Co-healthism in Health at Every Size®-aligned TikTok activism: Transforming the definition of healthism via feminist-of-color disability studies theorizing

This article is a feminist-of-color disability studies-oriented TikTok critical discourse analysis of 100 popular Health at Every Size® (HAES®) TikToks. It evaluates the power relations surrounding how HAES® frameworks are disseminated on TikTok and unpacks the implications for fat liberation. HAES® frameworks of care capacitate the eradication of medical fatmisia and the weight-centered health paradigm. While popular among online fat activists, HAES® frameworks have been widely accused of perpetuating healthism. My analysis makes clear how HAES® discourse is often steeped in ableist, white supremacist, and colonial healthism. Through this analysis, I ultimately argue that the definition of healthism needs to shift to center ableism, white supremacy, and colonialism, as well as the co-constituting nature of how systems of oppression aggregate to weaponize health against those with embodiments marked as “unhealthy.” I argue that this shift is necessary to produce analyses committed to radical solidarity. I mark this shift by coining and utilizing the term co-healthism. To demonstrate the need for my argument, I organize the results into three themes: healthist ableism, healthist white supremacy, and healthist colonialism in HAES® discourse. In the discussion, I clarify the co-constitutive nature of these themes and argue for the shift from healthism to co-healthism. I also define the concept and explain its methodological potentialities.