Epistemological and ethical assessment of obesity bias in industrialized countries.

Epistemological and ethical assessment of obesity bias in industrialized countries.
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DOI:
10.1186/1747-5341-6-16
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发表时间:
2011-12-16
期刊:
Philosophy, ethics, and humanities in medicine : PEHM
影响因子:
--
通讯作者:
Joy, Tisha R
Joy, Tisha R
中科院分区:
其他
文献类型:
--
作者:
Azetsop, Jacquineau;Joy, Tisha R

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伯纳德·洛纳根的认知理论向我们提出了两个问题,一个是肥胖被视为行为改变问题的认知过程,另一个是这种道德判断的客观性。朗纳根的理论提供了理论工具来确认,在美国和许多工业化国家,反脂肪歧视是群体偏见和反智主义普遍偏见的结果,前者拒绝洞察其他群体的利益,后者倾向于将常识与需要任何彻底科学分析的见解对立起来。虽然普遍的偏见转移了公众对肥胖真正病因的注意力,但群体偏见维持着一种反脂肪文化,这种文化微妙地使针对肥胖者的歧视性做法和政策合法化。尽管反歧视法似乎是保护肥胖和超重个人免受歧视的一种合理方式,但解决肥胖偏见的最佳方法是从环境角度重新审视肥胖辩论,从环境角度开发工具和战略,以解决肥胖的社会和个人决定因素。不应将注意力集中在个人行为上,因为它与生活方式选择有关,而不应适当考虑挑战肥胖偏见的社会和理性盲目性的包罗万象的制约因素。
Bernard Lonergan's cognitive theory challenges us to raise questions about both the cognitive process through which obesity is perceived as a behaviour change issue and the objectivity of such a moral judgment. Lonergan's theory provides the theoretical tools to affirm that anti-fat discrimination, in the United States of America and in many industrialized countries, is the result of both a group bias that resists insights into the good of other groups and a general bias of anti-intellectualism that tends to set common sense against insights that require any thorough scientific analyses. While general bias diverts the public's attention away from the true aetiology of obesity, group bias sustains an anti-fat culture that subtly legitimates discriminatory practices and policies against obese people. Although anti-discrimination laws may seem to be a reasonable way of protecting obese and overweight individuals from discrimination, obesity bias can be best addressed by reframing the obesity debate from an environmental perspective from which tools and strategies to address both the social and individual determinants of obesity can be developed. Attention should not be concentrated on individuals' behaviour as it is related to lifestyle choices, without giving due consideration to the all-encompassing constraining factors which challenge the social and rational blindness of obesity bias.