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Item Bounded bodies : the everyday clothing practices of larger women : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Sociology, Massey University, Albany, New Zealand(Massey University, 2011) Cain, Trudie MelissaThe field of dress studies currently emphasises dress as an embodied practice, but surprisingly scant attention has been awarded to the fat fleshy clothed body. This thesis addresses this lacuna, and is concerned with the everyday clothing practices of larger women. Theoretically, I draw on and integrate literature from material culture studies, as well as from the politics of fatness, the latter serving as the socio-cultural foundation for the research. In doing so, my research contributes to and extends the current body of literature that considers dress as material culture. This thesis offers further extension of the field through the methodological focus of the research. Employing multiple inter-related methods allows the complex social processes of larger women?s clothing practices to be revealed. Often these processes are embedded within the seemingly habitual, mundane, everyday things that people do while operating within a particular social milieu. With this in mind, I employ an ethnographically-inspired, multiple-method research methodology to explore the everyday clothing practices of ten self-identified larger women in Auckland, New Zealand. The five research methods involve asking the participants to: keep a clothing journal; rummage through their wardrobe with me; go shopping for clothes with me; take photographs of their „clothed worlds?; and take part in a group discussion with other participants. Employing an integrative analytic process, I reveal the numerous ways that larger women enact their agency at the same time as being bound within structures of socio-cultural corporeal and clothing norms. My research shows that the boundaries between fleshy fat bodies, clothing and culturally-bound geographical spaces are experienced by my participants as tension-filled and ambiguous. Ultimately, they are perpetually provisional; the boundaries fixed yet potentially permeable. Using space as an organisational and analytic framework, my research explores the boundaries of four distinct spaces: spaces of consumption; public spaces beyond consumption; private spaces; and the spaces between fat bodies and clothes. I argue that, despite structural barriers that create „fat? bodies as „matter out of place? and, as such, beyond the bounds of possibility, larger women enact agency in creative and resourceful ways. In doing so, they challenge the boundaries of dominant Western constructions of fatness and ultimately, transform places of exclusion into spaces of inclusion.Item Living large : the experiences of large-bodied women when accessing general practice services : a thesis presented in partial fulfillment of the requirements for the degree of Master of Philosophy (Nursing) at Massey University, Palmerston North, New Zealand(Massey University, 2011) Russell, NicolaThe ‘obesity epidemic’ of the past two decades has resulted in numerous studies reporting higher levels of stigma and discrimination experienced by obese/overweight women, both within the health care system and society in the main. Despite general practice being the most utilised point of access for health care services, there has been very little international or national exploration of the experiences of large-bodied women accessing these services. Utilising a qualitative, descriptive research design, this post-structuralist feminist study has enabled a group of large-bodied women to express their stories of accessing general practice services. Eight self identified large-bodied women volunteered to participate in semi-structured face-to-face interviews. Thematic analysis identified seven themes: Early experiences of body perception, Confronting social stereotypes, Contending with feminine beauty ideals, Perceptions of health, Pursuing health, Respecting the whole person and Feeling safe to access care. The women in this study articulated broader interpretations of health and well-being than those teachings reproduced within dominant bio-medical and social discourses of obesity. When these women’s personal context, beliefs and values are silenced by the health care provider, the rhetoric of health care professional claims of patient-centred care has given way to these women experiencing stigmatisation and a sense of ambiguity about general practice services. However, when space is given for multiple interpretations of obesity to exist within the patient-health care provider relationship, these women feel respected, their health needs are satisfied and they are more comfortable to engage in health screening services. Resisting the powerful socio-cultural milieu which supports the superiority of a slim female body as a signifier of both health and beauty presents a challenge for health care professionals to negotiate. I contend however, that giving consideration to the perspectives of large-bodied women and critically reflecting upon one’s own personal beliefs and attitudes about the overweight/obese, presents an opportunity to ensure clinical practice for this population is truly patient-centred.
