肥胖有什么问题?:对肥胖及其附带损害的战争

Abigail C. Saguy
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引用次数: 161

摘要

我们被告知,美国正面临着一场肥胖流行病——这不仅是一场全国性的、而且是全球性的“肥胖之战”——需要立即采取激烈的行动。媒体、医学和政府的专家都在争先恐后地寻找答案。是谁或什么人造成了这场肥胖危机?我们能做些什么来阻止它?阿比盖尔·萨吉认为,这些令人担忧和疯狂的辩论掩盖了一个更重要的问题:肥胖究竟是如何被理解为一场公共卫生危机的?她问道,为什么“肥胖”是一个问题——一种不道德的症状、一种医学病理、一种公共卫生流行病——会在公共话语中主导对体重的更积极的定义——与健康、美丽或合法权利主张相一致?为什么肥胖的人被挑出来指责?以这种方式理解体重的后果是什么?肥胖有什么问题?介绍了当今美国人对脂肪的各种理解方式,考察了将肥胖理解为一种健康风险、疾病和流行病的含义,并揭示了为什么尽管存在相当大的科学不确定性和争论,我们还是以这些方式来理解这个问题。Saguy展示了关于体型和健康风险之间关系的争论是如何在一个更大的,尽管往往是无形的,关于我们是否应该把肥胖理解为肥胖的争论中发生的。此外,她还指出,公众对“肥胖危机”的讨论弊大于利,会导致欺凌、体重歧视和误诊。脂肪的医学框架确实会让我们生病,脂肪有什么问题?为我们的社会对体重的错误痴迷提供了至关重要的纠正。可在OSO:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What's Wrong with Fat?: The War on Obesity and its Collateral Damage
The United States, we are told, is facing an obesity epidemic--a "battle of the bulge" of not just national, but global proportions--that requires drastic and immediate action. Experts in the media, medical science, and government alike are scrambling to find answers. What or who is responsible for this fat crisis, and what can we do to stop it? Abigail Saguy argues that these fraught and frantic debates obscure a more important question: How has fatness come to be understood as a public health crisis at all? Why, she asks, has the view of "fat" as a problem--a symptom of immorality, a medical pathology, a public health epidemic--come to dominate more positive framings of weight--as consistent with health, beauty, or a legitimate rights claim--in public discourse? Why are heavy individuals singled out for blame? And what are the consequences of understanding weight in these ways? What's Wrong with Fat? presents each of the various ways in which fat is understood in America today, examining the implications of understanding fatness as a health risk, disease, and epidemic, and revealing why we've come to understand the issue in these terms, despite considerable scientific uncertainty and debate. Saguy shows how debates over the relationship between body size and health risk take place within a larger, though often invisible, contest over whether we should understand fatness as obesity at all. Moreover, she reveals that public discussions of the "obesity crisis" do more harm than good, leading to bullying, weight-based discrimination, and misdiagnoses. Showing that the medical framing of fat is literally making us sick, What's Wrong with Fat? provides a crucial corrective to our society's misplaced obsession with weight. Available in OSO:
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