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Fat acceptance movement

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The fat acceptance movement, also the size acceptance movement or fat liberation movement or fat power, is a grassroots effort to change societal attitudes towards individuals who are fat.[1][2][3][4][5][6][7][8][9] The movement consists today of a diverse group of people, who have different beliefs about how best to address the widespread prejudice and discrimination against people whose girth is considered to be above average in contemporary Western societies.[10][11][12][13][14][15]

Generally dated to the 1970s, the 1980s and 1990s witnessed an increase in activist organizations, publications, and conferences.[16][17] In the 1980's new anti-dieting programs and models began to appear in the research literature, in response to new information dispelling common myths about obesity.[18] The contemporary movement perceives negative societal attitudes as persistent, and based on the presumption that the rotund characteristics of a person's body reflect negative character traits of that person.[19][20] For example in Chang and Christakis paper they state this belief by stating that obesity is detrimental to the community, by means of decreasing human efficiency, and that obese people interfere with labour productivity (V Chang and N Christakis, 2002). [21] Furthermore, these diet-touting trends and societal views have led to an increase in psychological and physiological problems among those who feel that their weight is above the "socially acceptable norm".[22]

Background

Fat activism covers several fronts but generally can be described as attempting to change societal, internal, and medical attitudes about fat people.

The movement argues that large people are targets of hatred and discrimination, with plus sized women in particular subject to more social pressure.[23][24][25][26][27][28] Hatred is seen in multiple places including media outlets, where fat people are often ridiculed[29][30][31] or held up as objects of pity.[32] Discrimination comes in the form of lack of equal accessibility to transportation and employment.[33]

Proponents also argue that people of all shapes and sizes can strive for fitness and physical health.[34][35][36][37] Thus, proponents promote "health at every size", an idea that one can place their mental and physical health before physical appearance and size.

Through the works of authors such as Paul Campos and Sandy Szwarc, the fat acceptance movement has argued that doctors should treat health problems of people of all sizes, recognizing that health issues are not defined by weight and are shared by people of all sizes, fat and thin. Some in the movement have argued that the health risks of fatness and obesity have been greatly exaggerated, and used as cover for cultural and aesthetic prejudices against fat.

Fat activism faces challenges.[38] Organizations such as the National Association to Advance Fat Acceptance (NAAFA) and the International Size Acceptance Association (ISAA) are small in number, and people interested in the movement tend to be clustered in larger cities and spread across medium- to small-sized web communities. NAAFA changed leadership around the turn of the century.[citation needed]

History

The history of this movement is difficult to chart because of its grassroots nature, although it originated in the late 1960s and 1970s.[39][40] Like other social movements from this time period, the fat acceptance movement, initially known as "Fat Pride," "Fat Power," or "Fat Liberation," often consisted of people acting in an impromptu fashion. To offer one example, a "Fat-in" was staged in New York's Central Park in 1967.[41] Called by a radio personality, Steve Post, the "Fat-in" consisted of a group of 500 people, eating, carrying signs and photographs of Sophia Loren (an actress famous for her figure), and burning diet books.

Several groups were formed in this period that promoted a fat acceptance agenda. The "Fat Pride" group, NAAFA, initially called the National Association to Aid Fat Americans, subsequently renamed the National Association to Advance Fat Acceptance, was begun in 1969 by William Fabrey. This group was at its inception more of a social club. A more radical group, the Fat Underground, was founded in 1973. The group had begun as a chapter of NAAFA, but had quickly developed an activist philosophy more radical than the group. To be more specific, they were inspired by the philosophy of the Radical Therapy Collective, a feminist collective that believed that many psychological problems were caused by oppressive social institutions and practices. The group consisted of a number of members including the founding members Sara Fishman (then going by Aldebaran) and Judy Freespirit, and subsequently Lynn McAffee. They quickly developed into a group that took issue with the developing science against obesity. One of their central sayings, "A diet is a cure that doesn't work for a disease that doesn't exist," reflects their dedication to fat acceptance as well as fat activism.[42]

Shortly afterwards, Fishman moved to New Haven, CT, where she, along with Karen Scott-Jones, founded the New Haven Fat Liberation Front, an organization similar to the Fat Underground in its scope and focus. In 1983, they collaborated to publish a germinal book in the field of Fat Activism, Shadow on a Tightrope.[43] The book consists of some activist position papers, initially distributed by the Fat Underground, as well as collections of poems and essays from other writers.

The movement today

Today the Fat Acceptance Movement continues to strive for societal, internal, and medical attitude change in regards to fat people. Proponents engage in public education about the myths about being fat and about fat people,[44] conferences and conventions,[45][46][47][48] and in writing newsletters[49] and books.[50][51][52][53]

In recent years there has been an increase in online zines,[54][55] bloggers,[56][57][58] retail items for fat people, and online communities of activists. As well as a steady stream of books by fat activists challenging the medical belief that fat = unhealthy, and highlighting the issue of weight-based discrimination that the fat face by the community and medical professionals.[59][60] In addition to online and literature there has also been an increase in the arts on sizeism. Performance art groups such as The Padded Lillies, Big Burlesque and the Fat Bottom Revue just to name a few feature a variety of body types in their shows

There has also been an emerging body of fat political and sociological studies, some with a fat activist agenda, developing within the academy. The American Popular Culture Association has an area in fat studies and regularly includes panels on the subject. In addition, student groups with a fat activist agenda have emerged in a number of colleges including Hampshire, Smith, and Antioch colleges.

In addition to what the movement is doing to raise public awareness, there have been a surge in studies both for and against fatness in scientific journals on virtually all topics including medical, psychological, politics, etc.

Issues within the movement

As it has expanded, the fat acceptance movement has faced internal issues.

One point of contention in the movement is found between those fat people who are attempting to lose weight and those who are not. Opponents of weight loss attempts cite the high failure rate of all permanent weight loss attempts (95-98%), and the many dangers of "yoyo weight fluctuations" and weight loss surgeries.[61]

Due to intrinsic linguistic misunderstandings and differing definitions of the word "acceptance," some "fat activists" believe the phrase refers to any fat person fighting for equal rights and opportunities, regardless of whether or not that person believes that the pursuit of reduction in a person's body mass is feasible. Other "fat activists" define "fat acceptance" more strictly, applying that phrase only to fat people who are not pursuing a reduction in their body mass, and use phrases such as "fat activist" to describe fat people and "allies" working more generally on civil rights issues pertaining to fat people.

An additional issue with regard to language is that many in the fat acceptance movement find the terms "obese" and "overweight" offensive, as they are often used to make overtly prejudiced statements seem more clinical or scientific. The word "fat" is generally preferred.

In practice, the only way to know the position of any particular individual member of the group on weight loss attempts is to ask, or read specific position papers on the issue.

Criticism

Fat acceptance advocates' positions have sparked criticism. Some critics, while acknowledging that fat and obese individuals are subject to inappropriate discrimination or pressure, contend that fat acceptance advocates' goal of unconditional acceptance of obesity is itself unhealthy.[62] They contend that accepting fatness will make people less likely to aspire to achieve a healthy weight.[citation needed] Fat activists, on the other hand, will argue that the idea of a "healthy weight" is one without meaning, as health can be found in people at all weights and sizes. Other criticisms state that obesity causes medical problems. Public health officials regard widespread obesity as posing significant costs to society. Despite advocates' claims to the contrary, some studies show that fat people are more likely than others to be in poor health, at a time when health care costs are rising:[63][64][65][66][67] In 2006, the CDC estimated that 10 percent of current health care costs are due to obesity.[68] However, a recent Dutch study came to the conclusion that while obese individuals cause higher annual health care costs during their lifetime, their total health care costs over the span of a lifetime are lower than the costs caused by "healthy-living" (non-smoking with a BMI between 18.5 and 25) individuals due to higher average life expectancy of this group.[69] Additionally, the common fat acceptance mantra that "diets don't work" is considered by some critics to be an oversimplification that may discourage even responsible and potentially beneficial changes in eating habits.[70]

Notable advocates

  • Nomy Lamm, performance artist and writer of I'm So Fucking Beautiful
  • Debbie Notkin, writer of the texts for Women En Large and the body image blog Body Impolitic

References

  1. ^ Saguy, A.C., & Riley, K.W. (2005). "Weighing both sides: Morality, mortality and framing contests over obesity" Journal of Health Politics, Policy, and Law. 30(5):869-921.[1]
  2. ^ Neumark-Sztainer, D. (1999). "The weight dilemma: A range of philosophical perspectives" International Journal of Obesity. 23(Suppl.2):S31-S37.
  3. ^ Stürmer, S., Simon, B., Loewy, M., & Jörger, H. (2003). "The dual-pathway model of social movement participation: The case of the fat acceptance movement" Social Psychology Quartely. 66(1):71-82.
  4. ^ ISAA Mission Statement
  5. ^ NAAFA Information
  6. ^ Council on Size and Weight Discrimination
  7. ^ COFRA | Coalition of Fat Rights Activists
  8. ^ Reason Magazine - Fat Pride World Wide
  9. ^ Murray, S (2005). "(Un/Be)Coming Out? Rethinking Fat Politics" Social Semiotics Vol. 15 No. 2
  10. ^ Friedman, Roberta R (2008). "Weight Bias: The Need for Public Policy." Rudd Report: Rudd Center for Food Policy & Obesity, Yale University.[2]
  11. ^ Himes, S.M., and Thomson, J.K. (2007), "Fat stigmatization in television shows and movies: A content analysis", Obesity, 15(3):712-718.
  12. ^ Finkelstein, L.M., Demuth, R.L.F., and Sweeny, D.L.(2007), "Bias against overweight job applicants: Further exploration of when and why", Human Resource Management, 46(2):203-222.
  13. ^ King, E.B., Shapiro, J.R., Hebl, M.R., Singletary, S.L., and Turner, S. (2006), "The stigma of obesity in customer service: A mechanism for remediation and bottom-line consequences of interpersonal discrimination", Journal of Applied Psychology, 91(3):579-593.
  14. ^ Schwartz, M.B., Chambliss, H.O., Brownell, K.D., Blair, S.N., and Billington, C. (2003), "Weight bias among health professionals specializing in obesity." Obesity Research, 11(9):1033-1039.
  15. ^ Murray, S (2005). "Doing politics or selling out? Living the fat body." Women's Studies, 34:265-277.
  16. ^ Life In The Fat Underground by Sara Fishman
  17. ^ Big As TEXAS 2001 Event-Keynote Address
  18. ^ Robinson, B., and Bacon, J., (1996) "The 'If only I were thin...' Treatment Program: Decreasing the Stigmatizing Effects of Fatness", Professional Psychology: Research and Practice Vol. 27, No. 2, pp. 175 - 183
  19. ^ Murray, S (2005). "(Un/Be)Coming Out? Rethinking Fat Politics" Social Semiotics Vol. 15 No. 2
  20. ^ Puhl R, Brownell K. Bias, discrimination and obesity. Obesity Research 2001; 9: 788-805
  21. ^ Chang, V., and Christakis, N., (2002). "Medical modelling of obesity: a transition from action to experience in a 20th century American medical textbook." Sociology of Health & Illness Vol. 24 No. 2 pp. 151-177
  22. ^ Robinson, B., and Bacon, J., (1996) "The 'If only I were thin...' Treatment Program: Decreasing the Stigmatizing Effects of Fatness", Professional Psychology: Research and Practice Vol. 27, No. 2, pp. 175 - 183
  23. ^ Naafa Policy On Employment Discrimination
  24. ^ Naafa Policy On Education Discrimination
  25. ^ Naafa Policy On Adoption Discrimination
  26. ^ Naafa Policy On Size-Related Legislation
  27. ^ Council on Size and Weight Discrimination - Discrimination FAQ
  28. ^ Robinson, B., and Bacon, J., (1996) "The 'If only I were thin...' Treatment Program: Decreasing the Stigmatizing Effects of Fatness", Professional Psychology: Research and Practice Vol. 27, No. 2, pp. 175 - 183
  29. ^ Health 24 - Diet, Weight loss - Related
  30. ^ Council on Size and Weight Discrimination - Weight Discrimination on Television
  31. ^ Greenberg BS, Eastin M, Hofschire L, Lachlan K, Brownell KD (2003). "Portrayals of overweight and obese individuals on commercial television." Am J Public Health. Aug;93(8):1342-8.
  32. ^ Weighing in - Time Out Chicago
  33. ^ Maranto, Cheryl L., and Ann Fraedrich Stenoien. "Weight Discrimination: A Multidisciplinary Analysis." Employee Responsibilities and Rights Journal 12.1 (March 2000)
  34. ^ Ikeda JP, Hayes D, Satter E, Parham ES, Kratina K, Woolsey M, Lowey M, Tribole E (1999). "A commentary on the new obesity guidelines from NIH." J Am Diet Assoc. Aug;99(8):918-9.
  35. ^ Naafa Policy On Physical Fitness
  36. ^ ISAA's Respect | Fitness | Health Initiative
  37. ^ www.sizediversityandhealth.org - Home - Mission
  38. ^ Big Trouble | Bitch Magazine
  39. ^ Life In The Fat Underground by Sara Fishman
  40. ^ Big As TEXAS 2001 Event-Keynote Address
  41. ^ "Curves Have Their Day in Park; 500 at a 'Fat-in' Call for Obesity," New York Times. June 5, 1967, pg. 54
  42. ^ The Fat Underground
  43. ^ Shadow on a Tightrope: Writings by Women on Fat Oppression, eds. Lisa Schoenfielder and Barb Wieser. Iowa City, IA: Aunt Lute Books, 1983
  44. ^ Dispelling common myths about fat people
  45. ^ NAAFA Conventions
  46. ^ ASDAH Conferences
  47. ^ No Lose Annual Conference
  48. ^ FatGirl Speaks
  49. ^ NAAFA Newsletter
  50. ^ Fat!So You don’t have to apologize for your size By Marilyn Wann
  51. ^ Tipping the Scales of Justics: Fighting Weight-Based Discrimination by Sondra Soloway
  52. ^ Largely Happy – Changing your mind about your body by Lynda Finn
  53. ^ Don’t Diet by Professor Dale Atrens
  54. ^ Fat!So
  55. ^ Figure 8
  56. ^ Kate Harding's Shapely Prose
  57. ^ Big Fat Blog
  58. ^ The F Word
  59. ^ The Obesity Myth (2004) by Paul Campos republished as The Diet Myth
  60. ^ Sandy Szwarc’s in depth examination of obesity research in the online magazine “Tech Central Station”
  61. ^ There are many citations, starting with Sandy Szwarc's list of links at [3], as well as books by William Bennett, Joel Gurin, Paul Campos, etc. as delineated below. A USDA discussion of the recent U.C. Davis study suggesting that fat acceptance maintains and improves health more than dieting may be found at [4]
  62. ^ [5]
  63. ^ [6]
  64. ^ [7]
  65. ^ [8]
  66. ^ [9]
  67. ^ [10]
  68. ^ [11]
  69. ^ Van Baal, P.H.M., Polder, J.J., De Wit, G.A., Hoogenveen, R.T., Feenstra, T.L., Boshuizen, H.C., et al. (2008). "Lifetime medical costs of obesity: Prevention no cure for increasing health expenditure", PLoS Medicine 5(2):e29, accessed Feb 16, 2008 at [12]
  70. ^ [13]
  71. ^ [14]

Further reading

  • Brown, Laura S. (ed) and Rothblum, Esther D. (ed) (1989). Overcoming Fear of Fat. New York: Harrington Park Press. ISBN 091839371X

Fat Acceptance at Curlie