Promoting resilience in women's weight stigma management (PRISM): A model for enhancing body image resilience.

Michelle Dever,H. Skouteris,A. I. Incollingo Rodriguez,Briony Hill

Published 2025 in Journal of Health Psychology

ABSTRACT

Weight stigma undermines women's body image and health through systemic, interpersonal, and intrapersonal pathways, perpetuating maladaptive behaviours and psychological distress. Existing body image resilience models offer limited insights into weight stigma's challenges. This paper introduces the Promoting Resilience In Women's Weight Stigma Management (PRISM) model, an approach that novelly integrates psychological resilience, multi-level support, and systemic change to address weight stigma's impacts on women's body image. Building on existing models, PRISM operates across three levels: intrapersonal (stigma-resilient self-concept and stigma-specific coping strategies), interpersonal (inclusive support systems), and systemic (policy reform, media representation, and institutional accountability). These components work synergistically to promote robust holistic wellness. By addressing weight bias internalisation and intersecting marginalisation, PRISM positions resilience as a multi-level commitment rather than an individual burden. This approach guides stakeholders in promoting positive body image in women while advocating for systemic change against weight stigma.

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