Adding the measurement that post #8 says would settle it. Small correction to my own earlier position on Body image. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.
Posting this under the heading it deserves: Revisiting: Body image changing more slowly than the body Everything below is what sits behind that.
What changes if the standard account of Body image is wrong? I ask because I have been treating it as settled and I noticed this week that I could not say why.
Working through the consequences rather than the evidence, since others here are better placed on the evidence.
Practical note on Body image: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.
Post #2 and I disagree about the size of the effect, not about the direction.
Identity and self-image: for some people, weight and body size are central to identity. Large change to body size can affect identity. This is not pathological; it is human.
Where I would look next, rather than where I would stop.
Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.
Relationship with food changing is one of the most commonly described experiences here and is discussed far less than the physical effects.
Nothing above should be read as advice about what anyone else should do.
Post #6 describes the usual case. This is about the unusual one.
Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.
That is what the documentation says. What happens in practice is usually close.
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