Theorizing health at every size as a relational-cultural endeavour
Theorizing health at every size as a relational-cultural endeavour
复制标题
将各种规模的健康理论视为一种关系文化的努力
DOI：
10.1080/09581596.2013.797565
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发表时间：
2013
影响因子：
2.8
通讯作者：
Brady J
中科院分区：
文献类型：
--
作者：
Brady J
主流饮食学支持传统的体重管理议程，该议程与体重关注、身体不满意、尺寸压迫和饮食问题有关。与这一议程相一致的是健康主义，它们综合在一起阻碍了营养师参与各种规模的健康（HAES）范式，这是一种由对平等的关注驱动的范式。然而，HAES 也因具有健康主义倾向而受到批评。本文的目的是探讨如何通过关系文化理论 (RCT) 提供的视角重新构想 HAES，以提供一种激进且更加社会公正的饮食实践愿景。我们将关系文化理论作为补充理论视角，以加深理解并将基于 HAES 的饮食实践政治化。我们建议 RCT 允许对以体重为中心的准则进行批判性的、关系性的和政治性的修改，并通过强调客户和从业者内部和之间的相互同理心和相互成长来阐述 HAES。此外，出现了权力、道德生存和知识等问题，我们认为正是这些问题使得社会公正、非健康主义的 HAES 实践得以蓬勃发展。
Mainstream dietetics buttresses a conventional weight management agenda that is associated with weight preoccupation, body dissatisfaction, size oppression, and troubled eating. Coterminous with this agenda is healthism, which taken together, impede dietitians’ engagement with a health at every size (HAES) paradigm, a paradigm driven by concern for equality. Yet, HAES has also been critiqued for having healthist tendencies. The purpose of this paper is to explore how HAES might be reimagined through the lens offered by relational cultural theory (RCT) to offer a radical and more socially just vision of dietetic practice. We posit relational–cultural theory as a complementary theoretical perspective to deepen understandings and to politicize HAES-based dietetic practice. We suggest that RCT permits a critical, relational, and political revisioning of the weight-centred canon and elaborates HAES by emphasizing mutual empathy and reciprocal growth within and between the client and practitioner concomitantly. Moreover, questions of power, ethical survival, and knowledge emerge which is what we contend makes it possible for a socially just, nonhealthist HAES practice to flourish.