Obesity

Within the depth-psychology corpus, obesity is treated neither as a simple physiological surplus nor as a failure of will, but as a symptom bearing complex psychic, cultural, and neurobiological meaning. Marion Woodman's foundational 1980 study remains the defining depth-psychological text, reading obesity in women as the somatic expression of the repressed feminine: a body that cannot be owned, a shadow that cannot be faced, a metabolism disturbed by unresolved psychic conflict. Woodman distinguishes primary from secondary obesity, insisting that the body actively defends its adipose tissue against dietetic correction when deeper homeostatic and psychological equilibria are unaddressed. Running in counterpoint, Gabor Maté situates obesity within a macro-cultural critique, tracing its pandemic spread to corporate food colonization and the toxic normalization of nutritional poverty. Jaak Panksepp supplies the neurobiological substrate, mapping hypothalamic regulation of energy balance, leptin signaling deficits, and VMH lesion-induced hyperphagia to show how the brain's own architecture can predispose or produce obesity independent of conscious choice. A further strand, visible in Wiss and the addiction-recovery literature, links obesity to food-addiction circuitry, dopamine D2 receptor deficits, and cross-addiction dynamics in early substance-use recovery. Across these voices, obesity stands at the intersection of psyche, soma, society, and neuroscience — a polyvalent condition demanding integrative rather than reductive interpretation.

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Overeating and obesity may be defence against psychotic break... Obesity often an expression of defiance towards collective values, especially the cultural emphasis on thinness.

Woodman presents a systematic psychological profile of the obese woman, framing obesity as simultaneously a somatic defence, a shadow projection, and an act of defiance against cultural thinness-ideals.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980thesis

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Modern research into obesity has proved that putting on weight is more than a simple matter of eating too much... Behind any metabolic disturbance there may be both physiological and psychological causes.

Woodman establishes the foundational premise that obesity is a biopsychological phenomenon requiring dual physiological and psychological investigation, not reduction to caloric excess.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980thesis

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This suggests that obesity, for some, is a 'normal' or 'ideal' body composition. These facts are crucial for any therapeutic situation involving obesity.

Woodman argues that hypercellular primary obesity may constitute a defended physiological set-point, demanding therapeutic acceptance rather than corrective intervention.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980thesis

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As a result of the corporatization of agriculture, a built-in outcome of the North American Free Trade Agreement, Mexico now vies with the United States for world leadership in obesity and its related diseases.

Maté situates the obesity epidemic as a structural consequence of corporate food colonization and neoliberal agricultural policy rather than individual behavioural failure.

Maté, Gabor, The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture, 2022thesis

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The stress situation in a primarily obese child winds in a vicious circle; she tries to relieve her anxiety with food and grows fatter as a result.

Woodman traces the psychosomatic feedback loop in which anxiety drives compulsive eating and weight gain in primary obesity, reinforcing the original stress cycle.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980thesis

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Very obese individuals score worse than substance abusers in the Iowa Gambling Test, a paradigm that also relies on the integrity of the right PFC pre-frontal cortex for execution.

Maté draws on neuroimaging evidence to argue that obese individuals share with substance addicts a common impairment of prefrontal decision-making and hormonal stress-response apparatus.

Maté, Gabor, In the Realm of Hungry Ghosts: Close Encounters With Addiction, 2008thesis

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From a psychological point of view, it is essential that an obese woman face her shadow problem as evidenced in her body.

Woodman prescribes conscious engagement with the shadow as the necessary psychological prerequisite for therapeutic work with obesity.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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Since most compulsive eating is uncontrollable wolfing of concentrated carbohydrates, and since a high protein and/or high fat diet is often successful when the 1000-calorie-a-day diet has failed, widespread interest has focused on diets that purport to change the body metabolism.

Woodman surveys the clinical nutrition literature to show that metabolic intervention, not simple caloric restriction, is required when compulsive eating underlies obesity.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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Where the body is experienced as an obstacle that cannot be overcome, and where 'spontaneous creative activity' is cut off from nature, the psyche is forced to carry an inevitably fatal load.

Woodman frames the psychosomatic burden of unresolved conflict as a clinical reality in obesity, integrating Cannon's homeostatic research with depth-psychological insight.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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Animals that do not properly manufacture this protein, such as the genetically mutant ob/ob mice, become grossly obese. However, other genetic variants... which also become obese, appear to be missing the hypothalamic receptor for this protein.

Panksepp presents leptin-signaling deficits — in both production and hypothalamic reception — as a neurobiological basis for genetically determined obesity, complicating therapeutic expectations.

Panksepp, Jaak, Affective Neuroscience The Foundations of Human and Animal, 1998supporting

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ventromedial hypothalamic lesions that cause obesity... the medial hypothalamus provides long-term regulatory control of the body-energy equation.

Panksepp identifies the ventromedial hypothalamus as the neuroanatomical site whose lesioning produces obesity by disrupting long-term energy-balance regulation.

Panksepp, Jaak, Affective Neuroscience The Foundations of Human and Animal, 1998supporting

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the forgotten feminine body takes its revenge.

Woodman encapsulates her core thesis through a patient's testimony: the denied somatic-feminine dimension of the self asserts itself through the symptom of obesity.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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Volkow and Wise described overlapping neuroimaging characteristics between obese subjects and SUD subjects, with similar reductions in dopamine (DA) D2 receptors.

Wiss situates obesity within addiction neuroscience by identifying shared dopamine D2 receptor deficits between obese individuals and those with substance-use disorders.

Wiss, David A., The Role of Nutrition in Addiction Recovery: What We Know and What We Don't, 2019supporting

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obesity-associated inflammation modulated by leptin in the brain may promote addictive behaviors leading to a self-perpetuating cycle of addiction to food, as well as drugs/alcohol and process addictions such as gambling.

Wiss proposes a neuroinflammatory mechanism by which obesity and addiction reinforce each other through leptin-mediated brain circuits.

Wiss, David A., The Role of Nutrition in Addiction Recovery: What We Know and What We Don't, 2019supporting

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The relationship between parity and obesity and the frequent menopausal gain in weight, although difficult to document, suggest a possible role of female sex hormones in the regulation of fat metabolism.

Woodman flags hormonal-endocrine factors — parity, menopause, sex hormones — as under-researched contributors to the feminine dimension of the obesity problem.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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overeating and obesity are characterized by high levels of GABA within the VMM.

Panksepp's footnotes document the contested evidence that elevated GABA activity in the ventromedial hypothalamus is correlated with hyperphagic obesity in animal models.

Panksepp, Jaak, Affective Neuroscience The Foundations of Human and Animal, 1998supporting

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I have emphasized the responses of the obese because this is essentially a study of eating disorders.

Woodman clarifies the methodological centrality of the obese subject group within her comparative study of eating disorders and 20th-century women's psychology.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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overweight people need much more insulin.... In certain situations, particularly in obesity, fat cells need more insulin for each one of the metabolic events it controls.

Woodman cites Cahill's research on insulin resistance in obese individuals to establish the biochemical specificity of metabolic dysfunction in the obese body.

Woodman, Marion, The Owl Was a Baker's Daughter: Obesity, Anorexia Nervosa and the Repressed Feminine: a Psychological Study, 1980supporting

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43% of women expressed concern that weight gain could trigger drug relapse and other treatment research has shown that weight-related concerns exist in 70% of women.

Wiss documents that weight gain — and thus the approach of obesity — is a clinically significant relapse-risk factor for women in addiction recovery.

Wiss, David A., The Role of Nutrition in Addiction Recovery: What We Know and What We Don't, 2019aside

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Usually obese humans produce sufficient leptin, suggesting that their problem is related more to leptin insensitivi[ty].

Panksepp notes that human obesity is more typically a problem of leptin receptor insensitivity than of leptin deficiency, complicating pharmacological leptin-replacement strategies.

Panksepp, Jaak, Affective Neuroscience The Foundations of Human and Animal, 1998aside

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