I have a hoarder parent.  If they could think rationally, they would see how it was wrong / bad.  But that's not how their brains work.  They want to do what they want to do and do not see / accept that it is bad.  Presumably, if they did, they wouldn't be doing what they were doing.  It's kind of a catch-22 brought on by mental disorder.    On the one hand, I blame these people for their decisions.  They should recognize that they have a serious problem that needs solving.  But they lack any real willpower to fix problems that they don't personally see as problems.  It's weird.    Most fat people are simply lazy; it's a choice.  In this case, the woman is legitimately insane.  She needs help.  An institution that could force her to eat and act healthy would be a good start.    Edit: punctuation