About this site

Welcome to my site. My friends and I created this to share some of my work and - more importantly - to invite an exchange of ideas.


I've been a sociologist for a long time. and ventured into a number of different fields over the years: birth and midwifery (which I still think of as my home base); the new genetics and reproductive technologies; medical sociology; bioethics; issues in disability; adoption; race; and now food studies too. Some of you might know my work in one of these areas, others in a different area. What would be really interesting would be to have people talk, with each other and with me, across areas. I've tried, with some success over the years, to talk to midwives about genetics; to encourage people who do new reproductive technologies to think about home birth; to have bioethicists pay more attention to what medical sociology can offer; to get people in Food Studies thinking where midwifery issues overlap with their concerns. These are invariably the most fun and stimulating conversations I've ever been a part of. Connecting people, connecting ideas, weaving the webs that pull us together - nothing could make me happier. So this site, a gift from my friends, is my place to do this kind of weaving.


We've grouped my work by area - but please, if you're here because you have gotten anything useful out of my work in one area, do poke around for a minute in another. Bring your insights and wisdom and experience to a new place, a new issue. Let's see what we can weave together.


- Barbara Katz Rothman

Showing posts with label article. Show all posts
Showing posts with label article. Show all posts

Women, Birth, Food

New York University Press, the publishers of BUN IN THE OVEN, asked me to write something in honor of Women's History Month --


Women’s History – Rethinking Birth and Food.
It’s Women’s History Month!  Let’s celebrate!  Honor the first woman tenured at Harvard! First woman to win the Nobel prize! First woman astronaut! First woman whose art hangs in MOMA! First woman surgeon! First woman subway car driver! First woman chef! First woman architect! First woman Obstetrician! First woman….
Or wait a sec.  Are we celebrating the first woman to DO something, or the first woman to be recognized and acknowledged for doing it?  There surely were women artists before MOMA cared, women designing their homes, writing books, making dinner, catching babies… And wait another sec here – how did so many things that women do, across time and space,  like catching babies and making dinner, get turned into award-winning accomplishments when men did them, and quiet back-room work when women do them?
Click here to see more.

On Surrogacy

The idea that a pregnant woman is not the mother of the baby in her belly infuriates me, and frightens me with its implications.  So when I saw Jeffrey Kirby's article "Transnational Gestational Surrogacy: Does it Have to be Exploitative?" scheduled for publication in the American Journal of Bioethics, I just had to respond.  It was published with the title "The Legacy of Patriarchy as Context for Surrogacy: or Why are we quibbling over this?" in AJOB, April 2014, Vol. 14, #5,  as one of their 'open peer review commentaries.' 

You can access a copy of the article here.

The other recent piece I have done on surrogacy is another book review. I reviewed Amrita Pande's WOMBS IN LABOR: TRANSNATIONAL COMMERCIAL SURROGACY IN INDIA. You can look at this one, and the older one on Teman's book listed below.

And if you really want a good, insightful, and deeply (and appropriately!) critical look at Indian surrogacy, see the just published DISCOUNTED LIFE: THE PRICE OF GLOBAL SURROGACY IN INDIA, just out from NYU press.

Decision Traps and Haunting Images: Still thinking about Prenatal Testing

It’s coming up on thirty years since I published THE TENTATIVE PREGNANCY.  The technology’s changed in some ways. Information comes earlier.  And it’s routinized.  What used to be a problem facing relatively few pregnant women --  those who were over 35 or so, those who had a family history of a genetic disorder of some sort -- is now a problem facing every pregnancy in America.  Or so it would be if people faced the problem. 

Prenatal screening for conditions which have no solution but abortion is routine.  And routinely unacknowledged.  People do an ultrasound scan for the joy of ‘seeing the baby.’  But the ultrasounds weren’t introduced for fun, aren’t paid for by insurance companies for fun, aren’t done as routine medical care for fun.  Ultrasound, along with maternal blood tests, are being done to diagnose conditions in the fetus, and those conditions are not treatable.

Abortions following prenatal testing are nothing like abortions to get ‘unpregnant,’ abortions to just return oneself to normal after an accidental, unplanned and unwanted pregnancy.  These abortions, abortions because this particular fetus should not become one’s baby,  are experienced very differently.  In THE TENTATIVE PREGNANCY I showed how painful this was for the women involved, women who were told how lucky they were to have choices, but often experienced themselves as horrifically trapped.

Two new books cast interesting light on all this from two very different countries.  Germany recognizes the eugenic underpinnings of all prenatal screening.  While Americans assure me that this has nothing to do with eugenics, it’s just about having healthy babies, Germans have been forced by their history to recognize that having healthy babies, or being ‘well born,’ is what eugenics means.   Silja Samerski did a book on the DECISION TRAPS that people are facing when they have genetic testing.  She asked me to write a preface, and it’s available below.

Tine M. Gammeltoft, wrote HAUNTING IMAGES: A CULTURAL ACCOUNT OF SELECTIVE REPRODUCTION IN VIETNAM, and my review of that book is also available below. The Vietnamese are in an interesting position because while Americans and Germans too can see ‘fetal defects’ as acts of god, of random cruelty in the world, the Vietnamese see them as war crimes, the ongoing consequences of Agent Orange, and it shapes their discussion. 

Context shapes everything of course.  But pregnancy is also a context: the nature of pregnancy as an intimate social relationship shapes women’s experiences of prenatal testing and selective abortion that Americans, caught in an absurdly fraught discussion of abortion, cannot afford to see.  Until the trap is sprung. 

If you missed the link to my preface in DECISION TRAPS, click here.
To access my review of HAUNTING IMAGES, click here.

More on Risk

The Midwives Alliance of North America just published its studies on 'statistical outcomes' of  Home Birth Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009“. in the Journal of Midwifery and Women's Health, and Lamaze International's blog 'Science and Sensibility' asked me to write something about home birth and risk.  The comments, no surprise, quickly veered off into stuff about selfish mothers risking their babies lives to have scented-candle-births, and people shouting statistics of risk at each other. 
Oh well.... 
 
If you missed the link to my piece in the above, click here.

Risky Business?

We live, it’s been said, in a ‘risk society,’ a phrase most associated in academia with the work of Ulrich Beck and Anthony Giddens, but now pretty widely used by people who never heard of them. Of course life’s always been risky – and one could argue that in some ways people, at least the ones who are having public discussions of ‘risk,’ are as safe as people ever have been. I’ll leave it to others to explain why the swings are disappearing from the playgrounds, why kids can’t walk home three blocks by themselves, why it’s important, as I am constantly told by friends and family, that I know my risks and be tested for breast and a dozen other kinds of cancer, heart disease and diabetes. Are those the things that make us less ‘at risk’? Is that really why we are safer? Or is there something else at work here?

And why can I not seem to discuss this issue without constantly asking rhetorical questions?

HEALTH, RISK AND SOCIETY is a journal asking just these questions, or as it says on its home page: “Health Risk & Society is an international scholarly journal devoted to a theoretical and empirical understanding of the social processes which influence the ways in which health risks are taken, communicated, assessed and managed.” Andy Alaszewski, the editor of the journal, invited me to do an introduction to a special issue on the subject of pregnancy and birth. And Andy pointed out that my article was peppered with question marks, and that rhetorical questions are really not appropriate journal style. And yet, as we discussed the problem, he decided that my rhetorical questions were intrinsic to what I was saying and doing, so he let them stand.

What do you think? Is this an unnecessary rhetorical gimmick or flourish? Or do we need to keep asking ourselves these questions?

Click here to read my intro

Midwifery Skills: On Expertise and Craft

Ever since my first Food Studies conference, I've been struck by the similarities between artisanal food makers and midwives.  And jealous of how successful the food people have been, compared to the birth folk, in making their world-view understandable to the general public.  Here's the start of my attempt to do that, published in the British MIDIRS, midwifery information and resource services.


To read MIDIRS's Facebook post about this article, click here.

To read the article itself, click here.

Article: On Markens

This short article is from on a panel in response to a new book on Surrogacy by Susan Markens.  The book has the greatest cover -- a pregnant belly, barcoded.  It's a white pregnant belly on that cover -- the dark ones are cheaper.  Googling for Surrogacy to find the image, ads popped up first -- how to hire a surrogate, how to get work as one.  It's a business, and like so many American businesses, increasingly outsourced. 
 
The very concept of surrogacy continues to infuriate me -- Every pregnant woman is the mother of the baby in her belly.  I will stand by that no matter what technologies we develop, no matter whose genetic material is involved, no matter what she was thinking or planning (or not) when she got pregnant, and no matter what that woman chooses to do with that baby after it has left her body.  If she wants to stop being its mother at birth, place it for adoption, I'm as supportive as only an adoptive mother can be.  If she wants to sell it -- well, let's think about that.  I'm still not ready to endorse baby-selling, but there's an argument to be had.  But for me -- don't tell me it's not her baby while it's in her belly. 

Click here to read the article

In the news: Huckabee's attack on Natalie Portman


Motherhood issues just never cease to fascinate the conservative politicians and the media.  At least Huckabee picked on an actual woman's "unwed motherhood" unlike Dan Quayle's attack on a fictional character's.


Read the article here.

Article: Breastfeeding

(See below for link to article)

I wrote this article first as a talk – and probably it ‘reads’ better as a talk – for a conference called “Feminism and Breastfeeding.” It feels to me like we’ve been trying to put those two things together for a long time, without great success.

The standard American version of feminism argues that women can do everything, just everything, no limits. Which means women can be all that men are: engineers and firefighters and physicians and soldiers and Supreme Court Justices and airplane pilots and Presidents. All of it. Yes we can.

If that’s the feminism that you are pursuing, then almost inevitably anything that is ‘unique’ to women seems like a barrier we have to overcome. Yes, even with our big breasts and smaller shoulders, we can be firefighters! Yes, even with our menstrual hormones we can be airplane pilots! Yes, even with our emotional depth and our empathic qualities we can be oncologists! Whatever – nothing about our female bodies will interfere with our real achievements.

That is, of course, overstating to the point of being silly, but I do think that’s the basic argument of American feminism: women can be just like men. It doesn’t give us a lot of space for the things that women’s bodies can do that men’s cannot – like being pregnant, giving birth and breastfeeding.

There are other feminisms, other places to stand when talking about a better world for women. It is possible to actively value women’s potential, the bodily capacity to create and nurture the next generation. But it’s hard to do that and not fall into the anti-feminist trap, the argument that women ought to be doing the nurturing and leave the rest of the world to men.

That’s the tricky place I’ve been standing all these years: trying to value what women do as women, trying to make space for men to be more like women, more nurturing, more care-giving, doing more of the mothering of their children and the children of the world. But it’s not an easy argument to be making in a society that basically views the care of young children as unskilled labor.

And so we end up with a fraught relationship with our ability to breastfeed our babies: if we celebrate it, we tend to fall off into the anti-feminist side, asking women to spend their time being traditional mothers. But there is something there to celebrate – it’s really quite a lovely and interesting system for baby feeding. A recent article by Hannah Rosin in the Atlantic, (April 09) “The Case Against Breastfeeding,” revisited the issue. She did a hard backlash against all the ‘breast is best’ propaganda, and some of her points are well worth thinking about. But – and I found this charming – she ended her article by saying she would continue to nurse her baby basically just because it’s a lovely thing to do.

In this talk, I found myself arguing with all these people who – like me – want to encourage breastfeeding, but are pissing off the Hannah Rosins of the world. The arguments they keep pushing are all about how good it is for babies, how healthy, prevents this and that, healthy for mothers, yadayadayada. Not markedly persuasive – there are lots of healthy things we’re not doing, and this is short sighted anyway. They could, as I point out, create a technologically superior milk than we’ve got now, and then what?

So I’m asking the breastfeeding advocates to try to figure out just what it is that they so value about breastfeeding, to try to figure out what we’re celebrating. And realize that all our arguments, all of what breastfeeding means, occurs in a context, and that if we don’t think about that, if we don’t place ourselves in the right context, we’re not going to be encouraging women to breastfeed. And that’s sad because…… well, it’s a lovely thing to do.

_______________

Read the article here.

Article: Who is Defending Whom from What?

This little piece is really too short to properly address the issue, but here's a quick thought on the issue of 'malpractice' as an explanation for the rise in Cesarean sections.  One thing worth noting is that the medical profession has so totally managed to place its own concerns front and center that when you say 'malpractice' most people think of the insurance, rather than the actual bad practice being insured against. 


_______________


Read the article here

Article: Obama's Mixed Heritage - A Mother's Perspective

(See below for link to article)

I wrote this piece at a moment when I really wasn’t allowing myself to be hopeful. Hope was in the air, that ‘yes we can’ feeling was all around – but I just wouldn’t let myself believe it.

But in spite of my doubts, my “Eeyore” tendencies as a friend calls it, I made a party the night of the Democratic Convention’s nomination of Obama. Talk like Eeyore, act like Tigger my friend says – that’ll be my motto. So, Tigger-like, I made a celebratory party.

I called it a ‘Dayenu’ party – Dayenu means ‘It would have been sufficient’ in Hebrew – or so I’m told. I don’t speak any Hebrew. The only part of being Jewish I’ve really hung onto is Passover, the liberation holiday, the celebration of the Exodus, and a holiday that lends itself to endless remaking.

Passover is a home-based holiday, a formal dinner with ritual foods and readings, called a ‘seder.’ I make big celebratory seders every year. And a traditional part of the seder is the singing of “Dayenu.” Each of the steps of the Exodus are recited, with Dayenu sung:

If we had freed ourselves from slavery

And not passed through the sea in safety

DAYENU!

If we had passed through the sea in safety

And not learned to survive in the desert

DAYENU!

It’s crazy really – what good would the Exodus have done if everybody had drowned? Or wandered endlessly in the desert? But actually it’s not so crazy: the meaning to be taken out of Dayenu is that each step needs to be acknowledged, celebrated for the accomplishment it is.

And that’s what I decided I needed to do about Obama’s nomination. Celebrate it and just enjoy the moment. And if our worst nightmares came true and Sarah Palin ended up being sworn in as President a couple of years later, so be it. There’d be plenty of time to mourn -- and to organize -- then.

So I invited a bunch of people, set up all the laptops we could gather (I don’t own a TV) and opened a bottle of champagne as Obama gave his acceptance speech. I expected to be moved, elated. I was oddly flat. Conventions are so, well, conventional, you know? And not having a TV, I kinda lost the ability to listen to that standardized rhetoric. So sure, celebrate, champagne, hope, yeah maybe we can at that, whatever. I did all the steps of celebration, but pfeh. Stood there surrounded by laptops blaring speeches, feeling nothing.

And then the wives came up on stage after the speech. You’d think I’d be made miserable by that too – the old ‘farmer takes a wife’ style of the thing. But in all the ritual, a magic moment happened for me – Joe Biden hugged Michelle Obama, and – the moment! – Obama hugged Jill Biden. My eyes filled, my throat closed. I remember when a black man was not allowed to touch a white woman on television. Some scene from my childhood about Sammie Davis Jr I think it was, shock and horror, oh no, not happening. And here was a Black man embracing a white woman – and my god, it was the Presidential Nominee hugging the wife of the Vice Presidential nominee. Grab that champagne! Things do change! There is hope! Yes! We can!

And we did.

___________________

Read article here.

Article: Writing Ourselves in Sociology

(See below for link to article)

I’ve spent a lot of time thinking about writing, thinking about the craft of it – because I’m teaching it. You really need to understand something if you have to teach it.

I developed a doctoral seminar on ‘Writing for Publication’ after a few of our students complained that there wasn’t enough mentoring for publishing. My first reaction to that was irritation: You’ve got to be kidding! I spend half my life doing that. But then I thought about it and realized that sure, I did that for my students, and some of my colleagues did it for theirs, but some of our students – well, they fell between the cracks. We no longer have an ‘old boys network’ that sees to it that upper class white men get the mentoring they need. But there still are networks – ‘interesting’ students, students doing ‘interesting’ work – they get mentored. But some people, maybe more shy, maybe doing work that doesn’t grab the attention of any of the faculty, they just muddle through, putting things together for themselves.

So I developed this course, made mentoring for publication an entitlement – anyone who registered would get the mentoring. It required me to think through so many things, all mixed up with ordinary ones we always think about and new ones I’d never actually had to verbalize – how to title an article; how to choose journals for submissions, what works as a presented paper at a meeting, how much can you re-use material from one publication to another… on and on. The course is a year long – we meet every other week for a full academic year. It takes that long to grow publications; things planted in the fall don’t start flowering till spring.

Having done it as a course, I found myself doing it as short workshops at conferences. And suddenly a whole new set of ethical issues arose for me -- all kinds of ethical questions beyond simple IRB (Internal Review Board) questions about ‘protection of human subjects.’ For one thing, when I have a person taking the workshop whose work I don’t particularly admire – why on earth am I helping them publish it? Is that the right thing for me to be doing? I had that realization in a flash at a workshop at a meeting that will remain nameless: someone asked a question and I thought ‘why on god’s earth am I helping this jerk perpetuate this awful work?’ So now I am VERY selective about where I will do this workshop.

But this piece – I think it’s still OK. I am basically asking people to be more there, more present in their work. And that is something I want, both for the good people and, frankly even more so for the jerks.

________________

Read article here.

Article: Stem Cell Research

(See below for link to article)

When I wrote this, Bush was still President and the overwhelming conservative agenda was – well, overwhelming. Everything related to bioethics and medicine was filtered through that lens.

We’re at a different moment now. I just completed my term on an Embryonic Stem Cell Oversight committee, created to do basically compliance reviews of research involving embryonic stem cells. We had to ascertain if proposed research met the standards – used ‘approved cell lines,’ involved appropriate informed consent from donors, etc. It was strange – all those bioethics and IRB (Internal Review Board) things are. We had this odd narrow view, making sure the research met the requirements for embryonic stem cells, and as I say in this article, that’s so tied up in the abortion issue all else fades away.

We found this hard, many of us on the committee, for a variety of reasons. One day I found myself having to approve a project that involved sacrificing many, many mice. I don’t want to kill mice. They’re cute. And harmless. They weren’t even in my kitchen making pests of themselves – they’d been bred specifically to die for science. Do I want their blood on my hands? (Laugh all you want. I had to actually say out loud that it was OK, that the research project passed standards. There’s probably a hell in which I’ll have to explain that to mice) Other people had hard times with projects that maybe did and maybe didn’t come off so clean on the specific embryonic stem cell issues – the project could possibly lead to cures for some horrible disease that little babies were dying of, right across the street in the hospital. You want to say NO to something that just involves cells on a dish because you’re not sure of the origin of the cell line, if it was or wasn’t one of the ones Bush ‘grandfathered’ in? Could you say NO to something that could save little babies’ lives because of a technicality?

I found that committee endlessly difficult – forever arguing about the most trivial of issues while the most significant passed us by, not our purview, someone else’s jurisdiction. But as long as Bush was President, as long as the conservative agenda dominated biomedicine, I felt I had to stick around.

Thanks Obama! I owe you one.

_________________

Read article here.