My associations with it were, ugly Americans; the food here is terrible - yes, and the portions are so small; why don't you have more discrimination and taste about what you eat, what are you, a garbage dump? the french wouldn't have this attitude! why would just ANYTHING suit? - it would if you're desperate, which is probably how we come into therapy at first.
ETA: how we come into life at first, blind and helpless and unable to move.