This is a letter of apology to all the dinner companions, hosts and cooks I
have offended over the years with my eccentric eating habits. I am the
person you dread coming to dinner. I am not a vegetarian. I do not have food
allergies or a medical condition. Nor is my diet restricted by religion.
Nope, I am just plain fussy.
I do not eat eggs, fish, offal, cute animals (venison, rabbit and, obviously,
never veal), raw tomatoes or brazil nuts. I have never drunk a glass of milk
or a cup of tea, and I don't intend to.
There is little, if any, logic to my likes and dislikes. For example, eggs are
fine if on the crusty edge of a cheesy omelette or in custard, but never
boiled, poached, fried or scrambled. I will eat prawns as long as they are
not served cold and although I hate milk, sour cream makes just about
everything taste better.
But my critics may now have to eat their words because it turns out that I may
not merely be faddy, but the victim of a bona fide condition. Picky eating
was thought to be something most of us leave behind in the highchair, but it
is becoming increasingly common, with a new TV series, Freaky Eaters
(BBC
Three, Wednesdays, 9pm)on the subject, and experts arguing over whether it
is a psychological problem or based more on physical revulsion.
There is an online support group (www.pickyeatingadults.com)
with 500 members, a new UK Living television series dedicated to it, blogs
devoted to the problem and a growing interest in clinical circles. Although
it is not known how many people are affected, record numbers are seeking
treatment.
Dr Bradley C. Riemann, the clinical director of obsessive compulsive disorders
at Rogers Memorial Hospital in Milwaukee, is a world expert. He says: "We've had
more interest in adult fussy eating in the past couple of years than ever
before. We used to see one or two cases a year; now we get dozens, and
this is at extreme levels. I've treated patients from America, Europe and
even Panama."
His department is researching causes and whether it is sensory
or psychological. He says: "Sufferers simply cannot stomach some foods.
If, for example, they
don't like vegetables, that may not sound like a big deal, but it’s
not just
vegetables as a side order but vegetables in any shape or form. It can mean
they can't eat something as simple as lasagne. It’s not a case of won’t
eat,
but can't eat."
Deanne Jade, a picky eater and the founder of the National Centre for Eating
Disorders (www.eating-disorders.org.uk),
an independent body set up to help with eating problems, says it is
increasingly common. "It's always assumed that people grow out of
selective
eating as they get older, but in many cases they don't I'm an example. Some
foods to me just don't feel like foods. For example, eating certain fruits
would be as odd as eating cork or even dog to me."
Adult picky eating (this is the official medical term, never just "fussy")
has, not surprisingly, been overlooked in favour of life-threatening eating
disorders, such as bulimia or anorexia. Dr Nadia Micali, of the eating
disorder unit at the Institute of Psychiatry, King's College London, says: "It
was thought that fussy eating is a problem in childhood or a symptom of an
eating or obsessive compulsive disorder. We've no way of telling how many
adults suffer because rarely is it so bad that sufferers see a doctor."
Most people enjoy thousands of taste combinations, but in extreme cases picky
eaters limit themselves to just 20 or 30. Bob Krause, from Virginia in
America, founded the support group www.pickyeating.com.
At 59, he knows he will not grow out of it. He eats only crunchy foods, such as
celery, and anything with a slimy or runny texture makes him physically
sick. He says: "Imagine you lived in a world where the only thing people
ate
was raw liver. That's what it is like to be me. I gag on most things and
it’s a real embarrassment when it happens in public. People just get
offended when you go to their house and never eat the food offered."
I know how he feels. Last year a friend proudly presented me with her "famous
fish and egg" pie. At the age of 32, crying or throwing my plate on the
floor were not really options, so I smiled sweetly and ate only the top
layer of mash, which was uncontaminated by fishiness, redistributing the
rest around my plate. Ten years ago even that would have been impossible. To
me the thought of having to chew and swallow pieces of fish or rubbery egg
is akin to the insect-eating bush-tucker trial on I'm a Celebrity...Get
Me Out of Here!
Claire Simmons, a 33-year-old PhD student, feels the same about fruit and
vegetables, and lives on plain meat and potatoes. She has never sought
medical help and finds support in the virtual community. Her blog (www.adultpickyeatersuk.wordpress.com)
receives
hundreds of views each week. She says: "Dinner parties are a nightmare.
Someone once made me a pudding with bananas, which I physically can’t
eat. I
had to decide which was worse, being rude and refusing it, or gagging. It’s
not me being fussy; I couldn’t eat some foods if you held a gun to
my head.”
Far from being riddled with scurvy or malnourished, Claire, whose mother is
a doctor, is fighting fit. “I’m perfectly normal. My weight’s
average and I
don’t get colds, although I secretly worry that I’ll drop
dead of bowel
cancer one day.” Her picky eating started when her mother began to
wean her.
</p>
<p>
Catherine Collins, a spokeswoman for the dietitian’s professional
body, the
British Dietetic Association, says that while cutting out the odd food is
fine, eliminating whole groups has long-term health implications. “Although
you may look and feel healthy, not eating fruit and vegetables is bad for
you,” she says. “Your diet contains fewer antioxidants and
fibre, making you
more at risk from heart disease and cancer. Diets devoid of vegetables are
typically higher in calories and linked to weight gain, constipation and
high cholesterol.”
</p>
<p>
In extreme cases picky eating can seriously jeopardise both mental and
physical health. Dr Riemann says: “We have treated people who are
dramatically underweight and eat only two or three things; often fried
potatoes or fizzy drinks which are bad for them. We’ve had patients
who say
they can’t socialise because they dread eating out. Usually they’re
ashamed
and, and in the worst cases it causes depression. Sufferers are isolated and
end up underachieving in every domain of their lives.”
</p>
<p>
I think my fussiness is psychological and stems back to childhood. I ate
normally until I was about 6 — around the time my parents separated —
when I
stopped eating fish fingers and it snowballed from there. Mealtimes became a
battleground with my mother. I became a vegetarian, although, bar potatoes
and onions, I did not eat vegetables. One infamous (meat-eating) Christmas I
ate only a chipolata. The next year I refused turkey, eating it only after
my father (who joined us for family festivities) conned me into believing
that it was chicken. After I had scoffed my last mouthful, he revealed the
poultry truth. My revenge? Vomiting.
</p>
<p>
Some psychologists believe that fussy eating can be triggered by childhood
trauma and, retrospectively, mine could have been a cry for attention. I
could not control my parents’ split, but I could control what I ate
and, at
the same time, unite my parents in concern.
</p>
<p>
Collins agrees: “A child has no power in family decisions, so a way
of gaining
some is by controlling what they eat. Then the attention is diverted away
from the bigger issues towards concern for the child.” But Dr
Riemann
believes parents are not to blame and that picky eating is more likely to be
caused by phybsical revulsion or anxiety than childhood upset. He is
sceptical when I try to blame my erratic dietary preferences on my parents’
divorce, especially as my older sister eats everything, including, once
(animal lovers hold your breath), turtle. He says: “For the most
part it’s
not trauma or memories that are the problem. It’s more about taste,
texture,
smell and sight. It can stem from an incident. Say you’ ve gagged on
meat
before, you may develop a fear of choking and become scared of eating
anything chewy. It has also been linked to OCD and a fear of dirt and
contamination over how the food has been prepared.” Cognitive
behavioural therapy is the common treatment as it helps to reset patterns.
Dr Riemann says: “Exposure also works well. Say a person eats only
soup; we’ll put noodles in it and then work our way up to chicken.”
This
is Simmons’s approach to overcoming her limited diet. She can now
eat cream
cheese and smoked salmon and her next target is fruit. She says: “I
like to
think I’m building up to eating fruit by having fruit juice with
bits in.”
</p>
<p>
Other than the odd embarrassing fish pie moment, my food preferences do not
impinge on my life any more and are born more out of habit and whimsy,
leading me to conclude that although I eat pickily, I am not an official
picky eater.
</p>
<p>
<i>For further information, visit <a target="new" href="http://www.fussy-eaters.co.uk">fussy-eaters.co.uk</a></i>
</p>
<p></p>
<p>
<b>Etiquette for fussy eaters</b>
</p>
<p>
- If you have an allergy, intolerance or are a vegetarian, warn your host in
advance. If you are just fussy, try not to be too awkward. If you are given
a food you don’t like, your reaction should depend on the social
situation.
</p>
<p>
- If you know the host, either be honest or just say that you are a bit
off-colour and, good though the food is, you are just not hungry. Do not
then tuck into pudding.
</p>
<p>
- If you are at your boss’s house for dinner, eat up! If you can’t,
then eat
around the offending item. There are ways to move food around the plate to
make it look as if you’ve eaten more than you have.
</p>
<p>
- Don’t go on about your likes and dislikes; everyone hates a food
bore.
</p>
<p>
<i>Debrett’s Etiquette for Girls (£17.99)</i>
</p>
