A study that explores patients' perspectives on a life-altering surgery Bariatric surgery rates around the world have increased exponentially over the past decade. In Extreme Weight Loss, anthropologists Sarah Trainer, Alexandra Brewis, and Amber Wutich provide us with an inside look at how patients experience this medical procedure, as well as its far-reaching and complex personal implications. Drawing on patient interviews, survey data, and more, Trainer, Brewis, and Wutich explore why people decide to undergo bariatric surgery, and how that decision transforms their lives. They show, in painstaking detail, how the journey to weight loss is can be at once painful and liberating, dispiriting and self-affirming. Extreme Weight Loss explores questions about which bodies are treated as though they belong in modern societies, and which bodies are treated as unwanted. It considers how people challenge and manage these unfair standards, illuminating what it means to be large-bodied in America's diet-obsessed culture.

The increasing global prevalence of obesity and nutrition-based non-communicable disease has many causes, including food availability; social norms as evidenced in local foodways; genetic predisposition; economic circumstance; cultural variation in norms surrounding body composition; and policies affecting production, distribution, and consumption of food locally and globally. The Applied Anthropology of Obesity: Prevention, Intervention, and Identity advances understanding of the many cultural factors underlying increased global obesity prevalence. This collection of chapters showcase the value of anthropology's holistic approach to human interaction by exploring how human identity associated with obesity/overweight is affected by cultural norms, policy decisions, and perceptions of cultural change. They also demonstrate best practices for the application of anthropological skillsets to develop culturally-appropriate nutritional behavior change across multiple levels of analysis, from local programming to policy decisions at local and national levels. In addition to soliciting explanatory models used by respondents in different cultures and situations, anthropologists find themselves on the front lines of public health and policy attempts at affecting behavioral change. As such, this applied-focused volume will be of utility to scholars and practitioners in applied and medical anthropology, as well as to scholars and professionals in public health and other disciplines. The volume's authors are professional and student anthropologists from both public health practice and academia. Chapters are geographically diverse, containing lessons learned from attempts to combat obesity by anthropologically focusing on culture, history, economy, and power relative to obesity causation, prevention, and intervention. The Applied Anthropology of Obesity: Prevention, Intervention, and Identity candidly provides rich information about social identity, obesity, and treatment.

How stigma derails well-intentioned public health efforts, creating suffering and worsening inequalities. 2020 Winner, Society for Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for the British Sociological Association's Foundation for the Sociology of Health and Illness Book Prize Stigma is a dehumanizing process, where shaming and blaming are embedded in our beliefs about who does and does not have value within society. In Lazy, Crazy, and Disgusting, medical anthropologists Alexandra Brewis and Amber Wutich explore a darker side of public health: that well-intentioned public health campaigns can create new and damaging stigma, even when they are otherwise successful. Brewis and Wutich present a novel, synthetic argument about how stigmas act as a massive driver of global disease and suffering, killing or sickening billions every year. They focus on three of the most complex, difficult-to-fix global health efforts: bringing sanitation to all, treating mental illness, and preventing obesity. They explain how and why humans so readily stigmatize, how this derails ongoing public health efforts, and why this process invariably hurts people who are already at risk. They also explore how new stigmas enter global health so easily and consider why destigmatization is so very difficult. Finally, the book offers potential solutions that may be able to prevent, challenge, and fix stigma. Stigma elimination, Brewis and Wutich conclude, must be recognized as a necessary and core component of all global health efforts. Drawing on the authors' keen observations and decades of fieldwork, Lazy, Crazy, and Disgusting combines a wide array of ethnographic evidence from around the globe to demonstrate conclusively how stigma undermines global health's basic goals to create both health and justice.

How stigma derails well-intentioned public health efforts, creating suffering and worsening inequalities. 2020 Winner, Society for Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for the British Sociological Association's Foundation for the Sociology of Health and Illness Book Prize Stigma is a dehumanizing process, where shaming and blaming are embedded in our beliefs about who does and does not have value within society. In Lazy, Crazy, and Disgusting, medical anthropologists Alexandra Brewis and Amber Wutich explore a darker side of public health: that well-intentioned public health campaigns can create new and damaging stigma, even when they are otherwise successful. Brewis and Wutich present a novel, synthetic argument about how stigmas act as a massive driver of global disease and suffering, killing or sickening billions every year. They focus on three of the most complex, difficult-to-fix global health efforts: bringing sanitation to all, treating mental illness, and preventing obesity. They explain how and why humans so readily stigmatize, how this derails ongoing public health efforts, and why this process invariably hurts people who are already at risk. They also explore how new stigmas enter global health so easily and consider why destigmatization is so very difficult. Finally, the book offers potential solutions that may be able to prevent, challenge, and fix stigma. Stigma elimination, Brewis and Wutich conclude, must be recognized as a necessary and core component of all global health efforts. Drawing on the authors' keen observations and decades of fieldwork, Lazy, Crazy, and Disgusting combines a wide array of ethnographic evidence from around the globe to demonstrate conclusively how stigma undermines global health's basic goals to create both health and justice.

Traits that signal belonging dictate our daily routines, including how we eat, move, and connect to others. In recent years, "fat" has emerged as a shared anchor in defining who belongs and is valued versus who does not and is not. The stigma surrounding weight transcends many social, cultural, political, and economic divides. The concern over body image shapes not only how we see ourselves, but also how we talk, interact, and fit into our social networks, communities, and broader society. Fat in Four Cultures is a co-authored comparative ethnography that reveals the shared struggles and local distinctions of how people across the globe are coping with a bombardment of anti-fat messages. Highlighting important differences in how people experience "being fat," the cases in this book are based on fieldwork by five anthropologists working together simultaneously in four different sites across the globe: Japan, the United States, Paraguay, and Samoa. Through these cases, Fat in Four Cultures considers what insights can be gained through systematic, cross-cultural comparison. Written in an eye-opening and narrative-driven style, with clearly defined and consistently used key terms, this book effectively explores a series of fundamental questions about the present and future of fat and obesity.

A study that explores patients' perspectives on a life-altering surgery Bariatric surgery rates around the world have increased exponentially over the past decade. In Extreme Weight Loss, anthropologists Sarah Trainer, Alexandra Brewis, and Amber Wutich provide us with an inside look at how patients experience this medical procedure, as well as its far-reaching and complex personal implications. Drawing on patient interviews, survey data, and more, Trainer, Brewis, and Wutich explore why people decide to undergo bariatric surgery, and how that decision transforms their lives. They show, in painstaking detail, how the journey to weight loss is can be at once painful and liberating, dispiriting and self-affirming. Extreme Weight Loss explores questions about which bodies are treated as though they belong in modern societies, and which bodies are treated as unwanted. It considers how people challenge and manage these unfair standards, illuminating what it means to be large-bodied in America's diet-obsessed culture.