Sociological Images

Teen pregnancy, like obesity, is often framed as an “epidemic.”  As such, both the “epidemic” of teen pregnancy and the “epidemic” of obesity can be understood through the lens of what sociologist Stanley Cohen popularized as a “moral panic.” In Cohen’s words, moral panics are “condensed political struggles to control the means of cultural reproduction”; additionally “successful moral panics owe their appeal to their ability to find points of resonance with wider anxieties.”

“The Real Cost of Teen Pregnancy” — a public health information campaign launched by the Mayor and Human Resources Administration of New York City in March 2013 — features babies and toddlers, primarily children of color, chastising their teenage mothers. Launched at a time when teen pregnancies have actually declined, primarily due to the availability of safe and affordable reproductive health care, the accusatory “shame and blame” narrative of these images is not only out of proportion to the “problem” it seeks to address, but is weighed down by its obvious cultural narratives about teens of color, poverty, gender and sexuality.

Having a pensive toddler of color next to the slogan “Honestly Mom… chances are he won’t stay with you. What happens to me?” and a weeping boy of color next to the words “I’m twice as likely not to graduate high school because you had me as a teen,” serves to re-stigmatize single teen mothers, encouraging wider social senses of moral outrage, hostility and volatility toward young, predominantly impoverished girls of color. Not unlike cultural narratives about “welfare queens,” the campaign plays into racist and classist fears about sexually active girls of color and teenage mothers who use social services. The message just under the surface here is about the need for social control of “unruly bodies.”

These 4,000 posters, put up in buses and subways, cost a reported $10,000 per year for the city, and have already drawn harsh critique from many. Haydee Morales, vice president for education and training at Planned Parenthood of New York City, for instance, has reportedly suggested the campaign has got it backward. In her words, “It’s not teen pregnancies that cause poverty, but poverty that causes teen pregnancy.”

According to Samantha Levine, a spokesperson for New York’s Mayor Bloomberg, “it’s well past the time when anyone can afford to be value neutral when it comes to teen pregnancy.” Public health campaigns are never value neutral. They communicate social beliefs about normalcy, productivity, desirability, and cultural worth.

An additional cost of the unexamined acceptance of this new teen pregnancy campaign is accepting yet another narrative about individual choice over systemic change. Placing responsibility on the shoulders of the individual, such campaigns silence more complex conversations about accessible and affordable reproductive health care, anti-poverty campaigns, and gender and social justice work. Instead of buying into the “moral panic” of teen pregnancy, perhaps the mayor’s office might look into more long lasting and less stigmatizing possibilities of structural change to improve the lives of young women in New York City.

“Shame and blame” has rarely gotten public health anywhere. In the words of researcher and speaker Brené Brown, “Shame diminishes our capacity for empathy. Shame corrodes the very part of us that believes we are capable of change.”

Sayantani DasGupta is a faculty member in Narrative Medicine at Columbia University. She is the editor of Stories of Illness and Healing: Women Write their Bodies,  co-authored The Demon Slayers and Other Stories: Bengali Folktales, and authored Her Own Medicine: A Woman’s Journey from Student to Doctor.

Cross-posted at Inequality by (Interior) Design.

The problem:

A Brazilian modeling agency, Star Models, recently released a new series of anti-anorexia PSA advertisements. They illustrate one of the ways ultra-thin body ideals characterizing women’s bodies in the fashion industry today are institutionalized, or made part of the way we “do” fashion. Fashion sketches — the way that people communicate designs to one another — idealize these bodies, with their exaggerated proportions, long slender limbs, and expressionless faces. The PSAs place real women alongside the sketches, graphically altered to similar proportions, in order to problematize the ideal.

Sociology professors are constantly asking students to analyze what they might be taking for granted. One issue we take for granted is that the images on the left are what “fashion” looks like and ought to look like. That they are culturally recognizable as fashion sketches speaks to the ways in which hyper-thin feminine bodies are institutionalized at a fundamental level in the fashion industry today.

The Dove Evolution video – as a part of their “Campaign for Real Beauty” — vividly illustrates the work that goes into the production of advertisements. Using a time-lapse video depicting the diverse labor that goes into the production of an ad was a simple illustration of the impossibility of contemporary beauty ideals. Viewers are left thinking, “Of course we can’t look like that. She doesn’t even look like that.”

Star Models’ anti-anorexia ads promote a similar message, but also call our attention to the more dangerous aspects of adherence to industry ideals. Similar to depictions of what Barbie might look like as a real woman, altered images of dangerously thin models aside these sketches have a very different feel from the sketches they imitate.

What is being done about it?

In 2007, the Council of Fashion Designers of America (CFDA) passed a Health Initiative in recognition of an increasingly global concern with the unhealthily thin bodies of models and whether/how to promote change in the industry. The CFDA is working to better educate those inside the industry to identify individuals at risk, to require models with eating disorders to seek help and acquire professional approval to continue working, to develop workshops promoting dialog on these issues, and more.

The CFDA’s Health Initiative, however, treats eating disorders as an individual rather than social problem. This allows the CFDA to obscure the role it might play in perpetuating cultural desires for the very bodies it purports to “help” with the Health Initiative.

Susan Bordo famously wrote about anorexia as what she termed “the crystallization of culture.” We like to draw firm boundaries between normality and pathology. But Bordo suggests that anorexia is more profitably analyzed as culturally normative than as abnormal. Similarly, Star Models’ PSAs play a role in framing the fashion industry as (at least partially) responsible for ultra-thin feminine body ideals. Yet, they arguably fall short of providing institutional-level solutions as the tagline — ”You are not a sketch. Say no to anorexia.” — concentrates on individuals.

The CFDA’s focus on health initiatives and support for individuals suffering from anorexia, bulimia and other eating disorders are critical aspects of recognizing issues that seem to plague the fashion industry. While this surely helps some individual women, the initiatives simultaneously avoid the cultural pressures (in which the fashion industry arguably plays a critical role) that work to systematically conflate feminine beauty with ultra-thin ideals. Similar to problems associated with focusing attention only on the survivors of sexual assaults (failing to recognize the ways that sexual violence is both institutionalized and embedded in our culture), these images simply illustrate that individual-level solutions are unlikely to produce change precisely because they fail to locate “the problem” and ignore the diverse social institutions and ideals that assist in its reproduction.

Thanks to a student in my Sociology of Gender course, Sandra Little, for bringing this campaign to my attention.

Tristan Bridges is a sociologist of gender and sexuality at the College at Brockport (SUNY).  Dr. Bridges blogs about some of this research and more at Inequality by (Interior) Design.  You can follow him on twitter @tristanbphd.

Originally posted in 2010. Re-posted in honor of Women’s History Month.

When I teach gender I always talk about the ways in which societies actively construct ideas that men and women have very different bodies, capable of different things. In the U.S., our gender ideology includes the belief that female bodies are weaker than male ones, more fragile. Particularly in the Victorian Era, this belief led doctors to discourage physical activity by women. Among a range of other concerns, doctors argued that physical exertion in women might cause their organs (particularly the reproductive organs) to become dislodged and wander around the body, causing all types of problems. I know I’d certainly be distressed if my uterus migrated and I ended up pregnant and carrying a fetus in, say, my elbow.

A result of this, of course, is that (White) women were discouraged from being physically active and taking part in sports. This, combined with heavy clothing and corsets that actually did shove organs around, led to the condition that the medical community claimed already existed: women’s bodies were less capable of physical exertion than men’s and they were more likely to faint (corsets often making it difficult to breathe adequately). It’s a self-fulfilling prophecy: if you believe women’s bodies are weaker than men’s and thus discourage or even prohibit women from being physically active, you create differences in physical capability and fitness that you can then claim prove you were right all along.

James T. found this awesome ad for a product that, among other amazing things, ends “misplaced organs” and will even move them back where they belong (from Modern Mechanix). The ad (from 1934) says that satisfied users include both men and women, but concerns about misplaced organs were a concern applied predominantly to women:

Medical practitioners weren’t just worried about physical exertion. They believed mental activity could be harmful to women as well; perhaps all that thinking meant the brain would take blood away from the reproductive organs and lead to infertility. A common diagnosis for women was “hysteria,” a general term that could be applied to almost any woman. A common “cure” for hysteria was bed rest, preventing both physical and mental activity. The diagnosis of hysteria served as a justification for severely limiting women’s activities, drawing on the ideology of the fragile female body. Charlotte Perkins Gilman wrote the classic short story “The Yellow Wallpaper” after her own experience of being forced to stay in bed with no mental stimulation, not even books.

Hysteria was also often associated with sexual problems, including a lack of interest in sex. The cure for this was “vaginal massage,” which was exactly what you think it was. This was done manually in doctors’ offices, but eventually mechanical vibrators became widely available, allowing women to treat their hysteria more cheaply and at home, and reducing the time it took to produce a “paroxysm”:

“Very useful and satisfactory for home service.” Uh huh. I bet women did indeed appreciate them.

I find it fascinating that the construction of (middle/upper class White) women as “hysterical” and often sexually repressed and frigid made it acceptable for them to purchase a product that allowed them to sexually satisfy themselves at a time when masturbation was still widely vilified, and excuse it on the grounds that it was medically prescribed.

The Institute of Medicine and the National Research Council released some damaging numbers this month: Americans ranks startlingly low in life expectancy, compared to 16 other similarly developed countries.  This is especially true for younger Americans. Indeed, among people 55 and under, we rank dead last.  Among those 50-80 years old, our life expectancy is 3rd or 2nd to last.

Sabrina Tavernise at the New York Times reports that the “major contributors” to low life expectancy among younger Americans are high rates of death from guns, car accidents, and drug overdoses.  We also have the highest rate of diabetes and the second-highest death rate from lung and heart disease.

Americans had “the lowest probability over all of surviving to the age of 50.”  The numbers for American men were slightly worse than those for women. Overall, life expectancy for men was 17 out of 17; women came in 16th.  Education and poverty made a difference too, as did the more generous social services provided by the other countries in the study.

What isn’t making a difference?  Apparently our incredible rate of health care spending.

Via Citings and Sightings.

Cross-posted at Sociology Lens.

A number of researchers suggest that the marketing and advertising of Gardasil has been aimed at girls and women instead of boys and men. In this post I discuss two contradictory messages aimed at women through these advertisements.

The first type of ad focused around the protection of young girls. The makers of Gardasil imply that being a good parent means vaccinating your daughter and therefore protecting her from cervical cancer (an observation also made here at Sociological Images). For example, one advertisement read, “How do you help your daughter become one less life affected by cervical cancer?” Another advertisement had a similar sentiment, stating “Your daughter can’t possibly know the importance of the cervical cancer vaccine, but thankfully, she has her mother” (source).

This narrative of protectionism is not surprising. In other contexts, like sex education debates, the discourse about adolescent sexuality, and in particular, girls’ sexuality, reveals a desire to protect their “innocence.”

The other type of ad moves away from the narrative of protectionism and focuses on empowerment and choice. One ad stated, “I chose to get vaccinated after my doctor to me the facts” (source). Another ad read, “I chose to get vaccinated because my dreams don’t include cervical cancer” (source).

Instead of focusing on the ways in which girls and women can be protected, the ads suggest that girls and women need to protect themselves. It seems like the advertising department at Merck (the makers of Gardasil) recognize that they needed another strategy if they wanted to appeal to young women who feel empowered about their sex lives.

These two strategies are opposed to one another. One strategy suggests that girls and women need to be protected, while the other strategy relies on the ability of girls and women to be active and educated decision makers. Merck is tapping into two gendered narratives in order to sell to as many people as possible. This is, of course, the way that advertising works. But it does reveal the different, and sometimes contradictory, cultural ideas about women’s sexuality, ideas that advertisers will draw on in order to make a profit.

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Cheryl Llewellyn is a Ph.D. candidate in sociology at Stony Brook University.  She writes for Sociology Lens, where you can read her post about the feminization of the Gardasil.

While I’m most well-known for my work on hook up culture, I’ve written extensively on a different topic altogether: how Americans talk about female genital cutting practices (FGCs), better known as female genital “mutilation.”  While FGCs are passionately opposed by essentially all Americans who learn about them, our understanding of the practices is, in fact, skewed by misinformation, ethnocentrism, and a history of portraying Africa as naively “backwards” or cruelly “barbaric.”

The main source of distortion has been the mass media.  Aiming to encourage journalists to think twice when covering the topic, the Hastings Center has released a report by the Public Policy Advisory Network on Female Genital Surgeries in Africa.  In the rest of this post, I briefly discuss some of the things they want journalists — and the rest of us — to know and add a couple of my own:

Using the word “mutilation” is counterproductive.

People who support genital cutting typically believe that a cut body is a more aesthetically pleasing one.  The term “mutilation” may appeal to certain Westerners, but people in communities where cutting occurs largely find the term confusing or offensive.

Media coverage usually focuses on one of the more rare types of genital cutting: infibulation.

Infibulation involves trimming and fusing the labia so as to close the vulva, leaving an opening in the back for intercourse, urination, and menses.  In fact, 10% of the procedures involve infibulation.  The remainder involve trimming, cutting, or scarification of the clitoris, clitoral hood (prepuce), or labia minora or majora.  While none of these procedures likely sound appealing, some are more extensive than others.

Research has shown that women with cutting are sexually responsive.

Women who have undergone genital surgeries report “rich sexual lives, including desire, arousal, orgasm, and satisfaction…”  This is true among women who have experienced clitoral reductions and undergone infibulation, as well as women who’ve undergone lesser forms of cutting.

Health complications of genital cutting “represent the exception rather than the rule.”

News reports often include long lists of acute and long-term negative medical consequences of FGCs, and these may feel intuitively true, but efforts to document their incidence suggest that health problems are, for the most part, no more common in cut than uncut women.  The Report concludes: “…from a public health point of view, the vast majority of genital surgeries in Africa are safe, even with current procedures and under current conditions.”

Girls are not generally cut in response to the influence of cruel patriarchs.

Most societies that cut girls also cut boys; some groups that engage in cutting have relatively permissive sexual rules for women, some do not; and female genital cutting practices are typically controlled and organized by women (correspondingly, men control male genital surgeries).

FGCs are not an “African practice.”

The procedures we label “female genital mutilation” occur only in some parts of Africa and occur outside of the continent as well (source):

Moreover, cosmetic genital surgeries in the U.S. are among the fastest growing procedures.  These include clitoral reduction, circumcision of the clitoral foreskin, labia trimming, and vaginal tightening, not to mention mons liposuction, collagen injected into the g-spot, color correction of the vulva, and anal bleaching.  While it would be simplistic to say that these are the same as the procedures we typically call “mutilation,” they are not totally different either.

Western-led efforts to eliminate FGCs are largely ineffective and sometimes backfire.

It turns out that people don’t appreciate being told that they are barbaric, ignorant of their own bodies, or cruel to their children.  Benevolent strangers who try to stop cutting in communities, as well as top-down laws instituted by politicians (often in response to Western pressure), are very rarely successful.  The most impressive interventions have involved giving communities resources to achieve whatever goals they desire and getting out of the way.

In sum, it’s high time Americans adopt a more balanced view of female genital cutting practices.  Reading The Hastings Center Report is a good start.  You might also pick up Genital Cutting and Transnational Sisterhood by Stanlie James and Claire Robertson.  Full text links to my papers on the topic, including a discourse analysis of 30 years of the academic conversation, can be found here.

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Lisa Wade is a professor of sociology at Occidental College.  She frequently delivers public lectures about female genital cutting. You can follow her on Twitter and Facebook.

The New York Times‘ Sabrina Tavernise reports that the long term trend of increasing life expectancy has reversed it self among one specific group of people.  Between 1990 and 2008, the life expectancy of White men and women without high school degrees has dropped.  Women have lost five years, men three.

The difference in the life expectancy between men and women without high school degrees and those who complete college are even more striking.  Women with a college degree can expect to live, on average, more than 10 years longer than high school drop outs.  Among men, the gap is even larger, a whopping 13 years.

The words “alarming” and “vexing” were used to describe this drop in life expectancy.  Scholars are still unsure of its causes, but note the stress of balancing work and family, “a spike in prescription drug overdoses among young whites, higher rates of smoking among less educated white women, rising obesity, and a steady increase in the number of the least educated Americans who lack health insurance.”

Ultimately, they argue, as fewer and fewer people fail to graduate from high school, the concentration of disadvantages in those that do are making this population especially vulnerable to all kinds of ills, some of which kill them.

Hat tip to The Global Sociology Blog.