Yes, I agree, they are, strictly speaking, choices. They are. We all make choices in every situation, no matter how bad - the battered wife who stays with her abusive husband and then he kills her - made a choice to stay. Do you hold her in contempt? The anorexic who dies weighing just 4 stone made a choice to not eat. Do you hold her in contempt?
Is it not far better to have compassion for people than to hold them in contempt for making choices that you feel they should not make? Or even to understand that standing outside a situation and seeing things clearly is not the same as being in a situation and being in emotional turmoil.
Yes. They are choices. They just don't feel like them. When it's happening. To you. Eating yourself to death - and I do mean death, or starving yourself to death, or sticking your fingers down your throat so much you do actual damage are 'choices'. But they're also not. They're compulsions. They are a symptom of a mental health problem. I am not talking about your normal chubster
I am talking about the person who has been told that they will not live until Christmas, who looks at their two young children and knows they are going to grow up without a mother but still binges.
That is not normal behaviour. It is against every survival instinct we have to knowingly engage in a pattern of behaviour that we know will kill us. The only time we do that is if we have serious psychological problems.
Food is more important than death. Either not eating it or eating it - two sides of the same coin.
It's not about food. Food is your weapon of choice. It is about what is going wrong in your mind.
And holding people in contempt for a mental health problem is, well, it's horrible. It shows a complete lack of empathy and understanding.