The Critic, the Child and the Nurturer: A group case study of art therapy in a weight-neutral frame for women with body image concerns

Main Article Content

Tavia Viglietti https://orcid.org/0009-0000-3451-2280

Keywords

Art therapy, \weight-neutral practice, body image, anti-fat bias, South Africa, inner child, inner critic, fat liberation

Abstract

This article explores how art therapy can function as a weight-neutral practice for South African women experiencing body image distress. Grounded in a six-week narrative art therapy group, the study drew on Ashlee Bennett’s (2022) three characters: the Body Critic, the Younger Self, and the Body Nurturer. Participants were able to externalise shame and imagine new ways of relating to their bodies. Using a qualitative, arts-based approach, the group revealed how internalised body criticism often stems from gendered, cultural, and familial influences. Through arts-based thematic analysis, three therapeutic processes were identified: the externalisation of internalised shame, the re-authoring of body narratives, and the emergence of self-compassion. Findings suggest that art therapy grounded in a weight-neutral stance offers an inclusive, ethically responsive alternative to weight-centric models of care. The article concludes with recommendations for (1) practice – embedding weight-neutral and anti-fat-bias frameworks in therapeutic work, (2) training – integrating critical engagement with weight-neutral practices and confronting anti-fat bias in art therapy education, and (3) research – developing decolonial and contextually grounded approaches to body image in South Africa. This study represents the first documented application of weight-neutral narrative art therapy in the region.

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References

APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, pp. 189–190. https://doi.org/10.1176/appi.books.9780890425596
Aza, M. (2009). What’s the skinny on fat women in psychotherapy: Mental health clinician’s countertransference with women of size. Smith College (master’s).
Bacon, L., & Aphramor, L. (2011). Weight science: Evaluating the evidence for a paradigm shift. Nutrition Journal, 10, Article 9. https://doi.org/10.1186/1475-2891-10-9
Bacon, L. (2010). Health at every size: The surprising truth about your weight. BenBella Books.
Bacon, J., Scheltema, K., & Robinson, B. (2001). Fat phobia scale revisited: The short form. International Journal of Obesity, 25(2), 252–257. https://doi.org/10.1038/sj.ijo.0801537
Bartky, S. L. (1990). Femininity and domination: Studies in the phenomenology of oppression. Routledge.
Bennett, A. (2022). The art of body acceptance. Page Street Publishing Co.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Bosire, E. N., Cohen, E., Erzse, A., Goldstein, S. J., Hofman, K. J., & Norris, S. A. (2020). ‘I’d say I’m fat, I’m not obese’: Obesity normalisation in urban-poor South Africa. Public Health Nutrition, 23(9), 1515–1526. https://doi.org/10.1017/S1368980019004440
Bordo, S. (2005). Unbearable weight: Feminism, Western culture, and the body. University of California Press.
Flegal, K. (2021). The obesity wars and the education of a researcher: A personal account. Progress in Cardiovascular Diseases, 67(1), 75–79. https://doi.org/10.1016/j.pcad.2021.06.009
Fikkan, J. L., & Rothblum, E. D. (2012). Is fat a feminist issue? Exploring the gendered nature of weight bias. Sex Roles, 66, 575–592. https://doi.org/10.1007/s11199-011-0022-5
Kinavey, H., & Cool, C. (2019). The broken lens: How anti-fat bias in psychotherapy is harming our clients and what to do about it. Women & Therapy, 42(1–2), 116–130. https://doi.org/10.1080/02703149.2018.1524070.
Gordon, A. (2023). “You just need to lose weight”: And 19 other myths about fat people. Beacon Press.
HPCSA. (2021). Health Professions Council of South Africa: Guidelines for ethical practices in the healthcare professions. Health Professions Council of South Africa. https://www.hpcsa.co.za/Uploads/professional_practice/ethics/Booklet_1_Guidelines_for_Good_Practice_vDec_2021.pdf
Jovanovski, N., & Jaeger, T. (2022). Demystifying “diet culture”: Exploring the meaning of diet culture in online “anti-diet” feminist, fat activist, and health professional communities. Women’s Studies International Forum, 90, 102558. https://doi.org/10.1016/j.wsif.2021.102558
Malchiodi, C. A. (Ed.). (2022). Handbook of expressive arts therapy (1st ed.). The Guilford Press.
Padilla, V. (2022). Integrating art therapy and narrative therapy through a multicultural lens. Lesley University (Capstone thesis).
Protection of Personal Information Act 4 of 2013. (2013). Government of South Africa. https://www.gov.za/documents/protection-personal-information-act
Strings. S. (2019). Fearing the black body: the racial origins of fat phobia. New York University Press. https://doi.org/10.18574/nyu/9781479831098.001.0001
Taylor, S. R. (2018). The body is not an apology: The power of radical self-love (2nd ed.). Berrett-Koehler Publishers.
Viglietti, T. (2024). Group narrative art therapy as a weight-neutral practice for South African women processing weight stigma and body image. University of Johannesburg (master’s).