UNIT 4 What is Reproduction? Stratified reproduction describes: - “...how reproduction is structured across social and cultural boundaries, particularly at local / global intersections...”
- “... power relations by which some categories of people are empowered to nurture and reproduce, while others are disempowered.”
- “...helps us see the arrangements by which some reproductive futures are valued and others are despised.” (Ginsburg and Rapp, 1995)
Biomedicalisation of Birth - extension of
science and
technology in biological reAlms and previously unmedicalised domains
• Viewing
reproduction
through a
Sociological
lens
poses complex probLems:
1. Nature vs Culture2.
Agency vs Structure3.
Private vs PublicHow
does Reproduction become
political ?
•
Structures constrain, Agency resists
•
Danger of romanticising opposition for ‘oppositional positions’
cannot develop independent of
dominant social positions.
Racialised
Mothers’ from Slavery to Immigration “
Welfare Mother ”
is suffused with ideologies of ‘
race ’,
class and
gender . It
implicates and blames the
poor for their
poverty . “Welfare Mother”
or “Welfare
Queen ” becomes the public
face of ‘failed
mothering’ by poor
women . Dominant worldview that blames
individuals for their failings, particularly if
these are financial
However , where
there is structure there is
agency
and resistance Ginsburg:Colen:
Collins labels the idealized or ‘
real ’ mother as being
members of the right social class, marital
status , race, and citizenship status. These social locations determine a blurred view of who is entitled to be a mother, and also
stands in the way of seeing the capability one has in being a
parent . She
goes on to
further explain the
relationship between motherhood, national
identity in the US and population policies. Collins
first examines how the traditional family ideal helps to determine a national identity. Second she discusses the history of eugenics in how it has
influenced reproductive policies and its
development of the nation state, internationally. Lastly, she highlights the differences in how these
ideas influence
middle -class white women,
working class white women and working class African American women. In all of this, one underlying
idea is that these policies and social norms
work to instill a hierarchy in the US. Unfortunately, this hierarchy has been
divided into two groups
here ; either birth
order or immigration order.
Ancient belief of man’s right to
dominate nature receives a
further fillip in the work of
scholars of the enlightenment.
During the seventeenth century
period of rapid commercial
expansion
within Europe ,
machine came to replace the organism as
the underlying metaphor for the
organisation of man’s universe.
Prior to this idea, the earth had
been viewed as a living organism
infused with a
female soul .
II
Contested reproduction• The
idea of the
body as a machine firmly
established the
male body as the
prototype of
this
machine (Martin, 1987, Davis-
Floyd : 1990, 1994).
• This
is
seen as a significant departure from the ideas propounded in
medical texts from
the
ancient Greeks up
until the eighteenth century that
described male and female
bodies
as fundamentally
similar . • A systematic campaign against against midwife
assisted birth in medical journals from 18-19 century
• Dangers of childbirth exaggerated that meant safe
delivery required male attendance
• Though
women had hitherto been conceptualised as embodying the
same genitals
as
men
inside their bodies, thus relegating women to ‘a lesser version of
the male body’ .
• Any
deviations from the male prototype
became valid grounds for viewing
female
biology
as ‘abnormal’, defective and as untenable as nature itself, thus
in need of
manipulation
by man.
• The
demise of the midwife and the
rise of male-attended mechanically
manipulated
birth
followed
close on the heels of the
wide cultural acceptance of the
female body as
a
defective machine.
Birth
of medical domain :1773
obstetric forceps were invented which gave man midwife a
distinct advantage .There was however an urgent need to deconstruct the view
that saw birth as ‘normal’ and ‘natural’ physiological event
coupled with resistance
based on
sexual prudery that denied men vital
access to the ‘birthing
subject ’
Creation of
Lying in hospitals
In
England between 1739 and
1765 two lying in wards and
four lying in
hospitals were created. Provincial hospitals followed in 1800s
Hospitals were financed by private capital and, mostly charitable and
received patients from the working classes. In the
Americas the women
of colour and
immigrants were. For the first time uninhibited access
to female body becomes possible.
HOWEVER,
- Medical assistance could not improve midwife assisted mortality record .
- Toxaemias of pregnancy, sepsis and haemorrhage were noT brought under control till 1930s .
- Maternal and infant mortality remained at a constant high from 1835 to 1935
- Post WWII almost 90% births became institutionalised
Take a highly successful
‘natural Fact remains, women participate in the technocratic ritual of birth
• Feminist quandary: Technology can be profoundly empowering and
emancipating for birthing mothers and yet produces
fear of
malfunctioning body, unpredictable nature which must be “assisted
technologically’
• The technocratic model opens doors whilst slamming shut
already opened doors
• The home-birth or “natural” childbirth
movement was pioneered in
activist and feminist discourse
• As a backlash to medical control of the birthing experiences midwife
assisted birth is on the rise.
Pregnancy and childbirth become medical events - Bodies defective in need of active medical assistance
This dominant view holds considerable influence Euro-American cultures (99% of childbirth is institutional in the USA alone) Thus, selective application of medical technologies for de- and reconstruction of the birthing
process There is no “
best ” way, but problematic when one way of assisting birth becomes normative,
necessary , normalised foreclosing
other options
process’
(e.g., salmon swimming upstream
to spawn)P
u n c h O n e : r e
n d e r i t
dysfunctional
with technology
(dam
the
stream , preventing
salmon
from reaching their
spawning
grounds)
Punch Two : fi x i t wi t
h
technology
(take salmon out of the
water
with
machines , make
them spawn
artificially and
grow eggs in
trays,
then
release the baby salmon
downstream
near the
ocean )
So,
destroy a ‘natural process’ and
rebuild
it as a ‘cultural process’.
III
Reproduction gone awry • Research
shows that women with minimal social
support or less supportive partners tend to welcome more medical intervention
• Women with robust kin and familial support show very
little postpartum
depression or “baby-blues”
The
Biomedical
Rule of Thumb:
A
couple is infertile if the ‘
wife ’ has not
conceived
after 12 months of “
Marriage rate in
Britain falls to lowest level
since 1862 ...fewer
than 2 in 100 women over the age of 16 got
married in a
single year [2008] ... from 2% to 1.96%” Telegraph, 11 Feb 2010
• Structural readjustments shaping how society relates to infertility or voluntary/involuntary childlessness Predominantly
popular images associated with cohabitation are
negative , an assumed stereotype/ consequence of norm violation?
unprotected
intercourse or there is a
known condition that
makes conception
unlikely
The
Sociological Rule of Thumb:
Infertility
is not simply a ‘
failure to
conceive’
but also a ‘normative
failure’.
Childlessness
a more apt
signifier Experience of Childlessness or Infertility
is
shaped by ideology and social
structure
of a society, e.g. Liminality,
Ndembu
Ritual
“Liminality”• Liminal
(
Latin limin-, limen
meaning threshold). Relating to a transitional
or initial stage; marginal, insignificant, occupying a
position on,
or on
both sides of a
boundary or threshold. Arnold van
Gennep (1873-1957): Plastic sexuality,
Liquid love
• Separation
(from previous status).
• Marginal
or liminal period (transition).
• Reincorporation
of those passing into new statuses Victor W
Turner (1920-1983):
• Liminality
as “Betwixt and Between Time”.
• Liminality
is fraught with danger and
opportunity .
Why?• Anti-Structure:
“liberation of human capacities of cognition,
affect , volition,
creativity, etc., from normative
constraints … a kind of
institutional capsule or pocket which contains the
germ of future
social developments, of societal
change ”
Ndembu
of Zambia: InfertilityRitual
& Social Structure• Unable
to achieve pregnancy
woman consults a diviner
• Seance
ensues, attended by woman’s kin and reveals the
cause • The
diagnosis is invariably one where the afflicted woman is “caught”
by an offended maternal ancestor who has emerged from her
grave to
sit in the woman’sbody
• The
explanation lies not so much in magic or
medicine but social
structure: Ndembu are matrilineal and virilocal
• The
tensions are
built into the social fabric: Conflicting loyalties,
allegiances mark the
fault lines
• Failure
to conceive draws
attention to the
major sourceof tension within
society and an opportunity to work through the social structural
tensions
“Infertility”, is a
“ secret stigma”, i.e. no obvious bodily stigmatising
features . Medicalisation of infertility
turn private/secret stigma into public
crisis Enacted Stigma: Stems from intentional Discrimination
Felt Stigma: Stems from internalised societal evaluations, a
sense of failure to
live up to the norm
Changing Face of Relationships? • Childlessness
or “infertility” a ‘norm violation’?
• Normative
Motherhood, Prescriptive Fatherhood?
• Is
heteronormative marriage on the decline?
• Conjugal
bond weakening and Cohabitation of the
rise?
Do men and women react differently to childlessness?• “Status-
passage ”
•
Threat to a couple’s shared re a l i t i e s n e c e s s i t a t i n g construction of new shared realities
• But, His & Her realities can be markedly
different HERSHIS• “
Cataclysmic Role Failure”: (1) Retreat frominteraction with the ‘ fertile ’ world (2) Become too focussed on ‘infertility’“
It was as if a part of me had died, a part of me was never going to be fulfilled. Grieving to hold a baby...apart of me felt like a major disappointment to everybody...I felt like I had disappointed my husband , I disappointed my folks, I disappointed his folks, and I disappointed myself.” “It affects your ego. It has an immense affect on selfconcept, in all kinds of crazy ways . You ask ‘How can I be a real woman?’ By affecting the self concept , it affects sexuality, and it affected work for me for a while. ‘How can I be good at this; I’m not a normal person ’”Failure of Volition: ‘Infertility’ as “culpable failure of volition”• “
The desire to explain sickness and death in terms of volition - decision /will/ choice / resolution to commit to a particular course of action or acts done or left undone - is ancient and powerful ” ( compare this to other cultural tropes such as “ Karma ”, “Kismat”, “what goes around comes around” etc.)• “
Involuntary biological failures” also become “voluntary volitional failure”, e.g. Physicians imply that failure of will or desire is evident in individual choices as delaying chilbearing, “biological clock ”.•
Crisis of Masculinity: (1) ‘Hegemonicmasculinity’ (2) Expectation that men will not be: (a) weak (b) vulnerable (c) emotional d) losing physical control.•
Will always be:(a) strong /robust (b) not needing help (c) ceaselessly interested in sex (d) displaying aggressive behaviour (when needed) (e) show physical dominance•
Male infertility more stigmatised because of a cultural conflation with sexual dysfunction. “Infertility = loss of manhood”• “
Marital Bargaining”: (1
) within the internal dynamic of arelationship there is tremendous bargaining whenseeking medical or other solutions (2) Men enjoysuperior bargaining power (3) Self-preservation andprotection of masculine identity through distance (4)Keeping it together (5) being (a) tough (man): “One time my wife wanted to discontinue [treatment] - she was discouraged - and I wanted to continue . I won. I always win. She became pregnant the next time...It is a difficult procedure. I saw the possibilities that were offered...” “”...my wife seems to think it is a tremendous amount of burden, something she can’t deal with on an ongoing basis ...I didn’t think it was a big deal. My wife seems to make big deal out of it...but I didn’t think it was burdensome. She will disagree with me.”•
Media:
(1)
“Stunning
drop in the
numbers of men capable of normal
sperm production ” (2) “At this rate, there will be no men capable of
propagating our
species ” (3) [men/sperm counts drowning in] “sea
of oestrogens” (4) [healthy sperm possessing] “
turbo charge”
[by
means of which] “pierces the barriers the sperm has to
fight its way through” (5) [single sperm as] “pure purposefulness - the
male
animal refined into a single-celled, highly perishable,
posterity-seeking rocket”
•
Science:
(1) [Egg as]
“a dormant bride awaiting her mate;s magic
kiss , which instills the
spirit that brings her to life” (2) [Sperm by
contrast have a]
“
mission ” [to
move through] female
genital tract in quest of the
ovum” (3) [Sperm
carry out] “perilous journey” into the “
warm darkness” where some
fall away “
exhausted ”, survivors “assault”
the egg, successful candidates “surrounding the prize”.
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