'Healthy weight' at what cost? 'Bulimia' and a discourse of weight control

'Healthy weight' at what cost? 'Bulimia' and a discourse of weight control
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DOI:
10.1177/1359105304044039
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发表时间:
2004-07-01
影响因子:
3.2
通讯作者:
Gavey, Nicola
Gavey, Nicola
中科院分区:
心理学3区
文献类型:
--
作者:
Burns, Maree;Gavey, Nicola

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强调“健康体重”的公共卫生信息将良好的健康与范围狭窄的体重和压力能量调节联系起来,以实现这一目标。我们调查了患有贪食症的女性在谈论身体管理活动时是否会使用“健康体重”的概念。分析基于对15名患有贪食症的妇女的采访,以及从包含“健康促进”建议的文化场所收集的材料。后结构主义话语分析表明,苗条在这两个地方都被认为是健康的,对能量摄入和输出的仔细调节同样被具体化为一种健康的实践。我们得出的结论是,“健康体重”的论述不能脱离女性苗条的文化要求,而且自相矛盾的“健康”做法为暴饮暴食和补偿行为提供了一种合理性。
Public health messages emphasizing 'healthy weight' link good health to a narrow range of body weights and stress energy regulation to achieve this. We examined whether women who practise bulimia deploy notions of 'healthy weight' in their talk about body management activities. Analysis is based on interviews with 15 women who practise bulimia and on material collected from cultural locations containing 'health promotion' advice. Poststructuralist discourse analysis revealed that slenderness was constituted as healthy in both sites and that the careful regulation of energy intake and output was similarly reified as a healthy practice. We conclude that a discourse of 'healthy weight" cannot be unhinged from a cultural imperative of slenderness for women, and that paradoxically 'health' practices provide a rationality that supports the practices of binge eating and compensating.