Fat shaming under neoliberalism and COVID-19: Examining the UK's Tackling Obesity campaign.

This article explores the dynamics between fat shaming, neoliberalism, ideological constructions of health and the 'obesity epidemic' within the UK, using the UK Government's recent Tackling Obesity campaign in response to Covid-19 as an illustration. We draw attention to how fat shaming as a practice that encourages open disdain for those living with excess weight operates as a moralising tool to regulate and manage those who are viewed as 'bad' citizens. In doing so, we begin by outlining how the ideological underpinnings of 'health' have been transformed under neoliberalism. We then consider the problematic use of fat shaming discourses that are often used as tools to promote 'healthy' lifestyle choices by those who view it as not only an acceptable way of communicating the health risks associated with obesity but also a productive way of motivating people with obesity to lose weight. Drawing on Graham Scambler's theoretical framework regarding shame and blame (2020), we discuss how 'heaping blame on shame' has become a 'wilful political strategy' under neoliberalism, particularly as it relates to individuals with obesity, and how the Tackling Obesity campaign leverages concerns around 'choices' and 'costs' as a means through which to encourage normative models of self-care and self-discipline.

The role of sense of coherence in workplace violence directed at nurses in the shadow of COVID-19: A cross-sectional study.

AIMS: To explore (a) the associations between sense of coherence (SOC), previous exposure to COVID-19, and the intention to act violently towards nurses, and (b) the role of SOC and sociodemographic variables as risk or protective factors involved in the intention to act violently. DESIGN: A cross-sectional study with a convenience sample. METHODS: A structured self-report questionnaire was distributed from February to March 2022. The questionnaire included socioeconomic variables, previous exposure to COVID-19, and a validated questionnaire on SOC. Three vignettes (online shaming, verbal and physical violence) describing nurse-patient communication conflicts were presented to participants. A multinomial logistic regression was conducted to explore the associations with acting violently by comparing three options of no/sometimes/high intention to act violently. The study adhered to STROBE guidelines. RESULTS: Questionnaires were completed by 808 adults. SOC and religiosity were revealed as protective factors in the three vignettes. Verbal violent behaviour was found to be a risk factor for online and physical violent behaviour intention. Previous exposure to COVID-19, non-academic education, and ethnicity were found to be risk factors for the intention to behave violently toward nurses. CONCLUSION: The findings suggest that training nurses in practical SOC dimensions (enhancing comprehensible, manageable and meaningful treatment processes) may reduce patients' lack of understanding and frustration and, in turn, reduce the tendency to behave violently. IMPACT: This study focused on SOC as a variable that may affect the intention to act violently towards nurses. The results reveal that SOC may be a protective factor, where people with higher SOC will have less intention to behave violently towards nurses. The results can provide an insight for nurses, nurse leaders and policymakers, towards supplying coherent and cultural competency treatment processes for patients and assisting nurses in dealing with stressful situations during normal routines and pandemics. PATIENT OR PUBLIC CONTRIBUTION: The questionnaire was distributed among the general public by master's degree nursing students. The students distributed the questionnaires among their friends and acquaintances using a snowball-sampling approach.

Travel shaming? Re-thinking travel decision making amid a global pandemic.

The COVID-19 pandemic has placed the notion of "travel shaming" under the spotlight-tourists are concerned about being criticized for traveling during the pandemic. Yet the broader idea of travel-induced shaming, conceptualized as ethics-based evaluations in this paper, has not drawn much attention as consequence-based assessments in travel-related risk research. This paper presents two studies revealing a) how ethics- and consequence-based risk evaluations influence individuals' travel attitudes/intentions and b) how message framing about responsible travel affects travel shame and individuals' intentions to travel responsibly. Using structural equation modeling, Study 1 suggests that consequence- and ethics-based evaluations play key roles in predicting travelers' attitudes/intentions to travel. Moreover, social trust and self-efficacy significantly affect both types of risk evaluations. Study 2 adopts an experimental design and shows that, compared with loss-framed and controlled message conditions, gain-framed messaging can reduce travel shame and encourage tourists to travel responsibly. Theoretical and practical implications were discussed.

A Sartrean analysis of pandemic shaming.

In this paper, we analyse the particular phenomena of COVID-19 pandemic shaming. We examine Sartre's account of the undifferentiated other in the experience of 'the look', and his insistence on shame as a foundational relational affect, in order to give a robust theoretical frame to understand how pandemic shaming circulated both online and offline, in targeted and diffuse manners. We focus on two features of pandemic shaming. First, we draw attention to the structural necessity of an audience in acts of pandemic shaming, where the shamer acts on behalf of a community of others, the audience, to perform and enforce a set of standards, values or norms. We turn to the we-experience and collective emotions literature and discuss how the shamer believes themselves to be 'speaking' on behalf of a community who share their outrage along with their values. Second, we discuss how the presumption of a collective emotion was frequently mistaken in acts of pandemic shaming, where shaming frequently led to shame backlashes, where the audience revealed themselves not to share the emotion and values of the shamer, consequently shaming the shamer. We argue that Jean-Paul Sartre's voyeur example is usefully illustrative of the tripartite structure of (1) shamed, (2) shamer and (3) shamer of the shamer that occurs in iterative processes of pandemic shaming, which are accompanied by shaming backlashes. We conclude by reflecting on the socio-historical context for Sartre's accounts of shame and 'the look', namely the German occupation of Paris and Sartre's experience of the French Resistance movement, and how these yield a particular socio-historical framing that makes evident how the extraordinary pseudo-wartime conditions of COVID-19 rendered atmospheres of distrust and suspicion prevalent.

Views and experience of breastfeeding in public: A qualitative systematic review.

Breastfeeding rates in many Global North countries are low. Qualitative research highlights that breastfeeding in public is a particular challenge, despite mothers often having the legal right to do so. To identify barriers and facilitators, we systematically searched the qualitative research from Organisation for Economic Co-operation and Development countries relating to breastfeeding in public spaces from 2007 to 2021. Data were analysed using the Thematic Synthesis technique. The review was registered with PROSPERO (registration number: CRD42017081504). Database searching identified 3570 unique records. In total, 74 papers, theses, or book chapters, relating to 71 studies, were included, accounting for over 17,000 mothers. Overall, data quality was high. Our analysis identified that five core factors influenced mothers' thought processes and their breastfeeding in public behaviour: legal system; structural (in)equality; knowledge; beliefs and the social environment. Macro-level factors relating to legislation and inequality urgently require redress if breastfeeding rates are to be increased. Widespread culture change is also required to enhance knowledge, change hostile beliefs and thus the social environment in which mother/infant dyads exist. In particular, the sexualisation of breasts, disgust narratives and lack of exposure among observers to baby-led infant feeding patterns resulted in beliefs which created a stigmatising environment. In this context, many mothers felt unable to breastfeed in public; those who breastfed outside the home were usually highly self-aware, attempting to reduce their exposure to conflict. Evidence-based theoretically informed interventions to remove barriers to breastfeeding in public are urgently required.

Baro-Bullying: An ignored comorbidity of living with obesity.

Obesity is no longer considered as a result of simplistic voluntary inequality of excessive intake of calories and inability to expend the same by physical activity. Though the calorie imbalance occurs, it is said to be biologically driven by underlying genetic mechanisms and associated with alterations in the orexigenic and anorexic hormones in the hypothalamus. However, despite recognising obesity as a disease the stigma associated with obesity is still a big problem in the society. In this manuscript we propose the term Baro-Bullying which provides a holistic overview of this stigma encompassing its different aspects and its downstream effect on the individual and the disease process. We also propose different methods to reduce barobullying across the spectrum of this disease process.

Cross-lagged panel analyses of maternal psychological control and young adolescents' emotion regulation.

INTRODUCTION: The present study examined the longitudinal relations between maternal psychological control and emotion regulation in Chinese adolescents. Specifically, we examined how emotion regulation was reciprocally associated with multiple dimensions of psychological control, including love withdrawal, guilt induction, and shaming in the Chinese cultural context. METHODS: Participants consisted of 865 Chinese students from fourth through eighth grade (50.8% girls; Mage = 11.82 years at Wave 1, SDage = 1.28 at Wave 1, range = 10-15 years). Data were collected at two time-periods over a one-year period. Children reported on their emotion regulation. Mothers rated their engagement in love withdrawal, guilt induction, and shaming. RESULTS: Cross-lagged panel analyses revealed an adequate model fit. Children's emotion regulation at study onset predicted decreases in all three dimensions of maternal psychological control one year later, whereas the three dimensions of maternal psychological control did not significantly predict emotion regulation one year later. CONCLUSIONS: Findings revealed the longitudinal associations among child emotion regulation and maternal psychological control within a specific cultural context. Implications for the meaning of psychological control parenting in Chinese culture are discussed.

How Do Chinese Youth in Hong Kong Evaluate Maternal Guilt and Shame Induction? Age, Form, and Domain Differences.

Although Chinese parents are seen as employing guilt and shame induction to socialize children's culturally appropriate behavior, research has focused primarily on Chinese parents' use of these inductions and their links with child adjustment rather than on children's evaluations of them. Furthermore, this research typically does not examine variations in children's appraisals based on the type of behavior being socialized. The present study addressed these gaps in the literature by examining 206 Hong Kong Chinese children's and early adolescents' (Ms = 9.76, 13.35 years, SDs = 0.78, 0.54; 50% and 61% female, respectively) appraisals of maternal guilt induction (act- vs. parent-focused) and shame induction (social comparison vs. denigration) following a hypothetical moral and academic transgression. Overall, act-focused guilt induction was evaluated as more appropriate, respectful, effective, and reflective of mothers' love and concern than parent-focused guilting, and in turn, social comparison shaming, and then denigration and more so overall for the moral than the academic transgression. Early adolescents judged act-focused guilting for the moral transgression as more effective and eliciting more positive feelings than did children. Although culturally valued, social comparison shame (and also denigration) were judged as less appropriate, less effective, as reflecting less maternal love and concern, and as eliciting less positive feelings (but only for social comparison shaming in response to lower-than-expected academic performance) by early adolescents as compared to younger peers, suggesting that youth become more critical of these culturally appropriate practices in the transition to adolescence.

Social media reduce users' moral sensitivity: Online shaming as a possible consequence.

In this study, we propose that social media reduce users' moral sensitivity through the mediation of the perceived moral intensity of hostile comments, which leads to behavioral consequences for online shaming. Three separate studies were conducted to explore this statement. Study 1 (N = 160) compared moral sensitivity between participants in simulated social media situations and a control group. Study 2 (N = 412) tested the mediating role of perceived moral intensity through self-rated questionnaires. Study 3 (N = 295) examined the behavioral consequences of reduced moral sensitivity on online shaming by manipulating social media and perceived moral intensity. Across these three studies with their different methodologies, we found consistent support for our prediction that social media reduce users' moral sensitivity. Also, our findings shed light on perceived moral intensity as a mediator. As expected, less perceived moral intensity and less moral sensitivity (as serial mediators) induced by social media led to a higher tendency to participate in online shaming. In addition, our research suggests that the harmful effects of social media could be restricted by improving users' perceived moral intensity in the form of reminders. These findings provide novel insights into the underlying mechanism of cyberviolence on social media and also contribute to the literature on the antecedents and consequences of moral sensitivity.

Social distancing as a public good under the COVID-19 pandemic.

OBJECTIVES: The purpose of this study is to show that social distancing is a public good under the COVID-19 pandemic. STUDY DESIGN: We apply economic theory to analyse a cross-sectional survey. METHODS: Economic theory is complemented with empirical evidence. An online survey of those aged 30-49 years in Japan (n = 2177) was conducted between April 28 and May 7. Respondents were selected by quota sampling with regard to age group, gender and prefecture of residence. Our main figure shows the proportion of people who increased/did not change/decreased social distancing, relative to the level of altruism and sensitivity to public shaming. The results of OLS and logit models are shown in Supplementary Materials. RESULTS: Social distancing is a public good under the COVID-19 pandemic for which the free-rider problem is particularly severe. Altruism and social norms are crucial factors in overcoming this problem. Using an original survey, we show that people with higher altruistic concerns and sensitivity to shaming are more likely to follow social distancing measures. CONCLUSIONS: Altruism and social norms are important for reducing the economic cost of the pandemic.

The injustice of fat stigma.

Fatness stigma is pervasive. Being fat is widely regarded a bad thing, and fat persons suffer numerous social and material disadvantages in virtue of their weight being regarded that way. Despite the seriousness of this problem, it has received relatively little attention from analytic philosophers. In this paper, I set out to explore whether there is a reasoned basis for stigmatizing fatness, and, if so, what forms of stigmatization could be justified. I consider two lines of reasoning that might be advanced to defend fat stigma. The first is broadly consequentialist. It seeks to justify stigmatizing fatness based on the public health benefits that might be produced by doing so. The second argument takes stigmatizing fatness to be a warranted response to the morally blameworthy failure to slim down exhibited by fat persons. Clarifying and assessing each of these two lines of reasoning is the main task of this paper. I argue that, upon careful examination, both these attempts to justify the stigmatization of fatness fail.

On Effectiveness and Legitimacy of 'Shaming' as a Strategy for Combatting Climate Change.

While states have agreed to substantial reduction of emissions in the Paris Agreement, the success of the Agreement strongly depends on the cooperation of large Multinational Corporations. Short of legal obligations, we discuss the effectiveness and moral legitimacy of voluntary approaches based on naming and shaming. We argue that effectiveness and legitimacy are closely tied together; as voluntary approaches are the only alternative to legally imposed duties, they are most morally defensible particularly if they would be the most effective in reducing the harmful greenhouse gases. Shaming could be made effective if states could prompt more corporations to accept voluntary cuts with high gains-such as public acknowledgements-and high losses, such as reporting on noncompliance and public exposure (naming), along with some kind of condemnation (shaming). An important challenge of such voluntary approaches is how to ensure compliance with the agreed upon commitments, while avoiding greenwashing or selective disclosure. Certain institutional arrangements are inevitable, including an independent measurement, monitoring and verification mechanism. In this paper, we discuss the potentials and ethical pitfalls of shaming as a strategy when corporations have a direct relationship with consumers, but also when they are in a relationship with governments and other corporations.

Body shaming and internalized weight bias as potential precursors of eating disorders in adolescents.

Introduction: Body shaming (BS) is a growing phenomenon within the school context, especially among adolescents. Recently, it has been described as an unrepeated act in which a person expresses unsolicited, mostly negative comments about an individual's body. The targeted person perceives these comments as negative, offensive or body shame-inducing. Empirical evidence also suggests that body weight is the most common reason that youths are teased and bullied. Indeed, weight stigma, described as bias or discriminatory behaviors, attitudes, feelings, and thinking about individuals, because of their weight, can lead to weight-based discrimination and victimization. Preliminary evidence suggests that BS and weight stigma have negative effects on psychological health both in the short and long term. In the delicate stage of adolescence development and pubertal maturation, BS experiences can be highly prevalent and it can lead to adverse outcomes such as eating disorders (ED). However, prevalence data in the Italian context are still lacking. Methods: The study aims to estimate weight-related BS perceived by different sources (i.e., peers and family members) and their associations with public and internalized weight bias, body mass index (BMI), body dissatisfaction, and ED symptoms. A sample of 919 high school students (Mage = 15.97, SD = 1.58; 57.1% boys) completed a battery of self-report questionnaires assessing these variables. Results: One in four students reported experiences of weight-related BS by peers or family members. A total of 37% reported having at least one BS experience in a lifetime. Higher scores of ED symptoms, body dissatisfaction, and weight bias were reported by adolescents who experienced BS, especially females. Among overweight participants, results showed that internalized weight bias partially mediated the relationship between BS by family members and ED symptoms and fully mediated the relationship between BS by peers and ED symptoms, after controlling for age, sex and BMI. Discussion: These findings, despite their cross-sectional nature, add an important contribution to the creation of quantitative empirical evidence on the phenomenon of BS. Its role in explaining eating disorders, both alone and with the mediation of internalized weight stigma has been first proved and needs to be confirmed by longitudinal results.

Socioeconomic-Status-Based Disrespect, Discrimination, Exclusion, and Shaming: A Potential Source of Health Inequalities?

Observing an association between socioeconomic status (SES) and health reliably leads to the question, "What are the pathways involved?" Despite enormous investment in research on the characteristics, behaviors, and traits of people disadvantaged with respect to health inequalities, the issue remains unresolved. We turn our attention to actions of more advantaged groups by asking people to self-report their exposure to disrespect, discrimination, exclusion, and shaming (DDES) from people above them in the SES hierarchy. We developed measures of these phenomena and administered them to a cross-sectional U.S. national probability sample (N = 1,209). Consistent with the possibility that DDES represents a pathway linking SES and health, the SES→health coefficient dropped substantially when DDES variables were controlled: 112.9% for anxiety, 43.8% for self-reported health, and 49.4% for cardiovascular-related conditions. These results illustrate a need for a relational approach emphasizing the actions of more advantaged groups in shaping health inequities.

Morality in the anthropocene: The perversion of compassion and punishment in the online world.

Although much of human morality evolved in an environment of small group living, almost 6 billion people use the internet in the modern era. We argue that the technological transformation has created an entirely new ecosystem that is often mismatched with our evolved adaptations for social living. We discuss how evolved responses to moral transgressions, such as compassion for victims of transgressions and punishment of transgressors, are disrupted by two main features of the online context. First, the scale of the internet exposes us to an unnaturally large quantity of extreme moral content, causing compassion fatigue and increasing public shaming. Second, the physical and psychological distance between moral actors online can lead to ineffective collective action and virtue signaling. We discuss practical implications of these mismatches and suggest directions for future research on morality in the internet era.

AI Shaming: The Silent Stigma among Academic Writers and Researchers.

AI shaming refers to the practice of criticizing or looking down on individuals or organizations for using AI to generate content or perform tasks. AI shaming has emerged as a recent phenomenon in academia. This paper examines the characteristics, causes, and effects of AI shaming on academic writers and researchers. AI shaming often involves dismissing the validity or authenticity of AI-assisted work, suggesting that using AI is deceitful, lazy, or less valuable than human-only efforts. The paper identifies various profiles of individuals who engage in AI shaming, including traditionalists, technophobes, and elitists, and explores their motivations. The effects of AI shaming are multifaceted, ranging from inhibited technology adoption and stifled innovation to increased stress among researchers and missed opportunities for efficiency. These consequences may hinder academic progress and limit the potential benefits of AI in research and scholarship. Despite these challenges, the paper argues that academic writers and researchers should not be ashamed of using AI when done responsibly and ethically. By embracing AI as a tool to augment human capabilities and by being transparent about its use, academic writers and researchers can lead the way in demonstrating responsible AI integration.

Case report: Psychotherapy for enhancing psychological adjustment to dysphoric milk ejection reflex.

Given its endless benefits, breastfeeding is widely acknowledged as the optimal choice for both maternal and infant health. Nevertheless, breastfeeding mothers often encounter various challenges that may hinder their ability to fully embrace this experience. This report delves into a compelling case of Dysphoric Milk Ejection Reflex (D-MER), a largely underexamined mental health issue among lactating mothers. D-MER is characterized by intense aversion right before milk let down, which can significantly impede a mother's willingness to breastfeed. The primary aim of this case report is to provide a comprehensive psychological understanding of D-MER, emphasizing aspects of attachment, the transition into motherhood, and the sociocultural sexualization of the female body. We also offer an overview of the psychotherapeutic journey, highlighting key insights and progress achieved over a span of six months. Therapy adopted an integrative approach combining narrative techniques and skills training such as mindfulness to facilitate a comprehensive therapeutic experience. This case underscores the psychological dimensions of the breastfeeding experience, complementing the well-established biochemical and physiological aspects of D-MER. It also emphasizes the need for further research into the psychological facets of both successful and less successful breastfeeding experiences.

Staging enmity: reading populist productions of shame with Jelinek's On the Royal Road.

Background: Populism is often perceived as a shamelessly loud segment of political discourse. However, Jelinek's play On the Royal Road, written on the occasion of Trump's 2016 election as US president, suggests that populism leads to societal silencing. Jelinek's text expounds that when a society's public sphere is marked by ubiquitous enmity against an imagined "we", grounded in antagonism, then the possibility of speaking to one another disappears, because speaking to one another is based on the willingness to give one's counterpart space and listen to them. In a public discourse that stages enmity, the counterpart vanishes. Therefore, populism, loud as it is, leads to the silencing of whole communities insofar as they are left with nothing in common but enmity. Method: Critical discourse analysis is used to contextualise close readings of select passages of Jelinek's play with recent social sciences and humanities research on global populisms to highlight what literary language and the dramatic form can contribute to understanding populism. Results: The silencing populisms entail is fed, in large part, by a dynamics linking the interpersonal emotion of shame to its discursive exploitation in shamelessness and shaming: populist voices transgress rules of democratic debate in the public sphere to elicit outrage by mainstream politics, media, and civil society, which often retort populist shamelessness by shaming populist actors. The audience excitement populist leaders and supporters generate is an important factor in normalizing the emotional, moralizing populist polarization of "us" versus "them" that undermines differentiated discussion and a dispute of arguments. Conclusion: While media and research commonly suggest that with the populist reduction of politics to a spectacle, citizens become a passive audience, the article expounds that audiences play a key role in the production of populist enmity. This insight offers an alley to counteract populism.

New Obesity Guidance for Pediatrics: Medicalizing Obesity or Acquiescing to Our Obesogenic Culture?

The publication of the American Academy of Pediatrics report on a "Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity" has been met with considerable debate about the merits of taking a more aggressive treatment approach. Supporters of the new guidance argue that the time has come to treat childhood obesity with more intensive behavior therapy along with, as needed, weight loss medications and bariatric surgery. Detractors of the report believe that medicalizing this condition will lead to greater stigma and increase health disparities. Critics of the new guidance favor a "healthy at every size" approach. This editorial examines the reasoning behind these arguments. Given obesity is a complex issue that demands both clinical and societal solutions, this commentary advocates for multi-disciplinary cooperation and understanding in order to achieve an effective balance between prevention and treatment.

Social shaming and bullying of mental health staff by patients: A survey in a mental health centre.

WHAT IS KNOWN ON THE SUBJECT?: Public shaming, especially by consumers of healthcare, is getting worse and has become a specific case of bullying Despite extensive research on physical and verbal violence directed towards mental health workers, the issue of social shaming and bullying by patients or relatives has not been sufficiently researched WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: Mental healthcare workers are exposed to the threat of social shaming and bullying on a regular almost weekly basis Abusive behaviours by patients are associated with professional burnout, decreases in professional functioning and even a tendency to leave the workplace among mental health workers WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The stability and strength of the therapeutic alliance between healthcare giver and psychiatric patient are critical to the success of the treatment There is a need to develop a dedicated organizational policy for the prevention, early detection, intervention and support for teams exposed to social shaming and bullying An emphatic response, and effective intervention in a case of social shaming may improve professional functioning and reduce burnout and intention to leave. ABSTRACT: INTRODUCTION: Social shaming can impair caregivers' performance. The prevalence of shaming experienced by mental health workers and the relationships to their function or burnout is unknown. AIM: To examine the associations between exposure to social shaming and bullying by patients, the risk appraisal of negative impact of this behaviour, burnout, professional functioning and intention to leave among mental health workers. METHOD: In this cross-sectional study, 122 workers from a psychiatric hospital completed a questionnaire. RESULTS: Participants reported exposure to social shaming and bullying by patients on a regular basis. Shaming and bullying were significantly associated with lower professional functioning and higher intention to leave, while burnout may at least partially mediate the association between these variables. CONCLUSIONS: The phenomenon of shaming and bullying of mental health workers by patients is common and is associated with lower functioning and higher burnout, which have a negative impact on the patient-caregiver interaction. IMPLICATIONS FOR PRACTICE: There is a need to establish a policy for early detection of shaming of mental health workers in order to prevent burnout or intention to leave. Evidence based interventions, such as the Safewards model, accompanied by assessment of their effectiveness, may help in this effort.