Comparative situational analysis of comprehensive abortion care in four Southern African countries
- Macleod, Catriona I, Reuvers, Megan, Reynolds, John H, Lavelanet, Antonella, Delate, Richard
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Full Text:
- Date Issued: 2023
- Authors: Macleod, Catriona I , Reuvers, Megan , Reynolds, John H , Lavelanet, Antonella , Delate, Richard
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441199 , vital:73865 , xlink:href="https://doi.org/10.1080/17441692.2023.2217442"
- Description: We report on a comparative situational analysis of comprehensive abortion care (CAC) in Botswana, Eswatini, Lesotho and Namibia. We conducted systematic literature searches and country consultations and used a reparative health justice approach (with four dimensions) for the analysis. The following findings pertain to all four countries, except where indicated. Individual material dimension: pervasive gender-based violence (GBV); unmet need for contraception (15−17%); high HIV prevalence; poor abortion access for rape survivors; fees for sexual and reproductive health (SRH) services (Eswatini). Collective material dimension: no clear national budgeting for SRH; over-reliance on donor funding (Eswatini; Lesotho); no national CAC guidelines or guidance on legal abortion access; poor data collection and management systems; shortage and inequitable distribution of staff; few facilities providing abortion care. Individual symbolic dimension: gender norms justify GBV; stigma attached to both abortion and unwed or early pregnancies. Collective symbolic dimension: policy commitments to reducing unsafe abortion and to post-abortion care, but not to increasing access to legal abortion; inadequate research; contradictions in abortion legislation (Botswana); inadequate staff training in CAC. Political will to ensure CAC within the country’s legislation is required. Reparative health.
- Full Text:
- Date Issued: 2023
Governing pregnancy in the Global South: the case of post-apartheid South Africa
- du Plessis, Ulandi, Macleod, Catriona I
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2023
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441212 , vital:73867 , xlink:href="https://doi.org/10.1080/13698575.2023.2249943"
- Description: Women who sell sex (WSS) are vulnerable to violence. We present a scoping review of the last decade of research on the prevalence and incidence of, factors associated with, and services regarding violence against WSS in Eastern and Southern African (ESA). A systematic search of various databases resulted in 20 papers being reviewed. Inclusion criteria, applied by the first two authors, were as follows: empirical papers, key research problem is violence against WSS, and conducted in ESA countries. The lifetime prevalence of violence revealed in the studies ranged from 21% to 82%. A pattern of generalized violence against WSS from paying clients, male partners, strangers, family members, friends/acquaintances, and the authorities emerged. Factors associated with violence included the context within which the sex work occurs, alcohol use, type of sex exchange interactions, and personal factors (low education, low income, marriage, youth, high client volume, time in sex work, forced sexual debut, and internalized sex work stigma). WSS seldom access services after violence. Evaluations of two programs, a woman-focused HIV intervention, and the Diagonal Interventions to Fast-Forward Reproductive Health project, showed improvements in gender-based violence services. Findings suggest that targeted programmes should be paired with improving general health services and focus on promoting collective agency among WSS.
- Full Text:
- Date Issued: 2023
Male peer talk about menstruation: Discursively bolstering hegemonic masculinities among young men in South Africa
- Macleod, Catriona I, Glover, Jonathan M, Makuse, Manase, Kelland, Lindsay, Paphitis, Sharli A
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makuse, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441253 , vital:73870 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2023
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makuse, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441253 , vital:73870 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2023
The binary order of things: A discursive study of nursing students’ talk on providing, and learning about, LGBT patient care
- Pinto, Pedro, Macleod, Catriona I, Nhamo-Murire, Mercy
- Authors: Pinto, Pedro , Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441343 , vital:73878 , xlink:href="https://doi.org/10.1080/00918369.2022.2048163"
- Description: Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers’ prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and “scientifically” supported through binary, deterministic views of sexuality and gender. Such “expert” views accord with Foucault’s notion of “grotesque discourse.” We conclude with a discussion of the findings’ implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives.
- Full Text:
- Date Issued: 2023
- Authors: Pinto, Pedro , Macleod, Catriona I , Nhamo-Murire, Mercy
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441343 , vital:73878 , xlink:href="https://doi.org/10.1080/00918369.2022.2048163"
- Description: Against the backdrop of the healthcare inequities and maltreatment facing LGBT patients, recommendations have been made for the inclusion of LGBT health topics in nursing curricula. Based on data collected in focus group discussions with South African nursing students, we complicate the assumption that training focused on health-specific knowledge will effectively reform providers’ prejudicial practices. Findings reveal ambivalence: silence and discrimination versus inclusive humanism. Participants drew on discourses of ignorance, religion, and egalitarian treatment to justify their inadequacy regarding LGBT patients; while doing so, however, they deployed othering discourses in which homophobic and transphobic disregard is rendered acceptable, and “scientifically” supported through binary, deterministic views of sexuality and gender. Such “expert” views accord with Foucault’s notion of “grotesque discourse.” We conclude with a discussion of the findings’ implications for nursing education; we call for the recognition and teaching of binary ideology as a form of discursive violence over LGBT lives.
- Full Text:
- Date Issued: 2023
Male Peer Talk About Menstruation: Discursively Bolstering Hegemonic Masculinities Among Young Men in South Africa
- Macleod, Catriona I, Glover, Jonathan M, Makusem, Manase, Kelland, Lindsay, Paphitis, Sharli A
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2022
- Authors: Macleod, Catriona I , Glover, Jonathan M , Makusem, Manase , Kelland, Lindsay , Paphitis, Sharli A
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/426502 , vital:72358 , xlink:href="https://doi.org/10.1080/23293691.2022.2057830"
- Description: In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: “disgusting” menstruating women versus “reasonable” non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier “woman” for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation.
- Full Text:
- Date Issued: 2022
Reproductive health systems analyses and the reparative reproductive justice approach: a case study of unsafe abortion in Lesotho
- Macleod, Catriona I, Reynolds, John H
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
- Full Text:
- Date Issued: 2022
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441288 , vital:73874 , xlink:href="https://doi.org/10.1080/17441692.2021.1887317"
- Description: Health systems analyses are touted as mechanisms through which health policy and planning may be implemented. An example is the WHO health systems approach that connects people (needs, rights, perspectives) with services and technologies (equitable access, quality of care, mix of interventions) and with policies and institutional capacities (laws, regulations, human/physical resources, management and financing). The approach is comprehensive and multi-faceted, which is a strength. We argue, however, that health systems analyses should be supplemented with a focus on reproductive justice. Using the WHO health systems approach as an exemplar, we show how the reparative reproductive justice approach outlined by the first author and colleagues assists with outlining comprehensive remedies to the inequities identified in the systems analysis. We argue for attention to remedies at individual and collective, material and symbolic levels. We illustrate our argument using unsafe abortion, legal abortion services and post-abortion care in Lesotho as a case study. We outline the policies, services and people components of abortion in Lesotho using the WHO systems model, followed by a reparative justice analysis of remedies.
- Full Text:
- Date Issued: 2022
‘My friends would laugh at me’: embedding the dominant heterosexual script in the talk of primary school students
- Morison, Tracy, Macleod, Catriona I, Lynch, Ingrid
- Authors: Morison, Tracy , Macleod, Catriona I , Lynch, Ingrid
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441186 , vital:73864 , xlink:href="https://doi.org/10.1080/09540253.2021.1929856"
- Description: The dominant ‘heterosexual script’ positions men as sexually desiring subjects who initiate sex and use active displays of power to attract women, and women as passive sexual objects who use indirect means to attract men (e.g. physical appearance). While much research has highlighted how this script is deployed in high school settings, less work has attended to primary schools. We demonstrate how the script operates in the talk of primary school students in low resource South African schools. Data were generated in group discussions conducted for a mid-term review of a school-based sexual violence prevention programme. We show how the heterosexual script is embedded in students’ accounts through the regulatory mechanisms of interpersonal and social risks: threats of being ‘dumped’, sexual coercion, violence, and humiliation. These risks are learnt from an early age and may outweigh sexuality education messaging provided later on, which has implications for such interventions. To address this we advocate for early engagement with young people using a dialogical approach that creates a relational context for resistance to inequitable sexual scripts.
- Full Text:
- Date Issued: 2022
- Authors: Morison, Tracy , Macleod, Catriona I , Lynch, Ingrid
- Date: 2022
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441186 , vital:73864 , xlink:href="https://doi.org/10.1080/09540253.2021.1929856"
- Description: The dominant ‘heterosexual script’ positions men as sexually desiring subjects who initiate sex and use active displays of power to attract women, and women as passive sexual objects who use indirect means to attract men (e.g. physical appearance). While much research has highlighted how this script is deployed in high school settings, less work has attended to primary schools. We demonstrate how the script operates in the talk of primary school students in low resource South African schools. Data were generated in group discussions conducted for a mid-term review of a school-based sexual violence prevention programme. We show how the heterosexual script is embedded in students’ accounts through the regulatory mechanisms of interpersonal and social risks: threats of being ‘dumped’, sexual coercion, violence, and humiliation. These risks are learnt from an early age and may outweigh sexuality education messaging provided later on, which has implications for such interventions. To address this we advocate for early engagement with young people using a dialogical approach that creates a relational context for resistance to inequitable sexual scripts.
- Full Text:
- Date Issued: 2022
Resisting abortion stigma in situ: South African womxn's and healthcare providers' accounts of the pre-abortion counselling healthcare encounter
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443749 , vital:74149 , xlink:href="https://doi.org/10.1080/13691058.2019.1674922"
- Description: Abortion providers and pregnant people who undergo abortion potentially face significant stigma. Researchers have started to explore how womxn respond to abortion stigma, usually focusing on individual strategies in managing or reducing stigma effects. Drawing on narrative data from research conducted on womxn’s and healthcare providers’ experiences of the pre-abortion healthcare encounter in the South African public health sector, we highlight how stigma may be resisted in social ways within this context. Everyday chatter and informal social support amongst womxn in the waiting room provided a counterpoint for health service providers’ ascription of shame to the womxn, and a sense of solidarity amongst the womxn. Health service providers narrated their decision to do abortion work through the socially affirming hero canonical narrative, and womxn described their counselling as helpful. These social and discursive practices resist the awfulisation of abortion and provide relief for the womxn and the healthcare providers in particular contexts.
- Full Text:
- Date Issued: 2020
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443749 , vital:74149 , xlink:href="https://doi.org/10.1080/13691058.2019.1674922"
- Description: Abortion providers and pregnant people who undergo abortion potentially face significant stigma. Researchers have started to explore how womxn respond to abortion stigma, usually focusing on individual strategies in managing or reducing stigma effects. Drawing on narrative data from research conducted on womxn’s and healthcare providers’ experiences of the pre-abortion healthcare encounter in the South African public health sector, we highlight how stigma may be resisted in social ways within this context. Everyday chatter and informal social support amongst womxn in the waiting room provided a counterpoint for health service providers’ ascription of shame to the womxn, and a sense of solidarity amongst the womxn. Health service providers narrated their decision to do abortion work through the socially affirming hero canonical narrative, and womxn described their counselling as helpful. These social and discursive practices resist the awfulisation of abortion and provide relief for the womxn and the healthcare providers in particular contexts.
- Full Text:
- Date Issued: 2020
Feminine sexual desire and shame in the classroom: an educator’s constructions of and investments in sexuality education
- Saville Young, Lisa, Moodley, Dale D, Macleod, Catriona I
- Authors: Saville Young, Lisa , Moodley, Dale D , Macleod, Catriona I
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444302 , vital:74215 , xlink:href="https://doi.org/10.1080/14681811.2018.1511974"
- Description: Within the growing body of literature on sexuality education in South Africa, researchers have highlighted how teachers may face, or themselves be, barriers to the implementation of rights-based comprehensive sexuality education. Important issues with regard to educators are: firstly, the social and discursive space within which educators are located; and secondly, the complex emotional and psychic investments that educators take up within particular discourses and practices. This paper explores, through a psychosocial reading of an interview extract with a particular educator based in the Eastern Cape of South Africa, how discursive and psychic concerns are sutured within the complex subjectivity of the educator as the medium for sexual education in schools. Specifically, it highlights the numerous ways in which feminine sexuality and desire may be avoided, denied and silenced. Even when feminine desire is specifically evoked as in this case, it is done so in a way that ensures social and cultural respectability, thereby reproducing shame narratives that form and maintain traditional gender discourses. Our analysis demonstrates how engaging with educators as subjects with their own sexual history and psychic dynamics, and as individuals with raced, gendered and classed identities, is a potentially transformative perspective for effective sexuality education.
- Full Text:
- Date Issued: 2019
- Authors: Saville Young, Lisa , Moodley, Dale D , Macleod, Catriona I
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444302 , vital:74215 , xlink:href="https://doi.org/10.1080/14681811.2018.1511974"
- Description: Within the growing body of literature on sexuality education in South Africa, researchers have highlighted how teachers may face, or themselves be, barriers to the implementation of rights-based comprehensive sexuality education. Important issues with regard to educators are: firstly, the social and discursive space within which educators are located; and secondly, the complex emotional and psychic investments that educators take up within particular discourses and practices. This paper explores, through a psychosocial reading of an interview extract with a particular educator based in the Eastern Cape of South Africa, how discursive and psychic concerns are sutured within the complex subjectivity of the educator as the medium for sexual education in schools. Specifically, it highlights the numerous ways in which feminine sexuality and desire may be avoided, denied and silenced. Even when feminine desire is specifically evoked as in this case, it is done so in a way that ensures social and cultural respectability, thereby reproducing shame narratives that form and maintain traditional gender discourses. Our analysis demonstrates how engaging with educators as subjects with their own sexual history and psychic dynamics, and as individuals with raced, gendered and classed identities, is a potentially transformative perspective for effective sexuality education.
- Full Text:
- Date Issued: 2019
Articulating reproductive justice through reparative justice: case studies of abortion in Great Britain and South Africa
- Macleod, Catriona I, Beynon-Jones, Siân, Toerien, Merran
- Authors: Macleod, Catriona I , Beynon-Jones, Siân , Toerien, Merran
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444237 , vital:74209 , xlink:href="https://doi.org/10.1080/13691058.2016.1257738"
- Description: Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of ‘reproductive justice’, which considers the intersecting conditions that serve to enhance or hinder women’s reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice. We first explain how this approach can be used to conceptualise safe, accessible and supportive abortion as a key element of reproductive justice in relation to the injustice of unwanted or unsupportable pregnancies. Using Ernesto Verdeja’s critical theory of reparative justice and case studies of two countries (South Africa and Great Britain) where abortion is legal, we show how such an approach enables an analysis of reproductive justice within the specificities of particular contexts. We argue that both the rights-based legal framework adopted in South Africa and the medicalised approach of British law have, in practice, limited reparative justice in these contexts. We discuss the implications of reparative justice for abortion advocacy.
- Full Text:
- Date Issued: 2017
- Authors: Macleod, Catriona I , Beynon-Jones, Siân , Toerien, Merran
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444237 , vital:74209 , xlink:href="https://doi.org/10.1080/13691058.2016.1257738"
- Description: Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of ‘reproductive justice’, which considers the intersecting conditions that serve to enhance or hinder women’s reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice. We first explain how this approach can be used to conceptualise safe, accessible and supportive abortion as a key element of reproductive justice in relation to the injustice of unwanted or unsupportable pregnancies. Using Ernesto Verdeja’s critical theory of reparative justice and case studies of two countries (South Africa and Great Britain) where abortion is legal, we show how such an approach enables an analysis of reproductive justice within the specificities of particular contexts. We argue that both the rights-based legal framework adopted in South Africa and the medicalised approach of British law have, in practice, limited reparative justice in these contexts. We discuss the implications of reparative justice for abortion advocacy.
- Full Text:
- Date Issued: 2017
Breaking the silence on abortion: the role of adult community abortion education in fostering resistance to norms
- Bloomer, Fiona, O'Dowd, Kellie, Macleod, Catriona I
- Authors: Bloomer, Fiona , O'Dowd, Kellie , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444250 , vital:74210 , xlink:href="https://doi.org/10.1080/13691058.2016.1257740"
- Description: Meanings of abortion in society are constructed within sociohistorical and gendered spaces and manifested through myriad discourses that impact on the perception and treatment of the issue in that society. In societies with powerful oppressive anti-abortion norms, such as Northern Ireland, little is known as to how these norms are resisted by the adult population. This study uses a Foucauldian feminist approach to show how resistance to religious and patriarchal norms can be fostered through adult community abortion education. This resistance is multi-faceted and bolstered by a lived experience discourse, which does not necessarily involve eschewing religious notions held within society.
- Full Text:
- Date Issued: 2017
- Authors: Bloomer, Fiona , O'Dowd, Kellie , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444250 , vital:74210 , xlink:href="https://doi.org/10.1080/13691058.2016.1257740"
- Description: Meanings of abortion in society are constructed within sociohistorical and gendered spaces and manifested through myriad discourses that impact on the perception and treatment of the issue in that society. In societies with powerful oppressive anti-abortion norms, such as Northern Ireland, little is known as to how these norms are resisted by the adult population. This study uses a Foucauldian feminist approach to show how resistance to religious and patriarchal norms can be fostered through adult community abortion education. This resistance is multi-faceted and bolstered by a lived experience discourse, which does not necessarily involve eschewing religious notions held within society.
- Full Text:
- Date Issued: 2017
Gender, dialogue and discursive psychology: A pilot sexuality intervention with South African high-school learners
- Jearey-Graham, Nicola, Macleod, Catriona I
- Authors: Jearey-Graham, Nicola , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444326 , vital:74219 , xlink:href="https://doi.org/10.1080/14681811.2017.1320983"
- Description: Good-quality sexuality education can be effective in reducing sexual health risks, but may also be disconnected from the lived realities of learners’ lives and reinforce gendered stereotypes. In line with the trend towards ‘empowerment’ in and through sexuality education, we implemented a pilot sexuality intervention with Grade 10 participants following a rigorous consultation process. Nine weekly group dialogues were held with 11 participants, with 2 follow-up sessions the next year. Freirian principles of critical consciousness and dialogical pedagogy, infused with discursive psychological understandings, were used to foreground gendered/sexual norms and to provide recognition for participants in a variety of gendered and sexual subject positions. Sessions were recorded, the facilitator kept a diary, and participants were asked to evaluate the intervention. The dialogical format of the group generated curiosity and engagement, and some participants took up a ‘responsible’ sexual subject position in a reflexive manner. A partial normalisation of some ‘hidden’ aspects of sex was enabled, and critical consciousness around some gendered inequities was promoted. We argue, first, that it is not so much sexuality education that young people need, but sexuality dialogues, and second, that a discursive psychology framework provides a nuanced and fruitful dimension to Freirean inspired ‘empowerment’ sexuality interventions.
- Full Text:
- Date Issued: 2017
- Authors: Jearey-Graham, Nicola , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444326 , vital:74219 , xlink:href="https://doi.org/10.1080/14681811.2017.1320983"
- Description: Good-quality sexuality education can be effective in reducing sexual health risks, but may also be disconnected from the lived realities of learners’ lives and reinforce gendered stereotypes. In line with the trend towards ‘empowerment’ in and through sexuality education, we implemented a pilot sexuality intervention with Grade 10 participants following a rigorous consultation process. Nine weekly group dialogues were held with 11 participants, with 2 follow-up sessions the next year. Freirian principles of critical consciousness and dialogical pedagogy, infused with discursive psychological understandings, were used to foreground gendered/sexual norms and to provide recognition for participants in a variety of gendered and sexual subject positions. Sessions were recorded, the facilitator kept a diary, and participants were asked to evaluate the intervention. The dialogical format of the group generated curiosity and engagement, and some participants took up a ‘responsible’ sexual subject position in a reflexive manner. A partial normalisation of some ‘hidden’ aspects of sex was enabled, and critical consciousness around some gendered inequities was promoted. We argue, first, that it is not so much sexuality education that young people need, but sexuality dialogues, and second, that a discursive psychology framework provides a nuanced and fruitful dimension to Freirean inspired ‘empowerment’ sexuality interventions.
- Full Text:
- Date Issued: 2017
Expanding reproductive justice through a supportability reparative justice framework: the case of abortion in South Africa
- Authors: Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443680 , vital:74143 , xlink:href="https://doi.org/10.1080/13691058.2018.1447687"
- Description: Theoretical refinement of the concept of reproductive justice has been called for. In this paper, I propose the use of a supportability reparative justice approach. Drawing on intra-categorical intersectionality, the supportability aspect starts from the event of a pregnancy to unravel the interwoven embodied and social realities implicated in women experiencing pregnancy as personally supportable/unsupportable, and socially supported/unsupported. The reparative justice aspect highlights the need for social repair in the case of unsupportable pregnancies and relies on Ernesto Verdeja’s critical theory of reparative justice in which he outlines four reparative dimensions. Using abortion within the South African context, I show how this framework may be put to use: (1) the facilitation of autonomous decision-making (individual material dimension) requires understanding women within context, and less emphasis on individual-driven ‘choice’; (2) the provision of legal, safe state-sponsored healthcare resources (collective material dimension) demands political will and abortion service provision to be regarded as a moral as well as a healthcare priority; (3) overcoming stigma and the spoiled identities (collective symbolic dimension) requires significant feminist action to deconstruct negative discourses and to foreground positive narratives; and (4) understanding individual lived experiences (individual symbolic dimension) means deep listening within the social dynamics of particular contexts.
- Full Text:
- Date Issued: 2016
- Authors: Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443680 , vital:74143 , xlink:href="https://doi.org/10.1080/13691058.2018.1447687"
- Description: Theoretical refinement of the concept of reproductive justice has been called for. In this paper, I propose the use of a supportability reparative justice approach. Drawing on intra-categorical intersectionality, the supportability aspect starts from the event of a pregnancy to unravel the interwoven embodied and social realities implicated in women experiencing pregnancy as personally supportable/unsupportable, and socially supported/unsupported. The reparative justice aspect highlights the need for social repair in the case of unsupportable pregnancies and relies on Ernesto Verdeja’s critical theory of reparative justice in which he outlines four reparative dimensions. Using abortion within the South African context, I show how this framework may be put to use: (1) the facilitation of autonomous decision-making (individual material dimension) requires understanding women within context, and less emphasis on individual-driven ‘choice’; (2) the provision of legal, safe state-sponsored healthcare resources (collective material dimension) demands political will and abortion service provision to be regarded as a moral as well as a healthcare priority; (3) overcoming stigma and the spoiled identities (collective symbolic dimension) requires significant feminist action to deconstruct negative discourses and to foreground positive narratives; and (4) understanding individual lived experiences (individual symbolic dimension) means deep listening within the social dynamics of particular contexts.
- Full Text:
- Date Issued: 2016
Introducing a Critical Pedagogy of Sexual and Reproductive Citizenship: Extending the ‘Framework of Thick Desire'
- Macleod, Catriona I, Vincent, Louise
- Authors: Macleod, Catriona I , Vincent, Louise
- Date: 2013
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434411 , vital:73056 , ISBN 978-1-4899-8025-0 , https://www.taylorfrancis.com/chapters/edit/10.4324/9780203069141-7/introducing-critical-pedagogy-sexual-reproductive-citizenship-catriona-macleod-louise-vincent
- Description: In Michelle Fine’s influential 1988 paper,‘Sexuality, Schooling, and Adolescent Females: The Missing Discourse of Desire’, she examined the “desires, fears, and fantasies”(p. 30) shaping responses to sex education in the United States in the 1980s. Fine’s work encouraged a ‘turn to pleasure’in sexuality education research. This work focused on and critiqued Fine’s idea, elaborated below, of a ‘missing discourse of desire’in the education of young people and of young women in particular (see for instance Allen, 2004, 2005; Connell, 2005; Rasmussen, 2004, 2012; Tolman, 1994; Vance, 1993). Less taken up, however, was a second major thread in Fine’s 1988 paper, namely the ‘absence of entitlement’in which she argued that not only the absence of a discourse of desire but also the absence of “viable life options” for young women combined to produce their vulnerability (Fine, 1988, p. 49). Almost twenty years later, in a 2006 article, Fine, with Sara McClelland, revisited the missing discourse of desire, this time in the context of an educational crusade in the United States advocating Abstinence Only Until Marriage (AOUM) approaches to sexuality education.
- Full Text:
- Date Issued: 2013
- Authors: Macleod, Catriona I , Vincent, Louise
- Date: 2013
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434411 , vital:73056 , ISBN 978-1-4899-8025-0 , https://www.taylorfrancis.com/chapters/edit/10.4324/9780203069141-7/introducing-critical-pedagogy-sexual-reproductive-citizenship-catriona-macleod-louise-vincent
- Description: In Michelle Fine’s influential 1988 paper,‘Sexuality, Schooling, and Adolescent Females: The Missing Discourse of Desire’, she examined the “desires, fears, and fantasies”(p. 30) shaping responses to sex education in the United States in the 1980s. Fine’s work encouraged a ‘turn to pleasure’in sexuality education research. This work focused on and critiqued Fine’s idea, elaborated below, of a ‘missing discourse of desire’in the education of young people and of young women in particular (see for instance Allen, 2004, 2005; Connell, 2005; Rasmussen, 2004, 2012; Tolman, 1994; Vance, 1993). Less taken up, however, was a second major thread in Fine’s 1988 paper, namely the ‘absence of entitlement’in which she argued that not only the absence of a discourse of desire but also the absence of “viable life options” for young women combined to produce their vulnerability (Fine, 1988, p. 49). Almost twenty years later, in a 2006 article, Fine, with Sara McClelland, revisited the missing discourse of desire, this time in the context of an educational crusade in the United States advocating Abstinence Only Until Marriage (AOUM) approaches to sexuality education.
- Full Text:
- Date Issued: 2013
Representations of the subject ‘woman’ and the politics of abortion: an analysis of South African newspaper articles from 1978 to 2005
- Macleod, Catriona I, Feltham-King, Tracey
- Authors: Macleod, Catriona I , Feltham-King, Tracey
- Date: 2012
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446286 , vital:74487 , xlink:href="https://doi.org/10.1080/13691058.2012.685760"
- Description: A key element in cultural and gender power relations surrounding abortion is how women who undergo an abortion are represented in public talk. We analyse how women were named and positioned, and the attendant constructions of abortion, in South African newspaper articles on abortion from 1978 to 2005, a period during which there were radical political and legislative shifts. The name ‘woman’ was the most frequently used (70% of articles) followed by ‘girl/teenager/child’ (25%), ‘mother’ (25%), ‘patient’ (11%) and ‘minor’ (6%). The subject positionings enabled by these names were dynamic and complex and were interwoven with the localised, historical politics of abortion. The ‘innocent mother’ and the bifurcated ‘patient’ (woman/foetus) positionings were invoked in earlier epochs to promote abortion under medical conditions. The ‘dangerous mother’ and woman as ‘patient’ positionings were used more frequently under liberal abortion legislation to oppose and to advocate for abortion, respectively. The positioning of the ‘girl/teenager/child’ as dependent and vulnerable was used in contradictory ways, both to oppose abortion and to argue for a liberalisation of restrictive legislation, depending on the attendant construction of abortion. The neutral naming of ‘woman’ was, at times, linked to the liberal imaginary of ‘choice’.
- Full Text:
- Date Issued: 2012
- Authors: Macleod, Catriona I , Feltham-King, Tracey
- Date: 2012
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446286 , vital:74487 , xlink:href="https://doi.org/10.1080/13691058.2012.685760"
- Description: A key element in cultural and gender power relations surrounding abortion is how women who undergo an abortion are represented in public talk. We analyse how women were named and positioned, and the attendant constructions of abortion, in South African newspaper articles on abortion from 1978 to 2005, a period during which there were radical political and legislative shifts. The name ‘woman’ was the most frequently used (70% of articles) followed by ‘girl/teenager/child’ (25%), ‘mother’ (25%), ‘patient’ (11%) and ‘minor’ (6%). The subject positionings enabled by these names were dynamic and complex and were interwoven with the localised, historical politics of abortion. The ‘innocent mother’ and the bifurcated ‘patient’ (woman/foetus) positionings were invoked in earlier epochs to promote abortion under medical conditions. The ‘dangerous mother’ and woman as ‘patient’ positionings were used more frequently under liberal abortion legislation to oppose and to advocate for abortion, respectively. The positioning of the ‘girl/teenager/child’ as dependent and vulnerable was used in contradictory ways, both to oppose abortion and to argue for a liberalisation of restrictive legislation, depending on the attendant construction of abortion. The neutral naming of ‘woman’ was, at times, linked to the liberal imaginary of ‘choice’.
- Full Text:
- Date Issued: 2012
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