I have evaluated a number of such hugely obese people, already in nursing homes in their twenties. Every one had been put on some controlled diet upon admission. Every one had relatives who would come visit, and bring in all manner of calory-laden snacks, dessert foods, etc. Totally sabotaging any hope of recovery. Most of them were dead in a couple years from a cascade of organ failure, and died as fat as ever.
Self defeating behavior is a complicated subject.
I agree. Somebody enables them, some kind of sick co-dependent relationship.
I agree that self defeating behavior is a very complicated subject and it is not only limited to Calorie Laden Snacks try eating healthy amongst these people Salad, Lean Protein, Water, Asparagus you trot food like that in front of people insisting on this restaurant as opposed to that restaurant could be problematic but sabotaging people goes beyond calorie laden snacks but sometimes losing weight will change their narrative of you and they find that threatening and what worked for me others will have a hard on for what worked and work overtime to discredit that institution.
The problem with that I have with the nursing home situation is weight loss in a situation like that is it sounds to me that the symptoms are getting treated but nothing else yes they will lose weight but once they get released they will go back to whatever they were doing to begin with. A lot of the time people need to be taught and shown how to do things. A prime example would be a trip that I made to the Doctor he gave me a list of foods that I have never seen before and never heard of before so did I eat them no. Fast forward to yesterday same practice different Doctor this time visible health problems turns out that food had I eaten it would have possibly averted the situation.