The Social Construction of Fat: Care and Control in the Public Concern for Healthy Behaviour

Especially during the last decade populations of modern affluent societies are warned by scientist, politicians, media and interest groups that there is an obesity epidemic. Being overweight is now not only culturally condemned, but also medically and politically defined as a major public health threat. This article presents three lines of critique which is offered against this dominant public perception. Some argue that we need to change our attitude to fat irrespective of the medical truth. Others agree there is a problem, but they disagree with the analysis and therefore offer other solutions. Most fundamental is the kind of critique that starts with the question ‘But is it true?’ This question leads to three major conclusions. First, it turns out that the medical science is flawed, one‐sided and contradicted. Second, because there are no effective therapies, present policies produce major negative side‐effects. And third, these policies produce and legitimize discriminatory practices. A general conclusion which can be drawn from this critical literature is that the present risk discourse on fat has much more to do with social and cultural issues like power, blame and control than with health problems.     

Fat talk: A citizen sociolinguistic approach

Fat talk, or self‐disparaging talk about the body, is common among US women and increasingly reported for men. Despite its commonality, this unique genre of talk is difficult to access using traditional sociolinguistic methods both because it is brief and because it arises spontaneously in casual conversation. Here we present a new method of data collection accomplished by collaborating with citizen sociolinguists to collect spontaneous fat talk in public spaces. We compare fat talk exchanges captured by citizen sociolinguists against those collected in a vignette‐based discourse completion task. Our results show redundancy both in how fat talk is initiated and in the manner of the reply across both forms of data collection. However, the citizen sociolinguistic method produced greater variety in fat talk utterances, was less methodologically taxing, and revealed that fat talk occurs differently in same‐sex interactions than mixed‐sex ones.     

Framing the Fat Body: Contested Meanings between Government,Activists, and Industry*

Sociologists have long recognized that social problems do not derive solely from objective conditions but from a process of collective definition. At the core of some social issues are framing competitions, struggles over the production of ideas and meanings. This article examines competing cultural meanings about the fat body. Through frame analysis of organizational materials, I map the contested field of obesity and document three cultural frames—medical frame, social justice frame, and market choice frame—as represented by the Centers for Disease Control and Prevention (CDC), the National Association to Advance Fat Acceptance (NAAFA), and the food industry group the Center for Consumer Freedom (CCF), respectively. Using the “framing matrix,” I explore each frame's key signature elements and discuss its social and cultural significance. Notably, each frame leads to different outcomes for social equality and how society thinks about fat bodies, health, and public policy.     

AMERICAN MEDICINE AND DIVIDED MOTHERHOOD:

On the basis of interview data, this article examines the mothering practices of three women, one Jew and two African-Americans, who raised their children in the 1930s and 1940s, a period in which medicine became the dominant discourse of motherhood. Each mother referred to medicalized motherhood with a discourse of scientific universals (e.g. "it was scientific"). Yet their approach to medicalized motherhood reflects their racial, ethnic and social class positions. Medicalization gained meaning for women not as an abstract body of scientific knowledge but as a signifier of social position, enabling mothers to measure their own practices in relation to others. If women were injured by medical discourse, as a long line of scholars suggest they have been, it is not because medicine rendered them the objects of a standardized construction of "the good mother.' Rather, it is because medicalization invited mothers to participate in creating and measuring separation among women themselves.     

TOWARD A THEORY OF FRAMES AND REFRAMING: THE SOCIAL NATURE OF FRAMES*

The therapeutic use of reframing is fundamental to strategic therapy, yet we lack an adequate conceptual scheme for understanding the critical elements of effective reframings. Some background for the concepts of frame and reframing are provided, along with clinical examples. Much of the existing literature links reframing to what has been termed “radical constructivisim,” a theory that knowledge is a personal construction, a creation, rather than a discovery. Both the contribution and the limitations of radical constructivism are noted. It is criticized for minimizing the extent to which individuals' construction of their predicaments are social in nature and an adaptation to influences that are independent of individual cognitive activity. Clinical imlications of this perspective are explored.     

“Get Therapy and Work on It”: Managing Dissent in an Intentional Community

Based on two years of fieldwork in an intentional community that was officially both egalitarian and therapeutic, we examine how community founders used a discourse of liberation psychotherapy to maintain power over newcomers. When newcomers expressed their desire for more financial accountability or for limiting the expression of anger, the founders managed such dissent by (1) reframing community problems as psychological issues, (2) discrediting critics as psychologically troubled, and (3) emotionally attacking recalcitrant newcomers. In contrast to those who argue that a discourse emphasizing emotions fosters equality within social movement and utopian communities, we show that it depends on how people use the discourse. Our study points to the importance of interaction for research on discourse as well as the importance of discourse for an interactionist approach to power.     

Negotiating a moral identity in the context of later life care

Strategies to maintain independence for older people have received considerable attention as a social policy solution to the financial and social impact of the ageing population. Critical scholars in gerontology have also highlighted the negative consequences of promoting independence in this way. Understandings of independence have profound implications for caring relationships as people age. To investigate the ways that older people talk about caring we interviewed 48 people aged 55-70years. A discourse analysis of these data showed that a dominant discourse of 'independence' was drawn upon to value self-sufficiency and construct dependence on others as burdensome. This construction of care provides a comfortable position for those who can afford to purchase professional care; however, those without resources are unable to accept unpaid help without also accepting a position of dependency. An alternative discourse of 'being there' constructs having others to provide personal care as a virtue and obligations to provide such care as based on family duty and affection. This discourse emphasises connections between people and a moral obligation to care which also creates difficulties for those with fewer material resources. The position for a dependent older subject in these two discourses may seem incompatible but can be reconciled by reframing independence as autonomy. Autonomy for those requiring care alongside a wider recognition of caring as the responsibility of all members of the community rather than with individual family members would support a flexible approach to later life care arrangements.     

Sound,silence, music: Organizing audible work settings

Music is by and large an underexplored social resource in the organization theory framework. There is small but intriguing literature on the uses of music in organizations, stretching back to the days of the engineering revolution, and a body of texts examining the innovation of musical instruments, but music remains primarily a marginal phenomenon in organization theory. Drawing on a variety of literatures, this paper suggests that music plays a key role in creating possibilities for agency. Studies of the use of music in manufacturing settings and in retailing provide empirical evidence of how music is not detached from broader social interests and concerns but rather is a constitutive element in the social fabric. The paper concludes that music and the scholarly field of musicology are two domains to be further explored in organization theory and management studies.     

Imagining Social Work: A Qualitative Study of Students' Perspectives on Social Work in China

Social work education in China has expanded rapidly since it was reintroduced in 1988. This has led to a growing body of English language literature on the development of social work education in China. However, thus far, this literature lacks an empirical foundation and little research on students' perspectives has been done. To fill this gap, this paper reports on a qualitative study of a group of graduating social work students (n = 32) from four social work programmes in Jinan, the provincial capital of the Shandong Province. Three major findings are reported. Firstly, the students liken their social work learning experience to a roller coaster ride with many ups and downs. Secondly, the cultural compatibility of western social work in China has not yet been conclusively established, while an ‘indigenized’ social work needs to be compatible with Chinese family values, referred to as ‘familism’ in direct Chinese to English translation, and with the dominant socialist political ideology. Thirdly, the future of social work is bright given increasing government support for its development.     

Warrior Heroes and Little Green Men: Soldiers,Military Training,and the Construction of Rural Masculinities*

Abstract In this paper I examine military masculinities as a form of rural masculinity. I argue that one model of military masculinity, the warrior hero, acts as a dominant military construction of masculinity. I examine how the countryside as a location, and rurality as a social construction, impinge upon the construction of the ideal type of the warrior hero. The paper draws on recruitment literature, Ministry of Defence publicity materials, popular accounts of soldiering, and Army videos to trace out the practices and representations that construct the dominant discourse of the warrior hero. The paper is grounded conceptually in theories of gender identity and rurality as social constructions. I conclude by questioning the political consequences, both for rural life and for the armed forces, of this hegemonic model of masculinity.     

Social exclusion,mobility and access1

Much of the literature on social exclusion ignores its ‘spatial’ or ‘mobility’ related aspects. This paper seeks to rectify this by examining the mobile processes and infrastructures of travel and transport that engender and reinforce social exclusion in contemporary societies. To the extent to which this issue is addressed, it is mainly organized around the notion of ‘access’ to activities, values and goods. This paper examines this discourse in some detail. It is argued that there are many dimensions of such access, that improving access is a complex matter because of the range of human activities that might need to be ‘accessed’, that in order to know what is to be accessed the changing nature of travel and communications requires examination, and that some dimensions of access are only revealed through changes in the infrastructure that ‘uncover’ previously hidden social exclusions. Claims about access and socio‐spatial exclusion routinely make assumptions about what it is to participate effectively in society. We turn this question around, also asking how mobilities of different forms constitute societal values and sets of relations, participation in which may become important for social inclusion. This paper draws upon an extensive range of library, desk and field research to deal with crucial issues relating to the nature of a fair, just and mobile society.     

"MY PROBLEM AND HOW I SOLVED IT":

Social scientists have generated a vast literature on domestic violence, a small part of which has entered the popular media and the consciousness of its consumers. As yet there has been little scholarly investigation of this popular body of knowledge on domestic violence. Using a qualitative analysis of popular women's magazine articles and magazine writers' guidebooks, I investigate the content, creation, and impact of this popular discourse. In this study, I demonstrate that the majority of articles in popular women's magazines continue to portray the public issue of domestic violence as a private problem. Not only is it portrayed as a private problem but most often it is the victim's problem. The dominant individual perspective that places responsibility on the victim normalizes the idea that victims should be held responsible for solving the problem. Finally, I demonstrate how the writing and editorial practices of these popular women's magazines contribute to the dominance of assigning responsibility for domestic violence to individuals.     

“A Community of Communities”– Catholic Communitarianism and Societal Crises in Ireland, 1890s–1950s1

Abstract This article argues that discourse on community as a socio‐political problem needs to be located within historical, institutional, and socio‐structural contexts if it is to be properly understood. In particular, it suggests that the role of religion in promoting forms of communitarian discourse and practice needs to be given greater attention than it has hitherto received within the social sciences. The article pursues this argument through examination of the religious discourse on community cultivated and promoted by the Catholic Church in the nineteenth and twentieth centuries. By providing an analysis of its role in Catholic responses to three major socio‐political crises in Ireland between the 1890s and 1960s, the paper suggests that not only does socio‐religious discourse on community constitute a powerful alternative to secular social‐scientific discourses, but that such discourse is particularly effective in helping to constitute specific groups as communities, given favourable sociological conditions.     

Dangerous Machinery: “Conspiracy Theorist” as a Transpersonal Strategy of Exclusion

In a culture of fear, we should expect the rise of new mechanisms of social control to deflect distrust, anxiety, and threat. Relying on the analysis of popular and academic texts, we examine one such mechanism, the label conspiracy theory, and explore how it works in public discourse to “go meta” by sidestepping the examination of evidence. Our findings suggest that authors use the conspiracy theorist label as (1) a routinized strategy of exclusion; (2) a reframing mechanism that deflects questions or concerns about power, corruption, and motive; and (3) an attack upon the personhood and competence of the questioner. This label becomes dangerous machinery at the transpersonal levels of media and academic discourse, symbolically stripping the claimant of the status of reasonable interlocutor—often to avoid the need to account for one's own action or speech. We argue that this and similar mechanisms simultaneously control the flow of information and symbolically demobilize certain voices and issues in public discourse.     

Beyond Bluff oysters? Place identity and ethnicity in a peripheral coastal setting

Studies of culture and place form a long tradition in geography but, within rural studies, less attention has been given to the ways in which contrasting ethnicities intersect with specific places and landscapes. Recently, an increasing number of authors have noted how dominant Anglophone, western, ethnicities (frequently labelled ‘white’) have been privileged in British, Australian and New Zealand settings and this paper engages that literature. We use a detailed case study of place identity in Southern New Zealand to show how a composite appreciation of ethnicity provides a deeper understanding of place identity. As such we demonstrate how place and ethnicity intersect via diverse landscapes, social interaction sites and cultural practices.     

Do families in poverty need child and family social work?

This article attempts to contribute to the historically relevant debate about the role of social work in poverty situations, focusing on the emblematic and radical question whether the poor actually need social work. In the context of the currently dominant policy framework in European welfare states, that is underpinned by the emerging paradigm of social investment, we argue that it is extremely relevant to readdress this question. Within this development, the eradication of child poverty has been considered a key target of poverty reduction strategies and child and family social work has consequently been assigned a pivotal role in the fight against the intergenerational transmission of poverty. We demonstrate that the rhetoric of social investment has found a practical implementation in social work constructing the problem of poverty in terms of education and activation of both the child and the individual parent. Based on an extensive review of literature, we discuss underlying assumptions, consequences and pitfalls of the paradigm of social investment for social work and tease out whether, and on which conditions, poor families need child and family social work.     

Cultural Discourse in Action: Interactional Dynamics and Symbolic Meaning

Cultural sociology has recently developed new tools with which to understand and analyze meaning in terms of cultural discourse. Specifically, this paper further develops the Alexanderian form of discourse analysis through application on the micro-level. Utilizing extensive ethnographic data, the mythopoetic men's movement is examined in terms of how its participants construct political meaning that motivates and guides their action. In empirical detail, these actors can be seen as creating a cultural discourse that constitutes the social movement at a fundamental level while at the same time the discourse is continually negotiated, contested, and reconfigured. Exposed is the “discourse of liberational masculinity” which is used by movement participants to challenge and confront hegemonic masculinity in American society. Examining the mythopoetic men's movement from this perspective demonstrates the analytic utility of this approach through revealing in unique ways the dynamics of morality, political belief, and perceived hegemony within this popular contemporary social movement.     

Reproductive genetics,gender and the body: 'please doctor,may I have a normal baby?'

This paper's purpose is to highlight key sociological issues, that come to light when 'the body' becomes a theoretical site in reproductive genetics. By positioning the body as a central feature in this analysis, the paper: (1) describes how a mechanistic view of the body continues to be privileged in this discourse and the effects of this view; (2) examines how reproductive limits are practised on the gendered body through a feminised regime of reproductive asceticism and the discourse on shame; and (3) explores the social effects and limitations of reproductive genetics in relation to disability as a cultural representation of impaired bodies. The central assumption concerning reproductive genetics are that it appears within surveillance medicine as a part of a disciplinary process in society's creation of a genetic moral order, that it is mobilised by experts for the management of reproductive bodies and that it constructs a limited view of the body. Thus, the way reproductive genetics operatives tends to hide the fact that what may appear as 'defective genes' is a result of a body's interaction not only with the environment but also gendered social practices valorised by difference as well as rigid definitions of health and illness. The research is from a 1995-96 European study of experts interviewed in four countries.     

Neighborhood Crime Rate,Weight‐Related Behaviors,and Obesity: A Systematic Review of the Literature

A growing body of literature has focused on the link between objectively‐measured neighborhood crime rates, obesity, and weight‐related behaviors including physical activity and diet. Through a systematic search of this literature, the current review evaluates these relationships and stratifies by type of crime (violent or property). Searches on PubMed, Web of Science, and Google Scholar retrieved 24 articles on physical activity/inactivity and 19 articles on obesity or diet. Evidence points to neighborhood crime as being positively associated with obesity and physical inactivity. Studies differentiating these associations by type of crime were lacking, although findings suggest that the link between neighborhood crime and physical activity is stronger for females versus males. Fear of victimization is one explanation for this pattern. Limitations of extant studies are explored, and suggestions for future research are outlined.     

Taking a stand or playing it safe?: resisting the moral conservatism of risk in social work practice

An emergent critical social work risk literature positions risk as a morally conservative construct that has repressive effects in direct social work practice. In this literature it is argued that how risk is defined and operationalised in social work reflects the political dominance of neo-liberalism as an ethos of government within the context of the social and cultural conditions of the risk society. This narrative is fast becoming a dominant perspective in the social work literature. However, this perspective in effect creates a ‘catastrophe story’ where there is little room to envisage an alternative social work practice that is able to resist the conservative effects of risk. In addition there is little empirical evidence to support the relevance of this pessimistic view to the embodied aspects of social work interventions. This paper presents initial findings of a study undertaken in Australia that has explored whether risk is necessarily as totalising of our professional identities, and in turn our practices, as is suggested by this literature. The findings indicate that whilst practitioners were interpellated within conservative contexts in their front-line practice, ethical, moral and value standpoints assisted practitioners to resolve the moral dilemmas posed by risk.