Moralised Eating and Identity Work in Digital Wellness Culture: A Critical Discourse Analysis of Orthorexia-Related Narratives.

IF 1.9 4区 医学 Q2 ANTHROPOLOGY
Omer Horovitz
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Abstract

Orthorexia nervosa (ON) is increasingly understood as a morally saturated health orientation in which dietary restraint is organised through ideals of purity, discipline, and self-worth. Building on social theory that treats health as a cultural project and a site of identity governance, this study theorises ON as moral identity work enacted and contested in digital environments. Using a large-scale qualitative design integrating thematic corpus mapping and Critical Discourse Analysis (CDA), 1,100 texts from Reddit, YouTube, and blogs (2020-2025) were analysed; an intensified CDA subset (n=80) traced how key meanings were rhetorically accomplished. Across platforms, moralised purity/contamination vocabularies and identity-relevant self-positioning were common but genre-sensitive. In the CDA subset, a recurring configuration framed restrictive eating as (a) morally evaluative, (b) identity-defining and non-negotiable, and (c) defended via boundary work and resistance to pathologisation; recovery narratives more often disrupted these binaries and decoupled selfhood from dietary purity. Extending existing accounts that document morality narratives around ON, the analysis specifies the discursive mechanisms and genre- and platform-sensitive configurations through which moralisation becomes identity-defensive and resistant to critique. These findings clarify the discursive mechanisms through which ON becomes intelligible and defensible within digital wellness culture, with implications for prevention and care focused on moralised self-concept and digitally reinforced rigidity.

数字健康文化中的道德饮食和身份工作:对正畸症相关叙事的批判性话语分析。
神经性正食症(ON)越来越被理解为一种道德饱和的健康取向,其中饮食限制是通过纯洁、纪律和自我价值的理想组织起来的。在将健康视为文化项目和身份治理场所的社会理论的基础上,本研究将on理论化为数字环境中制定和争议的道德身份工作。使用集成主题语料库映射和批评话语分析(CDA)的大规模定性设计,分析了Reddit、YouTube和博客(2020-2025)的1100个文本;一个强化的CDA子集(n=80)追踪了关键意义是如何在修辞上完成的。在各个平台上,道德纯度/污染词汇和身份相关的自我定位很常见,但对类型很敏感。在CDA子集中,一种反复出现的配置将限制性饮食定义为(a)道德评估,(b)身份定义和不可协商,(c)通过边界工作和对病理化的抵抗进行辩护;康复叙事更经常地打破了这些二元对立,并将自我与饮食纯度脱钩。该分析扩展了围绕ON记录道德叙事的现有账户,详细说明了话语机制以及类型和平台敏感的配置,通过这些配置,道德化成为身份防御和抵制批评。这些发现阐明了在数字健康文化中,ON变得可理解和可辩护的话语机制,对以道德化自我概念和数字强化刚性为重点的预防和护理具有启示意义。
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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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