Narrative and obesity: Managing weight stigma associated with bariatric surgery.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Pub Date : 2025-01-04 DOI:10.1177/13634593241310129
Álvaro Sicilia, María-Luisa Socías-Serrano, Mark D Griffiths, Elena Martínez-Rosales, Enrique G Artero
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Abstract

The present study examined how individuals who have been clinically diagnosed as obese explain their decision to undergo bariatric surgery and how they deal with the stigmatization that such a decision may entail. A total of 23 participants (15 women and 8 men) who were awaiting bariatric surgery within the Spanish healthcare system, were interviewed about their weight trajectory and their decision to undergo this surgery. In order to examine the participants' stories, a narrative analysis of the interviews was conducted, with attention to both content (what they told) and structure (how they told) and examining the stories in line with the socially and culturally available narratives that they had access to, and the context in which the stories were produced. The participants explained their weight trajectory through the origin of their weight, the failure to control it, and their decision to have surgery to solve the weight problem. The narrative of a sick body that needs to be restored appeared to function as a schema or script through which participants attempted to defend themselves from anti-fat narratives that assume personal failure while at the same time presenting themselves as deserving to be operated on. Through their narratives, they positioned themselves as undeserving of stigma but did not challenge the stigma itself.

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叙事和肥胖:管理与减肥手术相关的体重耻辱。
目前的研究调查了被临床诊断为肥胖的个体如何解释他们接受减肥手术的决定,以及他们如何处理这样的决定可能带来的耻辱。共有23名参与者(15名女性和8名男性)在西班牙医疗保健系统内等待减肥手术,对他们的体重轨迹和接受手术的决定进行了采访。为了检查参与者的故事,对访谈进行了叙事分析,关注内容(他们讲了什么)和结构(他们如何讲),并根据他们所接触到的社会和文化上可用的叙述以及故事产生的背景来检查故事。参与者解释了他们的体重轨迹,包括体重的起源,控制体重的失败,以及他们决定通过手术来解决体重问题。病态身体需要恢复的叙述似乎是一种模式或剧本,参与者试图通过它来保护自己免受反肥胖叙事的影响,这种叙事假设个人失败,同时又表现出自己应该接受手术。通过他们的叙述,他们把自己定位为不应该被污名化,但并没有挑战污名本身。
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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
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0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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