叙述和肥胖:管理与减肥手术相关的体重耻辱
Álvaro Sicilia1, María-Luisa Socías-Serrano1, Mark D Griffiths2
1University of Almería, Spain.
Health (London, England : 1997)
|January 4, 2025
概括
接受减肥手术的个人解释了他们的决定,将他们的体重作为一个医疗问题. 他们用病态身体的叙述来抵制反脂肪污名,但不挑战污名本身.
科学领域:
- 医学社会学 医学社会学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 肥胖是一个复杂的健康问题,经常伴随着重大的社会耻辱.
- 减肥手术是严重肥胖的常见干预措施,但患者的动机和耻辱感的经历尚未完全理解.
研究的目的:
- 探索被诊断为肥胖的个人如何解释他们决定接受减肥手术.
- 调查这些人如何导航和应对与他们的病情和手术选择相关的污名化.
主要方法:
- 对23名在西班牙等待减肥手术的参与者的采访进行了定性叙事分析.
- 分析的重点是参与者的故事的内容 (所说的话) 和结构 (所说的方式).
- 故事在他们的社会文化背景下和与现有的社会叙事相比被检查.
主要成果:
- 参与者解释了他们的体重轨迹,详细说明了它的起源,感知到缺乏控制和手术作为解决方案.
- 一个需要恢复的"生病身体"的主导叙述被用来抵御反脂肪污名,并证明手术候选人的合理性.
- 参与者认为自己不值得受到耻辱,但没有积极挑战对肥胖的潜在社会耻辱.
结论:
- "生病的身体"叙事作为一种应对社会偏见的机制,并有助于自我介绍手术.
- 虽然个人可能会抵制个人责怪,但他们的叙述强化而不是拆除社会反脂肪污名.
- 了解这些叙述对于医疗保健提供者来说至关重要,以有效地支持接受减肥手术的患者.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
143
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
143
Binge Eating Disorders
34
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
34
Bulimia Nervosa
32
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
32
Inflammatory Bowel Disease V: Surgical Management
55
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
55
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
26
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
26
Barrett Esophagus-II: Clinical Manifestations and Management
69
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
69


