Health care providers who perform abortions routinely use ultrasound scans to confirm their patients’ pregnancies, check for multiple gestations, and determine the stage of the pregnancies. But it is far from standard – and not at all medically necessary – for women about to have abortions to view their ultrasounds. Ultrasound viewing by patients has no clinical purpose: it does not affect the woman’s condition or the decisions health providers make. Nevertheless, ultrasound viewing has become central to the hotly contested politics of abortion.

Believing that viewing ultrasounds will change minds, opponents of abortion – spearheaded by the advocacy group Americans United for Life – have pushed for state laws to require such viewing. So far, eighteen states require that women be offered the opportunity to view their pre-abortion ultrasound images, and five states actually go so far as to legally require women to view their ultrasound images before obtaining an abortion (although the women are permitted to avert their eyes). In two of the five states that have passed such mandatory viewing laws, courts have permanently enjoined the laws, keeping them from going into effect.

States that allow/require ultrasounds before abortion (vocative):

As the debates continue to rage, both sides assume that what matters for an abortion patient is the content of the ultrasound image. Abortion opponents believe the image will demonstrate to the woman that she is carrying a baby – a revelation they think will make her want to continue her pregnancy. Ironically, supporters of abortion rights also argue that seeing the image of the fetus will make a difference. They say this experience will be emotionally distressing and make abortions more difficult. Paradoxically, such arguments from rights advocates reinforce assumptions that fetuses are persons and perpetuate stigma about abortion procedures.

Does viewing change women’s minds – or cause trauma?

What is missing from all of this is research on a crucial question: How do women planning abortions actually react to voluntary or coerced viewing of ultrasounds? As it turns out, seeing the ultrasound images as such does little to change women’s minds about abortion. What matters is how women scheduled for abortions already feel. Viewing an ultrasound can matter for women who are not fully certain about their plans to have an abortion.

My colleagues and I analyzed medical records from over 15,000 abortion visits during 2011 to a large, urban abortion provider. This provider has a policy of offering every patient the voluntary opportunity to view her ultrasound image. In her intake paperwork, the patient can check a box saying she wants to view; then, when she’s in the ultrasound room, the technician provides her with the opportunity to see the image. Over 42% of incoming abortion patients chose to view their ultrasound images, and the substantial majority (99%) of all 15,000 pregnancies ended in abortion.

Our research team looked at whether viewing the ultrasound image was associated with deciding to continue with the pregnancy instead of proceeding with the abortion. We took into account factors such as the age, race, and poverty level of the women involved, as well as how far along their pregnancies were, the presence of multiple fetuses, and how certain women said they were about their abortion decision.

As it became clear that certainty mattered, we looked more closely. Among women who were highly certain, viewing their ultrasound did not change minds. However, among the small fraction (7.4%) of women who were not very certain or only moderately certain, viewing slightly increased the odds that they would forego their planned abortion and continue with their pregnancy. Nonetheless, this effect was very small and most did proceed to abortion.

Our findings make sense, because some women who are unsure about their abortion decision may seek experiences such as ultrasound viewing to help them make a final choice. Nevertheless, many previous studies have documented that women’s reasons for abortion are complex and unlikely to be negated simply by viewing an ultrasound image. Our study analyzed a situation where viewing ultrasounds was voluntary, but there is no reason to think that mandatory viewing would change more minds. Forcing women to view their ultrasounds could, however, affect patient satisfaction and sense of autonomy.

Apart from whether minds are changed, many people imagine that viewing an ultrasound for an unwanted pregnancy is distressing; and in interviews with 26 staff members at an abortion facility that offers pre-abortion ultrasounds, my colleague and I discovered that many staffers believed viewing the image caused relief for women early in their pregnancies but was traumatic for those at later stages.

However, when my colleagues and I asked 212 women throughout the United States about their reactions to viewing pre-abortion ultrasounds, we found no evidence that viewing was broadly distressing or that emotions depended on the gestational stage. All interviewees said their minds were not changed about proceeding with abortions. Just over one in five reported that viewing provoked negative reactions of guilt, depression, or sadness; one in ten reported positive feelings such as happiness; and the largest group, just over a third, said they felt “fine,” “okay,” or even “nothing.” This common response that viewing did not matter was a surprise given the intensity surrounding political debates.

Our research questions the wisdom of state laws that force women scheduled to have abortions to view their ultrasounds prior to the procedure. Fewer than half of abortion patients want to view their ultrasounds, and there is no clinical benefit. More to the point, abortion providers already offer patients the opportunity to view their ultrasounds – and never turn down women’s requests to look at these images. When women already feel uncertain about proceeding with an abortion, viewing the image of the fetus may make a difference. But for the vast majority whose minds are made up, viewing does not matter – and trying to force this to happen in every case merely adds costs and indignities to the abortion process.

Originally posted at Scholars Strategy Network. Read more at: 

• Constructing the Meaning of Ultrasound Viewing in Abortion Care
• Women’s Interest in and Emotional Response to Viewing Their Ultrasound Image in Abortion Care
• Relationship between Ultrasound Viewing and Proceeding to Abortion

Katrina Kimport, PhD is an assistant professor in the Department of Obstetrics, Gynecology and Reproductive Sciences and a research sociologist with the Advancing New Standards in Reproductive Health program at the University of California, San Francisco.

Flashback Friday.

In her fantastic book, Talk of Love (2001), Ann Swidler investigates how people use cultural narratives to make sense of their marriages.

She describes the “romantic” version of love with which we are all familiar.  In this model, two people fall deeply in love at first sight and live forever and ever in bliss .  We can see this model of love in movies, books, and advertisements:

She finds that, in describing their own marriages, most people reject a romantic model of love out-of-hand.

Instead, people tended to articulate a “practical” model of love.  Maintaining love in marriage, they said requires trust, honesty, respect, self-discipline, and, above all, hard work.  This model manifests in the therapeutic and religious self-help industry and its celebrity manifestations:

But even though most people favored a practical model of love in Swidler’s interviews, even the most resolute realist would occasionally fall back on idealist versions of love. In that sense, most people would articulate contradictory beliefs. Why?

Swidler noticed that people would draw on the different models when asked different kinds of questions. When she would ask them “How do you keep love alive from day to day?” they would respond with a practical answer. When she asked them “Why do you stay married?” or “Why did you get married?” they would respond with a romantic answer.

So, even though most people said that they didn’t believe in the ideal model, they would invoke it. They did so when talking about the institution of marriage (the why), but not when talking about the relationship they nurtured inside of that institution (the how).

Swidler concludes that the ideal model of love persists as a cultural trope because marriage, as an institution, requires it. For example, while people may not believe that there is such a thing as “the one,” marriage laws are written such that you must marry “one.” She explains:

One is either married or not; one cannot be married to more than one person at a time; marrying someone is a fateful, sometimes life-transforming choice; and despite divorce, marriages are still meant to last (p. 117-118).

That “one,” over time, becomes “the one” you married. “The social organization of marriage makes the mythic image true experientially…” (p. 118, my emphasis).

If a person is going to get married at all, they must have some sort of cultural logic that allows them to choose one person. Swidler writes:

In order to marry, individuals must develop certain cultural, psychological, and even cognitive equipment. They must be prepared to feel, or at least convince others that they feel, that one other person is the unique right ‘one.’ They must be prepared to recognize the ‘right person’ when that person comes along.

The idea of romantic love does this for us. It is functional given the way that contemporary institutions structure love relationships. And, that, Swidler says, is why it persists:

The culture of [romantic] love flourishes in the gap between the expectation of enduring relationships and the free, individual choice upon which marriage depends… Only if there really is something like love can our relationships be both voluntary and enduring (p. 156-157).

Presumably if marriage laws didn’t exist, or were different, the romantic model of love would disappear because it would no longer be useful.

The culture of love would die out, lose its plausibility, not if marriages did not last (they don’t) but if people stopped trying to form and sustain lasting marriages (p. 158).

Even when individuals consciously disbelieve dominant myths [of romantic love], they find themselves engaged with the very myths whose truths they reject—because the institutional dilemmas those myths capture are their dilemmas as well (p. 176).

Cultural tropes, then, don’t persist because we (or some of us) are duped by movies and advertisements, they persist because we need them.

Originally posted in 2010.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

In the 6-minute video below, Stanford sociologist Aliya Saperstein discusses her research showing that the perception of other peoples’ race is shaped by what we know about them. She uses data collected through a series of in-person interviews in which interviewers sit down with respondents several times over many years, learn about what’s happened and, among other things, make a judgment call as to their race. You may be surprised how often racial designations. In one of her samples, 20% of respondents were inconsistently identified, meaning that they were given different racial classifications by different interviewers at least once.

Saperstein found that a person judged as white in an early interview was more likely to be marked as black in a later interview if they experienced a life event that is stereotypically associated with blackness, like imprisonment or unemployment.

She and some colleagues also did an experiment, asking subjects to indicate whether people with black, white, and ambiguous faces dressed in a suit or a blue work shirt were white or black. Tracing their mouse paths, it was clear that the same face in a suit was more easily categorized as white than the one in a work shirt.

Race is a social construction, not just in the sense that we made it up, but in that it’s flexible and dependent on status as well as phenotype.

She finishes with the observation that, while phenotype definitely impacts a person’s life chances, we also need to be aware that differences in education, income, and imprisonment reflect not only bias against phenotype, but the fact that success begets whiteness. And vice versa.

Watch the whole thing here:

[youtube]https://www.youtube.com/watch?v=jiwieME2tis[/youtube]

The Colbert Report also referenced Saperstein’s work:

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

Serena Williams, the winner of 21 Grand Slam titles and arguably the greatest living female athlete, was understandably exhausted after defeating her sister and best friend Venus Williams in the U.S. Open earlier this week. So she wasn’t having it when, during a post-match press conference on Tuesday, a reporter had the gall to ask why she wasn’t smiling.

Williams looked down and gave an exasperated sigh before shelling out the best response an athlete has given in an interview since football player Marshawn Lynch’s “I’m just here so I won’t get fined” trademark phrase.

It’s 11:30. To be perfectly honest with you, I don’t want to be here. I just want to be in bed right now and I have to wake up early to practice and I don’t want to answer any of these questions. And you keep asking me the same questions. It’s not really … you’re not making it super enjoyable.

[youtube]https://www.youtube.com/watch?v=-Xv1e5U0g_g[/youtube]

Nervous laughter may have broken out in the crowd, but what Williams expressed wasn’t a joke. All women are expected to perform femininity at the cost of being their authentic selves in the public sphere. Williams had just experienced what was likely one of the most emotionally and physically draining matches in her career. Taking on your sister in a high-stakes game isn’t easy. She had told the Associated Press before her win:

She’s the toughest player I’ve ever played in my life and the best person I know. It’s going against your best friend and at the same time going against the greatest competitor, for me, in women’s tennis.

It makes sense that she would not be smiling ear-to-ear during the media conference. But it turns out no matter how insanely accomplished or famous you become, you will still be subjected to the innocuous-sounding but ever-so-pernicious “why don’t you smile?” interjection from those who feel entitled to make demands of women. Williams’ retort was her attempt at dismantling that sense of entitlement. For those who say the reporter’s question was a harmless jest, they should ask themselves if Roger Federer or Rafael Nadal would ever be expected to defend their stern or tired expressions.

And the problem exists not just in the image-heavy world of professional sports. On Wednesday, Apple did little to change the public’s perception of the tech industry as a sexist one. During a launch presentation in San Francisco, the first woman to be seen on stage at the male-dominated event wasn’t a keynote speaker or even a presenter, but a model in a magazine photo. Adobe’s director of design used her image to show off the Photoshopping capabilities of the new iPad Pro.

What did he decide to Photoshop one might ask? A smile onto her face. He could have altered literally any aspect of any image he wanted but decided instead to force a woman’s visage into a grin.

What happened at the tennis conference and the tech launch are symptoms of the same problem. Women, whether athletes or models, are often seen as products. They’re meant to be consumed and enjoyed, and expressions of personality — like not constantly grinning — distract from their role as ornaments.

It’s the reason projects like Stop Telling Women to Smile by Tatyana Fazlalizadeh have cropped up to address the microaggressions women face on a daily basis. Women don’t exist to smile for men and aren’t obligated to present a cheerful disposition to the world. To expect that denies us our humanity and only reinforces male privilege.

Anita Little is the associate editor at Ms., where this post originally appeared. You can follow her on Twitter.

The Federal Reserve has announced that it is holding off on an interest rate hike; the last time it raised rates was in 2006.  The reason for the lack of action: the Federal Reserve believes the economy remains fragile and, since inflation remains low, it doesn’t want to do anything that might bring the expansion to a halt.

In reality our economic problems go much deeper than slow growth and economic fragility.  Bluntly said, most workers are losing ground regardless of whether the economy is in recession or expansion.

The following chart, from a New York Times article, shows the movement in real, inflation adjusted, median household income from 1999 to 2014.

The median household income was $53,657 in 2014.  That was 1.5 percent below what it was in 2013.  Perhaps even more disturbing, as the Times article notes:

The 2014 real median income number is 6.5 percent below its 2007, pre-crisis level. It is 7.2 percent below the number in 1999.

A middle-income American family, in other words, makes substantially less money in inflation-adjusted terms than it did 15 years ago. And there is no evidence that is reversing…

The depressing data on middle-class wages is true across almost all groups based on race and age. (One exception is a 5.3 percent gain in median wages among Hispanics in 2014, though that is within the statistical margin of error and so may not be meaningful).

And there is good reason for believing that things are unlikely to improve in the near future.  As a recent study by the National Employment Law Project makes clears, real wages are continuing to fall for most workers.

The authors of the National Employment Law Project study “calculated the percentage change in real median hourly wages from 2009 to 2014 for 785 occupations, which were grouped into quintiles, each representing approximately one-fifth of total employment in 2014.”  Figure 1 shows the change in real wages for each of the five quintiles over the period.  As we can see, real median hourly wages fell across the board, with the overall median wage falling by 4 percent.

Figure 2 keeps the same wage groupings but shows the change in wages for both the highest (90^th percentile) and lowest (10^th percentile) earners in each wage quintile. As we can see, with the exception of occupations in the lowest paid quintile, the fall in wages was greater for those in the bottom percentile than for those in the top percentile.  That said, the most striking fact is that all suffered declines in real wages.

Steady as she goes, which seems to be the strategy of most policy-makers, is unlikely to turn things around.

Originally posted at Reports from the Economic Front.

Martin Hart-Landsberg is a professor of economics at Lewis and Clark College. You can follow him at Reports from the Economic Front.

The “Oxford comma” is the one placed before an “and” in a list of three or more. It’s the subject of an embittered battle among grammar-lovers. You can make up your own mind. Sometimes it’s correct to use it; sometimes it’s more fun not to.

Posted at Mental Floss, made by Arika Okrent, who wrote a book about invented languages, and artist Mike Rogalski. Used with permission.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

Flashback Friday.

The term “fetal alcohol syndrome” (FAS) refers to a group of problems that include mental retardation,  growth problems, abnormal facial features, and other birth defects.  The disorder affects children whose mothers drank large amounts of alcohol during pregnancy.

Right?

Well, not exactly.

It turns out that only about 5% of alcoholic women give birth to babies who are later diagnosed with FAS. This means that many mothers drink excessively, and many more drink somewhat (at least 16 percent of mothers drink during pregnancy), and yet many, many children born to these women show no diagnosable signs of FAS. Twin studies, further, have shown that sometimes one fraternal twin is diagnosed with FAS, but the other twin, who shared the same uterine environment, is fine.

So, drinking during pregnancy does not appear to be a sufficient cause of FAS, even if it is a necessary cause (by definition?). In her book, Conceiving Risk, Bearing Responsibility, sociologist and public health scholar Elizabeth M. Armstrong explains that FAS is not just related to alcohol intake, but is “highly correlated with smoking, poverty, malnutrition, high parity [i.e., having lots of children], and advanced maternal age” (p. 6). Further, there appears to be a genetic component. Some fetuses may be more vulnerable than others due to different ways that bodies breakdown ethanol, a characteristic that may be inherited. (This may also explain why one fraternal twin is affected, but not the other.)

To sum, drinking alcohol during pregnancy appears to contribute to FAS, but it by no means causes FAS.

And yet… almost all public health campaigns, whether sponsored by states, social movement organizations, public health institutes, or the associations of alcohol purveyors tell pregnant women not to drink alcohol during, before, or after pregnancy… at all… or else.

The Centers for Disease Control (U.S.):

The National Organization on Fetal Alcohol Syndrome:

Best Start, Ontario’s Maternal Newborn and Early Child Development Resource Centre:

Nova Scotia Liquor Commission:

These campaigns all target women and explain to them that they should not drink any alcohol at all if they are trying to conceive, during pregnancy, during the period in which they are breastfeeding and, in some cases, if they are not trying to conceive but are using only somewhat effective birth control.

So, the strategy to reduce FAS is reduced to the targeting of women’s behavior.

But “women” do not cause FAS. Neither does alcohol. This strategy replaces addressing all of the other problems that correlate with the appearance of FAS — poverty, stress, and other kinds of social deprivation — in favor of policing women. FAS, in fact, is partly the result of individual behavior, partly the result of social inequality, and partly genetic, but our entire eradication strategy focuses on individual behavior. It places the blame and responsibility solely on women.

And, since women’s choices are not highly correlated with the appearance of FAS, the strategy fails. Very few women actually drink at the levels correlated with FAS. If we did not have a no-drinking-during-pregnancy campaign and pregnant women continued drinking at the rates at which they drank before being pregnant, we would not see a massive rise in FAS. Only the heaviest drinking women put their fetus at risk and they, unfortunately, are the least likely to respond to the no-drinking campaign (largely due to addiction).

Originally posted in 2010 and developed into a two-page essay for Contexts magazine.

Lisa Wade, PhD is an Associate Professor at Tulane University. She is the author of American Hookup, a book about college sexual culture; a textbook about gender; and a forthcoming introductory text: Terrible Magnificent Sociology. You can follow her on Twitter and Instagram.

In this 15min TED talk, the eminent masculinities scholar Michael Kimmel argues that feminism is in everyone’s best interest. After discussing the robust research on the benefits of gender equality, he concludes:

Gender equality is in the interest of countries, of companies, and of men, and their children and their partners… [It is] is not a zero sum game, it’s not a win-lose, it is a win-win for everyone.

Watch!