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OBESITY: TALKING ABOUT PROBLEMS OF WEIGHT CONTROL
In recent years the psychiatrists have had much to say about the problems of weight control. They agree with the rest of us that fatness is the result of taking more nourishment than is needed, but they are trying to find out what impels one to do this. After all, there are few of us who would not prefer to have nice shapes if there were no bother or suffering necessary. The psychiatrists tell us that much of this overeating is due to trouble in the minds of the patients. They are emotionally tense or they are trying to get away from situations which seem intolerable to them. Some are really mentally ill or are addicted to food as others are addicted to opium. One young woman, whose wavy light hair and peaches-and-cream complexion made her nice to look at despite her embonpoint, told me that she had to cross to the other side of the street when she realized that she was approaching a candy store.
One untrained in psychiatry would suppose that a large proportion of fat people just like the taste of food and enjoy the sensation of having their bellies distended, and care little how they look and give little thought to the future. One wonders if such a bovine existence is a problem for the psychiatrist.
One sees numerous persons who have themselves decided that they could, unaided, bring their weight down and have succeeded happily. That is all to the good but those who have got the weight down only by making themselves miserable are very likely to backslide. A well-trained physician can usually handle the case without anguish to the patient and in general it is wise to call in his help. He will use some psychiatry, for it is recognized now that we are all a little bit queer and in treating any of our ills it is necessary to meet the situation.
It may well be that in psychiatric situations involving obesity other factors may be much more important than overweight. The cigarette-selling slogan of a few years ago was not a good general rule, as the tobacco company soon recognized and discontinued it. “Reach for a Lucky instead of a sweet” was not the proper prescription for lots of nervous girls. The rest cure for tuberculosis has to be carried through even though some of our friends come back from it looking far more pudgy than Psyche at her mirror. The mind plays a large part in the formation of duodenal ulcers, but the diet necessary for their treatment is a fattening one.
Rarely do you people who are carrying about too much avoirdupois need to go to specialists in mental diseases, but contrariwise, those of you with pleasing slenderness should view your plump friends with compassion. They may be bearing burdens on their minds on well as on their backs.
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