{"id":1371,"date":"2019-09-07T08:13:33","date_gmt":"2019-09-07T08:13:33","guid":{"rendered":"http:\/\/practicalhealthpsychology.com\/?p=1371"},"modified":"2025-12-01T08:37:13","modified_gmt":"2025-12-01T08:37:13","slug":"raising-weight-in-a-consultation","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/bg\/2019\/09\/raising-weight-in-a-consultation\/","title":{"rendered":"\u041f\u043e\u0432\u0434\u0438\u0433\u0430\u043d\u0435 \u043d\u0430 \u0432\u044a\u043f\u0440\u043e\u0441\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u043f\u0440\u0438 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f"},"content":{"rendered":"<p><strong>\u043e\u0442 \u0414\u0436\u0435\u0439\u043d \u041e\u0433\u0434\u044a\u043d, \u0423\u043d\u0438\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442 \u0432 \u0421\u044a\u0440\u0438, \u0412\u0435\u043b\u0438\u043a\u043e\u0431\u0440\u0438\u0442\u0430\u043d\u0438\u044f<\/strong><\/p>\n<p><span 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\u043d\u0435\u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e \u0434\u0430\u043b\u0438 \u0441\u0430 \u0434\u043e\u0448\u043b\u0438 \u0437\u0430\u0440\u0430\u0434\u0438 \u0431\u043e\u043b\u043d\u043e \u0433\u044a\u0440\u043b\u043e, \u0446\u0438\u0442\u043e\u043d\u0430\u043c\u0430\u0437\u043a\u0430 \u0438\u043b\u0438 \u0432\u044a\u0437\u043c\u043e\u0436\u0435\u043d \u0441\u044a\u0440\u0434\u0435\u0447\u0435\u043d \u043f\u0440\u043e\u0431\u043b\u0435\u043c. \u0422\u0435 \u043c\u043e\u0436\u0435 \u0431\u0438 \u043f\u0440\u0435\u0437 \u0446\u0435\u043b\u0438\u044f \u0441\u0438 \u0436\u0438\u0432\u043e\u0442 \u0441\u0430 \u0441\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u0430\u043b\u0438 \u0441\u0442\u0438\u0433\u043c\u0430\u0442\u0438\u0437\u0438\u0440\u0430\u043d\u0438 \u043e\u0442 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0430\u0442\u0430 \u043f\u0440\u043e\u0444\u0435\u0441\u0438\u044f \u0438 \u0441\u043c\u044f\u0442\u0430\u0442, \u0447\u0435 \u0435\u0434\u0438\u043d\u0441\u0442\u0432\u0435\u043d\u043e\u0442\u043e, \u043a\u043e\u0435\u0442\u043e \u0445\u043e\u0440\u0430\u0442\u0430 \u0432\u0438\u043d\u0430\u0433\u0438 \u0432\u0438\u0436\u0434\u0430\u0442 \u0432 \u0442\u044f\u0445, \u0441\u0430 \u0440\u0430\u0437\u043c\u0435\u0440\u0438\u0442\u0435 \u043d\u0430 \u0442\u044f\u043b\u043e\u0442\u043e \u0438\u043c (Ogden, 2018). \u0422\u043e\u0432\u0430 \u0435 \u0442\u0430\u043a\u0430 \u043f\u0440\u0438 \u043d\u044f\u043a\u043e\u0438 \u0445\u043e\u0440\u0430, \u043d\u043e \u0434\u0440\u0443\u0433\u0438 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u043e \u043d\u0438\u043a\u043e\u0433\u0430 \u043d\u0435 \u0441\u0430 \u0441\u043c\u044f\u0442\u0430\u043b\u0438 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u0441\u0438 \u0437\u0430 \u043f\u0440\u043e\u0431\u043b\u0435\u043c \u0438 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0431\u044a\u0434\u0430\u0442 \u043e\u0431\u0438\u0434\u0435\u043d\u0438 \u0438\u043b\u0438 \u0438\u0437\u043d\u0435\u043d\u0430\u0434\u0430\u043d\u0438, \u0430\u043a\u043e \u0442\u043e\u0437\u0438 \u0432\u044a\u043f\u0440\u043e\u0441 \u0431\u044a\u0434\u0435 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0430\u0442. \u041d\u044f\u043a\u043e\u0438 \u0445\u043e\u0440\u0430 \u043c\u043e\u0436\u0435 \u043f\u0440\u043e\u0441\u0442\u043e \u0434\u0430 \u043d\u0435 \u0438\u0441\u043a\u0430\u0442 \u0434\u0430 \u0447\u0443\u044f\u0442 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u0435\u0442\u043e \u0438 \u0434\u0430 \u0438\u0433\u043d\u043e\u0440\u0438\u0440\u0430\u0442 \u0432\u0441\u0438\u0447\u043a\u043e \u043a\u0430\u0437\u0430\u043d\u043e, \u043a\u0430\u0442\u043e \u0441\u0438 \u043c\u0438\u0441\u043b\u044f\u0442 \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440 \u201e\u043a\u0430\u043a\u0432\u043e \u0437\u043d\u0430\u0435\u0442\u0435 \u043f\u044a\u043a \u0412\u0438\u0435 \u2013 \u0412\u0438\u0435 \u0441\u0442\u0435 \u0441\u043b\u0430\u0431\u0430 \/ \u0434\u0435\u0431\u0435\u043b\u0430 \/ \u0442\u0432\u044a\u0440\u0434\u0435 \u043c\u043b\u0430\u0434\u0430 \/ \u0442\u0432\u044a\u0440\u0434\u0435 \u0441\u0442\u0430\u0440\u0430\u201c \u0438\u043b\u0438 \u201e\u043d\u0430\u0443\u043a\u0430\u0442\u0430 \u0432\u0438\u043d\u0430\u0433\u0438 \u0433\u0440\u0435\u0448\u0438\u201c. \u0421\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u043d\u043e \u043f\u043e\u0432\u0434\u0438\u0433\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0432\u044a\u043f\u0440\u043e\u0441\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u0438\u0437\u0438\u0441\u043a\u0432\u0430 \u0432\u043d\u0438\u043c\u0430\u0442\u0435\u043b\u043d\u043e \u043f\u0440\u0435\u0446\u0435\u043d\u044f\u0432\u0430\u043d\u0435 \u201e\u043a\u043e\u0433\u0430\u201c, \u201e\u043a\u0430\u043a\u201c \u0438 \u201e\u043a\u0430\u043a\u0432\u043e\u201c \u0434\u0430 \u0441\u0435 \u043a\u0430\u0436\u0435 \u043d\u0430 \u0447\u043e\u0432\u0435\u043a \u0441 \u043d\u0430\u0434\u043d\u043e\u0440\u043c\u0435\u043d\u043e \u0442\u0435\u0433\u043b\u043e.<\/span><\/p>\n<p><!--more--><\/p>\n<p><b>\u041a\u043e\u0433\u0430\u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u0425\u043e\u0440\u0430\u0442\u0430 \u0441\u0438 \u0437\u0430\u043f\u0443\u0448\u0432\u0430\u0442 \u0443\u0448\u0438\u0442\u0435 \u043f\u0440\u0435\u0437 \u0433\u043e\u043b\u044f\u043c\u0430 \u0447\u0430\u0441\u0442 \u043e\u0442 \u0436\u0438\u0432\u043e\u0442\u0430 \u0441\u0438 \u0438 \u0438\u043c\u0430\u0442 \u043d\u0435\u0432\u0435\u0440\u043e\u044f\u0442\u043d\u0430\u0442\u0430 \u0441\u043f\u043e\u0441\u043e\u0431\u043d\u043e\u0441\u0442 \u0434\u0430 \u043d\u0435 \u0447\u0443\u0432\u0430\u0442 \u043a\u0430\u043a\u0432\u043e \u0438\u043c \u0441\u0435 \u043a\u0430\u0437\u0432\u0430. \u041f\u044a\u0440\u0432\u0438\u044f\u0442 \u0442\u0440\u0438\u043a, \u0437\u0430 \u0434\u0430 \u0431\u044a\u0434\u0430\u0442 \u043f\u043e\u0441\u043b\u0430\u043d\u0438\u044f\u0442\u0430 \u0447\u0443\u0442\u0438, \u0435 \u043f\u043e\u0434\u0445\u043e\u0434\u044f\u0449\u0438\u044f\u0442 \u043c\u043e\u043c\u0435\u043d\u0442, \u0430 \u043a\u043e\u0433\u0430\u0442\u043e \u0441\u0442\u0430\u0432\u0430 \u0434\u0443\u043c\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e, \u0447\u0435\u0441\u0442\u043e \u0435 \u043d\u0430\u0439-\u0434\u043e\u0431\u0440\u0435 \u0434\u0430 \u0433\u043e \u043e\u0431\u0432\u044a\u0440\u0436\u0435\u0442\u0435 \u0441 \u201e\u043c\u043e\u043c\u0435\u043d\u0442, \u043a\u043e\u0439\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u043d\u0438 \u043d\u0430\u0443\u0447\u0438 \u043d\u0430 \u043d\u0435\u0449\u043e\u201c (Ogden &amp; Hills, 2008). \u0422\u043e\u0432\u0430 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0431\u044a\u0434\u0430\u0442 \u043d\u043e\u0432\u0438 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0438, \u043a\u0430\u0442\u043e \u0437\u0430\u0434\u0443\u0445 \u0438\u043b\u0438 \u0431\u043e\u043b\u043a\u0438 \u0432 \u0441\u0442\u0430\u0432\u0438\u0442\u0435; 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\u0442\u0440\u0443\u0434\u0435\u043d, \u043a\u0430\u0442\u043e \u0438\u0437\u043a\u0430\u0447\u0432\u0430\u043d\u0435 \u043d\u0430 \u0441\u0442\u044a\u043b\u0431\u0438\u0442\u0435, \u043d\u043e\u0441\u0435\u043d\u0435 \u043d\u0430 \u0434\u0435\u0446\u0430\u0442\u0430 \u0438\u043b\u0438 \u0437\u0430\u0432\u044a\u0440\u0437\u0432\u0430\u043d\u0435 \u043d\u0430 \u0432\u0440\u044a\u0437\u043a\u0438\u0442\u0435 \u043d\u0430 \u043e\u0431\u0443\u0432\u043a\u0438\u0442\u0435. \u041c\u043e\u043c\u0435\u043d\u0442\u0438\u0442\u0435, \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u043d\u0438 \u043d\u0430\u0443\u0447\u0430\u0442 \u043d\u0430 \u043d\u0435\u0449\u043e, \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u043d\u0430\u043a\u0430\u0440\u0430\u0442 \u0445\u043e\u0440\u0430\u0442\u0430 \u201e\u0434\u0430 \u0441\u0438 \u043e\u0442\u043f\u0443\u0448\u0430\u0442 \u0443\u0448\u0438\u0442\u0435\u201c \u2013 \u0442\u0430\u043a\u0430 \u0447\u0435, \u043a\u043e\u0433\u0430\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u0432\u0438 \u043f\u043e\u0434\u043d\u0435\u0441\u0435 \u0441\u0432\u043e\u0439 \u0442\u0430\u043a\u044a\u0432 \u043c\u043e\u043c\u0435\u043d\u0442, \u0445\u0432\u0430\u043d\u0435\u0442\u0435 \u0433\u043e \u0438 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0435\u0442\u0435 \u0432\u044a\u043f\u0440\u043e\u0441\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e (Marks &amp; Ogden, 2017).<\/span><\/p>\n<p><b>\u041a\u0430\u043a\u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u041d\u043e \u0441\u043b\u0435\u0434\u0432\u0430\u0449\u0430\u0442\u0430 \u0447\u0430\u0441\u0442 \u043d\u0435 \u0435 \u043b\u0435\u0441\u043d\u0430! \u0422\u0440\u044f\u0431\u0432\u0430 \u043b\u0438 \u0434\u0430 \u043a\u0430\u0436\u0435\u0442\u0435 \u201e\u043f\u044a\u043b\u0435\u043d\u201c, \u201e\u0442\u0435\u0436\u044a\u043a\u201c, \u201e\u0441 \u043d\u0430\u0434\u043d\u043e\u0440\u043c\u0435\u043d\u043e \u0442\u0435\u0433\u043b\u043e\u201c \u0438\u043b\u0438 \u0434\u043e\u0440\u0438 \u201e\u0441\u044a\u0441 \u0437\u0430\u0442\u043b\u044a\u0441\u0442\u044f\u0432\u0430\u043d\u0435\u201c? \u0422\u0440\u044f\u0431\u0432\u0430 \u043b\u0438 \u0434\u0430 \u0431\u044a\u0434\u0435\u0442\u0435 \u043f\u0440\u0435\u0434\u043f\u0430\u0437\u043b\u0438\u0432\u0438 \u0438 \u0434\u0430 \u043f\u043e\u043f\u0438\u0442\u0430\u0442\u0435: \u201e\u0421\u044a\u0433\u043b\u0430\u0441\u0435\u043d \u043b\u0438 \u0441\u0442\u0435 \u0434\u0430 \u043f\u043e\u0433\u043e\u0432\u043e\u0440\u0438\u043c \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u0432\u0438?\u201c \u0418\u043b\u0438 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0431\u044a\u0434\u0435\u0442\u0435 \u043f\u043e-\u0434\u0438\u0440\u0435\u043a\u0442\u043d\u0438, \u043a\u0430\u0442\u043e \u0437\u0430\u044f\u0432\u0438\u0442\u0435: \u201e\u0422\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u043e\u0442\u0441\u043b\u0430\u0431\u043d\u0435\u0442\u0435\u201c. \u0412\u0441\u0435 \u043e\u0449\u0435 \u043d\u044f\u043c\u0430 \u043a\u0430\u0442\u0435\u0433\u043e\u0440\u0438\u0447\u0435\u043d \u043e\u0442\u0433\u043e\u0432\u043e\u0440 \u043d\u0430 \u0442\u043e\u0437\u0438 \u0432\u044a\u043f\u0440\u043e\u0441, \u043d\u043e \u043c\u043e\u044f\u0442 \u043f\u0440\u043e\u0447\u0438\u0442 \u043d\u0430 \u043d\u0430\u0443\u0447\u043d\u0438\u0442\u0435 \u0434\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u0441\u0442\u0432\u0430 \u0432 \u0440\u0430\u043c\u043a\u0438\u0442\u0435 \u043d\u0430 \u043a\u043d\u0438\u0433\u0430\u0442\u0430 \u043c\u0438 \u201e\u041f\u0441\u0438\u0445\u043e\u043b\u043e\u0433\u0438\u044f \u043d\u0430 \u0441\u043f\u0430\u0437\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0434\u0438\u0435\u0442\u0430\u201c (Ogden, 2018) \u0435 \u0441\u043b\u0435\u0434\u043d\u0438\u044f\u0442: \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u0447\u0435\u0441\u0442\u043e \u0441\u0430 \u043f\u043e-\u0438\u0437\u043f\u043b\u0430\u0448\u0435\u043d\u0438 \u043e\u0442 \u0442\u0435\u043c\u0430\u0442\u0430, \u043e\u0442\u043a\u043e\u043b\u043a\u043e\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435. \u0417\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0430\u0442 \u0432\u044a\u043f\u0440\u043e\u0441\u0430, \u0434\u043e\u0440\u0438 \u0430\u043a\u043e \u0442\u0435\u043c\u0430\u0442\u0430 \u0442\u043e\u043b\u043a\u043e\u0432\u0430 \u0433\u0438 \u043f\u0440\u0438\u0442\u0435\u0441\u043d\u044f\u0432\u0430, \u0447\u0435 \u0431\u0438\u0445\u0430 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0435\u043b\u0438 \u0434\u0430 \u044f \u0438\u0437\u0431\u0435\u0433\u043d\u0430\u0442. \u0414\u0443\u043c\u0430\u0442\u0430 \u201e\u0437\u0430\u0442\u043b\u044a\u0441\u0442\u044f\u0432\u0430\u043d\u0435\u201c \u043c\u043e\u0436\u0435 \u0434\u0430 \u0448\u043e\u043a\u0438\u0440\u0430, \u043d\u043e \u043c\u0430\u043b\u043a\u043e \u0448\u043e\u043a (\u043d\u0435 \u0442\u0432\u044a\u0440\u0434\u0435 \u043c\u043d\u043e\u0433\u043e) \u043c\u043e\u0436\u0435 \u0434\u0430 \u0431\u044a\u0434\u0435 \u043f\u043e\u043b\u0435\u0437\u0435\u043d. \u0412\u0441\u0435\u043a\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442 \u0435 \u0440\u0430\u0437\u043b\u0438\u0447\u0435\u043d; \u0432\u0441\u0435\u043a\u0438 \u0437\u0434\u0440\u0430\u0432\u0435\u043d \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442 \u0435 \u0440\u0430\u0437\u043b\u0438\u0447\u0435\u043d; \u0438 \u0432\u0441\u044f\u043a\u0430 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f \u0435 \u0434\u0438\u043d\u0430\u043c\u0438\u043a\u0430 \u043c\u0435\u0436\u0434\u0443 \u0434\u0432\u0430\u043c\u0430 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u0438 \u0445\u043e\u0440\u0430. \u0422\u0430\u043a\u0430 \u0447\u0435 \u0432\u044a\u043f\u0440\u043e\u0441\u044a\u0442 \u0441\u0435 \u0441\u0432\u0435\u0436\u0434\u0430 \u0434\u043e \u043f\u0440\u0435\u0446\u0435\u043d\u043a\u0430 \u043d\u0430 \u0442\u043e\u0447\u043d\u043e\u0442\u043e \u0432\u0440\u0435\u043c\u0435 \u0438 \u0441\u044a\u043e\u0431\u0440\u0430\u0437\u044f\u0432\u0430\u043d\u0435 \u043d\u0430 \u0432\u0430\u0448\u0438\u044f \u043f\u043e\u0434\u0445\u043e\u0434 \u0441 \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u0441\u043c\u044f\u0442\u0430\u0442\u0435, \u0447\u0435 \u0449\u0435 \u0435 \u043f\u043e\u0434\u0445\u043e\u0434\u044f\u0449\u043e \u0437\u0430 \u0442\u043e\u0437\u0438 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u0435\u043d \u043f\u0430\u0446\u0438\u0435\u043d\u0442 \u0432 \u0442\u043e\u0437\u0438 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u0435\u043d \u043c\u043e\u043c\u0435\u043d\u0442. \u0414\u043e\u043a\u0430\u0442\u043e \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u043a\u0430\u0437\u0432\u0430\u0442\u0435, \u0441\u0435 \u043e\u0441\u043d\u043e\u0432\u0430\u0432\u0430 \u043d\u0430 \u0442\u043e\u043f\u043b\u043e\u0442\u0430 \u0438 \u0435\u043c\u043f\u0430\u0442\u0438\u044f, \u0432\u0441\u0438\u0447\u043a\u043e \u0431\u0438 \u0442\u0440\u044f\u0431\u0432\u0430\u043b\u043e \u0434\u0430 \u0435 \u043d\u0430\u0440\u0435\u0434. \u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440 \u201e\u0417\u043d\u0430\u0435\u0442\u0435 \u043b\u0438, \u0447\u0435 \u043d\u0430\u0434\u043d\u043e\u0440\u043c\u0435\u043d\u043e\u0442\u043e \u0442\u0435\u0433\u043b\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u043e\u0432\u0438\u0448\u0438 \u043a\u0440\u044a\u0432\u043d\u043e\u0442\u043e \u0412\u0438 \u043d\u0430\u043b\u044f\u0433\u0430\u043d\u0435\u201c \u043c\u043e\u0436\u0435 \u0434\u0430 \u0431\u044a\u0434\u0435 \u043f\u043e\u043b\u0435\u0437\u0435\u043d \u043f\u043e\u0434\u0445\u043e\u0434, \u0442\u044a\u0439 \u043a\u0430\u0442\u043e \u0441\u0432\u044a\u0440\u0437\u0432\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u0441\u044a\u0441 \u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u043d \u0437\u0434\u0440\u0430\u0432\u0435\u043d \u043f\u0440\u043e\u0431\u043b\u0435\u043c. \u0418\u043b\u0438 \u201e\u041e\u0442\u0441\u043b\u0430\u0431\u0432\u0430\u043d\u0435\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u0412\u0438 \u043f\u043e\u043c\u043e\u0433\u043d\u0435 \u0437\u0430 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430 \u0441 \u0433\u044a\u0440\u0431\u0430\u201d \u0435 \u043f\u043e\u043b\u0435\u0437\u043d\u043e \u043d\u0430\u0447\u0430\u043b\u043e, \u0442\u044a\u0439 \u043a\u0430\u0442\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u044f \u0437\u0430\u0433\u0443\u0431\u0430\u0442\u0430 \u043d\u0430 \u0442\u0435\u0433\u043b\u043e \u043a\u0430\u0442\u043e \u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u043d\u0430 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430 (National Obesity Forum, UK). \u0421\u043b\u0435\u0434 \u043a\u0430\u0442\u043e \u0432\u0435\u0434\u043d\u044a\u0436 \u0437\u0430\u043f\u043e\u0447\u043d\u0435\u0442\u0435 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0430, \u0441\u043b\u0443\u0448\u0430\u0439\u0442\u0435 \u0432\u043d\u0438\u043c\u0430\u0442\u0435\u043b\u043d\u043e \u043e\u043d\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u043a\u0430\u0437\u0432\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442, \u0438 \u0444\u043e\u0440\u043c\u0443\u043b\u0438\u0440\u0430\u0439\u0442\u0435 \u0441\u0432\u043e\u0438\u0442\u0435 \u0438\u0437\u043a\u0430\u0437\u0432\u0430\u043d\u0438\u044f \u0442\u0430\u043a\u0430, \u0447\u0435 \u0434\u0430 \u0441\u044a\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0430\u0442 \u043d\u0430 \u043a\u0430\u0437\u0430\u043d\u043e\u0442\u043e \u043e\u0442 \u043d\u0435\u0433\u043e. \u0422\u043e\u0432\u0430 \u0449\u0435 \u0441\u043f\u043e\u043c\u043e\u0433\u043d\u0435 \u0437\u0430 \u0438\u0437\u0433\u0440\u0430\u0436\u0434\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u043e\u0442\u043d\u043e\u0448\u0435\u043d\u0438\u044f, \u043a\u043e\u0438\u0442\u043e \u0449\u0435 \u0440\u0430\u0431\u043e\u0442\u044f\u0442 \u0438 \u0432 \u0431\u044a\u0434\u0435\u0449\u0435, \u043a\u0430\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0449\u0435 \u0441\u0435 \u0432\u0440\u044a\u0449\u0430\u0442 \u0438 \u0449\u0435 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0441\u0435 \u043f\u0440\u043e\u0432\u0435\u0434\u0430\u0442 \u0434\u043e\u043f\u044a\u043b\u043d\u0438\u0442\u0435\u043b\u043d\u0438 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0438 \u0441 \u0442\u044f\u0445. \u041c\u043e\u0436\u0435\u0442\u0435 \u0434\u0430 \u043d\u0430\u0443\u0447\u0438\u0442\u0435 \u043f\u043e\u0432\u0435\u0447\u0435 \u0437\u0430 \u0442\u043e\u0432\u0430 \u043e\u0442 \u0438\u0437\u0441\u043b\u0435\u0434\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u201e\u0437\u0434\u0440\u0430\u0432\u043e\u0441\u043b\u043e\u0432\u043d\u0438\u0442\u0435 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0438\u201c (\u043e\u0431\u0443\u0447\u0435\u043d\u0438\u0435 \u043d\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u044f \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b \u0432 \u0443\u043c\u0435\u043d\u0438\u044f \u0437\u0430 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0438 \u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u0449\u0438 \u0433\u0438 \u043a\u044a\u043c \u0437\u0434\u0440\u0430\u0432\u043e\u0441\u043b\u043e\u0432\u0435\u043d \u043d\u0430\u0447\u0438\u043d \u043d\u0430 \u0436\u0438\u0432\u043e\u0442) (Black et al. 2014) \u0438 \u201e\u041d\u0435\u043a\u0430 \u0432\u0441\u0435\u043a\u0438 \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0438\u043c\u0430 \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435\u201c (\u043f\u043e\u0434\u0445\u043e\u0434 \u043a\u044a\u043c \u043f\u0440\u043e\u043c\u044f\u043d\u0430\u0442\u0430 \u043d\u0430 \u0437\u0434\u0440\u0430\u0432\u043d\u043e\u0442\u043e \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435, \u043a\u043e\u0439\u0442\u043e \u0446\u0435\u043b\u0438 \u0434\u0430 \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430 \u0432\u0441\u0435\u043a\u0438 \u0435\u0436\u0435\u0434\u043d\u0435\u0432\u0435\u043d \u043a\u043e\u043d\u0442\u0430\u043a\u0442 \u0437\u0430 \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u043f\u0440\u043e\u043c\u044f\u043d\u0430 \u0432 \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435\u0442\u043e, \u043a\u043e\u044f\u0442\u043e \u0449\u0435 \u0434\u043e\u043f\u0440\u0438\u043d\u0435\u0441\u0435 \u0437\u0430 \u0437\u0434\u0440\u0430\u0432\u0435\u0442\u043e \u0438 \u0431\u043b\u0430\u0433\u043e\u043f\u043e\u043b\u0443\u0447\u0438\u0435\u0442\u043e) (<\/span><a href=\"https:\/\/www.makingeverycontactcount.co.uk\/\"><span style=\"font-weight: 400;\">https:\/\/www.makingeverycontactcount.co.uk\/<\/span><\/a><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<p><b>\u041a\u0430\u043a\u0432\u043e\u2026<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u0418 \u043f\u043e\u0441\u043b\u0435 \u043a\u0430\u043a\u0432\u043e? \u041d\u0435\u0449\u0430\u0442\u0430, \u043a\u043e\u0438\u0442\u043e \u0441\u0435 \u0441\u043b\u0443\u0447\u0432\u0430\u0442 \u0441\u043b\u0435\u0434 \u043f\u044a\u0440\u0432\u043e\u043d\u0430\u0447\u0430\u043b\u043d\u043e\u0442\u043e \u043f\u043e\u0432\u0434\u0438\u0433\u0430\u043d\u0435 \u043d\u0430 \u0432\u044a\u043f\u0440\u043e\u0441\u0430, \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u044f\u0442 \u0434\u043e\u043a\u043e\u043b\u043a\u043e \u0443\u0441\u043f\u0435\u0448\u0435\u043d \u0449\u0435 \u0431\u044a\u0434\u0435 \u0447\u043e\u0432\u0435\u043a \u0432 \u043e\u0442\u0441\u043b\u0430\u0431\u0432\u0430\u043d\u0435\u0442\u043e. \u0421\u043b\u0435\u0434\u0432\u0430\u0449\u0438\u0442\u0435 \u0441\u0442\u044a\u043f\u043a\u0438 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u043f\u043e\u043c\u043e\u0433\u043d\u0430\u0442 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0434\u0430 \u043e\u0441\u044a\u0437\u043d\u0430\u0435, \u0447\u0435 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u043c\u0443 \u0435 \u043f\u0440\u043e\u0431\u043b\u0435\u043c (Ogden, &amp; Jubb, 2008); \u0434\u0430 \u043c\u0443 \u043f\u043e\u043c\u043e\u0433\u043d\u0430\u0442 \u0434\u0430 \u043f\u043e\u0432\u044f\u0440\u0432\u0430, \u0447\u0435 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u043c\u0443 \u0435 \u0441\u0432\u044a\u0440\u0437\u0430\u043d\u043e \u0441 \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u0442\u043e\u0439 \u043f\u0440\u0430\u0432\u0438 (\u0442.\u0435. \u0441 \u043d\u0435\u0433\u043e\u0432\u043e\u0442\u043e \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435, \u0430 \u043d\u0435 \u0441 \u0433\u0435\u043d\u0435\u0442\u0438\u043a\u0430\u0442\u0430, \u0445\u043e\u0440\u043c\u043e\u043d\u0438\u0442\u0435, \u043c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u0438\u0442\u0435 \u0438\u043b\u0438 \u043f\u0440\u0430\u0432\u0438\u0442\u0435\u043b\u0441\u0442\u0432\u043e\u0442\u043e, \u043d\u0435\u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e \u043e\u0442 \u0442\u043e\u0432\u0430 \u043a\u0430\u043a\u0432\u0430 \u0435 \u0438\u0441\u0442\u0438\u043d\u0430\u0442\u0430 \u0438\u043b\u0438 \u043a\u0430\u043a\u0432\u043e \u043c\u0438\u0441\u043b\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442). \u0421\u043b\u0435\u0434\u0432\u0430\u0449\u0438\u0442\u0435 \u0441\u0442\u044a\u043f\u043a\u0438 \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u043d\u0430\u0441\u044a\u0440\u0447\u0430\u0442 (\u043e\u0432\u043b\u0430\u0441\u0442\u044f\u0442) \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0434\u0430 \u043f\u0440\u043e\u043c\u0435\u043d\u0438 \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435\u0442\u043e \u0441\u0438; \u0434\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u044f\u0442 \u0442\u0430\u043a\u0430, \u0447\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u0434\u0430 \u0432\u0438 \u0445\u0430\u0440\u0435\u0441\u0432\u0430 \u0434\u043e\u0441\u0442\u0430\u0442\u044a\u0447\u043d\u043e, \u0437\u0430 \u0434\u0430 \u0432\u0438 \u0441\u0435 \u0434\u043e\u0432\u0435\u0440\u0438 \u0438 \u0434\u0430 \u0438\u0441\u043a\u0430 \u0434\u0430 \u0441\u0435 \u0432\u044a\u0440\u043d\u0435; \u0438 \u043d\u0430\u043a\u0440\u0430\u044f \u0434\u0430 \u043f\u043e\u043c\u043e\u0433\u043d\u0430\u0442 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0434\u0430 \u0441\u0435 \u043f\u043e\u0447\u0443\u0432\u0441\u0442\u0432\u0430 \u0433\u043e\u0442\u043e\u0432 \u0434\u0430 \u043d\u0430\u043f\u0440\u0430\u0432\u0438 \u043f\u0440\u043e\u043c\u044f\u043d\u0430.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">\u041e\u0442\u0441\u043b\u0430\u0431\u0432\u0430\u043d\u0435\u0442\u043e \u0435 \u0434\u044a\u043b\u0433\u0430 \u0438\u0433\u0440\u0430. \u041f\u0440\u0430\u0432\u0438\u043b\u043d\u043e \u0435 \u0434\u0430 \u0441\u0435 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0435 \u0432\u044a\u043f\u0440\u043e\u0441\u044a\u0442 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e. \u041d\u043e \u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430 \u0441\u0435 \u043d\u0430\u043f\u0440\u0430\u0432\u0438 \u201e\u0442\u043e\u0433\u0430\u0432\u0430\u201c, \u201e\u043a\u0430\u043a\u0442\u043e\u201c \u0438 \u201e\u043a\u0430\u043a\u0432\u043e\u0442\u043e\u201c \u043f\u043e \u043d\u0430\u0447\u0438\u043d, \u043a\u043e\u0439\u0442\u043e \u0433\u0430\u0440\u0430\u043d\u0442\u0438\u0440\u0430, \u0447\u0435 \u0434\u044a\u043b\u0433\u0430\u0442\u0430 \u0438\u0433\u0440\u0430 \u0449\u0435 \u0431\u044a\u0434\u0435 \u0438\u0437\u0438\u0433\u0440\u0430\u043d\u0430, \u0430 \u043d\u044f\u043c\u0430 \u0434\u0430 \u043f\u0440\u0438\u043a\u043b\u044e\u0447\u0438 \u043f\u0440\u0435\u0434\u0438 \u0434\u043e\u0440\u0438 \u0434\u0430 \u0435 \u0437\u0430\u043f\u043e\u0447\u043d\u0430\u043b\u0430.<\/span><\/p>\n<p><b>\u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u043f\u0440\u0435\u043f\u043e\u0440\u044a\u043a\u0438<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u041a\u043e\u0433\u0430, \u043a\u0430\u043a \u0438 \u043a\u0430\u043a\u0432\u043e \u0434\u0430 \u0441\u0435 \u043a\u0430\u0436\u0435 \u0435 \u043a\u043b\u044e\u0447\u043e\u0432\u043e;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u0412\u043d\u0438\u043c\u0430\u0442\u0435\u043b\u043d\u043e \u043f\u043e\u0434\u0431\u0438\u0440\u0430\u0439\u0442\u0435 \u0432\u0440\u0435\u043c\u0435\u0442\u043e \u2013 \u043e\u043f\u0438\u0442\u0430\u0439\u0442\u0435 \u0441\u0435 \u0434\u0430 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0435\u0442\u0435 \u0442\u0435\u043c\u0430\u0442\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u0432 \u201e\u043c\u043e\u043c\u0435\u043d\u0442, \u043a\u043e\u0439\u0442\u043e \u043c\u043e\u0436\u0435 \u0434\u0430 \u043d\u0438 \u043d\u0430\u0443\u0447\u0438 \u043d\u0430 \u043d\u0435\u0449\u043e\u201c;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u041f\u043e\u0434\u0431\u0435\u0440\u0435\u0442\u0435 \u0434\u0443\u043c\u0438\u0442\u0435 \u0441\u0438 \u0442\u0430\u043a\u0430, \u0447\u0435 \u0434\u0430 \u0441\u044a\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0430\u0442 \u043d\u0430 \u0435\u0437\u0438\u043a\u0430 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430, \u0438 \u043d\u0435 \u0441\u0435 \u0441\u0442\u0440\u0430\u0445\u0443\u0432\u0430\u0439\u0442\u0435 \u0434\u0430 \u043f\u043e\u0432\u0434\u0438\u0433\u043d\u0435\u0442\u0435 \u0432\u044a\u043f\u0440\u043e\u0441\u0430 \u0437\u0430 \u0442\u0435\u0433\u043b\u043e\u0442\u043e;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">\u041d\u0430\u0441\u044a\u0440\u0447\u0430\u0432\u0430\u0439\u0442\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0434\u0430 \u0432\u0438\u0436\u0434\u0430\u0442 \u0440\u043e\u043b\u044f\u0442\u0430 \u043d\u0430 \u0441\u043e\u0431\u0441\u0442\u0432\u0435\u043d\u043e\u0442\u043e \u0441\u0438 \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u0432 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430 \u0438\u043c \u0441 \u0442\u0435\u0433\u043b\u043e\u0442\u043e \u2013 \u043d\u043e \u0441\u044a\u0441 \u0441\u044a\u0441\u0442\u0440\u0430\u0434\u0430\u043d\u0438\u0435 \u0438 \u0431\u0435\u0437 \u043e\u0431\u0432\u0438\u043d\u0435\u043d\u0438\u0435.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">*\u0411\u0438\u0445\u0442\u0435 \u043c\u043e\u0433\u043b\u0438 \u0434\u0430 \u0441\u0435 \u0437\u0430\u043f\u043e\u0437\u043d\u0430\u0435\u0442\u0435 \u0441 \u043f\u044a\u043b\u043d\u0438\u044f \u0442\u0435\u043a\u0441\u0442 \u043d\u0430 \u0446\u0438\u0442\u0438\u0440\u0430\u043d\u0438\u0442\u0435 \u043b\u0438\u0442\u0435\u0440\u0430\u0442\u0443\u0440\u043d\u0438 \u0438\u0437\u0442\u043e\u0447\u043d\u0438\u0446\u0438 \u043f\u043e\u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e\u043c \u043b\u0438\u043d\u043a\u043e\u0432\u0435\u0442\u0435 \u0432 \u0442\u0435\u043a\u0441\u0442\u0430 \u0432 \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\u0442\u0430 \u043d\u0430 \u0430\u043d\u0433\u043b\u0438\u0439\u0441\u043a\u0438 \u0435\u0437\u0438\u043a.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">\u041f\u0440\u0435\u0432\u043e\u0434: \u0410\u043d\u043d\u0430 \u0410\u043b\u0435\u043a\u0441\u0430\u043d\u0434\u0440\u043e\u0432\u0430-\u041a\u0430\u0440\u0430\u043c\u0430\u043d\u043e\u0432\u0430<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Jane Ogden, University of Surrey, UK Weight is a tricky problem to talk about in a consultation. Some patients may be sick of hearing the words \u2018You could lose some weight\u2019 every time they visit the clinic: regardless of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1374,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28],"tags":[],"class_list":["post-1371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"bg","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","sr","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":false,"content":false,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":false,"content":false,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":true,"content":true,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":true,"content":true,"excerpt":false},"kr":{"title":true,"content":true,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":true,"content":true,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":true,"content":true,"excerpt":false},"ro":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"sr":{"title":false,"content":false,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":true,"content":true,"excerpt":false},"tr":{"title":true,"content":true,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.8 - aioseo.com -->\n\t<meta name=\"description\" content=\"{:en}By Jane Ogden, University of Surrey, UK Weight is a tricky problem to talk about in a consultation. 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