Dinah, ClinkShrink, & Roy produce Shrink Rap: a blog by Psychiatrists for Psychiatrists, interested bystanders are also welcome. A place to talk; no one has to listen.
Sunday, July 14, 2013
Fat and at Fault?
In psychiatry, we are sensitive to issues of stigma. It's no longer cool to openly discuss disdain for people who belong to other races, who are gay, who are handicapped, and I think we're making progress in some areas of mental illness. It seems that people feel free to say the problem is the 'crazy people' and not the guns, but in general, we don't really condemn people people because they've been depressed or had panic attacks. I sometimes think that the last group of people that it's fine to blame for their plight are the obese. Okay, and alcoholics, those with drug addictions. and smokers. They aren't victims, they just lack self-control, and if only they'd try harder. We've gotten over telling people to stop being gay or stop being psychotic (even if some members of society don't want to stand next to them). But when it comes to those with obesity or addictive issues, their problems are their fault, so it's fine to blame them.
you've ever felt contempt for anyone who is too heavy, or had the
thought, "Of course they have (fill in the blank) problem because that happens to fat, lazy
people with no self-discipline," or even just thought, 'If being fat
bothered him, I guess he'd eat less," then please watch this TED talk,
he's great. And yes, I think it's fine that the AMA declared obesity a
disease, I don't think anyone is going to gain weight because now they
have an excuse they can blame it on. It's time medicine became more
sympathetic and aggressive about finding treatments that work for
obesity, alcoholism, and drug addiction. Sorry, I'm preaching. Watch
the video, he's says it better than I ever could.
Thanks. Very interesting.
An observation I have made is that if I do not eat refined grains and sugar, then my food craving goes away in about 5 days. This is not a very long time, and it goes hand in hand with another concept I have, that goes to the heart of the speaker's statement that some thin people have insulin resistance and some obese people do not have insulin resistance. This concept is that tests for diabetes and insulin resistance are affected by what the patient has been eating for the last week to four weeks.
John McDougall and Pritikin both provide medically supervised short term weight loss programs. They consistently show patients "recovering from" Type II Diabetes in 2-3 weeks, through radical dietary change away from flour, sugar, saturated fat, and towards vegetables, fruits, beans, and whole grains eaten whole and moist (like brown rice not like whole grain crackers).
I think if these same people would resume eating croissants, grilled cheese sandwiches, and pizza, then theh would again show insulin resistance or diabeters. If they then go back on asparagus, brown rice and beans, then the diabetes "goes away".
The work of McDougall and Pritikin show that it does not take losing 100 pounds for people's bodies to respond, it takes radically changing the diet towards a more authentic paleo diet of veggies, fruits, beans, tubers.
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