« Si vous avez compris que ce n’est pas en vous empêchant de manger que vous allez régler votre problème, alors ce cahier va vous aider. »
Jean-Jacques Colin publie Le grand cahier des TCC pour manger en paix, un livre destiné à celles et ceux qui se sentent mal à l’aise dans leur corps en raison d’un surpoids, ne parviennent pas à manger moins malgré leurs efforts, ont déjà suivi des régimes mais ont toujours repris du poids.
Ce cahier de thérapie cognitive et comportementale (TCC) et de pleine conscience propose des questionnaires et des exercices simples à réaliser afin d’aider le lecteur à modifier son rapport à la nourriture et remettre en question ses habitudes.
Pourquoi avoir écrit ce livre ?
Dr Jean-Jacques Colin : Je suis en fin de carrière et j’aimerais transmettre mon expérience au public. Toutes les publications scientifiques préconisent de ne surtout pas proposer de régimes alimentaires aux patients en surpoids car ils sont inefficaces à moyen et à court terme, mais les publicités sur tous les canaux, télévision, Internet, réseaux sociaux, multiplient les propositions de régimes miracles, produits et compléments alimentaires miracles, aliments tout préparés, avec le concours de célébrités pour appuyer leurs allégations mensongères. Cela me révolte car je sais par expérience les dégâts que cela peut causer. Sans parler du coût financier… Alors j’ai écrit un livre sous forme de cahier d’exercices, afin d’accompagner les lecteurs dans une approche progressive qui leur permette de se débarrasser de leurs troubles alimentaires et surtout sortir de la souffrance qu’ils occasionnent. Ce livre aborde de multiples facettes de ces troubles mais bien sûr il n’est pas exhaustif. Il ne prétend pas non plus se substituer au suivi d’un professionnel de santé compétent mais est plutôt une aide ou un complément. Et l’objectif final est de faire la paix avec son alimentation et son apparence physique.
Lire : Les personnes en surpoids ne sont pas des minces qui mangent trop
Comment définir le « poids idéal » d’une personne ?
C’est une question cruciale car on parle beaucoup de poids idéal, de poids santé, d’IMC… Et en réalité le poids idéal est une utopie. Car ce qui est important, ce n’est pas un poids idéal calculé par des formules mathématiques ou indiqué par des données statistiques, mais le poids d’équilibre, le « set point », qui est le poids que la personne ferait si elle ne présentait pas de trouble alimentaire, c’est-à-dire si elle se nourrissait en respectant simplement ses besoins.
Lire : Qu'est-ce que l'indice de masse corporelle ?
POURQUOI EST-CE DANGEREUX DE POURSUIVRE CE « POIDS IDÉAL » ?
Le problème est que beaucoup de personnes se focalisent sur ce poids idéal et entrent en lutte pour l’obtenir. Cette lutte consiste à vouloir contrôler de façon restrictive son alimentation en faisant des régimes répétés. Cette lutte est bien sûr, dans la plupart des cas, infructueuse et aboutit en réalité le plus souvent à une prise de poids à moyen ou à long terme par effet yo-yo. Ces échecs sont responsables d’un sentiment d’insatisfaction, de culpabilité, de mal-être qui vont entretenir le trouble alimentaire selon un cercle vicieux. Et ces efforts de contrôle de son alimentation, qui consistent à compter les calories, éliminer les aliments censés faire grossir au profit d’autres censés faire maigrir, s’empêcher de manger quand on a faim, font que l'on se coupe de ses sensations alimentaires, faim, satiété, rassasiement, pour les remplacer par des injonctions. Or c’est précisément la simple écoute de ces sensations alimentaires qui nous permet d’avoir une alimentation régulée, c’est-à-dire qui correspond exactement à nos besoins.
EN QUOI CONSISTE LA MÉTHODE QUE VOUS PROPOSEZ ?
Plutôt qu'un nouveau régime, j'ai conçu un cahier pratique basé sur les thérapies cognitives et comportementales ou TCC, qui accompagnera le lecteur durant un parcours progressif. Au cours de différentes étapes, ce guide va l'aider à retrouver ses capacités propres à réguler son comportement alimentaire, de sorte que manger ne soit plus un souci mais devienne une source de plaisir et d’équilibre. Il amènera progressivement à comprendre ses blocages.
QUE PEUT-ON EN ATTENDRE ?
Les TCC sont un outil extrêmement efficaces pour réguler le comportement alimentaire, comme le montrent les études. Mon expérience auprès de patients jusqu'alors en échec le confirme. En suivant la méthode, on se met à manger en fonction de ses goûts, de ses sensations, de son plaisir, sans s'inquiéter de l’influence de ses repas sur son poids, de savoir si ses plats sont sains ou pas… Et en faisant cela, on gagne en équilibre, c’est-à-dire l'on mange en fonction de sa faim et de ses envies, selon les quantités dont on a besoin spontanément. En somme, comme une personne ne souffrant pas de trouble alimentaire. C’est aussi ce qu’on appelle « l’alimentation intuitive ». Le poids et la corpulence se stabilisent et on parvient naturellement à son poids d’équilibre.
Mon expérience m’a permis de comprendre que la majorité des personnes qui tentent de perdre du poids ou de traiter leur(s) trouble(s) alimentaire(s) sont des femmes. C’est pourquoi j’ai rédigé ce cahier au féminin. Bien sûr, je n’ignore pas que les hommes peuvent souffrir de ces problèmes également et je les invite à corriger eux-mêmes mon texte et de mettre les phrases qui s’adressent à eux au masculin. Je leur demande de bien vouloir m’en excuser.
POURQUOI Avoir rÉdigÉ ce cahier au feminin ?
Mon expérience m’a permis de comprendre que la majorité des personnes qui tentent de perdre du poids ou de traiter leur(s) trouble(s) alimentaire(s) sont des femmes. C’est pourquoi je m'adresse d'abord aux femmes. Bien sûr, je n’ignore pas que les hommes peuvent souffrir de ces problèmes également et je les invite à corriger eux-mêmes mon texte et mettre les phrases qui s’adressent à eux au masculin !
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