A Feminist Model of Family Care: Practice and Policy Directions

SUMMARY

Using a feminist perspective, this article examines women's experiences in caring for older family members with chronic illnesses or disabilities. Central to this analysis are the concepts of the social construction of gender-based inequities in caring, the interconnections between generations of women as givers and receivers of care, and variations in family care by gender, race, ethnicity, social class and sexual orientation. The authors critique current practice interventions and policies and purpose models for the elimination of gender-based inequities in caregiving and the provision of caregiver choice and empowerment for women and men, including feminist models of practice with women caregivers and economic and long-term care supports.     

3岁以下随迁子女照料对流动女性就业参与的影响研究

本文把3岁以下随迁子女照料分为家庭照料和社会化托育服务,利用2016年全国流动人口动态监测调查数据,综合运用Probit模型、工具变量法以及交互效应检验,考察3岁以下随迁子女照料对流动女性就业参与的影响。研究结果表明,在纠正内生性偏误后,与母亲作为主要照料人相比,其他家庭照料主体参与照料对流动女性就业参与具有显著的正向作用。其中,父亲参与的照料能够使流动女性的就业概率提升约30%,而祖辈照料则使流动女性就业概率提升约58%。另外,选择社会化托育服务对流动女性就业参与也具有显著的正向作用。进一步的交互检验表明,母亲照料1-2岁和2-3岁随迁子女会使得其就业概率更低,分别是照料0-1岁随迁子女的9.4%和7.7%。     

Fürsorgliche Konflikte

Caring is conceived as a corrective to a self-optimizing behaviour that follows the strategies of the market. The perspective on conflicts about the recognition of needs for care is used as a focus to look at processes diagnosed as the ?corrosion of character“. Following feminist theories, care is conceptualised in its meaning as relationship and communication, on the one hand and as a basic experience to foster democratic activities of women and men as citizens, on the other. The intersubjective constitution of the capability for and experience of care is influenced by social conditions, especially those of gender relations. Where the bourgeois-industrial gender order is eroding new gender arrangements are possible and necessary to combine caring practices and strategies to secure economic existence, and also to redefine privacy.     

“Taking Mama Steps” Toward Authority,Alternatives, and Advocacy

Ten years ago, the task of blending work and motherhood was arduous, lonely, and painstaking. Most settled for face-to-face interactions or phone calls to friends and family for support. Sadly, frustrated conversations are still happening due to a lack of cultural acceptance, policies, and laws focused on blending work and family life. However, some women are turning to online spaces for social support. In 1991, Donna Haraway posited that online, affinity-based groups contain the potential for activism. Buoyed by digital social media possibilities for social support, we assessed feminist activism within a motherhood support group populated by women from various countries around the world. We found that consciousness-raising can further feminist activism within an online motherhood Facebook group by helping others learn to negotiate their choices, but economic stratification and educational divides still constrain social support; this suggests that digital connections influence affinity-based identities and feminist activism.     

Why do some health care providers disrespect and abuse women during childbirth in India?

BackgroundDisrespect and abuse during childbirth can result in fear of childbirth. Consequently, women may be discouraged to seek care, increasing the likelihood for women to choose elective cesarean section in order to avoid humiliation, postnatal depression and even maternal mortality. This study investigates the causes underlying mistreatment of women during childbirth by health care providers in India, where evidence of disrespect and abuse has been reported.MethodsQualitative research was undertaken involving 34 in-depth interviews with midwifery and nursing leaders from India who represent administration, advocacy, education, regulation, research and service provision at state and national levels. Data are analysed thematically with NVivo12. The analysis added value by bringing an international perspective from interviews with midwifery leaders from Switzerland and the United Kingdom.FindingsThe factors leading to disrespect and abuse of women relate to characteristics of both women and their midwives. Relevant woman-related attributes include her age, gender, physical appearance and education, extending to the social environment including her social status, family support, culture of abuse, myths around childbirth and sex-based discrimination. Midwife-related factors include gender, workload, medical hierarchy, bullying and powerlessness.DiscussionThe intersectionality of factors associated with mistreatment during childbirth operate at individual, infrastructural, social and policy levels for both the women and nurse-midwives, and these factors could exacerbate existing gender-based inequalities. Maternal health policies should address the complex interplay of these factors to ensure a positive birthing experience for women in India.ConclusionMaternal health interventions could improve by integrating women-centred protocols and monitoring measures to ensure respectful and dignified care during childbirth.     

Predictors of Feminist Activism Among Sexual-Minority and Heterosexual College Women

Engagement in activism is related to several aspects of social development in adolescence and emerging adulthood. Therefore, it is important to examine the correlates of different forms of activism, such as feminist collective action, among all youth. However, previous research has not investigated young sexual-minority women's engagement with feminist collective action. This study examined predictors of college-aged heterosexual and sexual-minority women's commitment to and participation in feminist activism. Sexual orientation, number of years in college, social support, experiences with discrimination, and gender identity were tested as predictors of commitment to and participation in feminist activism with a sample of 280 college-aged women (173 heterosexuals and 107 sexual minorities). Similar predictors were related to both commitment to and participation in feminist activism. However, for sexual-minority women, but not heterosexual women, the number of years in college was correlated with participation in feminist activism. Young sexual-minority women reported more participation in feminist activism than did heterosexual women, even after controlling for social support, discrimination, and gender identity.     

‘How can we go on caring when nobody here cares about us?’ Australian public maternity units as contested care sites

BackgroundProvision of personalised, continuous care focused on ‘well women’ is now central to midwifery identity and work ideals, but it remains difficult in hospital contexts shaped by increased demand and by neoliberal policies. Previous accounts of occupational and work-family conflicts in midwifery and nursing have pointed to the ‘moral distress’ associated with managing conflicting expectations in health workplaces.QuestionThis paper examines these issues in the Australian context and considers further the ethical implications of midwives not feeling ‘cared for’ themselves in health care organisations.MethodsQualitative research in several Victorian maternity units included use of interviews and observational methods to explore staff experiences of organisational and professional change. Data were coded and analysed using NVivo.FindingsMidwives reported frequent contestation as they sought to practice their ideal of themselves as caregivers in what they reported as often ‘uncaring’ workplaces. To interpret this data, we argue for seeing midwifery caring as embodied social practice taking place within ‘organisation carescapes’.ConclusionTheoretical analysis of the moral and ethical dimensions of the contemporary organisational structure of maternity care suggests that a practice-based and dialogical ethic should form the core principle of care both for women in childbirth and for their carers.     

Income-tax allowances and the family in Great Britain

Income-tax allowances for dependants in Great Britain give financial aid to family-supporting taxpayers which is similar in nature to cash payments received from the State under the family allowances programme. In effect, by differentiating between single and family-supporting taxpayers, the State is sharing the financial burden of caring for each taxpayer's family. In this article an estimate is made of the total cost of such dependants' allowances to the State in the form of lost tax revenues. Analysing the cost of income-tax allowances by income group and family size, the author attempts to point out certain inequities in the State's programme which is aimed at partially alleviating the relatively unfavourable position of the family-supporting taxpayer.     

Under the watchful eyes of men: theorising the implications of male surveillance practices for feminist activism on social media

Abstract

While early internet research often explored social media’s potential for increasing political participation, scholars are now problematising the manifestations of state and corporate control over political activism in these spaces. Yet despite an increased academic focus on the shape and implications of online power relations, there is a noticeable lack of critical theory that considers how strategies of male dominance on social media platforms influence feminist activism. This article conceptualises individual men as monitorial actors invested in surveilling feminist speech online, and brings together literature from within feminist, social movement, and critical internet studies to address this research gap. Situating contemporary feminist activist tactics in relation to second-wave priorities, this article extends current conceptualisations of the dangers of social media surveillance practices for political action. It draws on recent examples of online feminist organising to elucidate the ways in which social media platforms provide men with increased opportunities to surveil feminist activity. The article calls for further research into the ways in which male surveillance practices on social media platforms are shaping women’s ability to organise for social change.     

Women and retirement

A feminist analysis of retirement is presented by questioning the applicability of traditional definitions and theories of retirement to retired women. The effects of marriage, caregiving and other family obligations on women's retirement are examined within the context of salient social, psychological and economic factors. An empowerment-oriented perspective that considers interactions and connections between family and work roles, public and private and personal and political levels are recommended to alleviate the high poverty rates among older women, to promote parity among men and women during retirement and to emancipate women from substantial involvement in unpaid work, specifically, caregiving and home labor.     

Subversive acts and everyday midwifery: Feminism in content and context

BackgroundMidwives are often at the forefront of political campaigns for women's empowerment, overtly advocating for women's rights and reproductive justice. However, midwives can also be found engaging in inadvertent activism on a daily basis within routine care. When casting a feminist lens over both the content and context of midwifery practice in Australia, subversive acts and opportunities for feminist reform can be found.AimTo interrogate the significance of feminism in midwifery practice, identifying feminist successes and further opportunities for implementation including: analysis of the Midwifery Standards for Practice; the primary tenets of woman-centred care; the content versus context of midwifery in Australia; and feminist opportunities for enhanced practice. This paper will discuss the importance of feminism in midwifery practice and its significance in informing optimal midwifery care.DiscussionIncorporating women's voice and respecting women's bodies and agency in the delivery of care is a fundamental component of midwifery practice. However, while the content of midwifery practice is innately feminist in its emphasis on woman-centred care, it will be argued that the context of birthing in Australia is not. The resultant effect is the emergence of victim blaming in maternity care and the construction of an archetypal ‘good birthing woman’.Implications and recommendationsMoving away from the myth of the ‘good birthing woman’ and the act of victim blaming, midwifery could instead direct its focus towards challenging the rigid systems and structures within which midwives implement care. By further embracing feminist principles midwives will ensure a truly woman-centred future.     

“Hope in a hashtag”: the discursive activism of #WhyIStayed

Hashtag feminism, or feminist activism that unfolds through Twitter hashtags, has become a powerful tactic for fighting gender inequities around the world. Feminist media research, however, has yet to grasp the implications of this new form and social movement research has yet to model the conditions under which activists successfully mobilize online. This article builds on research regarding the potential and limitations of hashtag feminism to consider a question that remains understudied: what is the process through which a feminist hashtag develops into a highly visible protest? Through a case study of #WhyIStayed, which arose in response to a 2014 NFL domestic violence controversy, I frame hashtag feminism as an extension of the movement’s historically rooted discursive tactics. Hashtag feminism’s narrative form implies that the conditions for a successful online feminist protest parallel the elements of an effective dramatic performance. Using data collected from Twitter and news media, I identify the dramatic elements that propelled #WhyIStayed tweets from online personal expressions to online collective action.     

A Multilevel Perspective on Gender Differences in the Relationship Between Poverty Status and Depression Among Older Adults in the United States

Despite a large body of literature on depression, previous studies have focused on either intra- or interpersonal factors but not multilevel influences, which potentially could buffer depression in late life. The intent of this study was to identify whether the impact of poverty might be moderated by multilevel factors such as sense of control, social support, and neighborhood environment. The results showed that the elderly poor, especially older women, were more likely to be depressed. Support from friends significantly moderated the association between depression and poverty among older women. Implications for critical feminist gerontology and for practice are discussed.     

Women and Caring:

Adopting a symbolic interactionist perspective, this paper examines what the caring experience means to women. Drawing upon data obtained from in-depth interviews with 142 elderly women, the analysis presents an interpretation of caring as a route to self-meaning. It is argued that caring can be a meaningful component of self-identity. Moreover, these data show that the caring role can be a source of self-continuity in later life as it is a role that can last a lifetime. In contrast to the psychological view, which suggests that caring is a naturally feminine activity, it is argued in this paper that women learn to care through a socialization process wherein girls learn from their mothers and others that caring is women's work.     

Providing maternity care for disadvantaged women in Aotearoa New Zealand: The impact on midwives

BackgroundHealth inequities and socio-economic disadvantage are causes for concern in Aotearoa New Zealand. Becoming pregnant can increase a woman’s vulnerability to poverty, with the potential for an increase in multiple stressful life events. Providing midwifery care to women living in socio-economic deprivation has been found to add additional strains for midwives. Exploring the perspectives of the midwives providing care to women living with socio-economic deprivation can illuminate the complexities of maternity care.AimTo explore the impact on midwives when providing care for socio-economically disadvantaged women in Aotearoa New Zealand.MethodInductive thematic analysis was used to analyse an open-ended question from a survey that asked midwives to share a story around maternal disadvantage and midwifery care.FindingsA total of 214 stories were received from midwives who responded to the survey. Providing care to disadvantaged women had an impact on midwives by incurring increased personal costs (time, financial and emotional), requiring them to navigate threats and uncertainty and to feel the need to remedy structural inequities for women and their wider families. These three themes were moderated by the relationships midwives held with women and affected the way midwives worked across the different maternity settings.ConclusionMidwives carry a greater load when providing care to socio-economically deprived women. Enabling midwives to continue to provide the necessary support for women living in socio-economic deprivation is imperative and requires additional resources and funding.     

Der gesellschaftliche Umgang mit menschlicher Hilfsbedürftigkeit

Gender relationships are based on social constructions of dependence and independence. Dependence is a status concerning care receivers as well as care givers. Even after years of formal education care work is not yet seen as a profession because of its traditional background in Christian charity and unpaid tasks of women in the family. In the centre of public attention so far are the costs of caring, not the achievements. The critique of the welfare state leads to reductions of benefits and services and to privatisation. Thereby care work becomes a public issue. Considerations of justice can no longer be restricted to the public sphere. Instead, it becomes evident that the private sphere, where a significant part of care takes place, needs to be included in a democratic discourse on justice. There must also be included the discourse on the concept of work, so far often restricted to paid employment as well as the growing internationality of personal services in the sphere of shadow work.     

Women and Retirement

SUMMARY

A feminist analysis of retirement is presented by questioning the applicability of traditional definitions and theories of retirement to retired women. The effects of marriage, caregiving and other family obligations on women's retirement are examined within the context of salient social, psychological and economic factors. An empowerment-oriented perspective that considers interactions and connections between family and work roles, public and private and personal and political levels are recommended to alleviate the high poverty rates among older women, to promote parity among men and women during retirement and to emancipate women from substantial involvement in unpaid work, specifically, caregiving and home labor.     

Working with terminally ill older women: can a feminist perspective add new insight and direction?

While sexism and ageism in the health care system have been systematically documented, nowhere is the treatment of aging women more androcentric than in the care for the terminally ill. In fact, a terminally ill older woman is too often disadvantaged by a health care system which excludes her from decision-making and renders her powerless. In response, we propose a feminist approach to health care for terminally ill older women and argue that it is this approach which will not only put knowledge and power into the hands of women, but will change the fundamental ways in which women approach death.     

Discrimination Against Older Women in Health Care

Growing awareness of apparent gaps in health care received by women and men raises concern over possible discrimination. This literature review examines this issue for elderly women, whose health care is obtained in a system that also may be permeated with age discrimination. Physicians tend to spend more time with women and older patients, suggesting that discrimination may not be an issue in the physician-patient relationship or may work in favor of older women. However, this may simply reflect elderly women's poorer health. Gender and age disparities in medical treatments received provide a more compelling argument that the health care system is a source of discrimination against older women, who are less likely than others to receive available treatments for cardiac, renal, and other conditions. The history of medical treatment of menopause suggests that stereotypes of older women have been advantageous for segments of the health care system. Finally, in addition to discrimination that has its source within the health care system itself, societal-wide inequities, particularly economic, are extremely detrimental to older women's health care. As we respond to the health care crisis, we must be alert to the potential to rectify those structures and tendencies that can lead to discrimination against women and the aged. Health care reform presents a unique opportunity to ensure health care equity.