Search

The words used to refer to weight and individuals with large bodies can be used to reinforce weight stigma. Given that most previous research has examined preferred terminology within homogenous groups, this research sought to examine terminology preferences across populations. This paper reports on data gathered with the general public, family physicians, and obesity researchers/practitioners. Participants were asked about the words they commonly: (1) used to refer to people with large bodies (general public); (2) heard in their professional contexts (physicians and obesity specialists); and (3) perceived to be the most socially or professionally acceptable (all samples). Similarities and differences were evident between samples, especially related to weight-related clinical terms, the word fat, and behavioral stereotypes. The results provide some clarity into the differences between populations and highlight the need to incorporate use of strategies that may move beyond person-first language to humanize research and clinical practice with people with large bodies. [ABSTRACT FROM AUTHOR]

Weight bias comprises a multitude of stereotypes about individuals with large bodies, as well as negative attitudes and discriminatory behaviors. In a culture of normative discontent that emphasizes thinness as a social ideal, many counselors will inevitably work with clients who seek assistance with weight loss. Although weight loss may be a client's identified treatment goal, counselors must consider the potential for harm working toward such a goal in therapy. In this article, we utilize justice motive theory to discuss the potential unintended harm to clients in counseling when weight bias is not considered as part of a case conceptualization. Through the examination of three common social messages related to body weight (i.e., the controllability of body weight, the morality of weight, the social acceptability of weight bias), the justice motive is used to illustrate a case example and the implications for counseling. Considerations for socially just practices in counseling are discussed, as well as future research directions. Public Significance Statement: Negative attitudes and stereotypes about individuals with large bodies, known as weight bias, are a serious problem that can impact health care, including experiences in counseling. This article provides a framework for understanding how unintentional weight bias can negatively impact counseling practice and provides practice considerations from a social justice perspective. [ABSTRACT FROM AUTHOR]