I can't accept the plus-size body I was living in because it was a diseased and uncomfortable vessel. It has less to do with my looks and more to do with the quality of life. Not accepting my 300-pound body didn't mean I was a bad person or that I hated my body--it just meant my body needed to change.
The deal with "body image work" that we all need to get hip to, and that I hope mental health professionals will discuss with their clients in more depth as time goes on, is that loving our bodies as they are today requires a commitment to being proudly ourselves in spite of potential judgments by others.