FEMINIST ACTIVISM AND THE HEALTH INDUSTRIES WSDB 398 GA - May 6-10, 2019 - Simone de Beauvoir SUMMER Institute
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FEMINIST ACTIVISM AND THE HEALTH INDUSTRIES WSDB 398 GA May 6-10, 2019 Simone de Beauvoir SUMMER Institute
Simone de Beauvoir SUMMER Institute SPECIAL THANKS The 2019 Simone de Beauvoir SUMMER Institute would not be possible if it was not for the generous artistic, administrative and financial support of our sponsors. We are extremely grateful to Concordia’s Faculty of Arts and Science, the Simone de Beauvoir Institute, as well as the Réseau québécois en études féministes. Our thanks to Rachel Thomas Artwork associated to the 2019 Simone de Beauvoir SUMMER Institute has been graciously offered by Rachel Thomas. Rachel is a Ph.D. candidate in Interdisciplinary Humanities at Concordia University. Her current body of research looks at the social implications of polycystic ovarian syndrome on women and synthesizes data findings through research- creation. In particular, she is fascinated by the notion of the ‘monstrous’ female body and how its characteristics have been established by Western social and medical norms. Her design (see artwork, left) is unlike her usual artwork but was meant to clearly show feminist activism working against an all-too- present and powerful “health” industry. 2
Organization Committee Geneviève Rail (Concordia University) Rachel Thomas (Concordia University) We appreciate the work done by Linda Bowes and Marlihan Lopez who helped with the administrative and communication aspects of the 2019 Simone de Beauvoir SUMMER Institute And a Big “Thank You” to Our Volunteers! Location of the SUMMER Institute Subway (Guy-Concordia) 1 John Molson Building (MB) 1450 Guy street Montreal, Québec
Simone de Beauvoir SUMMER Institute 2019 Program MONDAY, May 6th 8:30am-11am MB 3.231 REGISTRATION OF SUMMER INSTITUTE PARTICIPANTS (PARTICIPANTS NOT REGISTERED FOR COURSE CREDITS) 9am-10:30am MB 3.270 MANDATORY ORIENTATION SESSION FOR UNDERGRADUATE AND GRADUATE STUDENTS REGISTERED FOR COURSE CREDITS 10:30am-11am MB 3.245 Health Break Session 1 MB 3.270 Monday (11am-12pm) Opening Keynote MESSING, Karen (UQAM) “The second body in the workplace: How can we act to reconcile equality and women’s health” 12pm-1pm Lunch Break Session 2 MB 3.270 Monday (1pm-2:30pm) Panel Panelists: WINT, Shirlette (Clinical social worker, psychotherapist, researcher and cultural consultant) “The body has agency: Taking back that which was lost or never realized” MILAKU, Hirut (Hirut, Third Eye Collective) “Unpacking emergency response from 2017: What were the many barriers faced by infants, pregnant and lactating Black asylum seekers in Quebec?” 4
MONDAY, May 6th 2:30pm-3pm MB 3.245 Health Break Session 3 MB 3.270 Monday (3pm-5pm) Abby Lippman Memorial Session Panelists: TAILLEFER, Anne (Independent Researcher, Montreal) “‘We are ordered to sell them⎯you do as you’re told’: Vaccination, women in healthcare, and medico-pharmaceutical coercion” RAIL, Geneviève (Concordia University) “The vaccine industry, the construction of ‘at-risk’ girls, and the manufacturing of mothers’ consent” RIVA, Catherine (Investigative Journalist, Switzerland) “Investigating and mapping ghost management at work: The case of HPV vaccines” TUESDAY, May 7th 8:30am-9am MB 3.231 REGISTRATION OF SUMMER INSTITUTE PARTICIPANTS (PARTICIPANTS NOT REGISTERED FOR COURSE CREDITS) Session 4 MB 3.270 Tuesday (9am-10:30am) Panel Panelists: CYR, Céline (Activist and Trainer) “Gaining Autonomy and Medication (GAM): Empowering medication users in ‘mental health’ and other stakeholders” ASSAYAG, Lydya (Director, Réseau Québecois d’action pour la santé des femmes) “The invisible straight jacket” 10:30am-11am MB 3.245 Health Break 5
TUESDAY, May 7th Session 5 MB 3.270 Tuesday (11am-12pm) Presentation Presenter: DisAbled Women’s Network Canada 12pm-1pm Lunch Break Session 6 MB 3.270 Tuesday (1pm-2:30pm) Keynote PERRON, Amélie (University of Ottawa) “What can an epistemology of ignorance contribute to our understanding of health care?” 2:30pm-3pm MB 3.245 Health Break Session 7 MB 3.270 Tuesday (3pm-5pm) Panel Panelists: HEY, Maya (Concordia University) “Fermentation and feminist arguments against healthisms” O’BRIEN, Emilie (Art conservator, artist-researcher) “Art, the body and the gift of gratitude” 6
WEDNESDAY, May 8th 8:30am-9am MB 3.231 REGISTRATION OF SUMMER INSTITUTE PARTICIPANTS (PARTICIPANTS NOT REGISTERED FOR COURSE CREDITS) Session 8 MB 3.270 Wednesday (9am-10:30am) Panel Panelists: GOLDIN-STAHL, Darian (Concordia University) “Skin, scan, and sign: Injecting subjectivities into the visual culture of medicine” SIMS, Emily (Concordia University) “Remembering: Labor, desire, fatigue” 10:30am-11am MB 3.245 Health Break Session 9 MB 3.270 Wednesday (11am-12pm) Presentation Presenter: MANNING, Kimberley (Concordia University) “Supporting the health and well-being of trans youth: Clinical care in the context of political change” 12pm-1pm Lunch Break Session 10 MB 3.270 Wednesday (1pm-2:30pm) Presentation Presenter: FISHMAN, JENNIFER (McGill University) “Gendered and gendering pharmaceuticals” 7
WEDNESDAY, May 8th 2:30pm-3pm MB 3.245 Health Break Session 11 MB 3.270 Wednesday (3pm-5pm) Panel Panelists: DOUDENKOVA, Victoria (Université de Montréal) “Polycystic ovary syndrome as a pre-illness state: Medicalization and implications for autonomy” RAIL, Geneviève (Concordia University) “Artivism and the queering of cancer” BEEMAN, Jennifer (Breast Cancer Action Quebec) “Why does the environmental health movement bother so many people?” Please note the change of location To the Hall Building for Thursday May 9th only THURSDAY, May 9th 8:30am-9am H553 Corridor REGISTRATION OF SUMMER INSTITUTE PARTICIPANTS (PARTICIPANTS NOT REGISTERED FOR COURSE CREDITS) Session 12 H553 Thursday (9am-10:30am) Workshop Workshop leader: GUBERMAN, Nancy (UQAM) “Environmental risk factors for diseases that the health industry rarely addresses” 8
THURSDAY, May 9th 10:30am-11am H553 Corridor Health Break Session 13 H553 Thursday (11am-12pm) Presentation Presenters: BESSAÏH, Nesrine (La CORPS féministe) LOMBARDI, Diana (La CORPS féministe) “Putting experiential knowledge at the forefront” 12pm-1pm Lunch Break Session 14 H553 Thursday (1pm-2:30pm) Keynote RICHARDSON / KINEWESQUAO, Catherine (Université de Montréal) “Indigenous women’s responses to interpersonal and colonial violence” 2:30pm-3pm H553 Corridor Health Break 3pm-4pm H553 MANDATORY INFORMATION SESSION FOR UNDERGRADUATE AND GRADUATE STUDENTS REGISTERED FOR COURSE CREDITS 9
FRIDAY, May 10th 8:30am-9am MB 3.231 REGISTRATION OF SUMMER INSTITUTE PARTICIPANTS (PARTICIPANTS NOT REGISTERED FOR COURSE CREDITS) Session 15 MB 3.270 Friday (9am-10:30am) Panel Panelists: THOMAS, Rachel (Concordia University) “Musings of a Fat Medusa: An interdisciplinary approach to obesity” BEAUSOLEIL, Natalie (Memorial University of Newfoundland) “Fatness, beauty and the arts: My life in health and body activism” 10:30am-11am MB 3.245 Health Break Session 16 MB 3.270 Friday (11am-12pm) Presentation Presenters: MCPHAIL, Deborah (University of Manitoba) MAZUR, Lindsey (University of Manitoba) “Conceiving stigma? Fat women’s experiences of conception care” 12pm-1pm Lunch Break 10
FRIDAY, May 10th Session 17 MB 3.270 Friday (1pm-2:30pm) Panel Panelists: JETTE, Shannon ((University of Maryland) “Prenatal exercise and embodiment at the ‘postgenomic turn’: Reflections on a feminist transdisciplinary journey” WARD, Pamela (Memorial University of Newfoundland) “Bodies in practice: Exploring the experiences of public health nurses in a critical weight bias training program” 2:30pm-3pm MB 3.245 Health Break Session 18 MB 3.270 Friday (3pm-5pm) Closing Keynote RICE, Carla (University of Guelph) FRIEDMAN, May (Ryerson University) LIND, Emma (Carleton University) “A high risk body for whom? On risk, recognition and reclamation in reproductive care” 5pm-6pm MB, 3rd Floor Deloitte Study Area RECEPTION FOR ALL STUDENTS, SPEAKERS AND PARTICIPANTS * * * * * 11
Simone de Beauvoir SUMMER Institute 2019 Abstracts ASSAYAG, Lydya (Director, Réseau Québecois d’action pour la santé des femmes) The invisible straight jacket Hysteria rises her ugly head again. Just when we thought that it was something of the past, medicalization of women’s mental health reaches record levels. Why and how do we face this challenge, again? BEAUSOLEIL, Natalie (Memorial University of Newfoundland) Fatness, beauty and the arts: My life in health and body activism In this presentation I will reflect on my life-long activism in the field of body image, beauty and health. I will describe how my teaching, research and activism have always been intertwined and how, lately, I have integrated the arts in my scholarship. I draw and paint to see and understand the world and myself. For instance, in a series of self-portraits, I have used lines and colours to depict my facial appearance and fat body in joyful acts, which are also fundamentally political. This presentation is mostly autoethnographic but also includes a brief review of other artists’ works about fat bodies and issues of identity and community, in the context of dominant regimes of truth and body fascism. BEEMAN, Jennifer (Breast Cancer Action Quebec) Why does the environmental health movement bother so many people? Groups involved in environmental health face fierce criticism from many institutional actors in their fight to identify environmental factors that cause diseases. Why should environmental factors related to diseases be a source of controversy? What are the critics saying? What does this reveal about the dominant paradigms used to explain the causes of diseases and what we should be doing to fight them? We will examine these questions particularly as it relates to breast cancer and cancers more generally in this presentation. BESSAÏH, Nesrine (La CORPS féministe) LOMBARDI, Diana (La CORPS féministe) Putting experiential knowledge at the forefront Historically, the women’s health movement has been known to advocate for access to medical interventions that contribute to improving women’s lives in terms of sexual and reproductive health (access to oral contraception, surgical abortion, etc.). It is with this same perspective that the women’s health movement has held a staunch critical stand with regards to the health and pharmaceutical industries. La CORPS féministe, a collective grounded in Québec’s feminist movement, holds this historical position toward the “health industry.” We strive to co-construct knowledge by placing experiential, activist, and scientific knowledge at the heart of our work. Our recent publication Corps accord: Guide de sexualité positive, an adaptation of Our Bodies Ourselves to Quebec’s realities, brings together narratives from people who identify as women, longstanding demands from advocacy groups as well as feminist research in health and social sciences. During this presentation, we will highlight our approach and process in the making of this book and explain how we have used popular education practices and kept a pragmatic approach to medical procedures and devices. We will also present our work to come to develop our next publication, which will be on perinatal period. We will explain what new challenges we are facing and, in an approach of knowledge co-construction, will invite the audience to open new perspectives and suggest solutions. 12
CYR, Céline (Activist and Trainer) Gaining Autonomy and Medication (GAM): Empowering medication users in ‘mental health’ and other stakeholders GAM is an approach developed in Quebec by medication users and workers from the alternative mental health community movement. At its core, GAM is about subjective quality of life. The different facets of one’s life are examined in order to assess the impact of medication on one’s self. GAM aims to give power to medication users so they can make choices, negotiate their treatment, have access to alternatives, and their rights respected such as free and informed consent. GAM is also practiced in Ontario, France, Spain and Brazil. The objectives of this workshop will be to learn firstly about the GAM philosophy and practices. This will be followed by a discussion about empowering people (users and workers), organisations and society at large, in relation to ‘mental health’* medication and the increasing medicalization of people’s suffering and oppression. * Mental health is put in quotation marks so we don’t forget to question ourselves: Are people suffering from so-called mental illnesses or are they simply exhibiting normal reactions to difficult lives? DOUDENKOVA, Victoria (Université de Montréal) Polycystic ovary syndrome as a pre-illness state: Medicalization and implications for autonomy Polycystic ovary syndrome (PCOS) is a widespread endocrine disorder that affects 10% of women of childbearing age and that has a significant impact on their quality of life. Although the syndrome is primarily known because of its effects on fertility, it has been proposed as a paradigm for pre-hypertension, pre-diabetes and pre-obesity. PCOS-affected women are more prone to cardiovascular disease, hormone-related cancers and over 50% will be pre-diabetic or diabetic by age 40. These women tend to be overweight, and nearly half of them are obese. According to Collin (2016), “semi-pathological pre-illness at-risk states” are prone to medicalization for prevention purposes, because of the blurring of boundaries between what is considered being a normal and a pathological state. PCOS as a pre-illness state falls in this category. Women are therefore at a higher risk of medicalization, which does not necessarily represent the best way to help them achieve better health outcomes. This leads to the internalization of a medicalized view of body and life, and to a wider use of drugs in the never-ending fight against chronic disease. It seems thus necessary to address ways in which women’s autonomy can be restricted within those dynamics, often constructed, self-justified and self-powered by dominant interests. In this context, other valuable ways to deal with PCOS—or even reverse it—bear the risk to be overlooked. Instead of being used as an opportunity for medicalization, PCOS could serve as a gateway to nuance our understanding of health and chronic disease, thus creating new opportunities that have the potential to foster women’s health and autonomy. FISHMAN, Jennifer, (McGill University) Gendered and gendering pharmaceuticals This session will describe and discuss how “gender” is both an input and output of pharmaceutical drug development, marketing, prescription, and consumption. Using the exemplar cases of Viagra and hormone replacement therapy, I will examine how biomedical constructs of sex and gender shape how and what drugs are available, how they are marketed, and how they are consumed. We will conclude with spending time considering modes of interrogation and disruption of this health industry’s role in the shaping of sex, gender, and sexuality. GOLDIN-STAHL, Darian (Concordia University) Skin, scan, and sign: Injecting subjectivities into the visual culture of medicine The history of medicine can be understood by its images: from the drawn, engraved, or etched representations of the body created by collaborating physicians and printmakers, to the extraordinary scans produced from penetrating waves of magnetic resonance. These bodily visualizations teach us not only about disease, but how cultures through time have answered the question, “What is the meaning of illness?” This talk analyzes how contemporary women and queer artists are countering the traditional medical model of illness by re-presenting medical scans and illustration through a feminist lens, and ultimately expand the visual culture of medicine to include under- and misrepresented subjectivities. 13
GUBERMAN, Nancy (UQAM, Breast Cancer Action Quebec) Environmental risk factors for diseases that the health industry rarely addresses While health professionals push healthy lifestyles and pharmaceutical companies have a pill for everything, environmental risks to health are rarely discussed by the health industry. Do you know what’s hiding in your home, workplace or classroom that can have negative effects on your health ? In this workshop, Breast Cancer Action Quebec will help you become a chemical detective to seek out and reduce the toxic chemicals in your environment. We will also discuss the need for stronger regulation of these chemicals and what you can do to make a change. HEY, Maya (Concordia University) Fermentation and feminist arguments against healthisms Despite its history, fermentation is currently celebrated as a tactic to subvert the industrial food system. Unlike the commercialization and mass production of food commodities, fermentation champions the do-it-yourself (DIY) ethos, the populist spirit, and the handmade care that goes into small-scale production. Coupled as both a food intervention and a health intervention, fermentation reinforces the link between “eating well” and “gut health,” as voiced by medical professionals and food influencers who expound upon ferments’ bioavailable nutrients and improved digestibility. By reducing ferments to a function and an imperative, fermentation hails the neoliberal subject to take matters of food literally back into one’s hands and reorient agency back into the human body. However, the mandate to eat raw, live, probiotic foods requires time, know-how, and material resources that are not accessible to all who eat. This framing of fermentation fails to account for the multiplicity of health needs, ignoring the structural barriers to food/health access. Ideologically, DIY fermenters situate their practice as a way to disrupt normative food practices (buying) with making (their own); in so doing, they conflate the poor choices of purchasing with the poor health outcomes of a food. Thus, by privileging self-reliance (e.g. “I don’t buy bread, I bake my own”), DIY fermentation practices enable a culinary stance of moral superiority, which reinforce the healthist paradigm that it claims to subvert. Implied is the desire for “returning-to” a kind of fermentation praxis from a pre-commercial food era, which itself assumes that there once was a time of “rightful” eating from which we have erroneously departed. In the context of healthist regimes, fermentation is no exception to the sticky reaches of singular food truths: eat this, not that, “because it’s good for you[r gut].” Backed by the legitimacy of science and testimony, current narratives oversimplify fermentation into dualistic terms, which inform ideas of the body (such as its purity or boundedness) that further equate health with control (that is, control over diet and/or control over microbial populations). Health is not a state; it is enacted with more-than-human agencies, and it is perpetually (re)negotiated at every eating event. Microbial bodies and microbial foods complicate dominant ideologies of health because they shift attention away from solutionist directives of eating fermented products towards a process-oriented approach of living with, working with, and eating with microbes. Using a combination of performativity and theories of embodiment, this presentation analyzes the dynamic and transformative aspects of fermentation as a way to reimagine health as being co-constructed with other scales of life. JETTE, Shannon (University of Maryland) Prenatal exercise and embodiment at the ‘postgenomic turn’: Reflections on a feminist transdisciplinary journey Within the life sciences, there has been a move away from genetic determinism towards an awareness of how the environment (from cellular to social) can impact gene expression and health outcomes. Significantly, exercise scientists are looking to this ‘postgenomic turn’ to explore how prenatal physical activity and leisure might impact the fetal metabolic environment by altering offspring gene expression and preventing future obesity. In this paper, we draw upon insights from feminist new materialist scholars to explore how/if the entanglement of the social and material promised by the postgenomic turn is realized in prenatal exercise interventions. After outlining how this is not the case, we reflect upon our attempt to promote a transdisciplinary dialogue that facilitates a social justice ethos and non-reductionist version of maternal-fetal health and physical culture. Our transdisciplinary journey contributes to the feminist physical cultural studies agenda of equity development in the realm of exercise and leisure. MANNING, Kimberley (Concordia University) Supporting the health and well-being of trans youth: Clinical care in the context of political change 14
MCPHAIL, Deborah (University of Manitoba) MAZUR, Lindsey (University of Manitoba) Conceiving stigma? Fat women’s experiences of conception care Increasingly, medical researchers, government policy, and the popular media have expressed concern regarding the risks associated with “obese” women’s reproduction. Research is beginning to show that, as a result of these concerns, fat women are routinely denied fertility and proper reproductive care. This denial is based in medical research that cites complications for both the woman and her (potential) fetus, including miscarriage, prematurity, and autism. At the same time that health risks have been emphasized by researchers, some scholars have instead focused on the stigma experienced by fat people, and have argued that “obesity stigma,” too, has negative health effects relating to the high stress levels associated with discrimination. Researchers have also found stigma within the healthcare setting, where preconceived notions about fatness on the part of healthcare workers can lead to misdiagnosis and the denial of care. What is missing from such research, however, is an analysis of “obesity stigma” within the fertility healthcare setting in particular. Larger women are considered “risks” to both themselves and their children and, as a result, believed to be “bad mothers”; how does this belief impact the healthcare of obese women attempting to conceive? This presentation will begin to address this question by outlining the findings of a qualitative study conducted in 3 cities in Canada, in which the authors interviewed 59 fat-identified participants regarding their experiences of reproductive and fertility care. We demonstrate how gendered discourses of mother-blame and fetal risk frame the experiences of fat women’s (potential) pregnancies and birth almost fully and completely. Further, given that many participants’ experiences of discrimination of care worked to prevent them from pursuing future pregnancies, we explore the potential that these actions on the part of healthcare professionals can be construed as a new form of eugenics. MESSING, Karen (UQAM) The second body in the workplace: How can we act to reconcile equality and women’s health The #metoo movement has made me aware that women often feel shame for being women. We need to combat that shame if we are to be able to gain equality in the workplace while preserving our health. This problem is particularly acute for women holding jobs requiring physical strength and endurance such as food servers, gardeners, cashiers and health care aides. I will describe some lessons learned during our ergonomic interventions in these kinds of jobs, done in collaboration with union status of women committees. MELAKU, Hirut (Hirut, Third Eye Collective) Unpacking emergency response from 2017: What were the many barriers faced by infants, pregnant and lactating Black asylum seekers in Quebec? Pregnancy and childbirth can end up being a site of trauma instead of power and spiritual connectedness. In telling stories of pregnant Black asylum seekers, I will identify some of the systemic barriers to a mind, body, spirit connection when one is forced to give birth under obstetrical violence. I’ll also be addressing infant feeding activities, and questioning if and how the actions of health care professionals put infants at harm. The World Health Organization states that artificial feeding should not be introduced unless it is acceptable, feasible, affordable, sustainable and safe (AFASS). And yet, most of the asylum seekers live in conditions or context that are not AFASS... O’BRIEN, Emilie (Art conservator, artist-researcher) Art, the body and the gift of gratitude Art and the art-object under capitalism and patriarchy have been removed as a core source of connection between mind and body, and self and other. This workshop explores creativity as a natural right, one that links embodiment, community, ancestry, sacredness and well-being; proposing a restoration of non-linear, creative modes of expression as a means to remembering and awakening ourselves into a new paradigm of healing. 15
PERRON, Amélie (University of Ottawa) What can an epistemology of ignorance contribute to our understanding of health care? Activism and social change initiatives are often predicated on calls to speak truth to power, that is, to speak openly and freely against individuals or dispositifs that perpetuate oppressive and unethical practices and policies. Empowerment is commonly used as a catch-all term meant to capture the shifts in power that occur when truths are disseminated without restraint and used to rectify abusive processes and discourses. However this assumes that the knowledge needed to challenge power relationships is available and can be used toward emancipation. In healthcare, such knowledge is typically assumed to come from scientific inquiry meant to produce indisputable data and facts. Yet science itself can perpetuate epistemic privilege rather than epistemic agency that is needed for empowerment. A postnormal reading of knowledge and scientific inquiry may accommodate insightful discussions about the ‘unknown’―in other words, ignorance―as a useful starting point for critique and resistance to challenge such a position. Ignorance here is understood as evidence of the confrontation between different forms of local knowledges culminating with the domination of some forms over others. Speaking truth to power, then, requires the critical examination of the current epistemic division of labour, the construction of particular subjectivities (that are valued or devalued), and the power relationships that govern these configurations. I suggest that an epistemology of ignorance, which is heavily informed by feminist scholarship, can afford a position of epistemic justice. In this view, ignorance is not construed as a void or as something preventing intelligibility and the validity of other perspectives and understandings, but as something that can disallow the perpetuation of epistemic privilege. An epistemology of ignorance explores a different form of critique for care recipients and care providers, through the destabilization of epistemic certainties. RAIL, Geneviève (Concordia University) Artivism and the queering of cancer In this presentation, I look at what knowledges actually inform cancer screening, diagnosis, surgery and treatment decision-making by breast or gynecological cancer patients who are members of a sexual minority. This poststructuralist-informed study aimed to document and analyze the complex intersectional relationships between gender/sexuality, cancer experiences, and knowledge access, sharing and mobilization. Here, I focus on the results of over 100 interviews carried out with a diverse sample of queer, lesbian or bisexual women (QLB) and trans (T) persons from Canada diagnosed and treated for breast or gynecological cancer. The results speak to the ways in which fields of knowledge are inflected by dominant discourses on biomedicine, risk, neoliberalism and stereotypical rhetoric of “women's health” and “lesbian health.” Instead of stories focusing on “curing” cancer (à la Pink Ribbons), our participants’ stories rather constitute narrative practices that contribute to “queering cancer.” Such stories trouble norms (of sex, gender, sexuality, cancer experience) and transpire the subjectivity of our participants. A number of participants took part in a digital story workshop and produced short videos. A few of these videos are presented to illustrate the work done and to open the discussion on the issue of activism and the co-creation of new knowledge in cancer and cancer care. RAIL, Geneviève (Concordia University) The vaccine industry, the construction of ‘at-risk’ girls, and the manufacturing of mothers’ consent While human papillomavirus (HPV) and HPV vaccination (HPVV) campaigns have stirred heated debates on safety, effectiveness, cost, and ethics, public HPVV campaigns are present in all Canadian provinces. This presentation looks at the deployment of HPVV discourses and their impact on Canadian girls, parents, nurses, and physicians. The study includes conversations (N=139) with participants from 4 provinces and diverse sociocultural locations. I first chart how girls, parents and health professionals make sense of, and discursively construct HPVV. Second, I examine the interview transcripts for traces of discourses recited by youth and adults when discussing HPVV. I am interested in how they appropriate and/or resist such discourses as well as how they constitute themselves as subjects of/to such discourses. The results speak to the discursive construction of mothers as responsible biocitizens who act upon their daughter’s risk, and of health professionals as biopolitical agents of the State and the pharmaceutical industry who spread fear of HPV and manufacture consent for HPVV among girls and mothers. We reflect on the use of HPVV within larger corporate schemes to expand markets in the name of cancer prevention. We conclude by asking whether the health of the public is advanced when HPVV discourses and practices produce at-risk bodies and when cancer prevention is instrumentalised in the pharmaceuticalisation of public health. 16
RICE, Carla (University of Guelph) FRIEDMAN, May (Ryerson University) LIND, Emma (Carleton University) A high risk body for whom? On risk, recognition and reclamation in reproductive care This presentation seeks to explore issues of weight stigma and fertility, reproduction, pregnancy and parenting. We engage with Reproducing Stigma, a Re•Vision-affiliated research project that used interview and video-making methods with women-identified and trans people, as well as interviews with healthcare providers and policymakers. We consider the ways in which reproductive risk is typically storied in healthcare and culture, and will screen six micro-documentaries made by project participants which challenge us to story reproductive wellbeing differently. We examine three major themes—on risk, on recognition of weight and other stigma, and on reclamation of bodies—that emerged as critical to these storytellers. We argue that just as clinicians strive to practice evidence-based care we must also put into practice storied care—to believe, respect, and honour people’s stories of their bodies as fundamental to achieving equity in reproductive healthcare. RICHARDSON / KINEWESQUAO, Catherine (Université de Montréal) Indigenous women’s responses to interpersonal and colonial violence In this presentation, Catherine will discuss her approach to supporting Indigenous women who have experienced violence. She will share her interactional framework, which provides a map for exploring context, situational details, violence as well as victim responses and resistance. She frames the women’s actions in terms of seeking to restore safety and dignity. She will also discuss how representations of this violence in popular culture, and in court settings, tend to blame women for the violence of men, and create impunity for perpetrators. RIVA, Catherine (Investigative Journalist, Switzerland) Investigating and mapping ghost management at work: The case of HPV vaccines We tested a hypothesis put forward by Marc-André Gagnon (Carleton University, Ottawa) that builds on the concept of ghost management in science to develop a reflection on corporate capture and institutional corruption in the biopharmaceutical sector. Gagnon postulates that because of the current business model, the activity of pharmaceutical firms is more oriented towards producing influence on medical knowledge and social determinants of value, than towards producing innovative treatments. We confirmed the validity of this approach by mapping the strategies and issues highlighted in our Re-Check long form investigation on HPV vaccines. Our maps show that in Western countries, the striking success of these products embodies a new era of pharma- marketing and ghost management. Before, during and after the regulatory process to approve the vaccine, an impressive scheme linking communication, lobbying and dependencies is at work. The maps allow to identify key investments made by companies to shape and influence the social and scientific debate, as well as habits, health programs and advocacy. Thanks to multidirectional capture strategies, the ghost management’s strategy succeeded in neutralizing all those players who were supposed to curb the pharmaceutical industry’s ambitions: regulatory authorities, public health bodies, medical journals, physicians and medical experts. It also captured the media, civil society and legislative measures, even achieving to neutralize the alleged market competition. The case of HPV vaccines is an impressive example of ghost management, demonstrating how narratives shaping medical knowledge can be created and controlled in a way that favors corporate interests. SIMS, Emily (Concordia University) Remembering: Labor, desire, fatigue Through the use of Visceral Methodology, the presentation at hand presents the ways in which I have attempted to reconcile the physical, intellectual, and emotional labor required during the PhD application process. Often controversial self-care methods and non-conventional income sources are explored using the theoretical framework of Risk Studies, found images, and song lyrics. This work invites the reader/viewer/listener to imagine the myriad methods of survival taken up by individuals and communities with limited financial resources, but unlimited academic and professional aspirations. 17
TAILLEFER, Anne (Independent Researcher, Montreal) "We are ordered to sell them⎯you do as you’re told": Vaccination, women in healthcare, and medico-pharmaceutical coercion The vaccine is a fascinating social object. It involves issues of security, anger, fear, power struggles, and generates epistemic injustices. Vaccination is part of a patriarchal, colonial and political project. These dimensions will be exemplified by a study that reveals aspects of the experience of women in health care who struggle to come to terms with what they witness in the field, and the coercion they undergo. It highlights how their expertise on the subject of vaccination is relegated to forbidden knowledge and how they experience this silencing imposed by medical and pharmaceutical establishments. THOMAS, Rachel (Concordia University) Musings of a Fat Medusa: An interdisciplinary approach to obesity This presentation will explore a relatively new interdisciplinary methodology, graphic medicine, in the dissemination of new information in the medical and social discourses around obesity. Graphic medicine is the intersection of comic art and such discourses which allows for academic research to be presented in a way that is accessible to other backgrounds and communities. Musings of a Fat Medusa is a graphic novel that chronicles a journey from the ‘morbidly obese’ body into the ‘fit and healthy’ body, and all the medical and social issues in said spectrum. At its core, it negotiates the experience of fatness, and how Western culture seeks to frame this body type (both in positive and negative lights). Further it discusses the liminal space in the process of relinquishing fatness in favour of medically sanctioned ‘health’ and ‘fitness.’ The presentation will explore these ideas in a few selected chapters of the novel, using the illustrated pages as examples. WARD, Pamela (Memorial University of Newfoundland) Bodies in practice: Exploring the experiences of public health nurses in a critical weight bias training program Newfoundland and Labrador (NL) has one of the highest provincial rates of obesity in Canada and hence has been broadly labelled as a ‘problem’ population. Recently the Government of NL has initiated a ‘health in all policies’ approach with one goal being a 5% reduction of obesity in NL by 2025. While the government is seeking strategies to support the prevention and treatment of obesity in the province, a number of researchers and health practitioners are warning of the dangers of a weight-centred approach. Such an approach, we contend, draws largely on dominant obesity discourses that construct obesity as disease and fat people as lazy, irresponsible and in need of treatment. Such approaches have been widely reported to lead to health care that is stigmatizing and harmful. Weight bias has been shown to negatively impact psychological well-being of individuals, resulting in negative health outcomes, behaviours such as avoidance of physical activity, emotional eating or disordered eating, and mortality. More recent literature suggests that moving away from a weight-centred focus in public health and inserting alternative discourses of health and the body into practice, have the potential to improve patient health outcomes. In this presentation, I will provide an overview of a feminist study that was conducted with public health nurses in one health authority in NL. With the support of a “health not weight” nursing implementation working group, we utilized a mixed-methods design to explore the experience of public health nurses in a critical weight bias initiative. This initiative, consisting of an online module and a face-to-face workshop, challenges dominant health and obesity discourses and presents an alternative approach to care for people in all bodies, with a focus on health, not weight. Results demonstrated a positive response to the initiative. While nurses evaluated the intervention components positively, interviews highlighted the complex ways in which the nurses navigated the dominant and resistive discourses while reflecting on their own body positioning in practice and in the work environment. WINT, Shirlette (Clinical social worker, psychotherapist, researcher and cultural consultant) The body has agency: Taking back that which was lost or never realized This presentation will illustrate how emotional wounds were healed through workshops, individual consultations along with art and cultural activities in community, private and public sectors. By creating opportunities for individuals, families and groups to participate in cultural activities; collective catharsis was achieved allowing the physical body to become receptive to strengthening of resiliency and creating space for resourcefulness. 18
Simone de Beauvoir SUMMER Institute 2019 Mini-Biographies ASSAYAG, Lydya, is a lawyer, mediator, researcher, teacher, and also a musician. Member of both the New York and Quebec Bars, she is a human rights expert and a long-time activist in protecting and promoting the rights of minorities, children and women. Ms. Assayag spearheaded the “Duplessis Orphans” case while working at the Quebec Ombudsman’s Office. She has also worked for the Human Rights Commissions of Quebec, New York and Mexico. In Rwanda, she was instrumental in implementing the indigenous genocide trials. She is the laureate of the prestigious 2010 “Espace Femme Arabe” trophy and sat on the President’s chair for the “Conseil des Montréalaises” in 2012-2014. Ms. Assayag also taught at the Quebec Bar school. She is currently Director of the Réseau Québecois d’action pour la santé des femmes, advocating for a comprehensive and feminist approach to health. Her motto: to be the voice of the voiceless. Email: lydya.assayag@rqasf.qc.ca BEAUSOLEIL, Natalie, is a feminist critical obesity sociologist, artist and Professor of Social Sciences and Health in the Division of Community Health and Humanities in the Faculty of Medicine at Memorial University of Newfoundland. Her scholarship and activism focus on the social production, representation and experiences of the body and health, as well as the arts and social justice in medical education and medical humanities. She has published several peer-reviewed art pieces, articles and book chapters in Canadian and international publications. Email: nbeausol@mun.ca BEEMAN, Jennifer, is a sociologist. She has worked for many years with or in social movements, particularly with women’s groups on women’s rights at work, including pay equity, work-family balance, women’s access to predominantly male trades, and women in construction. Five years ago, she returned to her first interest in the women’s movement: women’s health and environmental health. At Action cancer du sein du Québec, in addition to acting as director, she has developed several files, including breast cancer and immigrant and racialized women, overdiagnosis and overtreatment of breast cancer, an environmental health and toxic substances program for public high schools and the reform of the Canadian Environmental Protection Act, among others. Email: jennifer.beeman@acsqc.ca BESSAÏH, Nesrine, is an anthropologist. Her Ph.D. research project (University of Ottawa) brings together anthropology, gender studies and translation studies. She is President of the Fédération du Québec pour le planning des naissances. She is also the co-founder and coordinator of an association that led the translation and adaptation of Our Bodies Ourselves in French in Quebec: la CORPS féministe (la collective pour un ouvrage de référence participatif sur la santé féministe). Email: nesrine.bessaih@mail.mcgill.ca CYR, Céline, is an activist and trainer in the « mental health » alternative and feminist movements. She is passionate about developing alternative practices such as Gaining Autonomy and Medication (GAM), Intentional Peer Support (IPS), and intersectional feminist intervention. She is currently working on a research/training on the intersecting systems of oppression of agism and sanism with the Université TÉLUQ and the rights group Action Autonomie à Montréal. She has a Master’s degree in social work and has several years of experience in intervention. She works in Brazil on implementing GAM and other alternative approaches. Email: celine_cyr@sympatico.ca Disabled Women’s Network Canada has celebrated 30 years of service to Canadian women with disabilities and Deaf women in 2015. Through over 30 years of collaboration and hard work, DAWN has the unique expertise and experience to support and develop the leadership of women and girls with disabilities. Under the leadership of our President and our Board, and with the energy and vision of our National Executive Director and Staff, all of whom are women with disabilities, DAWN Canada continues to represent the voice of women with disabilities and Deaf women, both nationally and internationally. We advocate for equity as a means of achieving equality for all women by making sure that women and girls with disabilities have everything they need to reach their goals. We promote approaches that recognize, accommodate and celebrate differences. Grounded in the lived experiences of women with disabilities and Deaf women, and using an evidence-based approach, DAWN Canada works to create change at a systemic level in order to directly improve the quality of life for women with disabilities. We amplify the voice of women with disabilities and Deaf women by ensuring that they are represented at decision-making tables in the areas that matter most, including violence prevention, health equity, and access to justice. We work to increase the capacity of women with disabilities and Deaf women in their communities to support their leadership in articulating their needs. 19
DOUDENKOVA, Victoria, is dedicated to raise awareness around women’s health issues through her work as a Ph.D. candidate in bioethics at the Université de Montréal. Her research project explores autonomy-related challenges faced by women affected by Polycystic Ovary Syndrome (PCOS). She is also Vice-President of the non-profit organization Vivre100Fibromes based in Montreal, and plays an active role in fostering women’s empowerment in vulnerable communities. Email: victoriadoudenkova@gmail.com FISHMAN, Jennifer, is Associate Professor in McGill University’s Biomedical Ethics Unit and Department of the Social Studies of Medicine, and an Associate Member of the Sociology Department and the Institute for Health and Social Policy. She holds a Ph.D. in Sociology from the University of California, San Francisco. As a sociologist of science, technology, and medicine, she uses empirical qualitative methods to describe and analyze the emergence of new medical knowledge and technologies, from the early stages of development to their integration into clinical practice and dissemination to clinicians and patients. Often referred to as “empirical ethics,” she analyzes the oft unexamined and presumptive ethics and values within new scientific enterprises and how these impact research trajectories, technological diffusion and commercialization, and ultimately patients/consumers. She has studied new pharmaceutical drug development and advertising, anti -aging science and medicine, direct-to-consumer genetic risk susceptibility testing, end-of-life medical decisions, prenatal genetic carrier testing panels, and the promise of personalized genomic medicine. Her new project will examine the early translation of epigenetic research and knowledge into public health and media messages to pr ospective parents. Email: jennifer.fishman@mcgill.ca FRIEDMAN, May, works at Ryerson University as a faculty member in the School of Social Work and in the Ryerson/York graduate program in Communication and Culture. May’s research looks at unstable identities, including bodies that do not conform to traditional racial and national or aesthetic lines. Most recently, much of May’s research has focused on intersectional approaches to fat studies considering the multiple and fluid experiences of both fat oppression and fat activism. Email: may.friedman@ryerson.ca GOLDIN-STAHL, Darian, is an American printmaker and bookmaker based in Montreal, Canada. She is currently enrolled in the PhD Humanities program at Concordia University in Montreal. Darian is also the current Artist in Residence for Synapsis: A Health Humanities Journal out of Columbia University. Her thesis project, “Lived Scans: Aesthetic Phenomenological Encounters with MRI Scans and the Patient Experience,” was awarded the prestigious Vanier Canadian Graduate Scholarship. Darian employs research-creation methods to investigate how a haptic engagement with a person’s own medical scans can restore a sense of agency over the medicalized body, and in turn, change the way a doctor views her patient from a representative object into irreducible subject. Darian’s artwork is situated at the intersection of patient narrative, biomedical imaging technology, and multi-sensory printmaking practices. She employs visual metaphors to better represent what it is like to live with chronic illness on a daily basis. To this en d, she combines signifiers of illness (such as MRI scans and hospital gowns) with sound, light, aromatic oils, and skin impressions to create immersive psychological snapshots of the patient’s mind while she is being scanned in the hospital. This research -creation project is a collaborative cycle of informing and reconstructing illness identity, with the aim of advancing the field of medical humanities and fosteri ng a more empathetic relationship between medical practitioners and their patients. Darian holds an MFA in Printmaking from the University of Alberta and a BFA in Printmaking from Indiana University Bloomington. She has received grants from many organizations to fund the production of her artwork, including the Edmonton Arts Council, Alberta Foundat ion for the Arts, Hexagram (Montreal), and the Renata and Michal Hornstein Foundation. Before beginning her PhD, Darian completed an eight-month Scholarship Residency at Malaspina Printmakers in Vancouver. She has exhibited her work in many galleries and conference venues around the world, including Impact 10 (Santander, Spain), Martha Street Studio (Winnipeg), Kelowna Art Gallery, Kimura Art Gallery (Anchorage, Alaska), Art Gallery of St. Albert (Alberta), and the Ottawa School of Art. Most recently, Darian and her collaborating partner and sister, Devan Stahl, published an edited volume on their practice entitled, “Imaging and Imagining Illness: Becoming Whole in a Broken Body,” through Wipf and Stock Press. Email: dariangoldinstahl@gmail.com GUBERMAN, Nancy, is a retired professor of Social Work (community organization) at UQAM and currently president of Breast Cancer Action Quebec, the only independent breast cancer organization in Canada whose mission is to work for the prevention of breast cancer and the elimination of environmental toxicants linked to the disease. We take on the tough issues ignored by mainstream organizations. Email: guberman.nancy@uqam.ca 20
HEY, Maya, is a Vanier scholar and Ph.D. candidate in Communication Studies at Concordia University. She is also a Public Scholar with the School of Graduate Studies. She completed her Master’s in Food Culture and Communication at the University of Gastronomic Sciences and holds a B.S. in Nutrition, Dietetics, and Food Administration. Her doctoral research examines fermentation and feminist theory, particularly attending to questions of power, performativity, and material practice. Email: heymayahey@gmail.com JETTE, Shannon (Ph.D. University of British Columbia, 2009), is an Associate Professor in the Department of Kinesiology and Physical Cultural Studies at the University of Maryland, and her work focuses on social and cultural aspects of health, physical activity, gender and the body. Dr. Jette is interested in socio-cultural aspects of health, physical activity and the (female) body, with a focus on: the production of biomedical knowledge about health and physical activity (i.e., how is it that certain ideas come to be accepted as ‘truth’); how this knowledge has been (and is) put to use in the operation of power in differing socio-historical contexts; representations of health and (un)healthy bodies in various cultural contexts; and the subject positions individuals take up in relation to various health-related messages. Her current research focuses upon how various groups of women that are considered ‘at risk’ in the context of the obesity epidemic understand dominant messages about health, as well as how they experience health, physical activity and weight gain in their everyday lives. The goal is to provide insight into the complex intersection of race, gender, sexuality and social class in shaping women’s health in order to better inform social policy and programming that may otherwise be insensitive to social location and cultural nuance. Overall, Dr. Jette’s research agenda is linked by a consistent focus on the multiple ways that active bodies are articulated into the operation of social power, with the aim of illuminating power inequalities and giving voice to subjugated knowledge(s). She uses a range of qualitative research methodologies (including media and discourse analysis, in-depth interviews, ethnographic techniques) and social theory to critically examine the power relations at play in the production, dissemination and interpretation of knowledge in the disciplines of kinesiology and public health. Dr. Jette has been successful at obtaining national competitive funding at the Masters’, doctoral and postdoctoral level, and is currently a co- investigator on a federally-funded operating grant. She has published in such journals as the Sociology of Sport Journal, Qualitative Health Research, Health, Journal of Aging Studies and the Canadian Bulletin of Medical History. Email: jette@umd.edu LIND, Emma, holds an Honours B.A. from the University of Toronto’s Women and Gender Studies Institute and a M.A. in Gender, Feminist and Women’s Studies from York University. She is a doctoral candidate in the Institute for Comparative Study in Literature Art and Culture (ICSLAC) at Carleton University. Her research examines the relationships between identity, materiality, power, and knowledge production in interdisciplinary contexts. She is currently working on her doctoral dissertation with a focus on the Canadian arts and crafts movement. Email: emilyruthmusgrovelind@gmail.com LOMBARDI, Diana, is a long-time feminist activist who has been working in the Montreal community sector for close to 20 years. She is currently a student in the Community Economic Development graduate program in the School of Community and Public Affairs at Concordia University. As co-founder of “la CORPS féministe,” a collective that led the translation and adaptation of Our Bodies, Ourselves in French in Québec, she is interested in feminist action, popular education, and holistic approaches to women’s health. Email: animatricedl@gmail.com MCPHAIL, Deborah, is an Assistant Professor in Community Health Sciences, nil-appointed in Environment and Geography, and adjunct in Disability Studies at the University of Manitoba. A critical health scholar who studies the social aspects of “obesity,” Dr. McPhail’s interdisciplinary work has been published in such journals as Health and Place, and Social Science and Medicine. Dr. McPhail obtained a Ph.D. in Women’s Studies from York University in 2010. Her doctoral dissertation, a feminist history of obesity discourse in twentieth-century Canada, is in press with the University of Toronto Press. Dr. McPhail’s current work focuses on the interplay among obesity discourse, social inequalities and cis women’s, trans-men’s, and trans-masculine people’s reproductive health, with particular emphases on issues of health equity and healthcare access. Other areas of interest include: food justice and food politics; critical theories of health and the body; feminist and qualitative research methods; gender studies; anti-racist and postcolonial studies; theories of class distinction and structural oppression; globalization and health inequity; intersectional experiences of health and illness. Email: Deborah.McPhail@umanitoba.ca MANNING, Kimberley, specializes in Chinese politics, women and politics, and the rights of transgender children and youth. She analyzes family ties and politics through the lens of feminist theory. Dr. Manning is currently participating on two SSHRC- funded projects: one working with parent advocates of transgender youth and a second study with transgender youth in Quebec. She is also the faculty lead on C-FAR (Critical Feminist Activism and Research), a Faculty of Arts and Science-funded initiative to improve equity and diversity at Concordia through social action research projects. Dr. Manning is an Associate Professor of Political Science and Principal of Concordia University’s Simone de Beauvoir Institute. Email: Kimberley.manning@concordia.ca 21
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