Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Blame. Show all posts
Showing posts with label Blame. Show all posts

Friday, April 7, 2017

Against Willpower

Carl Erik Fisher
Nautilus
Originally published February 2, 2017

Here is an excerpt:

These hidden dimensions of willpower call into question the whole scholarly conception of the term, and put us into a lose-lose situation. Either our definition of willpower is narrowed and simplified to the point of uselessness (in both research and casual contexts), or it is allowed to continue as an imprecise term, standing in for an inconsistent hodgepodge of various mental functions. Willpower may simply be a pre-scientific idea—one that was born from social attitudes and philosophical speculation rather than research, and enshrined before rigorous experimental evaluation of it became possible. The term has persisted into modern psychology because it has a strong intuitive hold on our imagination: Seeing willpower as a muscle-like force does seem to match up with some limited examples, such as resisting cravings, and the analogy is reinforced by social expectations stretching back to Victorian moralizing. But these ideas also have a pernicious effect, distracting us from more accurate ways of understanding human psychology and even detracting from our efforts toward meaningful self-control. The best way forward may be to let go of “willpower” altogether.

Doing so would rid us of some considerable moral baggage. Notions of willpower are easily stigmatizing: It becomes OK to dismantle social safety nets if poverty is a problem of financial discipline, or if health is one of personal discipline. An extreme example is the punitive approach of our endless drug war, which dismisses substance use problems as primarily the result of individual choices. Unhealthy moralizing creeps into the most quotidian corners of society, too. When the United States started to get concerned about litter in the 1950s, the American Can Company and other corporations financed a “Keep America Beautiful” campaign to divert attention from the fact that they were manufacturing enormous quantities of cheap, disposable, and profitable packaging, putting the blame instead on individuals for being litterbugs. Willpower-based moral accusations are among the easiest to sling.

The article is here.

Wednesday, February 8, 2017

Medical culture encourages doctors to avoid admitting mistakes

By Lawrence Schlachter
STAT News
Originally published on January 13, 2017

Here are two excerpts:

In reality, the factor that most influences doctors to hide or disclose medical errors should be clear to anyone who has spent much time in the profession: The culture of medicine frowns on admitting mistakes, usually on the pretense of fear of malpractice lawsuits.

But what’s really at risk are doctors’ egos and the preservation of a system that lets physicians avoid accountability by ignoring problems or shifting blame to “the system” or any culprit other than themselves.

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What is a patient to do in this environment? The first thing is to be aware of your own predisposition to take everything your doctor says at face value. Listen closely and you may hear cause for more intense questioning.

You will likely never hear the terms negligence, error, mistake, or injury in a hospital. Instead, these harsh but truthful words and phrases are replaced with softer ones like accident, adverse event, or unfortunate outcome. If you hear any of these euphemisms, ask more questions or seek another opinion from a different doctor, preferably at a different facility.

Most doctors would never tell a flagrant lie. But in my experience as a neurosurgeon and as an attorney, too many of them resort to half-truths and glaring omissions when it comes to errors. Beware of passive language like “the patient experienced bleeding” rather than “I made a bad cut”; attributing an error to random chance or a nameless, faceless system; or trivialization of the consequences of the error by claiming something was “a blessing in disguise.”

The article is here.

Friday, September 2, 2016

But Did They Do It on Purpose?

By Dan Falk
Scientific American
Originally published July 1, 2016

Here is an excerpt:

In all societies, the most severe transgressions draw the harshest judgments, but cultures differ on whether or not intent is weighed heavily in such crimes. One scenario, for example, asked respondents to imagine that someone had poisoned a communal well, harming dozens of villagers. In many nonindustrial societies, this was seen as the most severe wrongdoing—and yet intent seemed to matter very little. The very act of poisoning the well “was judged to be so bad that, whether it was on purpose or accidental, it ‘maxed out’ the badness judgments,” explains lead author H. Clark Barrett of the University of California, Los Angeles. “They accepted that it was accidental but said it's your responsibility to be vigilant in cases that cause that degree of harm.”

The findings also suggest that people in industrial societies are more likely in general than those in traditional societies to consider intent. This, Barrett says, may reflect the fact that people raised in the West are immersed in complex sets of rules; judges, juries and law books are just the tip of the moral iceberg. “In small-scale societies, judgment may be equally sophisticated, but it isn't codified in these elaborate systems,” he notes. “In some of these societies, people argue about moral matters for just as long as they do in any court in the U.S.”

The article is here.

Tuesday, July 19, 2016

Who Blames the Victim?

Laura Niemi and Liane Young
Gray Matter - The New York Times
Originally published June 24, 2016

Here is an excerpt:

Victim blaming appears to be deep-seated, rooted in core moral values, but also somewhat malleable, susceptible to subtle changes in language. For those looking to increase sympathy for victims, a practical first step may be to change how we talk: Focusing less on victims and more on perpetrators — “Why did he think he had license to rape?” rather than “Imagine what she must be going through” — may be a more effective way of serving justice.

The article is here.

When and Why We See Victims as Responsible: The Impact of Ideology on Attitudes Toward Victims

Laura Niemi and Liane Young
Pers Soc Psychol Bull June 23, 2016

Abstract

Why do victims sometimes receive sympathy for their suffering and at other times scorn and blame? Here we show a powerful role for moral values in attitudes toward victims. We measured moral values associated with unconditionally prohibiting harm (“individualizing values”) versus moral values associated with prohibiting behavior that destabilizes groups and relationships (“binding values”: loyalty, obedience to authority, and purity). Increased endorsement of binding values predicted increased ratings of victims as contaminated (Studies 1-4); increased blame and responsibility attributed to victims, increased perceptions of victims’ (versus perpetrators’) behaviors as contributing to the outcome, and decreased focus on perpetrators (Studies 2-3). Patterns persisted controlling for politics, just world beliefs, and right-wing authoritarianism. Experimentally manipulating linguistic focus off of victims and onto perpetrators reduced victim blame. Both binding values and focus modulated victim blame through victim responsibility attributions. Findings indicate the important role of ideology in attitudes toward victims via effects on responsibility attribution.

The article is here.

Monday, April 25, 2016

Shame and Blame in the Therapeutic Relationship

Ami Schattner
JAMA Intern Med. Published online April 04, 2016.
doi:10.1001/jamainternmed.2016.0610

Here is an excerpt:

[The physician-patient relationship] requires full commitment providing information, empathy, and bonding obligatory for patient-centeredness, patient satisfaction, trust, and adherence which translate into "hard" health outcomes. Because clinical care is strongly dependent on this human interaction, it is also susceptible to inherent biases (mostly unintentional) that are one major cause of variation in care. In this context, providers' reactions to certain patients may involve negative feelings adversely affecting the degree of effort invested in their care, diagnostic accuracy, treatment decisions, and level of communication, empathy and support. Stigmatized patients may get different (less than optimal) care, just as "nice" patients may be preferred and receive better care. Instead of empathy and bonding, which have a positive impact on outcomes, censure, absent compassion, diminished bonding, and poor support toward patients who caused their own wretched state are likely, as well as actual variation in care, all compromising patient outcomes. For example, poor provider's empathy and bonding on the part of the clinician was linked to low patient adherence and may be associated with actual discrimination and rationing.

The article is here.

Monday, March 28, 2016

To blame or to forgive?

By Nicola Lacey and Hanna Pickard
Oxford University Blog
Originally published March

What do you do when faced with wrongdoing – do you blame or do you forgive? Especially when confronted with offences that lie on the more severe end of the spectrum and cause terrible psychological or physical trauma or death, nothing can feel more natural than to blame. Indeed, in the UK and the US, increasingly vehement and righteous public expressions of blame and calls for vengeance are commonplace; correspondingly, contemporary penal philosophy has witnessed a resurgence of the retributive tradition, in the modern form usually known as the ‘just deserts’ model.

But if we stop to think about it, this criminal justice practice stands in contrast to significant features of our everyday moral practices. People can and routinely do forgive others, even in cases of severe crime. Evolutionary psychologists have argued that both vengeance and forgiveness are universal human adaptations that have evolved as alternative responses to exploitation, and, crucially, strategies for reducing risk of re-offending. We are naturally endowed with both capacities: to blame and retaliate, or to forgive and seek to repair relations. We have a choice. Which should we choose?

The blog post is here.

Saturday, January 9, 2016

Moral judgment as information processing: an integrative review

Steve Guglielmo
Front Psychol. 2015; 6: 1637.
Published online 2015 Oct 30. doi:  10.3389/fpsyg.2015.01637

Abstract

How do humans make moral judgments about others’ behavior? This article reviews dominant models of moral judgment, organizing them within an overarching framework of information processing. This framework poses two distinct questions: (1) What input information guides moral judgments? and (2) What psychological processes generate these judgments? Information Models address the first question, identifying critical information elements (including causality, intentionality, and mental states) that shape moral judgments. A subclass of Biased Information Models holds that perceptions of these information elements are themselves driven by prior moral judgments. Processing Models address the second question, and existing models have focused on the relative contribution of intuitive versus deliberative processes. This review organizes existing moral judgment models within this framework and critically evaluates them on empirical and theoretical grounds; it then outlines a general integrative model grounded in information processing, and concludes with conceptual and methodological suggestions for future research. The information-processing framework provides a useful theoretical lens through which to organize extant and future work in the rapidly growing field of moral judgment.

The entire article is here.

Friday, January 8, 2016

Less Blame, Less Crime? The Practical Implications of Moral Responsibility Skepticism

By Neil Levy
Journal of Practical Ethics
Volume 3 Issue 2. December 2015

Abstract

Most philosophers believe that wrongdoers sometimes deserve to be punished by long prison sentences. They also believe that such punishments are justified by their consequences: they deter crime and incapacitate potential offenders. In this article, I argue that both these claims are false. No one deserves to be punished, I argue, because our actions are shot through with direct or indirect luck. I also argue that there are good reasons to think that punishing fewer people and much less harshly will have better social consequences, at a reduced overall cost, then the long prison sentences that are usually seen as required for social protection.

The article is here.

Wednesday, December 23, 2015

Men at Work

By Allison J. Pugh
Aeon
Originally posted December 4, 2015

Here are two excerpts:

One option is to get angry. When I interviewed laid-off men for my recent book on job insecurity, their anger, or more often a wry bitterness, was impossible to forget. By and large, like Gary the laid-off tradesman, they were not angry at their employers. At home, however, they sounded a different note. ‘I have a very set opinion of relationships and how females handle them,’ Gary told me, rather flatly. ‘It’s what I’ve seen consistently throughout my life.’ On his third serious relationship, Gary talked about the ‘hurt that’s been caused to me by a lack of commitment on the part of other people’, and he complained that ‘marriage can be tossed out like a Pepsi can’. In the winds of uncertainty, Gary’s anger at women keeps him grounded.

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Nonetheless, most working‑class men such as Gary are trapped by a changing economy and an intransigent masculinity. Faced with changes that reduce the options for less-educated men, they have essentially three choices, none of them very likely. They can pursue more education than their family background or their school success has prepared them for. They can find a low-wage job in a high-growth sector, positions that are often considered women’s work, such as a certified nurse practitioner or retail cashier. Or they can take on more of the domestic labour at home, enabling their partners to take on more work to provide for the household. These are ‘choices’ that either force them to be class pioneers or gender insurgents in their quest for a sustainable heroism; while both are laudable, we can hardly expect them of most men, and yet this is precisely the dilemma that faces men today.

The article is here.

Note from me: This article not about the standard issues in ethics. However, it does bring up the issue of competence. Do we, as psychologists, understand the culture of males in a changing economic system? And, is the changing economic picture a factor in the increase in white, male suicides?

Thursday, November 26, 2015

Inability and Obligation in Moral Judgment

Wesley Buckwalter and John Turri
PLOS
Published: August 21, 2015
DOI: 10.1371/journal.pone.0136589

Introduction

Morality is central to human social life [1–3]. Fulfilling moral obligations often requires us to put other people’s interests before our own. Sometimes this is easy, but other times it is hard. For example, it is plausible we are obligated to alleviate terrible suffering if we can do so at very little cost to ourselves, as happens when we donate money to famine relief or vaccination programs. But how far does this obligation extend? Some argue that it extends to the point where we would be making ourselves worse off than the people receiving charitable aid [4]. Many have found this suggestion implausible, sometimes on the grounds that the requirements for morality are limited by our psychology [5–7]. Given the way we are constituted, perhaps we are simply incapable of donating that much. This raises an important question: how demanding is morality and what are the limits of moral requirements?

According to a longstanding principle of moral philosophy, moral requirements are limited by ability. This is often glossed by the slogan that “ought implies can” (hereafter “OIC” for short). The principle says that one is obliged to perform an action only if one can perform the action. Support for OIC can be traced back to at least Cicero [8]. A more explicit articulation comes from Immanuel Kant, who writes, “Duty commands nothing but what we can do,” and that, “If the moral law commands that we ought to be better human beings now, it inescapably follows that we must be capable of being better human beings”.

The entire article is here.

Monday, November 2, 2015

Does Disbelief in Free Will Increase Anti-Social Behavior?

By Gregg Caruso
Psychology Today Blog
Originally published October 16, 2015

Here is an excerpt:

Rather than defend free will skepticism, however, I would like to examine an important practical question: What if we came to disbelieve in free will and basic desert moral responsibility? What would this mean for our interpersonal relationships, society, morality, meaning, and the law? What would it do to our standing as human beings? Would it cause nihilism and despair as some maintain? Or perhaps increase anti-social behavior as some recent studies have suggested (more of this in a moment)? Or would it rather have a humanizing effect on our practices and policies, freeing us from the negative effects of free will belief? These questions are of profound pragmatic importance and should be of interest independent of the metaphysical debate over free will. As public proclamations of skepticism continue to rise, and as the media continues to run headlines proclaiming that free will is an illusion, we need to ask what effects this will have on the general public and what the responsibility is of professionals.

In recent years a small industry has actually grown up around precisely these questions. In the skeptical community, for example, a number of different positions have been developed and advanced—including Saul Smilansky’s illusionism, Thomas Nadelhoffer’s disillusionism, Shaun Nichols’ anti-revolution, and the optimistic skepticism of Derk Pereboom, Bruce Waller, and myself.

The entire article is here.

Sunday, November 1, 2015

The Illusion of Choice: Free Will and Determinism

By Vexen Crabtree
Science and Truth Versus Mass Confusion

1. Nothing Escapes the Laws of Physics

Free will is an illusion. Our amazingly, wonderfully complex brains are comprised of various cognitive systems cycling amongst themselves and generating our thoughts, consciousness, choices and behaviour. These systems and their effects all result from the mechanical, inorganic laws of physics, over which we have no control.

Consciousness is presented to us as a result of our neurons, our brains, our senses. When we lose these, we lose consciousness. These systems are governed and controlled by neurochemicals, hormones, ionisation, impulses: in short, by biochemistry. Biochemistry is in turn merely a type of chemistry, and when we look at the molecules and atoms that make up our chemistry, they obey the laws of physics.

Balls bouncing around a pool table have no free will. The basic chemicals that make up our bodies and minds have no free will. Neurons fire when they should fire, according to their electrochemical properties. They don't randomly fire: They fire when they're stimulated to fire by other neurons or by environmental inputs. Stimulation results from a constant biochemical cycle. These natural cycles determine our states of mind and our choices. Through a long and complicated series of cause and effect, our choices are made. As such, all our 'choices' are ultimately the result of impersonal and mechanical forces. There is no "free will force" that causes neurons to fire some times and not at others. They fire in accordance with the rules of physics, firmly beyond our control but not beyond our appreciation. These facts are proclaimed also by none other than the foremost physicist Albert Einstein:
“I do not at all believe in human freedom in the philosophical sense. Everybody acts not only under external compulsion but also in accordance with inner necessity.”
Albert Einstein (1954)
Sociologists and psychologists have studied the subliminal, subconscious and external factors that affect our behaviour, and a vast number of studies that have found that our behaviour is determined by outside agency but that we always think it is caused by our own will.

The entire blog entry is here.

Thursday, August 6, 2015

The causal cognition of wrong doing: incest, intentionality, and morality

Rita Astuti and Maurice Bloch
Front. Psychol., 18 February 2015

Abstract

The paper concerns the role of intentionality in reasoning about wrong doing. Anthropologists have claimed that, in certain non-Western societies, people ignore whether an act of wrong doing is committed intentionally or accidentally. To examine this proposition, we look at the case of Madagascar. We start by analyzing how Malagasy people respond to incest, and we find that in this case they do not seem to take intentionality into account: catastrophic consequences follow even if those who commit incest are not aware that they are related as kin; punishment befalls on innocent people; and the whole community is responsible for repairing the damage. However, by looking at how people reason about other types of wrong doing, we show that the role of intentionality is well understood, and that in fact this is so even in the case of incest. We therefore argue that, when people contemplate incest and its consequences, they simultaneously consider two quite different issues: the issue of intentionality and blame, and the much more troubling and dumbfounding issue of what society would be like if incest were to be permitted. This entails such a fundamental attack on kinship and on the very basis of society that issues of intentionality and blame become irrelevant. Using the insights we derive from this Malagasy case study, we re-examine the results of Haidt’s psychological experiment on moral dumbfoundedness, which uses a story about incest between siblings as one of its test scenarios. We suggest that the dumbfoundedness that was documented among North American students may be explained by the same kind of complexity that we found in Madagascar. In light of this, we discuss the methodological limitations of experimental protocols, which are unable to grasp multiple levels of response. We also note the limitations of anthropological methods and the benefits of closer cross-disciplinary collaboration.

The entire article is here.

Thursday, February 12, 2015

Dimensions of Moral Emotions

By Kurt Gray and Daniel M. Wegner
Emotion Review Vol. 3, No. 3 (July 2011) 258–260

Abstract

Anger, disgust, elevation, sympathy, relief. If the subjective experience of each of these emotions is the same whether elicited by moral or nonmoral events, then what makes moral emotions unique? We suggest that the configuration of moral emotions is special—a configuration given by the underlying structure of morality. Research suggests that people divide the moral world along the two dimensions of valence (help/harm) and moral type (agent/patient). The intersection of these two dimensions gives four moral exemplars—heroes, villains, victims and beneficiaries—each of which elicits unique emotions. For example, victims (harm/patient) elicit sympathy and sadness. Dividing moral emotions into these four quadrants provides predictions about which emotions reinforce, oppose and complement each other.

The entire article is here.

Wednesday, January 28, 2015

My brain made me do it, but does that matter?

By Walter Sinnott-Armstrong
The Conversation
Originally published December 12, 2014

Here is an excerpt:

These extreme cases are easy. Despite some rhetoric, almost nobody really believes that the fact that your brain made you do it is by itself enough to excuse you from moral responsibility. On the other side, almost everybody agrees that some brain states, such as seizures, do remove moral responsibility. The real issues lie in the middle.

What about mental illnesses? Addictions? Compulsions? Brainwashing? Hypnosis? Tumors? Coercion? Alien hand syndrome? Multiple personality disorder? These cases are all tricky, so philosophers disagree about which people in these conditions are responsible — and why. Nonetheless, these difficult cases do not show that there is no difference between seizures and normal desires, just as twilight does not show that there is no difference between night and day. It is hard to draw a line, but that does not mean that there is no line.

The entire article is here.

Friday, January 9, 2015

Beliefs About the True Self Explain Asymmetries Based on Moral Judgment

George E. Newman, Julian De Freitas, Joshua Knobe
Cognitive Science (2014) 1–30.

Abstract

Past research has identified a number of asymmetries based on moral judgments. Beliefs about
(a) what a person values, (b) whether a person is happy, (c) whether a person has shown weakness
of will, and (d) whether a person deserves praise or blame seem to depend critically on whether participants themselves find the agent’s behavior to be morally good or bad. To date, however, the origins of these asymmetries remain unknown. The present studies examine whether beliefs about an
agent’s “true self” explain these observed asymmetries based on moral judgment. Using the identical
materials from previous studies in this area, a series of five experiments indicate that people
show a general tendency to conclude that deep inside every individual there is a “true self” calling
him or her to behave in ways that are morally virtuous. In turn, this belief causes people to hold different intuitions about what the agent values, whether the agent is happy, whether he or she has
shown weakness of will, and whether he or she deserves praise or blame. These results not only
help to answer important questions about how people attribute various mental states to others; they
also contribute to important theoretical debates regarding how moral values may shape our beliefs
about phenomena that, on the surface, appear to be decidedly non-moral in nature.

The entire article is here.

Monday, December 1, 2014

Blame as Harm

By Patrick Mayer
Academia.edu

I. Introduction

Among philosophers who work on the topic of moral responsibility there is widespread agreement with the claim that when we debate over the nature and existence of moral responsibility we are not talking about punishment. To say that someone is morally responsible for a bad action is not to say that she ought to be punished for it, nor does saying that moral responsibility is a fiction imply that you think punishment is illegitimate. Moral responsibility is about praiseworthiness and blameworthiness. You are morally responsible for some action iff it is either appropriate to praise you, appropriate to blame or would have been so had the action been morally significant in one way or another.

In this paper ‘Incompatibilism’ will be the name of the view that moral responsibility is incompatible with determinism. So according to Incompatibilism it is never appropriate to praise or blame someone. Why? Different incompatibilists will give you different answers. One might answer by saying that it is a conceptual or linguistic fact that blameworthiness is incompatible with determinism. An example would be saying that the definition of ‘blameworthy’ or the concept of blameworthiness contains within it a claim that for an agent to be blameworthy for X it must have been possible for the agent to do something other than X. On this way of thinking about incompatibilism if someone believes that determinism is true and they believe that someone is blameworthy then they accept contradictory claims and are therefore irrational.

Another way to answer the question is to say not that believing someone blameworthy would be inconsistent with a belief in determinism but to say that to blame someone would be unfair if determinism were true. This second way to answer I will call ‘Fairness Incompatibilism.’ There are advantages to adopting Fairness Incompatibilism. One, and probably the historically most important reason, is that by adopting Fairness Incompatibilism one can answer a criticism made by P.F. Strawson against incompatibilism.  Strawson claims that the practice of reacting emotionally to people, a practice many have treated as equivalent to blaming and praising, stands in no need of an external metaphysical  justification. This is meant to rule out the demand, made by incompatibilists, that morally responsible agents have a form of agency that implies indeterminism. But considerations of fairness are internal to the practice of reacting emotionally to people, and so if the case for incompatibilism is made by appeal to the concept of fairness then whether Strawson’s claim about the immunity of our practice from purely metaphysical considerations, incompatibilism can still go through. Another motivation for accepting Fairness Incompatibilism is that many have the intuition that if determinism is true then when we blame people we are doing something wrong to them, treating them in a way they do not deserve.

The entire article is here.

Thursday, September 18, 2014

Free Will and Punishment

Azim F. Shariff, Joshua D. Greene,  and others
Psychological Science 2014 25: 1563 
originally published online 10 June 2014
DOI: 10.1177/0956797614534693

Abstract

If free-will beliefs support attributions of moral responsibility, then reducing these beliefs should make people less retributive in their attitudes about punishment. Four studies tested this prediction using both measured and manipulated free-will beliefs. Study 1 found that people with weaker free-will beliefs endorsed less retributive, but not consequentialist, attitudes regarding punishment of criminals. Subsequent studies showed that learning about the neural bases of human behavior, through either lab-based manipulations or attendance at an undergraduate neuroscience course, reduced people’s support for retributive punishment (Studies 2–4). These results illustrate that exposure to debates about free will and to scientific research on the neural basis of behavior may have consequences for attributions of moral responsibility.

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As part of the discussion section:

Retributivism plays an important role in the justice system. Historically, much of the motivation for legal punishment has been an institutionalized attempt to sate the public’s retributive desires (Smith, 1759). Legal historian Stephen (1883) famously wrote that “the sentence of the law is to the moral sentiment of the public what a seal is to hot wax” (p. 423). In recent years, justice researchers and advocates have argued for a switch from retributive to restorative justice—a consequentialist approach aimed at repairing the moral imbalances caused by transgressions (Braithwaite, 2002). The current findings suggest that changing attitudes about free will and responsibility may be important to this evolution of legal thinking.

The entire article is here, complete with paywall.

Monday, May 19, 2014

Very overweight teens face stigma, discrimination, and isolation

From a synopsis in the British Medical Journal

Here is an excerpt of the synopsis of the article:

In general, young people thought that individuals were responsible for their own body size. They associated excess weight with negative stereotypes of laziness, greed, and a lack of control. And they felt that being overweight made an individual less attractive and opened them up to bullying and teasing.

Young people who were already overweight tended to blame themselves for their size. And those who were classified as very overweight said they had been bullied and physically and verbally assaulted, particularly at school. They endured beatings, kickings, name-calling, deliberate and prolonged isolation by peers, and sniggering/whispering.

Some young people described coping strategies, such as seeking out support from others. But the experiences of being overweight included feeling excluded, ashamed, marked out as different, isolated, ridiculed and ritually humiliated. Everyday activities, such as shopping and socialising, were difficult.

The entire synopsis is here.

A link to the study is here.