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I agree with this distinction and will modify my speech by airborneirish

I will say that guilt is hard to manifest absent overt projections of values. I disagree with everyone here who says negative reinforcement does not work. That is simply stupid. We have tickets, fines, etc in addition to carrots such as ribbons and praise. Positive reinforcement works. Loss of privileges work.

Telling someone who is fat that he is unhealthy and needs to get his shit together should not be controversial. Obviously we should also couple that with “you can change, you can get healthy, it won’t happen overnight but one day you can look back on this and be proud of your health and body.”

I was going to say growth mindset but won’t for obvious reasons.