Fat Is All My Fault: Globalized Metathemes of Body Self-blame.


Journal

Medical anthropology quarterly
ISSN: 0745-5194
Titre abrégé: Med Anthropol Q
Pays: United States
ID NLM: 8405037

Informations de publication

Date de publication:
03 2022
Historique:
revised: 20 09 2021
received: 05 07 2021
accepted: 24 09 2021
pubmed: 21 1 2022
medline: 29 4 2022
entrez: 20 1 2022
Statut: ppublish

Résumé

Norms valorizing not-fat bodies appear to have spread around the world, combined with a globalizing belief that thinness is the result of individual management of self and hard work. We examine themes of blame and felt responsibility for weight and "fat" in four distinct geographic and cultural locations: peri-urban Georgia, United States; suburban Osaka, Japan; urban Encarnación, Paraguay; and urban Apia, Samoa. Use of a novel metatheme approach that compares and contrasts these four distinct places characterized by different population-level prevalences of obesity and by specific cultural histories relevant to body norms and ideals provides a flexible toolkit for comparative cross-cultural/multi-sited ethnographic research. We show that self-blame, marked by an articulated sense of individual responsibility for weight and a sense of failing in this responsibility, is present in every field site, but to varying degrees and expressed in different ways. [fat, obesity, metatheme, stigma, self-blame].

Identifiants

pubmed: 35051296
doi: 10.1111/maq.12687
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

5-26

Informations de copyright

© 2021 by the American Anthropological Association.

Références

Anderson-Fye, E. P., and A. Brewis, eds. 2017. Fat Planet: Obesity, Culture, and Symbolic Body Capital. Santa Fe: School of American Research Press.
Baskin, M. L, J. Ard, F. Franklin, and D. B. Allison. 2005. Prevalence of Obesity in the United States. Obesity Reviews 6: 5-7.
Becker, A. E. 1995. Body, Self and Society: The View from Fiji. Philadelphia: University of Pennsylvania Press.
Becker, A. E. 2004. Television, Disordered Eating, and Young Women in Fiji: Negotiating Body Image and Identity during Rapid Social Change. Culture Medicine & Psychiatry 28: 533-59.
Becker, A. E., R. A. Burwell, S. E. Gilman, D. B. Herzog, and P. Hamburg. 2002. Eating Behaviours and Attitudes Following Prolonged Exposure to Television among Ethnic Fijian Adolescent Girls. British Journal of Psychiatry 180:509-14.
Bell, K., D. McNaughton, and A. Salmon, eds. 2011. Alcohol, Tobacco, and Obesity: Morality, Mortality, and the New Public Health. London: Routledge.
Benton, A., T. Sangaramoorthy, and I. Kalofonos. 2017. Temporality and Positive Living in the Age of HIV/AIDS: A Multi-sited Ethnography. Current Anthropology 58: 454.
Beresford, M. 2021. Rethinking Entrepreneurship through Distribution: Distributive Relations and the Reproduction of Racialized Inequality among South African Entrepreneurs. Journal of the Royal Anthropological Institute 27: 108-27.
Bernard, H. R., A. Wutich, and G. Ryan. 2016. Analyzing Qualitative Data: Systematic Approaches. Thousand Oaks, CA: Sage.
Boero, N. 2012. Killer Fat: Media, Medicine, and Morals in the American “Obesity Epidemic. .” New Brunswick, NJ: Rutgers University Press.
Borovoy, A. 2017. Japan's Public Health Paradigm: Governmentality and the Containment of Harmful Behavior. Medical Anthropology 36: 32-46.
Braziel, J. E., and K. Lebesco, eds. 2001. Bodies out of Bounds. Berkeley: University of California Press.
Brewis, A. 1996. Lives on the Line: Women and Ecology on a Pacific Atoll. Fort Worth, TX: Harcourt Brace College Publishers.
Brewis, A. 2011. Obesity: Cultural and Biocultural Perspectives. New Brunswick, NJ: Rutgers University Press.
Brewis, A. 2014. Stigma and the Perpetuation of Obesity. Social Science & Medicine 118: 152-58.
Brewis, A., and M. Gartin. 2006. Biocultural Constructions of Obesogenic Ecologies of Childhood: Parental Feeding versus Young Child Eating Strategies. American Journal of Human Biology 18: 203-13.
Brewis, A., and S. McGarvey. 2000. Body Image, Body Size and Samoan Ecological and Individual Modernization. Ecology of Food and Nutrition 39: 105-20.
Brewis, A., S. McGarvey, J. Jones, and B. Swinburn. 1998. Perceptions of Body Size In Pacific Islanders. International Journal of Obesity 22: 185-89.
Brewis, A., S. McGarvey, and N. Tu`u`au-Potoi. 1998. Structure of Family Planning in Samoa. Australian Journal of Public Health 22: 424-27.
Brewis, A., C. SturtzSreetharan, and A. Wutich. 2018. Obesity Stigma as a Global Health Challenge. Globalization and Health 14: 20.
Brewis, A., and A. Wutich. 2012. Explicit versus Implicit Fat-stigma. American Journal of Human Biology 24: 332-38.
Brewis, A., and A. Wutich. 2014. A World of Suffering? Biocultural Approaches to Fat Stigma in the Global Contexts of the Obesity Epidemic. Annals of Anthropological Practice 38: 269-83.
Brewis, A., and A. Wutich. 2015. A World of Suffering? Fat Stigma in the Global Contexts of the Obesity Epidemic. In Critical Biocultural Approaches to Health Disparities, edited by T. Leatherman, Special issue of Annals of Anthropological Practice 38: 271-85.
Brewis, A., and A. Wutich. 2019. Lazy, Crazy, and Disgusting: Stigma and the Undoing of Public Health. Baltimore: Johns Hopkins University Press.
Brewis, A., A. Wutich, A. Falletta-Cowden, and I. Rodriguez-Soto. 2011. Body Norms and Fat Stigma in Global Perspective. Current Anthropology 52: 269-76.
Carney, M. 2015. The Unending Hunger: Tracing Women and Food Insecurity across Borders. Berkeley: University California Press.
Charmaz, K. 2014. Constructing Grounded Theory. Los Angeles: Sage.
Choy, C. C., M. Desai, J. J. Park, E. A. Frame, A. A. Thompson, T. Naseri, M. S. Reupena, R. Duckham, N. Deziel, and N. Hawley. 2017. Child, Maternal and Household-level Correlates of Nutritional Status: A Cross-sectional Study among Young Samoan Children. Public Health Nutrition 20: 1235-47.
Comaroff, J. 1985. Body of Power, Spirit of Resistance: The Culture and History of a South African People. Chicago: University of Chicago Press.
Cormier McSwiggin, C. 2017. Moral Adherence: HIV Treatment, Undetectability, and Stigmatized Viral Loads among Haitians in South Florida. Medical Anthropology 36: 714-28.
Csordas, T J. 1990. Embodiment as a Paradigm for Anthropology. Ethos 18: 5-47.
Dar, S. A., S. Q. Khurshid, Z. A. Wani, A. Khanam, I. Haq, N. N. Shah, M. Shahnawaz, and H. Mustafa. 2020. Stigma in Coronavirus Disease-19 Survivors in Kashmir, India: A Cross-sectional Exploratory Study. PLoS One. November 30. https://doi.org10.1371/journal.pone.0240152. Erratum in: PLoS One. December 23.
Edmonds, A. 2010. Pretty Modern: Beauty, Sex, and Plastic Surgery in Brazil. Durham: Duke University Press.
Ember, C. R. 2009. Cross-cultural Research Methods. Lanham, MD: Rowman AltaMira.
Farrell, A. 2011. Fat Shame: Stigma and the Fat Body in American Culture. New York: NYU Press.
Finucane, M. M., G. A. Stevens, M. J. Cowan, G. Danaei, J. K. Lin, C. J. Paciorek, G. M. Singh, H. R. Gutierrez, Y. Lu, A. N. Bahalim, F. Farzadfar, L. M. Riley, M. Essati, and Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (BMI). 2011. National, Regional, and Global Trends in Body-mass Index since 1980: Systematic Analysis of Health Examination Surveys and Epidemiological Studies with 960 Country-years and 9·1 Million Participants. Lancet 377: 557-67.
Gálvez, A. 2018. Eating NAFTA: Trade, Food Policies, and the Destruction of Mexico. Berkeley: University of California Press.
Gard, M., and J. Wright. 2005. The Obesity Epidemic: Science, Morality, and Ideology. New York: Routledge.
Garth, H., and J. Hardin. 2019. On the Limitations of Barriers: Social Visibility and Weight Management in Cuba and Samoa. Social Science & Medicine 239: 112501.
Gartin, M. 2012. Food Deserts and Nutritional Risk in Paraguay. American Journal of Human Biology 24: 296-301.
Gewertz, D., and F. Errington. 2010. Cheap Meat: Flap Food Nations in the Pacific Islands. Berkeley: University of California Press.
Glaser, B. G. 1998. Doing Grounded Theory: Issues and Discussions. Mill Valley, CA: Sociology Press.
Greenhalgh, S. 2016. Disordered Eating/Eating Disorder: Hidden Perils of the Nation's Fight against Fat. Medical Anthropology Quarterly 30: 545-62.
Greenhalgh, S., and M. Carney. 2014. Bad Biocitizens?: Latinos and the US “Obesity Epidemic.” Human Organization 73: 267-76.
Griffith, R. M. 2004. Born Again Bodies: Flesh and Spirit in American Christianity. Berkeley: University of California Press.
Guest, G., A. Bunce, and L. Johnson. 2006. How Many Interviews Are Enough? An Experiment with Data Saturation & Variability. Field Methods 18: 59-82.
Hagaman, A., and A. Wutich. 2017. How Many Interviews Are Enough to Identify Metathemes in Multisited and Cross-cultural Research? Another Perspective on Guest, Bunce, and Johnson's (2006) Landmark Study. Field Methods 29: 23-41.
Hardin, J. 2015a. Christianity, Fat Talk, and Samoan Pastors: Rethinking the Fat-positive-fat-stigma Framework. Fat Studies: An Interdisciplinary Journal of Body Weight and Society 4: 178-96.
Hardin, J. 2015b. Everyday Translation: Health Practitioners’ Perspectives on Obesity and Metabolic Disorders in Samoa. Critical Public Health 25: 125-38.
Hardin, J. 2016. “Healing Is a Done Deal”: Temporality and Metabolic Healing among Evangelical Christians in Samoa. Medical Anthropology 35: 105-18.
Hardin, J. 2018. Embedded Narratives: Metabolic Disorders and Pentecostal Conversion in Samoa. Medical Anthropology Quarterly 32: 22-41.
Hardin, J. 2019. Faith and the Pursuit of Health: Cardiometabolic Disorders in Samoa. New Brunswick, NJ: Rutgers University Press.
Hardin, J. 2021. Life before Vegetables: Nutrition, Cash and Subjunctive Health in Samoa. Cultural Anthropology 36: 428-57.
Hardin, J., A. K. McLennan, and A. Brewis. 2018. Body Size, Body Norms and Some Unintended Consequences of Obesity Intervention in the Pacific Islands. Annals of Human Biology 45: 285-94.
Hatzenbuehler, M. L., J. C. Phelan, and B. G. Link. 2013. Stigma as a Fundamental Cause of Population Health Inequalities. American Journal of Public Health 103: 813-21.
Jaacks, L. M., S. Vandevijvere, A. Pan, C. J. McGowan, C. Wallace, F. Imamura, D. Mozaffarian, B. Swinburn, and M. Ezzati. 2019. The Obesity Transition: Stages of the Global Epidemic. Lancet Diabetes & Endocrinology 7: 231-40.
Jordan, B. 1992. Birth in Four Cultures: A Crosscultural Investigation of Childbirth in Yucatan, Holland, Sweden, and the United States. Long Grove, IL: Waveland Press.
Jutel, A. 2006. The Emergence of Overweight as a Disease Entity: Measuring up Normality. Social Science and Medicine 63: 2268-76.
Kwan, S. 2009. Individual versus Corporate Responsibility: Market Choice, the Food Industry, and the Pervasiveness of Moral Models of Fatness. Food, Culture & Society 12: 477-95.
LeBesco, K. 2011. Neoliberalism, Public Health, and the Moral Perils of Fatness. Critical Public Health 21: 153-64.
Lee, J. A., and C. J. Pause. 2016. Stigma in Practice: Barriers to Health for Fat Women. Frontiers Psychology 7: 1-15.
Lester, R. 2005. Jesus in Our Wombs: Embodying Modernity in a Mexican Convent. Berkeley: University of California Press.
Lock, M., and J. Farquhar, eds. 2007. Beyond the Body Proper: Reading the Anthropology of Material Life. Durham: Duke University Press.
Lunde, F. H. 2018. Todo Tranquilo: Notions of Happiness and Well-being in Rural and Urban Paraguay. Oslo: University of Oslo Press.
Lupton, D. 2013. Fat. New York: Routledge.
Macpherson, C., and L. Macpherson. 2010. The Warm Winds of Change: Globalization in Contemporary Samoa. Auckland: Auckland University Press.
Mah, C. 2010. Shokuiku: Governing Food and Public Health in Contemporary Japan. Journal of Sociology 46: 393-412.
Manderson, L. 2016. Anthropological Perspectives on the Health Transition. In International Encyclopedia of Public Health, 2nd ed., pp. 122-28. Oxford: Academic Press.
McCullough, M., and J. Hardin. 2013. Reconstructing Obesity: The Meaning of Measures and the Measure of Meanings. New York: Berghahn Books.
McNaughton, D. 2010. From Womb to the Tomb: Obesity and Maternal Responsibility. Critical Public Health 1: 1-12.
Mendenhall, E. 2016. Beyond Comorbidity: A Critical Perspective of Syndemic Depression and Diabetes in Cross-cultural Contexts. Medical Anthropology Quarterly 30: 462-78.
Mendenhall, E. 2019. Rethinking Diabetes: Entanglements with Trauma, Poverty, and HIV. Ithaca, NY: Cornell University Press.
Mendenhall, E., B. A. Kohrt, S. A. Norris, D. Ndetei, and D. Prabhakaran. 2017. Non-communicable Disease Syndemics: Poverty, Depression, and Diabetes among Low-income Populations. Lancet 389: 951-63.
Miles, M. B., and A. M. Huberman. 1994. Qualitative Data Analysis: An Expanded Sourcebook. Thousand Oaks, CA: Sage.
Moffat, T. 2010. The “Childhood Obesity Epidemic”: Health Crisis or Social Construction? Medical Anthropology Quarterly 24: 1-21.
Nestle, M. 2007. Food Politics: How the Food Industry Influences Nutrition and Health. Berkeley: University of California Press.
Onwuegbuzie, A. J. 2003. Effect Sizes in Qualitative Research: A Prolegomenon. Quality and Quantity 37: 393-409.
Pacheco-Vega, R. 2020. Using Ethnography in Comparative Policy Analysis: Premises, Promises and Perils. In Handbook of Research Methods and Applications in Comparative Policy Analysis. Cheltenham, U.K.: Edward Elgar Publishing.
Popkin, B. M., L. S. Adair, and S. Wen Ng. 2012. Global Nutrition Transition and the Pandemic of Obesity in Developing Countries. Nutrition Reviews 70: 3-21.
Popkin, B. M., and P. Gordon-Larsen. 2004. The Nutrition Transition: Worldwide Obesity Dynamics and Their Determinants. International Journal of Obesity 28: 2-9.
Puhl, R., and K. D. Brownell. 2006. Confronting and Coping with Weight Stigma: An Investigation of Overweight and Obese Adults. Obesity 14: 1802-15.
Puhl, R., and C. Heuer. 2009. The Stigma of Obesity: A Review and Update. Obesity 17: 941-64.
Puhl, R., and C. Heuer. 2010. Obesity Stigma: Important Considerations for Public Health. American Journal of Public Health 100: 1019-28.
Puhl, R., J. L. Peterson, and J. Luedicke. 2013. Fighting Obesity or Obese Persons? Public Perceptions of Obesity-related Health Messages. International Journal of Obesity 37: 774-82.
Raskin, S. E. 2015. Decayed, Missing, and Filled: Subjectivity and the Dental Safety Net in Central Appalachia. Ph.D. dissertation, University of Arizona.
Rothblum, E., and S. Solovay, eds. 2009. The Fat Studies Reader. New York: NYU Press.
Ryan, G. W., and H. R. Bernard. 2003. Techniques to Identify Themes. Field Methods 15: 85-109.
Sanabria, E. 2016. Circulating Ignorance: Complexity and Agnogenesis in the Obesity “Epidemic.” Cultural Anthropology 31: 131-58.
Saldaña, A., and P. Wade. 2018. Obesity, Race and the Indigenous Origins of Health Risks among Mexican Mestizos. Ethnic and Racial Studies 41: 2731-49.
Saldaña, J. 2015. The Coding Manual for Qualitative Researchers. Thousand Oaks, CA: Sage.
Scheper-Hughes, N., and M. Lock. 1987. The Mindful Body: A Prolegomenon to Future Work in Medical Anthropology. Medical Anthropology Quarterly 1: 6-41.
Singer, M. 2014. Following the Turkey Tails: Neoliberal Globalization and the Political Ecology of Health. Journal of Political Ecology 21: 437-51.
Snowdon, W., and A. M. Thow. 2013. Trade Policy and Obesity Prevention: Challenges and Innovation in the Pacific Islands. Obesity Reviews 14: 150-58.
Strauss, A., and J. M. Corbin. 1997. Grounded Theory in Practice. Thousand Oaks, CA: Sage.
SturtzSreetharan, C. 2004. Students, sarariiman (pl.), and Seniors: Japanese Men's Use of “Manly” Speech Register. Language in Society 33: 81-107.
SturtzSreetharan, C. 2006. Gentlemanly Gender? Japanese Men's Politeness in Casual Conversations. Journal of Sociolinguistics 10: 70-92.
SturtzSreetharan, C. 2009. “Ore” and “omae”: Japanese Men's Use of First- and Second-person Pronouns. Pragmatics 19: 253-78.
SturtzSreetharan, C. 2017. Language and Masculinity: The Role of Osaka Dialect in Contemporary Ideals of Fatherhood. Gender & Language 11: 552-74.
SturtzSreetharan, C., and A. Brewis. 2019. Rice, Men, and Other Everyday Anxieties: Navigating Obesogenic Urban Food Environments in Osaka, Japan. In Handbook of Global Urban Health, edited by I. Vojnovic, A. Pearson, A. Gershim, G. Deverteuil, and A. Allen, 545-64. New York: Routledge.
SturtzSreetharan, C., A. Brewis, J. Hardin, S. Trainer, and A. Wutich. 2021a. Fat in Four Cultures: A Global Ethnography of Weight. Toronto: University of Toronto Press.
SturtzSreetharan, C., S. Trainer, and A. Brewis. 2021b. The Harm Inflicted by Polite Concern: Language, Fat, and Stigma. Culture, Medicine & Psychiatry. https://doi.org/10.1007/s11013-021-09742-5.
Talukdar, J. 2012. “Thin but Not Skinny”: Women Negotiating the “Never Too Thin” Body Ideal in Urban India. Women's Studies International Forum 35: 109-18.
Tomiyama, A. J., D. Carr, E. M. Granberg, B. Major, E. Robinson, A. R. Sutin, and A. Brewis. 2018. How and Why Weight Stigma Drives the Obesity “Epidemic” and Harms Health. BMC Medicine 16
Trainer, S. 2013. Body Image and Weight Concerns among Emirati Women in the United Arab Emirates. In Reconstructing Obesity: The Meaning of Measures and the Measure of Meaning, edited by M. McCullough and J. Hardin, 147-68). New York: Berghahn Books.
Trainer, S. 2017. Glocalizing Beauty: Weight and Body Image in the New Middle East. In Fat Planet: Obesity, Culture, and Symbolic Capital, edited by E. Anderson-Fye and A. Brewis, 171-92. Sante Fe: University of New Mexico Press.
Trainer, S., A. Brewis, and A. Wutich. 2021. Extreme Weight Loss: Life before and after Bariatric Surgery. New York: NYU Press.
Trainer, S., J. Hardin, C. Sturtzsreetharan, A. Wutich, and A. Brewis. 2020. Worry-nostalgia: Comparative Perspectives on Fading Local Cuisines. Gastronomica 20: 67-78.
Trust for America's Health. 2019. The State of Obesity: Better Policies for a Healthier America. Trust for America's Health and the Robert Wood Foundation website, 2021. https://stateofobesity.org/states/ga (accessed June 30, 2021).
Valdez, N. 2018. The Redistribution of Reproductive Responsibility: On the Epigenetics of “Environment” in Prenatal Interventions. Medical Anthropology Quarterly 32: 425-42.
Warin, M., and T. Zivkovic. 2019. Fatness, Obesity, and Disadvantage in the Australian Suburbs: Unpalatable Politics. New York: Palgrave Macmillan.
Willging, C. E. 2005. Power, Blame, and Accountability: Medicaid Managed Care for Mental Health Services in New Mexico. Medical Anthropology Quarterly 19: 84-102.
Wutich, A., M. Beresford, C. SturtzSreetharan, A. Brewis, S. Trainer, and J. Hardin. 2021. Metatheme Analysis: A Qualitative Method for Cross-cultural Research. International Journal of Qualitative Methods 20. https://doi.org/10.1177/16094069211019907
Wutich, A., and A. Brewis. 2019. Data Collection in Cross-cultural Ethnographic Studies. Field Methods 31: 181-89.
Yates-Doerr, E. 2014. The Mismeasure of Obesity. In Reconstructing Obesity Research: The Measures of Meaning, the Meaning of Measures, edited by M. McCullough and J. Hardin, 49-70. New York: Berghahn Books.
Yates-Doerr, E. 2015. The Weight of Obesity: Hunger and Global Health in Postwar Guatemala. Berkeley: University of California Press.

Auteurs

Sarah Trainer (S)

SU ADVANCE Program & Research Coordinator, Seattle University.

Cindi SturtzSreetharan (C)

School of Human Evolution and Social Change, Arizona State University.

Amber Wutich (A)

School of Human Evolution and Social Change, Arizona State University.

Alexandra Brewis (A)

School of Human Evolution and Social Change, Arizona State University.

Jessica Hardin (J)

Department of Sociology and Anthropology, Rochester Institute of Technology.

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