Abstract
In this study we explore how a selection of Norwegian women account for their decision to undergo weight loss surgery (WLS). We argue that women’s descriptions of their experiences leading up to this choice of action illuminate issues regarding social norms of bodily appearance and personal responsibility. The starting point is women’s own experiences within a cultural context in which opting for WLS often attracts moral scrutiny. Inspired by Merleau-Ponty’s notion of consciousness as embodied and de Beauvoir’s ideas concerning women’s situation, we argue that bodily as well as socio-cultural aspects intertwine with women’s choice of surgery as a means of losing weight. Although society’s stigmatization of women with obesity has been well challenged by scholars in the field of critical fat studies, women with obesity still experience the bodily hindrances associated with being overweight in an intense and subjective way. The findings suggest that women confronting the option of WLS do so in a context of pain, dysfunction and social stigma, a combination which illuminates the intricate ambiguity of the obese body as both subject (of agency) and object (of moral and medical scrutiny).
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Adams, T.D., L.E. Davidson, S.E. Litwin, R.L. Kolotkin, et al. 2012. Health benefits of gastric bypass surgery after 6 years. Journal of the American Medical Organization 308(11): 1122–1131.
Ahmed, S. 2004. The cultural politics of emotion. Edinburgh: Edinburgh University Press.
Botten, G. and Elvebakken, K. T. (1996). Statens ernæringsråd gjennom femti år. I E. Haavet (red). Maten på bordet—Statens ernæringsråd gjennom 50 år. Oslo: Statens ernærinsråd, ss. 160–196.
Buchwald, H., and S.E. Williams. 2004. Bariatric surgery worldswide 2003. Obesity Surgery 14(9): 1157–1164.
de Beauvoir, S. 2000. Det annet kjønn. Oslo: Pax Forlag.
de Beauvoir, S. 2011. The second sex. London: Vintage.
Drew, P. 2011. But then I learned: Weight loss surgery patients negotiate surgery discourses. Social Science & Medicine 73(8): 1230–1237.
Fielding, H.A. 2012. Feminism. In The Routhledge companion to phenomenology, eds. S. Luft, and S. Overgaard, 518–528. New York: Routhledge.
Fried, M., V. Hainer, A. Buchwald, H. Basdevant, et al. 2007. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obesity Surgery 17: 260–270.
Gard, M., and J. Wright. 2006. The obesity epidemic. Science, morality and ideology. London: Oxford University Press.
Glenn, N.M., C. Champion, and J.C. Spence. 2012. Exploring online media coverage and corresponding comments regarding weight loss surgery on CBC using qualitative content analysis. Clinical Obesity 2(5–6): 125–131.
Glenn, N.M., K.R. McGannon, and J.C. Spence. 2013. Exploring media representations of weight-loss surgery. Qualitative Health Research 23(5): 631–644.
Groven, K. S. (2014). Striving for healthy lives, striving for social acceptance. PhD-dissertation, Faculty of Medicine, University of Oslo, Norway.
Groven, K.S., and J. Braithwaite. 2015. Happily-ever-after: Personal narratives in WLS advertising. Health Care for Women International. doi:10.1080/07399332.2015.1094073.
Guillemin, M., and L. Gillam. 2004. Ethics, reflexivity and "ethically important moments" in research. Qualitative Inquiery 10(261): 261–280.
Guenter, L. 2011. The (in)visible body: Feminism, phenomenology and the case of cosmetic surgery. Hypatia 25(2): 357–375.
Guthman, J. 2009. Neoliberalism and the constitution of contemporary bodies. In The fat studies reader, ed. E. Rothblum, and S. Solovay, 187–196. New York: New York University Press.
Hadam, K., S. Somers, and M. Chand. 2011. Review. Management of late postoperative complications of bariatric surgery. British Journal of Surgery 98: 1345–1355.
Halvorsen, G. 2001. Slank, stram, tjukk og stor: en innholdsanalyse av oppslag om kropp og slanking i KK og Norsk Ukeblad 1988–1998. Masteroppgave: Universitetet i Bergen.
Hofmann, Bjørn. 2010. Stuck in the middle: The many moral challenges with bariatric surgery. American Journal of Bioethics 10(12): 3–11.
Hofsø, D. 2011. Type 2 diabetes in morbidly obese subjects. Diagnosis, characteristics and effects of surgical and medical weight loss. PhD-dissertation, University of Oslo, Faculty of Medicine.
Jain, A. 2005. Treating obesity in individuals and populations—clinical review. British Medical Journal 331: 1387–1390.
Kremen, A.J., L.H. Linner, and C.H. Nelson. 1954. An experiental evaluation of the nutritional importance of proximal and distal small intestine. Annual Surgery 140: 439–444.
Kvale, Steinar, and Steinar Brinkman. 2009. Interviews: Learning the craft of research interviewing. Los Angeles, CA: Sage.
Langaas, A. 2001. Ulike forståelser av kroppen i ukebladet Kvinner og Klær: en analyse av meningsendring fra 1972–1990. (Different understandings of the body in Women & Clothes: Analysis of changes in opinion from 1972–1990). Master’s thesis, Department of Health, University of Oslo.
Lebesco, K. 2001. Queering fat bodies/politics. In Bodies out of bonds: Fatness and Transgression. ed. I. Braziel Jane Evans, and Kathleen Lebesco, 74–87. Berkely: University of California Press.
LeBesco, K. 2011. Neoliberalism, public health and the moral perils of fatness. Critical Public health 21(2): 153–164.
Lupton, D. 2003. Medicine as culture: Illness, disease and the body in western societies, 2nd ed. London: Sage Publications.
Lupton, D. 2013. Fat. London: Routhledge.
Merleau-Ponty, M. 2002. Phenomenology of Perception. New York: Routledge.
Murray, S. 2005. Unbecoming out? Rethinking fat politics. Social Semiotics 15(2): 153–1633.
Murray, S. 2008. The fat female body. London: Palgrace Macmillian.
Murray, S. 2009. Banded bodies, the somatechnics of gastric banding. In Somatechnics: Quering the technologies of bodies, ed. N. Sullivan, and S. Murray. Surrey: Ashgate Publishing.
Moi, Toril. 1998. Hva er en kvinne? Kropp og kjønn i feministisk teori. Oslo: Gyldendal Norsk Forlag AS.
Moi, Toril 2000. “Innledende essay.” I de Beauvoir, Det annet kjønn. Pax forlag.
Moi, T. 2008. What is a woman. Oxford: Oxford University Press.
Murray, S. 2012. Control top underpants. Somatechnics 2(1): 38–41.
Petersen, A., and D. Lupton. 1996. The new public health: Health and self in the age of risk. London: Sage publications.
Rugseth, G. 2011. Overvekt som livserfaring. Et empirisk-teoretisk kunnskapsbidrag (Obesity as lived experience: An empirical-theoretical contribution). PhD-dissertation. Oslo: University of Oslo, Faculty of Medicine.
Salant, T., and H.P. Santry. 2006. Internet marketing of bariatric surgery: Contemporary trends in the medicalization of obesity. Social Science & Medicine 62(10): 2445–2457.
Sassatelli, R. 2010. Fitness culture. Gyms and the commercialization of discipline and fun. Great Britain: Palgrace Macmillan.
Seid, R. 1989. Never too thin: Why women are at war with their bodies. New York: Prentice Hall press.
Seid, R.P. 1994. Too close to the bone: The historical context for women’s obsession with slenderness. In Feminist perspectives on eating, ed. P. Fallon, M.A. Katzman, and S.C. Wooley. New York: The Guiltford press.
Sobal, J. 2011. Sociological analysis of the stigmatization of obesity. In A sociology of food & nutrition. The social appetite, 3rd ed, ed. J. Germov, and L. Williams, 381–400. Oxford: Oxford University Press.
Søvik, T.T., B. Irandoust, K.I. Birkeland, E.T. Aasheim, et al. 2010. Type 2-diabetes og metabolsk syndrom før og etter gastric bypass. (Type 2-diabetes and metabolic syndrome prior and after gastric bypass surgery). Tidsskrift for den Norske Legeforening 13–14(130): 1347–1350.
Throsby, K. 2008. Happy re-birthday: Weight loss surgery and the New me. Body & Society 14(1): 117–133.
Throsby, K. 2007. How could you let yourself get like that? Stories of the origins of obesity in accounts of weight loss surgery. Social Science & Medicine 65: 1561–1571.
Throsby, Karen. (2012) “‘I’d kill anyone who tried to take my band away’”: Obesity surgery, critical fat politics and the ‘problem’ of patient demand. Somatechnics 2(1): 107–126. ISSN 2044-0138.
van Manen, M. 1997. Researching lived experience: Human Science for an action sensitive pedagogy, 2nd ed. London: The Althouse Press.
Williams, L., and J. Germov. 2011. Constructing the female body: Dieting, the thin ideal and body acceptance. In A sociology of food & nutrition. The social appetite, 3rd ed, ed. J. Germov, and L. Williams, 329–362. Oxford: Oxford University Press.
Zeiler, K., and W. Malmquist. 2010. Cultural norms, the phenomenology of incorporation and the experience of having a child born with ambiguous sex. Journal of Social Work Theory and Practice 36(1): 157–164.
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Groven, K.S., Engelsrud, G. Negotiating options in weight-loss surgery. Med Health Care and Philos 19, 361–370 (2016). https://doi.org/10.1007/s11019-015-9677-y
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DOI: https://doi.org/10.1007/s11019-015-9677-y