This article reports the results of a Foucauldian-informed discourse analysis exploring representations of fatness embedded within an empirically based psychological treatment manual for binge eating disorder, a condition characterized by overvaluation of weight and shape. Analyses indicate that the manual prioritizes weight loss with relatively less emphasis placed on treating the diagnostic symptoms and underlying mechanisms of binge eating disorder. We raise critical concerns about these observations and link our findings to mainstream psychology’s adoption of the medical framing of fatness as obesity within the “gold standard” approach to intervention. We recommend that psychology as a discipline abandons the weight loss imperative associated with binge eating disorder and fat bodies. We recommend that practitioners locate the problem of fat shame in society as opposed to the individual person’s body and provide individuals with tools to identify and resist fat stigma and oppression, rather than provide them with tools to reshape their bodies.
AgellGRothblumED (1991) Effects of clients’ obesity and gender on the therapy judgments of psychologists. Professional Psychology: Research and Practice22: 223–229.
2.
AgrasWSAppleRF (2007) Overcoming Eating Disorders: A Cognitive-Behavior Therapy Approach for Bulimia Nervosa and Binge-Eating Disorder (Therapist Guide). 2nd ed.New York: Oxford University Press.
3.
American Psychiatric Association (APA) (2013) Diagnostic and Statistical Manual of Mental Disorders. 5th ed.Washington, DC: APA.
4.
Arribas-AyllonMWalkerdineV (2008) Foucauldian discourse analysis. In: WilligCStainton-RogersW (eds) The SAGE Handbook of Qualitative Research in Psychology. Thousand Oaks, CA: SAGE, pp. 91–108.
5.
BaconL (2010) Health at Every Size: The Surprising Truth About Your Weight. 2nd ed.Dallas, TX: BenBella Books.
6.
BaconLAphramorL (2011) Weight regulation: A review of the evidence for a paradigm shift. Nutrition Journal10(9): 1–13.
7.
Bennett JohnsonS (2012) Addressing the obesity epidemic: Why should psychologists care?Monitor on Psychology43(4): 5.
8.
BrotmanAWSternTAHerzogDB (2012) Emotional reactions of house officers to patients with anorexia nervosa, diabetes, and obesity. International Journal of Eating Disorders3: 71–77.
9.
BrownI (2006) Nurses’ attitudes towards adult patients who are obese: Literature review. Journal of Advanced Nursing53(2): 221–232.
10.
BurrV (2003) An Introduction to Social Constructionism. 2nd ed.London: Routledge.
11.
CamposP (2004) The Obesity Myth: Why America’s Obsession with Weight is Hazardous to Your Health. New York: Gotham Books.
12.
CamposP (2011) Does fat kill? A critique of the epidemiological evidence. In: RichEMonaghanLAphramorL (eds) Debating Obesity: Critical Perspectives. New York: Palgrave Macmillan, pp. 36–59.
13.
CamposPSaguyAErnsbergerP. (2006) The epidemiology of overweight and obesity: Public health crisis or moral panic?International Journal of Epidemiology35(1): 55–60.
14.
CooperC (2010) Fat studies: Mapping the field. Sociology Compass4(12): 1020–1034.
15.
DaviesBHarréR (1990) Positioning: The discursive production of selves. Journal for the Theory of Social Behaviour20(1): 43–63.
16.
Davis-CoelhoKWaltzJDavis-CoelhoB (2000) Awareness and prevention of bias against fat clients in psychotherapy. Professional Psychology: Research and Practice31(6): 682–684.
17.
FoucaultM (1972) The Archaeology of Knowledge. New York: Harper & Row.
18.
FoucaultM (1977) Discipline and Punish: The Birth of the Prison. New York: Vintage Books.
19.
FriedmanKEReichmannSKCostanzoPR. (2005) Weight stigmatization and ideological beliefs: Relation to psychological functioning in obese adults. Obesity Research12: 907–916.
20.
FruehJ (2001) Monster/Beauty: Building the Body of Love. Berkeley, CA: University of California Press.
21.
GardMWrightJ (2005) The Obesity Epidemic: Science, Morality and Ideology. New York: Routledge.
22.
GibbsWW (2005) Obesity: An overblown epidemic?Scientific American292: 70–77.
23.
GriloCMHraboskyJLWhiteMA. (2008) Overvaluation of shape and weight in binge eating disorder and overweight controls: Refinement of a diagnostic construct. Journal of Abnormal Psychology117(2): 414–419.
24.
GriloCMMashebRMWhiteMA (2010) Significance of overvaluation of shape/weight in binge-eating disorder: Comparative study with overweight and bulimia nervosa. Obesity18(3): 488–504.
25.
GriloCMWhiteMAMashebRM (2012) Significance of overvaluation of shape and weight in an ethnically diverse sample of obese patients with binge-eating disorder in primary care settings. Behaviour Research and Therapy50(5): 298–303.
26.
GruczaRAPrzybeckTRCloningerCR (2007) Prevalence and correlates of binge eating disorder in a community sample. Comprehensive Psychiatry48(2): 124–131.
27.
HansenECEasthopeG (2007) Lifestyle in Medicine. London: Routledge.
28.
JutelA (2006) The emergence of overweight as a disease entity: Measuring up normality. Social Science & Medicine63(9): 2268–2276.
29.
JutelA (2009) Doctor’s orders: Diagnosis, medical authority and the exploitation of the fat body. In: WrightJHarwoodV (eds) Biopolitics and the “Obesity Epidemic”: Governing Bodies. New York: Routledge, pp. 60–77.
30.
LaMarreARiceC (2015) Normal eating is counter-cultural: Embodied experiences of eating disorder recovery. Journal of Community & Applied Social Psychology26: 136–149.
31.
LuptonD (2014) “How do you measure up?” Assumptions about “obesity” and health-related behaviors and beliefs in two Australian “obesity” prevention campaigns. Fat Studies: An Interdisciplinary Journal of Body Weight and Society3(1): 32–44.
32.
McHughMCKasardoAE (2012) Anti-fat prejudice: The role of psychology in explication, education and eradication. Sex Roles66(9–10): 617–627.
33.
MarcusMDWildesJE (2012) Obesity in DSM-5. Psychiatric Annals42(11): 431–435.
34.
National Heart, Lung, and Blood Institute (1998) Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Institutes of Health.
35.
OlsonMBKelseySFBittnerV. (2000) Weight cycling and high-density lipoprotein cholesterol in women: Evidence of an adverse effect: A report from the NHLBI-sponsored WISE study. Journal of the American College of Cardiology36(5): 1565–1571.
36.
O’ReillyC (2011) Weighing in on the Health and Ethical Implications of British Columbia’s Weight-Centered Health Paradigm. Victoria, BC: Simon Fraser University.
37.
O’ReillyCSixsmithJ (2012) From theory to policy: Reducing harms associated with the weight-centered health paradigm. Fat Studies: An Interdisciplinary Journal of Body Weight and Society1(1): 97–113.
ParrJRasmussenN (2012) Making addicts of the fat: Obesity, psychiatry and the “fatties anonymous” model of self-help weight loss in the post-war United States. In: NetherlandJ (ed.) Advances in Medical Sociology: Critical Perspectives on Addiction, vol. 14. Bingley: Emerald Group Publishing Limited, pp. 181–200.
40.
PattonGCSelzerRCoffeyC. (1999) Onset of adolescent eating disorders: Population based cohort study over 3 years. British Medical Journal318: 765–768.
41.
PetersenALuptonD (1996) The New Public Health: Health and Self in the Age of Risk. Thousand Oaks, CA: SAGE.
42.
PotterJ (2003) Discourse analysis and discursive psychology. In: CamicPMRhodesJEYardleyL (eds) Qualitative Research in Psychology: Expanding Perspectives in Methodology and Design. Washington, DC: APA, pp. 73–94.
43.
PuhlRMHeuerCA (2010) Obesity stigma: Important considerations for public health. American Journal of Public Health100(6): 1019–1028.
44.
RiceC (2007) Becoming “the fat girl”: Acquisition of an unfit identity. Women’s Studies International Forum30: 158–174.
45.
RiceC (2009) How big girls become fat girls: The cultural production of problem eating and physical inactivity. In: MalsonHBurnsM (eds) Critical Feminist Approaches to Eating Dis/orders. London: Psychology Press, pp. 97–109.
46.
RiceC (2015) Rethinking fat: From bio- to body-becoming pedagogies. Cultural Studies ↔ Critical Methodologies15(5): 387–397.
RothblumE (1999) Contradictions and confounds in coverage of obesity: Psychology journals, textbooks, and the media. Journal of Social Issues55: 355–369.
49.
RothblumESolovayS (eds) (2009) The Fat Studies Reader. New York: New York University Press.
50.
SaguyACRileyKW (2005) Weighing both sides: Morality, mortality, and framing contests over obesity. Journal of Health Politics, Policy and Law30(5): 869–923.
51.
SchwartzMBO’NealHBrownellKD. (2003) Weight bias among health professionals specializing in obesity. Obesity Research11(9): 1033–1039.
52.
TeachmanBABrownellKD (2001) Implicit anti-fat bias among health professionals: Is anyone immune?International Journal of Obesity25(10): 1525–1531.
53.
TeachmanBAGapinskiKDBrownellKD. (2003) Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy. Health Psychology22(1): 68–78.
54.
The British Psychological Society Obesity Working Group (2011) Obesity in the UK: A Psychological Perspective. Leicester: The British Psychological Society.
55.
TischnerI (2013) Fat Lives: A Feminist Psychological Exploration. New York: Routledge.
56.
TousterLO (2000) Fat oppression: The complicity of psychology. Dissertation Abstracts International61(4–B): 2225.
57.
WilligC (2001) Introducing Qualitative Research in Psychology. Buckingham: Open University Press.
58.
World Health Organization (WHO) (2000) Obesity: Preventing and Managing the Global Epidemic. Singapore: WHO.
YoungLMPowellB (1985) The effects of obesity on the clinical judgments of mental health professionals. Journal of Health and Social Behavior26: 233–246.
61.
ZiauddeenHFarooqiISFletcherPC (2012) Obesity and the brain: How convincing is the addiction model?Nature Reviews Neuroscience13(4): 279–286.
