Tomorrow is the start of the rest of their life — so who cares about health? Exploring constructions of weight-loss motivations and health using story completion

ABSTRACT

In Western societies, health is closely associated with body weight and weight loss, achieved through individual health behaviour. I examined such associations in constructions of weight-loss motivations and health in stories generated using the novel method of story completion. The story stem featured either a female or male protagonist deciding to lose weight; 148 women and 22 men (ages 18–24) provided stories in response. A social constructionist thematic analysis identified five themes: health as clothing size and means to an end; weight-loss activity as good for every woman; tomorrow is going to be the start of the rest of their life; tell me when I’m okay — it’s not about wellbeing; and weight loss as signifier of the “true self.” Considering the adverse social and psychological consequences reflected in the stories and the longstanding elusiveness of successful weight-loss methods, I support calls to review the dominant weight-focused approach to public health.     

The Zhuangzi on Coping with Society

Stories in the Zhuangzi detailing expert artisans and other extraordinary people are often read as celebrations of “skills” or “knacks.” In this paper, I will argue that they would be more accurately understood as “coping” stories. Taken as a celebration of one’s “skill” or “knack” they transform the Zhuangzi into an implicit advocate of conforming to, or even identifying with, one’s social roles. I will argue that the stories of artisans and extraordinarily skilled people are less about cultivating one’s talents so as to “find one’s calling,” better fulfill social expectations, or achieve oneness with Dao, than they are concerned with developing strategies for coping with natural and social contingencies. Read in this way, there is much to learn from the Zhuangzi when reflecting on contemporary social and political issues, especially those related to meritocratic hubris.     

Thai Meditation Lineages Abroad: Creating Networks of Exchange

International travel is a significant component in the making of transnational Buddhism. This article argues that through even limited international travel and exchange with Buddhist teachers, networks of exchange can be created. Focusing on international meditation centres in Thailand, I delineate three mediums through which meditation teachers, in conjunction with their students, build institutional transnational links. Using case studies from various lineages and teachers within Thailand’s international meditation centres, this article reveals the stories and relationships that spread Thai Buddhist meditation abroad. In this context I also explore the effects of lineage and missionization within this process of travel and exchange.     

Mad Scientists, Narrative, and Social Power: A Collaborative Learning Activity

Nathaniel Hawthorne’s short stories “The Birthmark” (1843) and “Rappaccini’s Daughter” (1844) encourage critical thinking about science and scientific research as forms of social power. In this collaborative activity, students work in small groups to discuss the ways in which these stories address questions of human experimentation, gender, manipulation of bodies, and the role of narrative in mediating perceptions about bodies. Students collectively adduce textual evidence from the stories to construct claims and present a mini-argument to the class, thereby strengthening their skills in communication and cooperative interpretation of ethical dilemmas. This exercise is adaptable to shorter and longer periods of instruction, and it is ideal for instructors who collaborate across areas of expertise.     

Coping Mechanisms in Navigating Xenophobia-Afrophobia-Related Challenges Within the Transnational Space: Case of Somali Refugee Women in Gauteng,South Africa

This study explores the coping strategies that Somali women espouse in dealing with complexities in the transnational space, within the context of Gauteng, South Africa. The paper is drawn from a qualitative study where I conducted in-depth interviews of 40 female Somali participants. Under the Power Geometries (one of the components of Geographies of power theory), the study argues that Somali women are not helpless victims of Xenophobia-Afrophobia and other complexities in the transnational space. They are individuals that make use of economic partnerships, business niches, narrate stories, are resilient in their nature, navigate marriage unions whilst in the context of Xenophobia-Afrophobia among other complexities. The study applied the theories of Geographies of Power and Social Network. Xenophobia-Afrophobia is a recurrent phenomenon that challenges migrant’s lives in South Africa. Somalis are among the most affected communities. This is due to their involvement in businesses located in the poor zones of the South African townships where they compete with local businesses. The Somali women are affected by overt and covert Xenophobia-Afrophobia.     

The Challenges of Multiculturalism

Although the term multiculturalism is often understood on the public level as an ideology or as a social programme (to be ‘for’ or ‘against’), I argue in this paper that the term should also be understood to refer to the complex range of issues associated with cultural and religious diversity in society, and the social management of the challenges and opportunities such diversity offers. Understood in this sense, multiculturalism is not an optional extra, it is not something that a society can choose to have or avoid. For any country without closed borders then multiculturalism is a fact of today—it is present within the society. What is important are the social and political responses to the cultural and religious diversity that results from transnational flows and settlement of people. This introduction to the collection of papers highlights the need to understand multiculturalism as a process which is always contextual, and the role that state management of difference in the successful development of diversity plays.     

Stories from the South: A Question of Logic

In this paper, I argue that stories about difference do not promote critical self and social understanding; rather, on the contrary, it is the way we understand ourselves that makes some stories relevantly different. I discuss the uncritical reception of a story about homosexuality in Cuba, urging attention to generalizations explaining judgments of importance. I suggest that some stories from the South will never be relevant to discussions about human flourishing until we critically examine ideas about freedom and democracy, and their role in national identity, explaining the significance we give, or not, to such stories.     

Reaching out in a climate of negativity: perceptions and persistence among Muslim sources engaging with news media

The conceptions sources have of journalists influence whether and in what ways those sources engage with the news media. In this paper, I consider the contribution of Muslim sources to news in a context of perceived negativity. Scholarship on the content of British news stories about Muslims has found a consistently negative tone; my study examines the impressions of sources as co-producers of that content. My data come from qualitative fieldwork conducted in Glasgow, Scotland, studying relationships between journalists and Muslim sources through a combination of methods, with an emphasis on interviews. In these interviews, sources articulated an overwhelmingly negative conception of journalists and news organisations. I consider different constructions of negativity and what they suggest about how participants perceive the media, and I problematise the minority instances of positive conceptions. Finally, I evaluate why sources who identify as Muslim would bother participating in media production, given this perception of negativity. This discussion is informed by Couldry’s concept of ‘media meta-capital’ (Couldry 2003), which a macro-level power that imposes other fields of public life, and Schlesinger’s attentiveness to source strategies (Schlesinger 1990), a form of agency at the micro-level. This case study suggests that, whatever sources think of media coverage, their choice to contribute to its production is conditioned by strategic considerations, revealing development in the media’s relations with Muslims in Britain.     

Bridging the HIV Divide: Stigma,Stories and Serodiscordant Sexuality in the Biomedical Age

At a time when advances in biomedicine have rendered people with HIV non-infectious under certain conditions, much public discourse on HIV remains stuck in a paradigm of ‘risk’, which does little to lessen the divide between people with and without HIV in society or challenge the way intimate relationships across this divide are typically stigmatised as undesirable and problematic. We rarely hear the stories of couples who live with mixed HIV statuses and how they themselves perceive and manage their so called ‘serodiscordance’. In this article, we examine such stories by mixed-status couples in Australia. In stark contrast to the dominant discourse, these couples invoked narratives of love, the everyday unimportance and manageability of HIV, and recent developments in HIV medicine, thereby challenging the way serodiscordant sexuality has been cast in public health research. Drawing on Ken Plummer’s work on hidden sexual stories, we consider not only the content of their stories, but the broader significance of stories to the world in which they are enacted, of storytelling as a rally for social and political recognition and legitimacy. Reflecting on our own role in the co-production of research stories, we argue that by moving marginalised sexual stories out of silence, stigmatised communities and researchers can conjointly and incrementally shape a new public discourse and new forms of ‘intimate citizenship’.     

Breast cancer representations in Canadian news media: a critical discourse analysis of meanings and the implications for identity

Despite the importance of critical media work, much is to be learned about breast cancer representations within media discourses and the implications for women’s identity construction. Building on research from Australia from a discursive perspective, this article used an eclectic approach to critical discourse analysis to explore the cultural construction of breast cancer in 25 detailed stories within Canada’s two national newspapers, The Globe and Mail and the National Post. Ten images accompanying stories and 17 advertisements/public service announcements were also analyzed to contextualize discourses and subject positions/identities within the stories. Analysis of this media affords the unique opportunity to explore taken for granted assumptions and prevailing meanings about breast cancer and the implications for subjectivity. Two primary discourses were identified: a discourse of biomedicine and a discourse of healthism. Subject positions identified included “breast cancer survivor,” “the good consumer,” and the “medical expert.” The psychological, social, political, and health promotion implications are discussed.     

Transnational Quarantine Rhetorics: Public Mobilization in SARS and in H1N1 Flu

This essay examines how Chinese governments, local communities, and overseas Chinese in North America responded to the perceived health risks of Severe Acute Respiratory Syndrome (SARS) and H1N1 flu through the use of public and participatory rhetoric about risk and quarantines. Focusing on modes of security and quarantine practices, I examine how globalization and the social crises surrounding SARS and H1N1 flu operated to regulate differently certain bodies and areas. I identify three types of quarantines (mandatory, voluntary, and coerced) and conduct a transnational comparative analysis to investigate the relationships among quarantines, rhetoric, and public communication. I argue that health authorities must openly acknowledge the legitimacy of public input and actively seek public support regarding health crises. Only by collaborating with concerned communities and citizens and by providing careful guidance for public participation can health institutions ensure the efficacy of quarantine orders during emerging epidemics.     

Creative Writing as a Medical Instrument

Listening and responding to patients’ stories for over 20 years as an emergency physician has strengthened my appreciation for the many ways that the skills and principles drawn from writing fiction double as necessary clinical skills. The best medicine doesn’t work on the wrong story, and the stories patients tell sometimes feel like first drafts—vital and fragile works-in-progress. Increasingly complex health challenges compounded by social, financial, and psychological burdens make for stories that are difficult to articulate and comprehend. In this essay, I argue that healthcare providers need to think like creative writers and the skills and sensitivities necessary to story construction deserve a vital space in medical education. A thorough understanding of story anatomy and the imaginative flexibility to work stories into open spaces serve as antidotes to the reductive nature of clinical decision making and have implications as patient safety and risk management strategies. The examples that I have selected demonstrate how thinking like a creative writer functions at the bedside, providing tools for clinical excellence and empathy. This approach asks that we re-imagine the importance of story in clinical care: from a vehicle to a diagnosis to its place as a critical destination.     

Storifying Samsø’s Renewable Energy Transition

Through a joint community effort Denmark’s Renewable Energy Island Samsø became self-sufficient with renewable energy over a period of 10 years from 1997 to 2007. Today, the story about Samsø’s successful energy transition has become a global export and a widely known model of community building, public participation and shared ownership in renewable energy technologies and transition processes. What has allowed the Samsø narrative to travel so widely has been the effective ‘transition story’ created about the islanders’ efforts. This transition story, however, has become fixed with the years and has assumed an ideal-typical character. Meanwhile, the challenges and costs inherent in the complicated socio-material process of transition are underestimated and largely forgotten. While such transition stories are indeed inspiring, the ideal-typical narrative may stand in the way of the development of further local energy transitions, as challenging elements of the process are downplayed to strengthen the narrative power of the story. Ethnographic stories about Samsø complicate the island’s transition narrative and add nuance to the Samsø story, highlighting its discrepancies and problematizing the effects of such well-crafted transition narratives. This tendency toward the ‘storification’ of transition processes is not restricted to Samsø; it is employed as a tactics by environmental organizations operating globally.     

Retrospective reflexivity: The residual and subliminal repercussions of researching war

Stories of the war have been a known part of my story as granddaughter of Polish post-war migrants. Yet venturing into these stories as researcher has been troubling; I found their closeness and their raw emotion difficult to process. Significant sections of my interview schedules entailed participants recounting their own, their parents' or their grandparents' stories of war and migration, with traumatic episodes frequently intersecting into their stories. As a researcher, these traumatic narratives have had a residual quality, lasting in my subconscious long after the interviews themselves and doctorate for which they were conducted had finished.In this paper, I focus on experiences of, and reactions to listening to, analysing and writing about these traumatic cultural memories. Collins (1998: 3.35) has observed that ‘the emotions experienced, whether by the interviewer or interviewee, are as real, as important and as interesting as any other product of the interview’; my powerfully felt experiences with traumatic content have validated this sentiment. With a retrospective reflexivity I now realise that these cultural memories were not the only ‘product’ of my research, but that how they were narrated and how I dealt with them were also a significant part of the research process, and indeed stories in themselves. Here I attempt to retell how these stories impacted me as the researcher; how in the case of particularly harrowing stories, I also needed time to absorb the narratives, to comprehend the participant's experiences and their ability to narrate such stories, and to recover from the experience of listening to such accounts.     

Islam as a new social actor in Italian cities: mosque controversies as sites of inclusion and separation

Most Muslim immigrants oscillate in the public sphere between three levels in the public sphere: the local, the national and the transnational. While the national and transnational levels continue to be marked by a strong degree of conflictuality, it is at the local level where new integration strategies are implemented and ‘social capital’ is acquired. The comparison between two similar debates over the construction of a mosque in the Italian cities of Bologna and Florence with opposite outcomes reveals the importance of the local dimension in the construction of a national Islam and the significance of appropriate participatory tools in the inclusion of Muslims in the local public sphere. In particular, the article highlights the link between the legitimacy of Islam in the fabric of the city and the degree of openness of the Islamic community. It also illustrates how overcoming the reluctance and fear of different actors can allow citizens to assimilate the idea of ‘a mosque in the city’ and not just of ‘a mosque for Muslims’. The article describes how the use of appropriate tools, particularly of participatory decision-making, has made it easier for marginalised or politically excluded individuals to take steps towards full citizenship and for the Muslim community to emerge as a legitimate social actor in the local public sphere.     

Modelling the acceptance of fully autonomous vehicles: A media-based perception and adoption model

As the technology matures, fully autonomous vehicles (AVs) are on the corner. This calls for exploring the factors that might influence potential users’ perception and acceptance of AVs. Limited existing studies related to acceptance modeling investigated the effects of media and human on fully AVs’ beliefs. Hence, a media-based perception and adoption model (MPAM) is developed to investigate how information and opinion (from mass media and social media) affect human self-perception (including self-efficacy and subjective norms) and product value perception (including perceived usefulness and risks), which in turn drive users’ adoption intention to private AVs and public AVs as well. Through a questionnaire survey, 355 samples from two universities were collected in Beijing. The structural equation model results confirm that media channels have salient effects on consumer and product with different emphases. Mass media enhances potential users’ self-efficacy of fully AVs, while social media strengthens subjective norms. Both usefulness and risks of AVs are perceived simultaneously via mass media, whereas risks perception can be significantly eliminated by social media. All constructs of user’s self-perception and product perception are verified to drive users’ intention to using AVs and public AVs. Besides the theoretical and modeling contributions, practical implications are provided for the marketers and stakeholders in the early stages of AVs launch.     

“Just Beyond my Front Door”: Public Discourse Experiences of Children Adopted from China

The phenotypic differences between children and their adoptive parents in transracial adoptions make the child’s adoptive status readily apparent in public. Consequently, adoptees field more frequent questions and comments about the adoption. The present study examines the nature of public conversations about ethnicity and adoption of 41 elementary school age girls adopted from China and the ecological factors related to less frequent occurrences of such conversations and to the positive nature of these experiences. Results indicate that family structure (single parent vs. two parents) and parental bicultural competence predict membership in the favorable condition (reporting fewer public interaction experiences and reporting more positive experiences, respectively). Child’s age and racial diversity of the town of residence do not predict these outcomes. Implications for families, adoption professionals, teachers and researchers are discussed.     

Near-death experiences and the pursuit of the ideal society

Up to one half of near-death experiencers report a social and physical realm beyond death. I describe the features of this afterlife society and compare them with previous ideas about the ideal society. I argue that the society so often mentioned by near-death experiencers is a unique type of utopian society. As stories from utopia, near-death experiences (NDEs) serve as inspirational narratives that help us re-evaluate the social world and our place in it. They also help integrate sometimes contradictory paradigms from religion, politics, and science. In this way, NDE narratives may be seen as the latest chapter in a long search for better social ideas about living harmoniously with each other.     

STRUCTURING GLOBAL DEMOCRACY: POLITICAL COMMUNITIES, UNIVERSAL HUMAN RIGHTS, AND TRANSNATIONAL REPRESENTATION

Abstract: The emergence of cross-border communities and transnational associations requires new ways of thinking about the norms involved in democracy in a globalized world. Given the significance of human rights fulfillment, including social and economic rights, I argue here for giving weight to the claims of political communities while also recognizing the need for input by distant others into the decisions of global governance institutions that affect them. I develop two criteria for addressing the scope of democratization in transnational contexts— common activities and impact on basic human rights —and argue for their compatibility. I then consider some practical implications for institutional transformation and design, including new forms of transnational representation .     

Toward a narrative conceptualization of stereotypes: contextualizing perceptions of public housing residents

Expansion of policies aimed at empowering disenfranchised groups, for example, resident/tenant participation in public housing, have been greeted with a great deal of enthusiasm. However, negative beliefs about the intelligence, ability, and morality of these groups, may interfere with the implementation of these policies. A greater understanding of social perceptions may lead to interventions that diminish interference. Traditional stereotyping research methods rely on trait conceptualizations that have been criticized as inadequate to fully describe social perceptions. This study examines the utility of a narrative approach to studying stereotypes about public housing residents. A group of college students (authors) wrote stories about a public housing resident and described the resident using trait objectives. Two readers, one given the story and the other the trait list, predicted how the author responded on various public housing belief and attitude instruments. Results indicate that stories and traits convey unique information not expressed by the other and offer preliminary support for the added usefulness, especially contextual information, of a narrative framework for studying stereotypes. The relevance of a narrative approach for understanding how stereotypes may undermine empowerment-based policies, in this case tenant participation in public housing, will also be explored. Copyright © 2000 John Wiley & Sons, Ltd.