pentachoron replied to your post:For fuck’s sakes. If you don’t like the advice…

I find MM really interesting—it’s the highly obsessive cult-like attitudes of the people who follow it that makes me very uncomfortable. I think it ought to be investigated and addressed in more detail. Recovery isn’t a contest to eat the most.

It is interesting because often times the people who follow things become way more “cult-like” than the actual proponents and so then the arguments against it become straw men because of what gets passed around between the followers.

I’ve seen this happen so much w/r/t Maudsley/FBT as well. The things that some parents claim about it, for example, are much more “extreme” than what researchers like Lock and Le Grange (who are proponents of FBT for adolescents) would claim. 

It is interesting to observe. Not surprising, though.

I think it would be very interesting to test MM empirically, but that’s not going to happen any time soon. Le Grange said that the 2010 Archives of General Psychiatry paper testing the efficacy of FBT in adolescents cost a few million ($3 or $5 million, I don’t remember). 

The thing is, people should be critical. Always. But the critiques should be about the science and about the evidence. Not about “I don’t want to eat that much” or “how could anyone eat that much” or “Gwyneth is dumb” or something silly like that, or about the followers. It should be about the evidence presented. And when there’s as little evidence as there w/r/t anything treatment-wise concerning EDs, there’s a lot of room for valid disagreements. In my opinion, anyway.