Much of the Pack Leader Psychology book and concept is based on personal accountability. If one is unable to own up to faults or errors, it signals a person who has low self-worth and is unable to accept additional shameful feelings. Obesity is one sign that a person may lack personal accountability. I am quoted here on the AMA recognizing obesity as a “disease” (nearly at the end of the story): http://news.msn.com/science-technology/concerns-emerge-over-calling-obesity-a-disease
