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Theses

Faire bon poids, bonne figure : Sociologie des suivis diététiques en libéral

Abstract : This Ph.D. Thesis focuses on self-employed dietitians, the aftercare they provide and their patients. It is based on the result of a qualitative investigation which combines interviews with dietitians and patients and observations of consultations. Firstly, we attempt to characterize career paths, social positions and working conditions of the dietitians that we met. Secondly, the thesis focuses on the progress of consultations and the follow-up procedure, from both the point of view of dietitians and their patients. They have to bear in mind when dealing with healthy patients who simply desire to lose weight, that they have to adjust their recommendations according to the expectations of their patients. In the context of a dietetic market in which prices but also social norms and representations regulate the encounter between suppliers and seekers of weight-loss follow-up services, I have observed how dietitians highlight their variations in order to develop their patient base. However, self-employed dietitians have to deal with an outcome obligation. Effective weight-loss, determined during each consultation on the occasion of « la pesée » (the weigh in),appears to be the main way through which patients evaluate the effectiveness of their aftercare. This investigation shows that going on a diet is currently stigmatized and considered as ineffective. Therefore , self-employed dietitians have to use alternative methods. These methods pretend to be naturally and universally effective. In fact, they would appear to be socially situated and thus potentially counter-effective for patients who belong to working class.The dietitians encountered on the fields have to take into account the social properties of the patients, which are sometimes quite diverse and heterogeneous.
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Submitted on : Monday, November 23, 2020 - 5:51:06 PM
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Etienne Bard. Faire bon poids, bonne figure : Sociologie des suivis diététiques en libéral. Sociologie. Université Paris-Nord - Paris XIII, 2019. Français. ⟨NNT : 2019PA131024⟩. ⟨tel-03020238⟩

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