Trainer Sarah, Wutich Amber, Brewis Alexandra
a Obesity Solutions, Arizona State University , Tempe , Arizona , USA.
b School of Human Evolution and Social Change, Arizona State University , Tempe , Arizona , USA.
Med Anthropol. 2017 Jul;36(5):500-514. doi: 10.1080/01459740.2017.1298595. Epub 2017 Mar 16.
In this article, we explore the processes by which surveillance of eating and weight is coupled with popular and medical ideas about discipline, responsibility, and moral worth for individuals identified as fat/obese. We then follow these individuals through bariatric surgery and weight loss, paying attention to what discourses and practices shift and what remain unchanged. We argue that weight loss does not temper the intensity and constancy of surveillance, because it is at the core of ideas concerning good citizenship and personal responsibility. Accompanying judgments do shift, however, as the perceptions of failure at disciplined "healthy" eating associated with fatness give way to more diverse attitudes post surgery. This analysis also highlights the fact that public and clinical perceptions of "troubled eating" often rely not on eating practices but on the types of bodies that are doing the consuming.
在本文中，我们探讨了对饮食和体重的监测过程，这些过程与针对被认定为肥胖个体的关于自律、责任和道德价值的大众观念及医学观念相关联。然后，我们追踪这些个体接受减肥手术及体重减轻的过程，留意哪些话语和做法发生了变化，哪些保持不变。我们认为，体重减轻并未缓和监测的强度和持续性，因为它处于有关良好公民身份和个人责任的观念核心。然而，伴随的评判确实发生了变化，因为与肥胖相关的有节制的“健康”饮食失败的观念，让位于手术后更多样化的态度。这一分析还凸显了这样一个事实，即公众和临床对“饮食问题”的认知往往并非基于饮食行为，而是基于进行饮食的身体类型。
