Mary Primm, a soft-spoken nurse from Elmont,
volunteers to respond to Porcello's question. She
speaks about going out to eat the previous evening with some
friends. They went to an Italian restaurant. As
they looked over the menu, one of her friends good-naturedly
teased her. "Oh, I know what you're going to order.
You always order veal."Porcello
interjected: "You like getting that kind of attention?"
"No," admits Primm, who goes on to reveal
that at one point she had lost a great deal of weight.
"And as soon as I was losing, I got all this attention, and
it made me extremely uncomfortable and I started to eat
again." Another patient, Julianne Abbruzzese of Long
Beach chimes in. "I agree! I want to blend in, I
don't want to stand out. It's positive when you lose
weight, but there's this pressure that you have to keep it
up."
Relaxed Atmosphere
Not far away, a crowd cheers, not for Primm and
Abbruzzese's insightfulness, but for someone who got a hit
in a softball game. While this may sound like a
typical therapy session, no one is sitting on a leather
recliner with boxes of tissues next to them. Rather,
they're on lawn chairs. And Porcello's credentials - a
doctorate and a certification as an eating disorder
specialist - are not on display. If they were, they'd
be nailed to a tree.
This group is gathered in Eisenhower
Park's Field 1, on a hot summer Saturday morning, for
Porcello's innovative "walking Soles" program. In it,
she and her patients met for a brisk 30-minute walk and then
have an hour-long group discussion about their emotional
eating issues, moderated by the psychologist.
"People who struggle with losing weight
and eating disorders often isolate themselves," say
Porcello, who weighed 400 pounds as an adolescent (she lost
much of it through a combination of late 70s disco dancing
and early 80s group therapy). The weekly
walking-and-talking program is a supplement to conventional
one-on-one therapy sessions with Porcello in her Garden City
office.
Still, these Saturday get-togethers are
important for her patients. "Here, they meet other
people and feel a connection . . . they see they're not the
only ones with the problem."
Motivation works two ways
Before the walk, Porcello - who also participates -
breaks the group into pairs and asks them to discuss
motivation: What motivates them to get healthier . . . or to
retreat from doing things they know they need to?
After a 15-minute walk, the women repair
to a shady spot by the parking field. There, they
discuss their responses, which speak volumes about the
complex emotional issues that often underlie weight loss.
The words "calories," "portion sizes," and "exercise" are
never mentioned here. Not because they aren't
important in weight control. But these women already
know they need to eat less and exercise more. The
issue for them is why they continue to overeat.
The reasons are often deep seated: Primm
talks about growing up in a family of nine, and about a nun
in her Catholic elementary school who was cruel to her.
"It was like I had no identity," she
recalls. She eventually found her independence through
eating. "It's something you can't tell me o do or not to
do."
The women around here nod vigorously in
agreement. Primm immediately realizes the irony of
those words. But, she adds, ruefully, "I have a hard
time saying no to food."
Porcello breaks in, pointing out the
recent progress Primm has made in her walking. "But
this is Mary, who can now walk two miles!" Porcello
exclaims. "So there is something you do have control
over."
Mary smiles, shyly; the others nod,
approvingly.
This is progress. These women are
working hard to break the hold eating has had over them -
and thanks in part to the Walking Soles program, they are
succeeding.
Building stamina
"I'm doing better," says Deirdre Neville of Woodside,
who started working with Porcello six months ago and now
does regular two-mile walks. "When I went to gym, I
wasn't comfortable. This is a safe place to come and
meet people who have similar issues."
When she started with the Walking Soles
program two years ago, Joanne Halton of Glen Oaks recalled,
"I couldn't make it to the end of the parking lot."
Since then, she has lost 100 pounds. "It's like a new
life," Halton says - one made a little more bearable and
healthier by a walk with friends on a Saturday in the park.
For more information on the Walking Soles
program, visit www.solutionsweigh.com