book reviews

Powder book trailer

“The future will be gorgeous and reckless, and words, those luminous charms, will set us free again.”  This dazzling quote by Carole Maso serves as the epigraph to Powder: Writing by Women in the Ranks, from Vietnam to Iraq, and reflects one of the book’s central intentions — the power of using words to cast light on often dark subjects.  The phrase is also a motto of sorts for Kore Press, a literary press in Tucson, AZ deeply committed to publishing and promoting women authors.  At a time when lack of attention to female authors is a justifiably hot topic this book and Kore’s mission is as vital as ever.

The word “powder” evokes a range of nuances — face powder, baby powder, gun powder, the powdery sand of the desert, the rubbled powder left by a blast. As the editors point out, the word “POW” also lurks within.  This moving and deeply original collection is shadowed by the thought that any powder’s fine particles indicate disintegration. The contributors have sifted through the remains of their experiences to find the precious grains within. Powder offers rare insight into the lives of women in the military, acutely highlighting the tensions between speaking and silence, being female in a heavily masculinized realm, the fraught desire to serve one’s country while often marginalized by the very institution to which these women want to be loyal.

Admirably far-ranging in locations, time frames, and wars represented, the book’s rawest power comes from hearing the women’s voices in concert. Unusual within the genre of anthology, instead of a brief bio at the book’s end, each contributor receives a full page with a photo and a paragraph explaining her motivation for joining the military, what she gained or lost, and answers if she would serve again.  In correspondence with her creative work, these mini-autobiographies highlight the contrast between civilian and solider selves, revealing a compellingly reflective aftermath. Some recount horrors experienced, some moments of unexpected tenderness, some furor at the injustice they saw.  Dr. Donna Dean writes of enlisting before Vietnam when the only jobs open to women seemed “killingly boring” and her now unrelenting PTSD.  Some express motivation to use writing for therapeutic purposes and several have impressive MFA degrees.

The writing is viscerally felt, and has been receiving great attention, as contributors describe wartime horrors, both large and small, often what it is like to feel powerful then powerless in quick succession as they reveal the stringencies and rigor of the military, its entrenched sexism and often disdain for woman within its system. The book’s glossary decodes that “WM” stands for Women Marines, but more than one story reveals this is popularly defined as “Whatta Mistake” or “Wasted Money.” The tension between the obedience the military demands and the need to give voice to personal witness is strong.

In the brief chapter “Enemy in the Ranks” Christy L. Clothier gives a harrowing account of attempted rape, along with subsequent trial and the anguishing resistance to prosecution she encounters.  Her piece ends with her poignant recollection of her second day of basic training and how empowering it felt to scream, particularly after surviving domestic abuse as a military wife when she had learned “never to yell.” She writes, “it was the first time I had heard my voice sound strong.”  Her story is followed by the poem “Yes, Sir!” in which Elizabeth Keough McDonald writes about the uncomfortable feeling of being the only woman in a group enduring a sexual joke and consequent abuses of power.

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Recently, I had the pleasure of corresponding with sociologists Chloe Bird and Pat Rieker about their book Gender and Health: Constrained Choices and Social Policies (Cambridge University Press, 2008), credited as the “first book to examine how men’s and women’s lives and their physiology contribute to differences in their health.” I was curious how the authors see their research relating to some of the health topics that have made headlines in recent months. Gender And Health: The Effects Of Constrained Choices And Social Policies, Chloe E. Bird, Patricia P. Rieker, 0521682800

Nack: Starting off with the topic of mental, health, you’ve written about sex-based differences.  Reflecting on recent articles, like NYT’s In Anxious Times, Medical Help for the Mind as Well as the Body, how does your book add to our understanding of and concern for policies like the Mental Health Parity Act?

 

Rieker:  Our book provides concrete data for why the Mental Health Parity Act is such a strategic and critical addition to general health care policy.  We focus on gender differences in mental health, particularly depression and substance abuse disorders.  Although the overall rates of mental illness are similar between men and women, if you look at it by specific disease, then you see large gender differences.  Women’s depression and anxiety rates are double that of men’s; while men’s rates of substance abuse and impulse control disorders are double that of women’s. Available research shows that individuals with serious mental health problems also have more physical health issues, including a lower life span. Both social and medical interventions are needed to prevent and treat these socially and financially costly conditions which create enormous health burdens on individuals, who may become unable to perform work and other social roles, and their families, Employers and society, as a whole, bear additional costs. 

 

Bird:  Also, differences in men’s and women’s lives can affect their utilization of mental health care and the effectiveness of specific interventions. We need systematic assessments of the effectiveness of treatments/approaches for both men and women, which can ultimately lead to better physical and mental health outcomes. The US has fallen behind Canada and other countries which require this approach in federally-funded research. 

 

Nack: How are the differences between men’s and women’s mental health problems particularly relevant as we consider the impact of the economic downturn, in general, and, with regard to healthcare coverage, the rising numbers of uninsured and underinsured Americans?

 

Rieker:  In the current poor economic climate, many men and women are experiencing increased stress/anxiety when losing jobs which may have provided dependable incomes and health insurance. Constant worry, itself, leads to ill health and exacerbates existing underlying conditions (e.g., cardiovascular and respiratory conditions).  Our framework of constrained choice illustrates how social and economic policy can reduce or enhance the options and opportunities for individuals to engage in healthy behaviors such as not smoking, not drinking to excess, eating well, and exercising.  While some individuals respond to economic downturns by temporarily limiting costly habits of smoking or drinking, we argue that more could be done at different policy levels to encourage positive health behaviors and coping strategies that improve physical and mental health. more...

Check out Mandy Van Deven’s interview with Mumbai-born author and architect, Meera Godbole Krishnamurthy, in which they discuss the author’s new novel, Balancing Act (Penguin Books India), her experience of coming to writing as an architect, and her thoughts on building an identity as a feminist mother. You can find their conversation over at Bitch Magazine.

Cover of "Women of Color and Feminism" by Maythee Rojas (Seal Press, 2009)

Maythee Rojas is a teacher, critic, and writer.  Author of the new book Women of Color and Feminism (Seal Press), she is currently an associate professor in women’s, gender, and sexuality studies at California State University, Long Beach.   The book is a fascinating overview of feminist history and the construction of identity politics within feminist movements, with a diverse representation of notable icons, which includes not only Anna Mae Pictou-Aquash and Saartjie Baartman, but Tracy Chapman and Laura Aguilar as well.  It’s a smart, page-turning read that offers numerous examples to illustrate powerful points.  The book easily belongs in the hands of the many online feminists today who are in search of a book to start the critical journey of self-education on the connections between race, class, sexuality and gender.

Over phone and email, I recently spoke with Maythee Rojas about intersectionality, resisting multiple oppressions within feminist movements, and the hopes for her new book in addressing important issues of race, class, gender, and sexuality in feminism(s) today:

Allison McCarthy:  What led you to working on a book focused on women of color and feminism?

Maythee Rojas: I have been teaching a course on the subject for the last nine years and the literature and theory by women of color is something I have studied closely as a scholar. However, when I set out to write this book, I wanted to avoid writing something that could be construed as the authoritative book on women of color.  There’s no such thing, nor should there be. I respect Seal for taking something academic and making a commitment to developing it as part of a mainstream series. It helps create bridges with the academic world and find new audiences beyond the Ivory Tower.  My hope is that this book will lead other presses – mainstream and academic — to publish more works on women of color.

AM:  In what ways did your academic research on Chicana/o and Latina/o literature contribute to your literary vision for Women of Color and Feminism?
MR: In the book, I consciously attempt to focus on multiple groups and communities. Learning about Chicana/o and Latina/o culture has never been in isolation for me.  In fact, if you look at the history, experiences, and creative expressions of Chicana/os and Latina/os, you’ll find that other communities of color have often influenced them.  There’s a lot of overlap in terms of the messages relayed and socio-political issues addressed.  As a scholar, I have the same approach: having a specialization in Chicana/o and Latina/o literature requires me to think about other groups in an intersectional manner.

AM:  Why do you see the theory of intersectionality as critical for all feminists when addressing issues raised by women of color?
MR: Intersectionality applies to everyone, period.  We all have multiple facets of identity.  However, intersectionality is often applied only to those who do not fit mainstream categories of identity. Much of it has to do with people’s lack of deep introspection; or, whether they are willing to think about their positions of privilege on a daily basis and the effect of their actions upon others.  It’s a journey of integrity and honesty that’s a part of self-actualization in our lives.  If feminism is truly going to produce the result of equality for women and opportunities in a less biased society, we have to think about how women from different communities can reach that success.  We’re not all on the same level in any place.  What factors and what privileges stand in the way?  It’s really about working collectively.  It requires reflecting on people around you: their lives, opportunities, limitations.  If you’re working in a social justice movement or a place of transformation, you have to take those factors into account or it’s going to be a flawed attempt.  It does require those things.

AM:  How have women of color, outside of global feminist movements, contributed to a greater public understanding of gender, race, class, and sexuality?
MR: I think it’s through daily actions.  The interactions of everyday life are bound to challenge us.  So often, we have perceptions of others based on media, politics, and education.  However, when we encounter people who embody particular markers of race and class and sexuality and we interact with them, those markers fall away to flesh and bone individuals.  I also think our interactions with non-academics – our families and friends– teach us as much about culture as they do about them.  It’s more about what we are willing to open ourselves up to.  Does what we what learn about others connect with what we assumed about their background, sexuality, culture?  To more specifically answer your question, I believe women of color contribute to life through their daily interactions in public spaces, through the ways they raise their families, through the challenges they make to a system, a classroom, a workplace, etc.  For creatively minded individuals, it’s also through their cultural production (art, film, music, etc) and how they shape these expressions to share with other people.  I think a lot of people aren’t actually part of organized social movements, but that doesn’t mean they aren’t part of social change.

AM:  Have the feminist movements of past and present failed to address the needs and lives of women of color?
MR: I don’t think they’ve outright failed.  If I believed that, I would have to rethink why I am in Women’s Studies.  Have they had their shortcomings?  Yeah.  But that’s part of understanding that we haven’t accomplished all the goals of feminism and there’s a lot left to do.  I think it’s important that we’re critical of these shortcomings and that we register our disappointments.  We can use that as a preventive measure.  The book is rather critical at times of past movements, but I don’t think it argues that they haven’t worked at all. The people who have been responsible for writing about feminism and promoting feminism have been remiss in their inclusion of women of color and that’s important to take into account.  How willing are feminists to really self-interrogate, to really consider what they’ve gained at the expense of others, what hasn’t been achieved in the ongoing project of feminism?  For us to stay abreast of what hasn’t worked, what hasn’t been done, and whose voices are missing keeps us alive and moving forward toward an ideal.  Even if it’s not achieved in our lifetime, it shouldn’t be something we stop striving for.

AM:  Who did you envision as the audience for this book?  Have any of the responses to the book thus far surprised you?
MR: I kind of thought about it in two ways.  One of the audiences it’s geared towards is obviously college students, both graduate and undergraduate, and I think you can hear that in the classroom descriptions I use.  I was also encouraged to learn that it would be available in independent and mainstream bookstores, so that anyone could find her/his way to the book.  You might think that a book on women of color is only for women of color.  I can’t stop anyone from thinking that, but I hope that for anyone who reads past the first few lines, the reader will see that it’s for anyone who is interested in knowing themselves better and knowing more about the world around them.

AM: What projects are you currently working on?
MR: I have three projects that I’d like to see happen.  First, I want to finish my book, Following the Flesh: Embodied Transgressions in Chicana Literature, which looks at literary characters who are cast as “bad” women (mistresses, murderers, lesbians) and are maligned by society, and help us rethink what “bad” means. Examining these issues within both US and Latin American contexts, the book addresses crossing not only social borders, but also physical ones.  The next project I would like to pursue is a cultural history of Latinos and dogs. Drawn by my own passion for animals, I’m really interested in looking at how dogs show up in Latino culture.  Living in L.A. with a large Latino population and a dog-friendly attitude, there have been several race and class bias in the city’s laws that have been passed and I wanted to address those biases. I’m also interested in immigration issues in terms of how they relate to cultural shifts about pets as immigrants become more assimilated to the US.  A third project, which is much farther down the line, is a cultural history on feminism in Costa Rica.  My grandmother is nearing her 104th birthday and I would like to parallel her personal experiences as a woman (she has lived a very nontraditional life) with the development of women’s lives and issues in Costa Rica over the past century.  I imagine describing the historical and social changes of my family’s country vis-à-vis my grandmother’s own life.

Before I moved to Los Angeles a little over a year ago, I had never heard people speak with complete lack of irony about their television-watching habits, certainly never academics.  Among the revelations I’ve experienced since moving one of the biggest has been realizing how serious so many people are about what’s on the tube. In La-La Land, of course, because so many work within this industry.

What a pleasure to then discover Merri Lisa Johnson’s book Third Wave Feminism and Television: Jane Puts It in A Box with its feminist counter to what’s seen on the screen (see below).  The subtitle riffs off of one of Johnson’s previous books Jane Sexes It Up. This anthology covers many of the cable favorites from the past decade: The Sopranos, The L Word, Six Feet Under, and Queer as Folk, among others, and a show that has spawned its own subgenre of academic inquiry: Buffy the Vampire Slayer.

In her intro “Ladies Love Your Box: The Rhetoric of Pleasure and Danger in Feminist Television Studies,” Johnson harkens back to the now classic essay “Visual Pleasures and Narrative Cinema” by Laura Mulvey and the complicated, gendered relationships long explored between pleasure and spectatorship.  Johnson compellingly outlines her own position in both settling on the couch for a night of cable and wrestling with the theoretical assumptions this act also contains, particularly as a third-wave feminist.  She considers how television is now embracing characters who can be identified along a range of sexual positions and feminist roles and the complicated relationship the viewer enters into by watching.  The book’s contributors explore how plotlines, characters, and thematic twists can be considered progressive as they look through the lens of feminist and queer theory and the scope of cultural studies.

In “Primetime Harem Fantasites: Marriage, Monogamy, and A Bit of Feminist Fanfiction on ABC’s The Bachelor” Katherine Frank offers analysis of the show and its popularity with the imagined alternative ending of a non-monogamous choice or critique of the strictures of heterosexual monogamy that celebrates the finding of “the One.”  Laura Stemple’s essay on “HBO’s OZ and the Fight Against Prisoner Rape: Chronicles from the Front Line” opens with a narrative about her work as former executive director of Stop Prisoner Rape, “a national human rights organization working to end the sexual abuse of men, women, and youth behind bars.”  As the show OZ aired, Stemple finds herself stunned by the “gloves-off nature of OZ” with realistic depictions of the effects of prisoner rape, and the psychological dimension of abuse prisoners experience and how this brought victims forward to her center.  She notes that OZ‘s sixth and final season “ran in 2003, the same year in which the first federal legislation to address prisoner rape, The Prison Rape Elimination Act” was signed into law.

On a different note, in Candace Moore’s “Getting Wet: The Heteroflexibility of Showtime’s The L Word” she writes how the show accesses a range of methods to make “straight tourists into queer-friendly travelers” incorporating what she calls “the tourist gaze” sometimes by craftily using “immersion and distance” through camera work and the show’s visual rhetoric.   Cultivating “the tourist gaze,” Moore says, “in politically positive ways” the show moves along an axis between queer and straight viewers allowing for access of “multiple desires and sensibilities.”

On the cusp of big-movie release season, nevermind the plethora of holiday “specials,” Johnson’s book offers welcome relief as its astute critics offer analysis and provocative perspectives on television’s influences. On this holiday weekend, good feminist, media watching to all.

In Of Woman Born, Adrienne Rich famously made the distinction between the institution of patriarchal motherhood and the experience of motherhood. I’ve always wondered to what degree this distinction bears out in other countries and cultures. According to a new book, Motherhood in India: Glorification without Empowerment?, published by Routledge India and edited by Maithreyi KrishnarajIndia also suffers from a gap between the cultural glorification of mothers and the actual treatment of mothers. Many thanks to writer and Feminist Review blogger Mandy Van Deven, who just told me about it! Mandy wrote a great piece for The Women’s International Perspective (The WIP) in which she interviews Veena Poonancha, one of the book’s contributors. Read her article, Parvati’s Burden: Scratching the Surface of Motherhood in India,” over at The WIP.

Speaking of motherhood: I’m heading out to the National Women’s Studies Association conference in Atlanta tomorrow, where I’ll be on a panel entitled “Globalizing Motherhood Studies” (and another one on “Feminist Publishing 2.0″)–and will be conference blogging (along with fellow Girl with Penner Alison Piepmeier) over at She Writes!

Not far into Nona Willis Aronowitz and Emma Bee Bernstein’s book, Girldrive: Criss-Crossing America, Redefining Feminism, the word drive takes on new definition. Friends since they were 11, the duo spent summers together at Camp Kinderland, (where they return to teach a gender awareness workshop at their journey’s end). Aronowitz describes their mutual upbringing as one in which they incubated within the same “bubble: the liberal Jewish one that inhabits New York’s Upper West Side and Greenwich Village.” Post-college, over Bloody Marys and brunch, they hatch a plan to drive across America to try to understand what feminism means to twentysomethings outside this shell. After planning and saving, they set off for an odyssey of exploration, crashing on couches, interviewing in living rooms as well as in bars, doing their best to catch the flavor of whatever city they’re in and to measure how the word “feminist” translates.

Through series of snapshots – both visual and written – they tease out from their interviewees whether or not they comfortably embrace the word “feminist” as part of their self-definition. The book feels like a gloss – in the best sense – Bernstein’s photos are vivid and edgy as is each page’s sleek design. Aronowitz is responsible for the bulk of the writing and through her capsule write-ups she imbues mutable definitions into the word “feminist.”

The two discover a “badass feminist posse in Baton Rouge,” are so taken with the “fascinating women in Nashville,” they say on an extra day, dress up as frumpy second-wavers for some Halloween partying on the Las Vegas strip. They interview members of Big Star Burlesque, a plus-size dance troupe in Austin, chat with graduate students in San Diego and parse the contributions and detriments of “academic feminism,” learn from a young single mother on welfare tending bar in Sioux Falls, and bring some of their “guy friends” directly into the discussion in Kansas City. They drop acid in Abiquiu, follow a text to an afterhours “noise show” in Portland, feel surprised by Seattle’s “crunchy clean,” spend much of their holidays in New York City zigzagging across the boroughs to capture the rich communities of writers, artists, and activists they find.

The effect is one of pastiche, weaving, or braiding, all good second-wave tropes, but with the conversation focused on third-wave concerns. Aronowitz and Bernstein are transparent about their process throughout – and frank about what surprised them. Working out and through the interconnective fibers that bind generations of women is their work. They encounter women who mightily resist the word “feminist” due to generational preconceptions, but still desperately want gender injustice to end. Some embrace the word “humanist” or just want to be called an activist, minus any labels. When some women were confused by what the word “feminist” even meant, the two asked, “What pisses you off about being a woman?” or “What keeps you up nights?” often to a flood of response. The collective narrative picks up friction when Aronowitz and Bernstein openly grapple with women who say they plan to have a “traditional” marriage or eschew premarital sex or are ardently anti-choice. These moments are compelling as Aronowitz and Bernstein gamely push up against these comments, and fairly include them.

Interviews with second wave feminists leaven the book as the two ask what legacy has been handed down, and what these women hope for their generation. The two sit down with Erica Jong, Katha Pollitt (and her daughter), Michele Wallace, poets Mei-Mei Berssenbrugge and Anne Waldman, Starhawk, (among others), pay homage to Kathleen Hanna, and close the book with an interview with feminist artist Susan Bee Bernstein, Emma’s mother.

If I could wish for one change, it would be less breadth. Surveying with a wide lens is the point of their project – to collage viewpoints and show the multiplicity of meanings that inhabit the word “feminist.” Yet at times the interviewees’ comments are so brief they don’t allow meaning to accrete. The richest part of the book is its sheer panoply of voices and images, but more interstitial reflection would help frame the montage.

It is impossible to not commend the two for the ambitious scope of this project, to admire their commitment, and the sense of passion present in their quest. Sadly, it’s also impossible to not think about the losses that accompany the book – especially the resonating silence that surrounds losing the voice of a young feminist from the collective conversation. But the echo left is one of fervid dialogue – richly diverse – engaged in trying to create what changes lie ahead.

Just a quick shout out to a number of authors with FANTABULOUS feminist books out this fall.  Congrats, admiration, and heartfelt kudos to:

1. GWP’s very own Elline Lipkin, who penned Girls’ Studies, hot off the presses from Seal; it’s the latest in the Seal Studies series (which includes Shira Tarrant’s most excellent Men and Feminism of course too!) and gets the thumbs up from Peggy Orenstein who says “If I were to recommend one book to students of the field, Girls Studies would be it.”

2. Demos Distinguished Senior Fellow Linda Tarr-Whelan, whose book Women Lead the Way: Your Guide to Stepping Up to Leadership and Changing the World offers practical steps for women to bring their passions, brains, and background to the power tables and make life better for themselves, their companies/organizations, and the world.  We’ve still got a ways to go.

3. Clarie Mysko, formerly of Girls Inc, whose book Does This Pregnancy Make Me Look Fat?: The Essential Guide to Loving Your Body Before and After Baby and whose body activism could not have come at a better time for this soon-to-be mama over here.

4. Jacquette Timmons, a compadre of mine from Woodhull, whose inaugural book Financial Intimacy: How to Create a Healthy Relationship with Your Money and Your Mate smartly addresses the financial issues that couples face, examining how family background, personal choices, and socioeconomic and cultural influences affect the way women merge love and money.

…and lastly, a book long-awaited, the publication of which is now poignantly bittersweet…

5. Nona Willis-Aronowitz and the late (and much missed) Emma Bee Bernstein, whose Girldrive: Criss-Crossing America, Redefining Feminism. It’s a road trip, a blog, a book, and, quite frankly, an inspiration. You can join the community by visiting: http://www.girl-drive.com/community/.  Watch the trailer here.

I hope you’ll join me in supporting these amazing writers by buying, reading, and spreading word about their new and important work!

http://elizabethgregory.net/images/book_ready.jpg If I could think of a topic that travels around the conversations of most women I know, the choice to have a child, and when, often lives pretty near the top of the list.  Following it comes a litany of concerns: how to juggle career, partnerhood, personal and professional ambitions, and more.  Elizabeth Gregory, Director of the Women’s Studies Program at the University of Houston, as well as Full Professor of English, tackles the topic of timing in Ready: Why Women are Embracing the New Later Motherhood with results that bring relief — both in the sense that there is good news to uncover amid all the swirling anxiety, and relief as the strong, clear reasons why many women choose to delay motherhood stand out against a grey fog of cultural pressure that warns against it.

Over two and a half years, Gregory interviews 113 women of diverse backgrounds (gay and straight as well as single and coupled) and focuses on the choices of women who become first-time mothers at age 35 or older.  Recognizing that “later” motherhood is nothing new, Gregory articulates how the difference is that women are now choosing to have first children, rather than last, at what is labeled “advanced maternal age.”  The choices that spur this change swim the  currents of women’s lives: the advent of birth control, and correspondingly, advances with fertility treatment; access to education and the desire for a career; refusal to marry just to gain a spouse, with instead the desire to wait for a peer relationship; commitment to financial security that eschews dependence on a partner.  The best news is how often the women interviewed express deep contentment with their paths.

Gregory’s statistics are compelling: “One of every 12 babies born to first-time mothers in 2006 was born to a woman 35 or older. In 1970, the figure was one in 100.”  Her research reflects the financial as well as emotional rewards of this choice.  She points out that “among full-time workers between 40 and 45 with professional degrees, those who had their first child at 25 made an average of $46,000, while those who waited until 35 made $79,000. A woman’s average long-term salary increases by 3 percent for each year she delays children.” Her exploration of the politics surrounding labor (during birth and other maternal work) and childcare issues continues on her blog “Domestic Product” and in several thought pieces available online.

Ready rounds a spectrum of reasons why women choose to delay, with many citing better emotional preparedness at later ages, as well as not wanting to rush new relationships, or women’s own enjoyment of their 20s and 30s, alongside the desire to be more financially powerful and advanced in their careers, hence better able to leverage work/family balance.  Women who come later to motherhood are more likely to have higher levels of education, more stable partnerships, and be in “peer marriages,” with active partners who commit equally to childcare. Most cheering is the overall positive sense of choice.

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Welcome to the first official post for Bedside Manners. As a sexual health researcher and book author, I receive a lot of emails from women and men who are dealing with sexually transmitted diseases. Yesterday, I replied to Liza, a 25 year-old married, monogamous woman who had just been diagnosed with a serious cervical HPV infection and treated via LEEP. She could not understand how this had happened, since she had been getting pap smears during her annual gynecological exams for the past 10 years, and her husband had never been diagnosed with genital warts. Her doctor told her it was “bad luck,” and now she is worried about the possibility of having an oral HPV infection, wondering whether her cervical infection is cured, and trying to figure out how to this will affect her marriage.

By getting annual pap smear exams, Liza has been doing the right thing. Unfortunately, most medical practitioners don’t explain that pap smears only sample a small area of a woman’s cervix. So, it is possible to receive a “normal” pap smear result when there are HPV-infected/abnormal cell changes in other portions of the cervix.

With Liza’s husband as her only sexual partner, it’s key for him to get thoroughly examined for HPV/genital warts. If HPV-infected cells are found, then he should have them removed via one of several treatment options. Once both of their bodies have healed from treatments, the couple should strongly consider using condoms during sex (note: condoms reduce but do not eliminate the risk of HPV transmission).

 

Given Liza’s concern about oral HPV, a ‘HPV test’ can determine the specific strain of the virus. HPV 16 has been linked to cervical cancer and to oral/head/neck cancers. So, an important follow-up exam after receiving a genital HPV diagnosis is to see a dentist: I encouraged her to share that she’s been exposed to HPV orally and request a thorough exam.

 

As I concluded my reply to Liza, I realized that I needed to address the stress that she was clearly experiencing. Medical sociologists have often written about how disease can cause dis-ease, an illness often causes a patient to lose her sense of wellbeing. In the case of socially stigmatizing and medically incurable infections, like HPV, stress is almost unavoidable for newly diagnosed patients. In my book, Damaged Goods?, I detail specific strategies for handling the variety of stressors that come with a genital HPV or herpes infection, but I’ve decided to wrap up today’s post with a general note about stress.

 

The Inner Game of Stress: Outsmart Life's Challenges and Fulfill Your Potential

 

I was fortunate to attend a talk last night by the authors of a new book, The Inner Game of Stress. Tim Gallwey has teamed up with two physicians, who practice a patient-centered approach to integrative medicine, to combine medical research with his executive coaching techniques. The result is a thoughtful self-help approach to stress management that encourages readers to be assertive patients. As a medical sociologist, I have written about the health impacts of practitioner-patient interactions and was familiar with the body of research showing how stress can weaken a person’s immune system.

 

 

For people, like Liza, who are battling a virus, it is important to not only empower yourself with knowledge about your particular illness but also to strategize how to strengthen your immune system. In addition to the obvious recommendations of decreasing unhealthy behaviors and increasing healthy ones, I encouraged her to find sources of emotional and social support. Some who are facing a stigmatizing illness may find comfort by talking with trusted friends, while others may prefer the neutrality of a therapist, and many may find empowerment in a book.