Full disclosure, I haven’t listened to the podcast yet.
@foreverlurk got me curious to look up research and published work on macrophilia, because, yeah, that sounds really outdated and unsubstantiated. I mean, it might be true for some people, but I think it’s, at best, an extremely uninformed conclusion.
Professor Mark Griffiths posted a decent blog piece on macrophilia in 2012. It already seems a hell of a lot of insightful into the psychology of extreme size differences. Note his comment on Friedman’s comments:
"However, most online accounts by macrophiles that I have read online, don’t seem to match the psychological profile put forward by Dr. Friedman. "
I know that we, as fans, have enough insight to dismiss her comments (as you have), but perhaps it’s some consolation to see an informed observation coming from the outside.
I’d love to see the results of a survey/study on size fetishes/fascinations more broadly - the few papers I’ve skimmed so far focus on a single person and treats it like a mental illness, which is neither particularly representative or very encouraging. I’ve mentioned before that even a demographics survey would be cool (someone did one a while ago that did the rounds for a few months).
TL;DR Dr Friedman’s comments are, at best, questionable speculation on the roots of macrophilia/size fetishes.