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Published in: Medicine, Health Care and Philosophy 2/2021

01-06-2021 | Obesity | Scientific Contribution

The hamster wheel: a case study on embodied narrative identity and overcoming severe obesity

Authors: Eli Natvik, Målfrid Råheim, Randi Sviland

Published in: Medicine, Health Care and Philosophy | Issue 2/2021

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Abstract

Based in narrative phenomenology, this article describes an example of how lived time, self and bodily engagement with the social world intertwine, and how our sense of self develops. We explore this through the life story of a woman who lost weight through surgery in the 1970 s and has fought against her own body, food and eating ever since. Our narrative analysis of interviews, reflective notes and email correspondence disentangled two storylines illuminating paradoxes within this long-term weight loss process. Thea’s Medical Weight Narrative: From Severely Obese Child to Healthy Adult is her story in context of medicine and obesity treatment and expresses success and control. Thea’s Story: The Narrative of Fighting Weight is the experiential story, including concrete examples and quotes, highlighting bodily struggles and the inescapable ambiguity of being and having one’s body. The two storylines coexist and illuminate paradoxes within the weight loss surgery narrative, connected to meaningful life events and experiences, eating practices and relationships with important others. Surgery was experienced as lifesaving, yet the surgical transformation did not suffice, because it did not influence appetite or, desire for food in the long run. In the medical narrative of transforming the body by repair, a problematic relationship with food did not fit into the plot.
Footnotes
1
Ipse is from latin and means «self».
 
2
Idem is from latin and means «the same».
 
3
To monitor weight in populations and individuals across insurance, medicine and public health worldwide, the Body Mass Index (BMI) is a popular measure. BMI is a measurement for the ratio between body weight and height in adults, defined as weight in kilograms divided by the square of the height in meters/ kg/m2. The higher the weight, the higher the risk.
 
4
Severe obesity is a medical term indicating a considerable amount of excess body fat and high weight, defined as having a Body Mass Index (BMI) of ≥ 40, or of 35 with weight related comorbidities (cardiovascular diseases or diabetes type 2) (World Health Organization 2017).
 
5
Threads: Daughter, sister and family issue. Friends, play and bullying. Mother’s worries, care and punishment. Belonging and isolation. Missing home and gaining weight. Harassment, self-loathing and losing control over weight and eating. Withdrawing socially and thriving in education and employment. Rock bottom and life changing weight loss. Social reconnection, love and longing. Thick skinned and uncomfortable in own skin. Full control and letting go. Exhaustion and motivation. Trusting own body and dreading weight gain. Finale and failure. Reaching the finishing line and being ambivalent about crossing it.
 
6
Jejunoileal Bypass was a widely used surgical procedure during the 1970s (Moshiri et al. 2013), but was abandoned due to several severe complications (Welsh and Murayama 2018). Reversals or revisions have been necessary for a majority of patients (Moshiri et al. 2013).
 
7
Osteopenia means that a person has weak bones and not yet osteoporosis.
 
8
Adolescence is the period starting in puberty (biological and physiological changes) and ending with various forms of social adjustment, with relative self-sufficiency or reaching towards a stable adult role in society (Blakemore and Mills 2014).
 
9
In his early work Ricoeur explored the voluntary and the involuntary in human agency, underpinning how rational understanding is limited by the embodied and situational (Ricoeur et al. 2002). He described that immediate self-experience is impossible; we do not have full access to ourselves. Self-reflection depends on interpretation and communication. Hence, cogito is wounded as a foundation of all knowledge.
 
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Metadata
Title
The hamster wheel: a case study on embodied narrative identity and overcoming severe obesity
Authors
Eli Natvik
Målfrid Råheim
Randi Sviland
Publication date
01-06-2021
Publisher
Springer Netherlands
Keywords
Obesity
Obesity
Published in
Medicine, Health Care and Philosophy / Issue 2/2021
Print ISSN: 1386-7423
Electronic ISSN: 1572-8633
DOI
https://doi.org/10.1007/s11019-021-10002-x

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