“Who are you calling ‘fat’?”: the social construction of the obesity epidemic

Abstract

Purpose – In North America today, we are witnessing an unprecedented preoccupation with “excess” weight, with millions of people perceived to be part of the epidemic of obesity. While this chapter does not seek to contest medical evidence that average weights of North Americans have risen in recent years, nor deny the potential development of associated health problems, it offers a critique of the terminology invoked in these discussions and especially challenges the characterization of increased weight among the population as an “epidemic.” This chapter suggests that what we are witnessing is more appropriately understood as a moral regulation project premised on ideas of risk, contagion, and neoliberal discourses of health.

Methodology/approach – In arguing that the concern about obesity may be understood as an example of moral regulation, this chapter employs the work of Alan Hunt, as well as Deborah Lupton's insights on governmentality and health.

Findings – In reviewing the scholarly literature on obesity as well as Canadian public health initiatives, a discourse of risk and contagion is evident. The overweight and obese (and these are commonly conflated) are presented as dangerous to themselves and others.

Contribution to the field – In suggesting an alternative understanding of the obesity “epidemic” as a socially constructed and morally regulated phenomenon, this chapter aims to further discuss and reassess how those who are considered fat are understood and treated in North America.

Citation

Hermiston, A.J. (2010), "“Who are you calling ‘fat’?”: the social construction of the obesity epidemic", Mukherjea, A. (Ed.) Understanding Emerging Epidemics: Social and Political Approaches (Advances in Medical Sociology, Vol. 11), Emerald Group Publishing Limited, Leeds, pp. 359-369. https://doi.org/10.1108/S1057-6290(2010)0000011023