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Transcript of Intersectionality
-weight stigma is actually counterproductive (gain more wt)
-Wt stigma invokes psycholo. stress which leads to poorer physical health outcomes (mood and anxiety disorders)
-stigma induced stress & disease same as racial prejudice)
0835- Obesity Stigma
0900- Power of Language
1100- Wrap up of module 1
-common stereotypes/biases about obese persons:
-Weight stigma remains a socially acceptable form of bias (disease stigma)
-Obese persons are blamed for their excess weight
-Stigma may "help" them loose weight
Obesity & Weight Discrimination
Individuals who internalize stigma may be especially vulnerable to abdominal obesity and glucose intolerance (spiral down...at risk to develop other diseases due to the stress)
-HC settings are a significant source of wt stigma (cultural safety?)
-feel disrespected, not taken seriously, wt is blamed for all health probs, afraid to talk about wt= substandard care or lack of access (don't feel safe to utilize care)
Obesity, Stigma & Disease
"Biases may be revealed in the words chosen and the attitudes subtly reflected; yet people are rarely conscious of attitudes in existing discourse....by becoming aware attitudes and practical realities can change" Alex, p.113
Language & Stigma
-research shows that negative labels and comments can activate the "flight or fight" stress response...a SINGLE negative suggestion from a person who is viewed as authoritative can have a harmful effect (p.114-115)
- HCP use mechanisms of power to determine and maintain their own language use and in "normalizing judgements".
-language is used to control (p.117)
Sticks & Stones...
Obesity and the Power of Words
Language power: to harm or to heal
-language transforms...patient to disease... p. 117
-language is not only the words, but the context as well (p.117)
-language contains historical biases reflecting subtle yet powerful controls that are held over more vulnerable people
-we must: model humane language, removing negative labels and hurtful medical slang and restore relational ethics of respect, equity, empowerment