Constructing the self in mental health practice: identity,individualism and the feminization of deficiency

The discursive production of the ‘self’ in the context of mental health care has potential implications for how the subjects of intervention come to understand and experience themselves. Eating disorders provide an illustrative example of the ways in which conceptualizations of the self that structure mental health practices can be gendered, because they are mainly diagnosed in women and dominant explanations of their origins are feminized. This discourse analytic study examines the gendered nature of mental health workers' constructions of the eating-disordered self through the psychological construct of ‘identity’, examining the dominant discourses implicated in the feminization of deficient identity, and addressing the implications of this construction for mental health practice.     

‘door bitches of club feminism’?: academia and feminist competency

After years of invisibility, the position of migrant women from Islamic countries now forms the core of the Dutch discourse on integration and emancipation. This article presents the downside of this visibility by showing that it is situated within a growing culturalist discourse. In addition to being culturalist, this discourse focuses on the shortcomings of migrants and is flavoured with a touch of new realism in its argument that it is a right to break the taboos of migrants. More visibility for migrant women will not help their empowerment if the basic assumptions of the dominant discourse are not challenged. Through presenting a case study, this article shows how this visibility can even strengthen the border between the Dutch as ‘emancipated self’ and Islamic migrants as the ‘unemancipated other’. In so doing it reinforces boundaries instead of alliances, isolation instead of empowerment, and suppression instead of emancipation.     

Was There Ever a Time when Girls Weren't in Trouble?

Contemporary writing about girlhood is often gloomy in tone. Girls are represented as the victims of all manner of social trends: capitalism, consumerism, body obsessions, ‘sexualisation’, pornography, etc. Or girls themselves come under attack for bad behaviour, as ‘ladettes’ or ‘living dolls’. But in some parts of the world at least, young women enjoy more freedom and opportunities than ever before. Looking back over her own lifetime, the author argues that feminism has been a potent force for betterment—a belief that things can and do sometimes improve serves to sustain political projects.     

Call me Caitlyn: making and making over the ‘authentic’ transgender body in Anglo-American popular culture

A conception of transgender identity as an ‘authentic’ gendered core ‘trapped’ within a mismatched corporeality, and made tangible through corporeal transformations, has attained unprecedented legibility in contemporary Anglo-American media. Whilst pop-cultural articulations of this discourse have received some scholarly attention, the question of why this ‘wrong body’ paradigm has solidified as the normative explanation for gender transition within the popular media remains underexplored. This paper argues that this discourse has attained cultural pre-eminence through its convergence with a broader media and commercial zeitgeist, in which corporeal alteration and maintenance are perceived as means of accessing one’s ‘authentic’ self. I analyse the media representations of two transgender celebrities: Caitlyn Jenner and Nadia Almada, alongside the reality TV show TRANSform Me, exploring how these women’s gender transitions have been discursively aligned with a cultural imperative for all women, cisgender or trans, to display their authentic femininity through bodily work. This demonstrates how established tropes of authenticity-via-bodily transformation, have enabled transgender to become culturally legible through the wrong body trope. Problematically, I argue, this process has worked to demarcate ideals of ‘acceptable’ transgender subjectivity: self-sufficient, normatively feminine, and eager to embrace the possibilities for happiness and social integration provided by the commercial domain.     

troublesome threesome: feminism,anthropology and Muslim women's piety

This article critically addresses recent anthropological and feminist efforts to theorize and analyse Muslim women's participation in and support for the Islamic revival in its various manifestations. Drawing on ethnographic material from research on young Muslims engaged in Islamic youth and student-organizations in Norway, I investigate some of the challenges that researching religious subjectivities and practices pose to feminist theory. In particular, I deal with how to understand women's religious piety in relation to questions of self, agency and resistance. Engaging with Saba Mahmood's work on The Politics of Piety, this article suggests ways of understanding the young women's religious engagement that move beyond the confines of a binary model of subordination and resistance, coercion and choice. Grounding the discussion in ethnographic analysis of how young Muslim women in Norway speak about the ‘self’, I argue that critically revisiting feminist notions of agency, autonomy and desire, is necessary in order to understand the kinds of self-realization that these women aspire to. However, the article argues against positing Muslim conceptions and techniques of the self as ‘the other’ of liberal-secular traditions. Rather, I show how configurations of personhood, ethics and self-realization drawn from Islamic and liberal-secular discursive formations inhabit not only the same cultural and historical space, but also shape individual subjectivities and modes of agency.     

subjects of debate: secular and sexual exceptionalism,and Muslim women in the Netherlands

This article attends to the transformation of national identity that occurs in the context of ‘the multicultural debate’ in the Netherlands, and unfolds on the terrain of Dutch (secular and sexual) exceptionalism. First, it explores the connections between two topics that are prominent in the ‘multicultural debates’ all over Europe and undergird the civilizational discourse of a post-Cold War geopolitical era: discussions about secularism on the one hand, and gender and sexual politics on the other. Through a mode of ‘secular nostalgia’, which mobilizes the understanding of the Netherlands as a place par excellence of emancipation for both women and sexual minorities, the Dutch secular arrangement is restructured in new exclusionary ways. Second, it explores how dominant discourses on the symbolic and material borders of the nation interpellate young Muslim women who often figure as the central ‘subjects of debate’. I rely on the notion of interpellation (Althusser) to explore the question of subject formation, with a particular attention to the epistemological conditions of ‘talking back’ as a subject whose constituency and agency is always already informed by the terms in which she is addressed.     

food

The shift to companionate marriage in South Asia and elsewhere is widely read as a move from ‘tradition’ to ‘modernity’ resulting in an expansion of individual agency, especially for women. This paper critically examines the narratives of urban middle-class women in Sri Lanka spanning three generations to illustrate that rather than indicating a radical shift in the way they negotiated between individual desires and social norms, the emphasis on ‘choice’ signals a shift in the narrative devices used in the presentation of the ‘self’. The paper illustrates how young women’s narratives about marriage appear to suggest ‘modernity’ as inevitable—that its processes are reconstituting the person who, less constrained by ‘tradition’ and collective expectations, is now experiencing greater freedom in the domain of marriage. However, it also shows how urban middle-class families in Sri Lanka have collectively invested in the narrative of choice through which ‘a choosing person’ is consciously created as a mark of the family’s modernity and progress. Rather than signalling freedom, these narratives about choice reveal how women are often burdened with the risks and responsibility of agency. The paper illustrates that the ‘choosing person’ is produced through narratives that emphasise agency as a responsibility that must be exercised with caution because women are expected by and obligated to their families to make the ‘right’ choices. Hence, a closer look at the individualised ‘choosing person’ reveals a less unitary, relational self with permeable boundaries embedded within and accountable to family and kinship.     

pole position: migrant British women producing ‘selves’ through lap dancing work

This paper explores the motivations and experiences of British women working as lap dancers in the tourist resorts of southern Tenerife, with a particular focus on the subjective choices and processes undertaken by working-class women in the embodiment of positively evaluated identities. It uses Skeggs' theoretical framework of ‘becoming respectable’ (1997) alongside other debates on ‘identity management’ in order to begin mapping the ways in which migrant British lap dancers produce themselves, negotiate gender and class, and seek forms of respectability, reputability and honour through their work. Drawing on empirical data, it will discuss how strong disassociations with the Other are formed, and how and why important binaries, particularly distinctions between lap dancing and prostitution and lap dancing and other ‘degraded’ forms of work and lifestyle are drawn in the dancers' own stories of themselves. It will look at notions and processes of gaining ‘respectability’ through part of a wider migrant discourse, exploring how being a migrant lap dancer can serve as a vehicle for reproducing a ‘respectable’ and otherwise positively evaluated self on several levels.     

Feminism,imperialism and orientalism: the challenge of the ‘Indian woman’

Abstract

This article examines the content and process of imperialist discourse on the ‘Indian woman’ in the writings of two North American women, one writing at the time of ‘first wave’ feminism, the other a key exponent of the ‘second wave’ of the movement. By analysing these writings, it demonstrates how the content of the discourse was reproduced over time ith different but parallel effects in the changed political circumstances, in the first case producing the Western imperial powers as superior on the scale of civilisation, and in the second case producing Western women as the leaders of global feminism. It also identifies how the process of creating written images occurred within the context of each author's social relations with the subject, the reader and the other authors, showing how an orientalist discourse can be produced through the author's representation of the human subjects of whom she writes; how this discourse can be reproduced through the author's uncritical use of earlier writers; and how the discourse can be activated in the audience through the author's failure to challenge established cognitive structures in the reader.     

protagonists and victims: women leading the fight for a democratic Colombia

This paper offers an account of the relationship between gender, class and notions of happiness. It draws on recent research conducted into the experiences of working class women who play the UK National Lottery. In particular, it explores the notion that gambling offers working class women the opportunity to dream of the ‘good life’ – of enhancing their lives and of making ‘improvements’ to their own and their families’ well-being. In this paper, the discourse of happiness will be examined, and the tacit assumption that working class women in particular are prone to turning to gambling as a last ditch attempt to personal and emotional fulfilment will be challenged. The paper argues that developing understandings of culture and consumption practices is imperative for producing a more complex understanding of the subjective realities of working class women's everyday lives. By engaging with feminist accounts of respectability, daydream and fantasy, the paper will present a thorough exploration of National Lottery play in working class women's everyday experiences of happiness.     

sexual assault as trauma: a Foucauldian examination of knowledge practices in the field of sexual assault service provision

This paper examines the deployment of the concept of psychological trauma in the field of sexual assault service provision, a field in which a feminist understanding of sexual violence has achieved a position of ‘truth’. Using a Foucauldian methodological approach, the investigation centred on service provision in New South Wales, Australia, and analysis focused on the everyday practices of workers illuminated through documents collected from the field, in particular the interview texts produced from interviews with thirty sexual assault practitioners. The paper focuses on the adult survivor of child sexual assault who emerged in the study as the most traumatised category of victim. I lay out how ‘trauma’, specifically the concept of ‘complex trauma’, operates as the conceptual (emotional, relational, neurobiological) link between past abuse and current problems, redefining them not as ‘problems’ but as the symptoms or effects of untreated childhood trauma. I argue that in the local field this deployment is simultaneously enabling and problematic. The production of a subject position of ongoing ontological vulnerability has the effect of repositioning the ‘adult survivor’ outside the socio-political context of their current lives and as such appears misaligned with a feminist ‘regime’ centred on enabling practices and structural gender inequality. However, I demonstrate how this same knowledge of the neurobiological, relational and emotional effects of trauma on the survivor self is used by practitioners as part of their established feminist practices of enabling victims to regain a sense of power and control, of interrupting blame and working for victims at a broader systemic level. The research adds to feminist research and commentary that has drawn critical attention to uptake of trauma in sexual assault work by showing the specificity of how trauma operates in a specific location, and illustrating both the potential and the problematic aspects of trauma as a feminist knowledge practice.     

‘Flat and fabulous’: women’s breast reconstruction refusals post-mastectomy and the negotiation of normative femininity

The ‘pinkification’ of breast cancer culture in recent years conflates women’s empowerment with the celebration of hyperfemininity. Consistent with this trend, reconstructive surgery post-mastectomy is increasingly normalised: restoring the breasts is to restore ‘lost’ femininity. Contextualised within the pressures of this normalisation, our article explores how women who decide against breast reconstruction negotiate their non-normative ‘flat’ bodies. We examine women’s posts in a breast cancer forum about their refusals of breast reconstruction. Using thematic and feminist post-structuralist analyses, we suggest that although health and body acceptance discourses enable resistance to embodied femininity norms, pressures to conform permeate practices related to appearance. Clothes and prosthetic breasts enabled forum participants to pass as ‘healthy’, ‘whole’, and ‘recovered’. The study’s findings emphasise the limitations to agency and resistance that emanate from the ways constraining gender discourses infiltrate every aspect of a woman’s life. In line with a critical awareness approach to breast cancer education, we discuss the possibilities of resistance afforded by the safe spaces of online communities.     

Empowering women through the positive birth movement

Childbirth has been positioned as a life changing event that has profound long-term psychological effects upon women. This paper adopts a community psychology approach to explore the role that the Positive Birth Movement (PBM) may have in tackling negative birth experiences by supporting women before and after birth. Six women who all regularly attend UK-based PBM meetings and had given birth to at least one child participated in one to one semi-structured interviews designed to explore the support they received before, during and after their birth, as well as their experiences with the PBM. A Foucauldian inspired discourse analysis explores themes relating to the lack of support and information provided by the NHS and the function of the PBM as a transformative community space which offers social support and information. Within these themes a focus on neoliberalism, choice and the woman’s position as an active consumer of health care is critically discussed. It is argued that the PBM has the potential to prepare women for positive birth experiences but more attention needs to be paid to the wider contexts that limit women’s ability to make ‘free’ choice.     

Disrupting Identity through Visible Therapy: A Feminist Post-structuralist Approach to Working with Women Who Have Experienced Child Sexual Abuse

This article draws on feminism and post-structuralism to theorize a narrative framework for developing and critiquing therapeutic practices with women who have experienced child sexual abuse. I argue that both objectivism and relativism provide poor guides for conducting therapy and that it is only through situating our knowledges precisely that more liberatory therapy practices may be developed. This approach, termed ‘visible therapy’, is used to directly and explicitly challenge normative constructions of women, child sexual abuse and therapy. I argue that it is necessary to explicate the embedded assumptions produced through practices of abuse, and which serve to construct children's experiences of that abuse, in order to ward against their reproduction within therapy relationships. I demonstrate that it is through situating and explicating the operations of power that the authenticity of experience and identity may be questioned and women's ongoing positioning as guilty victims may be challenged. Thus, I am concerned not with who women ‘really are’ but with how they come to know and be known through practices of both abuse and therapy. This, then, is about making the tactics of abuse and therapy visible. Problems are not located within individuals, but rather within the narratives which situate both past and current relationships but which, through reiteration, obscure their own social production. I conclude that it is only when categorical identity is no longer assumed that progressive therapy practices with women who have been sexually abused can be developed and maintained.     

the reinvention of feminism in Pakistan

This article argues that there has been a significant turn in the discourse of feminist politics in the Islamic Republic of Pakistan. The author suggests that the rise of a new feminism – rooted in Islamic discourse, non-confrontational, privatized and personalized, whose objective is to ‘empower’ women within Islam – is not a post-9/11 development but rather a result of unresolved debates on the issue of religion within the progressive women's movement. It has been due to the accommodation of religion-based feminist arguments by the stronger secular feminist movement of the 1980s that paved the way for its own marginalization by giving feminist legitimacy to such voices. The author argues that the second wave of feminism may have become diluted in its effectiveness and support due to discriminatory religious laws, dictatorship, NGO-ization, fragmentation, co-option by the state and political parties in the same way as the global women's movement has. Yet it has been the internal inconsistency of the political strategies as well as the personal, Muslim identities of secular feminists that have allowed Islamic feminists to redefine the feminist agenda in Pakistan. This article voices the larger concern over the rise of a new generation of Islamic revivalist feminists who seek to rationalize all women's rights within the religious framework and render secular feminism irrelevant while framing the debate on women's rights exclusively around Islamic history, culture and tradition. The danger is that a debate such as this will be premised on a polarized ‘good’ vs ‘bad’ Muslim woman, such that women who abide by the liberal interpretation of theology will be pitted against those who follow a strict and literal interpretist mode and associate themselves with male religio-political discourse. This is only likely to produce a new, radicalized, religio-political feminism dominating Pakistan's political future.     

Ouch! Western Feminists' ‘Wounded Attachment’ to the ‘Third World Prostitute’

‘Trafficking in women’ has, in recent years, been the subject of intense feminist debate. This article analyses the position of the Coalition Against Trafficking in Women (CATW) and the writings of its founder, Kathleen Barry. It suggests that CATW's construction of ‘third world prostitutes’ is part of a wider western feminist impulse to construct a damaged ‘other’ as justification for its own interventionist impulses. The central argument of this article is that the ‘injured body’ of the ‘third world trafficking victim’ in international feminist debates around trafficking in women serves as a powerful metaphor for advancing certain feminist interests, which cannot be assumed to be those of third world sex workers themselves. This argument is advanced through a comparison of Victorian feminist campaigns against prostitution in India with contemporary feminist campaigns against trafficking.The term ‘injured identity’ is drawn from Wendy Brown's (1995) States of Injury, Power and Freedom in Late Modernity. Brown argues that certain groups have con.gured their claims to inclusion in the liberal state in terms of ‘historical ‘injuries’. Antoinette Burton (1998) extends Brown's analysis to look at Victorian feminists’ relationship to Empire, arguing that the ‘injured identities’ of colonial ‘others’ were central to feminist efforts to mark out their own role in Empire. This paper builds on Burton's analysis, asking what role the ‘injured identities’ of third world sex workers play in the construction of certain contemporary feminist identities. The notion of ‘injured identities’ offers a provocative way to begin to examine how CATW feminists position the ‘traficking victim’ in their discourse. If ‘injured identity’ is a constituent element of late modern subject formation, this may help explain why CATW and Barry rely so heavily on the ‘suffering’ of ‘third world traficking victims’ in their discourses of women's subjugation. It also raises questions about the possible repressive consequences of CATW's efforts to combat ‘traficking in women’ through ‘protective’ legislation.     

‘Getting Out and Getting Away’: Women's Narratives of Class Mobility

This article is concerned with the ways in which women narrate a move from a ‘working-class’ position to a position marked (in however fragmentary and complex a way) as ‘middle class’. While such a move might be seen in terms of a straightforward escape from a disadvantaged social position, I argue here that what has to be analysed is the pain and the sense of estrangement associated with this class movement.Drawing on the class narratives of a group of seven white British women, the article uses Bourdieu's concepts of symbolic capital and habitus to explore the cultural and symbolic configurations of class. These configurations may be inscribed into the self, so that the self, itself, is class marked. Since working-class selves are frequently marked in pathological terms, this raises particular difficulties for the idea of an ‘escape’ from such a position. Class in this sense is embedded in people's history and so cannot be so easily ‘escaped’. The usual conventions of life-narratives – in which the self remains the same entity from birth to death and later events are a culmination of earlier ones – are also disrupted in this case.But if a working-class position is marked as pathological, so too is taking on the markers of middle-class existence. To do so is not only to risk ‘getting it wrong’, but it is also to risk the scorn attached to ‘pretentiousness’. There is a particular jeopardy here for women, since it is women who have been especially associated with desires for artefacts associated with bourgeois existence. The article argues for a focus for classed desires and class envy, not in pathological terms, but in terms of a coherent response to political and social exclusions.