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

2021 ◽  
Author(s):  
Eli Natvik ◽  
Målfrid Råheim ◽  
Randi Sviland
Keyword(s):  
Weight Loss ◽  
Narrative Analysis ◽  
Life Story ◽  
Weight Loss Surgery ◽  
Sense Of Self ◽  
The Body ◽  
Long Run ◽  
Severely Obese ◽  
Eating Practices ◽  
And Control

AbstractBased 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.

The conflict between mind and body – the case of Mrs. R.

Physiotherapy ◽  
2014 ◽  
Vol 22 (4) ◽  
Author(s):  
Agnieszka Stępień ◽  
Sylwia Chładzińska-Kiejna ◽  
Katarzyna Salamon-Krakowska
Keyword(s):  
Social Life ◽  
Suicide Attempts ◽  
Sense Of Self ◽  
The Body ◽  
Self Identity ◽  
Family Work ◽  
Psychiatric Hospitalizations ◽  
Mind And Body ◽  
Memory Awareness ◽  
And Control

AbstractDissociative psychopathology is understood as an immature defence mechanism of personality, based on the techniques of reality distortion. The natural cause of a disorder reflects the lack of sense of coherence between identity, memory, awareness, perception and consequently - goal orientated action. Its symptoms manifest the separation of emotions, thoughts and behaviours bound with an event in order to maintain an illusory sense of control of demanding and unbearable experience.We describe the case of a 57-year-old woman suffering from broad range of dissociative symptoms from early childhood. Decomposition of integrity between memories, a sense of self-identity and control of the body has become the cause of numerous suicide attempts, multiple psychiatric hospitalizations and not fully effective therapy attempts. Destructive influence of psychopathological symptoms negatively influenced patient’s life course, decisions made as well as family, work and social life.

Support Groups and Behavioral Science

2018 ◽  
Author(s):  
Christina M. Rummell
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Substance Use ◽  
Behavioral Health ◽  
Support Groups ◽  
Behavioral Science ◽  
Weight Loss Surgery ◽  
Process Research ◽  
Health Interventions ◽  
Severely Obese

While a psychological evaluation is often a required part of a weight-loss surgery workup, providers are becoming aware of the need for behavioral health services during each phase of the surgery process. Research has documented a higher prevalence of psychiatric comorbidities in severely obese patient populations, with those who receive behavioral health interventions before surgery having better outcomes than those who do not. Common recommendations and interventions for pre- and postoperative behavioral health optimization are reviewed and discussed.Statistics indicate a greater lifetime prevalence of substance use disorders in weight-loss surgery patients than in the general population. Postoperative complications have been shown to result from substance abuse, making it one of the top-cited contraindications for surgery. Preliminary recommendations for assessing and addressing substance use in bariatric surgery candidates are discussed.

scholarly journals Prospective evaluation of urinary incontinence in severely obese adolescents presenting for weight loss surgery

2018 ◽  
Vol 14 (2) ◽  
pp. 214-218 ◽  
Author(s):  
W. Robert DeFoor ◽  
Thomas H. Inge ◽  
Todd M. Jenkins ◽  
Elizabeth Jackson ◽  
Anita Courcoulas ◽  
...  
Keyword(s):  
Weight Loss ◽  
Urinary Incontinence ◽  
Weight Loss Surgery ◽  
Prospective Evaluation ◽  
Obese Adolescents ◽  
Severely Obese

The effects of weight loss surgery on blood rheology in severely obese patients

2015 ◽  
Vol 11 (6) ◽  
pp. 1307-1314 ◽  
Author(s):  
Maciej Wiewiora ◽  
Jerzy Piecuch ◽  
Marek Glűck ◽  
Ludmila Slowinska-Lozynska ◽  
Krystyn Sosada
Keyword(s):  
Weight Loss ◽  
Weight Loss Surgery ◽  
Blood Rheology ◽  
Obese Patients ◽  
Severely Obese

Clinical Significance of Weight Changes in Malnutrition After Oesophagectomy for Cancer

2020 ◽  
Author(s):  
Jun Fan ◽  
jinyuan Liu ◽  
fei zhao ◽  
haoran Lin ◽  
Lei Xue ◽  
...  
Keyword(s):  
Weight Loss ◽  
Esophageal Cancer ◽  
Body Weight ◽  
Binary Logistic Regression ◽  
Potential Effect ◽  
The Body ◽  
Weight Changes ◽  
Logistic Regression Models ◽  
Independent Risk Factors ◽  
And Control

Abstract PurposeThis aim of study was to evaluate the potential effect of differences in body mass index (BMI) on nutritional status of patients after esophagectomy. METHODSWe retrospectively analyzed the association of BMI changes associated with nutritional dysfunction among esophageal cancer patients who received R0 esophagectomy from 2018 to 2019. The odd ratio (ORs) of factors related to more than 15% weight loss compared with the body weight at the discovery of the esophageal cancer and 95% confidence intervals (CIs) were estimated via binary logistic regression models after adjusting possible confounders. RESULTSThis study included 145 patients with median age at surgery 59 (interquartile range [IQR] 28–81 years), 44 female (43.6%), and mean BMI 25.1 ± 5.3 Kg/m2 at the onset of the disease. At 1-year follow-up, 33 patients (22.8%) experienced ≥ 15% weight loss: 20 among the 52 patients with BMI ≥ 25 kg/m2 and 13 among the 93 patients with BMI < 25 kg/m2 at the onset of the disease (P = 0.023). After adjustment for potential confounders, initial overweighting as well as advanced tumour p-stage were independent risk factors for higher risk of 1-year ≥ 15% weight loss (OR 2.07, 95%CI (1.39, 3.08); P=0.041; OR 2.58, 95% CI (1.64, 4.06); P=0.032). CONCLUSIONAssociation exists between overweighting at the onset of the disease and postoperative ≥ 15% weight loss risk in patients with oesophagectomy, highlighting the modulation and control of body weight to reduce the risk of malnutrition following oesophagectomy.

scholarly journals Prospective evaluation of urinary metabolic indices in severely obese adolescents after weight loss surgery

2016 ◽  
Vol 12 (2) ◽  
pp. 363-367 ◽  
Author(s):  
W. Robert DeFoor ◽  
John R. Asplin ◽  
Linda Kollar ◽  
Elizabeth Jackson ◽  
Todd Jenkins ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Loss Surgery ◽  
Prospective Evaluation ◽  
Obese Adolescents ◽  
Severely Obese ◽  
Metabolic Indices
Sign in / Sign up

Export Citation Format

Share Document