Ph.D. Candidate, Department of Educational Psychology and Counseling, National Taiwan Normal University, Taipei, Taiwan2026-06-242026-05-23https://doi.org/10.67242/conference-2026-17https://doi.org/10.67242/conference-2026-17https://repo.usfu.edu.ua/handle/123456789/50Background. After nearly a decade of clinical practice – in counseling centers, a family court, a sexual assault recovery center, and community outreach settings across Taiwan – the presenter returned to doctoral study not to escape practice, but because practice kept generating questions that the existing literature could not answer. Two questions proved most persistent. First: why do clients with obesity experience so consistently arrive in therapy already braced for judgment, even before a word has been spoken? And second: why does the international psychotherapy evidence base have so little to say about this population in non-Western contexts – and about so many other populations whose suffering is clinically visible but scientifically unrecorded? These questions reflect a structural…enConference Paper