Fertility, Reproduction and Sexuality: Social and Cultural Perspectives – serie

Obesity is a rising global health problem. On the one hand a clearly defined medical condition, it is at the same time a corporeal state embedded in the social and cultural perception of fatness, body shape and size. Focusing specifically on the maternal body, contributors to the volume examine how the language and notions of obesity connect with, or stand apart from, wider societal values and moralities to do with the body, fatness, reproduction and what is considered ‘natural’. A focus on fatness in the context of human reproduction and motherhood offers instructive insights into the global circulation and authority of biomedical facts on fatness (as ‘risky’ anti-fit, for example). As with other social and cultural studies critical of health policy discourse, this volume challenges the spontaneous connection being made in scientific and popular understanding between fatness and ill health.

Assisted reproductive technologies such as in vitro fertilization have provoked global controversy and ethical debate. This book provides a groundbreaking investigation into those debates in the Islamic Middle East, simultaneously documenting changing ideas of kinship and the evolving role of religious authority in the region through a combination of in-depth field research in Lebanon and an exhaustive survey of the Islamic legal literature. Lebanon, home to both Sunni and Shiite Muslim communities, provides a valuable site through which to explore the overall dynamism and diversity of global Islamic debate. As this book shows, Muslim perspectives focus on the moral propriety of such controversial procedures as the use of donor sperm and eggs as well as surrogacy arrangements, which are allowed by some authorities using surprising and innovative legal arguments. These arguments challenge common stereotypes of the rigidity and conservatism of Islamic law and compel us to question conventional contrasts between ‘liberal’ and Islamic notions of moral freedom, as well as the epistemological assumptions of anthropology’s own ‘new kinship studies’. This book will be essential reading for anyone interested in contemporary Islam and the impact of reproductive technology on the global social imaginary.

In the Sitapurdistrict of Uttar Pradesh, an agricultural region with high rates of infant mortality, maternal health services are poor while family planning efforts are intensive. By following the daily lives of women in this setting, the author considers the women’s own experiences of birth and infant death, their ways of making-do, and the hierarchies they create and contend with. This book develops an approach to the care that focuses on emotion, domestic spaces, illicit and extra-institutional biomedicine, and household and neighborly relations that these women are able to access. It shows that, as part of the concatenation of affect and access, globalized moralities about reproduction are dependent on ambiguous ideas about caste. Through the unfolding of birth and death, a new vision of "untouchability" emerges that is integral to visions of progress.

Interest in the study of kinship, a key area of anthropological enquiry, has recently reemerged. Dubbed ‘the new kinship’, this interest was stimulated by the ‘new genetics’ and revived interest in kinship and family patterns. This volume investigates the impact of biotechnology on contemporary understandings of kinship, of family and ‘belonging’ in a variety of European settings and reveals similarities and differences in how kinship is conceived. What constitutes kinship for different publics? How significant are biogenetic links? What does family resemblance tell us? Why is genetically modified food an issue? Are ‘genes’ and ‘blood’ interchangeable? It has been argued that the recent prominence of genetic science and genetic technologies has resulted in a ‘geneticization’ of social life; the ethnographic examples presented here do show shifts occurring in notions of ‘nature’ and of what is ‘natural’. But, they also illustrate the complexity of contemporary kinship thinking in Europe and the continued interconnectedness of biological and sociological understandings of relatedness and the relationship between nature and nurture.

How and to what extent have Islamic legal scholars and Middle Eastern lawmakers, as well as Middle Eastern Muslim physicians and patients, grappled with the complex bioethical, legal, and social issues that are raised in the process of attempting to conceive life in the face of infertility? This path-breaking volume explores the influence of Islamic attitudes on Assisted Reproductive Technologies (ARTs) and reveals the variations in both the Islamic jurisprudence and the cultural responses to ARTs.

Sex is often regarded as a dangerous business that must be rigorously controlled, regulated, and subjected to rules. Sexual acts that defy acceptable practices may be seen as variously defiling, immoral, and even unnatural. They may challenge and subvert both cultural preconceptions and the social order in a politics of sexual transgression that threatens to transform permissible boundaries and restructure bodily engagements. This collection of essays explores acts of sexual transgression that have the power to reconfigure perceptions of bodily intimacy and the social norms of interaction. Considering issues such as domestic violence, child prostitution, health and sex, teenage sex, and sex with animals across a range of settings from contemporary Oceania, the Pacific, South Africa, and southeast Asia to Euro-America, this book should interest all those who question the "naturalness" of sex, including public health workers, clinical practitioners and students of sex, sexuality, and gender in the humanities and social sciences.

The genealogical model has a long-standing history in Western thought. The contributors to this volume consider the ways in which assumptions about the genealogical model—in particular, ideas concerning sequence, essence, and transmission—structure other modes of practice and knowledge-making in domains well beyond what is normally labeled “kinship.” The detailed ethnographic work and analysis included in this text explores how these assumptions have been built into our understandings of race, personhood, ethnicity, property relations, and the relationship between human beings and non-human species. The authors explore the influences of the genealogical model of kinship in wider social theory and examine anthropology’s ability to provide a unique framework capable of bridging the “social” and “natural” sciences. In doing so, this volume brings fresh new perspectives to bear on contemporary theories concerning biotechnology and its effect upon social life.

Following networks of mothers in London and Paris, the author profiles the narratives of women who breastfeed their children to full term, typically a period of several years, as part of an 'attachment parenting' philosophy. These mothers talk about their decision to continue breastfeeding as 'the natural thing to do': 'evolutionarily appropriate', 'scientifically best' and 'what feels right in their hearts'. Through a theoretical focus on knowledge claims and accountability, the author frames these accounts within a wider context of 'intensive parenting', arguing that parenting practices – infant feeding in particular – have become a highly moralized affair for mothers, practices which they feel are a critical aspect of their 'identity work'. The book investigates why, how and with what implications some of these mothers describe themselves as 'militant lactivists' and reflects on wider parenting culture in the UK and France. Discussing gender, feminism and activism, this study contributes to kinship and family studies by exploring how relatedness is enacted in conjunction to constructions of the self.

“[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general.”—Social AnthropologySince 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Sololá, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women.The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally.From the Introduction:An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women’s survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.

The issue of abortion forces a confrontation with the effects of poverty and economic inequalities, local moral worlds, and the cultural and social perceptions of the female body, gender, and reproduction. Based on extensive original field research, this provocative collection presents case studies from Thailand, Cambodia, Burma, Vietnam, Bangladesh, Indonesia, and India. It includes powerful insight into the conditions and hard choices faced by women and the circumstances surrounding unplanned pregnancies. It explores the connections among poverty, violence, barriers to access, and the politics and strategies involved in abortion law reform. The contributors analyze these issues within the broader conflicts surrounding women's status, gender roles, religion, nationalism and modernity, as well as the global politics of reproductive health.

Throughout history human societies have sought to manage their reproductive lives to make them fit in with their social, economic and biological conditions. But the different ways communities regulate their fertility, penetrating every aspect of their social life, are so varied and specific that they are often incomprehensible to outsiders. In this book a group of anthropologists set out to throw new light on the dynamics of human reproduction in the world today, looking at the intricate ways that people manage their reproductive life across different cultures, and highlighting the wider meaning of human reproduction and its impact on social organization. The importance of human agency, ethnic boundaries, the regulation of gender relations, issues of fertility and infertility, the significance of children and motherhood and the problems of two large vulnerable social groups, youth and refugees, are all considered in their broader social contexts.

Child prostitution became one of the key concerns of the international community in the 1990s. World congresses were held, international and national laws were changed and concern over "commercially sexually exploited children" rose dramatically. Rarely, however, were the children who worked as prostitutes consulted or questioned in this process, and the voices of these children brought into focus. This book is the first to address the children directly, to examine their daily lives, their motivations and their perceptions of what they do. Based on 15 months of fieldwork in a Thai tourist community that survived through child prostitution, this book draws on anthropological theories on childhood and kinship to contextualise the experiences of this group of Thai child prostitutes and to contrast these with the stereotypes held of them by those outside their community.

Throughout history human societies have sought to manage their reproductive lives to make them fit in with their social, economic and biological conditions. But the different ways communities regulate their fertility, penetrating every aspect of their social life, are so varied and specific that they are often incomprehensible to outsiders. In this book a group of anthropologists set out to throw new light on the dynamics of human reproduction in the world today, looking at the intricate ways that people manage their reproductive life across different cultures, and highlighting the wider meaning of human reproduction and its impact on social organization. The importance of human agency, ethnic boundaries, the regulation of gender relations, issues of fertility and infertility, the significance of children and motherhood and the problems of two large vulnerable social groups, youth and refugees, are all considered in their broader social contexts.

Following the detection of the first HIV infections in the early 1980s, by the 1990s Thailand was routinely depicted as having the world’s fastest moving HIV/AIDS epidemic. However, by the early 2000’s the bulk of scholarly and medical AIDS literature portrayed the epidemic as being largely under control, and claimed that Thai AIDS prevention efforts during the 1990s had been successful. Based on long-term ethnographic research conducted in Northern Thailand this book makes an in-depth study of the social construction of Thailand’s HIV/AIDS epidemic over this period. In addition to his own field research the author draws on an extensive corpus of English and Thai language social science and medical HIV/AIDS literature to examine the modeling of Thailand’s AIDS epidemic, and addresses concepts and issues such as risk groups, risk behaviour, alcohol use, gender and class, masculinity, the scapegoating of female prostitutes and men in the underclass, the reporting of the HIV/AIDS epidemic in Thailand’s indigenous Thai language media, and sexual activity amongst Thai youth. The analysis demonstrates the contribution of anthropology as an interpretative social science, and the use of anthropological theory and research methods, to finding alternative ways of framing the problems of Thai AIDS and of posing new questions that will lead to more effective points of intervention. It emphasises the necessity for critically reflexive approaches that question the ‘taken for granted’ and demonstrates how qualitative research techniques guided by social theory have the potential to take account of local meanings in complex social contexts where traditional values and cultural practices are rapidly transforming due to economic and social change. The book offers a sustained and powerful criticism of the limitations of the normative model of the Thai AIDS epidemic and, in its aim of promoting critically reflexive AIDS research techniques in order to produce a better understanding of issues ‘on the ground’ and hence better health policy and more effective AIDS interventions, speaks not only to the Thai AIDS epidemic but to AIDS epidemics throughout Southeast Asia and elsewhere.This is the only English language study of Thailand’s HIV/AIDS epidemic to draw on long-term qualitative research in Northern Thailand as well as on a broad range of Thai (and some Khmer language) materials. Its contextualised and subtly nuanced analysis of the AIDS epidemic and of the impact of AIDS control initiatives, in concert with the theoretical and methodological contributions it makes to AIDS research and policy and behavioural interventions, makes it a timely publication of vital interest to scholars in the social sciences, as well as to the members of non-governmental organisations and international organisations working in the HIV/AIDS, health and development fields.

Rapid fertility declines and improved longevity are now shifting the overall balance of population towards older ages in many parts of the world. Within this growing population of older people there are many groups with particular needs about which relatively little is known. This collection focuses on one such sub-population, the elderly without children. Few would deny that childlessness poses potential human and welfare problems for older people without them. What is less well known is that comparative anthropological and historical demographic research indicates that childlessness is a recurring social phenomenon that has affected 1 in 5 older women in many cultures and historical periods. High levels of childlessness arise not solely or primarily from biological factors like primary sterility, but from a combination of actors. Many, like non-marriage, delayed childbearing , and pathological sterility, reflect the interaction of social and biological influences.Also of major importance are factors that remove the support of children from elders' lives: migration, mortality, divorce, remarriage, family enmity, social mobility, and the pressing demands of family and career on younger generations. The papers collected in this volume employ a mixture of quantitative and qualitative methods to define and characterize the experience of ageing without children.

Human biological fertility was considered a important issue to anthropologists and colonial administrators in the first part of the 20th century, as a dramatic decline in population was observed in many regions. However, the total demise of Melanesian populations predicted by some never happened; on the contrary, a rapid population increase took place for the second part of the 20th century. This volume explores relationships between human fertility and reproduction, subsistence systems, the symbolic use of ideas of fertility and reproduction in linking landscape to individuals and populations, in Melanesian societies, past and present. It thus offers an important contribution to our understanding of the implications of social and economic change for reproduction and fertility in the broadest sense.

Based on the author's fieldwork at assisted conception clinics in England in the mid-1990s, this is the first ethnographic study of the new procreative practices of anonymous ova and embryo donation. Giving voice to both groups of women participating in the demanding donation experience – the donors on the one side and the ever-hopeful IVF recipients on the other – Konrad shows how one dimension of the new reproductive technologies involves an unfamiliar relatedness between nameless and untraceable procreative strangers. Offsetting informants’ local narratives against traditional Western folk models of the ‘sexed’ reproductive body, the book challenges some of the basic assumptions underlying conventional biomedical discourse of altruistic donation that clinicians and others promote as “gifts of life.” It brings together a wide variety of literatures from social anthropology, social theory, cultural studies of science and technology, and feminist bioethics to discuss the relationship between recent developments in biotechnology and changing conceptions of personal origins, genealogy, kinship, biological ownership and notions of bodily integrity.

Recent years have seen many changes in human reproduction resulting from state and medical interventions in childbearing processes. Based on empirical work in a variety of societies and countries, this volume considers the relationship between reproductive processes (of fertility, pregnancy, childbirth and the postpartum period) on the one hand and attitudes, medical technologies and state health policies in diverse cultural contexts on the other.

Whereas in western countries breastfeeding is an uncontroversial, purely personal issue, in most parts of the world mother and baby form part of a network of interpersonal relations with its own rules and expectations. In this study, the author examines the cultural and social context of breastfeeding among the Gogo women of the Cigongwe's village in Tanzania, as part of the Paediatric Programme of Doctors with Africa, based in Padua. The focus is on mothers' behaviour and post partum taboos as key elements in Gogo understanding of the vicissitudes of the breast feeding process. This nutritional period is subject to many different events both physical and social that may upset the natural and intense link between mother and child. Any violation of cultural norms, particularly those dealing with sexual behaviour, marriage and reproduction, can, in the eyes of the Gogo, put at risk the correct development of an infant with serious consequences both for the baby's health as well as for the woman's image as mother and wife.

Child prostitution became one of the key concerns of the international community in the 1990s. World congresses were held, international and national laws were changed and concern over "cemmercially sexually exploited children" rose dramatically. Rarely, however, were the children who worked as prostitutes consulted of questioned in this process, and the voices of these children brought into focus. This book is the first to address the children directly, to examine their daily lives, their motivations and their perceptions of what they do. Based on 15 months of fieldwork in a Thai tourist community that survived through child prostitution, this book draws on anthropological theories on childhood and kinship to contextualize the experiences of this group of Thai child prostitutes and to contrast these with the stereotypes held of them by those outside their community.

Nighttime for many new parents in the United States is fraught with the intense challenges of learning to breastfeed and helping their babies sleep so they can get rest themselves. Through careful ethnographic study of the dilemmas raised by nighttime breastfeeding, and their examination in the context of anthropological, historical, and feminist studies, this volume unravels the cultural tensions that underlie these difficulties. As parents negotiate these dilemmas, they not only confront conflicting medical guidelines about breastfeeding and solitary infant sleep, but also larger questions about cultural and moral expectations for children and parents, and their relationship with one another.

Using an entirely new conceptual vocabulary through which to understand men’s experiences and expectations at the dawn of the twenty-first century, this path-breaking volume focuses on fatherhood around the globe, including transformations in fathering, fatherhood, and family life. It includes new work by anthropologists, sociologists, and cultural geographers, working in settings from Peru to India to Vietnam. Each chapter suggests that men are responding to globalization as fathers in creative and unprecedented ways, not only in the West, but also in numerous global locations.

Juxtaposing contributions from geneticists and anthropologists, this volume provides a contemporary overview of cousin marriage and what is happening at the interface of public policy, the management of genetic risk and changing cultural practices in the Middle East and in multi-ethnic Europe. It offers a cross-cultural exploration of practices of cousin marriage in the light of new genetic understanding of consanguineous marriage and its possible health risks. Overall, the volume presents a reflective, interdisciplinary analysis of the social and ethical issues raised by both the discourse of risk in cousin marriage, as well as existing and potential interventions to promote “healthy consanguinity” via new genetic technologies.

Managing social relationships for childless couples in pro-natalist societies can be a difficult art to master, and may even become an issue of belonging for both men and women. With ethnographic research gathered from two IVF clinics and in two villages in northwestern Turkey, this book explores infertility and assisted reproductive technologies within a secular Muslim population. Göknar investigates the experience of infertility through various perspectives, such as the importance of having a child for women, the mediating role of religion, the power dynamics in same-gender relationships, and the impact of manhood ideologies on the decision for — or against — having IVF.

In Thailand, infertility remains a source of stigma for those couples that combine a range of religious, traditional and high-tech interventions in their quest for a child. This book explores this experience of infertility and the pursuit and use of assisted reproductive technologies by Thai couples. Though using assisted reproductive technologies is becoming more acceptable in Thai society, access to and choices about such technologies are mediated by differences in class position. These stories of women and men in private and public infertility clinics reveal how local social and moral sensitivities influence the practices and meanings of treatment.

Babies are not simply born—they are made through cultural and social practices. Based on rich empirical work, this book examines the everyday experiences that mark pregnancy in the US today, such as reading pregnancy advice books, showing ultrasound “baby pictures” to friends and co-workers, and decorating the nursery in anticipation of the new arrival. These ordinary practices of pregnancy, the author argues, are significant and revealing creative activities that produce babies. They are the activities through which babies are made important and meaningful in the lives of the women and men awaiting the child’s birth. This book brings into focus a topic that has been overlooked in the scholarship on reproduction and will be of interest to professionals and expectant parents alike.

Following the birth of the first “test-tube baby” in 1978, Assisted Reproductive Technologies became available to a small number of people in high-income countries able to afford the cost of private treatment, a period seen as the “First Phase” of ARTs. In the “Second Phase,” these treatments became increasingly available to cosmopolitan global elites. Today, this picture is changing — albeit slowly and unevenly — as ARTs are becoming more widely available. While, for many, accessing infertility treatments remains a dream, these are beginning to be viewed as a standard part of reproductive healthcare and family planning. This volume highlights this “Third Phase” — the opening up of ARTs to new constituencies in terms of ethnicity, geography, education, and class.

How and to what extent have Islamic legal scholars and Middle Eastern lawmakers, as well as Middle Eastern Muslim physicians and patients, grappled with the complex bioethical, legal, and social issues that are raised in the process of attempting to conceive life in the face of infertility? This path-breaking volume explores the influence of Islamic attitudes on Assisted Reproductive Technologies (ARTs) and reveals the variations in both the Islamic jurisprudence and the cultural responses to ARTs.

Recent literature has identified modern “parenting” as an expert-led practice—one which begins with pre-pregnancy decisions, entails distinct types of intimate relationships, places intense burdens on mothers and increasingly on fathers too. Exploring within diverse historical and global contexts how men and women make—and break—relations between generations when becoming parents, this volume brings together innovative qualitative research by anthropologists, historians, and sociologists. The chapters focus tightly on inter-generational transmission and demonstrate its importance for understanding how people become parents and rear children.