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“Whatever I said didn’t register with her”: medical fatphobia and interactional and relational disconnect in healthcare encounters "无论我说什么,她都听不进去":医疗接触中的医学肥胖恐惧症与互动和关系脱节
Pub Date : 2024-03-22 DOI: 10.3389/fsoc.2024.1303919
Carolin Kost, Kimberly Jamie, Elizabeth Mohr
This article focuses on medical fatphobia as a specific phenomenon structuring interactions between patients and healthcare practitioners. Throughout the article, we use ‘fat’ and ‘fatphobia’ as the preferred terms in the body positivity and fat acceptance communities. It is well documented that ‘fat’ people frequently experience negative and highly stigmatising healthcare encounters where weight is disproportionately centred and over-attributed as a cause of ill-health. This can compound and worsen disordered eating, trigger mental health problems, and lead to healthcare avoidance. Although the regularity and risks of these weight-focused encounters are well established, there does not yet exist a coherent theoretical framework for understanding such discriminatory practises.In this article, we draw on the experiences of 15 fat women who are members of the Health at Every Size (HAES) online community to explore how they perceive their fatness impacting medical encounters.Through these data and specifically drawing on the framework of ‘cultural health capital,’ we suggest that given the deep purchase of cultural tropes surrounding it, fatness is perceived to embody and therefore confer on patients’ assumptions of low cultural health capital. We argue that ubiquitously characteristic of medical fatphobia is what we call an ‘interactional and relational disconnect’ between fat patients and healthcare practitioners. We suggest that this disconnect structures fatphobic interactions by over-attributing fatness as the underlying cause of medical problems, which entrenches patient and practitioner ambivalence because of a lack of joint decision-making. We argue that interactional and relational disconnect is produced by, sustained by, and reproduces asymmetric power relations between patients and practitioners. While we demonstrate that patients develop tactics to mitigate and manage fatphobia in healthcare encounters, the persistent interactional asymmetry between doctors and patients means these attempts often fail. We conclude with a plea for sociology to take medical fatphobia seriously as a form of intersectional systemic discrimination. While movements like HAES, fat positivity, and body acceptance create kinship and support fat patients with self-advocacy in healthcare interactions, we suggest that systemic rather than individual change is necessary for effective healthcare inclusion and interaction.
本文重点关注医疗恐胖症,将其视为患者与医疗从业人员之间互动的一种特殊现象。在整篇文章中,我们使用 "肥胖 "和 "恐胖症 "作为身体积极主义和接受肥胖群体的首选术语。有资料表明,"胖 "人在医疗保健方面经常会遇到负面的、极具污名化的情况,体重被过度集中并被过度归结为健康状况不佳的原因。这可能会加剧饮食紊乱,引发心理健康问题,并导致回避医疗保健。在这篇文章中,我们借鉴了 "Health at Every Size (HAES) "网络社区的 15 位胖女人的经历,探讨她们如何看待自己的肥胖对就医的影响。通过这些数据,特别是借鉴 "文化健康资本 "的框架,我们认为,由于围绕肥胖的文化习俗深入人心,肥胖被认为体现了低文化健康资本的假设,因此也赋予了患者低文化健康资本的假设。我们认为,医疗恐胖症的普遍特征是胖病人和医疗从业人员之间的 "互动和关系脱节"。我们认为,这种脱节将肥胖过度归因于医疗问题的根本原因,从而构建了恐胖症的互动关系,由于缺乏共同决策,患者和医疗从业者之间的矛盾心理根深蒂固。我们认为,互动和关系的脱节是由患者和医生之间不对称的权力关系产生、维持和再现的。虽然我们证明了患者在就医过程中会采取一些策略来缓解和控制恐胖症,但医生和患者之间持续存在的互动不对称意味着这些尝试往往会失败。最后,我们呼吁社会学界认真对待医疗恐胖症,将其视为一种交叉性系统歧视。虽然HAES、肥胖积极性和身体接受等运动创造了亲缘关系,并支持肥胖患者在医疗互动中进行自我倡导,但我们认为,要实现有效的医疗包容和互动,必须进行系统而非个体的变革。
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引用次数: 0
Home-schooling and caring for children during the COVID-19 lockdown in the UK: emotional states, systems of support and coping strategies in working mothers 英国 COVID-19 封锁期间的家庭教育和儿童保育:职业母亲的情绪状态、支持系统和应对策略
Pub Date : 2024-03-21 DOI: 10.3389/fsoc.2024.1168465
Angeliki Kallitsoglou, Pamela-Zoe Topalli
We examined the experience of the intensification of home-schooling and/or childcare in working mothers in the United Kingdom during the first national COVID-19 lockdown. Our focus was on understanding how mothers dealt with this challenging period both emotionally and practically.Eligible mothers (n = 47; Mage  =  39.6) participated in an anonymous online survey of openended questions.Thematic analysis of responses showed that mothers found home-schooling and/or childcare to be challenging. This was particularly notable in situations where support from partners, schools, and workplaces was limited. For single working mothers, the absence of support resources was especially impactful. Mothers often felt overly stressed trying to balance work and family responsibilities, guilty for not meeting their child’s needs, and were worried over their child’s well-being and academic progress and over increasing work demands. Common strategies mothers used to cope with the challenges of home-schooling and/or childcare included adopting a positive outlook, implementing flexible family structures, increasing family connectedness, and negotiating alternative partnership models.The intensification of home-schooling and/or childcare during the lockdown in the United Kingdom negatively affected maternal well-being, particularly due to limited support. These findings underscore the importance of prioritizing maternal wellbeing in post-pandemic recovery efforts. Additionally, they highlight the social dimension of maternal wellbeing and suggest a comprehensive approach to support it that includes both timely access to intervention for mental health but also implementing family-friendly work policies and offering support with childcare and children’s learning as essential measures.
我们研究了英国职业母亲在第一次全国性 COVID-19 封锁期间加强家庭教育和/或儿童保育的经历。我们的重点是了解母亲们是如何从情感和实践两方面应对这一充满挑战的时期的。符合条件的母亲(n = 47;Mage = 39.6)参加了匿名在线调查,并回答了开放式问题。这在伴侣、学校和工作单位的支持有限的情况下尤为明显。对于单亲工作母亲来说,缺乏支持资源的影响尤为严重。为了平衡工作和家庭责任,母亲们常常感到压力过大,为不能满足孩子的需要而内疚,为孩子的健康和学业进展以及日益增加的工作要求而担忧。母亲们用来应对家庭教育和/或儿童保育挑战的常见策略包括:采取积极的态度、实施灵活的家庭结构、增加家庭联系以及协商其他合作模式。在英国封锁期间,家庭教育和/或儿童保育的加强对母亲的幸福产生了负面影响,特别是由于支持有限。这些发现强调了在大流行病后恢复工作中优先考虑孕产妇福祉的重要性。此外,这些研究结果还强调了孕产妇福祉的社会层面,并建议采取综合方法来支持孕产妇福祉,其中既包括及时获得心理健康干预,也包括实施关爱家庭的工作政策,以及作为基本措施提供托儿和儿童学习方面的支持。
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引用次数: 0
Between nature and culture – Interpreting students’ sexuality in physical education 在自然与文化之间--在体育教学中解读学生的性行为
Pub Date : 2024-03-20 DOI: 10.3389/fsoc.2024.1374488
Nicola Böhlke, Benjamin Zander, Daniel Rode
As sexuality in physical education (PE) is often treated as a taboo subject, social media platforms, online chats, and internet forums are emerging as spaces where it is negotiated more openly and broadly by current and former actors of the field. This paper contributes to a better understanding of the discursive construction of sexuality in PE in such online communication.In line with The Sociology of Knowledge Approach to Discourse (SKAD) we investigate basic schemes of interpretation of sexuality with a heterogeneous sample of threads (17 threads from seven different online forums) on different PE situations in Germany. The threads are analyzed using grounded theory coding procedures.Our discourse analysis reveals that the multifaceted and often controversial online discussions are structured by two dominant schemes of interpreting students’ sexuality in PE, both of which are differentiated in complex ways: The online communication draws on – and by that reproduces – a nature and a culture perspective on constellations of body, sex, gender, and sexuality. We detail how from each perspective, different knowledge about these constellations, different everyday phenomena and problems in PE, and different norms for dealing with these phenomena and problems become important.Discussing these results in the context of previous literature, we argue that it is important to address sexuality in a subject-specific approach and take the discursive knowledge and fundamental schemes of interpretation into account that shape the (im-)possibilities of addressing sexuality in PE.
由于体育教育(PE)中的性问题通常被视为禁忌话题,社交媒体平台、在线聊天和网络论坛正在成为体育教育领域的现任和前任参与者更公开、更广泛地讨论性问题的空间。根据 "知识社会学话语方法"(SKAD),我们对德国不同体育情况下的不同主题(来自 7 个不同在线论坛的 17 个主题)进行了调查,研究了对性的基本解释方案。我们的话语分析揭示出,在体育课上对学生性行为的解释有两种主导方案,这两种方案之间存在着复杂的差异:在线交流借鉴了--并由此再现了--关于身体、性、性别和性行为的自然和文化视角。在结合以往的文献讨论这些结果时,我们认为,重要的是要以特定学科的方法来处理性问题,并考虑到形成体育课中性问题的(不)可能性的话语知识和基本解释方案。
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引用次数: 0
Do working parents in the United States expect work location to impact job and family satisfaction in the post-pandemic period? Evidence from a survey experiment 美国的职场父母是否预期工作地点会影响流行病后时期的工作和家庭满意度?来自调查实验的证据
Pub Date : 2024-03-20 DOI: 10.3389/fsoc.2024.1368594
Stephanie Moller, Leah Ruppanner, Jill E. Yavorsky
The pandemic response allowed many parents in the United States and globally to work remotely for the first time ever which, for many, continued into the recovery. It is unclear whether, after a period when a large segment of the United States labor force worked remotely, remote work is viewed favorably or unfavorably among employed parents. We present results from a survey experiment assessing whether employed parents in the United States perceive that remote work will impact a hypothetical employed parents’ job and family satisfaction and, critically, whether perceptions of work–family conflict and anticipated job rewards mediate this relationship. We find that respondents who are also employed parents perceive that hypothetical employed parents who access remote work will report lower job satisfaction and higher family satisfaction. Perceptions of work–family conflict do not mediate this association. Rather, we find that job rewards (e.g., pay, promotion, etc.) fully mediate the relationship between remote work and perceived job satisfaction. Ultimately, this indicates that employed parents perceive that remote work will bring workers like them less pay and thus lower job satisfaction but greater family satisfaction. This extends arguments about remote work in the light of the conceptualization of a flexibility stigma and a flexibility paradox. Implications for practice and theory are discussed.
大流行病应对措施使美国和全球的许多父母有史以来第一次能够远程工作,对许多人来说,这种情况一直持续到灾后恢复。目前还不清楚的是,在美国大部分劳动力远程工作一段时间后,就业父母对远程工作的看法是好是坏。我们介绍了一项调查实验的结果,该实验评估了美国就业父母是否认为远程工作会影响假定就业父母的工作和家庭满意度,以及关键的一点,即对工作与家庭冲突的看法和预期的工作回报是否会调节这种关系。我们发现,同为就业父母的受访者认为,从事远程工作的假设就业父母的工作满意度较低,而家庭满意度较高。对工作与家庭冲突的看法并不能调节这种关系。相反,我们发现工作奖励(如薪酬、晋升等)完全调节了远程工作与感知的工作满意度之间的关系。归根结底,这表明在职父母认为远程工作会给他们这样的工人带来较低的薪酬,从而降低工作满意度,但会提高家庭满意度。这从灵活性烙印和灵活性悖论的概念出发,扩展了有关远程工作的论点。讨论了对实践和理论的影响。
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引用次数: 0
Into the wild: uncertain frontiers and sustainable human–nature interactions 走进野外:不确定的疆界和可持续的人与自然互动
Pub Date : 2024-03-19 DOI: 10.3389/fsoc.2024.1325963
Jennifer Patterson
Humans seldom consider themselves as animals, and that humans are animals is a truth frequently turned into an insulting metaphor indicating “uncivilized” behavior in many cultures. Interestingly, the “civilizing” aspects of Western Culture in the Global North are historically derived from traditions of democracy based on living in cities from which the wild has been banished. This is embedded in the English language since civilizing and civilization come from the Latin for city, civitas, the place where citizens hold voting rights. Beyond the gates of civilization is the wild. How the wild and nature have been constructed and demarcated is an enormously complex and enduring challenge in western philosophy as it relates to knowledge-making, existence, truth, and reality. Indeed, whilst people generally believe they know what nature means, they rarely realize that little in nature is wild. Furthermore, the concept of uncertainty, central to the pandemic, is compounded by climate instability and a potentially disastrous future. This is breaking down what is known, requiring porous and flexible conceptual frontiers and a transdisciplinary approach. This article traces the linguistic separation of humans from their animal origins and wilder environments for political and increasingly greedy economic purposes. It explores the acknowledged complexity of healthy human–nature interactions, juxtaposing information mainly from the humanities and social sciences. Demonstrating how unhealthy the current paradigm has proven to be for humans and the natural world, it brings together conflicting information to disrupt traditional certainties using an innovative bricolage methodology. It weaves and combines different ways of knowing as it considers forms of knowledge-making, rewilding, foraging, the place of magical thinking, and vital force. It concludes that a new paradigm is needed to enable a way of working toward any vision of healthy human–nature interaction.
人类很少认为自己是动物,而在许多文化中,人类是动物这一事实经常被用作侮辱性的隐喻,表示 "不文明 "的行为。有趣的是,在全球北方,西方文化的 "文明 "方面在历史上源于民主传统,而民主的基础是生活在城市中,野性被驱逐出城市。这一点在英语中也有体现,因为 "文明"(civilizing)和 "文明"(civilization)源自拉丁语中的 "城市"(civitas),即公民拥有投票权的地方。文明之门之外是荒野。野性和自然是如何被建构和划分的,这是西方哲学中一个极其复杂和持久的挑战,因为它涉及到知识的创造、存在、真理和现实。事实上,尽管人们普遍认为自己知道自然意味着什么,但却很少意识到自然中几乎没有什么是野性的。此外,"不确定性 "是这一流行病的核心概念,而气候的不稳定性和潜在的灾难性未来则加剧了这一概念。这打破了已知的事物,需要多孔、灵活的概念边界和跨学科的方法。本文追溯了出于政治和日益贪婪的经济目的,在语言上将人类从其动物起源和野生环境中分离出来的过程。文章将主要来自人文科学和社会科学的信息并置,探讨了人类与自然健康互动的公认复杂性。该书采用创新的 "混搭"(bicolage)方法,汇集了相互冲突的信息,打破了传统的确定性,证明了当前的范式对人类和自然世界是多么不健康。该书在探讨知识创造、野化、觅食、神奇思维的地位以及生命力等形式时,编织并结合了不同的认知方式。该书的结论是,需要一种新的范式来实现人类与自然健康互动的愿景。
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引用次数: 0
Intersections in the digital society: cancel culture, fake news, and contemporary public discourse 数字社会中的交叉点:取消文化、假新闻和当代公共言论
Pub Date : 2024-03-18 DOI: 10.3389/fsoc.2024.1376049
Lucia Picarella
This article critically examines the intricate relationship between cancel culture and fake news, shedding light on their collective impact on current societies. The changing social landscape, marked by the transition from the “network society” to the “platform society,” has given rise to unprecedented phenomena such as cancel culture. Rooted in social media complaints, cancel culture intersects with the dissemination of intentionally created false information, forming a complex web of dynamics. The study explores the multifaceted nature of cancel culture, its unintended consequences and the nuanced definitions surrounding it. The synthesis of erasure culture and fake news prompts critical reflections on the democratization of information, the protection of fundamental rights, and the potential risks to democracies of an unbridled online narrative. As digital networks continue to play a central role in everyday life, understanding and addressing these challenges is essential to maintaining a balanced discourse that upholds democratic values.
本文批判性地探讨了取消文化与假新闻之间错综复杂的关系,揭示了它们对当前社会的共同影响。以从 "网络社会 "过渡到 "平台社会 "为标志的不断变化的社会环境催生了前所未有的现象,如取消文化。取消文化植根于社交媒体投诉,与故意制造的虚假信息的传播交织在一起,形成了一个复杂的动态网络。本研究探讨了取消文化的多面性、其意外后果以及围绕它的细微定义。抹杀文化和假新闻的综合促使人们对信息民主化、基本权利保护以及肆无忌惮的网络叙事对民主国家的潜在风险进行批判性反思。随着数字网络继续在日常生活中发挥核心作用,理解和应对这些挑战对于维护民主价值观的平衡话语至关重要。
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引用次数: 0
Editorial: Ethnography in the open science and digital age: new debates, dilemmas, and issues 社论:开放科学和数字时代的人种学:新的辩论、困境和问题
Pub Date : 2024-03-15 DOI: 10.3389/fsoc.2024.1392012
Colin Jerolmack, Alexandra K. Murphy, Victoria Reyes
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引用次数: 0
Editorial: The sociology of gambling 社论:赌博社会学
Pub Date : 2024-03-13 DOI: 10.3389/fsoc.2024.1387929
M. Egerer, S. Kristiansen, V. Marionneau, Jani Selin, J. Järvinen-Tassopoulos
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引用次数: 0
Read like a man: comparing narratives of masculinity in adolescent literature 像男人一样阅读:比较青少年文学中的男性叙事
Pub Date : 2024-03-13 DOI: 10.3389/fsoc.2024.1329041
Francisco Hernandez, Michael Macaluso
Recent movements like #MeToo and #TimesUp have surfaced and challenged ideas about masculinity in popular conversations. In particular, these ideas have centered around “toxic masculinity”—a version of masculinity that reflects stereotyped, dated, and even dangerous expectations for manhood. This notion of masculinity can be reinforced in a number of ways, especially through pop culture, where it runs the risk of becoming commonly accepted or normalized. This study evaluates the narratives of masculinity in three different novels that are marketed toward high school-aged students in the United States: Lord of the Flies; Gabi, A Girl in Pieces; and Aristotle and Dante Discover the Secrets of the Universe. Using a critical literacy lens, this study considers the symbols, behaviors, expectations, and meanings given to masculinity in and through each novel and considers the implications of this analysis for adolescent readership inside and outside of schooling. The study concludes that the more contemporary novels showcase a range of masculine portrayals, including positive, affirming versions of masculinity, compared to a more singular and pessimistic one found in a novel traditionally used in schools. Thus, the study concludes that formal schooling may be an important way to address and disrupt unhealthy versions of masculinity.
最近,#MeToo 和 #TimesUp 等运动浮出水面,并在大众对话中对有关男子气概的观点提出了挑战。尤其是,这些观点都围绕着 "有毒的男性气质"--一种反映了陈旧、过时甚至危险的男性期望的男性气质。这种男子气概的概念可以通过多种方式得到强化,尤其是通过流行文化,它有可能被普遍接受或正常化。本研究评估了三部面向美国高中生的不同小说中的男性叙事:蝇王》、《加比,一个破碎的女孩》和《亚里士多德和但丁发现宇宙的秘密》。本研究采用批判性识字的视角,探讨了每部小说中以及通过每部小说赋予男性气质的象征、行为、期望和意义,并思考了这一分析对校内外青少年读者的影响。研究得出的结论是,与传统学校小说中较为单一和悲观的男性形象相比,现代小说展示了一系列男性形象,包括积极的、肯定的男性形象。因此,研究得出结论,正规学校教育可能是解决和瓦解不健康的男性形象的重要途径。
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引用次数: 0
Sexual experiences among multicultural adolescents in Korea: evidence from the Korean Youth’s Risk Behavior Survey 韩国多元文化青少年的性经历:韩国青少年危险行为调查提供的证据
Pub Date : 2024-03-12 DOI: 10.3389/fsoc.2024.1353304
Keuntae Kim, Se Hee Jo
Several studies have examined adolescent sexual behaviors by family immigration status, but most of these failed to account for heterogeneity within youths’ multicultural backgrounds. To fill this gap in the literature, this paper draws data from the 2011 to 2022 rounds of the Korean Youth’s Risk Behavior Survey (N = 769,160) and compares the likelihood of sexual intercourse across four groups of adolescents. Results from logistic regression indicate that the odds of having sexual contact increased 2.8 times for youths with a non-Korean father and Korean mother, compared with those from families with two Korean parents. When both father and mother are foreign-born, the odds of being sexually active increased 4.7 times. In both cases, the discrepancies might be primarily associated with the foreign fathers’ lack of socioeconomic resources. Therefore, the father’s role deserves more examination, and sex education in schools should be tailored to reflect multicultural adolescents’ needs.
有几项研究按家庭移民身份对青少年性行为进行了调查,但其中大多数都没有考虑到青少年多元文化背景的异质性。为了填补这一文献空白,本文从 2011 年至 2022 年的韩国青少年风险行为调查(N=769,160)中提取数据,比较了四组青少年发生性行为的可能性。逻辑回归结果表明,与父母均为韩国人的家庭相比,父亲为非韩国人、母亲为韩国人的青少年发生性接触的几率增加了 2.8 倍。如果父亲和母亲都在外国出生,那么性活跃的几率会增加 4.7 倍。在这两种情况下,差异可能主要与外籍父亲缺乏社会经济资源有关。因此,父亲的角色值得更多研究,学校的性教育也应反映多元文化青少年的需求。
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引用次数: 0
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