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Operating (on) the self: transforming agency through obesity surgery and treatment
Linköpings universitet, Institutionen för tema, Tema teknik och social förändring. Linköpings universitet, Filosofiska fakulteten. (Science, Technology and Valuation Practices)ORCID-id: 0000-0002-8319-0975
2018 (engelsk)Inngår i: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 40, nr 3, s. 508-522Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

In this article, I describe the processes through which patients diagnosed with 'morbid obesity' become active subjects through undergoing obesity surgery and an empowerment lifestyle programme in a Dutch obesity clinic. Following work in actor-network theory and material semiotics that complicates the distinction between active and passive subjects, I trace how agency is configured and re-distributed throughout the treatment trajectory. In the clinic's elaborate care assemblage - consisting of dieticians, exercise coaches and psychologists - the person is not only actively involved in his/her own change, the subject of intervention is the self as 'actor': his/her material constitution, inclinations and feelings. The empirical examples reveal that a self becomes capable of self-care only after a costly and laborious conditioning through which patients are completely transformed. In this work, the changed body, implying a new, potentially disruptive reality that patients must learn to cope with, is pivotal to what the patient can do and become. Rather than striving to be disembodied, self-contained liberal subjects that make sensible decisions for their body, patients become empowered through submission and attachment and by arranging support.

sted, utgiver, år, opplag, sider
Wiley-Blackwell Publishing Inc., 2018. Vol. 40, nr 3, s. 508-522
Emneord [en]
actor network theory, embodiment, obesity, self-help/care, subjectivity, surgeons/surgery
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-147690DOI: 10.1111/1467-9566.12654ISI: 000428466800009PubMedID: 29235133Scopus ID: 2-s2.0-85044413288OAI: oai:DiVA.org:liu-147690DiVA, id: diva2:1204049
Merknad

Funding Agencies|ERC [249397]

Tilgjengelig fra: 2018-05-06 Laget: 2018-05-06 Sist oppdatert: 2019-12-04bibliografisk kontrollert

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