Ahh, diversion! Excellent Tom. I was thinking of trying some Solution Focused/Oriented/ DBing stuff in these situations: "has there ever been a time when you felt good about your body?" (Looking for exceptions) "How did you make that happen?" or "Let's say tonight you go to bed and a miracle happens, tomorrow when you wake up you are happy with your body. How would you know this miracle has happened? How would your life be different" or better still "Hey, did you see American Idol last night? There was this large woman who could really sing. I thought she'd get chosen but..." or even better "could you pass the Doritos, please" Yes, diversion.