‘Victim’ or ‘survivor’?: language, identity and ethics revisited
- Barker, Kim, Macleod, Catriona I
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143738 , vital:38278 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: Initially in feminist circles, and subsequently in more common usage, the term ‘survivor’ came to signify those who have been (sexually) violated and live on, and even thrive. The passivity implied by the term ‘victim’ therefore gave way to the more agentic connotations of ‘survivor’. However, neither term adequately captures the complexity and fluidity of subject positions taken up by and ascribed to women who have been subjected to sexual violence. The selection of an inadequate word is not neutral: each identifier calls forth particular identity constructions which have real effects. Reducing women’s experiences to one pole of this simple binary can diminish and totalise those experiences. In this paper we re-consider the use of these terms with reference to research conducted with protestors participating in an annual anti-rape protest held at Rhodes University, Grahamstown, South Africa. We focus on the perspectives of women who are ‘survivors’ of sexual violence.
- Full Text:
- Date Issued: 2015
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143738 , vital:38278 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: Initially in feminist circles, and subsequently in more common usage, the term ‘survivor’ came to signify those who have been (sexually) violated and live on, and even thrive. The passivity implied by the term ‘victim’ therefore gave way to the more agentic connotations of ‘survivor’. However, neither term adequately captures the complexity and fluidity of subject positions taken up by and ascribed to women who have been subjected to sexual violence. The selection of an inadequate word is not neutral: each identifier calls forth particular identity constructions which have real effects. Reducing women’s experiences to one pole of this simple binary can diminish and totalise those experiences. In this paper we re-consider the use of these terms with reference to research conducted with protestors participating in an annual anti-rape protest held at Rhodes University, Grahamstown, South Africa. We focus on the perspectives of women who are ‘survivors’ of sexual violence.
- Full Text:
- Date Issued: 2015
Reconsidering research ethics in ethnographic research: bearing witness to ‘irreparable harm’
- Barker, Kim, Macleod, Catriona I
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143805 , vital:38284 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: Research with persons who have experienced trauma requires careful consideration. In preparing the ethics protocol for an ethnographic study of an anti-rape protest, we thought carefully about how the first author would manage ethical decisions in accordance with the University ethics code. However, this process did not prepare us for the dynamic and reciprocal positioning the first author encountered in the field. Nor was she prepared for her sense of the ethical duty of response when entrusted with the narratives of women who had suffered ‘irredeemable harm’. Drawing on the philosophy of Emmanuel Levinas, and examples from the research, we show how ethical decision-making in ethnographic research is always relational and dialogical; extending beyond our direct interactions with participants to the ways in which we approach our ‘data’. We argue that ethics cannot be reduced to a cognitive-rational process and propose ways to acknowledge and draw on the ‘affective’ and ‘transcendent’ in our ethical decision-making.
- Full Text:
- Date Issued: 2015
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143805 , vital:38284 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: Research with persons who have experienced trauma requires careful consideration. In preparing the ethics protocol for an ethnographic study of an anti-rape protest, we thought carefully about how the first author would manage ethical decisions in accordance with the University ethics code. However, this process did not prepare us for the dynamic and reciprocal positioning the first author encountered in the field. Nor was she prepared for her sense of the ethical duty of response when entrusted with the narratives of women who had suffered ‘irredeemable harm’. Drawing on the philosophy of Emmanuel Levinas, and examples from the research, we show how ethical decision-making in ethnographic research is always relational and dialogical; extending beyond our direct interactions with participants to the ways in which we approach our ‘data’. We argue that ethics cannot be reduced to a cognitive-rational process and propose ways to acknowledge and draw on the ‘affective’ and ‘transcendent’ in our ethical decision-making.
- Full Text:
- Date Issued: 2015
Bearing Witness to ‘Irreparable Harm': Incorporating Affective Activity as Practice into Ethics
- Barker, Kim, Macleod, Catriona I
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434185 , vital:73037 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_12
- Description: Research with individuals who have experienced trauma requires careful consideration. In preparing the ethics protocol for an ethnographic study of an anti-rape protest, we gave careful consideration to the potential ethical challenges in accordance with the University ethics code. However, this process did not prepare the first author for the dynamic and reciprocal positioning she encountered in relationships in the field or the ‘ethically important’ moment-by-moment decision-making which this required of her. Drawing on the philosophy of Emmanuel Levinas, a feminist reading of the contemporary ‘turn to affect’, and examples from our research, we show how ethical decision-making in ethnographic research is always relational and dialogical, both in our direct interactions with participants and in the ways in which we approach our ‘data’.
- Full Text:
- Date Issued: 2018
- Authors: Barker, Kim , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434185 , vital:73037 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_12
- Description: Research with individuals who have experienced trauma requires careful consideration. In preparing the ethics protocol for an ethnographic study of an anti-rape protest, we gave careful consideration to the potential ethical challenges in accordance with the University ethics code. However, this process did not prepare the first author for the dynamic and reciprocal positioning she encountered in relationships in the field or the ‘ethically important’ moment-by-moment decision-making which this required of her. Drawing on the philosophy of Emmanuel Levinas, a feminist reading of the contemporary ‘turn to affect’, and examples from our research, we show how ethical decision-making in ethnographic research is always relational and dialogical, both in our direct interactions with participants and in the ways in which we approach our ‘data’.
- Full Text:
- Date Issued: 2018
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
Deconstructing Developmental Psychology–Twenty years on: Reflections, implications and empirical work
- Callaghan, A A Jane, Macleod, Catriona I
- Authors: Callaghan, A A Jane , Macleod, Catriona I
- Date: 2013
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446231 , vital:74483 , xlink:href="https://doi.org/10.1177/0959353513495213"
- Description: Erica Burman’s book Deconstructing Developmental Psychology (DDP), which appeared in first edition in 1994 and in second edition in 2008, critically appraised mainstream psychology’s approaches to child development, using feminist and post-structuralist theory. In it she examines the historical contingencies and cultural assumptions that form the conditions of possibility for the elaboration of the various Developmental Psychology approaches. She shows how these approaches form powerful discursive resources in regulating women and families, in marginalizing working class and ethnic minority people, and in pathologizing mothers. In this special focus, to appear over three issues, we seek to unpack the impact of the book since its first publication 20 years ago.
- Full Text:
- Date Issued: 2013
- Authors: Callaghan, A A Jane , Macleod, Catriona I
- Date: 2013
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446231 , vital:74483 , xlink:href="https://doi.org/10.1177/0959353513495213"
- Description: Erica Burman’s book Deconstructing Developmental Psychology (DDP), which appeared in first edition in 1994 and in second edition in 2008, critically appraised mainstream psychology’s approaches to child development, using feminist and post-structuralist theory. In it she examines the historical contingencies and cultural assumptions that form the conditions of possibility for the elaboration of the various Developmental Psychology approaches. She shows how these approaches form powerful discursive resources in regulating women and families, in marginalizing working class and ethnic minority people, and in pathologizing mothers. In this special focus, to appear over three issues, we seek to unpack the impact of the book since its first publication 20 years ago.
- Full Text:
- Date Issued: 2013
Deconstructing developmental psychology twenty years on : reflections, implications and empirical work
- Callaghan, Jane, Andenæs, Agnes, Macleod, Catriona I
- Authors: Callaghan, Jane , Andenæs, Agnes , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: Article
- Identifier: vital:6315 , http://hdl.handle.net/10962/d1020934 , http://journals.sagepub.com/doi/abs/10.1177/0959353515583702
- Description: Editorial
- Full Text:
- Date Issued: 2015
- Authors: Callaghan, Jane , Andenæs, Agnes , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: Article
- Identifier: vital:6315 , http://hdl.handle.net/10962/d1020934 , http://journals.sagepub.com/doi/abs/10.1177/0959353515583702
- Description: Editorial
- Full Text:
- Date Issued: 2015
Cultural De-colonization versus Liberal approaches to abortion in Africa: The politics of representation and voice
- Chiweshe, Malvern T, Macleod, Catriona I
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443661 , vital:74142 , xlink:href="DOI/Handle/URL https://www.ajol.info/index.php/ajrh/article/view/175092"
- Description: Political discussions on abortion in Africa take place in the context of most countries having restrictive abortion legislation and high levels of unsafe abortion. In this paper two major political positions regarding abortion in Africa: a de-colonisation approach based on a homogenized view of ―culture‖, and a liberal approach based on ―choice‖ and rights are outlined. Using the Questions and Answers sessions of a United Nations event on maternal health in Africa as an exemplar of these positions, the paper argues that neither approach is emancipatory in the African context. A de-colonisation approach that uses static and homogenized understanding of ''culture'' risks engaging in a politics of representation that potentially silences the ―Other‖ (in this case women who terminate their pregnancies) and glosses over complexities and multiple power relations that exist on the continent. A liberal approach, premised on choice and reproductive rights, risks foregrounding individual women‘s agency at the expense of contextual dynamics, including the conditions that create unsupportable pregnancies. The paper argues for a grounded reproductive justice perspective that draws on the insights of the reproductive justice movement, but grounds these notions within the African philosophy of Hunhu/Ubuntu.
- Full Text:
- Date Issued: 2018
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443661 , vital:74142 , xlink:href="DOI/Handle/URL https://www.ajol.info/index.php/ajrh/article/view/175092"
- Description: Political discussions on abortion in Africa take place in the context of most countries having restrictive abortion legislation and high levels of unsafe abortion. In this paper two major political positions regarding abortion in Africa: a de-colonisation approach based on a homogenized view of ―culture‖, and a liberal approach based on ―choice‖ and rights are outlined. Using the Questions and Answers sessions of a United Nations event on maternal health in Africa as an exemplar of these positions, the paper argues that neither approach is emancipatory in the African context. A de-colonisation approach that uses static and homogenized understanding of ''culture'' risks engaging in a politics of representation that potentially silences the ―Other‖ (in this case women who terminate their pregnancies) and glosses over complexities and multiple power relations that exist on the continent. A liberal approach, premised on choice and reproductive rights, risks foregrounding individual women‘s agency at the expense of contextual dynamics, including the conditions that create unsupportable pregnancies. The paper argues for a grounded reproductive justice perspective that draws on the insights of the reproductive justice movement, but grounds these notions within the African philosophy of Hunhu/Ubuntu.
- Full Text:
- Date Issued: 2018
‘If you choose to abort, you have acted as an instrument of Satan’: Zimbabwean health service Providers’ negative constructions of women presenting for post abortion care
- Chiweshe, Malvern T, Macleod, Catriona I
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444200 , vital:74205 , xlink:href="https://doi.org/10.1007/s12529-017-9694-8"
- Description: Health service providers play a crucial role in providing post abortion care in countries where abortion legislation is restrictive and abortion is stigmatised. Research in countries where these factors apply has shown that health service providers can be barriers to women accessing post abortion services. Much of this research draws from attitude theory. In this paper, we utilise positioning theory to show how the ways in which Zimbabwean health service providers’ position women and themselves are rooted in cultural and social power relations. In light of recent efforts by the Zimbabwean Ministry of Health and foreign organisations to improve post abortion care, we explore the implications that these positionings have for post abortion care.
- Full Text:
- Date Issued: 2017
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444200 , vital:74205 , xlink:href="https://doi.org/10.1007/s12529-017-9694-8"
- Description: Health service providers play a crucial role in providing post abortion care in countries where abortion legislation is restrictive and abortion is stigmatised. Research in countries where these factors apply has shown that health service providers can be barriers to women accessing post abortion services. Much of this research draws from attitude theory. In this paper, we utilise positioning theory to show how the ways in which Zimbabwean health service providers’ position women and themselves are rooted in cultural and social power relations. In light of recent efforts by the Zimbabwean Ministry of Health and foreign organisations to improve post abortion care, we explore the implications that these positionings have for post abortion care.
- Full Text:
- Date Issued: 2017
A narrative-discursive analysis of abortion decision making in Zimbabwe:
- Chiweshe, Malvern T, Macleod, Catriona I
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143882 , vital:38291 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: The available research on abortion-decision-making tends to focus on the ‘factors’ or ‘influences’ that are seen to affect abortion decision-making. This approach is rarely able to account for the complex, multi-faceted nature of abortion decision-making, and is often not located within a framework that can unpick the complex array of power relations that underpin the ‘process’ of abortion decision-making. Data reported on in this paper were collected from three sites in Zimbabwe. Narrative interviews were conducted with 18 women who had terminated pregnancies (six at each site) and semi-structured interviews were conducted with six service providers. The women employed discursive resources around stigma, religion, health and culture in telling stories around abortion shame, abortion as justified and the fearful, secretive act of abortion. Comparisons of the way women positioned themselves and how they were positioned by health service providers point to the availability and embeddedness of social discourses and power relations that work to enable/constrain reproductive justice.
- Full Text:
- Date Issued: 2015
- Authors: Chiweshe, Malvern T , Macleod, Catriona I
- Date: 2015
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/143882 , vital:38291 , https://ischp.files.wordpress.com/2015/08/ischp_2015_abstract_booklet.pdf
- Description: The available research on abortion-decision-making tends to focus on the ‘factors’ or ‘influences’ that are seen to affect abortion decision-making. This approach is rarely able to account for the complex, multi-faceted nature of abortion decision-making, and is often not located within a framework that can unpick the complex array of power relations that underpin the ‘process’ of abortion decision-making. Data reported on in this paper were collected from three sites in Zimbabwe. Narrative interviews were conducted with 18 women who had terminated pregnancies (six at each site) and semi-structured interviews were conducted with six service providers. The women employed discursive resources around stigma, religion, health and culture in telling stories around abortion shame, abortion as justified and the fearful, secretive act of abortion. Comparisons of the way women positioned themselves and how they were positioned by health service providers point to the availability and embeddedness of social discourses and power relations that work to enable/constrain reproductive justice.
- Full Text:
- Date Issued: 2015
Reproductive justice in context: South African and Zimbabwean women’s narratives of their abortion decision
- Chiweshe, Malvern T, Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Chiweshe, Malvern T , Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444371 , vital:74223 , xlink:href="https://doi.org/10.1177/0959353517699234"
- Description: The abortion decision-making process is embedded within overlapping power relations. Using a post-colonial feminist framework, we analyse South African and Zimbabwean women’s narratives regarding their abortion decision. As neighbouring countries, South Africa and Zimbabwe provide a useful counterpoint as they have common and differing social histories and very different abortion legislation. In our analysis, we unpick transversal commonalities and divergences in the discursive resources deployed by the women in their narratives in the two sites. Commonalities included the women feeling compelled to justify their abortion decision in the interactive interview space, an absence of a reproductive rights discourse, and the deployment of relationship embedded discourses in the justificatory work performed by the women. The ‘‘conjugalisation of reproduction’’, ‘‘imperative of good mothering’’, and ‘‘unstable partner relationships’’ discourses featured across both sites but the manner in which these were deployed differed. These discursive resources allowed the women to position themselves as making responsible decisions. The Zimbabwean women spoke of shame and hiding, a discursive resource that was explicitly absent in the South African women’s accounts. We conclude by arguing that our post-colonial feminist approach allows for a contextualised reproductive justice stance to abortion decision-making that identifies both transnational and context-specific power relations.
- Full Text:
- Date Issued: 2017
- Authors: Chiweshe, Malvern T , Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2017
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444371 , vital:74223 , xlink:href="https://doi.org/10.1177/0959353517699234"
- Description: The abortion decision-making process is embedded within overlapping power relations. Using a post-colonial feminist framework, we analyse South African and Zimbabwean women’s narratives regarding their abortion decision. As neighbouring countries, South Africa and Zimbabwe provide a useful counterpoint as they have common and differing social histories and very different abortion legislation. In our analysis, we unpick transversal commonalities and divergences in the discursive resources deployed by the women in their narratives in the two sites. Commonalities included the women feeling compelled to justify their abortion decision in the interactive interview space, an absence of a reproductive rights discourse, and the deployment of relationship embedded discourses in the justificatory work performed by the women. The ‘‘conjugalisation of reproduction’’, ‘‘imperative of good mothering’’, and ‘‘unstable partner relationships’’ discourses featured across both sites but the manner in which these were deployed differed. These discursive resources allowed the women to position themselves as making responsible decisions. The Zimbabwean women spoke of shame and hiding, a discursive resource that was explicitly absent in the South African women’s accounts. We conclude by arguing that our post-colonial feminist approach allows for a contextualised reproductive justice stance to abortion decision-making that identifies both transnational and context-specific power relations.
- Full Text:
- Date Issued: 2017
Waging war : discourses of HIV/AIDS in South African media
- Connelly, Mark, Macleod, Catriona I
- Authors: Connelly, Mark , Macleod, Catriona I
- Date: 2003
- Language: English
- Type: Article
- Identifier: vital:6255 , http://hdl.handle.net/10962/d1007873
- Description: This paper explores a discourse of war against HIV/AIDS evident in the Daily Dispatch, a South African daily newspaper, from 1985 to 2000, and discusses the implications of this in terms of the way in which HIV/AIDS is constructed. The discursive framework of the war depends, fundamentally, on the personification of HIV/AIDS, in which agency is accorded to the virus, and which allows for its construction as the enemy. The war discourse positions different groups of subjects (the diseased body, the commanders, the experts, the ordinary citizens) in relations of power. The diseased body, which is the point of transmission, the polluter or infector, is cast as the 'Other', as a dark and threatening force. This takes on racialised overtones. The government takes on the role of commander, directing the war through policy and intervention strategies. Opposition to government is couched in a struggle discourse that dove-tails with the overall framework of war. Medical and scientific understandings pre-dominate in the investigative practices and expert commentary on the war, with alternative voices (such as those of people living with HIV/AIDS) being silenced. The ordinary citizen is incited to take on prevention and caring roles with a strong gendered overlay.
- Full Text:
- Date Issued: 2003
- Authors: Connelly, Mark , Macleod, Catriona I
- Date: 2003
- Language: English
- Type: Article
- Identifier: vital:6255 , http://hdl.handle.net/10962/d1007873
- Description: This paper explores a discourse of war against HIV/AIDS evident in the Daily Dispatch, a South African daily newspaper, from 1985 to 2000, and discusses the implications of this in terms of the way in which HIV/AIDS is constructed. The discursive framework of the war depends, fundamentally, on the personification of HIV/AIDS, in which agency is accorded to the virus, and which allows for its construction as the enemy. The war discourse positions different groups of subjects (the diseased body, the commanders, the experts, the ordinary citizens) in relations of power. The diseased body, which is the point of transmission, the polluter or infector, is cast as the 'Other', as a dark and threatening force. This takes on racialised overtones. The government takes on the role of commander, directing the war through policy and intervention strategies. Opposition to government is couched in a struggle discourse that dove-tails with the overall framework of war. Medical and scientific understandings pre-dominate in the investigative practices and expert commentary on the war, with alternative voices (such as those of people living with HIV/AIDS) being silenced. The ordinary citizen is incited to take on prevention and caring roles with a strong gendered overlay.
- Full Text:
- Date Issued: 2003
Assessing the impact of the expanded Global Gag Rule in South Africa
- du Plessis, Ulandi, Sofika, Dumisa, Macleod, Catriona I, Mthethwa, Thobile
- Authors: du Plessis, Ulandi , Sofika, Dumisa , Macleod, Catriona I , Mthethwa, Thobile
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , report
- Identifier: http://hdl.handle.net/10962/434306 , vital:73047 , ISBN Report , https://www.ru.ac.za/media/rhodesuniversity/content/criticalstudiesinsexualitiesandreproduction/documents/IWHC_Report.pdf
- Description: South Africa has one of the most progressive abortion laws in the world and as the constitution states, South Africans also have “the right to make deci-sions concerning reproduction”(Constitution of the Republic of South Africa, 1996). Alongside being a free service, this should seemingly translate into accessible country-wide abortion services. However, less than one in ten public clinics actually perform abortions (Amnesty International, 2017). One of the main reasons for this has been the failure, on the part of the Depart-ment of Health, to regulate conscientious objection, ie the right of a healthcare worker to refuse to provide a service against which they are mor-ally opposed. Another reason is a lack of resources, in terms of both health professionals and finances, which manifest particularly in rural areas. As a result, women who are considering abortion either turn to illegal providers whose advertisements are scattered around towns, or towards private ser-vice providers such as Marie Stopes. Both options are usually costly, espe-cially to poor women. And illegal backstreet abortions often result in sepsis and infection. Recent data on abortion services in South Africa indicate that between 2016 and 2017, 20% of all abortions performed on women aged between 15-44 years were provided by the public health sector, while 26% and 54% of abortions were performed by illegal providers and the private health sector respectively (Lince-Deroche et al., 2018).
- Full Text:
- Date Issued: 2019
- Authors: du Plessis, Ulandi , Sofika, Dumisa , Macleod, Catriona I , Mthethwa, Thobile
- Date: 2019
- Subjects: To be catalogued
- Language: English
- Type: text , report
- Identifier: http://hdl.handle.net/10962/434306 , vital:73047 , ISBN Report , https://www.ru.ac.za/media/rhodesuniversity/content/criticalstudiesinsexualitiesandreproduction/documents/IWHC_Report.pdf
- Description: South Africa has one of the most progressive abortion laws in the world and as the constitution states, South Africans also have “the right to make deci-sions concerning reproduction”(Constitution of the Republic of South Africa, 1996). Alongside being a free service, this should seemingly translate into accessible country-wide abortion services. However, less than one in ten public clinics actually perform abortions (Amnesty International, 2017). One of the main reasons for this has been the failure, on the part of the Depart-ment of Health, to regulate conscientious objection, ie the right of a healthcare worker to refuse to provide a service against which they are mor-ally opposed. Another reason is a lack of resources, in terms of both health professionals and finances, which manifest particularly in rural areas. As a result, women who are considering abortion either turn to illegal providers whose advertisements are scattered around towns, or towards private ser-vice providers such as Marie Stopes. Both options are usually costly, espe-cially to poor women. And illegal backstreet abortions often result in sepsis and infection. Recent data on abortion services in South Africa indicate that between 2016 and 2017, 20% of all abortions performed on women aged between 15-44 years were provided by the public health sector, while 26% and 54% of abortions were performed by illegal providers and the private health sector respectively (Lince-Deroche et al., 2018).
- Full Text:
- Date Issued: 2019
Abortion Services and Reproductive Justice in Rural 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 , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
- Full Text:
- Date Issued: 2023
- Authors: du Plessis, Ulandi , Macleod, Catriona I
- Date: 2023
- Subjects: To be catalogued
- Language: English
- Type: text , book
- Identifier: http://hdl.handle.net/10962/434081 , vital:73030 , ISBN 9781776148738 , https://www.witspress.co.za/page/detail/Abortion-Services-and-Reproductive-Justice-in-Rural-South-Africa/?K=9781776148776
- Description: Despite progressive legislation, abortion service implementa-tion and access in South Africa’s rural areas is challenging and directly affects low-income communities. This book urges an intervention for safe and accessible abortion services that does not compromise costs or confidentiality within a repara-tive reproductive justice framework. South Africa’s progressive abortion legislation was hailed as transformative in terms of reproductive health and rights. Despite this promise, many challenges persist resulting in a lack of services, especially in rural areas where distances and transport costs are a factor.
- 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
Demanding doctorability for abortion on request: a conversation analysis of pre-abortion counselling in public hospitals in the Eastern Cape, South Africa
- Du Toit, Ryan, Macleod, Catriona I
- Authors: Du Toit, Ryan , Macleod, Catriona I
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/460985 , vital:76071 , https://srh.bmj.com/content/50/4/278.citation-tools
- Description: Out-of-school comprehensive sexuality education (CSE) Re-search on abortion counselling generally uses retrospective interviewing regarding providers’ and users’ experiences. In this article we explore how requests for abortion are made and received in real time in (officially non-mandatory) pre-abortion counselling conducted by nurses and counsellors in South African public abortion clinics. To capture turn-by-turn interactions, we recorded, using consecutive sampling, 28 sessions at three abortion clinics in 2017/2018. No researcher was present. Conversation analysis, based on an ethnomethodological paradigm, was used to understand the conversational projects of the sessions and to outline how the provider and user oriented to the request for an abortion as a conversational task.
- Full Text:
- Date Issued: 2024
- Authors: Du Toit, Ryan , Macleod, Catriona I
- Date: 2024
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/460985 , vital:76071 , https://srh.bmj.com/content/50/4/278.citation-tools
- Description: Out-of-school comprehensive sexuality education (CSE) Re-search on abortion counselling generally uses retrospective interviewing regarding providers’ and users’ experiences. In this article we explore how requests for abortion are made and received in real time in (officially non-mandatory) pre-abortion counselling conducted by nurses and counsellors in South African public abortion clinics. To capture turn-by-turn interactions, we recorded, using consecutive sampling, 28 sessions at three abortion clinics in 2017/2018. No researcher was present. Conversation analysis, based on an ethnomethodological paradigm, was used to understand the conversational projects of the sessions and to outline how the provider and user oriented to the request for an abortion as a conversational task.
- Full Text:
- Date Issued: 2024
Multi-layered risk management in under-resourced antenatal clinics
- Feltham-King, Tracey, Macleod, Catriona I
- Authors: Feltham-King, Tracey , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/298561 , vital:57716 , xlink:href="https://doi.org/10.1080/13698575.2019.1697432"
- Description: In this article we contribute to critical risk approaches to studying pregnancy and childbirth in the global South. Following Sarah Rudrum’s work, our approach focusses on sociocultural inequalities amid the regulation of individuals. We draw on data from our Foucauldian-inspired ethnography of two antenatal clinics in an under-resourced area of South Africa to illustrate how multi-layered risk management operates in these spaces. These data were collected over a period of six months in the form of semi-structured interviews, observations of consultations and waiting room interactions, documents used in the clinic, and posters appearing on the clinic walls. Our findings show how a scientific-bureaucratic approach to pregnancy risk management, as encoded in international, national and institutional guidelines, is well known, highly visible, and practised through surveillance and reporting mechanisms in clinics. This approach incites healthcare practitioners to achieve particular performance standards and to monitor their professional agency. Managing pregnancy risk thus entails regulating the healthcare practitioners themselves. In implementing approved pregnancy risk management strategies in an over-subscribed and under-resourced public healthcare setting, however, healthcare practitioners face potential risk to their professional reputation and integrity. In managing this risk, they resist the scientific-bureaucratic approach through: depicting themselves as victims of unfair institutional arrangements or unreasonable patients; instituting street-level bureaucracy to control access to the clinics; and controlling patients’ actions in authoritarian ways. Our research shows that without engagement with the on-the-ground realities of the antenatal clinic in resource-poor environments, a scientific-bureaucratic approach to pregnancy risk management is inevitably limited in its effectiveness.
- Full Text:
- Date Issued: 2020
- Authors: Feltham-King, Tracey , Macleod, Catriona I
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/298561 , vital:57716 , xlink:href="https://doi.org/10.1080/13698575.2019.1697432"
- Description: In this article we contribute to critical risk approaches to studying pregnancy and childbirth in the global South. Following Sarah Rudrum’s work, our approach focusses on sociocultural inequalities amid the regulation of individuals. We draw on data from our Foucauldian-inspired ethnography of two antenatal clinics in an under-resourced area of South Africa to illustrate how multi-layered risk management operates in these spaces. These data were collected over a period of six months in the form of semi-structured interviews, observations of consultations and waiting room interactions, documents used in the clinic, and posters appearing on the clinic walls. Our findings show how a scientific-bureaucratic approach to pregnancy risk management, as encoded in international, national and institutional guidelines, is well known, highly visible, and practised through surveillance and reporting mechanisms in clinics. This approach incites healthcare practitioners to achieve particular performance standards and to monitor their professional agency. Managing pregnancy risk thus entails regulating the healthcare practitioners themselves. In implementing approved pregnancy risk management strategies in an over-subscribed and under-resourced public healthcare setting, however, healthcare practitioners face potential risk to their professional reputation and integrity. In managing this risk, they resist the scientific-bureaucratic approach through: depicting themselves as victims of unfair institutional arrangements or unreasonable patients; instituting street-level bureaucracy to control access to the clinics; and controlling patients’ actions in authoritarian ways. Our research shows that without engagement with the on-the-ground realities of the antenatal clinic in resource-poor environments, a scientific-bureaucratic approach to pregnancy risk management is inevitably limited in its effectiveness.
- Full Text:
- Date Issued: 2020
Contesting the nature of young pregnant and mothering women: Critical healthcare nexus research, ethics committees, and healthcare institutions
- Feltham-King, Tracey, Bomela, Yolisa, Macleod, Catriona I
- Authors: Feltham-King, Tracey , Bomela, Yolisa , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434199 , vital:73038 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_5
- Description: In this chapter we describe how systemic contradictions complicate ethical site entry and data collection in critical research. We present our ethnographic research within South African antenatal and postnatal clinics as an example. Pregnant and mothering young women are subject to diverging views of minors in different state-produced policies and legislation. In addition, we encountered discrepancies between our research aims and assumptions made by the University Ethical Standards Committee, managers, healthcare providers, teenaged participants, and other service users. These complexities have implications for ethical engagement of researchers and call for nuanced means of data collection and analysis. We discuss how critical researchers can mitigate social injustice by questioning entrenched ways of thinking about participants and negotiating the contradictory positionings of self and others.
- Full Text:
- Date Issued: 2018
- Authors: Feltham-King, Tracey , Bomela, Yolisa , Macleod, Catriona I
- Date: 2018
- Subjects: To be catalogued
- Language: English
- Type: text , book chapter
- Identifier: http://hdl.handle.net/10962/434199 , vital:73038 , ISBN 978-3-319-74720-0 , https://link.springer.com/chapter/10.1007/978-3-319-74721-7_5
- Description: In this chapter we describe how systemic contradictions complicate ethical site entry and data collection in critical research. We present our ethnographic research within South African antenatal and postnatal clinics as an example. Pregnant and mothering young women are subject to diverging views of minors in different state-produced policies and legislation. In addition, we encountered discrepancies between our research aims and assumptions made by the University Ethical Standards Committee, managers, healthcare providers, teenaged participants, and other service users. These complexities have implications for ethical engagement of researchers and call for nuanced means of data collection and analysis. We discuss how critical researchers can mitigate social injustice by questioning entrenched ways of thinking about participants and negotiating the contradictory positionings of self and others.
- Full Text:
- Date Issued: 2018
How content analysis may complement and extend the insights of discourse analysis: An example of research on constructions of abortion in South African newspapers 1978–2005
- Feltham-King, Tracey, Macleod, Catriona I
- Authors: Feltham-King, Tracey , Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446258 , vital:74485 , xlink:href="https://doi.org/10.1177/1609406915624575"
- Description: Although discourse analysis is a well-established qualitative research methodology, little attention has been paid to how discourse analysis may be enhanced through careful supplementation with the quantification allowed in content analysis. In this article, we report on a research study that involved the use of both Foucauldian discourse analysis (FDA) and directed content analysis based on social constructionist theory and our qualitative research findings. The research focused on the discourses deployed, and the ways in which women were discursively positioned, in relation to abortion in 300 newspaper articles, published in 25 national and regional South African newspapers over 28 years, from 1978 to 2005. While the FDA was able to illuminate the constitutive network of power relations constructing women as subjects of a particular kind, questions emerged that were beyond the scope of the FDA. These questions concerned understanding the relative weightings of various discourses and tracing historical changes in the deployment of these discourses. In this article, we show how the decision to combine FDA and content analysis affected our sampling methodology. Using specific examples, we illustrate the contribution of the FDA to the study. Then, we indicate how subject positioning formed the link between the FDA and the content analysis. Drawing on the same examples, we demonstrate how the content analysis supplemented the FDA through tracking changes over time and providing empirical evidence of the extent to which subject positionings were deployed.
- Full Text:
- Date Issued: 2016
- Authors: Feltham-King, Tracey , Macleod, Catriona I
- Date: 2016
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446258 , vital:74485 , xlink:href="https://doi.org/10.1177/1609406915624575"
- Description: Although discourse analysis is a well-established qualitative research methodology, little attention has been paid to how discourse analysis may be enhanced through careful supplementation with the quantification allowed in content analysis. In this article, we report on a research study that involved the use of both Foucauldian discourse analysis (FDA) and directed content analysis based on social constructionist theory and our qualitative research findings. The research focused on the discourses deployed, and the ways in which women were discursively positioned, in relation to abortion in 300 newspaper articles, published in 25 national and regional South African newspapers over 28 years, from 1978 to 2005. While the FDA was able to illuminate the constitutive network of power relations constructing women as subjects of a particular kind, questions emerged that were beyond the scope of the FDA. These questions concerned understanding the relative weightings of various discourses and tracing historical changes in the deployment of these discourses. In this article, we show how the decision to combine FDA and content analysis affected our sampling methodology. Using specific examples, we illustrate the contribution of the FDA to the study. Then, we indicate how subject positioning formed the link between the FDA and the content analysis. Drawing on the same examples, we demonstrate how the content analysis supplemented the FDA through tracking changes over time and providing empirical evidence of the extent to which subject positionings were deployed.
- Full Text:
- Date Issued: 2016
The conundrums of counselling women in violent intimate partner relationships in South Africa: implications for practice
- Fleischack, Anne, Macleod, Catriona I, Böhmke, Werner
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444117 , vital:74191 , xlink:href="https://doi.org/10.1007/s10447-019-09384-8"
- Description: Little research focuses on how counsellors experience counselling encounters concerning intimate partner violence. This study reports on narrative research conducted with eight South African non-governmental organisation counsellors. Participants spoke of creating productive and caring counselling dynamics, and providing non-directive counselling. However, they also indicated providing moral guidance, particularly in cases where pregnancy or children were involved. Success was viewed rather narrowly as the women leaving the relationship, setting up ‘all-or-nothing’ outcomes. Such ‘success’ led to counsellor happiness, whilst failure in this regard led to counsellors experiencing anger and burn-out. We conclude that the conundrums evident in these data are grounded in patriarchal systems, limiting the efficacy of counselling based on a bondage and deliverance narrative. Implications for practice and training are also outlined.
- Full Text:
- Date Issued: 2020
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444117 , vital:74191 , xlink:href="https://doi.org/10.1007/s10447-019-09384-8"
- Description: Little research focuses on how counsellors experience counselling encounters concerning intimate partner violence. This study reports on narrative research conducted with eight South African non-governmental organisation counsellors. Participants spoke of creating productive and caring counselling dynamics, and providing non-directive counselling. However, they also indicated providing moral guidance, particularly in cases where pregnancy or children were involved. Success was viewed rather narrowly as the women leaving the relationship, setting up ‘all-or-nothing’ outcomes. Such ‘success’ led to counsellor happiness, whilst failure in this regard led to counsellors experiencing anger and burn-out. We conclude that the conundrums evident in these data are grounded in patriarchal systems, limiting the efficacy of counselling based on a bondage and deliverance narrative. Implications for practice and training are also outlined.
- Full Text:
- Date Issued: 2020
"The man can use that power", "she got courage" and "inimba": discursive resources in counsellors' talk of intimate partner violence: implications for practice
- Fleischack, Anne, Macleod, Catriona I, Böhmke, Werner
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67498 , vital:29103 , http://dx.doi.org/10.15270/52-2-550
- Description: Publisher version , Given the high rate of intimate partner violence (IPV), understanding how counsellors talk about IPV and their interventions is important. The authors conducted narrative interviews with eight counsellors from non-governmental organisations (NGOs) working with IPV. Using narrative-discursive methodology, this qualitative study paid attention to the discursive resources that the participants drew upon. Two broad clusters of discursive resources and one contradictory (‘nurturing femininity’) discourse emerged. The first cluster engenders a sense of helplessness in the face of overwhelming power relations; the second enables the counsellors to foresee positive outcomes for their counselling. Implications for counselling include emphasising enabling discourses, highlighting multiplicities of gender, and wider-scale interventions.
- Full Text:
- Date Issued: 2017
- Authors: Fleischack, Anne , Macleod, Catriona I , Böhmke, Werner
- Date: 2017
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/67498 , vital:29103 , http://dx.doi.org/10.15270/52-2-550
- Description: Publisher version , Given the high rate of intimate partner violence (IPV), understanding how counsellors talk about IPV and their interventions is important. The authors conducted narrative interviews with eight counsellors from non-governmental organisations (NGOs) working with IPV. Using narrative-discursive methodology, this qualitative study paid attention to the discursive resources that the participants drew upon. Two broad clusters of discursive resources and one contradictory (‘nurturing femininity’) discourse emerged. The first cluster engenders a sense of helplessness in the face of overwhelming power relations; the second enables the counsellors to foresee positive outcomes for their counselling. Implications for counselling include emphasising enabling discourses, highlighting multiplicities of gender, and wider-scale interventions.
- Full Text:
- Date Issued: 2017