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Debating Individual Agency

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The Real War on Obesity
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Abstract

I focus on the pair of narratives which constitute the primary public debate, in that they are the most prominent accounts with the largest backing. I show that the contest to understand the issue of obesity here is not a simple one of ‘structure versus agency’ or ‘environment versus behaviour’; instead, it is a more complex contest between narratives which mobilise features across the broader discourses associated with the ‘environmental’ and the ‘behavioural’. The dominant narrative underpinning policy in both countries—Facilitated Agency—sees obesity as a problem caused largely by broad environmental factors, but promotes the most elegant and feasible solution as working to better enable individuals to manage their own weight. Structured Opportunity, the primary counternarrative voiced by public health experts and activists, accepts that behavioural explanations of the obesity epidemic must be ‘part of the mix’, but it nevertheless sees the major policy gains to be had at a population level in regulating the food environment. Both, ultimately, claim to advocate making ‘healthy choices easier’ in the contest for the middle ground; the broader lesson being that performing political narratives in practice represents less a perfect or pure manifestation of a distinct discourse, and more an effort to ‘bridge’ distinct discourses in order to better mobilise broader support.

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Notes

  1. 1.

    There are of course some important exceptions. Barry et al. (2009), for instance, acknowledge a broader variety of constructions in their account of the ‘metaphors’ that order policymakers ideas and preferences on obesity. Swierstra (2011) likewise makes room for a more complex array of obesity ‘discourses’. And most valuably of all, Shugart (2011) develops a sophisticated analysis of the now dominant sociological narrative of obesity, in which she consciously undermines the typical ‘environmental versus behavioural’ divide. This analysis builds on this work, especially that of Shugart, in the task of unpacking a more nuanced political debate about obesity as a policy issue.

  2. 2.

    Elsewhere I have drawn out the analytical distinction between narrative and discourse (see Boswell 2013). The key point for the purposes of this discussion is that narratives represent how actors reflexively think and talk about issues, where discourses represent constellations of ideas that, though seldom recounted in full, order people’s perspectives on understanding of political issues, sometimes at a distance from or beyond their own apprehension.

  3. 3.

    This was the tagline of the Public Health Commission in the UK—a forerunner to the current Responsibility Deals that was established by the Conservative party while in opposition. For a lengthy commentary, see Lawrence (2010).

  4. 4.

    For example, the Food and Drink Federation corresponded with board members the day before a meeting on April 10, 2008, to voice grave concerns about the proposed agenda.

  5. 5.

    This was the tagline of an influential Cabinet Office White Paper in 2004, promoted and referred to often by advocates of the Facilitated Agency account, especially in Britain. It was also adopted as an important subheading in the report of the National <Author-Query><!----></Author-Query>Preventative Health Taskforce (2008)—considered a key articulation of the Structured Opportunity narrative in Australia.

  6. 6.

    Interestingly, the nature of the ‘mix’ can also vary greatly across performances of the same narrative in different settings of debate. Namely, relative to their accounts in expert-dominated sites or in the media, advocates of the key counternarrative are more likely to downplay aspects of the ‘environmental’ discourse and emphasise aspects of the ‘behavioural’ discourse on obesity when engaging with policymakers in decision-oriented sites of discussion and policy work. I will return to this point in depth in subsequent chapters, especially in Part 2 of the book, as the theme of fuzziness and disjuncture across debate emerges more clearly.

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Boswell, J. (2016). Debating Individual Agency. In: The Real War on Obesity. Palgrave Studies in Science, Knowledge and Policy. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-58252-2_2

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  • DOI: https://doi.org/10.1057/978-1-137-58252-2_2

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  • Publisher Name: Palgrave Macmillan, London

  • Print ISBN: 978-1-137-58251-5

  • Online ISBN: 978-1-137-58252-2

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