Childhood obesity
Thank you for the informative article on childhood obesity ("Big Kids," December Monitor). Like so many of us who work with people who have eating disorders, I was heartened by the recognition and new thinking about causes of and treatments for obesity. Thus it was beyond puzzling to read the quote from Gary Foster, PhD, of the Center for Obesity Research at Temple University:
"Obesity isn't a mental health condition. You won't find it in the DSM-5." Obesity is a physiological syndrome that is socio-cultural, familial and individual in its motivations. And its resolution involves socio-cultural, familial and individual decisions.
It took decades for the government to agree that smoking kills, and to go after the tobacco companies. Will it take decades to legislate against the donut, candy, snack and soda companies who consistently put profits above children's health?
Camay Woodall, PhD
Towson, Md.
Among others, the December "Big Kids" article detailed the work of Dr. Kelly Brownell, giving attention to his support of soda bans in New York City and similar measures. I am increasingly troubled by our field's attitude toward this type of legislation. In particular, I wonder, how can a discipline that prides itself on respect for individual autonomy (a core component of the APA Ethics Code) support such blatant infringements on the right of individuals to make decisions about their own lives? Is it not possible that some of us seek the hedonic value of a sugary drink more than a fit physique or extended lifespan, and are willing to trade the latter for the former? And why do New York legislators know any better about what is in my best interest as an individual?
The argument will be made, of course, that such "public health" measures are targeted at children, whose welfare psychologists (as well as the state) must protect. But this is nonsensical. If the goal was truly preventing childhood obesity (while leaving the preferences of adults unfettered), laws would specifically target children who purchase sugary drinks (as do laws restricting the sale of tobacco and alcohol). The fact that such bans prohibit soda sales of certain sizes to anyone shows that New York lawmakers have little respect for individual rights and self-determination.
Sean C. Rife
Kent State University
We are shocked and disappointed to see the cover image and cover story of the December issue of the APA Monitor on "preventing obesity." We deplore the depiction of fat boys (on page 6 and pages 58–59) shown at the swimming pool looking miserable. Fat people are told to exercise, but when they do, they are ridiculed. This is particularly offensive since body fat aids in flotation, and so fat children and adults have a natural buoyancy that helps them stay afloat. It is ironic that so much of the Monitor article focuses on increasing fitness and exercise for children when the message in the photos is that these very children will be uncomfortable when they do participate in sports. We support the Health at Every Size® (HAES) movement, a public health initiative that focuses on health for all people, regardless of body weight (see Bacon, 2010; Bacon & Aphramor, 2010; Burgard, 2009, for overviews). HAES emphasizes improving nutrition and enjoying food, and also the joy of movement. HAES clinicians strive to end bias against fat people and underscore the fact that we cannot tell people's health or fitness level just from looking at them. Health is defined as physical, emotional and spiritual well-being, and HAES clinicians focus on everyone appreciating their bodies and their appearance. HAES practitioners de-emphasize weight and dieting, and argue that because diets don't work in the long run, we are doing people a disservice by promoting such failure experiences.
Esther Rothblum, PhD
San Diego State University
This letter was co-signed by the following 87 others:
| Kaye-Ailsa Rowan
Sofia University |
Lori Dawson, PhD
Worcester State University |
Judith M. Larson, PhD
California School of Professional Psychology—Berkeley/Alameda |
Nathaniel C. Pyle, PhD
University of California, Santa Barbara and Santa Barbara City College |
| Max Airborne
Oakland, California |
Peggy Elam, PhD
Publisher, Pearlsong Press |
Michael Levine, PhD
Kenyon College |
Kristin Rodier
doctoral candidate University of Alberta, Canada |
| Nadav Antebi
Columbia University |
Paul Ernsberger, PhD
Case Western Reserve University |
Elena Levy-Navarro, PhD
University of Wisconsin, Whitewater |
Tracy Royce
graduate student University of California, Santa Barbara |
| D. Lacy Asbill
Girls and Boys Moving Forward |
William J. Fabrey
Council on Size & Weight Discrimination |
Michael I. Loewy, PhD
California School of Professional Psychology Alliant International University |
Matilda St John
Private Practice, Oakland, Calif. |
| The Association for Women in Psychology | Amy Erdman Farrell, PhD
Dickinson College |
Margo Maine, PhD
West Hartford, Connecticut |
Abigail Saguy, PhD
University of California, Los Angeles |
| Linda Bacon, PhD
University of California, Davis |
Fall Ferguson
John F. Kennedy University |
Judith Matz
The Chicago Center for Overcoming Overeating, Inc. |
Juliette R. Savitscus, PhD
Private Practice |
| Angela D. Bardick
PhD candidate University of Calgary Alberta, Canada |
Lara Frater
Fat Chicks Rule |
Julia McCrossin
Independent Scholar |
Kerri Schafer
doctoral student University of Nevada, Las Vegas |
| Leslie C. Bell, PhD
Women's Therapy Center Berkeley, California |
Jeannine A. Gailey, PhD
Texas Christian University |
Maureen C. McHugh, PhD
Indiana University of Pennsylvania |
Friedrich Schorb
PhD student Department of Public Health |
| Bonnie L. Bernell, EdD | Nanette Gartrell, MD
The Williams Institute, UCLA School of Law |
Melonie (Lonie) McMichael, PhD
University of Colorado Colorado Springs |
Dana Lee Schuster
Every Woman Health Club |
| Christine L.B. Selby, PhD
Husson University |
Amanda Gilliam
PhD candidate Columbia University in the City of New York |
Angela Meadows
University of Birmingham, UK |
Cathleen Sheil, MA
MD Anderson Cancer Center |
| Ellen Biagi, PhD
Northwestern University |
Jacqui Gingras, PhD
Ryerson University |
Laura Meyer, PhD
University of Denver |
Christine Smith, PhD
University of Wisconsin-Green Bay |
| Lizbeth T. Binks, PhD
Private practice Baltimore |
Kim A. Gorgens, PhD
University of Denver |
Dylan Miles PhD, Esq.
Mediation and Law Office of Dylan Miles |
Stefanie Snider, PhD
Art Institute of Pittsburgh — Online Division |
| Natalie Boero, PhD
San Jose State University |
Robert K. Green
doctoral student Fielding Graduate University |
Linda Najjar, PhD
Inner Wisdom Counseling, LLC |
Sondra Solovay, Esq.
Fat Legal Advocacy, Rights and Education Project |
| Amy Brown-Bowers
Ryerson University |
Julie Guthman, PhD
University of California, Santa Cruz |
Michaela A. Nowell, PhD
University of Wisconsin-Fond du Lac |
Lisa M. Tealer
National Association to Advance Fat Acceptance |
| Jennifer Brady
Queen's University |
Susan Huddis Koppelman, PhD
American Literature and Popular Culture Retired |
Lily O'Hara
Health Authority Abu Dhabi |
Pattie Thomas, PhD
College of Southern Nevada Virgie Tovar Author and fat activist |
| Barbara Altman
Bruno, PhD Association for Size Diversity and Health |
Marny Hall, PhD
Psychologist and independent scholar |
Lisa A. Osachy, PsyD
Private practice, Pittsburgh |
Marilyn Wann
FAT!SO? author, activist, and weight diversity speaker |
| Deb Burgard, PhD
University of North Carolina at Greensboro |
Ellyn D. Herb, PhD, CEDS
Certified Eating Disorders Specialist |
Tiffany O'Shaughnessy, PhD
California School of Professional Psychology |
Patti Lou Watkins, PhD
Oregon State University |
| Christy Calame
Psychotherapist in private practice |
Yetta Howard, PhD
San Diego State University |
Lesleigh Owen, PhD
Black Hills State University |
Jacqueline S. Weinstock, PhD
The University of Vermont |
| Peng Chao
University of Pennsylvania |
Joanne P. Ikeda
University of California, Berkeley |
Elise Paradis, PhD
University of California, San Francisco |
Jason Whitesel, PhD
Seminole State College of Florida |
| Joan C. Chrisler, PhD
Connecticut College |
JuliaGrace J. Jester, PhD
Harrisburg Area Community College |
CJ Pascoe, PhD
Colorado College |
Julie Forrest Wyman
University of California Davis |
| Peggy Crum, RD
Michigan State University |
Kathy Kater, LICSW, Psychotherapist
Private Practice, St. Paul, Minnesota |
Andrea Phillipson
doctoral candidate Queen's University |
|
| Elizabeth Daniels, PhD
Oregon State University Cascades |
Deborah Kauffmann
Nutrition Counseling for Intuitive Eating Cockeysville, Maryland |
Ariane Prohaska, PhD
The University of Alabama |

