Beyond psychopathology: Interrogating (dis)orders of body weight and body management

Malson, Helen; Riley, Sarah; Markula, Pirkko

doi:10.1002/casp.1019

Cited by 6 publications

(4 citation statements)

References 13 publications

(4 reference statements)

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“…Historically eating disorders (EDs) have been considered a “nervous disease” (Striegel-Moore & Bulik, 2007, p. 182) located in the feminized individual, where clinical research focused on the isolated measurement of individual factors like body image satisfaction (Malson, Riley, & Markula, 2009). More recently, researchers are drawing attention to how distress that manifests in body concerns is constructed within sociopolitical, cultural, and service contexts (Brooks, 2009; Eivors, Button, Warner, & Turner, 2003; Orbach, 1986; Riley, Rodham, & Gavin, 2009; Wiggins, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…More recently, researchers are drawing attention to how distress that manifests in body concerns is constructed within sociopolitical, cultural, and service contexts (Brooks, 2009; Eivors, Button, Warner, & Turner, 2003; Orbach, 1986; Riley, Rodham, & Gavin, 2009; Wiggins, 2009). Feminist approaches in particular advocate for a more thorough understanding of how cultural practices, gender roles, and embodiment inform the experience of living with these diagnoses by highlighting the ways in which dominant psycho-medicalized narratives participate in the sociocultural processes that inform the very development of these presentations (Gelo, Vilei, Maddux, & Gennaro, 2015; Gremillion, 1992; Malson et al, 2009; Orbach, 1986, 2009). Specialist ED services have the potential to create the conditions from which EDs emerge and are exasperated or provide the safe and nurturing environment necessary for healing, and service users’ experiences currently shift along this continuum (Eli, 2014; Gremillion, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Beyond the Revolving Door: Long-Term Lived Experience of Eating Disorders and Specialist Service Provision

2019

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In this study, we undertook a narrative analysis of participants' long-term lived experience of eating disorders and specialist service provision. Eight participants were recruited with service experience across five National Health Service (NHS) Trusts in the UK. All participants had a minimum of 10 years self-reported experience living with an eating disorder. The data are presented across different temporal stages that demonstrate the development of participants' self-construct in relation to their first contact with specialist services, what had happened in their lives for this to become necessary, and their current relationships with services, before gaining an appreciation for what they need from services to help them feel heard going forward. Findings suggest current methods of service delivery result in delayed and inappropriate supports, and a consequent "battling" against professionals, which can provide an obstacle to compassionate and collaborative working, and promote "revolving door" experiences.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Beyond the Revolving Door: Long-Term Lived Experience of Eating Disorders and Specialist Service Provision

2019

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“…By body image distortions, I refer to a broad range of problematic body issues, ranging from distorted perceptions of body weight to severe dissatisfaction with one's body and eating disorders (Pruzinsky and Cash, 2002). I approach these bodily (dis)orders as experienced, conceptualized and produced in the current societal order of health and beauty imperatives (Malson et al, 2009).…”

Section: Health Appearance and Gendermentioning

confidence: 99%

Healthy appearances – distorted body images? Young adults negotiating body motives

Liimakka

2013

J Health Psychol

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Drawing on focus group discussions, this article explores how young, Finnish university students view the cultural ideals of health and appearance. The young adults noted how body practices aiming at health can turn into unhealthy obsessions. As a result, a healthy-looking body may serve to cover an underlying body image distortion. Health and well-being were defined as appropriate motives for engaging in body projects, while appearance as a motive was questioned. I argue that the current promotion of health may cause individuals to experience pressure to outwardly appear healthy at the cost of neglecting the subjective experience of well-being, and that this may especially influence young women.

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“…This assumption does not take into consideration that there is significant individual variability in the tracking of childhood obesity into adulthood. 30 Finally, although the psychosocial impact of weight bias on children can have lasting effects into adulthood, 31 weight-based bullying and stigma were rarely explicitly discussed in these policies and strategies.…”

mentioning

confidence: 99%

A critical analysis of obesity prevention policies and strategies

Salas

Forhan

Caulfield

et al. 2017

Can J Public Health

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OBJECTIVES: Public health policies have been criticized for promoting a simplistic narrative that may contribute to weight bias. Weight bias can impact population health by increasing morbidity and mortality. The objectives of this study were to: 1) critically analyze Canadian obesity prevention policies and strategies to identify underlying dominant narratives; 2) deconstruct dominant narratives and consider the unintended consequences for people with obesity; and 3) make recommendations to change dominant obesity narratives that may be contributing to weight bias. METHODS:We applied Bacchi's "what's-the-problem-represented-to-be?" (WPR) approach to 15 obesity prevention policies and strategies (1 national, 2 territorial and 12 provincial). Bacchi's WPR approach is composed of six analytical questions designed to identify conceptual assumptions as well as possible effects of policies. RESULTS:We identified five prevailing narratives that may have implications for public health approaches and unintended consequences for people with obesity: 1) childhood obesity threatens the health of future generations and must be prevented; 2) obesity can be prevented through healthy eating and physical activity; 3) obesity is an individual behaviour problem; 4) achieving a healthy body weight should be a population health target; and 5) obesity is a risk factor for other chronic diseases, not a disease in itself. CONCLUSION:The consistent way in which obesity is constructed in Canadian policies and strategies may be contributing to weight bias in our society. We provide some recommendations for changing these narratives to prevent further weight bias and obesity stigma.KEY WORDS: Obesity; policy; public health; weight bias La traduction du résumé se trouve à la fin de l'article.

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Beyond psychopathology: Interrogating (dis)orders of body weight and body management

Cited by 6 publications

References 13 publications

Beyond the Revolving Door: Long-Term Lived Experience of Eating Disorders and Specialist Service Provision

Beyond the Revolving Door: Long-Term Lived Experience of Eating Disorders and Specialist Service Provision

Healthy appearances – distorted body images? Young adults negotiating body motives

A critical analysis of obesity prevention policies and strategies

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