Theorizing health at every size as a relational–cultural endeavour

Abstract

Mainstream dietetics buttresses a conventional weight management agenda that is associated with weight preoccupation, body dissatisfaction, size oppression, and troubled eating. Coterminous with this agenda is healthism, which taken together, impede dietitians’ engagement with a health at every size (HAES) paradigm, a paradigm driven by concern for equality. Yet, HAES has also been critiqued for having healthist tendencies. The purpose of this paper is to explore how HAES might be reimagined through the lens offered by relational cultural theory (RCT) to offer a radical and more socially just vision of dietetic practice. We posit relational–cultural theory as a complementary theoretical perspective to deepen understandings and to politicize HAES-based dietetic practice. We suggest that RCT permits a critical, relational, and political revisioning of the weight-centred canon and elaborates HAES by emphasizing mutual empathy and reciprocal growth within and between the client and practitioner concomitantly. Moreover, questions of power, ethical survival, and knowledge emerge which is what we contend makes it possible for a socially just, nonhealthist HAES practice to flourish.

Keywords:

• dietetics
• healthism
• health at every size
• critical practice
• relational–cultural theory