The need for improved emotional support: A pilot online survey of Australian women’s access to healthcare services and support at the time of miscarriage

ProblemWomen need improved emotional support from healthcare professionals following miscarriage.BackgroundSignificant psychological morbidity can result following miscarriage and may be exacerbated by poor support experiences. Women frequently report high levels of dissatisfaction with healthcare support at this time.AimThis study was developed to pilot a survey aimed at exploring women’s access to healthcare services and support at the time of miscarriage.MethodsWomen over 18 years, residing in Australia, who had experienced a miscarriage in the past two years completed a 29-item online survey.FindingsA total of 399 women completed the survey. Two key findings arose: 1) More than half of women (59%) were not offered any information about miscarriage or pregnancy loss support organisations or referral/access to counselling services at the time of miscarriage, despite almost all reporting they would have liked various forms of support from items listed 2) More than half (57%) did not receive follow up care, or emotional support at this time, beyond being asked how they were coping emotionally. Other findings showed 3) Women accessed various healthcare services at the time of miscarriage and 4) Women often saw a general practitioner at the time of miscarriage despite having a private obstetrician.ConclusionThere is clear mismatch between the support women want at the time of miscarriage and the care they receive from healthcare professionals. Despite considerable structural barriers, it seems likely there is scope within healthcare professionals’ usual practice for improved support care through simple measures such as increased acknowledgement, information provision and referral to existing support services.     

Less help for mother: The decline in coresidential female support for the mothers of young children, 1880–2000

Research on changes in women's parenting has focused primarily on their increased likelihood of combining parenthood with paid employment, exploring the pressures that result from this "second shift" or "double burden." This article complements this approach by focusing instead on the likely reduction in the help that mothers of small children have received as declines both in fertility and the coresidence of nonnuclear adults have reduced the number of other women in the household. Using national census data for the period 1880 to 2000, we show a substantial decline in the presence and availability of other females in the household, as fewer are coresident and more of those who are coresident are employed or in school. Although all mothers experience this decline, it is most acute for mothers working for pay in nonagricultural activities.     

The Wealth of Nations and the Happiness of Nations: Why “Accounting” Matters

We review income-happiness research in light of competing theoretical frameworks, unit of analysis, and methodological issues. Within-countries, absolute income is weakly related to happiness, comparison effects depend on the measure utilized, and income change and perceived income produce inconsistent findings. Across countries, absolute income is a stronger predictor of happiness, different comparison effects are significant, income change results are predominantly positive, and the financial-life satisfaction relationship is more robust.     

The Political Use and Abuse of the “Pedophile”

ABSTRACT

The cognitive/affective construct designated by the term “pedophile” is delineated on the basis of how he is presented in the popular media. His salient characteristics are listed and then examined in the light of scientific and historical data. The “pedophile” is discovered to be a “social construct that floats in the thin air of fantasy.” Since the truth-value of the construct “pedophile” approaches zero, we are confronted with the question of why he continues to be such a central and emotionally fraught aspect of American culture. The answer to this question is found in his political usefulness. Specifically, the religious right uses him to further its agenda of sexual repression, and the political right uses him to dismantle the machinery of a free society.     

The Stages of Human Capital and Economic Growth: Does the Direction of Causality Matter for the Rich and the Poor?

This paper demonstrates that key models of human mobility across several disciplines can be considered as specific cases of a broader conceptualisation of mobility in terms of its contribution to wellbeing. It is argued that this wellbeing perspective offers important advantages for the formulation of policy in areas that must respond to mobility in cross-cultural contexts, and particularly in regard to policy relating to highly mobile, indigenous peoples. An applied example is provided through a discussion of how this conceptualisation of mobility offers a different understanding of the mobility of Aboriginal and Torres Strait Islander Australians, one that may have led to superior policy outcomes.     

The “Feminization” of British Television and the Re-Traditionalization of Gender

This article explores shifts that have taken place in British television and British forms of feminine-gendered fiction from the late 1990s. These shifts will be discussed with reference to discourses of the “feminization of television” circulating in British culture during this period. This article contests the suggestion that discourses of the “feminization of television” and texts such as the female ensemble drama produced in this postfeminist period represent unproblematic “narratives of progress” for women (Georgina Harris 2006, Beyond Representation: Television Drama and the Politics of Identity, Manchester University Press, Manchester, p. 1). Rather, this article will suggest that accounts of the “feminization of television” found in the popular press along with contemporary examples of the female ensemble drama re-traditionalize women in relation to the spaces and discourses associated with twentieth-century femininity.     

Postpartum women’s experiences of social and healthcare professional support during the COVID-19 pandemic: A recurrent cross-sectional thematic analysis

ProblemDisrupted access to social and healthcare professional support during the COVID-19 pandemic have had an adverse effect on maternal mental health.BackgroundMotherhood is a key life transition which increases vulnerability to experience negative affect.AimExplore UK women’s postnatal experiences of social and healthcare professional support during the COVID-19 pandemic.MethodsSemi-structured interviews were conducted with 12 women, approximately 30 days after initial social distancing guidelines were imposed (T1), and a separate 12 women were interviewed approximately 30 days after the initial easing of social distancing restrictions (T2). Recurrent cross-sectional thematic analysis was conducted in NVivo 12.FindingsT1 themes were, ‘Motherhood has been an isolating experience’ (exacerbated loneliness due to diminished support accessibility) and ‘Everything is under lock and key’ (confusion, alienation, and anxiety regarding disrupted face-to-face healthcare checks). T2 themes were, ‘Disrupted healthcare professional support’ (feeling burdensome, abandoned, and frustrated by virtual healthcare) and ‘Easing restrictions are bittersweet’ (conflict between enhanced emotional wellbeing, and sadness regarding lost postnatal time).DiscussionRespondents at both timepoints were adversely affected by restricted access to informal (family and friends) and formal (healthcare professional) support, which were not sufficiently bridged virtually. Additionally, the prospect of attending face-to-face appointments was anxiety-provoking and perceived as being contradictory to social distancing guidance. Prohibition of family from maternity wards was also salient and distressing for T2, but not T1 respondents.ConclusionHealthcare professionals should encourage maternal help-seeking and provide timely access to mental health services. Improving access to informal and formal face-to-face support are essential in protecting maternal and infant wellbeing.     

The cost of children: May the collective approach to household behavior help?

The collective approach to household consumption behavior tries to infer from variables supposed to affect the general bargaining position of household members information on the allocation of consumptions goods and tasks among them. This paper investigates the extension of previous work to the case where children may be considered as a public consumption good by the two adult members of a household. The main question being asked is whether it is possible to retrieve from the aggregate consumption behaviour of the household and the relative earnings of the parents information on the allocation of goods between them and children. This alternative approach to the estimation of the ‘cost of children’ is contrasted with the conventional approach based on a ‘unitary’ representation of and demographic separability assumptions on household consumption behaviour. Received: 29 August 1997/Accepted: 26 November 1998     

“Open to all and everybody”? The Irish Film Board: accounting for the scarcity of women screenwriters

Despite the many social and cultural changes that have occurred in Irish society since the Irish Film Board was re-established in 1993, the Irish film industry remains strongly male dominated. Specifically, Irish women constitute a minority of produced screenwriters and writer/directors. This article contributes to an understanding of the discursive resources that key decision makers in the Irish Film Board draw upon in order to talk about gender. A number of interpretative repertoires are used to rationalize its position in relation to the dearth of women screenwriters, four of which are examined here: evasion and deflection; gender neutrality; project-led funding; and a difficulty making sense of entrenched gender issues, articulated here as “I don’t know.” Within the respondents’ repertoires an ideological dilemma can be identified in the conceptualization of gender as both relevant and irrelevant.     

“The Freak of Nature”: On Erich Fromm’s Vindication of Binomial Sexuality and the Potentials of the “Homosexual Deviation”

As a Freudian revisionist and neo-Marxist, Erich Fromm (1900–1980) lessened the import of sexuality in the individual psyche but stressed the role played by the sex differential in the distribution of power throughout history and in the post-patriarchal form of matriarchy he envisioned. Seeking to reinforce the male/female divide and heteronormativity, Fromm outlined a “New Science of Man” that readily ignored not only the challenges posed to binary sexuality by post-Darwinian critical sexologies, but also the same-sex complexities evinced by key figures of his own cultural pantheon. Regardless of his declared pursuits, however, Fromm at times expressed insights suitable to undermine the cogency of his most cherished sexual convictions. As a tool for uncovering “indubitable commonsensical axioms” as sources of alienation, Fromm’s conception of “idology” challenges his own sanction of sexual binarity and heterosexuality, thus facilitating an understanding of the individual’s sexual difference as a unique modulation of male/female intermediariness.     

Breastfeeding and emerging motherhood identity: An interpretative phenomenological analysis of first time Chinese Australian mothers’ breastfeeding experiences

BackgroundChinese Australian mothers are more likely than the general Australian mothers to introduce formula in the first month of age. A better understanding of the context of formula introduction in the early weeks of birth can provide a deeper insight into how Chinese Australian mothers can be supported to continue exclusive breastfeeding.MethodsAn interpretative phenomenological analysis approach was used to examine the lived breastfeeding experiences of 11 first time Chinese mothers in Australia. The experiences of those who breastfed exclusively were compared to those who introduced formula in the first month after birth.FindingsAn overarching theme across all participants’ narratives was the meaning ascribed to breastfeeding in their emerging motherhood identity. Breastfeeding could be a pragmatic and a socially desirable method to nourish an infant but lacking personal identification to the mother. These mothers were more vulnerable to the early introduction of formula, especially when the support environment was lacking. Maternal identity conflict was common and negatively impacted exclusive breastfeeding and mothers’ mental health. In contrast, mothers who identified closely with breastfeeding showed greater persistence and enjoyment in breastfeeding and were more likely to continue breastfeeding exclusively. Health professionals were perceived to have an important influence in strengthening maternal breastfeeding motivation and self-efficacy.ConclusionBreastfeeding support to Chinese Australian mothers needs to consider how breastfeeding can be better integrated with their motherhood identity. Health professionals are well-positioned to facilitate this process through a better understanding of mothers’ cultural and social contexts around breastfeeding.     

Looking at Population Health Beyond “Male” and “Female”: Implications of Transgender Identity and Gender Nonconformity for Population Health

Looking beyond binary measurements of “male” or “female” can illuminate health inequality patterns that correspond to gender identity rather than biological sex. This study examines disparities in overall health among transgender men, transgender women, gender-nonconforming adults, and cisgender (nontransgender) men and women in the U.S. population. Behavioral Risk Factor Surveillance System (BRFSS) data from 32 U.S. states and territories between 2014 and 2016 yield an analytic sample that identifies 2,229 transgender and gender-nonconforming adults and 516,753 cisgender adults. Estimates from logistic regression models, using cisgender men as a reference group, show that gender-nonconforming respondents have significantly higher odds of reporting poor self-rated health than any other gender identity group. Transgender men also display higher odds of reporting poor health in some models, corresponding to their relative socioeconomic disadvantage. I find no apparent health disadvantage among transgender women and a persistent, if slight, disadvantage among cisgender women. Gender-nonconforming respondents’ predicted probabilities of reporting poor health remain nearly twice as high as those of cisgender men after adjustments for demographic, socioeconomic, and behavioral factors. Their persistent patterns of health-related disadvantage underscore the need for higher-quality data on gender-nonconforming respondents that account for sex assigned at birth.     

“Old Sodom” and “Dear Dad”: Vanbrugh's Celebration of the Sodomitical Subject in The Relapse

Although the sodomitical discourse of the early-eighteenth century was fraught with competing ideologies and significations, this did not preclude the formation and expression of a sodomitical identity founded upon male same-sex desire. Orvis takes the case of Coupler, the sodomite staged in Sir John Vanbrugh's play The Relapse; or, Virtue in Danger (perf. 1696; pub. 1697). Vanbrugh's portrayal of this unabashed, unapologetic sodomite—a sodomite, moreover, who is accepted by the dramatis personae of the play he inhabits—suggests not only that the possibility of a sodomitical desiring subject was widely acknowledged by the theatergoing public of early-eighteenth-century England, but also, and perhaps more importantly, that sodomites were not always understood as monstrous Others against which normative identities were constructed.     

The “Sassy Woman” and the “Performing Man”: Heterosexual casual sex advice and the (re)constitution of gendered subjectivities

Media forums that provide “sex advice” are a rich source of (sexual) information for heterosexual individuals and have been critically examined for the ways in which they construct heterosexuality (and sexual subjectivities). The representations of (heterosexual) casual sex are also prevalent across the mass media. This paper uses a Foucauldian/poststructuralist mode of discourse analysis to explore how casual sex “advice” in three self-help books (two aimed at women, one aimed at men), and online advice articles, constituted casual sex and masculine and feminine heterosexual subjectivities. Four main (profoundly gendered) subject positions were identified in the texts: the “strategic man”; the “performing man”; the “sassy woman”; and the “vulnerable woman.” It is argued that although some alternative ways of constituting heterosexual identities were provided (particularly for women), gender difference was not only implicated in such advice but also, at times, crudely exaggerated. The implications of these representations are discussed in relation to contemporary heterosexualities, heterosexual sexual identities, and heterosexual power relations.     

“Projecting the Future by Looking Over One's Shoulder at the Past”: The Milken Institute's One-Sided Analysis of California's Future

The first Michael Milken Institute conference on the state of the state of California, held November 5, 1999, identified 21st century opportunities and challenges in light of recent economic and demographic trends. The panelists came from the banking/venture capital, industrial, real estate development, think tank and political spheres. Notably absent were delegates from the environmental community. Optimism reigned: The presenters considered that the shortage and soaring price of housing are major concerns, yet they could not view this as a contra-indication to future population increase. Possibilities of major ethnic clashes in a state where no ethnic group commands a majority went unaddressed. Both the conference materials and those present subscribed to the view that growth is good and bigger is better; no other indicators of quality of life were mentioned. Ecological overload and threats of collapsing eco-systems, the permanent water shortage foreseen by state planners beginning as early as 2015, and the increasing vulnerability to inevitable natural disasters as major earthquakes and droughts should population projections be fulfilled (today's 35 million will grow to 50 million by 2020; carrying capacity level is about 10 million) all went unmentioned. Those present left falsely reassured that for California the 21st century will largely be a replay of the 20^th.