{"title":"纯洁性作为力量:新自由主义健康文化中的神经性厌食症和健康的道德治理。","authors":"Omer Horovitz","doi":"10.1136/medhum-2025-013331","DOIUrl":null,"url":null,"abstract":"<p><p>Orthorexia nervosa (ON) - a pathological obsession with healthy eating - has emerged as a cultural pathology intricately woven into neoliberal ideologies and biopolitical regimes. This paper critically analyses ON through the lens of power, foregrounding Foucault's concept of biopower and contemporary theories of moral governance, digital surveillance and gendered health expectations. It argues that the rise of ON is not merely a psychological phenomenon but a reflection of broader socio-political forces that moralise food, discipline bodies and construct health as an individualised, virtuous identity. Clean eating becomes a moral imperative; health becomes a site of self-surveillance; and digital wellness culture functions as a disciplinary apparatus. Drawing on interdisciplinary frameworks, it offers a socio-cognitive model of ON shaped by psychological vulnerability, algorithmically curated content and neoliberal demands for bodily optimisation. This work calls for a re-theorisation of ON that situates it within contemporary ideological terrain. It offers a novel socio-cognitive model that links individual psychopathology with biopolitical power, digital culture and gendered health expectations. It provides critical insights into mental health practice, public health policy and feminist thought critique.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Purity as power: orthorexia nervosa and the moral governance of health in neoliberal wellness culture.\",\"authors\":\"Omer Horovitz\",\"doi\":\"10.1136/medhum-2025-013331\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Orthorexia nervosa (ON) - a pathological obsession with healthy eating - has emerged as a cultural pathology intricately woven into neoliberal ideologies and biopolitical regimes. This paper critically analyses ON through the lens of power, foregrounding Foucault's concept of biopower and contemporary theories of moral governance, digital surveillance and gendered health expectations. It argues that the rise of ON is not merely a psychological phenomenon but a reflection of broader socio-political forces that moralise food, discipline bodies and construct health as an individualised, virtuous identity. Clean eating becomes a moral imperative; health becomes a site of self-surveillance; and digital wellness culture functions as a disciplinary apparatus. Drawing on interdisciplinary frameworks, it offers a socio-cognitive model of ON shaped by psychological vulnerability, algorithmically curated content and neoliberal demands for bodily optimisation. This work calls for a re-theorisation of ON that situates it within contemporary ideological terrain. It offers a novel socio-cognitive model that links individual psychopathology with biopolitical power, digital culture and gendered health expectations. It provides critical insights into mental health practice, public health policy and feminist thought critique.</p>\",\"PeriodicalId\":46435,\"journal\":{\"name\":\"Medical Humanities\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-09-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Humanities\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/medhum-2025-013331\",\"RegionNum\":3,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"0\",\"JCRName\":\"HUMANITIES, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Humanities","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/medhum-2025-013331","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"HUMANITIES, MULTIDISCIPLINARY","Score":null,"Total":0}
Purity as power: orthorexia nervosa and the moral governance of health in neoliberal wellness culture.
Orthorexia nervosa (ON) - a pathological obsession with healthy eating - has emerged as a cultural pathology intricately woven into neoliberal ideologies and biopolitical regimes. This paper critically analyses ON through the lens of power, foregrounding Foucault's concept of biopower and contemporary theories of moral governance, digital surveillance and gendered health expectations. It argues that the rise of ON is not merely a psychological phenomenon but a reflection of broader socio-political forces that moralise food, discipline bodies and construct health as an individualised, virtuous identity. Clean eating becomes a moral imperative; health becomes a site of self-surveillance; and digital wellness culture functions as a disciplinary apparatus. Drawing on interdisciplinary frameworks, it offers a socio-cognitive model of ON shaped by psychological vulnerability, algorithmically curated content and neoliberal demands for bodily optimisation. This work calls for a re-theorisation of ON that situates it within contemporary ideological terrain. It offers a novel socio-cognitive model that links individual psychopathology with biopolitical power, digital culture and gendered health expectations. It provides critical insights into mental health practice, public health policy and feminist thought critique.
期刊介绍:
Occupational and Environmental Medicine (OEM) is an international peer reviewed journal concerned with areas of current importance in occupational medicine and environmental health issues throughout the world. Original contributions include epidemiological, physiological and psychological studies of occupational and environmental health hazards as well as toxicological studies of materials posing human health risks. A CPD/CME series aims to help visitors in continuing their professional development. A World at Work series describes workplace hazards and protetctive measures in different workplaces worldwide. A correspondence section provides a forum for debate and notification of preliminary findings.