THE MEANING OF BARIATRIC SURGERY AMONG MALE PATIENTS: SELF-CONCEPT AND THE SEARCH FOR MASCULINITY

Using symbolic interaction theory, this phenomenological study was designed to explore how male patients made sense of their self-concept and masculinity during the bariatric surgery process, including their expe-rience prior to surgical intervention and post-surgery. Twenty men who had undergone bariatric surgery in the previous 5 years in the United States were interviewed. Three major themes emerged in the study: (1) men’s search to embody a stereotypical notion of masculinity; (2) men’s refl exive process about their own masculinity as their bodies changed; and (3) men’s eff orts to sustain their renewed sense of manhood after bariatric surgery. Implications for research and clinical practice are provided. 

Bariatric Surgery, Masculinity, Meaning, Self-concept

1. Hensrud DD and Klein S. Extreme obesity: A new medical crisis in the United States. Mayo Clinic Proc 2006;81:S5-S10.

2. Lewis S, Thomas SL, Hyde J, and. A qualitative inves-tigation of obese men’s experiences with their weight. Am J Health Behav 2011;35;458–69.

3. Moore DD and Willis ME. Men’s experiences and per-spectives regarding social support after weight loss surgery. J Mens Health 2017;12(2).

4. Buchwald H. Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers. Surg Obesity Relat Dis 2005; 4 371–81.

5. Zhao S, Grasmuck S, and Martin J. Identity construc-tion on Facebook: Digital empowerment in anchored relationships. Comput Human Behav 2008;24:1816–36. doi: 10.1.1.168.4349[1]

6. Clabaugh A, Karpinksi A, and Griffin K. Body weight contingency of self worth. Self Ident 2008;7:334–59.

7. Pleck JH, Sonenstein FL, and Ku LC. Masculinity ideology: Its impact on adolescent males’ heterosexual relationships. J Soc Issues 1993;49(3):11–29.

8. Monaghan LF. Men and the war on obesity: A socio-logical study. Routledge. 2008.

9. Bordo S. The male body: A new look at men in public and in private. New York: Farrar, Straus and Giroux; 1999.

10. Galli N and Reel JJ. (2009). Adonis or hephaestus?Exploring body image in male athletes. Psychol Men Masculin 2009;10:95–108. doi:10.1037/a0014005

11. Alexander S. Stylish hard bodies: Branded masculin-ity in “Men’s Health” magazine. Sociolog Perspect 2003;46:535–54.

12. Pope HG, Phillips KA, and Olivardia R. The Adonis complex: The secret crisis of male body obsession. New York, New York: The Free Press. Philadelphia, PA: Brunner-Routledge; 2000.

13. Philips JM and Drummond M. An investigation into the body image perception, body satisfaction and exercise expectations of male fitness leaders: Implications for professional practice. Leisure Studies 2001;20:95-105.

14. Kort HI, Massey JB, Elsner CW, et al. Impact of body mass index values on sperm quantity and quality. J Androl 2006;27:450–52.

15. Hammoud AO, Gibson M, Peterson CM, et al. Impact of male obesity on infertility: A critical review of the current literature. Fertil Steril 2008;90:897–904.

16. Finn M and Henwood K. Exploring masculinities within men’s identificatory imaginings of first-time father-hood. Br J Soc Psychol 2009;48:547–62.

17. Sabinsky MS, Toft U, Raben A, and Holm L. Overweight men’s motivations and perceived barriers towards weight loss. Eur J Clin Nutrit 2007;61:526–31.

18. Barrett FJ. The organizational construction of hegemonic masculinity: The case of the US Navy. Gender, Work Organiz 1996;3:129–42.

19. Pittman F. Man enough: Fathers, sons, and the search for masculinity. NewYork, New York: Berkeley Pub-lishing; 1993.

20. Courtenay WH. Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med 2000;50:1385–401.

21. Grimaldi D and Van Etten D. Psychosocial adjustment following weight loss surgery. J Psychosoc Nursing Ment Health Serv 2010;48:24–29, doi: 10.3928/02793695

22. Andersen JR, Aasprang A, Bergsholm P, et al. Anxiety and depression in association with morbid obesity: Changes with improved physical health after duodenal switch. Health Qual Life Outcomes 2010;8:1–7. doi: 10.1186/1477-7525-8-52

24. Tejirian T, Jensen C, Lewis C, et al. Laparoscopic gastric bypass at a large academic medical center: Lessons learned from the first 1000 cases. Am Surg 2008;74:962–66.

25. Kalarchian MA, Marcus MD, Wilson GT, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg 2002;12:270–75.

26. Earvolino-Ramirez M. Living with bariatric surgery: Totally different but still evolving. Bariat Nurs Surg Patient Care 2008;3:17–24.

27. Mitchell JE, Crosby RD, Ertelt TW, et al. The desire for body contouring surgery after bariatric surgery. Obes Surg 2008;18:1308–12.

28. Rossman G and Rallis S. Learning in the field: An introduction to qualitative research. Thousand Oaks, California: Sage; 2003.

29. Moore DD and Cooper CE. Life after bariatric sur gery: Perceptions of male patients and their intimate relationships. J Marital Family Ther 2016;42(3):495–508.

30. Shirpak KR, Matika-Tyndale E, and Chinichiam M. Iranian immigrants’ perceptions of sexuality in Canada: A symbolic interactionist approach. Can J Human Sexual 2007;16:113–28.

31. McCambridge J, Mitcheson L, Winstock A, and Hunt

N. Five year trends in patterns of drug use among people who use stimulants in dance contexts in the United Kingdom. Soc Study Addict 2005;100:1140–49. doi:10.1111/j.1360-0443.2005.01127.x

32. Arnett JJ. Emerging adulthood: A theory of development from the late teens through the twenties. Am Psychol 2000;55:469–80. doi: 10.1037//0003-066X.55.5.469

33. Duncan D. Out of the closet and into the gym: Gay men and body image in Melbourne, Australia. J Mens Studies 2007;15:331–46.

34. Manley E, Levitt H, and Mosher C. Understanding the bear movement in gay male culture: Redefining masculinity. J Homosexuality 2007;53:89–112.

35. Suarez-Balcazar Y, Balcazar FE, and Taylor-Ritzler T. Using the Internet to conduct research with culturally diverse populations: Challenges and opportunities. Cultural Divers Ethnic Minor Psychol 2009;15:96-104. doi:10.1037/a0013179