[quote name='BigMuffinLuv']My opinion comes from years of real life application in working closely with hundreds to possibly thousands of people who are overweight or obese. I have worked with clients in excess of 450 pounds and greatly understand the psychological, social, emotional, and physical complexities of bearing such a burden (no pun intended). People like this client and those we are seeing on TV this evening are regular human beings like all of us.
The coursework in my program included a specific class called Exercise Psychology where we took into consideration how damaging conditions like this can be on someone's outlook on life and how they perceive their condition(s).
My commentary on addictions was not meant to be generalized. In that, I believe I may have been taken out of context. Strictly speaking towards obesity, as a health care professional, I believe we are doing more harm than good by labelling it a disease. Liken this to being diagnosed with cancer (not caused by smoking or environmental factors).
Once diagnosed, one with cancer will resign to the fact that this was completely out of their hands. This terrible condition was not brought on by lifestyle habits, their work environment, or any one thing they may have done. It is simply something they must deal with as best as possible with the support of everyone around them.
I honestly believe that we cannot allow obesity to be discussed in the same light as diseases like cancer. It must be considered a "conditional" disease such as HIV where someone was not careful with how they led their life.[/quote]
You're saying that obesity should not be considered a disease, but also that it should be considered a "conditional" disease (one resulting from behavioral choices). Moreover, in your first post, you were discussing this in terms of "addiction." So which is it, then? All three? Some and not others? Or just context dependent? You are, I'm afraid, changing your argument enough that I'm not finding it easy to follow your broader point.
What successes have you had clinically in dealing with these clients, and why do you think that is?
I can agree that treating it as something "conditional" may be useful - but I don't think that's something that naturally stems from any conversation of "addiction." Sure, you have the occasional trial-lawyer happy cat who wants to sue Philip Morris, or Altria, or whomever - but for the most part, when we think of the end result of "addictive" behavior (lung cancer/emphysema, drug overdose, irreversible cardiac conditions from overeating), it's not a logical necessity that we blame external situations. In talking about it in terms of addictions, there implies the role the individual played in their own demise.
A major element of recognizing addictions, as I'm sue you know, involves the recognition of something's harmful effects (that gambling keeps you from paying your bills or providing food for your family, overeating means your clothes no longer fit, drugs have killed off all your friendships except for the co-dependent ones, etc.); more important than just that, however, is the acceptance that, despite these harmful effects, either it's "too late" to change behavior, or something else is considered, so that the person *continues* with their behavior, rationalizing their behavior, in spite of seeing the damage it is doing to them. "I know it's bad for me and I continue to do it." Do we not see that when we see the video in the OP, and the man eating a plate of eggs and sausages, talking about "pain going away"?
Lastly, please do not become confrontational and question my credentials. You have made some bold statements yourself, with which I am responding with honest opinions and facts discovered in the field and during my education.
Thank you.
I'm not wearing any badges here, and I'm just presenting my opinion. Had you mentioned your clinical work originally, I'd have some modicum of deference more than previously. Nevertheless, I happen to be both a skeptic and a touch lacking in good graces. You'll have to bear with me. I'm addicted to being a bastard.