Exploring self-compassion among men seeking weight loss: a thematic analysis

Introduction: Self-compassion (SC) is associated with reduced eating disorder pathology, body dissatisfaction, and weight concerns, but most SC interventions and research samples focus on women. Because men often face unique challenges related to weight stigma and masculine norms, SC may be especially valuable in supporting emotion-regulation in health coaching programs. Little is known about how adult men engaged in weight loss interpret and experience SC, limiting the reach of interventions intended to support sustainable health behavior change. As such, the purpose of this study was to qualitatively explore how adult men seeking weight loss with health coaching make sense of SC during weight loss. Specifically, we examined experiences and meanings of SC, the perceived barriers and facilitators to practicing it, and how body image and weight-related experiences shape their understanding and application of SC. Methods: Using reflexive thematic analysis, we explored how 11 adult men enrolled in a commercial weight-normative health coaching program made sense of self-compassion in the context of body image, dieting, and masculinity. Semi-structured interviews were conducted, transcribed, and analyzed through an inductive, interpretive process emphasizing information power and meaning-making over saturation. Researcher reflexivity and positionality were integrated throughout the analytic process. Results: Seven themes and 20 subthemes were developed. Key themes included: (1) SC as a skill to be learned and practiced; (2) concordance between SC and self-image, including gender norms; (3) the interplay between SC and body image; (4) SC in action through mindset and behavior; (5) barriers to SC such as weight stigma, toxic masculinity, and dieting cycles; (6) facilitators to SC including life experience and upbringing; and (7) SC as a mask for disordered eating and exercise behaviors. Discussion: Findings highlight the need to tailor SC interventions to address masculine norms, weight stigma, and internalized bias.