Managing The Lactating Body: The Breast-Feeding Project and Privileged Motherhood

Drawing on interviews with twenty-five mostly white, educated, work-force experienced and class-privileged mothers, this paper explores how these women construct the lactating body as a carefully managed site and breast-feeding as a project—a task to be researched, planned, implemented, and assessed, with reliance on expert knowledge, professional advice, and consumption. The framing of breast-feeding as a project contrasts with the emphases on pleasure, embodied subjectivity, relationality, and empowerment that characterizes much of the recent breast-feeding literature across the humanities and social sciences. I argue that the project frame sheds light on the amount of work and self-discipline involved in compliance with broader middle-class mothering standards set in the consumerist, technological, medicalized, and professionalized contexts that shape parenting in late capitalist America.

Women’s attitudes towards the medicalization of childbirth and their associations with planned and actual modes of birth

Problem

Rates of medical interventions in childbirth have greatly increased in the Western world.

First-time mothers’ birth beliefs,preferences, and actual birth: A longitudinal observational study

Problem

Birth preferences, such as mode and place of birth and other birth options, have important individual and societal implications, yet few studies have investigated the mechanism which predicts a wide range of childbirth options simultaneously.

Like mother, (not) like daughter: The social construction of menopause and aging

In recent American history, the definition of menopause has shifted from a natural, developmental transition to an increasingly more medicalized perspective that emphasizes biological deficits of the aging female body. Using qualitative data from two generations of women, this essay explores how and why this redefinition has occurred and what effect it has had on women's attitudes toward health and aging. The physical experiences of menopause were remarkably similar across mother-daughter pairs; however, daughters (who represented a slice of the baby boom cohort) differed from their mothers in how they talked about menopause, how they defined and treated menopause, and how willingly they accepted or fought the changes associated with menopause. Major social institutions, including the media and pharmaceutical industry, have played a significant role in reshaping the cultural lens through which women experience issues of health, body, and aging. This essay emphasizes the baby boomers' desire to maintain control over their bodies and considers how this cohort of women, as a result, may experience late-life issues of body and health.     

网络成瘾何以医学化——基于家长作用的视角

中国社会的青少年网络成瘾问题近年来引起多学科的共同关注。从社会学的视角来看,青少年网络成瘾问题最初是作为一种网络越轨行为和家庭社会控制问题得以出现。中国青少年网络成瘾医学化的进程,意味着网络成瘾的家庭社会控制演变为医学社会控制,网络成瘾问题逐渐从越轨行为问题转变为临床医学问题。在网络成瘾医学化过程中,网瘾青少年的家长发挥着引擎作用。家长的能动作用分别体现在网络越轨行为初始确认、网络越轨行为非正式医学化、网络越轨行为正式医学化三个递进阶段。在这一过程中,中国社会的家庭权力关系结构清晰再现,并决定着问题的走向。     

Between badness and sickness: Reconsidering medicalization for high risk children and youth

Most of the sociological literature about “troubling” children and youth focuses on how the scientific authority of medical experts, with a discourse of sickness, has come to displace the moral authority of justice enforcement officials and their rhetoric of badness as arbiters of childhood pathology. Yet my experience working with high-risk children and youth during a post-MSW fellowship strongly suggests that discourses of badness have not supplanted discourses of sickness. Indeed, these discourses remain deeply intertwined with implications for the way we conceptualize troubling children and youth, for the treatment we prescribe, and for how children and youth understand themselves. Discussing two composite cases to illustrate how negotiations of badness and sickness unfold, I argue that shifts in attributions of badness and sickness follow predictable patterns generally occurring in response to: (1) changes in the context (whether the child is at home, school, or in a treatment setting); (2) changes in an actor's interests or role (parents may attribute troubling behaviors as badness at home but frame them as sickness with people outside the family); and/or (3) changes in external structures of time (e.g. the end of the school year or the end of a Medicaid authorization). In conclusion, I consider the implications of partial medicalization and these patterns of narrative negotiations for future research and practice.     

“I knew there has to be a better way”: Women’s pathways to freebirth in Poland

BackgroundEach year a small number of women decide to birth at home without midwifery and medical assistance despite the availability of maternity services in the country. This phenomenon is called freebirth and can be used as a lens to look into shortcomings of maternity care services.AimBy exploring women’s pathways to freebirth, this article aims to examine the larger context of maternity services in Poland and identify elements of care contributing to women’s decision to birth without midwifery and medical assistance.MethodsA qualitative methodology was used employing elements of ethnographic fieldwork, including digital ethnography. Semi-structured interviews with twelve women who freebirth, analysis of online support groups, secondary sources of information and elements of participant observation were used.FindingsWomen’s decisions to freebirth were born out of their previous negative experiences with maternity care. Persistent use of medical technology and lack of respect from maternity care providers played a major role in pushing women away from available Polish maternity services. While searching for a better environment for themselves and their babies for the subsequent births, women experienced a rigidity of both mainstream and homebirth services and patchy availability of the latter that contributed to their decisions to freebirth.ConclusionsFreebirth appears to be a consequence of inadequate maternity services both mainstream and homebirth rather than a preference. Women’s freebirth experiences can be used to improve maternity care in Poland and inform similar contexts globally.     

All the News that’s Fat to Print: The American “Obesity Epidemic” and the Media

In the last twenty years scientific, medical, and public health interest in obesity has skyrocketed. Increasingly the term “epidemic” is being used in the media, medical journals, and public health policy literature to describe the current prevalence of fatness in the U.S. Using social scientific literature on epidemics, social problems, and feminist theories of the body, this paper traces the historical emergence of the “obesity epidemic” through an analysis of 751 articles on obesity published in The New York Times between 1990 and 2001. Through the identification and analysis of three discursive pairings I argue that the “obesity epidemic” is a part of a new breed of what I call “post-modern epidemics,” epidemics in which unevenly medicalized phenomena lacking a clear pathological basis get cast in the language and moral panic of “traditional” epidemics. I show how this moral panic together with the location of the problem within the individual precludes a more macro level approach to health and health care delivery at a time when health care services are being dismantled or severely cut back.

药名诗源流、批评及药名入诗论梳评

药名诗诞生于风骚传统,并受医学著作诗化的影响,是中国古代乐舞诗治疗功能延伸增殖的结果.它的发展、功用展示出中国古典文学创作强大的生命力和兼容力,伴随着人们对中医和文学关系认识的增进,药名诗作为雅正传统之一脉,应受到古代文学研究者的更多关注.对药名诗的理论批评和争论,是对古代诗歌理论和批评的有益启示和补充.药名、医理进入到诗论中,使诗论呈现出一定的医理化特征.     

Countering technocracy: “natural” birth in The Business of Being Born and Call the Midwife

Feminist media studies scholars concur that representations of childbirth in popular media normalize medical domination of maternity care and women’s subordination to it. This article aims to fill the gap in the dearth of academic analysis of alternative representations of childbearing by examining the documentary film The Business of Being Born and the BBC TV drama series Call the Midwife. Although they are situated in disparate socio-historical contexts, both productions push against medicalization and present positive images of “natural” childbirth. Business systematically critiques medicalization of birth in the US and presents midwifery-assisted homebirth as the solution. Call counters the dogma of necessary medical attention during childbirth by showing how midwifery dominated during the mid-twentieth century in a London neighborhood. Call also portrays midwives and a physician collaboratively providing maternal care in an impoverished neighborhood. Reviewed together, Business and Call augment each other as the former reveals the contemporary struggles and solutions devised to de-medicalize birth and the latter serves as an example of how homebirths may be supported by medico–midwifery collaboration in an urban community.