Family Dinner
It’s 1959, a mild day in California and we kids are playing outside. There are four of us and four of our friends, we range all over the neighborhood and small community park without concern for our safety. We laugh, we shout, we quarrel, we play. And then it’s over: “Kids! Time to come home….dinner’s ready”. Up and down the block mothers were calling their children indoors. It was time for dinner in America and pretty much everyone stopped what they were doing and ate. Together.
In our household it was common for there to be friends allowed over for dinner. Our Mom did not work outside the home, our Dad took the commuter train and came home to dinner made for all of us, day in and day out. I can recall eating out in a restaurant only a rare handful of times, perhaps a few times a year. In my experience people simply did not spend their money that way.
We had strict dinner rules that emanated from our dad: the television was never, ever allowed to be on during dinner, the phone went unanswered if it rang, anyone who came to the door at that time of the evening (a rarity) and had not eaten was invited in to eat; my parents had been raised without money, but not without manners. And our Dad did not allow us to come late to the table or to make negative comments about the food, no matter what. “Your mother took the time to cook all of this for you,” he said, “if you can’t say anything nice about it, I better not hear you say anything at all.”
And what did we eat? Oh dear, in retrospect it was pretty bad, much of it. Most vegetables came out of a can: canned corn, canned peas, canned beans. It wasn’t until I ate at the table of friends whose parents had been raised in Europe that I first learned about fresh vegetables. Sometimes we ate the newest thing: frozen peas, corn and carrots cut in to little squares and then boiled. We ate meatloaf, salmon patties, tuna casserole, lasagna, sloppy joes. Salad was often jello with carrots shredded into it. On those occasions where salad was lettuce, it was iceberg lettuce and dressing out of a bottle. We certainly were never served soda pop. Our mother packed our school lunches: bologna sandwiches with mayonnaise on Wonderbread and -- if we were very lucky that day — a Hostess twinkie. But whatever we ate, we ate together. Parents talked to each other over the dinner table and children talked to their parents: the good, the bad and the ugly.
In 1989 when my own children were young, life had changed. I was a divorced mother and full time pediatrician. I put dinner on the table every night and later, when I remarried, we put dinner on the table every night. “Why do we have to be home to eat dinner every night?” My daughter whined, “None of my friends do.” “Why can’t we have pizza?” she would say when served the homemade food I had learned to cook while living in Europe. “My friends have sandwiches for dinner… why can’t we?”
I pulled my head up out of my own routine and looked around: it was true. None of her friends had an actual dinner with parents at the table. They all had sports events at dinner time, or some family member did. The television was never off (fifteen years later this problem was to become much more acute with the distraction of cell phones and email and Facebook). Many kids literally never walked into a home in the evening that smelled of food cooking. Food items were bought to be reheated in the microwave (by a kid) and eaten in the car. Everyone ate their own thing; kids went to the refrigerator and ate whatever appealed to them. They drank whatever appealed to them as well, with soda pop (often diet soda) being a prominent choice. People shopped for things in large (very large) quantities, which often meant there were flats of things like soda pop and chips in the garage or cupboard. Everyone—and I do mean everyone—ate out more.
Family meals teetered on the brink of extinction and suddenly… they were gone.
As an eating disorder doctor I have had the opportunity to take many hundreds of family histories. Family dinners survive in tiny islands of families, but believe me, they are rare. Once women gave up cooking, no one else picked up the task. Now we actually have a generation who doesn’t know how to cook, despite glamorous (and popular) cooking shows and more and more adventurous cookbooks. Cooking is sometimes done for adult friends at “dinner parties”, but rare is the person who cooks for her/his children day in and day out and then actually sits down at a table that has been set for that purpose and eats with those children.
We have one excuse after another: we are too busy. Yes, we are busy, but it’s all about priorities. Many people are not too busy to catch their favorite TV shows, to work out in the gym, to go to sports events.
Ah yes, sports! The sacred cow of American life -- challenge the wisdom of replacing family time with sports events for children and you are treading on holy ground and likely to get shot.
In my next blog I will compare the health benefits of family dinners to any other activity likely to occur at dinnertime. Including sports. And if I get shot, you’ll know why.



Comments
I was a patient at Kartini some time ago and am now in the position to have a family of my own. I have drawn on much of the wisdom passed to me from Dr. O'Toole in shaping how meal time goes in my household. I will say, I am lucky to have a partner who is a culinary professional, as I did not learn how to cook from my family of origin, nor was I interested in food during the 10+ years I was ill. Our family meals are sometimes at home, sometimes out, but always filled with conversation, laughter, and delicious food. It has taken years for me to learn to enjoy food and let these meal times be a positive experience, rather than sometime to be dreaded. I am thankful!
Dear Dr. O'Toole, thank you for brinning this up! When I first moved to America I was called crazy and "very different" numerous times for insisting on whole milk, egg yolks, non-processed meat, real butter, olive oil, and fresh veggetables, not the canned stuff. And for making my homemade pasta or baking all those fancy cakes. And for having my kids have soup (that I would cook out of real meat broth and veggies) first thing after school. And for enforcing 3 meals + a snack a day... Crazy?! Sure, I guess, since it hadn't happened in 1959 or even 1989 but took place in 2005. The only thing I wasn't openly criticized for were my attempts to have the whole family at table at dinner time although arrangements "during dinner time" were considered absolutely normal.
Now things have changed. Now I don't go to work. Now I have a kid in treatment. Now it's all "prescribed": whole milk, whole eggs, real butter, fresh fruit and vegetables. Now I am not being made fun of but I can't help thinking that's it's too late now. Finally I could feel like a winner - I am supposed to cook good food which has always been my passion, there are other people that think the way I do about food! But it doesn't feel that way. I can't have my kid help me or watch me cook, and that used to be fun... We still try to have our dinners all together but now food's a medicine for one of the members of our family and no matter how hard we all pretend not to think about it it's there. I am glad I've met Dr. O'Toole but how I would rather meet under different circumstances! I am not sure how many "outsiders" read this blog but I want to tell you, guests on Kartini site, cook for your family and dine together because it's only when you have to carefully watch your kid eat trying to look careless after you HAD to weigh and mesure every bite of that dinner that you'll know what "to be busy" really means... Not having family dinners does not cause EDs, having family dinners does not prevent from those but it's surely one of the greatest everyday traditions for parents and children.
Thank you for that.
Yes doing what you are doing (and have always done) in the context of a child with an eating disorder is very very hard. But remember, no matter what, you are creating memories for your children: they will know that family dinners are the right way of life when they become parents. That's what it's all about!