collaborated on
published studies related to body image, intuitive eating, and
What is Positive Body Image? disordered eating, and have provided services (including psy-
This workbook focuses on increasing positive body image and chotherapy and trainings) focused on promoting positive body
reducing negative body image. Right now, you may be wonder- image. We share similar values (integrity, collaboration, and
ing, “Won’t reducing negative body image automatically quality research and clinical work) and a passion to help all
improve positive body image?” In some ways, yes – but not in those who want to move toward positive body image. We
all ways. Negative body image includes negative feelings and believe that positive body image is attainable for any and all
thoughts about our appearance. Positive body image is broader who are willing to commit and invest in it.
than simply “positive feelings and thoughts about our appear- We each have our Ph.D. in counseling psychology,
ance.” Positive body image includes appreciating our bodies in a discipline that focuses on individual strengths to help build
terms of how they function along with appearance. It means resilience when faced with challenges while also promoting
loving our bodies for their unique characteristics, which may meaningful and fulfilling lives [1]. We draw from positive psy-
change across time (e.g., “our scars are beautiful”). Holding chology, the scientific study of human strengths that help people
a positive body image means that we perceive a wide range of thrive and cultivate what is best within themselves [2].
appearances as beautiful, not just the bodies portrayed as attrac- Incorporating strength-based approaches into clinical treatment
tive in social media, magazines, TV, movies, etc. Positive body enhances outcomes beyond focusing solely on what is wrong [3].
image also includes how we “bounce back” from body image Counseling psychologists honor multiple social identities (e.g.,
threats (or attacks on body image), such as negative comments race, gender, class, age, weight, sexual orientation, gender iden-
made about our bodies. Positive body image can be expressed as tity, ability, etc.), explore how these social identities interact to
taking care of our bodies (e.g., self-care), showing the world that shape experiences, and work to dismantle discrimination and
we feel positively about and respect our bodies, and mentoring stigmatization.
others to hold a positive body image as well. And, as you will Our professional and personal identities shed light on the
see in this workbook, it is so much more. perspectives we bring to this workbook. We have had experi-
Some people believe that it is unrealistic to have a positive ences with both privilege and disadvantage throughout our
body image. This skepticism is related to a narrow definition of lives which shape our worldviews, and as a result, how we
positive body image: “loving every aspect of the body at all view body image work. We offer some of our guiding beliefs:
times” without experiencing discomfort or moments of negative • Positive body image is unique from negative body image.
body image. We agree that this outcome is unachievable when • Positive body image is attainable for all persons of varying
defined in this way, especially in cultures that value appearance social identities.
ideals. Furthermore, we acknowledge that we all have moments • It is important to focus on changing internal experiences of
in which our body image is not what we would like it to be. Our body image rather than external appearance. The problem
definition of positive body image, in contrast, includes loving with negative body image is not about the actual body itself
and accepting our bodies regardless of appearance and function- but rather viewing oneself as deficient or unacceptable. As
ing, showing compassion for differences and difficulties, and a result, we do not recommend weight loss goals for body
responding effectively when body image distress occurs. This image issues, given that weight and body mass index (BMI)
definition is based on research studies (which we provide in this

1
We refer to all professionals who work with clients who have body image concerns as “clinicians” to honor the diversity of professionals in this
area (e.g., psychologists, counselors, social workers, dietitians, nurses, psychiatrists, medical doctors, and more).
2
Those engaged in therapy are referred to as “clients.” The term “reader” is for anyone who is interested in using this workbook for self-
improvement.
1
Introduction to the Positive Body Image Workbook

are rather poor indicators of health [4–5]. Instead, we We include assessments along with instructions and
promote self-acceptance and compassion. applications for your clients to use at different points of
• Biological issues and maladaptive behaviors (e.g., chronic treatment to gauge and demonstrate progress (e.g., clients
dieting, self-induced vomiting, excessive exercise) need to be can witness first-hand their objective change, substantiate
recognized and addressed in advance of body image work. gains to third party payors). We intentionally incorpo-
• Negative body image is, in part, a byproduct of societies that rated elements of various treatment modalities so that
idealize appearance and that treat individuals differently this workbook would be interesting and applicable to
based on weight and body size, with higher-weight clinicians with different theoretical orientations:
individuals often experiencing weight stigma. We advocate Cognitive Behavioral Therapy [6], Dialectical Behavior
to reduce weight stigma (as well as other types of stigma) at Therapy [7], Acceptance and Commitment Therapy [8],
various levels (e.g., societal, individual). Emotion-Focused Therapy [9], Compassion-Based
• A weight-inclusive philosophy (supporting the well-being Therapy [10], Interpersonal Therapy [11], Exposure
and health of people of all body sizes) is essential for moving Therapy [12], social justice [13], and Motivational
toward positive body image. Interviewing [14]. The assignments included in each
• Clinicians benefit from exploring how their own body image chapter can be reviewed during sessions and/or offered
issues impact themselves and the clients with whom they as homework assignments to assist your clients in moving
work. toward positive body image.
• Self-care (e.g., consistent nourishment, life-enhancing Of special note, we devote an entire chapter (Chapter
movement) is the essence of moving toward positive body 3 – “Clinician Preparation”) focused on how to help clients
image and requires intentional effort and practice. move toward positive body image within your clinical
work. We also offer specific considerations and assign-
ments for you as the clinician to promote introspection
Inspiration, Vision, and Integration into how your personal experiences intersect with that of
The inspiration for this workbook emerged many years ago your clients.
while Nichole contemplated how to share with fellow clinicians For the client and general reader: We offer factual infor-
and clients alike her process of synthesizing research concepts mation about positive body image that is based on research and
about body image into clinical practice. The vision was to clinical expertise. You can complete the assignments at your
create a workbook solely focused on practical applications to own pace based on your needs and interests.
promote positive body image that is grounded in research
findings along with clinical insights. Unique Features of Our Workbook
We recognize that communication challenges exist Our workbook offers these unique features in one source:
between researchers and clinicians who specialize in positive • Accessibility. An easy-to-use resource for clinicians, clients,
body image. We believe that researchers benefit from the and general readers who would like to know more about
clinical expertise of clinicians specializing in this area and positive body image and/or wish to improve their body
that clinicians benefit from integrating research findings into image.
clinical practice. As both researchers and clinicians ourselves, • Introspection. Preparation chapters for clients/readers
we have created this workbook with the goal of increasing (Chapter 2) and clinicians (Chapter 3) to increase self-
communication within the profession as well as making the awareness. Both of these chapters offer common
information available to the general public. For this particular questions and answers on how to move toward positive
workbook, Tracy drafted the “Theory and Research” sections, body image. For clients/readers, the chapter addresses
and Nichole and Casey drafted the clinical tools (“Talking topics such as motivation, values, strengths, purpose,
Points”, “Treatment Goals and Objectives”, “Applications”, goals, and more. For clinicians, the chapter focuses on
and “Assignments”). how to prepare both professionally and personally for
For the researcher: We integrate up-to-date research on this work. Assignments specially created for clinicians
positive body image topics from peer-reviewed journals are included.
and academic sources in the “Theory and Research” sec-
• Education. Nineteen chapters provide information on
tions. We reference each original source for additional
different components of positive body image such as
reading. We also offer valid and reliable assessments
embodiment, body appreciation, self-care, intuitive eating,
along with instructions on how to interpret them and
social comparison, body talk, and more.
apply them within a real-world context for each of the
• Intervention. Treatment planning tools, including “Talking
body image topics.
Points” along with treatment plan goals and objectives, are
For the clinician: We review relevant information
included in each chapter to promote effective clinical
about components of positive body image in an easy-to-
interventions.
read format that you can then share with your clients.
• Assessment. Twenty-one reliable and valid assessments with
The “Treatment Planning” sections offer specific talking
guidelines for interpretation and applications accompany
points that you can include in your sessions as well as
each body image topic.
goals/objectives that you can tailor for treatment plans.
2
Unique Features of Our Workbook

Table 1.1 Workbook Overview

Section Portion Clinicians Clients Readers


I. Introductory Chapter 3: Clinician Preparation is Chapter 2: Client and Reader Preparation is
chapter specifically designed for the clinician specifically designed for the client engaged
(Chapter 1) and providing interventions for clients/ in body image work with a clinician or for
preparation group of clients with body image the interested reader who would like to
guides issues. This chapter offers suggestions learn about how to move toward positive
(Chapters 2–3) on how clinicians can: (a) help clients body image. This chapter includes
move toward a positive body image, information on problem identification, how
and (b) facilitate awareness of their to prepare for body image work, core values,
own body image experiences which character strengths, purpose, goals, and
can impact client interventions. committed action (and more!). Commonly
Commonly asked questions along with asked questions along with answers are
answers are included as well as included as well as specially created
specially created assignments to assignments to promote increased self-
promote increased self-awareness in awareness. It is recommended that the
the clinician. It is recommended that client/reader review this chapter before
the clinician review this chapter moving on to other chapters.
before proceeding with the rest of
the workbook.
II. The Journey Theory and Each content chapter includes an Each content chapter includes an overview of
Toward Positive Research overview of a particular body image a topic of body image based on information
Body Image topic complete with up-to-date from experts. Clients/readers can read the
(Chapters 4–22) information from researchers and information as well as share with important
clinical experts from around the world others (family, friends, and partners) to
in one source. A definition of the body increase understanding and sensitivity to
image topic is offered along with body image issues. Clients in therapy can
theory and research on the topic. share relevant topics with their clinician.
Clinicians can use these sections in
various ways: (a) read to increase own
knowledge, (b) offer as recommended
readings to interested colleagues, (c)
share highlights with clients during
interventions, and/or (d) encourage
clients to read on their own to discuss
during future interventions.
References are included at the end of
chapter for the clinician who is
interested in reading the original
citations.
Talking Talking points can be used to start Clients can circle Readers can journal
Points a conversation on specific body talking points to about relevant
image topics during interventions with address during talking points.
clients. treatment
interventions.
Goals and Sample goals and objectives that we Sample goals and The listed goals and
Objectives have used in the care of our own objectives are objectives provide
clients are offered for treatment plans. offered related guidelines for the
The goals and objectives reflect various to change. Goals body image
theoretical orientations. Clinicians can are desired journey. Goals are
work collaboratively with clients to outcomes that desired outcomes
select relevant goals and objectives are broadly that are broadly
based on individual needs and defined, while defined, while
preferences. objectives are objectives are
smaller smaller achievable
achievable steps steps towards

3
Introduction to the Positive Body Image Workbook

Table 1.1 (cont.)

Section Portion Clinicians Clients Readers


towards goals. goals. Readers can
Clients can check relevant
check relevant goals and
goals and objectives to work
objectives to toward.
include in
treatment.
Additional Books, workbooks, websites, and more are offered as additional resources to deepen
Resources understanding of the body image topics in areas that extend beyond the scope of this
workbook.
Assessments Most chapters include at least one Most chapters include an assessment focused
assessment that corresponds with the on a topic of positive body image. Clients
theme of the body image topic that and readers can complete the assessments
has been authorized for use by the at various points throughout the positive
original cited author(s). Some of the body image journey. Guides for how to
assessments were slightly modified to interpret high, medium, and low scores are
be inclusive of gender fluidity, improve presented. Comparing the scores between
clarity, and increase relevance for timepoints is a useful way to determine
a range of client concerns. Interpretive progress.
scores are presented. Clinicians can use
assessments in various clinical pursuits:
(a) to determine client progress
(beginning, middle, end of treatment),
(b) to tailor treatment goals and
objectives unique to the client, (c) to
educate about different aspects and/or
nuances of a topic, (d) to open
dialogue about related topics, (e) to
increase client self-awareness that can
translate into change, (f) to sharpen
treatment focus, (g) to inform
homework assignments, and (h) to
demonstrate objective response to
treatment interventions. Integration of
these assessments can be beneficial for
those clinicians who are required to
demonstrate a client’s response to
treatment to an external entity (e.g.,
accrediting body, third party payor).
Clinicians can complete assessments
for their own personal growth. If
clinicians wish to use the assessments
for research purposes, they will need to
contact the original authors.
Assessment All assessments include corresponding All assessments include applications to guide
Applications applications to facilitate self-awareness and deepen reflection by way of thought-
via thought-provoking comments and provoking comments and questions.
questions. Clinicians can use the
applications: (a) to stimulate dialogue
during interventions, (b) to identify
future treatment interventions, and/or
(c) to encourage clients to complete as
take-home assignments. Clinicians can
complete assessment applications for
their own benefit.

4
Applicability and Limitations

Table 1.1 (cont.)

Section Portion Clinicians Clients Readers


Assignments The purpose of the assignments is to The purpose of the assignments is to apply and
apply and extend information on the deepen information on body image.
body image topics. Different formats Different formats are offered: open ended-
are offered to be of interest to a wide questions, journal entries, thought
range of individuals: open ended- experiments, behavioral experiments, and
questions, journal entries, thought more. Clients/readers can choose which
experiments, behavioral experiments, ones to complete based on interest,
and more. Clinicians can integrate paying attention to themes that may
assignments in the following ways: (a) emerge. The assignments can be
serve as talking points during clinical completed multiple times to review
interventions for education purposes, change and progress. Also, clients/readers
(b) complete during clinical can share either the completed assignments
interventions, and/or (c) assign as or the themes from the assignments with
homework between interventions. important others (family, friends, partners).
Additionally, the same assignments Additionally, clients/readers can invite
can be completed at the beginning important and trusted others to also
and end of treatment to assess change complete the assignments with the goal to
and progress. Clinicians can complete share ideas after.
assignments for their own benefit.
III. Continuing Our Journeys This chapter serves as a wrap-up to the This chapter serves as a wrap-up to the
(Chapter 23) workbook. Intentional activities are workbook. Intentional activities are offered
offered along with encouragement to along with encouragement to develop
develop a plan to maintain them in a plan to maintain positive body image
daily life. Clinicians can reinforce the gains and prevent setbacks. Clients/readers
use of the activities with clients along can review this chapter when needing
with completion of the final a resource to get back on track toward
assignment that highlights journey positive body image.
reflections. Clinicians can review this
chapter for their own benefit.

• Application. An array of assignments is offered with the Applicability and Limitations


purpose of applying and extending information on the
We are honored for the opportunity to create this work-
body image topics. Readers can choose based on
book and intend for it to be applicable to a range of
interest.
people by:
• Sustainability. A final chapter is devoted to “intentional
activities” to ensure that the progress achieved is thereby • Including scholarly works from reputable resources around
maintained. the world.
• Ensuring that samples of people with various identities are
recognized and highlighted.
How to Use This Workbook • Using the term “they” throughout the workbook to
Because the chapters are independent of each other, you acknowledge that anyone can experience body image
can choose how to use this workbook: read it sequentially concerns regardless of gender identity.
from beginning to end, pick chapters to read that are of • Integrating currently acceptable language to describe groups
particular interest, and/or any combination. We encour- of people, acknowledging that this language is rooted within
age clinicians to own a copy of the workbook to: (a) share a Westernized lens and may not appeal to all.
general information about the different components of
We also understand that the field of positive body image is
positive body image with clients during sessions, (b)
relatively young, there is still much to be learned, and what is
make copies of chapters and assignments for clients to
understood as relevant today will likely morph over time. As
complete during the session or as homework, and (c) use
a result, we acknowledge the following limitations along with
for their own self-guided work on positive body image.
our efforts to address them.
We recommend that clients have their own copy of this
workbook to serve as a useful companion to therapy. • Some of the information in this workbook may be
In Table 1.1, we provide an overview of the various sections interpreted as complicated and dense. We have tried to
and components written from the perspective of the clinician, present the information so that it is accessible for the general
client in therapy, and general reader. reader.
5
Introduction to the Positive Body Image Workbook

• We promote “body acceptance” throughout the workbook order to promote the client’s sense of personal choice,
while acknowledging that this experience may not be fully validation, and empowerment throughout this process.
relatable for all. For example, those who identify as
transgender may choose various forms of transition in order
to promote congruence with their gender expression(s) and Be the Change!
ultimately body acceptance. We encourage future research As mentioned in our guiding beliefs, we believe that change
endeavors to focus specifically on positive body image in is necessary at numerous levels to lower the incidence of
transgender and gender nonconforming individuals in order body image issues and to simultaneously promote positive
to fully appreciate and honor these experiences. body image. This workbook specifically targets change at the
• We mindfully refrained from integrating trauma-focused individual level by teaching skills to recognize and resist
content in the workbook. This decision was based on the harmful body-related messages while also promoting self-
collective philosophy that trauma-focused issues are most acceptance. Individuals can then create a rippling effect of
appropriately addressed within a therapeutic context, in change by inspiring loved ones, friends, community mem-
which the client’s unique needs and experiences are bers, and others to move toward positive body image.
honored. Trauma-focused therapy necessitates assessment Ultimately this change can permeate at a societal level. For
by a trained clinician to determine the appropriate stage example, individuals who apply the skills from this work-
of trauma work and to offer a recommended treatment book can get others involved by discussing the harms of
modality based on the client’s unique trauma history and weight stigma and the benefits of body acceptance, mentor
treatment goals. It is important to note that those with others to have a positive body image, boycott companies
histories of trauma may experience additional concerns that perpetuate weight stigma, and engage in social action in
related to their bodies such as self-protection, intimacy, many other ways.
body awareness, body trust, and body control. We We envision a collective effort of challenging appearance
encourage clinicians and clients to tailor the treatment ideals and combating weight stigma; a movement toward
tools, assessments, applications, and assignments within what really matters. We, the authors, commit to promoting
this workbook as clinically indicated to best fit the body acceptance within society, and we hope to inspire you
experiences of the client. Additionally, we recommend (clinicians, clients, and readers) to join us in this mission.
discretion when selecting workbook interventions in We are excited that you are taking this step with us!

overweight and obesity using standard 10. P. Gilbert. Compassion Focused


References body mass index categories: A systematic Therapy: Distinctive Features. London:
1. C. J. Gelso, E. N. Williams, and review and meta-analysis. JAMA 2013; Routledge, 2010.
B. R. Fretz. Counseling Psychology (3rd 309: 71–82.
ed.). Washington: American 11. M. M. Weissman, J. C. Markowitz,
Psychological Association, 2014. 6. J. S. Beck. Cognitive Behavior Therapy: and G. L. Klerman. The Guide to
Basics and Beyond (2nd ed.). New York: Interpersonal Psychotherapy:
2. S. J. Lopez, J. T. Pedrotti, and Guilford Press, 2011. Updated and Expanded Edition.
C. R. Snyder. Positive Psychology: The New York: Oxford University Press,
Scientific and Practical Exploration of 7. M. M. Linehan. DBT Skills Training
Manual (2nd ed.). New York: Guilford 2018.
Human Strengths (4th ed.). Thousand
Oaks: Sage, 2019. Press, 2015. 12. J. S. Abramowitz, B. J. Deacon, and
8. S. C. Hayes, K. D. Strosahl, and S. P. H. Whiteside. Exposure Therapy
3. M. E. P. Seligman, T. Rashid, and for Anxiety: Principles and Practice (2nd
A. C. Parks. Positive psychotherapy. Am K. G. Wilson. Acceptance and
Commitment Therapy: The Process ed.). New York: Guilford Press, 2019.
Psychol 2006; 61: 774–88.
and Practice of Mindful Change 13. E. Aldarando (Ed.). Advancing
4. Y. Brooks, D. R. Black, D. C. Coster, (2nd ed.). New York: Guilford Press, Social Justice Through Clinical
et al. Body mass index and percentage 2012. Practice. New York: Routledge,
of body fat as health indicators for 2007.
young adults. Am J Health Behav 9. L. S. Greenberg. Emotion-Focused
2007; 31: 687–700. Therapy: Coaching Clients to Work 14. W. R. Miller and S. Rollnick.
Through Their Feelings. Washington: Motivational Interviewing: Helping
5. K. M. Flegal, B. K. Kit, H. Orpana, et al. American Psychological Association, People Change (3rd ed.). New York:
Association of all-cause mortality with 2015. Guilford Press, 2013.

6
Chapter
Client and Reader Preparation

2
Welcome! practice. Additionally, it involves approaching uncomfortable
So you’ve decided that you want to address your body image emotions and thoughts along with behavioral changes.
issues with the goal of moving toward positive body image – Remember that you have a choice; you can choose to do noth-
good for you! It’s likely that you have had some concerns for ing, keep doing things in the same way, or do things differently.
a while and are now trying to figure out how to make positive Simply wishing or thinking about things will not result in
changes. Maybe you’ve tried different strategies to improve body change. There are pros and cons associated with working on
acceptance; some worked, some didn’t. Whatever your journey these issues versus not working on them at different points in
has been to date, we welcome you to our approach on how to your life. Complete Assignment 2.1 “Pros/Cons of Working on
embrace positive body image. Body Image Issues” to identify costs and benefits of changing
Some quick information about how this workbook is
versus keeping things the same.
structured.1 Each content chapter (Chapters 4–22) includes the
Even after you have decided that you want to make changes,
following sections:
it can be challenging because motivation naturally waxes and
• “Theory and Research” – information from experts about wanes. Some days you might feel inspired and other days you
a body image topic;
might wonder whether the work is worth it. It’s normal to feel
• “Treatment Planning” (“Talking Points”, “Goals”, stuck and overwhelmed. During those times, it can be helpful to
“Objectives”) – suggestions on topics to discuss with others;
refer back to your original reason(s) for wanting to make
sample goals and objectives for your journey;
change. Complete Assignment 2.2 “Preparing for Positive
• “Additional Resources” – recommendations for additional
Body Image Work” which focuses on the reason(s) why you
information;
want to make change, desired outcomes, what coping skills you
• “Assessments” with “Applications” – assessments related to body
can use during this process, and sources of support.
image that you can complete along with questions for
reflection; Upon responding to these questions, if you notice that your
ultimate focus is to change your body (e.g., lose weight, cos-
• “Assignments” – different types of activities to apply and
deepen information on body image. You can choose which metic surgery), then this workbook might not best fit your
ones to complete and which ones to share with important goals. If you notice that your ultimate focus is to change your
others (e.g., family, friends, partners). mindset about your body, then this workbook will help you on
your journey.
In this chapter, we offer frequently asked questions and What has impacted my current body image? Before any
answers about positive body image. We encourage you to read
change toward positive body image can take place, it’s
this chapter and complete the corresponding assignments before
moving on to the following chapters. These assignments will important to determine what your body image is currently
serve as a foundation for your work toward positive body like and the life experiences that have shaped it. Many
image and remind you of your reasons for this work. factors influence body image over time, such as comments
So let’s get started! Remember to be persistent, patient, and from family members, exposure to messages in media, body-
compassionate with yourself during this process. related changes with age, and more. These experiences can
be interpreted as negative, neutral, or positive and corre-
Warmly,
spond with different emotions, thoughts, stories, and beha-
Nichole, Tracy, and Casey
viors. Assignment 2.3 “Body Image across Lifespan” offers
suggestions on how to create a visual representation of your
What is the problem with my body image? It is helpful to identify
unique body image experiences over time and how they
the specific problem(s) related to your body image. Take
impact your current functioning. As you review these
a moment to clearly define the current problem(s) in one sentence:
experiences, you’ll notice:
__________________________________________________
__________________________________________________ • the emotions that can range from sadness, shame, anger, and
embarrassment to pride, satisfaction, and joy;
What can I do to prepare myself for body image work? Body • the thoughts and stories you believe(d) about yourself then
image work requires time and effort along with consistent and now related to these experiences;

1
A detailed description of the workbook can be found in Table 1.1: “Workbook Overview” in Chapter 1.
7
Client and Reader Preparation

• the behaviors from trying to change your body, avoiding weight bias (judging ourselves or others negatively based on
uncomfortable experiences, altering your appearance, trying weight) is part of these reasons. Research shows that weight
new activities, and promoting positive change in others; stigma actually reinforces negative body image [4]. It is helpful
• how body investment (how much time or focus you spend on to shift the focus from weight loss to challenging internalized
your body) and body evaluation (how you judge your body) weight bias. Chapter 5 explains weight stigma and internalized
change at different points; weight bias in depth.
• how specific feedback and comments from others such as Moving toward positive body image is about internal
family members, friends, partners, medical professionals, acceptance versus changing external appearance. Our
coaches, teachers, mentors, community leaders, approach focuses on treating the mind and body with respect,
acquaintances, and even strangers impact your experience such as getting consistent nourishment, engaging in life-
with your body. enhancing movement, and fostering self-acceptance. The
body will respond in whatever ways it needs to.
What is important to me? As part of this journey, it is What will it take to change my body image from negative
important to consider your core values which serve as guide- to positive? Simply wishing or hoping for things to change will
posts in life. Values offer a point of focus and direction for likely not result in that outcome. Committed action, or the
moving out of a stuck place [1]. Examples of core values process of making small steps toward change [5], is necessary.
include justice, equality, freedom, love, compassion, service, Keeping your values, character strengths, and purpose in mind
intellect, success, respect, appreciation of beauty, humor, artis- is part of committed action. Each small step should be in the
tic expression, achievement, and financial security. Core values direction of your values. When engaging in committed action
can change throughout life depending on circumstances and remember to choose behaviors that aren’t too easy and not too
experiences. Complete Assignment 2.4 “Core Values” to iden- challenging; choose those that are just right. Take small steps
tify your top five core values and examine the degree to which that are challenging but not impossible, in order to build
behaviors in your life are currently aligned with your core a sense of accomplishment and to motivate for additional
values. action. Complete Assignment 2.8 “Committed Action toward
As unique individuals, we all have different combinations Positive Body Image”.
of character strengths [2]. Examples of these character It is helpful to recognize how engaging in certain behaviors
strengths include bravery, teamwork, forgiveness, curiosity, prevents you from moving toward positive body image.
zest, and perseverance. Check out the VIA Institute on Examples of such behaviors include excessive body checking
Character to learn more about character strengths and to or weighing, dieting, purging (e.g., self-induced vomiting, use
complete a free online scientific survey to determine your of laxatives or diet pills to control weight), excessive exercise,
top strengths. Consider how your “Character Strengths” self-injurious behaviors, consistent substance use, and more.
(Assignment 2.5) relate to your body image. Complete Assignment 2.9 “Behaviors that Move Me Toward or
Values and character strengths correspond with our sense Away from Positive Body Image”. This assignment can help
of purpose. Purpose is our reason for moving forward when you identify what behaviors move you further from or closer to
times are difficult. It is what energizes and inspires us to create positive body image (e.g., eating when hungry, stopping when
change for ourselves and sometimes others. Reflect on your full, being around others who accept your body, engaging in
unique “Purpose in Life” in Assignment 2.6 with special con- life-enhancing movement), and make specific goals to increase
sideration of how it relates to moving toward positive body these behaviors.
image. Additionally, respecting and protecting your body from
What are my body image goals? It is important to identify potential threats and harm corresponds with moving toward
goals related to positive body image as they lead us in a desired positive body image [6]. Examples of these protective behav-
direction towards our values. Goals can range from short-term iors can be asserting your needs, using sunblock, taking med-
to long-term. Try to be specific about what you want versus ications as needed, and getting vaccines. Review “Protection of
what you don’t want. Imagine having achieved your goal(s), the Body” (Assignment 2.10) to identify ways that you are
including associated emotions, thoughts, and behaviors. currently caring for your body and to learn additional ideas
Complete Assignment 2.7 “Body Image Goals”. of how to do so.
What if my goal is to change my body including lose Your mental perspective also impacts the transition from
weight? Research shows that weight loss is not effective long- negative to positive body image. If you notice that your
term; most people gain back the weight they lost and more [3]. thoughts are negative or pessimistic, try to be open to new
Examine your various intentions or reasons for wanting to lose ways of viewing yourself and your body without judgment.
weight. Examples might include not liking your current shape/ Practice replacing negative thoughts with positive thoughts.
size/weight, wanting to fit into certain types/size of clothing, Complete Assignments 2.11 “Practicing Body Acceptance” and
being instructed by your medical provider to do so for health 2.12 “Self-Affirmations”.
reasons, receiving negative appearance-based feedback from What challenges might get in the way of moving toward
a partner, or believing that weight loss will increase your positive body image? It is helpful to identify and anticipate
positive body image or overall quality of life. Upon identifying barriers associated with change so that you can problem solve
the reasons, it is helpful to consider whether internalized in advance. Complete Assignment 2.13 “Barriers and
8
Client and Reader Preparation

Solutions” to know how you would like to respond if and when body image but it might not ever be “finalized” because the
various challenges come your way. body and mind are constantly changing. Your specific
How can I track my realizations as I progress through this definition of positive body image might change or evolve
work? It is helpful to identify one or more key points you would over time based on different factors in your life, and that’s
like to take from each chapter (Chapters 4–22) using Assignment okay.
2.14 “My ‘Take-Home’ Realizations”. You can also record your Having identified your core values, character strengths,
overall realizations as you move toward positive body image. sense of purpose, goals, and willingness to participate in com-
How will I know once I’ve achieved positive body mitted action, you’re ready to begin your journey!
image? Realize that you’re always moving toward positive

9
Client and Reader Preparation

Assignment 2.1: Pros/Cons of Working on Body Image Issues


Brainstorm pros and cons for both working on body image issues and not working on body image issues at this point in your life.

Pros Cons

Working on body image issues

Not working on body image issues

Realizations about working on body image issues:


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Realizations about not working on body image issues:


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
10
Assignment 2.2: Preparing for Positive Body Image Work

Assignment 2.2: Preparing for Positive Body Image Work


Reflect on the questions below as you begin the process of moving toward positive body image. Your answers to these questions
can serve as motivation when you experience challenging times in the future.

• What’s the purpose for moving toward positive body image at this time in my life?
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• How much of this is driven by my wants/needs? By the wants/needs of others (e.g., partner, family, friends)?
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• Is moving toward positive body image necessary at this time? Is it possible?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What change(s) do I want to make?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What outcome(s) do I want?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• How can I tolerate the uncomfortable thoughts and emotions that might come up while moving toward positive body image?
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• Do I have the resources I need in order to make change(s)?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What coping skills can I use during challenging times?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• Who can I rely on for support and encouragement?


____________________________________________________________________________________________________
____________________________________________________________________________________________________

• I will remind myself of the following when I need inspiration:


____________________________________________________________________________________________________
____________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
11
Client and Reader Preparation

Assignment 2.3: Body Image across Lifespan


Create a body image timeline across your life that includes important body image experiences that you view as positive, negative,
and neutral. This timeline is a representation of both the things that contribute to and maintain your unique body image. It’s
important that while completing this assignment you recognize the events without becoming consumed by them.

Be creative with the timeline, using whatever materials you prefer. For example, you can use a pen to make a timeline on paper,
create a collage with different images, review important photographs at different times in your life, create artistic pieces, and more.

Explore this timeline and journal about the following:

• What patterns do I notice?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What factors contribute(d) to my body investment (how much time or focus is spent on the body)? Examples might include
puberty, body changes, influence of others, life experiences, the aging process, loss of functioning, and more.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What factors contribute(d) to my body evaluation (how the body is judged)? Examples might include puberty, body changes,
influence of others, life experiences, the aging process, loss of functioning, and more.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Negative Experiences
• What emotions correspond with these experiences?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What thoughts correspond with these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What stories do I tell myself now about these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• How do negative experiences impact my current functioning?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
12
Assignment 2.3: Body Image across Lifespan

Positive Experiences
• What emotions correspond with these experiences?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What thoughts correspond with these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What stories do I tell myself now about these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• How do positive experiences impact my current functioning?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Neutral Experiences
• What emotions correspond with these experiences?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What thoughts correspond with these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• What stories do I tell myself now about these experiences?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• How do neutral experiences impact my current functioning?


____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Overall Reflections
• Does thinking about past events impact my ability to move toward positive body image?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

• Does thinking about future events impact my ability to move toward positive body image?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
13
Client and Reader Preparation

• Do I feel comfortable sharing this timeline with a trusted individual(s)?


○ If not, what are the reasons:

_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

○ If so, who and for what reasons:

_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

• My overall reflections:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
14
Assignment 2.4: Core Values

Assignment 2.4: Core Values


What values are important in how I live my life? Examples of values include justice, equality, compassion, love, freedom, service,
intellect, success, respect, appreciation of beauty, humor, artistic expression, achievement, financial security, and more. You can
do a search for core values on the Internet and select the top five that are most important to you at this time. Also, The Good
Project2 has an online value-sort activity to assist you in determining top values.
The top five core values that are important to me are:
1. ____________________________________________________________________________________________________
2. ____________________________________________________________________________________________________
3. ____________________________________________________________________________________________________
4. ____________________________________________________________________________________________________
5. ____________________________________________________________________________________________________

Do my values correspond with how I think and feel about my body?


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Do I treat my body in ways that correspond with my values?


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

I want to make these changes in order to practice my values:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

I commit to making this change in the next week:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

I commit to making this change in the next month:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

I commit to making this change in the next year:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.

2
www.thegoodproject.org/value-sort
15
Client and Reader Preparation

Assignment 2.5: Character Strengths


Examples of character strengths include bravery, teamwork, forgiveness, curiosity, zest, and perseverance. Check out the VIA
Institute on Character3 website to complete a free online scientific survey (i.e., the VIA Survey of Character4) to determine your top
strengths.

Μy top character strengths are:


1. ____________________________________________________________________________________________________
2. ____________________________________________________________________________________________________
3. ____________________________________________________________________________________________________
4. ____________________________________________________________________________________________________
5. ____________________________________________________________________________________________________
What similarities are there between my character strengths and my body image?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

What differences are there between my character strengths and my body image?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

How can I rely on my character strengths when I’m feeling overwhelmed with body image work?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

How can I enhance my current strengths as I work toward improving my positive body image?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

How can I enhance other personality traits that are not my strengths as I work toward positive body image?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

How can I turn my focus to my character strengths when I am thinking about perceived limitations or weaknesses about my body?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Overall reflections on character strengths and body image:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.

3
www.viacharacter.org/
4
www.viacharacter.org/survey/account/register. For a list of the twenty-four character strengths, see www.viacharacter.org/character-strengths.
16
Assignment 2.6: Purpose in Life

Assignment 2.6: Purpose in Life


Often our lives become busy with everyday tasks and activities, resulting in a lack of awareness of our sense of purpose in life.
Having a sense of purpose can help guide decision-making, create a sense of fulfillment and enhance the quality of life. For this
journal activity, consider the following: How would I describe my purpose in life? How am I moving toward my purpose? What
barriers get in the way? Has my purpose changed over time? What values correspond with my purpose? What character strengths
correspond with my purpose? Am I engaging in activities/pursuits that fulfill my purpose? Do body image issues interfere with my
ability to pursue my purpose? How will moving toward positive body image impact my sense of purpose?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
17
Client and Reader Preparation

Assignment 2.7: Body Image Goals


It is important to identify goals in order to move toward having a positive body image. Goals help point us in a desired direction
that is consistent with our values. Respond to the following questions and identify one to three goals associated with moving
toward positive body image.

• How I describe my current body image:


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• My problem(s) related to body image is/are:


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• What do I want?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• What do I want to change?


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• What do I want to keep the same?


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• What do I imagine positive body image to be like? How would I think differently? How would I experience emotions differently?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• How close am I to the current outcome I desire?


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

• My goals for positive body image:


1. ___________________________________________________________________________________________________
2. ___________________________________________________________________________________________________
3. ___________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
18
Assignment 2.8: Committed Action toward Positive Body Image

Assignment 2.8: Committed Action toward Positive Body Image


For further information see [7].
What have I done to make improvements to my body image so far?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

What has worked?


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

What hasn’t worked?


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

Thoughts about my willingness to put in the effort needed to make change(s):


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

These are my core values that motivate me toward committed action:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

My current sense of purpose:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

I commit to the following:


_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
19
Client and Reader Preparation

Assignment 2.9: Behaviors that Move Me Toward or Away from Positive Body Image
You will learn how some behaviors move you closer toward a positive body image and how other behaviors move you further from
it. Listed below are examples of different types of behaviors that can correspond with body image. First, indicate whether the
behavior applies to you by circling either yes or no. Second, make a mark on the continuum where each behavior exists from
moving toward positive body image (e.g., acceptance, appreciation, gratitude) versus moving away from it (e.g., distress, sense of
obligation, worries). Record reflections including how these behaviors impact your progress toward positive body image. An
example is provided. Additionally, it may be helpful to return to this assignment upon completing Chapters 4–22 to determine
whether any of your responses have changed.
Example:
Dieting: Yes or No
I––––––––––––––––––––––––––––––––––––––––––X––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections: I diet in order to feel better about myself. I want to lose weight so that I can look better and feel better. I notice that when I’m dieting,
I say mean things to myself and am grouchy with others.

Dieting: Yes or No
I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Eating when hungry, stopping when full: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Being around others who accept my body: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Excessive body checking (including weighing): Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Over exercise: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
20 N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
Assignment 2.9: Behaviors that Move Me Toward or Away from Positive Body Image

Engaging in movement that I enjoy: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Focusing on weight loss: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Negative self-talk and body talk: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Compassionate self-talk and body talk: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Avoidance of pleasurable activities: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Purging (self-induced vomiting, use of laxatives or diet pills): Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Hydrating regularly: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide. 21
Cambridge: Cambridge University Press, 2021.
Client and Reader Preparation

Self-injurious behaviors: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

Expressing gratitude toward my body: Yes or No


I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Consistent substance use: Yes or No
I––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––I
Away Positive Body Image Toward
Reflections:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________

I commit to reducing or eliminating these behaviors:


• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________

I commit to increasing or enhancing these behaviors:


• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________
• ____________________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement
Guide. Cambridge: Cambridge University Press, 2021.
22
Assignment 2.10: Protection of the Body

Assignment 2.10: Protection of the Body


Below is a list of ways to protect the body. Review the items and consider which ones are relevant by rating each item on a scale
from 0 (not at all) to 10 (very). Write reflections about how the issue corresponds with protecting your body, and create an action
plan with any changes to make. An example is provided.

Level of relevance:
0 = not at all to Action plan for
Issue 10 = very Reflections change(s)

Example: Preventative health behaviors (e.g., 5 I know it’s important to do these I’ll set a reminder in my
breast/prostate exams) things, but I don’t have the time. calendar to do this.
I probably should do it considering
my family history of cancer.

Asserting my needs

Setting comfortable boundaries and limits

Preventative health behaviors (e.g., breast/


prostate exams)

Saying “no” when I don’t have time or don’t


want to do something

Testing for sexually transmitted infection/


disease

Getting vaccines

Engagement in consensual experiences

Communicating desires

Sense of safety (physical, psychological)

Use of contraception

Engagement in physical movement

Eating enough to support my activity

Taking medications/
supplements

Behaviors to prevent unintended pregnancy

Refraining from excessive substance use

Use of sunblock

Other:

Other:

Other:

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
23
Client and Reader Preparation

Assignment 2.11: Practicing Body Acceptance


These are unique characteristics of my body:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

These are the unique physical contributions from my family members and ancestors:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

My body has been resilient and faced these challenges:


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

I commit to saying the following body acceptance comments on a daily basis (examples: “I accept my body as it is,” “I appreciate
that my body can function in these ways”):
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
24
Assignment 2.12: Self-Affirmations

Assignment 2.12: Self-Affirmations


Self-affirmations are positive statements that we say to ourselves to promote self-esteem and confidence. They are effective when
they are specific, individualized, genuine, and practiced on a consistent basis. In the space below, write as many self-affirmations as
possible. Make sure that they are actual statements that you are willing to say to yourself as a way to counter negative body image
thoughts. Examples could include, “I am capable,” “I can do hard things,” and “I can handle what comes my way.”
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
25
Client and Reader Preparation

Assignment 2.13: Barriers and Solutions


Check the boxes for possible barriers that might impact your journey toward positive body image. For those that apply, identify
potential solutions to these barriers. Review this assignment at different points in your work to determine what challenges exist
and how you can overcome them.
❏ Fatigue, getting tired of trying:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Uncomfortable emotions – fear, anxiety, shame, disgust, embarrassment, despair, being overwhelmed:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Negative beliefs – “I can’t do this,” “things will never change,” “things have never worked in the past, why would they now?”:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Focusing on past failures:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Focusing on future worries:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Desire to avoid uncomfortable experiences:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Lack of support from others:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ High expectations from self and others:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Life events/circumstances that come up:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Time to devote to this work:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Pressure from others to lose weight or change my body:


______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
26
Assignment 2.13: Barriers and Solutions

❏ Other:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Other:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

❏ Other:
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.
27
Client and Reader Preparation

Assignment 2.14: My “Take-Home” Realizations


Identify one or more key themes you would like to “take” or remember from Chapters 4–22 and your overall realizations as you
move toward positive body image.
Chapter 4: “Appearance Ideals and Media Literacy”
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 5: “Weight Stigma versus Weight Inclusivity”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 6: “Body Acceptance by Others”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 7: “Defining Beauty and Cultural Pride”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 8: “Self-Compassion and Body Image Flexibility”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 9: “Approaching Our Bodies”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 10: “Body Appreciation”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.

28
Assignment 2.14: My “Take-Home” Realizations

Chapter 11: “Functionality Appreciation”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 12: “Embodiment”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 13: “Objectification and Self-Objectification”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 14: “Sexual Intimacy”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 15: “Social Comparison”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 16: “Body Talk”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 17: “Protective Filtering”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 18: “Rippling Effect: Mentorship”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide. 29
Cambridge: Cambridge University Press, 2021.
Client and Reader Preparation

Chapter 19: “Self-Care”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 20: “Fueling Our Bodies”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 21: “Life-Enhancing Movement”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Chapter 22: “Adaptive Appearance Investment and Quality of Life”


______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

Overall realizations:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

N. L. Wood-Barcalow, T. L. Tylka, and C. L. Judge. Positive Body Image Workbook: A Clinical and Self-Improvement Guide.
Cambridge: Cambridge University Press, 2021.

30
Assignment 2.14: My “Take-Home” Realizations

References
1. S. C. Hayes, K. D. Strosahl, to obesity and to the metabolic (2nd ed.). New York: Guilford Press,
and K. G. Wilson. Acceptance syndrome: An overview. Obes Rev 2015; 2012.
and Commitment Therapy: The 16: 1–6.
6. N. L. Wood-Barcalow, T. L. Tylka, and
Process and Practice of Mindful Change 4. L. R. Vartanian and J. G. Shaprow. C. L. Augustus-Horvath. “But I like my
(2nd ed.). New York: Guilford Press, Effects of weight stigma on exercise body”: Positive body image
2012. motivation and behavior: A preliminary characteristics and a holistic model for
2. VIA Institute on Character. The VIA investigation among college-aged young-adult women. Body Image 2010;
Character Strengths Survey: Your females. J Health Psychol 2008; 7: 106–16.
Greatest Strengths Lie Within. Retrieved 13: 131–8.
7. S. C. Hayes, K. D. Strosahl, and
from www.viacharacter.org/account/ 5. S. C. Hayes, K. D. Strosahl, and K. G. Wilson. Acceptance and
register K. G. Wilson. Acceptance and Commitment Therapy: The Process
3. A. G. Dulloo and J.-P. Montani. Commitment Therapy: The Process and Practice of Mindful Change (2nd
Pathways from dieting to weight regain, and Practice of Mindful Change ed.). New York: Guilford Press, 2012.

31
Chapter
Clinician Preparation

3
We have been asked by clinicians over the years how to best Why specialize in this area? As mentioned previously, it is
help individuals with body image issues. Just as it is important common for individuals to have experienced body image con-
for clients and readers to educate themselves about positive cerns during the course of their lives. Negative body image can
body image, it is also important that clinicians: (a) know how to result in medical complications from unhealthy behaviors,
help clients in meaningful and effective ways, and (b) have an impaired social relations, poor quality of life, and more.
awareness and understanding of their own body image experi- Additionally, there are too few clinicians who have received
ences. We offer frequently asked questions and answers about training and education on how to promote positive body image
clinical interventions for positive body image. Additionally, we in a way that is informed by theory and research.
offer assignments specifically designed for clinicians to pro- How can this workbook be relevant for clients of various
mote increased self-awareness.1 backgrounds and experiences? We include research articles
Do I need to know this information if I don’t provide direct that include diverse samples in terms of social identities
clinical care? The information contained in this workbook is (e.g., gender, race, age, gender identity, sexual orientation,
applicable to clinicians in a variety of clinical settings (e.g., geographic location, and more). Also, we considered clients’
medical services, mental health counseling, dietary services). social identities and experiences as we designed treatment
Additionally, this information is applicable to teachers, educa- planning tools, assessments, and assignments. The resources
tors, coaches, physical/personal trainers, and more. You are we provide also take into consideration various social iden-
likely already interacting with individuals with body image tities and experiences.
issues in personal relationships or community settings as no How can I confidently and competently address medical
person or group is immune to body image pressures. and nutrition issues related to body image disturbance if I’m
Where can I find information about positive body image to not a physician or dietitian? It can be challenging to know fact
increase my knowledge and skills? This workbook synthesizes up- from fiction related to medical and nutrition information due
to-date information about positive body image from researchers to how it can be distorted or portrayed. As a result, you might
and clinical experts around the world (Chapters 4–22, in particu- have difficulty challenging a client’s distorted beliefs without
lar). Read the following scholarly books: Body Image: A Handbook solid factual information. It is essential to have frequent con-
of Science, Practice, and Prevention [1]; Body Positive: sultation with medical and dietary colleagues to address the
Understanding and Improving Body Image in Science and actual science behind the social trends in order to provide
Practice [2]; and the Handbook of Positive Body Image and effective and appropriate clinical interventions. Consider how
Embodiment: Constructs, Protective Factors, and Interventions you can establish a consultation network of reputable clini-
[3]. Review the latest research via peer-reviewed articles in Body cians. In particular, we recommend medical and dietary collea-
Image: An International Journal of Research. Join organizations gues who practice from a weight-inclusive approach (see
that promote positive body image such as The Body Positive and Chapter 5) to reduce the likelihood of weight stigma influen-
the Health at Every Size (HAES). Learn clinical techniques by cing the medical and nutrition information provided.
watching webinars from skilled practitioners. Connect with clin- Why do some people with body image issues engage in
icians from various disciplines in your community to learn how behaviors that are destructive or harmful? Individuals with
they address body image issues. Create a network of trusted body image disturbance will often try to change their bodies
colleagues with whom you can consult. Keep up with sociocul- using different behaviors that range from relatively benign to
tural trends regarding body image topics, as these trends will extreme (e.g., exercise, dietary restriction, self-induced vomit-
likely emerge in clinical encounters. Finally, remember that cli- ing, cosmetic surgery) in order to feel better about their bodies.
ents are a source of knowledge and expertise as well. What you They typically view the behaviors as helpful and constructive
learn when interacting with one client may be helpful with and experience fear in the thought of relinquishing them. As
another. a clinician, it is important to recognize that these behaviors are
Do I have to be an expert on positive body image in order to rooted in ingrained beliefs and strong emotions, and they serve
provide services/care? You don’t have to master all of this various purposes or functions. Having this awareness will help
information to be a competent provider. you to decrease judgment and cultivate compassion, both of

1
A detailed description of the workbook can be found in Table 1.1: “How to Use This Workbook” in Chapter 1.
32
Clinician Preparation

which are integral components of providing care to those with assessments in clinical work include difficulty finding valid
body image issues. and reliable assessments, challenges in seeking permission
Is it helpful for me as a clinician to ignore, minimize, or from authors to use the assessments, and lack of awareness of
dismiss body image disturbance to reduce the impact of it? It is how to incorporate assessments in an effective manner. We
common for individuals with body image disturbance to offer an array of reliable and valid body image assessments
experience significant anguish and despair. This pain is real along with corresponding applications (suggestions for discus-
and legitimate. Ignoring, minimizing, or dismissing a client’s sion) in the text to assist in streamlining treatment focus.
experience is neither helpful nor effective. Rather, it is helpful How can I communicate effectively about this complex
to validate the body image distress and acknowledge the issue? What if I say the wrong thing? As with any sensitive
impact on the client’s quality of life. A reduction in body topic, we encourage you to be open, honest, humble, respectful,
image disturbance typically occurs when an individual and curious. Recognize that you will make mistakes, say the
addresses the issue directly with the use of effective coping wrong thing, and might unintentionally offend a client, just as
skills. we have over the years. Don’t allow this fear to prevent you
The way that clients see themselves can be vastly different from providing care or having important conversations that
from the reality. Is it helpful to try to convince clients to see could be beneficial to your clients. If any of these challenges
how beautiful they are? Trying to convince someone to recog- occur, take accountability, make a repair, and move on. We
nize their own beauty can be a challenging and often futile offer sample language to use during your interactions with
endeavor, resulting in frustration for both individuals. clients in Assignment 3.1 “Ways to Dialogue with Clients
Intellectual reasoning alone often does not resolve this issue about Sensitive Topics”.
due to the complexity of thoughts and emotions associated How can my own worldview and beliefs impact caring for
with body image. It can be helpful to validate the client’s clients? Your training, education, social identities, and life
discomfort while simultaneously offering hope through learn- experiences shape how you view the world and your clients.
ing new coping skills to work through moments of body image It can be helpful to recognize potential biases related to shape,
distress. weight, and size. Explore how your own worldview interfaces
Is it okay to comment on a client’s body to let them know with those of your clients in Assignment 3.2 “Personal
that they don’t look bad? It is important that you refrain from Viewpoints that Shape Clinical Responses”.
commenting on your client’s appearance in general. Even What if a client judges me based on my appearance? It’s
offering perceived “positive” comments can be misconstrued important to accept the reality that all people judge and are
by the client and potentially lead to undesirable outcomes such judged based on appearance. As clinicians, we too are judged
as a heightened focus on their appearance and a rupture in based on our appearance such as our age, gender identification,
your clinical relationship. Rather than comment on their height, weight, hairstyle, skin color, clothing, grooming, jew-
appearance, you can redirect focus to their emotions, cogni- elry, and more. These appearance-based judgments by our
tions, and behaviors. clients can impact how they perceive our knowledge, expertise,
In my field and training, I’ve been taught that inducing and even our ability to understand their experiences. When it is
some guilt or shame in clients can serve as positive motivation clinically relevant and beneficial, there can be honest and direct
for change. Is this effective? Shame and guilt do not lead to dialogue between clinicians and clients about client assump-
positive change, and in fact, often create additional distress, tions, impressions, and comparisons.
secrecy, and avoidance. You can inform clients that shaming What if a client comments on my appearance? The reality
themselves is not helpful. What is helpful is to focus on self- is that a client will make appearance-based comments about
compassion and self-acceptance instead, which correspond you that you will perceive on a range from positive to negative.
with hope, inspiration, and motivation. When a comment is made, it is helpful to maintain a neutral
When a client wants to lose weight to feel better about stance and respond in a way that is focused on the client, not
themselves, is it okay if I endorse or recommend it? Do not you. It can be beneficial to have stock phrases available in
recommend or praise weight loss efforts, as it does not corre- advance. Review Assignment 3.3 “How to Respond upon
spond with improved body image. Instead, you can educate on Receiving an Appearance-Based Comment from a Client” to
how appearance and weight bias are prevalent within society, consider what responses you might utilize in your client
which reinforces body image disturbance. You can inform how interactions.
positive body image is about internal acceptance versus chan- What if I’m struggling with or have struggled with my own
ging external appearance. You can encourage clients to engage body image issues? Good for you for being aware of and honest
in nurturing behaviors such as consistent nourishment, life- about your experiences. You don’t have to fully or completely
enhancing movement, and other types of self-care practices embrace your own positive body image to offer assistance with
that are promoted in this workbook. The body will respond in those moving toward it, and it is important to be aware of how
whatever ways it needs to. your relationship with your own body can impact your clinical
How do I know what to focus on in treatment? In addition interventions. Explore how your “Own Body Image
to asking questions of your clients, it’s also helpful to use body Experiences” (Assignment 3.4) can impact your clinical work
image assessments to determine your client’s unique body with clients. You may also find it beneficial to read and com-
image concerns. Common barriers for not including plete information in the content chapters (assessments,
33
Clinician Preparation

applications and assignments) to continue your own journey a broader context, you can advocate by speaking up about
towards a positive body image. these topics with colleagues, educating community members
If you are unsure of whether to address your own body about weight stigma, and challenging policies that interfere
image issues at this time, you can complete Assignment 3.5 with positive body image development. Additional advocacy
“Pros/Cons of Working on My Own Body Image Issues” to examples are offered in Assignment 3.6 “Advocating for
help guide your decision. It is helpful to know your own Positive Body Image”. Check which advocacy actions you
strengths and challenges associated with body image issues to are already engaged in and consider what ones you would
assist in your own work. like to pursue.
How can I advocate for clients? In the clinical setting, Having reviewed common questions about how to best help
you can teach clients about complex sociocultural factors clients and understand your own body image experiences,
that promote negative body image and empower them to you’re ready to complete the following assignments to prepare
make positive changes along with committed action. In you for this valuable work!

34
Another random document with
no related content on Scribd:
there was scant breath for speech in the long climb; and for this
Brant was thankful. The scene in Gaynard’s was yet fresh in mind
and heart, and not even to the friend of his youth could he trust
himself to speak freely.
The moon was rising when they reached the summit of the pass, and
Hobart pointed down the farther slope to a dark mass hugging the
steep mountain side.
“That is the Hoopoee shaft house,” he said. “The railroad is just
below it. Got matches and cigars?”
“Yes, both.”
“Then I’ll go back from here. Good-bye, old fellow, and God bless
you! Tie your courage in a hard knot, and let me hear from you.”
Brant grasped his friend’s hand and wrung it in silence. He tried to
speak, but the words tripped each other.
“Never mind,” Hobart broke in. “I know what you want to say, and
can’t. It is nothing more than you would have done if the saddle had
been on the other horse. And about your—the woman: I’ll do
whatever you could do, if you stayed. Now, then, down you go, or
you’ll miss your train. Good-bye.”
CHAPTER II
THE VINTAGE OF ABI-EZER

It is not always given to prescience, friendly or other, to reap where


it has sown; or to the worthiest intention to see of the travail of its
soul and be satisfied. But if the time, place, and manner of Brant’s
sequestration had been foreordained from the beginning, the
conditions could scarcely have been more favourable for bulwark
building between an evil past and some hopeful future of better
promise.
The new mining district to which Hobart’s suggestion sent him was a
sky-land wilderness unpeopled as yet, save by a few pioneer
prospectors; his fellow-measurer of mining claims was a zealot of his
profession, who was well content to take his friend’s friend at his
friend’s valuation, asking no questions; and the work itself was such
a fierce struggle with Nature in her ruggedest aspect as to afford a
very opiate of antidotes to reflection, reminiscent or forecasting.
So it came about that the heart-hardening past with its remorseful
reminders withdrew more and more into the dimnesses of willing
forgetfulness, and the bulwark between that which had been and that
which might be grew with the uncalendared days and nights till it
bade fair in time to shut out some of the remorseful vistas.
The claim-measuring came to an end one flawless day in August,
when the aspens were yellow on the high-pitched slopes and the
streams ran low and summer clear in the gulches. Brant helped in
the preparations for the retreat from the sky land of forgetfulness
with a distinct sense of regret, which grew with every added mile of
the day-long tramp toward Aspen, the railway, and civilization, until it
became no less than a foreboding. Davenport, well satisfied with an
assistant whose capacity for hard work was commensurate with his
apparent love for it, had made him a proposal pointing to a
partnership survey in a still more remote field, but Brant had refused.
He knew well enough that his battle of reinstatement was yet to be
fought, and that it must be fought in the field of the wider world. And
toward that field he set his face, though not without misgivings—the
misgivings of one who, having given no quarter, need expect none.
“So you have made up your mind to go to Denver, have you?” said
Davenport, when they were smoking the pipe of leave-taking in the
lobby of the Aspen hotel.
“Yes. I have made arrangements to go down on the night train.”
Davenport looked at his watch. “It is about time you were moving,”
he said. “I’ll walk over to the station with you if you don’t mind.”
Brant did not mind. On the contrary, he was rather sorry to part from
the man who had been the first to help raise the bulwark of
forgetfulness. But their walk to the station was wordless, as much of
their companionship had been.
They found the train ready to leave, and at the steps of the Pullman
a party of four, an elderly man and three women. One of the women
was young and pretty, and she was cloaked and hatted for a journey.
So much Brant saw, and then he came alive to the fact that
Davenport was introducing him. Of the four names he caught but
one—that of the young woman who, it appeared, was to be his
travelling companion.
“Well, now, that is lucky all around,” the elderly man was saying. “We
have been hoping that some one would turn up at the last minute.
Dorothy would go, whether or— Hello, there!”
The wheels were beginning to turn, and whatever poor excuse for a
launching the acquaintance might have had in a few minutes of
general conversation was denied it. Brant had no more than time to
hand his charge up the steps of the Pullman, to stand for a moment
beside her while she waved a farewell to the group on the platform,
and his responsibility, such as it was, was upon him full fledged.
He did not make the most of it, as a better man might. So far from it,
he erred painstakingly on the side of formality, leading the way with
the young woman’s belongings to her section, asking her rather
stiffly if he could be of any further service to her, and vanishing
promptly to the solitude of the smoking compartment when her
negation set him free.
But once alone in the stuffy luxury of the smoking den it was
inevitable that the tale of the weeks of voluntary exile should roll
itself up like a scroll and vanish, and that the heart-hardening past,
and chiefly the tragic valedictory of it, should demand the hearing
postponed by the toil-filled interlude in the wilderness. He was well
used to scenes of violence, and there was a strain of atavistic
savagery in him that came to the surface now and then and bade
him look on open-eyed when stronger men blenched and turned
away. But now the memory of the tragedy in Gaynard’s kennel laid
hold of him and shook him in the very stronghold of ruthlessness. He
could not pretend to be deeply grieved, for the woman had been little
better than an evil genius to him; and yet he would willingly have
thrust his own life between her and the destroyer. Instead, she had
done that for him, though he did not harrow himself needlessly with
the thought that she had intentionally given her life for his. He knew
her well enough to be sure that she was only trying to save herself.
None the less, when all was said, it was a tragedy of the kind to
leave scars deep and abiding, and the remembrance of it might well
threaten to be the dregs in any cup of hope.
For his swift retaliation on the slayer he took no remorseful thought,
and for this environment was responsible. In the frontier mining
camps, where law is not, men defend their lives and redress their
wrongs with the strong hand, and one needs not to be an aggressive
brawler to learn to strike fierce blows and shrewd. So in the matter of
retaliation Brant was sorry only that, for all his good will, he had not
slain the ruffian outright.
That the heart-hardening past with its grim pictures should thus
obtrude itself upon his return to civilization seemed natural enough,
and Brant suffered it as a part of the penalty he must pay. Not in any
moment of the long evening did he remotely connect the sorry
memories with the young woman in Section Six, who was at most no
more than a name to him. Nevertheless, though he knew it not, it
was the young woman who was chiefly responsible. If a good man’s
introduction had not made him accountable for the welfare of a good
woman, Brant might have smoked a cigar and gone to bed without
this first reckoning with the past.
As it was, he smoked many cigars and was driven forth of the
smoking-room only when the porter, avid of sleep himself, had
suggested for the third time that the gentleman’s berth was ready.
Even then sleep was not to be had for the wooing, and the gray
dawn light sifting through the chinks around the window shades
found him still wakeful.
The sun of a new day was half-meridian high when the porter parted
the curtains of the berth and shook his single man passenger.
“Time to get up, sah; twenty minutes to de breakfas’ station.”
Brant yawned sleepily and looked at his watch.
“Breakfast? Why, it’s ten o’clock, and we ought to have been in
Denver an hour ago.”
“Yes, sah. Been laid out all night, mostly, sah; fust wid a freight
wreck, and den wid a hot box.”
Brant remembered vaguely that there had been stoppages many
and long, but with the memory mill agrind he had not remarked them.
In the lavatory he found the porter ostentatiously putting towels in the
racks for his single man passenger.
“Light car this morning, John?” he asked.
The negro grinned. “Yes, sah; you’ right about dat, sholy, sah. You-all
come mighty close to hab’n a special cyar last night, sah.”
“So?”
“Yes, sah. De young lady and you-all had de Hesp’rus all to you’ own
selves. Po’ portah ain’t gwine get rich out o’ dis trip, sholy.”
“No, I should say not.” Brant was sluicing his face in the dodging
basin at the moment, but a little later, when he had a dry pocket
hand, he gave the porter a coin of price.
“Take good care of the lady, John; they don’t remember about these
little things, you know.”
“No, sah—t’ank you kin’ly, sah—dat dey don’t. But I’s take mighty
good keer o’ dat young lady now, sah. Is—is you-all ’quaintin’ wid
her, sah?”
“I haven’t so much as seen her face,” said Brant, which was near
enough the literal truth to stand uncorrected. And a few minutes later
he went back into the body of the car to repair the omission.
What he saw stirred that part of him which had long lain dormant.
She was sitting in lonely state in the otherwise unoccupied car, and
his first impression, at half-car-length range, was that she was a
sweet incarnation of goodness of the protectable sort. Whereupon
he shut the door upon the past and betook himself to her section
with a kindly offer of service.
“Good morning, Miss Langford,” he began. “I hope you rested well.
We are coming to the breakfast station, and there will doubtless be
the usual scramble. May I have the pleasure of looking after your
wants?”
Her smile was of answering good will, and he had time to observe
that the honest gray eyes were deep wells of innocent frankness;
and when she made answer, there was something in her speech to
tell him that she was neither of the outspoken West nor of the self-
contained East.
“It was kind of you to think of me,” she said. “But I think I needn’t
trouble you.”
“Don’t call it trouble—it will be a pleasure,” he insisted; and when she
had made room for him on the opposite seat he sat down.
“We are very late, are we not?” she asked.
“So late that we are not likely to get in before night, I’m afraid. A
freight wreck and a hot box, the porter says.”
“I thought something was the matter. The train has been stopping all
through the night, and I could hear them working at the car every
time I awoke.”
“I heard them, too,” said Brant, though his memory of the stoppages
was of the vaguest. “It didn’t impress me at the time, but it does now.
I’m hungry.”
She laughed at this, and confessed a fellow-feeling.
“So am I; and I was just hoping for two things: a good breakfast, and
time enough to enjoy it.”
“We are pretty sure of the first, because the Van Noy people always
set a good table; but as to the time, our being so late will probably
cut it short. If you please, we’ll go out to the front platform and so be
ready to get in ahead of the rush.”
She went with him willingly enough, and a little later they were
partakers of the swift down-grade rush of the train in the open air. It
was before the day of vestibuled platforms on the mountain lines,
and when the lurching and swaying of the car made the footing
precarious he slipped his arm through hers for safety’s sake.
And she permitted it, does some one gasp? Yea, verily; and, since
she was much too clean-hearted to be constantly on the watch for
unworthy motives in others, thought no harm of it. Moreover, Brant’s
conclusion that she was neither of the East nor the West was well
founded in fact, and this had something to do with her frank trust in
him. She was Tennessee born and bred, and to a Southern girl all
men are gentlemen until they prove themselves otherwise.
And as for Brant, if she had been an angel of light, preaching
repentance and a better mind to the hardened sinner of the mining
camps, nothing she could have said or done would have touched
him so nearly as this tacit acceptance of his protection. But also it
gave him a soul-harrowing glimpse of the bottomless chasm
separating the chivalrous gentleman of her maidenly imaginings from
one George Brant, late of Silverette and Gaynard’s faro bank. How
this clean-hearted young woman would shrink from him if she could
but dimly imagine the manner of man he was! There was honest
shame and humiliation in the thought; and in so far as these may
give a moral uplift, Brant was the better man for the experience.
None the less, he was glad when the train slowed into the breakfast
station and the demands of the present once more shut the door
upon the past and its disquieting reminders.
Having a clear field for the run across the station platform, Brant and
his charge were the first to reach the dining room, and they had
chosen their table and given their order before the other seats were
taken. As a matter of course, Brant’s order was filled first, and
thereat his vis à vis, a hard-featured man in a linen duster and a
close-fitting skullcap, broke forth in remonstrance.
“That is the curse of the tip system!” he growled, looking pointedly at
Brant and addressing no one in particular. “I object to it on principle,
and every self-respecting traveller ought to help put it down.”
Brant’s eyelids narrowed and the steel-gray eyes behind them shot
back a look that aforetime had quelled more than one wild beast of
the gaming tables. But he held his peace, and here the matter might
have rested if the irascible fault-finder had not seen the look and
accepted it as a challenge.
“Yes, sir, I referred to you!” he exploded, hurling the explanation at
Brant’s head. “I submit it to the entire company if it is fair for you to
monopolize the attention of the servants while the rest of us go
hungry?”
Now Brant was by nature a very madman of impulse, but the one
good thing he had brought out of the hard school of lawlessness was
the ability to be fiercely wrathful without showing it. So he said,
placably enough: “I am sure you will excuse me if I decline to discuss
the question with you. We were the first comers, and my order was
given before you sat down.”
Here again the matter might have rested, but the hard-featured critic
must needs have the last word:
“What I said, sir, had no reference to the matter of precedence. What
I particularly object to is the shameless subsidizing of the servants.”
Whereupon Brant, who was as yet innocent of the implied charge,
took occasion to call the waiter who had served him and to fee him
openly in sight of all and sundry. The man in the linen duster scowled
his disapproval, but, inasmuch as his own breakfast was served,
said nothing. There was a lull in the threatened storm, and Brant was
still congratulating himself on his own magnanimity, when hostilities
broke out afresh. His charge had finished her breakfast, and he had
prevailed upon her to take a second cup of coffee. When it came, the
man across the table, who had given a similar order, claimed it for
his own. Brant expostulated, still in set terms exuding the very honey
of forbearance. The tyrant of breakfast tables fell into the trap,
mistook his man completely, and in a sharp volley of incivilities
proved that a soft answer may not always deflect the course of
righteous indignation. In the midst of the volley Miss Langford rose to
leave the table.
That was the final straw, and it broke the back of Brant’s self-control.
Rising quickly, he leaned across the table and smote the offender
out of his chair; one open-handed blow it asked for, and it was given
with red wrath to speed it. That done, he took the arm of his
companion and stalked out of the dining room before the smitten one
could gather breath for an explosion.
Brant marched his charge straight to the Pullman, drawing deep
warrior breaths of defiance world-inclusive; but by the time they were
halfway across the platform he came to his senses sufficiently to be
heartily ashamed of himself; nay, more, to be ready to welcome
anything which might come by way of reproach. But whatever Miss
Langford thought of it, she was self-contained enough to keep her
own counsel, and they boarded the train in silence. In the seclusion
of the deserted sleeping car Brant laid fast hold of his courage and
said what he might by way of apology.
“I can’t ask your forgiveness, Miss Langford,” he began; “I know I
have put myself beyond that. But I beg you to let me say just one
word in my own defence. For years I have been roughing it in these
mountains, eating at tables where that man’s insolence would cost
him his life before he could measure words with the mildest man in
the camp. And so I forgot myself for the moment—forgot what was
due you. Now I’ll make the only reparation I can, and keep out of
your sight for the rest of the day.”
And straightway he vanished without giving her a chance to reply.
CHAPTER III
“THE WRECK OF THE HESPERUS”

Having set himself to expiate his fault, Brant wore out the day in the
smoking compartment in comfortless solitude, doing penance by
limiting himself to one cigar an hour. It was dull work, but not
altogether profitless. For one thing there was plenty of time to think;
and for another the expiatory mill had a chance to grind out a goodly
grist of conclusions. The first of these was that there were going to
be more obstacles in the way to amendment than those interposed
by an uncharitable world; that apart from the sharp fight on the firing
line, he was likely to have trouble with an insubordinate garrison.
Now a fine scorn of obstacles was another of the lessons learned in
the hard school of abandonment, and Brant set his teeth on a
doughty resolution to override them in the race for retrieval, as he
had overridden them in the mad gallop pitward. Self-respect, or
some comforting measure of it, should be regained though the devil
himself held the present reversion of it. There should yet come a
day, please God, when he would not be constrained in common
decency to put the length of a Pullman car between himself and a
good woman. Moreover, the past should henceforth be a dead past,
and woe betide the enemy, man or devil, who should have the
temerity to resurrect it.
The gage of battle thus thrown to the powers of darkness was
promptly taken up. After one of the many stops with the troublesome
axle the rear brakeman came into the smoking compartment and sat
down, as one weary. To begin at once the shedding of the churl shell
of the master gambler, Brant nodded pleasantly; whereupon the
brakeman passed the time of day and immediately began,
railwaywise, to abuse his calling and to ease his mind in respect of
the hot box.
“She never has made a run yet without keeping everybody on the
keen jump,” he declared. “By gum! I’ve been chasing up and down
with the dope kettle ever since one o’clock this morning.”
“She?” said Brant, to whom railway speech was an unknown tongue.
“Yes; this here car—the Hesp’rus. Last time we had her it was the
back box on this end; now it’s the for’ard one under the drawing-
room—blazing away like a blooming track torch more’n half the
time.”
“Keeps you busy, does it?”
“You’re mighty right it does. And when I have a job like this, I like to
have some blame’ fool pilgrim come up and begin to jaw about the
soft snap a brakeman has now they have the air brakes.”
“Did somebody do that?”
“Sure; first thing this morning. Big chap in a linen duster and smoking
cap; same one that—” The brakeman stopped short, as one who
suddenly finds himself treading upon what may prove to be
dangerous ground.
“Go on,” said Brant encouragingly.
“Well, I mean the fellow you had the scrap with. Great Moses! but he
was hot!”
“Was he? So was I.”
“You’d better believe he was. Came out of that dining room rearin’
like a buckin’ bronco; said he was going to have the law on you, and
wanted the old man to wire ahead for a policeman to meet the train.”
“What old man—the conductor?”
“Yes; and Harker told him he couldn’t do it, because the row didn’t
happen on the train; said he didn’t know who you was, anyway. Then
I chipped in, and told ’em you was Plucky George, the man that
cleaned out the six toughs when they tried to run the bank up at
Silverette. Holy Smoke! but you ought to’ve seen old linen duster fall
apart when I said that!” The brakeman laughed joyously, but Brant
groaned in spirit at this ominous hint that his reputation meant to
keep pace with him.
“You’d better believe he was rattled right!” the man went on. “He just
went yaller, and the last I saw of him he was up ahead, looking for
you so’t he could apologize. Ain’t that rich?”
“Very rich,” said Brant grimly. Then he saw his advantage and made
good use of it. “In fact, it is much too rich to spoil. Go find the fellow
and tell him I’m in a bad humour, but that he is safe as long as he
keeps away from me. Will you do that?”
“Sure,” assented the brakeman, getting upon his feet. “I’ll do better
than that: I’ll scare him till he won’t get a good breath this side o’ the
Missouri River.”
Brant’s eyes narrowed, and in the turning of a leaf the mantle of
humility slipped from him and he became Brant the man-queller.
“You will do nothing of the sort. You will tell him just what I say, and
no word more or less. Now go.”
The man of dope kettles and rear-end signals was no coward, but
neither was he minded to pick a quarrel with the hero of a dozen
savage battles. Brant let him get to the door and then called him
back:
“Where does your run end?”
“Voltamo; next stop but one.”
“Then you don’t go into Denver?”
“No.”
“But some time you may. In that case, it will be as well for you to
forget what little you may happen to know about me. Do you
understand?”
“You’d better believe I do. I can hold my jaw with anybody when I
have to; and I don’t have to be hit with a club neither.”
“Good. Have a cigar—and don’t forget what I say.”
The brakeman took the proffered cigar and vanished; and thereupon
Brant began to repent once more and to grope for the lost mantle of
humility. Here on the very heels of his good resolutions he had
balked at one of the smallest of the obstacles, bullying a man in his
displeasure and trading upon his reputation as a man-queller like
any desperado of the camps. It was humiliating, but it proved the
wisdom of the smoking-room exile. Truly, he was far enough from
being a fitting companion for the young woman in Section Six.
As he had predicted, the train lost time steadily throughout the day,
and an early supper was served at the regular dinner station. Brant
went to the dining room with the other passengers, and when Miss
Langford did not appear, he sent the porter to her with a luncheon
and a cup of tea.
“It is about what I had a right to expect,” he told himself when he was
once more back in the solitude of the smoke den. “She was afraid to
trust herself in the same dining room with me. Why the devil couldn’t
I have held my cursed temper just ten seconds longer? Here I’ve had
to sit all day and eat my heart out, when I might have been getting
miles away from the old life in her company. What a fool a man can
make of himself when he tries!”
“That is a fact,” said a voice from the opposite seat; and Brant, who
had been staring gloomily out of the window at the wall of blackness
slipping past the train, and so was unaware that he was not alone,
was unreasonable enough to be angry.
“What’s that you say?” he began wrathfully, turning upon his
commentator; but the pleasant face of the young man in the opposite
seat was of the kind which disarms wrath.
“It’s on me,” he laughed. “I beg your pardon. I spoke without thinking,
but what you said about the fool-making faculty calls for general
ratification. We all have it.”
Brant nodded, and the newcomer relighted his cigar, which had gone
out in the explanation. “Going in to Denver?” he asked, willing to let
interest atone for impudence.
“Yes.”
“Wish I were. I’ve been out a week now, and I’m beginning to long for
the fleshpots.”
“You have my sympathy if you have to stop overnight anywhere
between this and Denver,” said Brant, who knew the country.
“Luckily, I don’t have to. I am merely riding down to the meeting point
with Number Three to kill time. I have to go back to Voltamo to-
night.”
Brant laughed. “Do you find it cheaper to ride than to wait?”
“It is quite as cheap in my case; the railway company has to foot the
bills, anyway.”
“Oh—you are in the service, are you?”
“Yes.”
“Engineer corps?”
“No; operating department. I am chief clerk in the superintendent’s
office.”
They smoked companionably for a while, and then Brant said:
“Perhaps you can tell me some of the things I want to find out. Who
is your chief engineer now?”
“Colonel Bowran.”
“Good fellow?”
“Out of sight; gentleman of the old school, you know; West Point,
regular army, and all that. They say he won’t hire a chainman unless
he is a college graduate.”
“Is his office in Denver?”
“Yes; right next door to ours.”
“All of which is comforting,” said Brant. “I hope you will have me for a
neighbour. I am going to try for a billet on the C. E. & W.”
“Good!” exclaimed the chief clerk, rising at the sound of the
locomotive whistle. “My name’s Antrim, and you will find me in
Superintendent Craig’s office. Latchstring hangs on the outer wall.”
“And my name is Brant. Do you quit us here?”
“Got to do it—wish I hadn’t, now. Glad to have met you, I’m sure.
Don’t forget to hunt me up. Good night.”
They shook hands heartily at parting. It was Colorado, in the day
when strangers became friends—or enemies—on the spot; when
one unconsciously dropped the “Mr.” in an hour, and then slipped
easily around the surname to hobnob with Tom, Dick, or Harry in the
first interview.
For the exile the little chat with the chief clerk was heartening in its
way; and when the train was once more swaying and lurching along
its crooked course down the cañon he looked at his watch and
figured out the probable arriving time.
“Eleven hours late; that will make it ten o’clock in Denver. I wonder if
Miss Langford will find somebody to look after her when she gets in.
If she doesn’t——”
The interruption was the advent of the porter. The negro had been
trying to get speech with his patron for half an hour, but he was much
too discreet to deliver his message in Antrim’s presence.
“’Bout de supper, sah; de lady in lower Six say, T’ank you kin’ly, sah,
and would you-all be so kind and step back in de cyar a minute?”
“Certainly.” Brant rose to comply, but he was no sooner on his feet
than he was thrown violently all across the compartment.
“Golly Lawd! she’s on de ties!” gasped the negro, and the
exclamation ended in a yell of terror.
Brant kept his head, and thought only of the young woman alone in
the body of the car. With the floor heaving and bounding under him
like the deck of a storm-tossed ship, he darted out of the smoking-
room and flung himself against the swinging door in the narrow side
vestibule. It was jammed, but the glass of the upper panel fell in
fragments under his blow, and he was past the obstruction when the
end came. The heavy sleeper lurched first to the right, reeled
drunkenly for a critical instant on the brink of the embankment facing
the river, righted itself with a jerk when draw bars and safety chains
gave way, and then settled back to topple over against the cañon
wall, stopping with a crash that sent Brant to his knees just as he
was starting down the aisle.
The broken glass was still falling from the shattered deck lights when
he reached Section Six. The young woman was unhurt, but she was
very pale, and the gray eyes were full of terror.
“Don’t faint,” said Brant very gently, though he was wondering what
he should do in case she did. “It is all over now, I think.”
“But the others?” she faltered.
“Let us hope that the other cars have kept the track—that it is only
the ‘wreck of the Hesperus.’”
She smiled at the conceit, and asked what they should do.
“If you will promise not to faint while I am gone, I’ll go and find out.
There is no danger now.”
“I’m not going to faint; but please don’t be gone long.”
He was back in a moment, gathering up her belongings.
“There is nothing smashed but our car,” he explained. “They will
leave flagmen with it, and go on to Denver with the remainder of the
train. Will you take my arm?”
The wrecked sleeper was already surrounded by a throng of curious
passengers and anxious trainmen, and ready hands were extended
to help them down from the uptilted platform. But Brant put them all
aside, and lifted his companion to the ground as if the right were his
alone.
“It is all right, Mr. Harker,” he said, singling out the conductor. “I
mean, we are all out. There was no one else in the car except the
porter, and he isn’t hurt.”
They made their way through the throng of curious ones, and so on
down the track to the train. Brant found a seat in the day coach,
disposed his charge comfortably therein, and then, once more laying
hold of his courage, sat down beside her.
“I am not going to leave you again until I see you safe in Denver,” he
asserted; “that is, unless you send me away.”
“I didn’t send you away this morning,” she rejoined, with a smile that
went far toward making him forget for the moment who and what he
was.
“I know you didn’t; but you had a right to. And after what I had done,
there was nothing for it but to take myself off.”
She did not speak until the train was once more lurching on its way.
Then she said: “I thought at the time you were very patient; and—
and I think so still.”
“Do you, really? That is very good of you; but I think I don’t deserve
it. My first thought should have been for you, and I might have kept
my temper for another half minute.”
Now this young woman could rejoice in an excellent upbringing, as
will presently appear, and she knew perfectly well that Brant was
right. But where is the woman, old or young, who does not secretly
glory in a vigorous championship of her rights, even at the expense
of the proprieties?
So she spoke him fair, telling him that she was sending for him at the
moment of the accident to thank him and to pay him for her supper.
Nay, more: she made the next two hours so pleasant for him that
they were as but a watch in the night, and their flitting seemed to
push his life in the camps into a comfortably remote past.
And so they chatted amicably until the outlying lights of Denver
began to flash past the windows; and then Brant bethought him of
her further well-being.
“Will there be some one at the train to meet you?” he inquired.
“No; but my street-car line is only a block from the depot, and the car
takes me almost to our door.”
“I will put you on the car,” he said; and this he did some few minutes
later, bidding her “Good night,” and standing in the street to catch a
last glimpse of her as the car droned away to the northward. Then he
turned away to seek a hotel, and was well uptown before he
remembered that he had not thought to ask her address, or to ask if
he might call upon her.
“But that is all right,” he mused. “Denver isn’t London, and if I can
ever pull myself up into the ranks of the well-behaved, I shall find
her.”
CHAPTER IV
THE MIGRANTS

Time was, and is no more, when invalids, hopeful and hopeless,


thronged the eastern foothills of the Rockies till there was no longer
houseroom for them in the cities, and a new word “lunger” was
grafted upon the exuberant stock of Western folk speech to
distinguish them. Unlike the pioneers of a still earlier day, who
crossed the plains with their worldly possessions snugly sheltered
beneath the canvas tilt of a single prairie schooner, these migrants
for health’s sake were chiefly of the class which neither toils nor
spins, and to the foothill cities they presently added suburbs
architecturally characteristic each after its kind. In these suburbs the
trim-built town house of New England is the commonest type, but the
more florid style of the middle West is not lacking, and now and then,
in the roomier city fringe, there are replicas done in red brick of the
low-storied, wide-verandaed country house of the South.
Such was the home of the Langfords in the Highlands of North
Denver. Driven from the ancestral acres in the blue-grass region of
Tennessee in the late afternoon of his life, the judge had determined
to make the new home in the life-giving altitudes as nearly like the
old as money and the materials at hand would compass, and he had
succeeded passing well. He had bought acres where others bought
lots, and the great roomy house, with its low-pitched roof and wide
verandas on three sides, stood in the midst of whatsoever
Tennessee greenery would stand transplantation from the blue-grass
region to the less genial climate of the clear-skied altitudes.
On pleasant Sunday afternoons, when Dorothy was at her mission
school and the judge slept peacefully in his own particular chair,
when Mrs. Langford followed her husband’s example in the privacy
of her room, and Will was no one ever knew just where, the
hammock slung at the corner of the veranda which commanded a
view of the mountains was Isabel’s especial convenience. For one
reason, there was the view; for another, the hammock swung
opposite that portion of the low railing which was Harry Antrim’s
favourite perch during the hour or two which measured his
customary Sunday afternoon visit.
Being very much in love with Isabel, Antrim was quite willing to turn
his back upon the scenery for the sake of looking at her. And as
between a winsome young woman swinging in a hammock—a
young woman with laughing brown eyes and a profusion of glory-
tinted hair framing a face to which piquancy and youthful beauty lent
equal charms—who but a scenery-mad pilgrim of the excursion
trains would think of making a comparison?
In these Sunday afternoon talks Isabel could be abstract or concrete
as occasion demanded. What time the young man dwelt overmuch
on railway matters, she found it convenient to be able to look over
his shoulder at the mighty panorama unrolled and unrolling itself in
endless transformation scenes against the western horizon. And
when Antrim, finding himself ignored, would come back from things
practical to things personal, she had but to close her eyes to the
scenic background and to open them again upon the personality of
her companion.
Conceding nothing to what he was pleased to call her artistic fad,
Antrim was willing to condone Isabel’s indifference to railway affairs.
His business was a part, the greater part, of his life, but he could
understand why Judge Langford’s daughter, as such, might easily
weary of railway shop talk. True, there had been more or less of it all
along in the old days in Tennessee, when the judge was counsel for
the railway company of which Antrim’s father was the
superintendent; but that was because the Langfords and Antrims
dwelt side by side and were friends as well as neighbours. Here in
Colorado it was different. The judge was an invalid—a migrant for
health’s sake, with gear sufficient to make him independent of
railway counsellorships, and with little left of his former connection
save a pocketful of annual passes and a warm affection for the son
of his old friend the superintendent.

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