Body Poly-texts: Discourses of the Anorexic Body

It is now increasingly acknowledged that anorexia nervosa is a ‘culture-bound syndrome’ which must be understood within the context of an increasing idealization of female thinness and a high prevalence of dieting and body dissatisfaction, particularly amongst women and girls. Whilst this socioculturally-oriented perspective is important, it is also simplistic to conceptualize anorexia simply as a ‘slimmer's disease’. The ways in which contemporary Western culture is imbricated in anorexia are both complex and multiple. This paper uses a discourse-analytic approach, informed by feminist Foucauldian theory, to examine some of the multiple and often conflicting meanings and discursive constructions of the (female) anorexic body. The paper is based on a series of interviews conducted with 23 women (21 diagnosed as anorexic and 2 self-diagnosed). The analysis focuses on the explication of two discourses: a romantic discourse and a discourse of Cartesian dualism evidenced in the interviews. By contrasting the very different ways in which these two discourses constitute the anorexic body, this paper aims to provide thereby a socioculturally contextualized and gender-oriented account of the multiple discursive constructions of ‘anorexia nervosa’ and ‘anorexic’ bodies. Implications for psychotherapeutic interventions are discussed.     

Many Meats and Many Milks? The Ontological Politics of a Proposed Post-animal Revolution

Today plant-based alternatives to animal-agricultural products are made available or developed alongside ‘cultured’ meat, and products utilising genetic modification. To proponents, this signifies the emergence of ‘cellular agriculture’ as a food-production field or the possibility of a ‘post-animal bioeconomy’: a way to safely and sustainably produce animal products without animals. Drawing on previous work on ontological politics enables acknowledging how these novel objects unsettle animal products’ ontological stability, thereby offering a practical case of how the world is multiply produced. An important emphasis within this tradition is the situated nature of reality-making practices. Consequently our analysis, focusing on different practices, sites and objects compared to influential studies of ontological politics, necessitates bringing in hitherto relatively unexplored political-economic relations and legal processes. As global processes and problem formulations, laboratories, and national or regional regulations come together to remake realities the ontological-political dynamics determining the fate of cellular agriculture or a post-animal bioeconomy becomes shaped by a combination of conflicts and budding collaborations between proponents of new technologies and established livestock interests. Understanding these dynamics requires tracing both how post-animal products reshape the world they are introduced into, and acknowledging the friction evident as reality-carrying objects leave their laboratories.     

Reproductive freedom, self-regulation, and the government of impairment in utero

This article critically examines the constitution of impairment in prenatal testing and screening practices and various discourses that surround these technologies. While technologies to test and screen (for impairment) prenatally are claimed to enhance women's capacity to be self-determining, make informed reproductive choices, and, in effect, wrest control of their bodies from a patriarchal medical establishment, I contend that this emerging relation between pregnant women and reproductive technologies is a new strategy of a form of power that began to emerge in the late eighteenth century. Indeed, my argument is that the constitution of prenatal impairment, by and through these practices and procedures, is a widening form of modern government that increasingly limits the field of possible conduct in response to pregnancy. Hence, the government of impairment in utero is inextricably intertwined with the government of the maternal body.     

Fearing fatness and feeling fat: Encountering affective spaces of physical activity

The intention of this paper is to reveal how emotional dynamics of girls' fear and repulsion of fat operate within spaces of physical activity including Physical Education (PE). Through engagement with girls' everyday embodied experiences, understandings and practices of physical activity this paper weaves dialogue between contemporary obesity and health discourses and girls' emotional embodied experiences of encountering material and non-tangible spaces of physical activity. This paper draws from PhD research of a feminist ethnographic study with PE teachers and female pupils in Scottish primary and secondary schools; the paper reveals girls encounters with both material objects – such as swimming pool water—and non-material, discursive spaces of school-based physical activity, rooted within contemporary health discourses which perpetuate a ‘fear of fatness’. Such intra-active encounters reveal new ways of understanding how girls and young women come to feel their bodies inside of contemporary obesity debates.     

Standardized Human Pedigree Nomenclature: Update and Assessment of the Recommendations of the National Society of Genetic Counselors

In 1995, the Pedigree Standardization Task Force (PSTF) of the National Society of Genetic Counselors (NSGC) proposed a system of pedigree nomenclature. Recently, the PSTF (now called the Pedigree Standardization Work Group or PSWG) sought evidence that the published symbols met the needs of health professionals, were incorporated into health professional training and were utilized in publications. We searched PubMed and reference lists of select publications, reviewed the Instructions for Authors of several journals, searched the websites of professional societies, sought comment from the membership of the NSGC, and looked at recommendations and training practices of various health professional organizations. Many journals still do not cite specific standards for pedigrees, but those found cited the PSTF nomenclature. We did not find significant objections or alternatives to the 1995 nomenclature. Based on our review, we propose only a few minor stylistic changes to the pedigree symbols. The pedigree nomenclature of the NSGC is the only consistently acknowledged standard for drawing a family health history. We recommend regular and continued review of these pedigree standards to determine if additional symbols are needed to accommodate changes in clinical practice to ensure that the symbols continue to meet the needs of health professionals and researchers as well as adhere to evolving ethical and privacy standards. All health professionals, trainees, and researchers should be made aware of the utility of using a common pedigree nomenclature in clinical practice and publication. This will become particularly important as electronic medical records become more widely utilized.     

Affective economies of Beyoglu in Istanbul: The construction of ‘Disgust’ and ‘Fear’ in neoliberalization of nightlife

This study contributes to understanding neoliberalism in Beyoglu, by examining how neoliberal discourses create and circulate normative meanings in nightlife. I suggest that neoliberal discourses and practices inform a value structure in everyday life which identifies subject positions in terms of affiliation and marginalization in Beyoglu's nightlife scene, based on the affective economies of Beyoglu. Affiliation/marginalization distil through moments of contact, imbued with various affective dispositions. I argue that spaces of affiliation shape and are shaped by the affective dispositions of (middle-)classed night-time euphoria. Conforming to norms of desirability, attractiveness and safety, they present a cultural and economic model attuned to neoliberal rationalities. Two dominant stereotypes of ‘undesirability’ emerge in affective terms: (i) those of ‘ineligible’ dispositions which produce emotions of ‘disgust’, and (ii) those of ‘fearful’ bodies constantly moving across the night-time leisure places of Beyoglu. By examining the relationship between neoliberalism and affective economies in Beyoglu's nightlife, this study contributes to research on night-time leisure places, providing insight into linkages between emotional subjectivities and rational thinking.     

Reproducing the Motherboard: The Invisible Labor of Discourses that Gender Digital Fields

Within the digital workforce, women are disappearing. While there are many factors that could be ‘blamed’ for this phenomenon, this article takes issue with the sexist and patriarchal discourses that are deployed within the digital workforce. In many ways, sexist discourses are taken for granted within the digital workplace; and in that way, the discourses themselves are rendered invisible through a lack of concerted uncovering of the ways that these sexist discourses produce—and reproduce—women as sexual objects and outsiders in this field of work. The sexist and patriarchal discourses I address in this article validate the gender binary even as there is gendered play. It is this ‘play’ that also makes counter-hegemonic discourse and discursive acts productive (and reproductive), as I argue toward the end of the paper. Schools are a place where counter-hegemonic discourses and acts can be nurtured and, hopefully, affect and counteract the disappearance of women in digital fields.     

Post/Human Conditions

Abstract

Perhaps one of the most pressing issues for the twenty-first century will be the impact of new technologies on our experiences and understandings of what it means to be human. For many commentators, this signals the advent of the ‘posthuman condition’, in which digital technologies will have the capacity to reconfigure our conceptions of space and time; cybernetic devices will enhance and augment bodies and minds; and genetic modification will challenge the fixity of ‘human nature’ at the most fundamental level. This article examines some of the most influential discourses—from science, ethics and popular culture—that promise to shape the choices and values determining how such technologies will be used, and to what ends. Closer analysis reveals a multiplicity of visions of ‘posthuman conditions’, however, informed by a diversity of philosophical, ethical, political — and theological—understandings of what it means to be human in an age of technology; and this article proposes the terminology of ‘post/human’ as a critical device designed to alert us to the choices and values inherent in our engagement with our tools and technologies. The article concludes by advancing some themes by which a deeper theological critique of the post/human might be conducted: transcendence, sacramentality and creativity, divine and human.     

Collaboration Talk: The Folk Theories of Nano Research

The nano initiative in the US and elsewhere encourages and promotes various forms of multi-stakeholder activities, such as industrial collaborations. Forming part of the discourse of expectations around emerging technologies, collaboration is an important resource holding together different practices of knowledge production. In the conversations between policy and science, collaboration becomes a measurable entity and a measure in itself, figuring in the evaluations of the performance of individual faculty and research centres; however, the policy metaphor of ‘collaboration’ stands for a variety of different forms and shapes of interactions between university and industry. From a discourse analysis perspective, ‘folk theories’ of nano collaboration help to explore the dynamics of the university/industry boundary in the scientific organisational discourse as in a recent series of interactions with scientists, university officials and technology transfer officers in a number of US universities. What does the introduction of the new entity (nano) mean for scientists, and for university practices of technology transfer and commercialisation, in terms of trying to accommodate individual ‘nano’ cases into university regulations and procedures? How are these practices and experiences discussed in terms of collaboration? Assessments of value of collaboration ranged between polarised views, raising questions about occasions, audiences and communities of assessors invoked in the construction of acceptable accounts of nano collaboration. Metaphors and analogies were used to mobilise specific meanings in the discourses of the innovative potential of emerging fields. As such, assessments of the potential of terms pertinent to the emerging discourses, such as collaboration, would be better based on the assumption of shared meanings, not fixed and given, but actively achieved.     

Psychosocial discontinuities introduced by the new reproductive technologies

The introduction of the new reproductive technologies has brought about a separation of the experience of reproduction from a previously necessary act of sexual intercourse between a fertile male and a fertile female. This has brought in its train the need for new ways of thinking about the relationship between procreation, reproduction and parenting. Psychosocial research into child–parent, male–female and kin relationships resulting from the use of the new reproductive technologies has value both in terms of its own intrinsic interest and also in terms of insights provided into what has been traditionally portrayed as the ‘normal’ reproductive process. This contribution to the Special Issue serves as a general introduction to the topic by presenting a ‘discontinuity’ model intended to provide a context in which psychosocial research into the provision and use of the new reproductive technologies could be explored. © 1998 John Wiley & Sons, Ltd.     

Utilization of the Tablet Application Proband in Pedigree Construction and Assessment

Many medical institutions have converted to a digital model for record keeping due to the Health Information Technology for Economic and Clinical Health Act. This Act provides incentives to health care systems to accelerate and encourage the adoption of electronic health record (EHR) systems. The pedigree as a tool in medicine provides an efficient method to assess and represent an individual’s health and family health risks that may otherwise not be apparent in the medical record in a clearly identifiable way (Schuette, J. L., & Bennett 2009). Many clinicians continue to construct pedigrees using pen and paper method despite findings of improved identification of at risk patients with similar electronic intake tools (Arar et al. in Personalized Medicine 2011 8:523–32). The goal of this study was to explore the patient and practitioner experience with electronic pedigree programs using Proband, an application developed at The Children’s Hospital of Philadelphia for genetic counselors to construct pedigrees during genetic counseling sessions directly on iPads. The first part of this study looked at the patient experience and assessed time to take the pedigree and the impact of using an electronic pedigree tool on the relationship between participant and genetic counselor. This involved 50 participants and was compared with the traditional paper method of taking a pedigree. There was no statistical significance found between the two different mediums in accuracy, speed, and rapport with provider. The second part of the study assessed the usability of Proband by ten genetic counselors. Overall, the application received a system usability score of 90/100 with a majority (7/10) of counselors agreeing that they would use this application in their clinic. The positive outcome of this study encourages future work to assess the impact and usability of programs on a larger scale as they continue to integrate into current electronic health records.     

The eyes have it: lateralized coping strategies in cattle herds responding to human approach

We report a range of lateralized coping strategies adopted by large social groups of cattle in response to mild challenges posed by humans of varying degrees of familiarity. At either 14 or 18 pens at a commercial feedlot, with 90 to 200 cattle in each, we conducted a series of video recorded ‘pressure tests’. ‘Frontal’ pressure tests involved walking from a position perpendicular to the concrete feed bunk of a given pen, towards the geometric centre of the line of feeding cattle. ‘Bunk-side’ pressure tests involved experimenters walking closely past a pen of feeding cattle in one direction, before returning in the opposite direction shortly afterwards. Experimenters wore white dust masks to alter their facial features in the bunk-side pressure tests. In both frontal and bunk-side pressure tests, distance from the experimenter influenced cattle’s choice of binocular viewing, cessation of feeding, standing or stepping backwards to monitor the approach and leaving the feed bunk. The frequency of these coping strategies differed in a lateralized manner. The cattle were more likely to accept the close positioning of a generally familiar, unmasked human on their left, which is traditionally referred to as the “near” side. By contrast, when responding to the approach of an unfamiliar, masked human, cattle conformed to the general vertebrate model and were more likely to remove themselves from the potential threat viewed within the left and not right visual field. We argue that the traditional terms for livestock sidedness as “near” (left) and “off” (right) sides demonstrate a knowledge of behavioural lateralization in domestic livestock that has existed for over 300 years of stock handling.     

THE TEAR IN THE FABRIC OF MULTICULTURALISM

Since 1984, there have been recurring images of Sikhs in Canada, as ‘extremists’, ‘militants’ and ‘terrorists'. As a result, when Sikhs are viewed as participating in ‘un-Canadian’ beliefs or practices, the general public often responds with discourses that state Sikhs need to return ‘home’, despite their citizenship status. These images produce conversations among Canadians about the extent Sikhs are compatible with Canadian society. I will use the aftermath of the Kamal Nath Protest (23 March 2010), organized by Sikh-Canadians (mostly born in Canada), to unpack the discourse of the Sikh ‘extremist’ in the media. I will explore how the idyllic discourse of Canadian multiculturalism has denied the political identities and histories of communities that have migrated to Canada. Despite discourses of universal tolerance and individual rights, it becomes apparent that any protest is not an appropriate form of dissent for the racialized immigrant within Canada.     

Governing sporting brains: concussion,neuroscience, and the biopolitical regulation of sport

Abstract

Drawing on the recent concussion litigation from the United States’ National Football League (NFL), the paper examines the emergence of neuroscience knowledge as part of a defining rationale for the justification and rationalization of the lawsuit. The paper argues that neuroscience knowledge is best understood as a regulatory discourse that is attached to larger social, political, and economic realities that bring it into being as a legitimate type of knowledge. This larger socio-political governance logic is one that scholars call ‘biopolitical’ which emphasizes the protection of individual life over and above other ways of being. Risk discourses that frame risk-taking practices as immoral thus emerge within this biopolitical regime of governance that frame morality in terms of public health that individual citizens ought to pursue. With this in mind neuroscience knowledge plays an important role in concussion litigation. It emerges as a technology of biopolitical governance in that it is used to justify legal decisions on concussion. This is despite the fact that neuroscience knowledge remains nascent and even scientifically uncertain. Because of this, the paper argues that scholars ought to not only consider neuroscience research skeptically, but also ought to be aware of the dangers of neuroscience’s emergence as an ‘anticipatory discourse’ that has the potential to reduce human behavior to matters of the brain that thus transforms our very ontology of ourselves and the practices we perceive as ‘good’.     

Being Fit and Looking Healthy: Young Women’s and Men’s Constructions of Health and Fitness

We drew on Foucault's notion of ‘practices of the self’ to examine how young people take up, negotiate, and resist the imperatives of a public health discourse concerned with the relationships between health, fitness, and the body. We did this through a discussion of the ways young women and men talk about their own and others' bodies, in the context of a number of in-depth interviews conducted for the Life Activity Project, a study of the place and meaning of physical activity in young people's lives, funded by an Australian Research Council Grant. We found that the young women and men in the study engaged the health/fitness discourse very differently: for the young men, health conflated with fitness as an embodied capacity to do physical work; and for the young women, health was a much more difficult and complex project associated with managing and monitoring practices associated with eating and exercise to maintain an ‘appropriate’ body shape.     

The Psychiatrization of Poverty: Rethinking the Mental Health–Poverty Nexus

The positive association between ‘mental illness’ and poverty is one of the most well established in psychiatric epidemiology. Yet, there is little conclusive evidence about the nature of this relationship. Generally, explanations revolve around the idea of a vicious cycle, where poverty may cause mental ill health, and mental ill health may lead to poverty. Problematically, much of the literature overlooks the historical, social, political, and cultural trajectories of constructions of both poverty and ‘mental illness’. Laudable attempts to explore the social determinants of mental health sometimes take recourse to using and reifying psychiatric diagnostic categories that individualize distress and work to psychiatrically reconfigure ‘symptoms’ of oppression, poverty, and inequality as ‘symptoms’ of ‘mental illness’. This raises the paradoxical issue that the very tools that are used to research the relationship between poverty and mental health may prevent recognition of the complexity of that relationship. Looking at the mental health–poverty nexus through a lens of psychiatrization (intersecting with medicalization, pathologization, and psychologization), this paper recognizes the need for radically different tools to trace the messiness of the multiple relationships between poverty and distress. It also implies radically different interventions into mental health and poverty that recognize the landscapes in which lived realities of poverty are embedded, the political economy of psychiatric diagnostic and prescribing practices, and ultimately to address the systemic causes of poverty and inequality.     

Privacy,autonomy, and public policy: French and North American perspectives

This article raises the question of whether in both the United States and in France, an individual’s autonomy and private decision-making right(s) in matters of health care and access to reproductive technologies can be conciliated with the general interest, and more specifically, the role of the State. Can a full-fledged right to privacy, the ability to exercise one’s autonomy, exist alongside the general interest, and depend neither on financial resources like in the United States nor on centralised government decisions or the medical hierarchy like in France? The contrast between these two modern democracies justify the importance of comparing them. I will demonstrate that overlaps do exist: the free exercise of religion and opinion, freedom of expression, the inherent value of each individual. What differs, however, are the institutions and how they provide, protect, promote, or frame access to and expressions of these democratic principles. The impact of the global economy, the exposure of people around the world to each other via the internet, and the mirror effects of social media, blogs, and other such forums, have created new perspectives that countries project onto one another. For example, does France now seem to tout ‘autonomy’ as a new and important value because it appears to be an ‘American success story’? Does the United States now seem to value human rights and a social-democratic approach because of the ‘French model’? There seems to be some truth behind these assertions, but as this article will demonstrate, the portrayals of what the ‘right to privacy’ is in the United States and what ‘socialised medicine’ is in France are not necessarily fully accurate.     

Conceptualising Decadent Technology: A Case Study of Path Dependence in Radiotherapy

Abstract

Large-scale investments in health technologies often have limited evidence for effectiveness when first introduced. Nevertheless, professional and public discourses often present the advantages of such investments, with unknown risks, as necessary and entailing significant improvement. Such discourses are evident with the introduction of the Linac Adapted Conebeam Imager (LACI), introduced to improve the accuracy of radiotherapy treatments. From one perspective, the introduction of such technologies can be considered to be decadent since there is limited, if any, evidence of improvement of current standards and procedures, yet they are promoted as the latest and best technologies for solving societal problems. Connecting the concepts of decadence to those of path dependence, through the case of the LACI, enables the exploration of the ‘technical interrelatedness’ of technological changes. Building on the concept of path dependence, it is possible to demonstrate how introducing a closely related technology does not only become a low-risk course of action. Rather change is demanded (but not determined) as well as potential alternative systems being obscured. With decadent technologies, any future changes are not only dependent upon past introductions; but also they create a need for future changes. Such a view demonstrates how these technologies may not necessarily offer any improvements, but rather contribute to the creation of ongoing demand for unproven technologies. As a result they may encourage the introduction of increasingly complex technologies.