Weight bias: Investigating the impact of an empathy-evoking intervention in reducing mental health professionals' anti-fat attitudes

Quirk, Tarynne

doi:10.31076/2018.o08

Cited by 1 publication

(2 citation statements)

References 146 publications

(241 reference statements)

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“…Similarly, Brochu (2023) found that a weight bias reduction seminar designed to address weight controllability beliefs was effective in reducing aspects of weight bias among clinical psychology trainees. However, Quirk (2017), who used an empathy-evoking intervention in an attempt to reduce weight bias of a diverse group of therapists, found that this actually worsened anti-fat attitudes. There is some evidence that multicultural competence and training in weight bias may reduce levels of bias (Christensen, 2021), suggesting that stigma around fatness might be addressed through a combination of specific training around weight stigma coupled with a broader approach to developing sensitivity to issues such as culture.…”

Section: Reducing Therapist Fat Biasmentioning

confidence: 99%

“…Research is needed to further investigate ways of reducing fat bias among psychologists and other talking therapists. While some studies have proposed strategies for doing so (e.g., Diedrichs & Barlow, 2011;Kinavey & Cool, 2019;McHugh & Chrisler, 2019;Quirk, 2017), there remain gaps in our understanding of how best to support students and practitioners to overcome deeply held anti-fat beliefs. This is especially important to examine in contexts where risks are increased through intersectional harm, including in areas with vulnerable Indigenous populations.…”

Section: Directions For Future Researchmentioning

confidence: 99%

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The Framing of Fatness in the Profession of Psychology in Aotearoa New Zealand

Kokot Louw

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Stigma and discrimination based on body size is pervasive in Western society. Weight-based stigma among mental health professionals is common, with harmful and unfounded assumptions about weight affecting diagnosis and treatment. Fat bias further intersects with other forms of oppression such as sexism, racism, classism, and ableism. Psychologists have an ethical and professional responsibility to work towards recognising and resisting oppressive discourses and practices in health care. In this study, I sought to understand the ways in which clinical psychologists in Aotearoa New Zealand both uphold and resist harmful dominant discourses about fatness in their clinical work with fat clients.This research was critical, exploratory, and qualitative in design, drawing on principles of social justice and critical discursive psychology. Semi-structured interviews were conducted with 20 clinical psychologists located across Aotearoa New Zealand working in mental health or medical settings. Thematic discourse analysis was used to analyse the transcribed interview data. The results indicate that the participants largely reproduced biomedical and neoliberal discourses, as well as Eurocentric psychological tenets that psychopathologised the causes of fatness; favoured a dualistic approach to the mind-body relationship; neglected the body as a site of meaning and identity; and disregarded the social, structural, and cultural determinants of health. Participants’ views of fat client subjectivities intersected with clients’ other marginalised identities, including gender, race, and ethnicity. Most participants reported discomfort with the topic of their client’s fat body, and frequently evidenced avoidance of the topic. Participants positioned themselves as either ‘health advocates’ whose obligation was to support the client’s pursuit of ‘health’, or as ‘client advocates’, who sought to protect the client from shame associated with their fat body. Participants were seen to attempt to resolve the tensions between these opposing positions by ignoring the fat body, enacting a kind of ‘fat erasure’ in therapy. Participants further reported difficulty with finding appropriate language for talking about fatness, with all terminology surrounding fatness considered to be ‘troubling’. Recommendations include addressing psychologists’ bias towards fatness in training through integrating critical and Indigenous perspectives into postgraduate training, and specific training on professional bias, including fat bias. Furthermore, training perspectives require reorientation away from overemphasising mental processes towards an integration of mind-body in which the body is constituted as a site of meaning and identity. Psychologists can work towards a fat-friendly clinical practice by engaging with fat activist literature, weight-neutral models of health, and models of therapy that locate the client’s presenting concerns within broader cultural, political, and social contexts.

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Section: Reducing Therapist Fat Biasmentioning

confidence: 99%

Section: Directions For Future Researchmentioning

confidence: 99%

The Framing of Fatness in the Profession of Psychology in Aotearoa New Zealand

Kokot Louw

View full text Add to dashboard Cite

show abstract

Weight bias: Investigating the impact of an empathy-evoking intervention in reducing mental health professionals' anti-fat attitudes

Cited by 1 publication

References 146 publications

The Framing of Fatness in the Profession of Psychology in Aotearoa New Zealand

The Framing of Fatness in the Profession of Psychology in Aotearoa New Zealand

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