And yet it moves! (Climate) migration as a symptom in the Anthropocene

ABSTRACT

While the climate-migration nexus raises crucial questions of mobility and climate justice, it is commonly understood through simplistic narratives that reify a complex set of relations. The spectre of environmentally-induced exodus is recurrent in media, policy and activist circles, in spite of numerous studies that reveal the empirical flaws and noxious normative implications of such narratives. This article explores this insistence and the desire(s) for there to be a reified relation between climate and migration such insistence reveals. The article proceeds in three movements. First, it situates discourses on climate migration in relation to the crisis of humanism the Anthropocene signifies. Second, it operates a symptomatic reading of climate migration discourses, drawing on two understandings of symptom elaborated by Lacan – as ‘return of the repressed’ and as ‘Sinthome’. Read as a symptom, the figure of the climate migrant/refugee appears as the return of fundamental contradictions that carve contemporary regimes of socioecological (re)production. Through the concept of ‘Sinthome’, discourses on climate migration can be read as (illusory) attempts to shore up for the waning consistence of modern forms of ‘being human’. Finally, the article proposes a symptomatic reading of the Anthropocene itself, and elaborates on what the dissolution of this symptom/ Sinthome would entail.     

Everything changes to stay the same: persistent global health inequalities amidst new therapeutic opportunities and mobilities for Filipino nurses

ABSTRACT

The global migration of Filipino nurses has received significant attention, yet little is known of these healthcare workers’ experiences and mobilities within the Philippines. I explore the experiences and narratives of Filipino nurses living in Manila, some of whom have no desires to migrate. I uncover the often novel forms of therapeutic mobilities undertaken by these nurses, focusing on call centre nursing and entrepreneurship as key alternative career pathways within the realms of ‘therapeutics’. Through interrogating the various mobilities undertaken by nurses – physical mobilities and migration, socioeconomic mobilities and occupational mobilities in the form of a career change – it becomes clear that international physical mobility is no longer key. Nevertheless, Filipino nurses continue to provide care in global contexts in novel ‘therapeutic’ industries and doing so allows them to increase their socioeconomic mobility.     

Inside stories: Maternal representations of first time mothers from pre-pregnancy to early pregnancy

BackgroundAccording to the psychoanalytical literature, it is during pregnancy that maternal representations of the mother–infant relationship become activated. Midwives who are engaged with the mother and the baby have not drawn upon this concept in their practice. In order for this to happen, it is important to understand better the nature of maternal representations and when they are activated from empirical studies.QuestionThe research question is: what are the maternal representations of a group of first time mothers from pre-pregnancy, early pregnancy and to the first ultrasound.MethodA narrative approach was used to gain insight into the maternal representations of first time pregnant womens’ account of their representations. The analysis method was based on thematic approach.ParticipantsFifteen women aged between 23 and 38 years.SettingA midwives clinic attached to a tertiary hospital in Melbourne, Australia.FindingsFirst-time pregnant women's maternal representations were activated when a woman begins to plan her pregnancy (‘the time is right’), again at the onset of physical changes to her body as a result of conception (‘my body is changing’), and at the first early ultrasound at around twelve weeks (‘it’ is a real baby).ConclusionMaternal representations are important for the midwife and pregnant women because this concept provides another understanding in relation to the psychological dimension of pregnancy.     

A Matter of Utility? Rationalising Cycling,Cycling Rationalities

Abstract

This paper discusses how dominant policy paradigms promote a ‘utility’ model of transport, prioritising the destruction of distance and the minimisation of time spent travelling. It suggests that within low-cycling countries, this framing has reinforced the policy marginalisation of cycling, which is cast as having problematic associations with leisure and pleasure. Hence, while the multiple benefits of cycling might seem to mandate policy support, these benefits (including health and equity impacts) seem tainted by association with cycling’s non-transport connotations. The paper analyses interview data from the ESRC Cycling Cultures project to explore how cyclists and cycling stakeholders negotiate the landscape of ‘utility cycling’. It examines how people appeal to a ‘utility narrative’, while often simultaneously appealing to considerations that apparently contradict it. Conclusions for cycling and broader transport policy are drawn.     

‘There is trauma all round’: A qualitative study of health workers’ experiences of caring for parents after stillbirth in Kenya and Uganda

BackgroundStillbirth is a traumatic life-event for parents. Compassionate care from health workers supports grief and adjustment, alleviating psychological distress and minimising serious adverse health and social consequences. Bereavement support in facilities in LMICs, including in sub-Saharan Africa, often fails to meet parents’ needs. However, very few studies have explored health worker’s experiences in these settings.AimTo explore the lived experiences of midwives, doctors and others, caring for women after stillbirth in Kenya and Uganda.MethodsQualitative, guided by Heideggerian phenomenology. Sixty-one health workers, including nurse-midwives (N = 37), midwives (N = 12) and doctors (N = 10), working in five facilities in Kenya and Uganda, were interviewed. Data were analysed following Van Manen’s reflexive approach.ResultsThree main themes summarised participants’ experiences: ‘In the mud and you learn to swim in it’ reflected a perceived of lack of preparation; skills were gained through experience and often without adequate support. The emotional and psychological impacts including sadness, frustration, guilt and shame were summarised in ‘It’s bad, it’s a sad experience’. Deficiencies in organisational culture and support, which entrenched blame, fear and negative behaviours were encapsulated in Nobody asks ‘how are you doing?’.ConclusionHealth workers in Kenya and Uganda were deeply sensitive to the impacts of stillbirth for women and families, and often profoundly and personally affected. Care and psychological support were acknowledged as often inadequate. Interventions to support improved bereavement care in sub-Saharan Africa need to target increasing health worker knowledge and awareness and also embed supportive organisational cultures and processes.     

Mundane intermodality: a comparative analysis of bike-renting practices

ABSTRACT

Bike rental systems have been introduced as a sustainable urban mobility alternative. This paper analyses the social practices that emerge as part of these systems. We specifically focus on the interactions and street-level performances at a bike rental station. We argue that the bike-sharing service is a pivotal device that enables its users to transform (to re-configure from pedestrians to cyclists and vice versa), hence creating intermodality. The bike rental system ensures the technical standardization of behaviour while simultaneously revealing differences between those familiar with the system and those who are not. Thus, competences and meanings of the station are not subordinate to materials – they are interdependent, entwined and enacted in and through the practice itself.     

Reproductive vibes: therapeutic atmospheres and the reproductive force of tourism mobilities

ABSTRACT

Drawing on a conceptual framework of therapeutic atmospheres, I explore the question of how a tourist destination reverberated with reproductive potentiality or a ‘reproductive vibe.’ I draw on ethnographic fieldwork attentive to the ‘charged atmosphere of everyday life’, to consider how reproductive possibilities unfolded in the Costa Rican Caribbean for some tourist women. Moving away from the autonomous, liberal, mobile subject as only ever a rational agent in reproductive decision-making, this article introduces new actors into the analytical and empirical framework of reproductive mobilities and cross-border reproductive care. I look at destination branding entangled with therapeutic ‘life affirming’ possibilities that emanated from local spaces and relations with the environment. In doing so, I trouble the irrational/rationality binary that dominates notions of reproductive decision-making to consider the role of affect, feelings, and bodies in reproductive subjectivities.     

Uncovered and disrespected. A qualitative study of Jordanian women’s experience of privacy in birth

BackgroundPrivacy is related to a person’s sense of self and the need to be respected and it is a key factor that contributes to women’s satisfaction with their birth experiences.AimTo examine the meaning of privacy for Jordanian women during labour and birth.MethodA qualitative interpretive design was used. Data were collected through face-to-face semi-structured interviews with 27 Jordanian women. Of these women, 20 were living in Jordan while seven were living in Australia (with birthing experience in both Jordan and Australia). Thematic analysis was used to analyse the data.ResultsThe phrase ‘there is no privacy’ captured women’s experience of birth in Jordanian public hospitals and in some private hospital settings. Women in public hospitals in Jordan had to share a room during their labour with no screening. This experience meant that they were, “lying there for everyone to see”, “not even covered by a sheet” and with doctors and others coming in and out of their room. This experience contrasted with birth experienced in Australia.ConclusionsThis study explicates the meaning of privacy to Jordanian women and demonstrates the impact of the lack of privacy during labour and birth. Seeking a birth in a private hospital in Jordan was one of the strategies that women used to gain privacy, although this was not always achieved. Some strategies were identified to facilitate privacy, such as being covered by a sheet; however, even simple practices are difficult to change in a patriarchal, medically dominated maternity system.     

Gambling Drivers: Regulating Cultural Technologies,Subjects, Spaces and Practices of Mobility

Abstract

In this article, we analyse intersections between gambling and driving as everyday cultural practices of mobility. Building on Nikolas Rose’s argument that subjects in post‐industrial democratic societies are governed through appeals to ‘freedom’ rather than through overt forms of coercion or organised campaigns of state propaganda, we explore the different ways that producers, regulators and consumer advocates involved in gambling and driving appeal to our ‘powers of freedom’. We demonstrate that promotional and regulatory discourses of driving and gambling rely on a concept of freedom as self‐regulation. And we argue that the cultivation of social responsiveness is needed to address some of the problems created by individualising practices, spaces and technologies of mobility currently offered by automobiles and poker machines.     

Violent mobilities: men,masculinities and road conflicts in Sweden

This article focuses on violence(s) in traffic space as a gendered problem. It draws upon qualitative online studies and interviews with cyclists about their experiences of motorists’ violent practices, including cyclists’ negotiations of anti-cyclist discourses and their coping strategies. It is argued that automobility makes it possible for certain men to perform their ‘right to the road,’ including gender-identity-shaping practices, and that this has the negative effect of violating cyclists’ bodily integrity. It follows that a shift from cars to more sustainable mobilities also demands related shifts in masculinities and men’s practices in the context of transport and traffic.     

Spirituality and childbirth: An international virtual co–operative inquiry

ProblemMedicalised maternity systems do not address spirituality as an aspect of childbirth and its practices of care. Neglecting the spiritual nature of childbirth may negatively affect psychological, emotional and physical wellbeing.BackgroundWhile there is growing interest in the spiritual side of childbirth there is a paucity of literature on the topic, and hence a lack of understanding generally about how to attend to women’s needs for emotional and spiritual support in childbirth.AimTo collaboratively and through consensus explore ways that spirituality could be honoured in 2^st Century maternity care.MethodsAn online co-operative inquiry. Starting with a scoping exercise (N = 17) nine co-inquirers continued to Phase One using online discussion boards and seven co-inquirers continued to Phase Two and Three. Co-inquirers were involved in international group work and individual reflective and transformational processes throughout.FindingsFour reflective themes emerged: ‘meaning and sense-making’; ‘birth culture’; ‘embodied relationships and intuition’; and ‘space/place/time’. ‘Spiritual midwifing’ was an overarching theme. There were eight areas of individual transformation and actions concerning spirituality and birth: 1) disseminating inquiry findings; 2) motivating conversations and new ways of thinking; 3) remembering interconnectedness across time and spaces; 4) transforming relationships; 5) transforming practice; 6) generating reflexivity; 7) inspiring self and others to change, and 8) inspiring creativity.ConclusionSpiritual awareness around birth experience emerges through relationships and is affected by the spatial environment. Spiritual midwifing is a relational approach to birth care that recognises and honours the existential significance and meaningfulness of childbirth.     

The political mobilities of reporting: tethering,slickness and asylum control

ABSTRACT

This paper focuses on the coerced mobilities associated with reporting, meaning the mandatory requirement to regularly check-in with authorities for the purpose of control. Drawing on recent calls for a politics of mobility and advances in carceral geographies, we attend to the forces, movements, speeds and affective materialities of reporting with a focus on deportable migrants and the UK Home Office. In doing so we develop two conceptual lenses through which to further understand the politics of mobility. First, we develop the concept of ‘slickness’ in the context of the process of becoming detained at a reporting event. We understand slickness as a property of bodies and objects that makes them easier to move. Second, we argue that reporting functions to ‘tether’ deportable migrants; thereby not only fixing them in place, but also forcing the expenditure of energy and the experience of punishment. The result is that reporting blurs the distinction between detention and ‘freedom’ by enacting the carceral in everyday spaces.     

A global review of the inferred meaning of woman centred care within midwifery professional standards

BackgroundAs an integral and guiding approach, woman centred care is well-grounded as the cornerstone of midwifery training and practice. A previous global review established that the concept, even though acknowledged as pivotal, has limited attention within the professional standards documents that underpin the discipline [1]. Whilst not detracting from the overall importance of woman centred care, it is further suggested that a broader meaning is generally being implied.ObjectiveWhether other related inferences and meanings of the actual term ‘woman centred care’ are also being utilised, has not yet been established. Therefore, this review of professional documents sought to investigate the occurrence of further depictions of the concept.MethodsWith an implied and inferred meaning of ‘woman centred care’ as the focus, a review and synthesis of narrative from a global sample of midwifery professional standards was conducted. The principles of meta-ethnography were utilised to develop a qualitative approach. Rather than the actual words ‘woman centred care’ further phrases implying or inferring the concept were sought. ‘A priori’ phrases were developed and narrative and examples were synthesised for each.FindingsStandards and governance documents were located from within Australia, the United Kingdom and New Zealand and a further 139 nations. Overall, the seven phrases, each considered as an inference to woman centred care, were all substantiated. As a proportion of all documents, these were collated with the outcomes being a woman’s right to choice (89%), being culturally sensitive (80.5%), a woman’s voice and right to be heard (78%), the woman as an individual (68%), universal human rights (40%), being holistic (39%) and being self-determined (17.5%).ConclusionThe outcomes of this review demonstrate that woman centred care may be a multidimensional concept. There were occurrences of all seven phrases across a broad scope of global professional midwifery documents, and each can be shown through its meaning to contribute something to an understanding of woman centred care. The creation of a universal meaning is recommended.     

On ‘Consistent’ Poverty

The measurement of poverty as ‘consistent’ poverty offers a solution to one of the primary problems of poverty measurement within Social Policy of the last three decades. Often treated as if they were synonymous, ‘indirect’ measures of poverty, such as low income measures, and ‘direct’ measures, such as indices of material deprivation, identify surprisingly different people as being poor. In response to this mismatch, a team of Irish researchers put forward a measure which identified respondents in as being in poverty when they experienced both a low standard of living, as measured by deprivation indicators, and a lack of resources, as measured by a low income line. Importantly, they argued that the two measures required an equal weight. In this paper, I present a reconsideration of the consistent poverty measure from both conceptual and empirical perspectives. In particular, I examine the claim that low income and material deprivation measures should be given an ‘equal weight’. I argue that, from a conceptual perspective, the nature of the indicators at hand means that a deprivation-led measurement approach might be understood to align with the definition of poverty which Nolan and Whelan outline and, from an empirical perspective, that it is the material deprivation measure—and not the low income measure—which is particularly effective in identifying individuals at risk of multiple forms of deprivation. However, I argue that greater attention needs to be given to the question of whether indicators of material deprivation provide a sufficient measure of material poverty and suggest that advancing the measurement of material deprivation beyond its relatively rudimentary state represents an important priority for poverty research.     

Cycling’s Sensory Strategies: How Cyclists Mediate their Exposure to the Urban Environment

In this article, we focus on the many ways cyclists mediate their sensory exposure to the urban environment. Drawing on research in Hull, Hackney and Bristol during 2010 and 2011 for the Cycling Cultures research project, we describe a range of ‘sensory strategies’ enrolled by cyclists. Our research reveals how sensory strategies, such as using mobile audio devices, involve deliberate and finely tuned practices shaped by factors such as relaxation, motivation and location. This presents a contrast to media representations of the ‘iPod zombie cyclist’ who, plugged into a mobile audio device, lumbers insensitively and dangerously through the urban landscape. The article complicates the idea that sensory practices of listening and not-listening are two fixed and distinct ways of being in the urban environment. We suggest that considering the sensory strategies of cyclists opens up a new terrain for thinking about less easily represented, uncertain and fleeting intersections of mobility, place and the senses. Ultimately, we argue that an analysis of cycling’s sensory strategies might enrich our understanding of mobility cultures by operating to reconnect a range of mobile citizens with the broader messy and less easily controllable sensory landscape. This has implications both for understanding cycling as a sensory practice and for thinking about how the sensory dimensions of other mobile practices are shaped by practitioners.