Analysis of Social Work Practice: Foucault and Female Body Image in Therapy

Abstract

The cultural discourse of the female body is riddled with language of management for the individual and the practitioner. Social work practice with body image concerns calls for a best practice of cognitive behavioural therapy (CBT). CBT's focus on the maladaptive cognitions of the individual ignores the larger structural forces that lead to the development of body image, and also the structural forces present in the therapy room. Using a Foucauldian lens, drawing from personal and professional experience, and current literature, this article seeks to criticize the dominant discourse of traditional practice for negative body image in social work. This article seeks to critique the individualistic, surveillance and self-management practices of CBT for women experiencing negative body image. A narrative and social justice oriented approach to practice in the arena of body image that includes a socio-cultural analysis of the issue, reflexivity of the practitioner and an appreciation of resistance is taken. Limitations are outlined in recognition of the organizational barriers reflexive workers may encounter and the often-daily tension between best practice and ethical practice within which social workers must practice.