Would punishing fat people even work? Science says no

Government drive to cut benefits for the obese is a terrible idea.

The government seems to have decided that one of the things missing before 2013 was adequate punishment for fat people. Here's their new resolution: if Britain's obese refuse to attend exercise sessions, they will face having their benefits cut.

Westminster Council today published a report recommending that:

"Where an exercise package is prescribed to a resident, housing and council tax benefit payments could be varied to reward or incentivise residents."

This is a familar theme. After all, obesity costs the NHS £5.1bn a year, so somehow getting that money back from the obese has a whiff of logic about it.

That whiff is sadly misplaced. Study after study has shown that punishment is not an effective strategy for helping people lose weight. Amongst them is a particularly interesting report which suggests that the health problems associated with obesity arises not from fatness alone, but also from the psychological stress caused by the social stigma that comes with being fat, which a focused social campaign like the one proposed could only exacerbate. Part of the problem is that a great deal of those who have problems with their weight are not cheerfully waiting for sufficient motivation to become thinner. They are unhappy with their size already, which can make the problem worse - compulsive eating is a common reaction to stress. Here's Caitlin Moran's excellent description of the difference between "cheerful greed" and "compulsion":

People overeat for exactly the same reason they drink, smoke, have serial one-night stands or take drugs. I must be clear that I am not talking about the kind of overeating that's just plain, cheerful greed—the kind of Rabelaisian, Falstaffian figures who treat the world as a series of sensory delights and take full joy in their wine, bread and meat. Those who walk away from a table—replete—shouting, "That was splendid!" before sitting in front of a fire, drinking port and eating truffles, don't have neuroses about food. They aren't "fat," they are simply…lavish.

No—I'm talking about those for whom the whole idea of food isn't one of pleasure, but one of compulsion. For whom thoughts of food, and the effects of food, are the constant, dreary background static to normal thought. Those who walk into the kitchen in a state bordering on panic and breathlessly eat slice after slice of bread and butter—not even tasting it—until the panic can be drowned in an almost meditative routine of chewing and swallowing, spooning and swallowing.

In this trancelike state, you can find a welcome, temporary relief from thinking for 10, 20 minutes at a time, until finally a new set of sensations—physical discomfort and immense regret—make you stop, in the same way you finally pass out on whiskey or dope. Overeating, or comfort eating, is the cheap, meek option for self-satisfaction, and self-obliteration.

Fat. But what is an adequate punishment? Photograph: Getty Images

Martha Gill writes the weekly Irrational Animals column. You can follow her on Twitter here: @Martha_Gill.

Photo: Getty
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The campaign to keep Britain in Europe must be based on hope, not fear

Together we can show the world a generous, outward-facing Britain we can all be proud of.

Today the Liberal Democrats launched our national campaign to keep Britain in Europe. With the polls showing the outcome of this referendum is on a knife-edge, our party is determined to play a decisive role in this once in a generation fight. This will not be an easy campaign. But it is one we will relish as the UK's most outward-looking and internationalist party. Together in Europe the UK has delivered peace, created the world’s largest free trade area and given the British people the opportunity to live, work and travel freely across the continent. Now is the time to build on these achievements, not throw them all away.

Already we are hearing fear-mongering from both sides in this heated debate. On the one hand, Ukip and the feuding Leave campaigns have shamelessly seized on the events in Cologne at New Year to claim that British women will be at risk if the UK stays in Europe. On the other, David Cameron claims that the refugees he derides as a "bunch of migrants" in Calais will all descend on the other side of the Channel the minute Britain leaves the EU. The British public deserve better than this. Rather than constant mud-slinging and politicising of the world's biggest humanitarian crisis since the Second World War, we need a frank and honest debate about what is really at stake. Most importantly this should be a positive campaign, one that is fought on hope and not on fear. As we have a seen in Scotland, a referendum won through scare tactics alone risks winning the battle but losing the war.

The voice of business and civil society, from scientists and the police to environmental charities, have a crucial role to play in explaining how being in the EU benefits the British economy and enhances people's everyday lives. All those who believe in Britain's EU membership must not be afraid to speak out and make the positive case why being in Europe makes us more prosperous, stable and secure. Because at its heart this debate is not just about facts and figures, it is about what kind of country we want to be.

The Leave campaigns cannot agree what they believe in. Some want the UK to be an offshore, deregulated tax haven, others advocate a protectionist, mean-hearted country that shuts it doors to the world. As with so many populist movements, from Putin to Trump, they are defined not by what they are for but what they are against. Their failure to come up with a credible vision for our country's future is not patriotic, it is irresponsible.

This leaves the field open to put forward a united vision of Britain's place in Europe and the world. Liberal Democrats are clear what we believe in: an open, inclusive and tolerant nation that stands tall in the world and doesn't hide from it. We are not uncritical of the EU's institutions. Indeed as Liberals, we fiercely believe that power must be devolved to the lowest possible level, empowering communities and individuals wherever possible to make decisions for themselves. But we recognise that staying in Europe is the best way to find the solutions to the problems that don't stop at borders, rather than leaving them to our children and grandchildren. We believe Britain must put itself at the heart of our continent's future and shape a more effective and more accountable Europe, focused on responding to major global challenges we face.

Together in Europe we can build a strong and prosperous future, from pioneering research into life-saving new medicines to tackling climate change and fighting international crime. Together we can provide hope for the desperate and spread the peace we now take for granted to the rest of the world. And together we can show the world a generous, outward-facing Britain we can all be proud of. So if you agree then join the Liberal Democrat campaign today, to remain in together, and to stand up for the type of Britain you think we should be.