ABSTRACT

Weight stigma is so pervasive in our culture that it is often unnoticed, along with the harm that it causes. Health care is rife with anti-fat bias and discrimination against fat people, which compromises care and influences the training of new practitioners.

This book explores how this happens and how we can change it. This interdisciplinary volume is grounded in a framework that challenges the dominant discourse that health in fat individuals must be improved through weight loss. The first part explores the negative impacts of bias, discrimination, and other harms by health care providers against fat individuals. The second part addresses how we can ‘fatten’ pedagogy for current and future health care providers, discussing how we can address anti-fat bias in education for health professionals and how alternative frameworks, such as Health at Every Size, can be successfully incorporated into training so that health outcomes for fat people improve.

Examining what works and what fails in teaching health care providers to truly care for the health of fat individuals without further stigmatizing them or harming them, this book is for scholars and practitioners with an interest in fat studies and health education from a range of backgrounds, including medicine, nursing, social work, nutrition, physiotherapy, psychology, sociology, education and gender studies.

chapter 1|12 pages

Introduction

Documented harm: How a misguided paradigm hurts fat people (and everybody else)

part I|68 pages

When healers cause harm

chapter 2|15 pages

Deadweight

Unpacking fat shame in psychotherapy

chapter 3|12 pages

Medical equipment

The manifestation of anti-fat bias in medicine

chapter 4|9 pages

“Limited by body habitus”

Fat and stigmatizing rhetoric in medical records

chapter 5|12 pages

“God forbid you bring a cupcake”

Theorizing biopedagogies as professional socialization in dietetics education

chapter 6|9 pages

A textbook case of bias

chapter 7|9 pages

Why would I want to come back?

Weight stigma and noncompliance

part II|98 pages

Fattening pedagogy

chapter 10|12 pages

What counts as good or bad writing about weight

Reflections of a writing coach

chapter 11|12 pages

Clinical revulsion

Combatting weight stigma by confronting provider disgust

chapter 12|11 pages

Anti-fat bias in evidence-based psychotherapies for eating disorders

Can they be adapted to address the harm?

chapter 13|11 pages

Incorporating fat pedagogy into health care training

Evidence-informed recommendations

chapter 15|9 pages

Conclusion

A call to fatten pedagogy because lives depend on it