Dr Bob's entry On obesity provokes response. Like several of those who comment on his entry - I applaud his honesty - and will come clean like he has: when we care for patients who have been participants in their illness, it is tempting to blame them, and in our weaker moments, we do.
Bear with me here ...
Addiction is a powerful disease - whether to drugs or tobacco or food. Working with addicts is challenging. We try so hard to listen, understand, counsel and advocate.
| I often suggest that patients read James Prochaska's book: .. and it's helped several of my patients change self-destructuve behaviors. It's also a good read for physicians. A core concept of the book is that we don't change our patients -- they change themselves. |