Word: felitti
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Dates: during 2010-2019
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...Vincent Felitti, founder of Kaiser Permanente's Department of Preventive Medicine and director of its obesity-treatment program, was seeing some good results. His patients were losing 50, 80, even hundreds of pounds. He might have considered the program a success, if not for the fact that the participants who were doing the best - those who were both the most obese and losing the most weight - kept dropping...
...Felitti was baffled. Why, invariably, did so many patients quit just as they approached their healthy goal weight? Ella, for instance, a middle-aged woman who entered the program in the mid-1980s morbidly obese at 295 lb., had managed to whittle her frame by 150 lb. over six months. "Instead of being happy, she was having anxiety attacks and was terrified," Felitti says. (See "The Year in Health 2009: From...
When Ella was overweight, Felitti learned, her husband was less suspicious. And her fear of his rage - perhaps he saw her new slimmer weight as a provocation? - was probably spurring her anxiety. (See a special report on the science of appetite...
...Felitti wondered if there was something similar barring weight loss in other patients - or causing obesity itself. In the late '80s, he began a systematic study of 286 obese people, and discovered that 50% had been sexually abused as children. That rate is more than 50% higher than the rate normally reported by women, and more than triple the average rate in men. Indeed, the average rates of sexual abuse are themselves unsettling: according to a large 2003 study conducted by John Briere and Diana Elliott of the University of Southern California, 14% of men and 32% of women said...