Women with Disabilities: Abortion and Liberation

In this, the United Nations Decade of the Disabled, much is being done to improve the lives of those with disabilities, and to enable them to participate as equals in the everyday life of their communities.

At the same time, however, more and more technological 'advances' are being deployed to detect handicap in the unborn, with the aim of killing as many of them as possible before birth.

Feminists, though accustomed to fighting for the emancipation of women, are failing to address this incongruous situation, and the double discrimination faced by women with disabilities. This is partly due to the fact that they tend to regard abortion as an unequivocal 'right'.

I will argue that far from being a right, abortion underlines women's oppression and is counter-productive to women in general, and to disabled women in particular.     

Women with Disabilities: Two Handicaps Plus

In the USA, women with disabilities participate less in social relations, educational institutions, and the labor force than expected on the basis of male/female and male non-disabled/disabled disparities. The resulting isolation appears to be linked with attributional, nurturance and attractiveness norms within the American socio-cultural system as well as to self-image and role selection components of the women's self-concepts. Participation, the socio-cultural system, and the self-concepts are viewed schematically as elements in a triangular relationship of circular causation.     

Women with Disabilities and Experiences of Abuse

Abstract

A qualitative study of disabled and non-disabled professionals and survivors of abuse revealed a range of types of abuse endured by disabled women, some of which were unique to that population. Two major themes emerged from data analysis: vulnerable beginnings and complexity of abuse. Three sub-themes are encompassed within complexity of abuse: active abuse, abuse through image, and contextual abuse by social service/legislative systems. The authors present data essential to an informed assessment and analysis of abuse that considers the person-in-environment circumstances of women with disabilities. Implications for future research and the human behavior in the social environment curriculum are discussed.     

Sexual Body Image and Its Correlates: A Population-Based Study of Finnish Women and Men

ABSTRACT

Sexual body image was examined in a population-based sample of 9,532 Finnish men and women, age 18 to 49 years. More than one half of women and men were satisfied with their genitals, one half of the women were satisfied with their breasts. Higher levels of genital satisfaction were related to higher frequencies of sexual behavior and better sexual function for both genders. For men, penis size satisfaction was associated with lower levels of premature ejaculation and better erectile function. Sexual body image was related to overall perceived attractiveness, for women a higher body mass index was related to satisfaction with breast size. Having children was negatively related to women's sexual body image, abortions and miscarriages likewise. Limitations of the study and clinical implications of the findings are discussed.     

Limited Role of Body Satisfaction and Body Image Self-Consciousness in Sexual Frequency and Satisfaction in Pregnant Women

This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Areas Satisfaction Scale (BASS) and Body Image Self-Consciousness Scale (BISC), while relationship satisfaction was measured by different subscales of the Perceived Quality of Marital Relationship (PQMR) Scale. Sexual satisfaction was also measured by one of the subscales of the PQMR (Intimate Relationship). The sexual behavior questionnaire comprised questions about frequency of sexual intercourse, desire, and other aspects of sexual functioning as well as the reasons that might prevent women from having intercourse during pregnancy. Findings suggested that satisfaction with body image and body image self-consciousness were related to sexual satisfaction. Nevertheless, other aspects of partnership, such as communication, appeared to be much more important predictors of sexual satisfaction than body image variables. The best predictor of sexual frequency was fear that intercourse might harm the fetus. Implications for education about sexuality issues in pregnancy are discussed.     

Body Image for Women: Conceptualization, Assessment, and a Test of its Importance to Sexual Dysfunction and Medical Illness

The content and valence of women's body image attitudes, general and enduring positive or negative feelings about the body, are studied with psychometric analyses of measures and contrasted groups. Data from two frequently used measures (Body Image Scale, Derogatis & Melisaratos, 1979; Body Satisfaction Scale, Berscheid, Walster & Bohrnstedt, 1973) provided an evaluation of the construct and the assessment of body image. Two studies are provided. The construct analyses suggest two contents for body attitude measures: a general factor of body, facial, and sexual (genital and breast) items, and a second factor assessing weight and/or its body correlates-the hips, thighs, and buttocks. Also, a method factor, a response style of negativity, may be important. Body image attitudes are correlated with some conceptually relevant criteria, such as interest in engaging in sexual activity; however, these relationships do not appear sufficiently strong to predict behavior, such as the occurrence or resolution of sexual dysfunction. Generalized body image disturbance as currently conceptualized and assessed may be difficult to document, particularly when item content and response styles are considered.     

Through Adversity Comes Strength: Volunteering and Self-Esteem Among People with Physical Disabilities

The goal of the present study was to examine differences in self-esteem between volunteers with physical disabilities and their counterparts who do not volunteer. Another goal was to examine the contribution of the characteristics of the volunteering experience (motives for volunteering, satisfaction with the rewards of volunteering, and the quality of relationships with beneficiaries) to explain self-esteem among volunteers with physical disabilities. The research sample included 160 Israeli participants with different physical disabilities. Of these, 95 volunteered and 65 did not volunteer. Participants who volunteered had higher self-esteem than those who did not. The findings highlight the compensatory role of volunteering for people with disabilities: The contribution of volunteering to enhancing self-esteem was mainly evident among participants with poor socioeconomic resources (low education, low economic status, and unemployed). Egoistic and altruistic motives for volunteering as well as satisfaction with the rewards of volunteering contributed to explaining self-esteem.     

An Exploration of Violence Among Homeless Women with Emotional Disabilities

Abstract

This research found a high incidence of violence among homeless women with emotional disabilities. The study reports that 82 percent of the homeless women with emotional disabilities had a history of violence in their lives. The most common form of violence was physical; the least common was sexual abuse. The practice and policy implications for these findings are discussed. It is suggested that the Olmstead v. L. C. (1998) ruling under the Americans With Disabilities Act might force states to provide better services to homeless women with a history of violence and emotional disabilities.     

Stigma Management Through Participation in Sport and Physical Activity: Experiences of Male College Students with Physical Disabilities

Individuals with physical disabilities are oftenstigmatized because their bodies are assumed to varyfrom norms of physical competence and bodily appearance.Possession of a discrediting attribute may impair social interactions and result in thedevaluation of an individual. The purpose of this paperis to explore how involvement in sport and physicalactivity may be one strategy to manage the stigma of a disabled body. Data were collected throughin-depth interviews with 24 male college students withphysical disabilities. Findings indicate thatrespondents believe this context helps them exceedexpectations associated with their disability throughdemonstration of physical skill, a fit healthy body, amuscular body, and a liberated body. Sport and physicalactivity may be effective in compensating for a spoiled identity as participation in this setting isunexpected and emphasizes an alternative representationof a disabled body.     

Dating and Sexuality among Minority Adolescents with Disabilities: An Application of Sociocultural Theory

Adolescents with disabilities, American Indians, Hispanics, and African Americans are more likely to experience victimization and pregnancy as teens. This study explored ethnic and racial minority youth with disabilities’ dating and sexual experiences from the perspectives of social workers using Vygotsky’s sociocultural theory. Thirteen in-depth interviews were conducted with master’s degree–holding high school social work practitioners. Social workers described family beliefs and practices, socioeconomic status, special education, historical influences, and resiliency as aspects of adolescents’ lives that impacted their dating and sexuality. Social workers’ dialogue concerning family beliefs and attitudes toward abusive relationships were interpreted as internally oriented signs used by adolescents with disabilities to navigate their dating and sexuality. Socioeconomic status, family practices, and special education were interpreted as externally oriented meditational tools. Social workers reported that many adolescents experienced a history of violence, but that some adolescents adapted their cultural heritage by creating new values for themselves and engaged in healthier dating and sexual behaviors than their peers. Finally, although social workers were a source of support to adolescents with disabilities, they were also at times a portal for ethnocentric discourse.     

Sexual Function in Women with Deep Endometriosis: Correlation with Quality of Life,Intensity of Pain,Depression, Anxiety,and Body Image

Objectives: We evaluated sexual function, quality of life and perceived body image of women with deep endometriosis in comparison to that of healthy women. Methods: The sample consisted of 41 women with deep endometriosis and 40 healthy women without endometriosis. Sexual, psychological and pain evaluation were performed. Results: The study evidenced that deep endometriosis has a significant impact on sexuality and body image. Conclusions: An integrated and patient-centered approach to medical and psychological and sexual issues is suggested.     

Evolved Disease-Avoidance Processes and Contemporary Anti-Social Behavior: Prejudicial Attitudes and Avoidance of People with Physical Disabilities

Drawing on evolutionary psychological logic, we describe a model that links evolved mechanisms of disease-avoidance to contemporary prejudices against individuals with physical disabilities. Because contagious diseases were often accompanied by anomalous physical features, humans plausibly evolved psychological mechanisms that respond heuristically to the perception of these features, triggering specific emotions (disgust, anxiety), cognitions (negative attitudes), and behaviors (avoidance). This disease-avoidance system is over-inclusive: Anomalous features that are not due to disease (e.g., limb amputation due to accident) may also activate it, contributing to prejudicial attitudes and behaviors directed toward people with disabilities. This model implies novel hypotheses about contemporary variables that may amplify or reduce disability-based prejudice. We discuss past research within this context. We also present new evidence linking chronic and temporary concerns about disease to implicit negative attitudes toward and behavioral avoidance of disabled others. Discussion focuses on the conceptual and practical implications of this evolutionary approach.     

Body Image Development and Sexual Satisfaction: A Prospective Study From Adolescence to Adulthood

The aim of the current study was to explore whether developmental trajectories of body satisfaction from adolescence to young adulthood predicted measures of sexual satisfaction in young adulthood, even when controlling for important covariates such as gender, weight development, relationship status, mental health, and frequency of sexual intercourse and masturbation. Data were collected from a population-based prospective cohort of Norwegian adolescents (n = 2,587) over a period of 13 years in four waves (1992, 1994, 1999, and 2005; mean age = 14.9 in 1992, 57.3% women). Latent growth curves were estimated for body satisfaction and body mass index (BMI). Men reported higher sexual satisfaction, sexual activity, baseline body satisfaction, and BMI than women. The developmental trajectories revealed a slight increase in body satisfaction and BMI from adolescence to young adulthood in both genders. Moreover, structural equation models showed that baseline body satisfaction in both genders predicted sexual satisfaction as a young adult, independent of relationship status and frequency of sexual activity. Neither the development of BMI nor of body satisfaction predicted sexual satisfaction. The results elucidate the vital role of body satisfaction in sexual satisfaction in adults and the importance of addressing body dissatisfaction in childhood.     

Classroom Approach for Managing Dietary Restraint,Negative Eating Styles,and Body Image Concerns Among College Women

Objective: In this exploratory study, the authors evaluated the impact of an elective college course on dieting levels, eating styles, and body image among college women. Participants: Participants were a convenience sample of 29 self-selected female students at a western university who were mostly white, normal-weight seniors with significant dieting experience. Methods: The authors used valid and reliable instruments to collect data both before and after testing. An instructor conducted the program in an undergraduate course that met twice weekly for 15 weeks. Theory-based lessons focused on resisting media pressure, modifying dietary restraint, eating in response to hunger (intrinsic eating), and achieving healthy body image. Dependent variables included intrinsic eating, dieting involvement, emotional eating, body image, and self-esteem. Results: A comparison of pretest and posttest scores identified significant improvements for most measures. Conclusions: A theory-driven elective course implemented within a college setting may improve women's eating styles and body image.     

Battling Body Image: Confessions of a Health Educator

As a college health educator, the author knows much about healthy behaviors. In spite of this, however, the author discusses finding herself struggling with the same problems of body image that her students express. With a variety of influences tied to negative body image, it is important that college health professionals create a plan of action for reducing the negative effects of such influences. The author proposes that health professionals take a more active role in combating body image problems by using 3 important strategies: incorporating body image into basic health curricula and classes, focusing research efforts on intervention, and exploring the use of advocacy to initiate change at the societal level.     

Social Work Students with Disabilities: A Proactive Approach to Accommodation

As more students with various visible and invisible disabilities enter higher education, the need increases for faculty development and educational advocacy to address the unique challenges these students present. This article focuses on maintaining a balance between educational integrity in social work programs and the needs and rights of students with disabilities. It encourages a proactive approach to meeting the needs of all students. Among the topics explored are defining essential standards, reasonable accommodation, testing, accommodating learning and hearing disabilities, and incorporating disability issues into courses.     

Power to People with Disabilities: empowerment issues in employment programming

A view of empowerment that focuses exclusively or primarily on increasing the personal or individual power of people with disabilities violates the spirit of the disability rights movement which is a political movement organizing for social change. A view of empowerment more in keeping with the political organizing and protest that generated interest in empowerment focuses on the acquisition of social forms of power, especially power with which is an egalitarian social power based in individuals acting together as equal partners. An understanding of the importance of power with as a basis for empowerment is useful in developing empowering and effective employment programs for people with severe disabilities. Examples of employment programs based in power with are described including self-managed work crews, and businesses owned and operated co-operatively by people with disabilities.     

Body Appreciation and Contraceptive Use Among College Women: A Brief Report

Research suggests that body image and sexual behaviors are related, with poor body image associated with risky behaviors and positive body image related to protective behaviors. However, few studies explore the relationships between positive body image and contraceptive use. Accordingly, the current study investigated the relationship between body appreciation and barrier and hormonal contraceptive use among college women (N = 399). Body appreciation was significantly related to male condom use and to the use of both male condoms and a hormonal contraceptive. These findings are promising as dual contraceptive use is the best way to prevent unintended pregnancy and sexually transmitted infections (STIs).     

The Americans with Disabilities Act: A Tool to Combat Poverty

Abstract

Statistics consistently demonstrate that people with disabilities are the poorest, least educated, and largest minority population in America. This article examines the employment provisions of Title I of the recently enacted Americans with Disabilities Act (ADA) and its use in combating poverty for individuals with disabilities. The ADA in its entirety, and Title I in particular, is useful both as an advocacy and pedagogical tool to understand and alleviate poverty, oppression, and discrimination. Suggestions for infusing this content into the professional foundation curriculum are included.