Showing posts with label medical rhetoric. Show all posts
Showing posts with label medical rhetoric. Show all posts

Tuesday, November 10, 2009

Decentering medical authority (and other topics) in Lisa Nakamura's "Digitizing Race"

I was so excited to find Lisa Nakamura's chapter entitled "Avatars and the Visual Culture of Reproduction on the Web." Nakamura examines how pregnant women portray themselves (or ask others to portray them) on sites where cartoonish "dollies," or avatars, are used to represent community members. She notes that the "increasingly visual culture of user-posted photographs and other self-produced digital images is part of a rhetorical mode of cultural production online that also works to decenter medical authority" (133). While I have emphasized in my own work that there is a place for medical authority, I have also written that women must be able to make their own informed decisions in terms of reproduction. The fora Nakamura is discussing are places that help to allow that to happen. "The Internet provides a space in which women use pregnancy Web sites' modes of visuality and digital graphic production to become subjects, rather than objects, of interactivity" (133). They are the producers of their own visibility.

Or are they? Nakamura shows how women retain "racial" markers in building their avatars, but at the same time idealize the pregnant body and create "a uniformly and conventionally 'pretty' avatar" (145). While at first I was disappointed that these women were still in some sense controlled by hegemonic forces, I think this phenomenon is not necessarily a bad thing. What would it mean for a woman to conceptualize herself as ugly and to portray that in her dollie? What these women are really doing is finding a common ground and using it as a stable foundation on which to establish difference. (An ugly dollie might work as a deliberate critique of the system, but it might hamper the owner's engagement with others on the board.) In the same sort of move, avatar owners also mix colloquial rhetorics with medical rhetorics (153). By mixing these worlds--taking medical rhetoric as a base on which to build other rhetorics and discourses--and creating their own spaces, they are, in fact, using a form of bricolage to re-appropriate their own bodies from the medical establishment. These women are "producing a counterdiscourse that challenges the binarism of hypervisible/invisible pregnant bodies" (158). They are producing bodies that we can, perhaps, conceptualize as "mixed." (An interesting concept given Nakamura's chapter on Alllooksame.com, which I'll get to a little later.)

Cyberfeminism, Nakamura says, has been called a "'restart button' for gendered ideologies" because it tries to reclaim machines and "machine-enabled vision for women" (160). An example of where this could work, I think, is on page 159, where Nakamura tells readers how "the umbilical cord is painstakingly deleted from most photographic image of fetuses, thereby emphasizing its existence separately from the woman's body" (159). Women empowered through the visual dollies they create can challenge such conventions. Women "use the board as often as not to challenge received medical opinions be describing their experiences as conflicting with medical wisdom" (169). By using the power of community and narrative, women overrule medical opinions that don't fit their worldviews.

I thought these arguments were brilliant. However, parts of this book made me raise my eyebrows. Nakamura has a tendency to make bold statements and sweeping generalizations without providing immediate support. For example: "Women are relatively late adopters of the Internet" (136). While Nakamura does offer statistics on sex and Internet usage at a point much later in the book, she provides no support for this statement at the time that she makes it. She also posits on page 139 that design is "gendered as masculine" by "mainstream consumer culture." This book was published just last year, and I would argue that design--as evidenced by many television shows, the populations of design schools, and marketing tactics used by stores that sell "design"--is typically gendered feminine by the "public." In fact, "mainstream consumer culture" often questions the sexuality of men who engage in design with enthusiasm. Nakamura's point in this discussion is to set up taste and design as opposites (although she later conflates style with design on page 154) and thus to claim the "tacky" avatars as feminine backlash against the popular push for "clean" design (139-43). Based on the fact that I do not see style and design in a relationship as opposites, I do not buy the backlash argument. I do fully believe her argument that women use these spaces to re-appropriate their bodies, I'm just not convinced that adhering to "tackiness" has anything to do with it. (And who gets to judge what's tacky, kitschy, or clean anyway? What are the characteristics of these states?)

Another example of a statement that stood out as an unsupported generalization occurred in the chapter on Alllooksame?: "Alllooksame.com is a weird, weird, site" (78). Although I take Nakamura's point and appreciate her candor, I also felt a little judged as someone who liked the site. I realize the site is supposed to engender some discomfort, but--perhaps because of our very open exploration of race, rhetoric, and technology in class--I didn't feel put off or uncomfortable looking at it or taking the quiz. "Alllooksame is not a statement. It's a question" (79). And questions have to be allowed if we're going to deal with the race issue. There is no other way.

In terms of the quiz itself, I recieved a score of six on the facial recognition test, which is lower than the average of seven. Further, I hereby admit that the six I got correct were guesses. What does this mean? It either says something about my own ignorance, or it supports Nakamura's contention that "race" is not visible. I have to admit, I'd be very interested to see if one of the "not mixed" subjects of the site could identify the races of the faces. And that rhetoric of purity is highly interesting; I especially liked the deconstruction of this rhetoric undertaken on page 82. "What does Korean mean? Is it people from south western [sic] Korea who descended from Chinese in those same areas whose names are not Kim and Lee but Chang and Moon???"

Having run out of space to discuss the other chapters of this book, I will instead pose questions based on passages I especially engaged with.

  • What do we make of the shift from the Internet as a utopian space to a profit-driven place? (p. 3)
  • What is (or should be) the relationship of visual culture studies to Internet studies? (p. 28)
  • Is communication consumerism? (p. 46)
  • What of Barthes' "revolutionary idea" to apply formal analysis to popular culture? Is this really the idea of a single scholar? (p. 68)
  • What are the pros and cons of racial profiling? (p. 78, and all of the Alllooksame chapter)
  • How should race be represented in movies? Is it responsible to create the two-dimensional "old white prick" character, as described in Nakamura's discussion of The Matrix Reloaded? What about the token black guy, like Lando Calrissian (Billy Dee Williams) In Return of the Jedi (incorrectly cited by Nakamura with the definite article)? Can a person really get out of being white by claiming to be multiracial and disavowing whiteness? (p. 102 and all of "The Social Optics of Race")
  • How can authorities design surveys that are more representative and accurate? (p. 172)
  • The ethics of porn. I'm not even going to make this a question. (p. 184)
  • How "wrong" was Whitney NcNally in producing the piece "Asian or Gay"? Couldn't this be seen as a social critique of movies like the recent hit The Hangover? (p. 185-94
  • What does it mean to "refuse to cover"? (p. 208)

Work Cited
Nakamura, Lisa. Digitizing Race: Visual Cultures of the Internet. Minneapolis, MN: U of Minnesota P, 2008. Print.

Interesting further reading:
Sakai, Karen. "'Gay or Asian' spread causes minority uproar." Asia Pacific Arts
Online Magazine. 9 Apr. 2004. Web. 10 Nov. 2009. .



Tuesday, October 27, 2009

Technology, Gender, and Cyberfeminism

In her riveting book Technology and Gender: Fabrics of Power in Late Imperial China, Francesca Bray introduces “gynotechnics,” which is “a way of organizing materials from more varied sources into new patterns, providing a new perspective on gender and its place in the social order as well as a way of getting beyond what written texts alone can tell us” (373). The second part of her book is fascinating in its attention to the technology of weaving and how women’s lives existed in relationship to a technology that was considered “women’s work” without being devalued. Bray shows how women’s roles changed dramatically as weaving transitioned to being under the domain of men through this gynotechnical inquiry.

The part of the book of greatest interest to me was the third and final part, “Meanings of Motherhood: Reproductive Technologies and Their Uses.” Bray acknowledges that readers won’t be surprised that a society organized around the male descent line focuses concern over fertility on females (287). But what she tells us in Part Three changes what that statement means. Bray explains to readers that married men over age 40 with no children were legally allowed to take a concubine (although the practice was actually far more widespread than this statement would imply). While some wives resented their husbands’ concubines, others were eager for the concubine’s arrival and even sought her out. This is because the wife would be the real, or formal, mother of any child born to the concubine. Bray says that although “it appears to use that these women were simply acquiescing in their own oppression,” “such actions also offered to a childless woman the promise of a child who was formally hers” (357). Thus, women whose husbands had the status/money/power to take a concubine were released from the typical scrutiny surrounding fertility—and they could then avoid the plethora of frightening-sounding technologies Bray mentions for dealing with infertility and pregnancy. The wife employed a variety of social and local technologies, then, in the management of her household and the raising of the children that were now formally her own.

(However, even women who had no intention of bearing children still paid particular attention to their monthly cycles, because the Chinese conception of Blood as one of the vital organs meant that menstruation irregularities were a sign of bad health. Thus, technologies were often applied to women in imperial China in order to regulate them to a social norm.)

Gynotechnic inquiry is very related to the concept of cyberfeminsim, at least as represnted in Domain Errors!, although the latter is far harder to pin down. Cyberfeminism, according to Fernandez and Wilding in their book’s first article, came about in response to the fact that “historically, waves of feminism have often accompanied technological expansion” and the response of feminists to such expansions (17). A bit further on, they establish that cyberfeminism is, by nature, undefinable, unlabelable, and unidentifiable. As a person who likes definitions, this troubles me. Although I know that definitions (by definition) reduce complex ideas, I also find this initial reduction very helpful in developing a more complex understanding further down the line. Of course, “situating” a thing (as the title of the essay is “Situating Cybefeminisms”) may be a way to begin understanding it without defining it, and I found this technique helpful. I discovered that cyberfeminism is not feminism, but that it has much in common with second-wave feminism (20). I also found that cyberfeminism has its own two waves already as well: one that concentrates on the relationships of women and machines and a second wave that deals with politics and embodiment.

Among other essays I found particularly helpful to my work in Domain Errors! was Paasonen’s treatment of “the woman problem” in relation to the Internet. Paasonen notes that we (critical scholars) tend to “presuppose a given gender difference” in how women access the Internet. She also astutely points out that we incorrectly see gender is a polar characteristic and the Internet as gender-neutral (94). She goes on to present troubling depictions of expectations Internet authors have of women users … all of which, I think, go to show that more conversation on the topic is required in order to begin suggesting alternative methods that are less problematic. (But I’m out of room to ponder them here.)

Finally, Amelia Jones’ account of her infertility treatments was both touching and informative (an expected and yet interesting combination, given the book’s focus). “One’s entire identity becomes wrapped up in” a particular identity that is made possible by technology. Although I know it probably isn’t this simple, it seems to me that technology has allowed those dealing with infertility to hang onto hope, but also to make themselves miserable because of that hope. Technology has changed not only the way that women are perceived and embodied, not only the way they think and live, but also the ways in which they believe certain things about their inner selves.

Works Cited

Bray, Francesca. Technology and Gender: Fabrics of Power in Late Imperial China. Berkeley: U of California P, 1997. Print.

Fernandez, Maria, Faith Wilding, and Michelle M. Wright, eds. Domain Errors!: Cyberfeminist Practices. Canada: Autonomedia and subRosa, 2002. Print.


**I feel compelled to note that Fernandez, Wilding, and Wright maintain an anti-copyright on their book, so I feel that I’ve done it a certain amount of rhetorical violence by citing it in the conventional manner. I beg forgiveness for this offense as I found no better solution.


Friday, October 23, 2009

Reproductive technology and the legal system

Here's another interesting article, this one at the intersection of rhetoric and technology, though I'm certain race, class, and culture would also provide highly informative lenses through which to view this situation. This article is a feature on a state-run drug-treatment program for pregnant women in South Carolina.

In my previous studies, I ran across a couple cases where a woman was prosecuted for her behavior while pregnant, and I also found several cases (in Canada) where a woman was prevented from getting an abortion by the father of the fetus she was carrying.

The rhetoric of this particular article is noteworthy, I think, because it does much less blaming than most discussions of this topic. Most such articles or other works use rhetoric that puts the pregnant drug addicts at fault. (Whether they are or not is beside the point; I'm only interested in the rhetoric and how it shapes these women in our minds.)

The article says some women find the program on their own, while others are forced there by law. This is all made possible, of course, by the advent of reproductive technologies (from formal scientific studies and the ways they get results to the use of fetal ultrasound) that allow us to trace cause-and-effect relationships between maternal drug use and fetal condition. In at least some cases, this relationship is also shaped by the rhetoric used to describe that technology--even if the technology is not used as the cultural knowledge that begets the rhetoric in question holds that it is.

Thursday, October 22, 2009

A reflection on a talk by Louise Erdrich

Native American author Louise Erdrich gave a talk today at Milner Library at Illinois State University, and the following entry is my reflection on what she had to say as it intersects with race, rhetoric, and technology.

Erdrich began her talk (which was so well attended that extra chairs were brought in and some people climbed to higher floors to look down on the event) with a reading of a story. Erdrich did not say which of her books the story came from (and I wasn't close enough to see the cover of the volume she was reading from), but she did say that her stories tend to "hitch up," meaning some of her books overlap. This connectedness is certainly the case outside of her work, as well, and may be a cultural characteristic of some stories. (Erdrich later addressed the oral traditions of many cultures and said she self-identifies as a storyteller.)

The reading centered on the character of Lipsha, a recurring character in Erdrich's novels and, she said, one of her favorites. It followed him through coveting a van on display at the hall where his Grandma Lulu plays bingo to meeting a girl, Serena, and going to a hotel with her. At this point in the story, Serena sends him to the gas station for condoms, and this got me thinking of birth control as a technology.

I haven't given this much thought before, but birth control (of whatever kind) is certainly a technology ... and it's a technology that is very connected to race. My mind immediately jumps to my course project, which (as you can read in a previous entry on this blog) will include examination of China's one-child policy. This is birth control in the form of a law, and it's aimed directly at a particular nationality, which encompasses several particular ethnicities.

Interestingly enough, it turns out the technology of the condom most likely originated in China. According to Aine Collier, "In Asia before the fifteenth century ... Condoms seem to have been used for contraception, and to have been known only by members of the upper classes" (qtd. in Wikipedia article under "Condom"). This technology is a class-conscious one. Members of the upper classes, then, would have been more able to control the number of children they had, while the lower classes would have lacked this ability. The expense of children and the resulting population disparity would, theoretically, reinforce a class divide. Certainly those Chinese families with access to ultrasound have an advantage today in producing the coveted male heir through sex-selective abortion.

In the same sort of legal vein as the one-child policy, Erdrich also touched on the absurtity of allowing a government to "create" racial background for individuals. She explained (as we have discussed in class) that governments prescribe ethnicities to people. For example, the U.S. government has instated laws about how much Indian blood a person must have in order to claim a tribal affiliation. What's more--this measure is likely based on an arbitrary judgment made generations ago by another government official.

Another interesting race-related reaction to the technology of birth control shows up in a study by Kalichman, Williams, Cherry, Belcher, and Nachimson, who found that black and Latina women reported fearing violence from the partners if they suggested using a condom.

But birth control and law's relation to race were hardly the only mentions of race/rhetoric/technology in Erdrich's talk. Another, unrelated issue, also caught my ear. First, inspired by the 25th anniversary of Love Medicine, Erdrich discussed how easy it is for an author to make changes to a book, thanks to current technology. This seems to me to parallel the shift in student's conception of writing after the advent of personal computers and word processing technology. I have no doubt that students think about writing differently today on a very basic level than students thought about writing 20 years ago.
Perhaps the new technology in the publishing industry will yield a culture that allows for more conversation between books, letting works change with time and creating slippage that could open up new avenues of dialogue.



Louise Erdrich (enrolled Turtle Mountain Chippewa w/ MA in creative writing from Johns Hopkins University in 1979) is the author of twelve novels, 5 children's books, 3 poetry volumes, and a memoir. Her novel Love Medicine won the National Book Critics Circle Award, and her most recent novel, Plague of Doves, was a finalist for the 2009 Pulitzer Prize in fiction. She is also the owner of Birchbark Books (http://birchbarkbooks.com/), an independent non-profit bookstore and press . She and two of her sisters host annual writers workshops on the Turtle Mountain Indian Reservation in North Dakota. (qtd. from an e-mail from Angela Haas)


Work Cited

Kalichman, SC; Williams, EA; Cherry, C; Belcher, L; Nachimson, D (April 1998). "Sexual coercion, domestic violence, and negotiating condom use among low-income African American women". Journal of Women's Health 7 (3): 371–378. Web.

Friday, October 16, 2009

Patient power ... or not?

Yesterday I stumbled across a CNN story entitled "Mom won't be forced to have C-section." Of course, because of my areas of interest, this immediately grabbed my attention. As it turned out, the reason the expectant mother in the story won't be forced to have a C-section is because she is traveling 300-odd miles to go to a hospital with a policy that allows for patient choice. You see, she is hoping to have her fourth child VBAC, meaning she has previously had a Cesarean section and now wants a vaginal delivery. (To make the situation even more appalling, it was her second child who needed a C-section. Her third child was delivered VBAC at the very hospital that then threatened her with a court order if she refused the C-section for the fourth child. Apparently their policy changed.) Rather than explain the story here, I'll just direct you to the link I've provided and say it's interesting reading.

Stories like this have really intriguing implications when we examine the ways technology and culture intersect. (I wouldn't be surprised if race plays into this as well ... I'll keep my eyes open for more on that.) And the rhetoric of the hospital adminstrator appears to have been quite problematic, which is really scary when one considers how we give doctors in our culture an almost god-like status. But perhaps more interesting than anything I could say here is the rhetoric in the comments on the story! Here are a few:

"C-sections are done in the US more routinely than in any other developed country but our infant mortality rate is not lower but higher. Doctors do not want to deliver on weekends, at night, if the mother is one week over her electronically determined due date."

"I think it is a little pretentious for doctors to get on here and give their speeches about how she should just listen to her doctor... there is a reason why they call it 'practicing' medicine and family 'practice.'"

"Did anyone else notice that when they list the risks of a C-section, they failed to mention that the mother is 4-7 times more likely to DIE than with a vaginal birth.?!?!?!"

"From many of these comments, it seems like many people do not grasp malpractice and insurance companies. This is not about the hospital, but about medical professionals and hospitals not wanting litigation. Can you blame them? After spending tens of thousands of dollars on an education before making a dime, I would do what I needed to to avoid a lawsuit, too! And to Tamara, we go to doctors because they DO know what is best for our health! Like another poster said, in health care, the customer is NOT always right."

"Good grief, get the lady to sign a waiver regarding rupture and give her the VBAC."

And here is the one I found most shocking ...

"I worked in the hospital for 5 years and then in a birth center for the last 4 years. I had to get out of the hospital because I started feeling guilty about my complicity in that system in which so much goes on behind closed doors of which the patient is never informed.

I've had docs tell me in the lunch room that they are doing a c-section because they have an important golf game, fishing trip, or hot date. Then they go into the room, lie to the woman and say, " oh your baby is too big, your progress is too slow, it's never going to happen." the woman believes them and thanks them so much for saving their babies lives. Over and over and over again. In Miami we have over 50% c-section rate, and it's way more convenient for the docs. If VBACS are not allowed at more and more hospitals, the rest of the country will soon be like it is here.

Women need to start demanding more informed choices, more providers, more options, not just from their local hospital, but from their insurance companies, representatives, etc. we will continue to be 22nd in the world for number of babies we lose in childbirth.....many of them from unneeded c-sections."