Suchergebnisse

The body is central to women's construction of premenstrual change as premenstrual syndrome (PMS), and to experiences of premenstrual distress. Embodied change, such as bloating or breast tenderness, can act as a marker of PMS. Within biomedical models, PMS is located within the body. Women's dissatisfaction with their bodies is also reported to be higher in the premenstrual phase of the cycle. What is absent from this analysis is the meaning and experience of embodied change, in the context of broader constructions of femininity and embodiment. In this paper, we adopt a feminist material-discursive theoretical framework to examine the role of premenstrual embodiment in women's premenstrual distress, drawing on open-ended survey responses and interviews with 83 women who self-diagnose as "PMS sufferers". We theorize premenstrual body hatred as subjectification, wherein women take up cultural discourse associated with idealized femininity and the stigmatization of the fat body, resulting in self-objectification, distress and dehumanization. However, women can resist negative cultural constructions of premenstrual embodiment. We describe the impact of psychological therapy which increases awareness of emotional and embodied change, resulting in greater acceptance of the premenstrual body and self-care, serving to reduce premenstrual distress and self-objectification.

Research on differences between heterosexual and lesbian relationships has reported that lesbian relationships are more satisfying, more egalitarian, more empathic, and facilitate more effective conflict resolution. These differences are of key relevance in terms of the construction and experience of PMS (Premenstrual Syndrome), as is illustrated through interviews with 15 lesbian women who experience PMS and 10 of their partners. While experiences of premenstrual distress were similar to those previously reported by heterosexual women, the lesbian relationship context and positioning of PMS were markedly different. In contrast to the lack of understanding or support, rejection, and pathologization commonly found in heterosexual women's accounts, lesbian interviewees reported awareness and recognition of premenstrual change, responsiveness to needs, open communication, and responsibility sharing. This had significant consequences for the construction and experience of premenstrual change, facilitating open expression of needs, self-care, and avoidance of guilt and self-blame, reinforcing the view that PMS needs to be understood within a framework of inter-subjectivity.

The significant impact of cancer on women's sexual well-being has been acknowledged increasingly within research. However, the role of cultural discourse in shaping women's construction and embodied experience of sexuality has received less attention. In this study, we examined heterosexual women's constructions of sexual embodiment in the context of cancer. Sixteen women across a range of ages (20–71 years), cancer types and stages took part in in-depth semi-structured interviews. A thematic decomposition analysis was conducted on the interview transcripts, drawing on feminist poststructuralist theory. A main theme was identified in which the women took up subject positions of "Embodying sexuality" and "Embodying the absence of sexuality". Accounts of "Embodying sexuality" included "Experiencing bodily ease during sex" and "Managing a dysfunctional body during sex". The women's positioning of "Embodying the absence of sexuality" included "Asexuality and the absence of desire" and "Unsuccessful attempts to renegotiate sex". Women's intrapsychic negotiation of sexual and gendered discourse, the materiality of embodied change and relationship context influenced their constructions of sexual subjectivity. These findings indicate a need for researchers and clinicians to acknowledge cultural discourses of sex and gender that shape the possibilities and constraints for women's sexual well-being after cancer.

Medical discourse has positioned the menopausal transition as a time of sexual atrophy and loss of femininity, with hormonal replacement as the solution. In contrast, feminist critics have argued that women's experience of sexual embodiment during menopause is culturally and relationally mediated, tied to discursive constructions of aging and sexuality, which are negotiated by women. The aim of this article is to present a critical examination of women's experiences of sexuality during and after the menopausal transition, drawing on previous research in this field, as well as qualitative research we have conducted with women at midlife, and women who have experienced premature menopause as a consequence of cancer treatment. We aim to challenge myths and misconceptions about the inevitability of sexual decline at menopause, as well as normalise the embodied changes that some women experience – whether menopause is premature, or occurs at midlife. We argue that sexual difficulties or disinterest reported by women during and after menopause are more strongly associated with psycho-social factors than hormonal status, in particular psychological well-being, relationship context and a woman's negotiation of cultural constructions of sex, aging and femininity. However, sexuality can continue to be a positive experience for women throughout adult life and into old age, with many menopausal women reporting increased sexual desire and response. This undermines the biomedical construction of menopause as a time of inevitable sexual atrophy and decay.

This research examines the construction and experience of premenstrual syndrome (PMS) in the context of intimate couple relationships, through examination of two contrasting cases analysed using thematic decomposition of narrative interviews. Judith and her male partner pathologised premenstrual change, constructing the premenstrual self as out of control, and the epitome of the 'monstrous feminine'. Judith reported feeling over-burdened and uncontrollably angry premenstrually, associated with relationship issues and absence of partner recognition or support. In contrast, Sophia normalised premenstrual change, challenging the association between PMS and the construction of woman as deviant or dysfunctional. Sophia reported heightened energy and creativity premenstrually, and engaged in self-care supported by her woman partner. These cases demonstrate that premenstrual distress is an intersubjective experience, with constructions and material practices within relationships providing the context for premenstrual women being positioned as pathological and needing to be contained, or conversely, as sensitive and needing support.

Multiple sclerosis can impact affected women's experiences of motherhood through physical and cognitive impairment. This study examined how women construct and experience motherhood while living with multiple sclerosis. Twenty mothers diagnosed with multiple sclerosis took part in semi-structured interviews. Transcripts were analysed using theoretical thematic analysis, drawing on feminist poststructuralist theory to organise and interpret themes. Two main themes were identified: "Performing motherhood in the context of MS" and "Bringing up a 'good' child". "Performing motherhood in the context of MS" comprises the subthemes, "The self-sacrificing mother: Negating women's needs", "The unreliable mother: Adjusting day-to-day mothering practices", and "Resisting discourses of idealised motherhood". "Bringing up a 'good' child", comprises the subthemes, "The damaging mother: Fear of harming the child" and "The good mother: Caring and building resilience in the child". Women positioned themselves as failing to be good mothers, because of limitations to their mothering, and fear of damaging children. Focusing on building children's emotional resilience functioned to restore constructions of "good" mothering. Acknowledging how Western cultural ideals influence women's experience of mothering when living with chronic illness is important. Health professionals can provide support by addressing women's feelings of failure as mothers and supporting communication with children.

Previous research has found that young women's smoking relates to their performance of feminine gender identities. Using an intersectional approach, we explore in this study how young women's smoking is implicated in the doing and undoing of femininities, as well as other intersecting identities. Discourse analysis was used to examine interviews and a photography activity conducted with young women, both current and ex-smokers. This analysis revealed four culturally dominant repertoires: "cigarettes and smoking styles as gendered", "smoking as controlling weight", "smoking as a sexual tool", and "smoking as compromising appearance". Young women's experiences and negotiations of discourse surrounding smoking and femininity were shaped by intersecting social class and sexual identities. These findings can be used to inform the development of smoking cessation interventions which recognise the diversity in how young women perform femininity.

An exceptional showcase of interdisciplinary research, Critical Inquiries for Social Justice in Mental Health presents various critical theories, methodologies, and methods for transforming mental health research and fostering socially-just mental health practices. Marina Morrow and Lorraine Halinka Malcoe have assembled an array of international scholars, activists, and practitioners whose work exposes and disrupts the dominant neoliberal and individualist practices found in contemporary mental research, policy, and practice. The contributors employ a variety of methodologies including intersectional, decolonizing, indigenous, feminist, post-structural, transgender, queer, and critical realist approaches in order to interrogate the manifestation of power relations in mental health systems and its impact on people with mental distress. Additionally, the contributors enable the reader to reimagine systems and supports designed from the bottom up, in which the people most affected have decision-making authority over their formations. Critical Inquiries for Social Justice in Mental Health demonstrates why and how theory matters for knowledge production, policy, and practice in mental health, and it creates new imaginings of decolonized and democratized mental health systems, of abundant community-centred supports, and of a world where human differences are affirmed