Weighing the Future

Valdez, Natali

doi:10.1525/9780520380158

Cited by 3 publications

(4 citation statements)

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“…Pregnant Women, Lifestyle, and Clinical Trials Valdez (2018Valdez ( , 2021 conducted ethnographic work in relation to two clinical trials testing behavioral interventions of diet and exercise on pregnant women, one in the United States and one in the UK. She draws out how the methods and expertise of the principal investigators shaped their understanding of "environmental targets" for antenatal interventions, with metabolic environments foregrounded in postgenomic thinking.…”

Section: Maternal Obesity and The Disappearance Of Structural Factorsmentioning

confidence: 99%

“…Farrell (and others) suggests that a cultural repudiation of fat was linked to overall processes of mapping political and social hierarchies onto gendered, classed, racialized, and sexualized bodies (Farrell 2011;cf. Strings 2019;Valdez 2021).…”

Section: Weight Stigma and Fat Shamingmentioning

confidence: 99%

“…Research has shown that women who are classified as obese are subject to more intense stigmatization than men of similar body size (Fikkan and Rothblum 2012), and this is heightened through further intersectional discriminations related to racism and class (Valdez 2021). The moral discourses around obesity and the discourses that construct the fat, female body as a "failed body project" (Murray 2005, 155) make obesity especially ripe for internalization as shame.…”

Section: Weight Stigma and Fat Shamingmentioning

confidence: 99%

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The Reproduction of Shame: Pregnancy, Nutrition and Body Weight in the Translation of Developmental Origins of Adult Disease

Moore

Warin

2022

Science, Technology, & Human Values

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Developmental origins of health and disease (DOHaD) and epigenetics have expanded understanding of how the environment affects the health of women before and during pregnancy—with lifelong health consequences for the fetus. This has translated to a narrow focus on women’s lifestyle during pregnancy, especially for women classified as obese. In this study, we show that psychosocial harms such as distress or shame felt by pregnant women are rarely countenanced in these endeavors. To demonstrate this, we examine published documents about a large set of trials of lifestyle interventions united through an international consortium. Yet there is now a literature in which pregnant women with large bodies report feeling humiliated and a wider literature on the stigma of obesity. We argue that shame is produced and reproduced through the discursive and material knowledge-making scientific practices of DOHaD translation. Interventions that intensify the shame of large body size in pregnancy may be stressful, and neurophysiological stress pathways are well-known within DOHaD to have consequences for fetal development, so these interventions potentially undermine the very processes they set out to protect. A feminist response may protect women from shame and redirect attention to the social and structural determinants of health.

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Section: Maternal Obesity and The Disappearance Of Structural Factorsmentioning

confidence: 99%

Section: Weight Stigma and Fat Shamingmentioning

confidence: 99%

Section: Weight Stigma and Fat Shamingmentioning

confidence: 99%

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The Reproduction of Shame: Pregnancy, Nutrition and Body Weight in the Translation of Developmental Origins of Adult Disease

Moore

Warin

2022

Science, Technology, & Human Values

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“…If genetic and genomic models prioritize biological processes, this reinforces conceptual binaries and epistemological biases. The “postgenomic” era of science, striving to include environmental, social and behavioral influences, together with epigenetic models that incorporate gene-environment dynamics, provoke questions of “epistemic environments”: How knowledge discourse concerning environmental influences may still be reductive and molecular-oriented to the exclusion of such influences as colonial legacies and racism ( 11 ). In psychiatric research, there are growing calls to incorporate social dynamics to improve the likelihood of progress ( 12 , 13 ), with the COVID-19 pandemic spotlighting the importance of historical and structural determinants of mental health ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Psychiatric genomics, mental health equity, and intersectionality: A framework for research and practice

2022

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The causal mechanisms and manifestations of psychiatric illness cannot be neatly narrowed down or quantified for diagnosis and treatment. Large-scale genome-wide association studies (GWAS) might renew hope for locating genetic predictors and producing precision medicines, however such hopes can also distract from appreciating social factors and structural injustices that demand more socially inclusive and equitable approaches to mental healthcare. A more comprehensive approach begins with recognizing that there is no one type of contributor to mental illness and its duration that should be prioritized over another. We argue that, if the search for biological specificity is to complement the need to alleviate the social distress that produces mental health inequities, psychiatric genomics must incorporate an intersectional dimension to models of mental illness across research priorities, scientific frameworks, and clinical applications. We outline an intersectional framework that will guide all professionals working in the expanding field of psychiatric genomics to better incorporate issues of social context, racial and cultural diversity, and downstream ethical considerations into their work.

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