Joki Anu, Venäläinen Satu, Konttinen Hanna, Mäkelä Johanna, Fogelholm Mikael
Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
Psychol Health. 2023 Nov-Dec;38(12):1702-1724. doi: 10.1080/08870446.2022.2043316. Epub 2022 Feb 24.
Public health messages encourage maintaining a stable weight and are influential in shaping normative weight management discourses. We studied how individuals with different weight maintenance histories constructed relations to these discourses in their sense-making on weight management.
Our study used critical discursive psychology (CDP) as a theoretical and methodological framework for examining the accounts of 20 lifelong weight maintainers and 20 weight-loss maintainers (altogether 17 men and 23 women, aged 51-74).
We identified three interpretative repertoires the participants used for making sense of weight management. The lifelong weight maintainers and weight-loss maintainers differed in their ways of using three repertoires. The "everyday challenges" repertoire that emphasized external obstacles was most emphatic in weight-loss maintainers' accounts of unsuccessful weight management, and the "following instructions" repertoire that highlighted control and disciplined behavior in their accounts of success. The "lifestyle and personalized routines" repertoire that stressed customized needs and routinization of practices was most prominent in lifelong weight maintainers' accounts of successful weight management.
Our findings stress the importance of alternative ways of talking about and supporting weight management to prevent stigmatization. In conclusion, we suggest employing morally neutral language by focusing on lifestyle and wellbeing instead of weight.
公共卫生信息鼓励保持稳定体重，并在塑造规范性体重管理话语方面具有影响力。我们研究了具有不同体重维持历史的个体在体重管理的意义建构中如何与这些话语建立联系。
我们的研究使用批判性话语心理学（CDP）作为理论和方法框架，来审视20名终身体重维持者和20名减肥维持者（共17名男性和23名女性，年龄在51 - 74岁之间）的叙述。
我们确定了参与者用于理解体重管理的三种解释性语汇。终身体重维持者和减肥维持者在使用这三种语汇的方式上存在差异。强调外部障碍的“日常挑战”语汇在减肥维持者对体重管理失败的叙述中最为突出，而强调控制和自律行为的“遵循指示”语汇在他们对成功的叙述中最为突出。强调定制需求和行为常规化的“生活方式和个性化日常”语汇在终身体重维持者对成功体重管理的叙述中最为显著。
我们的研究结果强调了以替代方式谈论和支持体重管理以防止污名化的重要性。总之，我们建议通过关注生活方式和幸福感而非体重来使用道德中立的语言。
