What a story. I got to the end a complete, sobbing wreck. To send your own children away to abominable, putrid institutions at the advice of doctors is something I can't even imagine. And it really wasn't that long ago.
Definitely. I like to play a game sometimes... more or less based on the idea that bloodletting and rectal feeding and wound probing were medical "best practices" of the past and now seem so obviously ludicrous to us now. So I like to look at something that I think is obvious, some "best practice of our time", and wonder how it might in 100 or 150 years suddenly seem totally ludicrous to posterity with the revelation…
Everyone loses weight on a caloric deficit. And "doubly labeled water" experiments show that people vastly underestimate how many calories they actually eat each day.
See this often cited paper: https://www.nejm.org/doi/full/10.1056/NEJM199212313272701
In a test of people who believed themselves to be diet resistant, every single subject lied about how much they ate when asked to self report.
> The failure of some obese subjects to lose weight while eating a diet they report as low in calories is due to an energy intake substantially higher than reported and an overestimation of physical activity, not to an abnormality in thermogenesis.