I know that the topic of whether or not people in treatment for eating disorders should be told their weight is currently under debate at my own treatment center, as well as a number of others. Blind weight (where the patient does not get to see their weight) is often standard practice in eating disorder treatment, especially for clients who have a strong drive for thinness as a symptom of their e.d. However, some treatment facilities insist that clients in outpatient care or extended care see their weight, as it is something they will have to face at least sometimes in the “real world.” Occasionally treatment providers leave it up to the client to decide, though this of course can be dangerous too if the client is unable to separate what is best for them from what the eating disorders wants. So, I’m wondering . . .
What’s your opinion on the matter? Should whether or not a client knows her/his weight depend on the eating disorder diagnosis? Should it depend on the level of care? Who gets to “weigh in” when it comes to weight? Who decides what is best?