Women as patients: A problem for sex differences research

Using the feminist critique of the health care system as a starting point, this article indicates some of the relevant issues facing women as patients in general practice: lack of control over our bodies and reproductive functions, ‘psychologizing’ of women's complaints, the medicalization of social problems experienced by women as a group. Current research on women as patients is primarily of the sex-differences tradition, i.e. the differences between men and women patients are investigated. The results of this research are critically discussed. My contention is that such research, aside from being methodologically impoverished, is—from a feminist point of view—counterproductive. Some directions for alternative research in this area are given.     

Pills,potions, and purgatives: women and abortion methods in Ireland, 1900–1950

This article examines women's efforts to induce miscarriage in Ireland (the Irish Free State, Éire, and the Republic) from 1900 to 1950. It demonstrates that, when possible, Irish women avoided surgical procedures, preferring instead to consume pills, potions, and purgatives to cause abortion. Irish women viewed emmenagogues and abortifacients as more natural than surgery and in keeping with women's traditions; these substances, they understood, had been used for centuries to restore menstruation and return the female body to normalcy and health. Overall, it was control—control over the methods of abortion and control over what they put into their own bodies, as well as autonomy when it came to managing their own reproductive health—that mattered most to Irish women seeking to terminate unwanted pregnancies. Irish women's abortion efforts expose their resolve to manage their reproductive lives and thus remind us how they sometimes rejected the dictates of the conservative twentieth-century state-Church consensus, bypassing legislation and negotiating religious cultural norms.     

British women's anti-suffragism and the forward policy, 1908-14

This article reinstates prominent female leaders within the organised opposition to women's suffrage in late Victorian and Edwardian Britain. More specifically, it focuses upon the evolution of a positive, constructive anti-suffragism, labelled the Forward Policy by Mary Ward and other women campaigners who were active in the period leading up to the First World War. These women participated in contemporary citizenship debates through their writings, through their commitment to social action, and through their sometimes problematic relationship with male antisuffragism. The article concludes that women's anti-suffragism deserves closer study in its own right, and through its supporters’ own records, as well in relation to suffragism and the wider women's movement.     

Beneath the surface: the masculine self and body in Sheridan Le Fanu’s ‘Green Tea’

This article examines the relationship between the masculine self and male body in Sheridan Le Fanu’s short story ‘Green Tea’ (1872), using a masculinity studies lens to analyze Mr Jennings’ destabilized masculinity within the parameters of Victorian male gender norms. I highlight the interwoven relationship between the masculine self and the body through looking at the physical depiction of Jennings, arguing that Jennings’ masculinity, his masculine self, is imprisoned as a reflection of the physical body; a relationship echoing Victorian gender norms regarding masculinity and the body. In the story, a demon follows and watches Jennings, appearing when Jennings is engaged in activity. Focusing on the relationship between the demon’s manifestation and Jennings’ activity, I show that the demon’s presence results from Jennings’ nonconformity to traditional notions of the masculine self. Le Fanu’s emphasis on the demon’s gaze serves to criticize Jennings’ masculinity as Jennings becomes submissive to the demon’s presence; as a result, this submission is mirrored in Jennings’ deteriorating physical body and health. By positing the masculine self within the body, the story acts to highlight Victorian society’s rigid male gender norms and the penalization of bodies that undermine those ideals.     

Still sucked into the body image thing: the impact of anti-aging and health discourses on women's gendered identities

Health norms have changed over the past three decades, imposing more responsibility for health onto the individual. There are gendered implications of these changes which, when combined with increasing anti-aging pressures, have the potential to intensify the disciplinary relationship women have with their bodies. This paper, based upon interviews with 14 women, examines the impact of dominant health and anti-aging discourses on women's body practices, including exercise, makeup, clothing and diet, and ongoing construction of gendered subjectivity. Findings suggest that the women in this study are motivated to do particular body practices because of their concern with having a healthy and youthful ‘looking’ body. The women's stories reveal that anti-aging and health discourses function to reinforce normative bodily demands of femininity and consequently to intensify disciplinary control of their bodies. While the pressure to fight the appearance of aging is not new, the increasing association of aging with ill health, even illness, in conjunction with the promotion of health has implications for women's relationship with their bodies and sense of self.     

Health Visiting and District Nursing in Victorian Manchester; divergent and convergent vocations

Community nursing and public health work provided many Victorian and Edwardian women in Britain with the opportunity of a career and professional training. Such work created contradictions, not least the tension between ‘inherent’ female skills and the role of learnt professionalism. This article discusses Manchester's neglected district nurses alongside the city's more well-studied health visiting scheme. Comparing these occupations in one city highlights continuities in origins and practice, but a clear divergence in terms of class and purpose. These differences provide historians with opportunities to reconsider the inherent tensions and varied identities of employed women in Victorian and Edwardian Britain.     

Constance Maynard's Languages of Love

This article chronicles my almost twenty-year academic journey through the archives at Queen Mary University of London UK (QMUL) for the purpose of researching the life of Constance Maynard (1849–1935). Maynard helped to found Westfield College (now QMUL) as a Christian-based college providing women with new university degrees, and she was Mistress of it for thirty-one years. This article begins by reviewing the scholarly literature behind my queer-gender-sex framework for interpreting Maynard's often contradictory narratives in her diaries and autobiography. I then illustrate how these records are disclosures of her tribulations as an educational leader whose atonement theology shaped her life. This study of Maynard's records of her life experiences, especially her religious-secularist language(s) of love, contributes to reinterpretations of gender-sex-power binaries, when most Victorian women were supposed to be sexually pure, subservient, and confined to the home.     

‘I DON'T WANT HER TO BE OVERWEIGHT LIKE I WAS AS A GIRL’

Widespread concern about a childhood obesity ‘epidemic’ has focused attention on the bodies, weight and food behaviours of mothers and their children. In childhood obesity-related discourse, mothers' bodies are framed in relation to the bodies of children, most directly in claims that fat mothers produce fat babies. Drawing on data from a qualitative study involving interviews with mothers of pre-school aged children, this paper examines how the blurring of body boundaries between women and children are translated into responsibilities in feeding. We argue that in the contemporary stigmatisation of fat, the external auditing of maternal feeding and children's bodies connects the bodies of mothers and children in detrimental ways. By focusing on the ways women are held responsible for both their own and children's bodies, we draw attention to how bodily aspirations, conflict and failure, shame, self-surveillance, judgement and guilt connect women to the bodies of their children. We stress the embodied significance of mother/child relations in early childhood nutritional care and we argue that a punitive anti-fat ethic threatens positive health outcomes for mothers and children.     

Physical purity feminism and state medicine in late nineteenth-century england

Abstract

Late nineteenth-century England saw the development of a number of campaigns and social movements which were connected by both a hostility towards the medical profession and by the use of discourses of purity and sanitary reform. This article explores the involvement of women within these movements, analysing their activism as an aspect of social purity feminism. It argues that many of these movements drew on widespread female anxiety regarding male violence – both physical and sexual – towards women. The anti-medical feminists claimed that some pieces of ‘sanitary’ legislation represented a state-sanctioned violation of the bodies of women and children. Finally, this article analyses the use made, by some of these activists, of the discourses of sanitary reform to challenge the gender ordering associated with the reason/nature dualism in Victorian society.     

Exploring Michèle Roberts’ Imagined Voices in The Walworth Beauty

The Walworth Beauty (2017) is Michèle Roberts’s haunting new novel, which links historical facts with imaginative fiction. Set in central London, the Anglo-French feminist writer’s novel explores certain Victorian women’s lives, lives which are simultaneously connected with those of twenty-first century men and women. A researcher from the nineteenth century, Joseph Benson, and a retired lecturer and writer from today, Madeleine, develop their stories in different times but in similar locations around a Walworth cul-de-sac and other London sites. Past and present, north and south London link to uncover the enigmatic accounts pictured by the protagonists of this sensuous work of fiction. Inspired by Henry Mayhew’s fourth volume dedicated to the villains, the poor and the prostitutes of the Victorian era, Michèle Roberts narrates the story that emerges from their unrecorded words, putting these women’s voices and personal testimonies on paper. Walking the streets of London will connect Joseph and Madeleine, two flâneurs who are witnessing and feeling the different pathways they encounter. The inner and the outer voices of the protagonists establish a dialogue between the man and the woman that celebrates human connection.     

Deregulation and Emergency Contraception: A Way Forward for Women's Health Care?

A deregulation of medicines is currently underway in the U.K. and France. Emergency contraception has become available over the counter in pharmacies in both countries. This might constitute a further step in the liberalisation of contraception, something which has always received support from women’s organisations and from women themselves. It also forms part of a current revolution in patient behaviour. This article examines the law governing the deregulation of emergency contraception in the U.K. and France and assesses how far this might serve to empower women to take control of their own reproductive health care provision. It considers some of the British feminist critiques of the limit to patient’s autonomy put forward by Sheldon(1998), Foster (1998), and Murphy (1998). This revised version was published online in July 2006 with corrections to the Cover Date.     

embodying memory: women and the legacy of the military government in Chile

The article argues that the prohibition of abortion in Chile, other than when the mother's life is in danger, is a form of human rights violation targeting women specifically. The Pro-Birth Policy was established in Pinochet's Chile as a response to the previous government's attempts, under Allende, to encourage family planning and to educate and inform women about their choices. This had been done to put an end to the increase in back-street abortions with the inevitable toll on women's lives. Pinochet's regime reversed these women-oriented family planning policies, and criminalized abortion, on the basis of costs to the state and, more importantly, the need to increase the birth rate for reasons of national security. Women's bodies were used by the Pinochet regime, both by sexual violence and torture, and by the denial of women's reproductive and sexual rights, as a means to impose discipline and order on society. The fact that this is still not acknowledged in the construction of a collective memory indicates that the issue has not yet been resolved in democratic Chile.     

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.     

Forgotten histories: three stories of black girls from Barnardo's Victorian archive

The history of black women in Britain, particularly before the arrival of the Empire Windrush, is underresearched, and the histories we do have are largely ignored. In this article, biographies of young black women in Victorian London are revealed through the photographic and written archive of Barnardo's. These documents allow a history of black women to be examined in the context of their own time. They add complexion to our current understanding of the Black Atlantic, and the relationships and histories that impact upon our identities today, as well as being a tool with which to interrogate British history.     

Passport to Parenthood: Reproductive Pathways In and Out of Denmark

Denmark has become a destination for single women, lesbians, and heterosexual couples wanting donated sperm. At the moment, women from Sweden, Norway, Germany, Italy, and the UK travel to Denmark. Simultaneously, waiting lists for donated eggs and age restrictions are prime motivations for infertile Danish women and heterosexual couples to leave Denmark and travel to Spain, the Czech Republic, the Ukraine, and Greece for egg donation. Informed by Donna Haraway’s notion of “the apparatus of bodily production”, Marcia Inhorn’s development of “reproductive flows”, and the use of Adele Clarke’s “situational analysis”, this paper explores the question: How do global reproductive pathways in and out of Denmark emerge when fertility travellers narrate, negotiate, and cross national borders to go through fertility treatment? Methodologically, we use a multi-sited and multi-modal approach centring on interviews with fertility travellers moving to and from Denmark in combination with ethnographic observations carried out in Danish and Spanish fertility clinics and an analysis of legal regulations. The paper concludes by discussing how the concept of reproductive pathways helps to theorize transnational movements of bodies and contributes to feminist scholarship on transnational reproductive travel.     

‘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.     

Filipino Elite Women and Public Health in the American Colonial Era, 1906–1940

This article is the first step in the process of writing Filipino elite women into the history of public health by focusing on those who were not health practitioners (not doctors, nurses or midwives), but who were heavily involved in the campaign against infant mortality in the American colonial period. It argues that Filipino elite women fulfilled the extremely important role of administrators of organizations that addressed infant care and maternal and child health, in the distribution of milk and the dissemination of information about maternal and children's health. Using hitherto unused sources from the archives of La Protección de la Infancia, the periodicals of the National Federation of Women's Clubs, and colonial records, this study reveals how the public health movement in the Philippines was gendered, and analyzes the contributions made by Filipino elite women that have to date not yet been acknowledged in the scholarship.     

Abortion Needs or Abortion Rights? Claiming State Accountability for Women’s Reproductive Welfare

The Family Planning Association Northern Ireland (F.P.A.N.I.) has recently been successful in holding the state accountable for its duty to safeguard women’s reproductive health and welfare, and clarify the circumstances in which abortion is lawful. By demanding that the Minister for Health investigate abortion provision and produce abortion guidance, F.P.A.N.I. hope to improve the quality of abortion services and alleviate the situation of those women who are legally entitled to abortion in Northern Ireland but cannot access it there. This action has challenged a public failure which impacts most negatively on those women who cannot easily escape its effects. Although the case succeeded in shaming the state for such a failure, the judicial review strategy could not challenge the legal ethos which denies women a say over their reproductive lives. This case commentary argues that pro-choice strategic litigation needs to positively and generally assert women’s reproductive rights at the same time as it seeks to accommodate the needs of the most vulnerable.     

Victorian feminism and Gissing's the odd women: ‘why are women redundant?’

Gissing's The Odd Women (1893) has variously been considered as feminist and also as anti-feminist. Here it will be argued that irrespective of the ideological stance of the novel, it may be seen as a close and realistic rendition of certain feminist issues. This can be observed via an examination of some important statements by Victorian feminists such as Barbara Bodichon and Jessie Boucherett on the subject of ‘superfluous’ women and work. They were concerned, firstly, with the articulation of the problem and its opposition to the ornamental view of women, and, secondly, with practical solutions and their implementation. It is into this second area that Gissing's novel may be seen to fit, providing a close fictional analogy with the activities of the Langham Place Circle.     

Health visiting and district nursing in Victorian Manchester; divergent and convergent vocations

Community nursing and public health work provided many Victorian and Edwardian women in Britain with the opportunity of a career and professional training. Such work created contradictions, not least the tension between 'inherent' female skills and the role of learnt professionalism. This article discusses Manchester's neglected district nurses alongside the city's more well-studied health visiting scheme. Comparing these occupations in one city highlights continuities in origins and practice, but a clear divergence in terms of class and purpose. These differences provide historians with opportunities to reconsider the inherent tensions and varied identities of employed women in Victorian and Edwardian Britain.