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I've written about this before, but I'll keep doing so as long as this dumbo conflation keeps being made. If there was a way to help anorexics maintain a low weight healthily and never worry about food or weight again OF COURSE that would be the treatment medicine used.https://twitter.com/KatyMontgomerie/status/1367842784875536388 …
Medicine isn't concerned with fixing people's wrong or deviant desires, it's concerned with improving quality of life and restoring healthy functioning. If a "delusion" doesn't interfere with functioning it's none of medicine's concern.
Anorexia isn't a problem bc it's bad to want to be thin/very thin. If that was the case most women would need to sign up for treatment to fix those bad desires RIGHT AWAY. Anorexia is harmful because no amount of weight loss is ever enough leading anorexics to get sick and die.
If there was a way to surgically change AN bodies that fixed the need to starve oneself and made AN sufferers healthier and more functional- even if they weren't quite as healthy as non-anorexics- it would be a HUGE breakthrough and become the standard treatment overnight.
It doesn't *feel* right for that to be true because we think mentally ill people are "bad" and need to be made "good".
But, from a medical perspective, that's simply not the case. There is no such thing as mental illness without loss of health or function. Successful interventions restore functioing and/or health, not sanity.
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