Disciplining the Feminine : The Reproduction of Gender COntradictions in the Mental Health Care of Women with Eating Disorders  

Oleh:

Moulding, Nicole

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 4 (Feb. 2006), page 793-804.
Topik: mental health care; gender; mental health care; anorexia; australia

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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This paper provide insights into the way gendered assumptions operate within health care interventions for women with eating disorders. A multidisciplinary sample of autralian health care workers were interviewed about thir approaches to treatment, and discourse analysis was used to uncover the discursive dynamics and power relations characterising their accounts of intervention. The paper demonstrates a contradictory positioning of anorexic patients in relation to autonomy and control within the two common psychitaric itnerventions of bed rest intervention and psycotherapy. The paper argues that this is based on gendered asssumptions about selfhood and feminity in eating disorders that are reproduced in the therapeutic relationship through the operation of a fendered parent child dynamic, with the health care worker as father or mother and the anorexic patient as daughter. One of the main effects of this is to re inscribe rather than challenge the discursive double bind of feminity that has been widely implicated by post structural feminists in producing eating disorders in the first place. The paper also considers the widely acknowledfed problem of resistance to treatment in anorexia as a function of controlling treatments, and discusses psychiatrists' perspectives on addressing this dilemma. Finally the paper examines the potential of feminist informed understandings of eating disorders for overcoming the gendered dilemmas inherent within the dominant psycho medical treatment paradigm.

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