The Role of Information and Communication Technologies in Addressing Safe Motherhood in South Asia

ABSTRACT

As it is recently recognized in academic and policy circles, limited access to information and limited knowledge are among key factors contributing to worldwide poverty, especially in low developed countries. Consequently, access to “knowledge” has become an integral part of discussions about global development, improvement of societal well-being, and empowerment of women. This article addresses the problem of the limited spread of information about maternal health and available maternal care services across impoverished South Asian countries. Lack of knowledge greatly contributes to underutilization of medical services and available maternal care that leads to high rates of maternal and infant mortality and pregnancy-related complications which, with proper medical care, could be avoided.     

Post-Placement Adjustment and the Needs of Birthmothers Who Place an Infant for Adoption

This study examines the emotional health of women who placed an infant for adoption during the first year post-placement and in their current life. Data were collected from 235 women, on average, 3.5 years after placement. Approximately 75% of women viewed their emotional health as “very poor,” “poor,” or “neutral” in the first year post-placement. Despite improvement in emotional health over time, over a third continued to report significant problems in their current life. Birthmothers' adjustment was positively related to level of support and to support satisfaction. Implications for helping women recover from this life stressor are discussed.     

“Running as Women”?

Abstract

This article compares the campaign brochures of female and male candidates who ran for the Pennsylvania State Assembly in 1996 and 1998. The photographs and statements made in the brochures were content analyzed to see if female candidates advertise themselves in ways identified in the literature as “running as a woman.” Specifically, the issues, traits, qualifications, and group associations mentioned in the brochures were coded as “male,” “female,” or “other.” The findings indicated that while women present a mix of messages in their brochures, they are more likely than men to identify “female issues” and “female qualifications.” These differences were greatest among Republicans and challengers.     

Protecting Black mothers: How the history of midwifery can inform doula activism

In response to the crisis of racist disparities in maternal mortality, many activists are pushing for increased access to birth doulas for Black women. As states and municipalities respond by incorporating doulas into hospital settings with increasingly common requirements for doula certification, it is more important than ever to investigate the role of doulas, and how that role might change under the medical model of birth within US hospitals. Will activism for doulas turn into arguments for the “right” to a doula? Without the full privileges of citizenship—will the most marginalized women be left out of that right despite their health and safety being at the origins of the activist struggle? To investigate these questions, we can look to the history of midwives in the United States, and examine how the midwifery model of childbirth changed as activists fought for increased access to midwives to improve birth outcomes.     

Women’s work: public relations efforts of the US Children’s Bureau to reduce infant and maternal mortality, 1912–1921

This article traces the efforts of the US Children’s Bureau to reduce infant and maternal mortality, primarily through education. The Bureau developed and carried out a carefully conceived public relations campaign that spanned nearly 10 years, from 1912, when the Bureau was formed, to 1921, when the Sheppard-Towner Act was passed by Congress. The Act was the first piece of social welfare legislation passed by Congress.The Bureau’s public relations campaign was notable for its use of innovative tactics designed to increase public awareness of the problems of infant and maternal mortality and gain support for passage of legislation to address the problems. This article proposes that it was this campaign that galvanized public support for federal legislation, particularly among women. The campaign also was important because it was conceived and carried out almost entirely by women at a time when public relations as a field had not been formally defined.     

The “Un-Candidates”

Abstract

Much has been written on whether female candidates “run as women” in their campaigns. This study explores the role of gender in political advertising through a systematic analysis of campaign commercials from U.S. House, Senate, and Governor races from 1964 to 1998. I hypothesize that candidates will use “femininity” in the commercials as a marker of “outsider” status. This theory considers image differentiation and branding as they relate to gender in political advertising. Advertisers typically use branding for two reasons: (1) to manufacture illusory differences to differentiate nearly identical products (such as Coca-Cola and Pepsi); and (2) to emphasize and expand real differences (7-UP, for instance, tries to differentiate itself from both Coca-Cola and Pepsi by branding itself the “Un-Cola”). Female candidates who correlate feminine character traits and women's issues with an outsider presentation in their campaigns are trying to be the “Un-Candidates.” The data in this study reveal the importance of contextual factors in determining whether a female candidate will undertake an “un-candidate” strategy     

Charity Care in Crisis: Reclaiming a Lost Professional Ethic

Abstract

The concept of “charity care” is a fundamental principle in the practice of medicine. This paper examines the origins of the construct charity, the expansion of charitable care during the Middle Ages, and its gradual secularization throughout the Renaissance and the Enlightenment. The paper then highlights the transformation of Almshouses, Infirmaries and Dispensaries into charitable institutions of medical science in the nineteenth century with the birth of progressivism during the early twentieth century. A conceptual model is then presented that depicts the erosion and qualitative changes in charity care as a result ofthe corporatization of health care over the course of the last century. The construct of charity care is now in crisis. The medical profession has gradually disassociated from its obligation of charitable care as an ethical precept for the practice of medicine. The paper ends with a challenge to reclaim and renew the importance of charity in the provision of health services.     

Modernity’s dirt: carbon emissions and the technique of life

ABSTRACT

Under colonialism, the concept of dirt was frequently employed ideologically to make judgements about relative worth. In Africa, a particular European cultural idiom or “technique of life” was presented as superior because of its “cleanliness.” This paper is concerned with modernity’s “technique of life” at a particular historical moment when, as a result of environmental crisis, it is suddenly called upon to give an account of itself. I undercut modernity’s claim to cleanliness by suggesting that what it introduces alongside regimes of order and sanitation is a much more globally destructive form of dirt in the form of increasing carbon dioxide levels. The CAIT Climate Data Explorer is a website that compares carbon dioxide emissions across a range of categories. This paper reads three graphs generated by this website as incomplete figures for making visible modernity’s “technique of life.” Realist fiction, read as a supplement to the climate graph records, is able to reinvest some of the abstract categories employed by the climate data tool – transport, fugitive emissions and electricity use – with the details that characterise particular techniques of life and to reveal the way they continue to be defined, at this historical moment, by narratives of development and consumption.     

Should I Stay or Should I Go?

Abstract

Data from a longitudinal study of older adults in an upstate New York county (N = 333) show that poor housing “fit” increases the likelihood that older adults are currently considering a move, as does lower residential satisfaction. Those adults who said only that they “might consider moving” focused on health transitions that might signal a need for a new housing situation. Residential satisfaction predicts actual moves even when controlling for moving plans. Older adults may be “pushed” to make a move by a crisis, but those older adults planning moves tend to be “pulled” into housing arrangements with desirable features.     

“Everyone was Pounding on Us”: Front Porch Politics and the American Farm Crisis of the 1970s and 1980s

This essay analyzes agricultural politics and activism in the United States during the farm crisis of the 1970s and 1980s. Although journalists and social scientists studied farm activism at the time, historians have neglected it. As this article demonstrates, however, the farm crisis is valuable for analyzing why ordinary Americans mobilized as citizens and activists in a period of economic dislocation. Informed by the recent “emotional turn” in social movement studies, the essay frames farm organizing as an archetypal example of “front porch politics”. Mostly, farmers organized out of a sense of being wronged; the resulting sense of injustice fueled a rural uprising.     

“Welfare Mother” Activism,Mainstream Feminism,and the Cunning of History in Ontario’s 1970s Welfare Debate

ABSTRACT

This article examines the voice of mobilized welfare mothers and the mainstream women’s movement in the welfare debate of the 1970s in Ontario. A question debated was whether welfare mothers had a right to “stay home” while receiving welfare. The article shows that a radical strain of welfare mother activists at this time demanded recognition of women’s unpaid work. While mainstream women’s groups were generally sympathetic to welfare mothers, their overriding focus on employability as the solution to their poverty served to derail the radical possibilities of welfare mother politics and solidify a policy agenda that undermined the deserving status of welfare mothers.     

Disordering Gender Identity

Abstract

The inclusion of Gender Identity Disorder and Transvestic Fetishism in a psychiatric diagnostic nosology is a complex topic that is best understood within the larger context of the history and politics of diagnostic classification systems. The diagnostic labeling of gender-variant individuals with a mental illness is a topic of growing controversy within the medical and psychotherapeutic professions and among many civil rights advocates. An overview of both sides of this controversy is outlined, highlighting questions about the potential damage caused by using psychiatric diagnoses to label sexual behaviors and gender expressions that differ from the norm, and the ethical dilemmas of needing a psychiatric diagnosis to provide legitimacy for transsexuals' right to attain necessary medical treatments. The author reviews the use of diagnostic systems as a tool of social control; the conflation of complex issues of gender identity, emotional distress, sexual desire, and social nonconformity; the reification of sexist ideologies in the DSM; the clinical and treatment implications of diagnosing gender for “gatekeepers”; and some recommendations for GID reform.     

A Reappraisal of the Quality of Women Candidates

Abstract

This article focuses on “second-wave” feminist perspectives on the role of the state and its effectiveness in removing gender-based inequality in Indian society. The major argument is that feminist rethinking of the relationship of women to the state illustrates the maturity of the Indian women's movement and its recognition that well-planned, mobilized, and effective state policies are crucial to the promotion of women's interests. Recent scholarship has addressed, more systematically and more critically than any in the past, the nexus between social and political processes and the subordination of women. It provides a contextualized and nuanced understanding of the complex interconnections between gender, state, religion, and community. Consequently, not only have feminist writings of the past two decades in India added to current gender sensitive scholarship on the state and development, they have also facilitated the construction of programmatic guides for realizing “strategic gender interests.”     

Crisis or Creation? A Systematic Examination of False Memory Syndrome

SUMMARY

In 1992, the False Memory Syndrome Foundation (FMSF), an advocacy organization for people claiming to be falsely accused of sexual abuse, announced the discovery of a new syndrome involving iatrogenically created false memories of childhood sexual abuse. This article critically examines the assumptions underlying “False Memory Syndrome” to determine whether there is sufficient empirical evidence to support it as a valid diagnostic construct. Epidemiological evidence is also examined to determine whether there is data to support its advocates' claim of a public health crisis or epidemic. A review of the relevant literature demonstrates that the existence of such a syndrome lacks general acceptance in the mental health field, and that the construct is based on a series of faulty assumptions, many of which have been scientifically disproven. There is a similar lack of empirical validation for claims of a “false memory” epidemic. It is concluded that in the absence of any substantive scientific support, “False Memory Syndrome” is best characterized as a pseudoscientific syndrome that was developed to defend against claims of child abuse.     

“Having a family is the new normal”: Parenting in neoliberal academia during the COVID-19 pandemic

The outbreak of the COVID-19 pandemic has made explicit the burden of care shouldered by academic mothers, in addition to juggling their scholarly commitments. Although discussions are abundant on the impact of caring responsibilities on the careers of women academics, neoliberal academia continues to minimize such struggles. Despite the disruptions to family routines caused by the health crisis, academic institutions have expected academic mothers and fathers to continue undertaking their professional responsibilities at the same level as before, disregarding their parenting demands. This paper contributes to the research on parenthood in academia by looking at how, throughout the pandemic, academic parents have negotiated the tensions between parenthood and academic demands, and by investigating the strategies they use to confront neoliberal culture of academic performativity, even amid the health crisis. The paper engages with the “space invaders” concept used by Puwar (2004) to analyze the “hypervisibility” of academic mothers' and fathers' “bodies out of place” during the pandemic, and to investigate their “renegade acts” against the uncaring attitudes of their institutions. Evidence is drawn from a qualitative study conducted during December 2020 and January 2021 among scholars affiliated to Portuguese academic institutions: 17 in-depth interviews conducted with women, and two mixed-gender focus groups. Our results research reveal how the experiences of academic mothers and fathers were not uniform during the pandemic. In addition, it shows how, despite their commitment to their academic responsibilities, these parents have crafted various resistance strategies to confront the institutional pressure to continue maintain their working routines, and instead positioning themselves as “more than just academics.”     

Infant-led Research: Privileging Space to See,Hear, and Consider the Subjective Experience of the Infant

ABSTRACT

The subjective experience of infants is seldom considered in research directly concerning them. Commonly, infants are not believed to possess self-agency or innate communicative abilities, obscuring space for researchers to consider the infant’s subjectivity. Rather, measuring and coding behaviour or seeking the parent’s perspective is privileged. Making meaning is not limited to the capacity to verbalise; as meaning encompasses feelings, behaviours, and contexts. In this paper, a novel “infant-led” qualitative research methodology is presented utilising infant observation techniques, drawing on theories of “intersubjectivity” and using a constructivist grounded theory method. Distinct to this methodology is how data collection begins with the infant before any other, as does the process of data analysis; providing the basis upon which all other data are interpreted. The application of such an approach is nonintrusive and has much to offer social workers working with infants in high risk situations in community, health, and mental health settings.

IMPLICATIONS

• The experience of infants is entitled to be included in research that directly impacts them.

• Adopting an infant-led approach brings alive the experiences of infants and challenges assumptions that minimise the competencies and contributions infants make.

     

Dynamics of Social Support

Abstract

This study challenged the current conceptualization of social support as a static process and attempted to explore how the sources and types of social support unfolded over time during mainland Chinese immigrant women's first year of resettlement in Hong Kong. A longitudinal qualitative method was used and 15 immigrant women were recruited. In-depth interviews using a semi-structured interview guide were conducted at three-monthly intervals. Results supported our view on the “stages within stage” assumption of the resettlement period of the migration-integration process. In the first quarter of resettlement, immigrant women mobilized a great deal of instrumental and information support from family members and kin to resolve survival issues such as finances, housing and childcare. However, the demand for instrumental support declined over time, and the need for emotional support appeared to peak at the second stage of the resettlement period. Fellow immigrant women were found to be the most significant providers of information, emotional and social companionship support to immigrant women throughout the resettlement period while the supporting roles of husbands and kin diminished. Lastly, immigrant women were less inclined to seek help from formal networks and rarely sought support from neighbors and co-workers. Socio-economic and cultural reasons were used to explain these differential support patterns during immigrants' first year of resettlement in Hong Kong, and implications for social work practices were discussed.     

Sexual Problems and Distress among Men and Women with Same-Sex and Opposite-Sex Sexual Partners: An Analysis of a Nationally Representative Sample of Adults in Great Britain

Abstract

Objective: This study aimed to examine differences in reporting sexual problems and distress among men and women with same-sex and opposite-sex sexual partners.

Methods: Multinomial regression was undertaken on risk of reporting sexual problems and/or distress using data from the third National Survey of Sexual Attitudes and Lifestyles.

Results: Differences were detected between men of different sexual behavior groups when considering the problems “lack of enjoyment in sex,” “felt anxious during sex,” “felt no excitement or arousal during sex,” “lack of interest in sex,” “did not reach/took a long time to reach climax,” and “getting or keeping an erection.” Fewer differences were detected among women.

Conclusions: Women reporting same sex sexual partners, and to a greater extent men reporting same sex sexual partners , have different sexual health needs and report sexual health problems and distress to a different extent than is the case for individuals who only have opposite-sex sexual partners     

Medical Complications of Female Genital Mutilation

Abstract

More than 130 million women are subjected to genital mutilation. Despite increasing efforts to reduce the practice, there are many obstacles to eliminating this 2,000-year-old practice, which is based on strong cultural traditions. As college health clinicians provide care to more international students from countries where female genital mutilation is performed, increased awareness and knowledge of the procedure will enable clinicians to understand and manage its complications. We report a case of obstructive uropathy resulting in hydronephrosis secondary to female genital mutilation and review the medical literature regarding this and other complications of genital mutilation “surgery.”     

Abstracts of the Scientific Programs of the American College Health Association Fifty-Seventh Annual Meeting May 22-25, 1979, Washington,D.C.

Abstract

This article focuses on a therapeutic approach to help women deal with the feelings of grief and guilt they may feel as a result of a voluntary termination of a pregnancy. Available medical and psychological literature indicates that, from a public health perspective, significant psychological problems related to an abortion are “minuscule.” Several women the author saw during the 1992/93 academic year who considered themselves to be extremely religious and prolife had undergone elective abortion. They experienced tremendous guilt and grief 4 to 6 months after the procedure. The author recommends that college health center medical and counseling providers who must deal with this issue help the woman validate her loss by revisiting the site of her abortion to reflect upon the experience and to hold a Gestalt dialogue with the fetus to end the relationship. The provider or someone else should accompany the woman to the site because of the increasing potentiality for violence on the part of prolife protesters.