All or nothing; How a Dichotomous Mindset is Hindering Your Health & Fitness Goals

All or nothing; How a Dichotomous Mindset is Hindering Your Health & Fitness Goals

The Dichotomous Mindset

There are two kinds of people in this world, those who believe there are two kinds of people and those who don’t. Black and white, on or off, all or nothing; all of these binary phrases characterise a dichotomous mindset (1). ‘Look…I’m an all or nothing kind of person’ is a common attitude amongst a high number of people in response to questions about diet and exercise. It’s as if they are waiting for a magical mixture of perfect timing, motivation and convenience in which to ‘start’ or go ‘on’ a diet and/or exercise program. On the face of it, this mindset may seem simple, clear cut and decisive, but is it playing havoc with their progress and long-term success?

The Vicious Cycle

In health and fitness terms, a dichotomous mindset often manifests itself in bouts of high motivation for strict diet and/or rigorous exercise protocol, where unrealistic goals are set based on extrinsic feedback (weight, aesthetics, body fat % etc). It’s likely that the new rigid regime can’t be adhered to, due life getting in the way; family or work issues for example. Because this mindset only allows for one of two outcomes ‘success’ or ‘failure’, if adherence ceases, it is perceived as a failure. The initial high expectations for the new strict protocol soon turn into negative feelings such as frustration, shame and anxiety. To escape this negative state, short term satisfaction is often sought; sometimes in the form of a ‘binge’ from highly palatable ‘bad’ foods (2). Eventually, motivation to start up the strict dieting and/or intense exercise recurs as penance for bad behaviour, and the cycle repeats. Does this sound familiar?

Fig 1. The Vicious Cycle Infographic

Restraint

All diets require change, which will inevitably require some form of restraint. Restraint however, can be subcategorised two ways; rigid or flexible. Rigid restraint is defined as a dichotomous, ‘all-or-nothing’ approach to dieting, often demonising certain foods as ‘bad’. Flexible restraint is a less strict, ‘more or less’ approach to dieting where “fattening” foods can be eaten in limited quantities without guilt. Many studies (3,4,5&6) have correlated common themes observed in patients with both of these approaches;

Rigid Restraint

Higher BMIs

Mood disturbances

Disinhibition

Excessive concern with body size/shape

Perfectionism

More Frequent and Severe Binge Eating episodes

Lower Probability of Long Term Success

Flexible Restraint

Lower BMIs

Less Emotional Attachment to Food

More Stable Mood

Awareness of Eating Habits

First Stage to Intuitive Eating

Less Frequent and Less Severe Binge Eating Episodes

Higher Probability of Long Term Success

Table 1. Correlated behaviours and outcomes with rigid and flexible restraint types.

Dichotomous Diets and Long-Term Success

This all or nothing approach is the antithesis of moderation, consistency and balance, which is often touted by health and fitness experts. It is a common theme amongst diet psychologists that the dichotomous mindset, which promotes rigid restraint, hinders long term success (13,14). In 2004, Byrne et al (7) revealed that dichotomous thinking was “one of the best prospective predictors of weight regain in obese people”. The notion that you must stick to rigid rules revolved around good and bad foods/behaviours ignores two key components of long term success; consistency and adherence. Diet and exercise need to flex with life’s ebb and flow. Tiggemen (9) noted that self-confessed strict dieters have more dysfunctional cognitive attitudes (including dichotomous thinking). According to Nguyen and Polivy (10) “individuals who consider themselves as successful dieters were more likely to be unrestrained (flexible) eaters than restraint (rigid) eaters”. Palascha et al (11) suggests “Such simplified and dysfunctional thinking styles should be avoided, since they have the potential to induce a rigid response to dietary transitions, and therefore impede people’s ability to maintain a healthy body weight”. Furthermore, in Elfhag and Rossner’s (12) conceptual review of success in weight loss maintenance, a dichotomous mindset is listed as a factor associated with weight regain;

Breaking the Cycle

This cycle isn’t all bad, there are periods of high motivation and action taken, we just need to take calculated steps which yield change that can be maintained. Avoiding these traps allows for gradual improvement, which builds into dramatic results.

  1. Easy to Achieve Goals – create relatively easy, habit-based goals and aim to string them consecutively. Think little and often, not large and sparse.
  2. Get Back on Track – Adopt a flexible approach, don’t worry about mistakes or hiccups, if life gets in the way, just get back on track asap. Being active and doing something (anything) rather than being passive in response to an overeating episode and regaining control quickly, has also predicted better weight maintenance.
  3. Little Wins – Try to be just a bit better than you were yesterday, little wins accumulate into massive changes.
  4. Ditch the On / Off Mindset – You are not on or off a diet and/or exercise program, you are on a journey to build a better, healthier you.
  5. Start today – stop waiting for the perfect time. Take the first small step towards becoming person you want to be.

So…don’t stress and take the first step today!

References

  1. Oshio, A. (2009). Development and validation of the Dichotomous Thinking Inventory. Social Behavior and Personality: An International Journal, 37, 729-742.
  2. Rosenbaum, D. and White, K. (2013). The role of anxiety in binge eating behavior: a critical examination of theory and empirical literature. Health Psychology Research, 1(2), p.19.
  3. Hays N.P. & Roberts S.B. (2008) Aspects of eating behaviors ‘‘disinhibition’’ and ‘‘restraint’’ are related to weight gain and BMI in women. Obesity (Silver Spring) 16:52–58.
  4. Tylka, T.L., Calogero, R.M. & Daníelsdóttir, S. (2015). Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer. 166-75
  5. Stewart, T., Williamson, D. and White, M. (2018). Rigid vs. flexible dieting: association with eating disorder symptoms in non-obese women. 38(1), 39-44
  6. Westenhoefer, J., Stunkard, A. and Pudel, V. (2018). Validation of the flexible and rigid control dimensions of dietary restraint. Int J Eat Disord, 26(1), 53-64
  7. Byrne, S., Cooper, Z. and Fairburn, C. (2004). Psychological predictors of weight regain in obesity. Behaviour Research and Therapy, 42(11), 1341-1356.
  8. Vogels, Neeltje & Diepvens, Kristel & S Westerterp-Plantenga, Margriet. (2006). Predictors of Long-term Weight Maintenance. Obesity research. 13. 2162-8. 10.1038/oby.2005.268.
  9. Tiggemann, M. (2000). Dieting and Cognitive Style. Journal of Health Psychology, 5(1), 17-24.
  10. Nguyen, C. and Polivy, J. (2014). Eating behavior, restraint status, and BMI of individuals high and low in perceived self-regulatory success. Appetite, 75, 49-53.
  11. Palascha, A., van Kleef, E. and van Trijp, H. (2015). How does thinking in Black and White terms relate to eating behavior and weight regain?. Journal of Health Psychology, 20(5), 638-648.
  12. Elfhag, K. & Rossner S. (2004). Who Succeeds in Maintaining Weight Loss? A Conceptual Review of Factors Associated with Weight Loss Maintenance and Weight Regain. Obesity Reviews. 6, 67-85.
  13. Westenhoefer J. (2001) The therapeutic challenge: behavioral changes for long-term weight maintenance. Int J Obes Relat Metab Disord; 25: S85–S88.
  14. Westenhoefer J, von Falck  B, Stellfeldt  A, Fintelmann  (2004) Behavioural correlates of successful weight reduction over 3 y. Results from the Lean Habits Study. Int J Obes Relat Metab Disord; 28: 334–335