Nudging, Shaming and Stigmatising to Improve Population Health; Comment on “Nudging by Shaming, Shaming by Nudging”

Document Type : Commentary

Author

Institute for Health and Social Policy & Department of Philosophy, McGill University, Montréal, Québec, Canada

Abstract

Nudges are small, often imperceptible changes to how particular decisions present themselves to individuals that are meant to influence those decisions. In his editorial, ‘Nudging by shaming, shaming by nudging’, Eyal highlights links between nudges and feelings of shame on the part of the ‘chooser’. In this commentary, I suggest two further distinctions between different types of shame-based nudges that should affect our assessment of such nudges.

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References

  1.  

    1. Thaler R, Sunstein C. Nudge: Improving Decisions About Health, Wealth, and Happiness. New Haven & London: Yale University Press; 2008. 304 p.
    2. Eyal N. Nudging by Shaming, Shaming by Nudging. Int J Health Policy Manag 2014; 3: 53–6. doi: 10.15171/ijhpm.2014.68
    3. Nuffield Council on Bioethics. Public health: ethical issues. London: Nuffield Council on Bioethics; 2007.
    4. Voigt K. “If You Smoke, You Stink.” Denormalisation Strategies for the Improvement of Health-Related Behaviours: The Case of Tobacco. In: Strech D, Hirschberg I, Marckmann G, editors. Ethics in Public Health and Health Policy: Concepts, Methods, Case Studies. Amsterdam: Springer; 2013. p. 47–61.
    5. Nussbaum MC. Hiding from Humanity: Disgust, Shame, and the Law. Princeton: Princeton University Press; 2009.
    6. Parry O, Platt S. Smokers at risk: implications of an institutionally bordered risk-reduced environment. Health Place 2000; 6: 117–23.
    7. Glantz S. Achieving a smokefree society. Circulation 1987; 76: 746–52.
    8. Stuber J, Galea S. Who conceals their smoking status from their health care provider? Nicotine Tob Res 2009; 11: 303–7. doi: 10.1093/ntr/ntn024

     

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History

  • Receive Date: 21 September 2014
  • Revise Date: 02 November 2014
  • Accept Date: 29 October 2014
  • First Publish Date: 02 November 2014

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