A proudly fat italian. Extremely nerdy. Adamantly fat positive.

cis he/him, 23

  • 291 Posts
  • 346 Comments
Joined 2 years ago
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Cake day: June 10th, 2023

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  • While it worked for you, this is a common negative feedback loop for many.

    It is extremely easy to fall into mental health crisis this way. This exact loop is heavily shared in online fat support groups and most of the times doesn’t actually do anything to reach the person’s body objective, it just shatters self esteem further and makes reaching behavior that would help harder while the same coping mechanism they are hating remains.

    I am glad you seem to imply you are in a state you prefer now, but as you might have understood this is generally unsustainable for many people.


  • Because this is not promotion of obesity. Nobody is being advertised to be fat from the grand majority of fat lib individuals, unless the person is radicalized. Quite the contrary, where it is asked to let people that are already fat or want to be to be let be themself and receive the same respect as everyone else. It is asking for bodily autonomy and not be insulted and/or negatively stereotyped for their size. It is asking not to put being of normal BMI on a pedestal in all aspects of life, as discrimination on body size is present in many aspects of it.

    It is not advertised or pushed to fat people that want to lose weight to just refuse that wish to lose weight as that is their bodily autonomy in effect. HEAS (Health at Every Size) wants access, compassion, autonomy and informed consent being given as finds it an improvement in the health of everyone at every size, no matter if fat or not. It doesn’t want to completely remove weight loss from healthcare. This is especially relevant in places where healthcare is not public.


  • From a paper about smoking and lung cancer:

    Thus, pulmonary inflammation could play a role in cancer initiation or promotion.

    Definitive statements are almost never done in public health papers because not everything will end in the same result. There is no use to put so much weight on those terms because that’s how open research works.

    A common explicitly endorsed provider stereotype about patients with obesity is that they are less likely to be adherent to treatment or self-care recommendations (23,24,55,56)

    Well, are they? I don’t know, the paper doesn’t actually say.

    23,24,55, and 56 all say this.

    “I think Dutch people are tall”, that’s not a bias, that’s a reality.

    No. That’s a stereotype, that is a perceived generalization. https://dictionary.cambridge.org/dictionary/english/stereotype . Stereotype is not bias, but bias can be born from a stereotype.


    For example, in one study of primary care providers randomly assigned to evaluate the records of patients who were either obese or normal weight, providers who evaluated patients who were obese were more likely to rate the encounter as a waste of time and indicated that they would spend 28% less time with the patient compared with those who evaluated normal-weight patients (59)

    When you read the actual paper, it says that the providers would RATHER spend less time on them. Not that they don’t, just that they would prefer.

    Directly from the paper’s extract:

    …though physicians prescribed more tests for heavier patients, F(2, 107) ¼ 3.65, P < 0.03, they simultaneously indicated that they would spend less time with them, F(2, 107) ¼ 8.38, P < 0.001, and viewed them significantly more negatively on 12 of the 13 indices

    I don’t see where you found the preference of spending less time, when the same words that the 2001 paper used were reported on the 2015 one too. This is the full paper of 59: https://www.mikkihebl.com/uploads/9/0/2/3/90238177/8.pdf

    From the full paper:

    The results of the Patient follow-up questionnaire provided support for the notion that physicians viewed and responded to patients differently depending on their weight. The heavier the patients were, the more negative the attitudes and the distancing behaviors were. Such patterns can be observed from examining the means, the Fs from ANOVAS, and the ts from the linear trend analyses, all of which are presented in Table 2. In particular, physicians reported that they would spend significantly less time with patients the heavier they were (M ¼ 31.13 min with average-weight patients, M ¼ 25.00 min with moderately overweight patients, and M ¼ 22.14 min with severely overweight patients).


    Wow, that really sounds like doctors are treating obese patients much more than normal-weight patient.

    This is the Impact On Providers sections. Yes, they are and this is not contested. This paper is not about refusal to give prescriptions.

    There is evidence that providers’ communication is less patient-centred with members of stigmatized racial groups (37–43), and other stigmatized groups including patients with obesity (44), and that provider attitudes contribute to this disparity (45–47). Implicit attitudes have also been found to be associated with lower patient ratings of care (46).

    This is not about prescriptions, but communication. Exactly what the paper is talking about. 53 supports the importance of communication in outcomes and quality, too. The fact that it is not centered about obesity specifically is irrelevant, especially because it doesn’t specify any difference between different issues.

    This is also sustained by the extract:

    Stigma can reduce the quality of care for patients with obesity despite the best intentions of healthcare providers to provide high-quality care.


    Impact on patients

    To be honest I have no idea what you are saying here. If a person felt embarrassed, out of place, or misunderstood or fears any of those to be present that is lower quality of care. And a person postponing or refusing checkup/treatment due to what they feel about following trough is a negative outcome.


  • Your first comment in this chain wrote that some people with food addictions are unique because people with other behavior don’t try to find pride and joy in it. Trying to find such things is a voluntary action.

    You then tried to strictly attach body size to overeating when I talking about feeling proud of oneself and for their wishes . If one is overeating voluntarily and feeling good about it, that’s voluntary. And if one has an involuntary food addiction and tries to put pride in it, that would be voluntary too. We are talking about people that feel good about themself, about voluntary actions.

    The topic of the conversation you started here is respect and pride of self. Behavior has nothing to do with this because the grand majority of people into fat liberation is prideful of their fat body, and not of their eating patterns.

    If you feel I attacked a straw man, you missed the topic of the conversation you started. If instead I missed something behind the lines, do say them because that’s how you passed.


  • If no new data is available to show during a review, there is no reason to force it in. It would be an exercise in futility to gather new data if data already available reaches a certain conclusion, unless that original data is either found insufficient or have been collected or filtered with a conflict of interests.

    “doctors have different feelings about obese people”.

    …and a good number don’t feel prepared to treat them and might feel frustrated doing so. This is not the fault of obese individuals. You cannot expect everyone to act with the same level of professionalism when finding themself in front of someone they are biased on. That’s just not how humans work.

    Giving that person a different and worse level of treatment for unfounded reasons is discriminatory.

    And those unfounded reasons are created from bias. https://dictionary.cambridge.org/dictionary/english/bias






  • They are not, come on now.

    Retro networking is a different community, and all is still done behind a modern router. They are a subset of the retro computing community, but they don’t run such systems as their daily driver.

    Most of the legacy OS enthusiasts running on as their daily driver are not interested in matching their networking to be period correct, they just want it to work well and quickly like everybody else. For that you need basic modern equipment, that is often included into ISP plans.