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Clinical specificities in obesity care: The transformations and dissolution of ‘Will’ and ‘Drives’
Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, Amsterdam, The Netherlands. (Science, Technology and Valuation Practices)ORCID iD: 0000-0002-8319-0975
2016 (English)In: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394, Vol. 24, no 4, p. 321-337Article in journal (Refereed) Published
Abstract [en]

Public debate about who or what is to blame for the rising rates of obesity and overweight shifts between two extreme opinions. The first posits overweight as the result of a lack of individual will, the second as the outcome of bodily drives, potentially triggered by the environment. Even though apparently clashing, these positions are in fact two faces of the same liberal coin. When combined, drives figure as a complication on the road to health, while a strong will should be able to counter obesity. Either way, the body's propensity to eat is to be put under control. Drawing on fieldwork in several obesity clinics and prevention sites in the Netherlands, this paper first traces how this 'logic of control' presents itself in clinical practices targeted at overweight people, and then goes on to explore how these practices move beyond that logic. Using the concepts of 'will' and 'drives' as analytical tools, I sketch several modes of ordering reality in which bodies, subjects, food and the environment are configured in different ways. In this way it appears that in clinical practices the terms found in public discourse take on different meanings and may even lose all relevance. The analysis reveals a richness of practiced ideals. The paper argues, finally, that making visible these alternative modes of ordering opens up a space for normative engagements with obesity care that move beyond the logic of control and its critiques.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2016. Vol. 24, no 4, p. 321-337
Keywords [en]
bodily drives, clinical practices, control, discourse, modes of ordering, obesity
National Category
Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:liu:diva-147695DOI: 10.1007/s10728-014-0278-3ISI: 000387350000003PubMedID: 24934390Scopus ID: 2-s2.0-84902238559OAI: oai:DiVA.org:liu-147695DiVA, id: diva2:1204077
Available from: 2018-05-06 Created: 2018-05-06 Last updated: 2018-05-09Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • modern-language-association-8th-edition
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More languages
Output format
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