Displacement and the Crucial Switch

The scientific-minded person tends to disparage “anecdotal evidence” and to say, “Show me the scientific evidence.” But fundamentally, they are one and the same.

In an ancient tribal society, one injured person might eat part of a plant and find that it decreases the pain. Then another person might have the same experience, and then another. If one particularly alert member of the tribe listened to these people and drew the obvious conclusion, he or she might collect that plant and then counsel other members who were in pain to eat some of it. After a while, that person who listened to anecdotal evidence and transformed it into advice would be known and respected as the group’s Healer.

That was the first scientist. Even today, even in highly structured scientific trials, the foundation is the same. Statistics are nothing but one person’s anecdotal testimony added to another person’s anecdotal testimony, and so on down the line, until a pile of them accumulates, and voilà! What do we have? Statistics!

This is how an official Study comes into being. An alert person notices that something seems to be going on, and designs a format through which the suspicion can be verified by a preponderance of Evidence. If all goes well, that pioneer is no longer just an eccentric with a feeling that “something seems to be going on.” Pursuing that feeling, by putting it through a formulaic procedure, transforms her or him into an Expert.

Examples of this phenomenon are found in Dr. Pretlow’s paper (Pretlow et al. 2020):

Anecdotally, a 20-year-old obese female was surprised that she was no longer tempted to turn into a McDonald’s drive-through once she had created plans for her difficult life situations before driving home from work.

Dr. Pretlow is working to develop “an intervention based on the displacement mechanism, adaptable for any addiction.” The aim is to help people replace harmful, dysfunctional displacements with constructive and healthy ones. In the light of all this, the writer of this page offers a personal anecdote:

I knew a man (we will call him David) in his early thirties who was intelligent and mild-mannered, and certainly nice enough, but usually rather remote and detached in social situations. One day, in the company of a few friends, David started to talk about kayaking, the activity that was obviously the passion of his life.

This was news to the rest of us, and I think the others were as stunned as I was at the transformation that took place before our eyes — because David turned into another person. He sounded different and even looked different. Describing his experiences on the water, he was incandescent with enthusiasm and pure love for the activity.

The rest of us talked it over later, and all came to the same conclusion. If someone had asked, “Would you rather have a free carton of cigarettes, or go kayaking?” David would have regarded the questioner as insane. We were convinced that “Would you rather have a case of champagne? Would you prefer a hit of the finest heroin?” or any other similar example, would have elicited the same reaction.

There was no doubt in anyone’s mind that for David, kayaking came first, last, and always. As long as he had that, there would be no danger of him ever turning into any species of addict whatsoever.

Dr. Pretlow writes,

It may be possible to consolidate the causes of different addictions and explain all addictions using a single theory. Perhaps, a universal treatment for addiction may be feasible. The displacement mechanism might be the basis for such a unified theory of addiction…

Your responses and feedback are welcome!

Source: “A Unified Theory of Addiction” by Dr. Pretlow
Image by Yves Ouellette/CC BY-ND 2.0 DEED

New Drugs — Does Lifestyle Intervention Still Count? Part 4

Sometimes, a headline seemingly tells the whole story. For example,

Lilly’s tirzepatide shows additional 21.1% weight loss after 12 weeks of intensive lifestyle intervention, for a total mean weight loss of 26.6% from study entry over 84 weeks.

At other times, light is focused on a subject from another angle. Case in point: A different article published on the same day, “Tirzepatide after intensive lifestyle intervention in adults with overweight or obesity: the SURMOUNT-3 phase 3 trial.” That piece mentions the word “lifestyle” a total of 67 times, and we will get back to the ramifications of that rather surprising frequency.

In the weight loss field, some treatments work by penetrating, facilitating, or disrupting various body systems. They work on organs, chemical production, etc. BrainWeighve, on the other hand, works with — you guessed it — the brain. Or more accurately, the app assists a person in sorting out a bunch of conscious and unconscious stuff, in order to accomplish something; in this case, weight loss that lasts. Now, there’s a lifestyle intervention to write home about!

What does it mean?

Readers will recall the question asked in an earlier post:

Do the new, remarkably effective GLP-1 obesity medications eliminate the need for obesity interventions such as BrainWeighve?

The question encourages relevant and useful consideration. Any one of the app’s suggestions and exercises can lead to an epiphany, and potentially to the reduction of what some programs call “stinkin’ thinkin.” For instance, a lot of us have allowed ourselves to fall into the self-delusional trap of thinking of food as a reward. Because we are excellent humans, we carry out our duties in the world.

We do not expect medals, or induction into anybody’s Hall of Fame. On the other hand, “I do deserve a piece of pie, or a couple of pieces. Maybe even the whole pie. Besides, it has been a rough week…” and on and on.

The benefits spread out

Many of us tend to be quite tolerant of our own willingness to tell ourselves fairy tales about how much we eat and why. We can be very self-forgiving, and even righteous, about the importance of living life to the fullest. After all, we do have a responsibility to enjoy the good things that life offers — like pie, for instance.

We might build a defensive wall, and keep it in place, by telling ourselves a lot of jive that sounds good at first, but turns out to be baloney. Telling ourselves enough stories to justify our harmful habits (and our stinkin’ thinkin’) is a full-time job. What if we took all that energy and devoted it, instead, to getting out of the trap and chipping away at the wall?

This is what BrainWeighve can assist a person to do. There seems to be something in it for everybody; ways to use it that appeal to different personality types and that work in various circumstances. Every key to solving a problem relating to weight loss is transferrable to other areas of life.

And this vital assistance is widely available, and available for a long time — even a lifetime. It helps to develop skills that are useful every day of a person’s existence, no matter how many years on earth they are granted.

Your responses and feedback are welcome!

Source: “Lilly’s tirzepatide shows additional 21.1% weight loss after 12 weeks of intensive lifestyle intervention, for a total mean weight loss of 26.6% from study entry over 84 weeks,” Lilly.com, 10/15/23
Source: “Tirzepatide after intensive lifestyle intervention in adults with overweight or obesity: the SURMOUNT-3 phase 3 trial,” Nature.com, 10/15/23
Image by Hey Paul/CC BY 2.0 DEED

New Drugs — Does Lifestyle Intervention Still Count? Part 3

Moving on to tirzepatide, it is semaglutide mixed with another GLP-1 agonist. Under the brand name Mounjaro, it is currently approved only for type 2 diabetes, but is widely used “off-label” to achieve weight loss.

The SURMOUNT-1 trial included 2,539 adults without diabetes, but with at least one weight-related complication. After two weeks of screening, subjects were randomized into four sectors: the placebo group, of course, with the others receiving three different doses of tirzepatide. The substances were…

[…] administered subcutaneously once weekly for 72 weeks as an adjunct to lifestyle intervention. Lifestyle intervention included regular lifestyle counseling sessions, delivered by a dietitian or a qualified health care professional, to help the participants adhere to healthful, balanced meals, with a deficit of 500 calories per day, and at least 150 minutes of physical activity per week.

This is typical of such experimental explorations. The number and nature of counseling sessions may differ, or the amount of physical exertion asked for or performed may vary, but that seems to be about the extent of the lifestyle intervention. The effectiveness varies. One thing the researchers mention is…

[…] evidence that diet and exercise prompt physiological counterregulatory mechanisms that limit weight reduction and impede weight maintenance.

In other words, in many cases, even though patients work out and receive counseling, and astonishing new meds, of course, the body has its ways of fighting back in a stubborn effort to maintain its weight. The astute reader may guess that we will be making a point about all this: work on the head is also needed, and that is the ingredient that BrainWeighve provides.

Another news article concerns participants in two trials, SURMOUNt-3 and SURMOUNT-4, preceded by

[…] a 12-week intensive lifestyle intervention lead-in period that included exercise, low cal diet, and weekly counseling sessions during which candidates had to lose at least 5% of body weight.

So apparently, that is the definition of intensive. Still, no mention of self-management skills and other benefits available from a program like BrainWeighve.

In mid-October of this present year, the Lilly pharmaceutical firm prudently issued its
Cautionary Statement Regarding Forward-Looking Statements” aimed, it seems, at over-excited investors who tend to hear what they want to hear:

[A]s with any pharmaceutical product, there are substantial risks and uncertainties in the process of drug research, development, and commercialization. Among other things, there can be no guarantee that planned or ongoing studies will be completed as planned, that future study results will be consistent with the results to date, that tirzepatide will receive additional regulatory approvals, or that tirzepatide will be commercially successful.

Your responses and feedback are welcome!

Source: “Tirzepatide Once Weekly for the Treatment of Obesity,” NEJM.org, 07/21/22
Source: “Eli Lilly’s tirzepatide aces 2 more late-stage obesity trials as FDA decision nears,”
FiercePharma.com, 07/27/23
Source: “Lilly’s tirzepatide shows additional 21.1% weight loss after 12 weeks of intensive lifestyle intervention…,” Lilly.com, 10/15/23
Image by Jordan Schwartz/CC BY 2.0 DEED

New Drugs — Does Lifestyle Intervention Still Count? Part 2

The previous post discussed the STEP trials, which are multi-staged and spread out over many institutions. We mentioned Timothy Garvey, M.D., who wrote that the weight loss achieved by many of the trial participants “is beginning to close the gap with bariatric surgery,” and…

It is important to use this medication in conjunction with lifestyle intervention. What this medicine does is help patients adhere to a reduced-calorie diet. With obesity, you always need lifestyle changes plus the medicine.

A New England Journal of Medicine article mentioned that while semaglutide is being used to treat adult obesity, information on its effect on adolescents is scarce. It is known that…

[…] once-weekly treatment with a 2.4-mg dose of semaglutide plus lifestyle intervention resulted in a greater reduction in BMI than lifestyle intervention alone.

Like adults, teens begin with a 12-week lifestyle intervention “run-in phase” before being assigned to randomized groups for the actual testing of the drug (or placebo). This three-month preparation period…

[…] reflects clinical practice recommendations to implement lifestyle modifications for weight loss before initiating pharmacotherapy in adolescents. The inclusion of parents or guardians in the lifestyle intervention provided throughout the trial may also have contributed to the high completion rates, since the inclusion of parents or guardians in lifestyle counseling is known to improve weight-loss outcomes among young people.

This makes sense of course, because usually it is the parents who provide most of the food consumed by teenagers, and because dependent minors might need an eye kept on them for other possible reasons as well. Another article about semaglutide notes,

Lifestyle intervention, consisting of diet and exercise, remains the cornerstone of weight management.

That was way back in early 2021, but spoiler alert: lifestyle intervention is still vital. Just the headline and subtitle of a very recent piece from TechnologyNetworks.com tell the story:

Weight Loss Drug Trial Shows 21% Additional Loss After Lifestyle Intervention
A phase 3 clinical trial showed an additional 21.1% weight loss after intensive lifestyle intervention.

Now, they are mainly talking about certain types of intervention, which we will get into. But remember the original question posed in a recent post: Do the new, remarkably effective GLP-1 obesity medications eliminate the need for obesity interventions such as BrainWeighve? These drug trial research teams have a lot on their plates, and they can’t do everything. What they mean by lifestyle intervention, and what others may mean by that same term, are not necessarily synonymous.

Your responses and feedback are welcome!

Source: “Who will benefit from new ‘game-changing’ weight-loss drug semaglutide?,” UAB.edu, 04/09/22
Source: “Once-Weekly Semaglutide in Adolescents with Obesity,” NEJM.org, 12/15/22
Source: “Trial Finds Semaglutide With Lifestyle Intervention Reduces Body Weight by Nearly 15%,” AJMC.com, 02/10/21
Source: “Weight Loss Drug Trial Shows 21% Additional Loss After Lifestyle Intervention,” TechnologyNetworks.com, 10/18/23
Image by Bill Smith/CC BY 2.0 DEED

New Drugs — Does Lifestyle Intervention Still Count? Part 1

Today’s question is: Do the new, remarkably effective GLP-1 obesity medications eliminate the need for obesity interventions such as BrainWeighve? At this moment, it looks like the answer to that question is a resounding “No!”

First, a definition:

Lifestyle interventions can be defined as changes that patients can make to their lifestyles that improve these diseases in lieu of, or in addition to, clinical and pharmaceutical interventions, and often are prescribed as a first line of defense for patients showing diabetes and other symptoms of the metabolic syndrome.

An important reason why lifestyle intervention is vital is contained in a batch of recent news about those very drugs. One is the generic liraglutide (sold under the trade names of Saxenda and Victoza) that requires daily injections. It has been approved as an obesity treatment:

Liraglutide, used in conjunction with lifestyle changes, can help induce and maintain weight loss and improve insulin sensitivity. Liraglutide may be an especially attractive alternative in patients with severe obesity when lifestyle modification is unsuccessful or only partially effective…

At the very least, lifestyle intervention in the form of exercise has been shown to alleviate some of the side effects of liraglutide’s therapeutic use:

[The] combination of liraglutide and exercise can also bring benefits in weight loss. Furthermore, the combination of liraglutide and physical exercise can prevent adverse effects observed in the administration of liraglutide.

Apparently, exercise is especially useful in reducing adverse effects of the gastrointestinal kind, and also improves the patient’s resting heart rate.

Another generic

Next up is semaglutide, a weekly injection that might soon be available as an oral medication. It is sold under the proprietary names of Ozempic and Wegovy, which are both legitimately prescribed to fight obesity in the absence of diabetes.

Semaglutide has been described as “a new weight-loss drug that produced jaw-dropping clinical trial results in early 2021.” It was used in the highly publicized STEP trials conducted at many medical centers.

The results, released in February, were important enough to warrant prominent placement in the New England Journal of Medicine for the STEP 1 trial results and Journal of the American Medical Association for STEP 3 trial results, and a major feature in the New York Times.

Participants lost an average of 37 pounds through the combination of semaglutide and behavioral intervention in the STEP 3 trial.

There it is again, a reference to behavioral intervention, which means some exercise. Not much detail about the corporeal side of the intervention is to be found, except a mention of 150 minutes of physical activity per week, or two and a half hours, which is not a lot, but probably more than some of the participants were accustomed to.

(To be continued…)

Your responses and feedback are welcome!

Source: “Lifestyle Intervention,” ScienceDirect.com, undated
Source: “Liraglutide with Lifestyle Intervention in Adolescents with Overweight/Obesity, Nonalcoholic Fatty Liver Disease, and Type II Diabetes Mellitus,” NIH.gov, 11/08/21
Source: “Liraglutide and Exercise: A Possible Treatment for Obesity?,” MDPI.com, 08/17/22
Source: “Who will benefit from new ‘game-changing’ weight-loss drug semaglutide?,” UAB.edu, 04/09/22
Image by bluesbby/CC BY 2.0 DEED

In Search of Addiction’s Roots, Part 6

As Dr. Pretlow has said, the destructive side of the displacement mechanism is found in people who allow drugs, alcohol, or food to take over their lives. How does that happen?

We speculate that those individuals may lack basic coping mechanisms and are unable to face, avoid, adapt to, or solve their underlying problems.

Granted, to take a fresh look at a situation requires a degree of maturity that arrives late to some people. Thinking in a new way takes practice, which is one of the benefits the BrainWeighve smartphone app provides. The Dread List is just what it sounds like, and suggestions from fellow travelers on this road can help to turn it into a List of the UnDread. Between the app itself and the fellow participants, there are plenty of concrete and actionable possibilities.

We have seen that displacement can go either way. Random, reactive displacement behaviors usually only make things worse, while conscious displacement can create a space for positive change. That same post includes reminders of some of the standard plans suggested by those who have successfully avoided obesity. Fellow BrainWeighve users might suggest positive displacement ideas like this one from a Childhood Obesity News reader:

My teenage favorite: Playing sad songs on my guitar in my room alone for hours and hours. I laugh about it today, but it did the trick!

Wall Street investment wizards mentor ambitious young people in the field by passing on success tips to them, and mentoring is one function of the app. To participate, hear what those experienced with the same situation say, and be able to help others in return, are all part of the healing process and the addiction prevention process.

Quaint but true

It used to be considered very rude and “common” to eat in outdoor public spaces. One reason for this might have been compassion for people in public areas who are hungry. Eating in front of them would cause them pain and distress. In the same way, the seemingly uptight opinion that public displays of affection should be avoided might have a basis in compassion.

In a park or on a bus, some couples just can’t keep their hands off each other. Even if the PDA is not shocking, but merely sweet and innocent, think of how the sight affects someone who hasn’t had a sweetheart in years. Imagine how it feels to someone going through a breakup, or someone who just lost a loved one to illness, accident, or violence. Why cause pain to strangers?

In the same way, eating in public can cause pain to people struggling to lower their body weight, who do not want to be reminded, every minute of the day, that other people are quite happily eating all the time. To see someone else enjoying food is a very blatant “cue,” a trigger that sends their mind immediately to thoughts of consumption and feelings of deprivation. They lack a basic coping mechanism to deal with the temptation.

One of the plans we might make for ourselves is to not eat in public, for the benefit of not only the hungry, but of others who are trying to control their intake of food for health purposes. (And, for the benefit, of course, of ourselves.)

Your responses and feedback are welcome!

Source: “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment,” NIH.gov, June 2022
Image by Garry Knight/CC BY 2.0 DEED

In Search of Addiction’s Roots, Part 5

If a situation is to be dealt with, obviously the first step is to name this allegedly unfaceable dilemma; and even here, a person might encounter a surprise. Sometimes, taking the trouble to clarify and really fine-tune the definition of a problem can cast a whole new light on it. For instance, a person might discover that part of the responsibility for a crummy situation is actually their own.

Imagine a fellow named Joe, with a chain of thought that goes something like this:

“Being persecuted by the history teacher has become a serious roadblock. That old man is really out to get me. Now, he is going around telling the other faculty members not to write any recommendation letters. Where’s my phone app? Okay, it says here to define the problem. That’s easy. The guy has been out to get me ever since I stink-bombed the classroom… Wait a minute. What did I just say?”

It is totally possible that even in the process of accurately describing the problem, some new thoughts might crop up. One might be, “I have been kind of a jerk. I could try to reverse his opinion. Or it might be too late, but you know what? I deserved some payback.”

Epiphanies do happen

Of course, the average BrainWeighve user is not a congenital troublemaker like Joe. Even if Joe takes a step toward maturity by accepting that he is sometimes part of the problem, that alone won’t get him into college. But it might come to mind the next time he is tempted to do something self-destructive that could easily backfire.

A situation could be interpreted in different ways, and the healthy move is to at least consider the possibility. Sometimes, all that is needed is a reinterpretation that the person can wrap their head around. Just following the steps suggested by the app can joggle something loose. The ability to reframe one’s thoughts about a situation is a basic coping mechanism, and can even be the first step toward resolving the problem.

Dr. Pretlow and co-author Suzette Glasner wrote,

A perplexing aspect of the displacement mechanism is why it becomes excessive and destructive in some individuals — that is, why do some people abuse drugs/alcohol and food, yet others do not? We speculate that those individuals may lack basic coping mechanisms and are unable to face, avoid, adapt to, or solve their underlying problems. We further speculate that for such persons, the destructive displacement behavior may become their sole coping avenue, may be self-reinforcing, and may reach a “point of no return”.

Your responses and feedback are welcome!

Source: “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment,” NIH.gov, June 2022

In Search of Addiction’s Roots, Part 5

If a situation is to be dealt with, obviously the first step is to name this allegedly un-faceable dilemma; and even here, a person might encounter a surprise. Sometimes, taking the trouble to clarify and really fine-tune the definition of a problem can cast a whole new light on it. For instance, a person might discover that part of the responsibility for a crummy situation is actually their own.

Imagine a fellow named Joe, with a chain of thought that goes something like this:

Being persecuted by the history teacher has become a serious roadblock. That old man is really out to get me. Now, he is going around telling the other faculty members not to write any recommendation letters. Where’s my phone app? Okay, it says here to define the problem. That’s easy. The guy has been out to get me ever since I stink-bombed the classroom… Wait a minute. What did I just say?

It is totally possible that even in the process of accurately describing the problem, some new thoughts might crop up. One might be, “I have been kind of a jerk. I could try to reverse his opinion. Or it might be too late, but you know what? I deserved some payback.”

Epiphanies do happen

Of course, the average BrainWeighve user is not a congenital troublemaker like Joe. Even if Joe takes a step toward maturity by accepting that he is sometimes part of the problem, that alone won’t get him into college. But it might come to mind the next time he is tempted to do something self-destructive that could easily backfire.

A situation could be interpreted in different ways, and the healthy move is to at least consider the possibility. Sometimes, all that is needed is a reinterpretation that the person can wrap their head around. Just following the steps suggested by the app can joggle something loose. The ability to reframe one’s thoughts about a situation is a basic coping mechanism, and can even be the first step toward resolving the problem.

Dr. Pretlow and co-author Suzette Glasner wrote,

A perplexing aspect of the displacement mechanism is why it becomes excessive and destructive in some individuals — that is, why do some people abuse drugs/alcohol and food, yet others do not? We speculate that those individuals may lack basic coping mechanisms and are unable to face, avoid, adapt to, or solve their underlying problems. We further speculate that for such persons, the destructive displacement behavior may become their sole coping avenue, may be self-reinforcing, and may reach a “point of no return.”

Your responses and feedback are welcome!

Source: “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment, NIH.gov, June 2022

In Search of Addiction’s Roots, Part 4

Dr. Pretlow wrote,

Moving the opposing drives out of equilibrium, by resolving a person’s problems (displacement sources), theoretically should halt the displacement mechanism and might comprise an intervention for overeating/obesity, as well as other addictions. If the individual can either face or escape from the problematic situations, the displacement behavior of overeating should stop on its own without struggling and without willpower.

The proposed intervention is to help a person identify life situations that seem inescapable, in that they are impossible to either avoid or face, or are exhaustively frustrating. The founding premise here “Hey, wait a minute, maybe this isn’t impossible to face, after all.” The person is invited to develop a plan of action, and is offered such perks as a community of others to bounce ideas off of. Anyone who has tried something that worked can tell about it, and anyone else can give it a try.

It starts with the Dread List, which is a personal exercise and does not have to be shared if the user prefers not to. This is where you first receive an explanation of the displacement theory and its relationship to overeating behavior.

The next step is to catalog the “dreads” by specifying each situation that seemingly can’t be either avoided or faced, and the next after is to jot down an action plan (or more than one!) applicable to the case. The overall vibe here is, “Face it… don’t displace it.”

At the year’s end

Perhaps a person’s greatest fear is that he or she will gain a bunch of weight during the winter holiday season. This is a very rational fear, because it happens to a lot of people. But to some other people, it doesn’t happen, and they are happy to share their methods. Some of those paths are quite standard. For instance, these examples are from an article by Cathy Dyer, called “How 104 Teens Lost and Kept Weight Off.”

They changed what they drank, cut the fat, dished up smaller portions for themselves, stuck to regular meals, got smarter about snacks, patronized different restaurants, and at parties, kept their wits about them.

These ideas obviously have been around for a while and we have heard about them a million times. But this is in a different setting, a place where people who have followed a certain set of precepts and managed to avoid starting the new year with 20 extra pounds on them hang out. This isn’t advice coming from a lofty professional. The advantage of an interactive app is, you can hear it from peers who will attest to the fact that sometimes this stuff actually works, and they want you to know it.

Your responses and feedback are welcome!

Source: “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment,” NIH.gov, June 2022
Source: “How 104 Teens Lost and Kept Weight Off,” Medium.com, 04/30/19

In Search of Addiction’s Roots, Part 3

As we learn from Dr. Pretlow’s “A Unified Theory of Addiction,”

Moving the opposing drives out of equilibrium, by avoiding or resolving the underlying problem/stressful situations, theoretically should mitigate the displacement mechanism and the addictive behavior.

Maybe that is what animals know how to do instinctively, with some of what scientists think of as their wacky, inappropriate behavior. When genuinely faced with a fight, maybe calming down is a drive equally important to the fight drive. They have, after all, not only the instinct for individual survival but an obligation to help their whole species survive.

A human, as mentioned in the previous post, can make a choice to stay in a threatening or thwarting situation. Or a human can (generally with little, if any, thought) take the route of converting overflow mental energy into some kind of action that might give temporary relief, but will probably be harmful. In the case of a really unwise choice, the chosen action might even plant the seeds of an addiction.

Or that person can consciously choose a neutral displacement activity that, regardless of whether it does or does not help to solve the instigating problem, will at least not make the situation any worse.

Automatic versus conscious

Another thing a person can do is, deliberately decide to address the problem head-on. Displacing thoughtlessly and unwisely can lead to undesirable results, ranging from useless to addictive. Displacing consciously can give a person a chance to reset and regroup, resolve the initiating situation, and gain a healthy result.

The object is to rechannel or displace overflow mental energy produced by the stressful life situation and the tempting array of competing drives. For animals, the choices include fight, flee, freeze, feed, fornicate, fool around, fidget, and faint. For humans (and lab animals confined in cages with dope dispensers), their options include the possibility of catching an addiction.

If a human can discover a path more rewarding than any of those, and seize the opportunity to pursue it, that discovery and opportunity, and conscious choice, can divert them from a bad path. Humans have the great advantage of being able to willfully choose another drive that carries the potential for some kind of fulfillment — like creating some form of art, or mastering a skill.

Yet and still, the most appropriate and helpful choice, of course, is to address the problem. That is where the saying “Face It Don’t Displace It” comes into play. A person has an option that is not granted to an animal — the opportunity to utilize the smartphone app called Brainweighve. We are talking about a new therapy that holds out the possibility of being adaptable to any addiction. It consists of…

(1) helping the individual identify the problems or stressors that form the basis of the opposing drives (displacement sources), and (2) creating strategies to either avoid or effectively resolve these problems/stressors. Success does not depend on totally resolving or avoiding the person’s problematic situation, it is just necessary that the opposing drives are pushed off dead center (either face or escape) and no longer in equilibrium.

Your responses and feedback are welcome!

Source: “A Unified Theory of Addiction,” Qeios.com, 03/09/23
Image by Carsten Tolkmit/CC BY-SA 2.0 DEED

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources