Revisiting my sex and relationships predictions for 2010

Every year, around about November, I get a bit over confident and start noting down what I think is going to happen in the year ahead. In January I commit myself in a blog post to saying what I predict will go on. And then at the end of every year I have to look back and see whether I was right or not. Sometimes I do well, sometimes my crystal ball’s clearly not working.

Over the years I’ve been doing this people have asked how I work out what’s on the horizon. Since I’m not psychic I base the predictions on things I can see emerging, for example ongoing research debates, patterns of media coverage, forthcoming political agenda items and so on. So most of it is informed by things that are already starting or being talked about, which may or may not develop in the next 12 months. For this reason the predictions tend to be focused around core areas where I have an interest, so if you feel I’m missing something don’t panic – why not create your own list of predictions instead?

I’ll be sharing my hunches for 2011 in early January, but before then let’s look at this year? What did I predict? You can read the full post here.

Our approach to managing STIs (in the UK at least) will change focus

Over the past year or so we’ve seen a shift towards treatment and testing rather than prevention based (safer sex/use a condom) based messaging. This year that trend did continue with PCTs, health protection organisations and the Department of Health focusing on getting tested and treatment – particularly for Chlamydia and Gonorrhea. Indeed early in 2010 we saw numerous TV and radio campaigns reminding people sex (and STI testing) was ‘worth talking about’.

This approach resulted in a hike in STI detection which the media didn’t attribute to a shift in making treatment and testing more accessible, but did blame on promiscuity and feckless youth. It seems the focus on treatment/testing is set to continue, but sexual and reproductive health practitioners remain divided on whether this is appropriate without the equivalent focus on prevention messaging. So on that score the prediction we’d change focus on managing STIs was right, although rather than a dramatic shift in tackling the issue we’ve seen more of an extension of previous years approaches in 2010.

Interestingly something that did springboard contraception (in the form of condoms) into the headlines was an NHS video campaign aimed at young men. The Condom/No Condom? Campaign allows viewers to decide whether or not to use condoms, and shows what happens based on their choices. You can see the clips and work through the condom/no condom options here. As it was aimed at heterosexual young men it was designed to be somewhat fruity. Most sex educators and young people who saw it responded positively. But nobody was really looking at it until a faith based group tipped off the Daily Mail who predictably combusted and described it as pornographic. This resulted in rocketing levels of views of the condom/no condom films. Unfortunately probably not always by those the films were aimed at, but still it was more than funny that the moral outrage of the Mail probably boosted this safer sex venture more than anything else.

Divorce and separation rates will continue to rise
Relationship therapists have noted increased consultations from couples this year (both married and cohabiting) although it is not yet clear whether this is translating into separation and divorce. With the coalition in power, the Conservatives in particular seem focused on divorce as an issue and are currently looking at interventions to keep couples together. Predictably suggestions made so far have not focused on more holistic views of relationships (or relationship stressors) or the body of research on relationships or marriage that exists. It will be down to researchers working in these areas to alert politicians to what works in supporting healthy relationships (and separations) over the coming months. Not least because people clearly are struggling to manage intimate relationships and support in this area is necessary. This wasn’t strictly a prediction as it was already being talked up in 2009, but it does seem to be an area that has been a worry in 2010.

What I didn’t predict but was related to this topic was the volume of media coverage given to infidelity, particularly the intimate lives of sportsmen who seemed to provide endless tabloid fodder and speculation around their dalliances with prostitutes, good time girls and other women the media could endlessly judge.

Contraception will be big news
I said last year “Alongside a shift to focus on testing/treatment for STIs, we’ll see an additional change in the promotion of contraception”. This was true to an extent with a wider uptake of LARC (long acting reversible contraception), partly related to NICE guidance and a move in reproductive healthcare to promote LARC more widely. However, the biggest surprise that I didn’t foresee at all was contraception (specifically the pill) became massive news because the media didn’t understand core issues about interpreting public health data and prescribing hormonal contraception for reasons other than birth control. Which led to faith based groups persuading them that there was an epidemic of promiscuous 11 year olds on the pill.

Premature Ejaculation will be publicised as key problem for men
For most of the year I thought this wasn’t going to be the case, but two things happened from the summer onwards to change things. The first was that Trading Standards closed down the deplorable Advanced Medical Institute. I can’t tell you how many distressing emails I’ve had by men exploited by this company, distressed and in some cases given life threatening ‘medical’ advice. This is still an area where journalists should be investigating.

The second development came from Boots the pharmacy who’ve launched a new range of sexual enhancement products aimed at men, which include items to manage premature ejaculation (and also erectile dysfunction). Unfortunately they’ve decided to promote this range with the media message that men find it difficult to talk to a doctor which may be unhelpful. While the pharmacy can be a useful point of advice for men on psychosexual issues it may not suit all men with underlying psychological or physical conditions. In those cases BASRT or your GP is a better place to go. Those interested in the products promoted by Boots and other high street pharmacies may wish to particularly focus on claims made for the products, what research the products are based on, and effectiveness – particularly for the herbal cures for psychosexual problems. The quality of psychosexual advice offered may also be subject to evaluation for those interested in this area of public health care.

However, PE failed to be the major issue I thought it might become. So that prediction was perhaps a little misplaced.

We’ll focus more on ‘problem’ sex rather than sex positive messages
Sex positivity really wasn’t that obvious in 2010. Instead we heard endless accounts of celebrity relationship disasters (particularly the aforementioned sportsmen). We also were preoccupied with sexualisation of young people (although nobody really knew exactly what that meant). And within sex advice the focus still was around why women lacked desire, or how they could get it back. Or more worryingly judgemental and outdated views around alternative sexualities, that managed to blend both unethical judgement of case studies with incorrect information shared about BDSM.

So that prediction did come true, although I wish it hadn’t. On a positive note for many of these problem areas practitioners have become better connected via twitter and online communities and have taken direct steps to challenge poor practice or share more positive, less judgemental and more accurate information.

It’s time to think of new ways to prevent HIV

There was a shift in 2010 around talking about the ‘prevention revolution’ as UNAIDS described it. This focused less on finding new means of preventing HIV and more around thinking about ways to get people to use condoms. (Matt Greenall wrote a great post about some of the issues this raises). While there’s been a lot of conversation around prevention this year, we still need to see action, and also more innovative and inclusive approaches to tackling this area – both in research and practice. We are still seeing much public health activity in this area coming from limited, uncritical and often very top down models. Research keeps being replicated, existing evidence not used, critically appraised or applied to practice. NGOs are not always responsive to evidence in this area, and may in fact implement programmes that run counter to good practice. The usual barriers of time, training, cost and awareness also continue to hamper general education and healthcare in this area. Because this has not changed I’d say we haven’t really thought much around new ways of addressing HIV and I can’t claim this as a prediction I got right. This is a shame. We can do better.

We’ll see social networks constructed as peril-for-relationships
This definitely did happen – with the suggestion Facebook is linked to rises in syphilis, and celebrities making up and breaking up over twitter. Through social media we got to see our own romantic lives and those of others blossom or implode. Research in this area still needs to catch up to focus on both the problems and opportunities social networks offer.

Sex blogging may well change and become more cautious and (self)censored
I noted that last year (2009) was “ending with a firestorm among sex bloggers embroiled in bitter arguments and outings”. I was obliquely referring to the Alexa Di Carlo case, which was at the time causing a lot of tension among those suggesting ‘Alexa’ was not all ‘she’ seemed who were being dismissed as unfair or hysterical by others who didn’t see a problem. It sadly turned out those raising concerns were not wrong. ‘Alexa’, also known as ‘Caitlin’ was a man. Called Thomas Bohannan. A person who spent years claiming to be both a sex worker, an academic, and a sex educator – depending on which persona they were using. A person who encouraged people to consider sex work in ways other sex workers felt were coercive or exploitative. And who under the guise of an online sex educator invited young women to share intimate stories and photographs of their breasts and genitals.

The response to this still left some folk debating whether the outing of Alexa/Caitlin was ‘fair’ or arguing discourses on sex work were okay and didn’t have to be ‘real’. Or that it was precious for some to suggest sex educators held a particular position of responsibility and qualification. Or that claiming academic qualifications in sexology when you didn’t have them was no big deal. All of which are summed up by Miss Maggie Mayhem in Alexa Bingo

Several excellent bloggers tackled this awful story, and particularly noteworthy are Charlie Glickman, Monica Shores, Miss Maggie Mayhem and The Sexademic.

For many outside the sex education/sex work blogger community this case may not seem all that important, but it has caused deep distress and in some cases direct harm to those who have shared intimate information with ‘Alexa’/’Caitlin’. The response from many who saw this as more of a philosophical debate than an abusive situation has led to a lot of ill feeling, mistrust and hurt. I would have dearly loved this prediction not to have come true, but it did and we now have to find ways to move forward, document what has happened and learn from the experience. And to support each other from the daily battles many of us face online and in person from those who seek to discredit or generally disrupt the work of sex educators, activists, sex workers and other sex positive folk.

The media will be thrilled about long term love
This didn’t really come to much in the year, as the focus was far more on relationship crises and infidelity. So I can’t really claim this as something that really caught our attention within the mainstream media or popular culture.

Family planning and environmental activism will combine
I saw this as being something that would have more of a focus as during 2009 many public health (particularly reproductive health) organisations appeared to be focusing on family size as linked to food/housing resources, climate change and so on. And I thought there would be more of a debate (and even backlash) against some of the assumptions that seemed to be underpinning these campaigns. However this didn’t really happen on a wide scale, although @naomimc did pick up on some of the related issues about the role of women in these debates – which are still worth having.

And sex education? Well, I predict that I just don’t know what will happen
It’s probably cheating to predict you can’t tell what’s going to happen, but in this case I really had no clue at the start of the year, and during the year things have shifted considerably. Firstly Labour backtracked on making sex ed compulsory after the Conservatives put pressure on them during voting on the Children and Families Bill. Then NICE opened up a public consultation on sex education curriculum. This coincided with the election which labour lost, meaning we were looking at going back to the drawing board with sex ed.

Labour MP Chris Bryant brought the topic back to the political agenda in September and it is tabled to be debated in early 2011. In October the Sex Education Forum/NCB produced guidance for young people to enable them to campaign for better quality sex education. On several occasions the media returned to the idea that sex education was ‘difficult’ or ‘embarrassing’ for teachers (see here and here), but didn’t account for the wider barriers to providing quality sex and relationships information – at home or in school.

We have also heard in the government White Paper on Education (available here) their view on sex education is:

Children need high-quality sex and relationships education so they can make wise and informed choices. We will work with teachers, parents, faith groups and campaign groups, such as Stonewall to make sure sex and relationships education encompasses an understanding of the ways in which humans love each other and stresses the importance of respecting individual autonomy.

Children can benefit enormously from high-quality Personal Social Health and Economic (PSHE) education. Good PSHE supports individual young people to make safe and informed choices. It can help tackle public health issues such as substance misuse and support young people with the financial decisions the must make. We will conduct an internal review to determine how we can support schools to improve the quality of all PSHE teaching, including giving teachers the flexibility to use their judgement about how best to deliver PSHE education.

However, it remains unclear what is going to happen. Certainly it seems unlikely sex education will be compulsory (not that this was automatically a solution to tackling sex ed anyway). The statements made in the White Paper suggest we may well see sex ed continuing as is, delivered excellently in some areas and not in others.

Alongside this debate we also saw the predictable meme of ‘parents being excluded’ being rehearsed consistently in the media (although there seems no real evidence of this and it’s not like parents are being prevented to talk about sex/relationships should they wish). We also saw a lot of media fuss over the age of consent and anxieties over sexualisation which tapped into the sex ed debate. When it comes to sex education watch this space. Advocates of sex ed will continue to campaign for quality sex ed in the classroom and the home, while opponents will continue to oppose sex ed in schools – often with extreme and unhelpful messaging. It’s going to be more of the same in 2011.

I hope you had a good time in 2010 and wishing you a very Happy New Year! In particular I appreciate your support reading this blog, giving me feedback on how to improve it (via email, twitter or in person). Join me early in 2011 and I’ll have another punt at what I think is going to be big news in sex/relationships.

Posted in Predictions | Comments closed

The best and worst sex (and science) stories of 2010

This year seems to have just flown by, and what a busy one it was for research and stories about sex. From philandering footballers to STI statistics we certainly got to hear a lot about relationships.

Here are some of the main stories I think made up the year in media, sex and science.

The year began with the launch of the Home Office’s report on Sexualisation of Young People a problematic review which received lots of media coverage but very little critical attention from the press. It sadly overshadowed a far more detailed and useful similar report that came out just beforehand on Sexualised Goods, Commissioned by the Scottish Parliament. (You can find discussions critiquing the Home Office review here and here with a history of sexualisation reviews from other countries and open access tools to evaluate them here)

January was also noteworthy for being the month all our G spots went missing. Who knew?

Did you know Facebook caused syphilis? No, well nor did I until in March the press went crazy for the ‘Facebook linked to a rise in syphilis’ story. This was based on some opinions from a public health practitioner who should have known better, but who press released speculations about sexual health and social media. Cue plenty of irresponsible media coverage.

It provided an opportunity for sex educators to challenge these claims and also to promote health advice about syphilis, STIs and safer sex. Worryingly many sexual health charities and public health organisations failed to engage with the story in a timely fashion, completely missing the opportunity to share information with the public. An account of how this story unfolded, the heroes and villains of the piece can be found here.

The BBC produced a groundbreaking and sensitive drama ‘Five Daughters’ in April, based on the tragic story of five women from Ipswich who were victims of a serial killer in 2006. It retold the stories of Anneli Alderton, Paula Clennell, Gemma Adams, Tania Nicol and Annette Nicholls, plus the role of the police and support agencies. It was praised for its accuracy, respectful approach and depicting the female characters in a humane way, particularly focusing on their friendships and families. A discussion of why and how the series was made can be found here.

April also saw the bizarre case of Clitoraid unfold. What began as a request via twitter and facebook to ‘adopt a clitoris’ soon was a more complex case involving a cult, unclear activities in Burkina Faso, and the support of sex educators and a sex store. A summary of the story can be found here, hereand here. Many questions about Clitoraid still remain unanswered, and have caused rifts between sex educators, activists and health/development practitioners. This bad feeling was distressing, particularly since many involved were highly respected within the field of sex education and activism – and because basic respectful approaches to international practice were ignored.

What do you do if your girlfriend ditches you and goes out with someone else? Mope? Call up your mates and hit the town? Go visit your mum? Listen to sad music? Or cut your girlfriend’s face so nobody else would ever want to date her? If it’s the latter then you’ve clearly been taking your relationship advice from actor Danny Dyer and Zoo magazine. In May Dyer’s advice column contained this shocking suggestion, which was noticed by @sarahditum and quickly spread across twitter. Dyer blamed Zoo, Zoo blamed Dyer. Nobody took any responsibility for anything. But action did get taken, primarily when people stopped complaining to the magazine and editor and started targeting advertisers with the magazine. Dyer was sacked. Zoo was forced to write an apology and feature about domestic violence. The whole sorry saga is summarised here and here.

The same month saw Project Prevention gain notoriety in the UK with largely uncritical media reports like this. Through countless chat shows, broadcast and print news the organisation suggested drug/alcohol and reproductive health services (plus other support services) were failing to manage drug/alcohol users getting pregnant. And suggested cash incentivised sterilisation programmes were the answer. (Project Prevention are only focused on sterilisation or adoption of long acting hormonal contraception. They are not interested in supporting drug/alcohol users after this – in terms of sorting out any addiction, housing/family issues, or safer sex concerns. Moreover they fail to address repeat pregnancies can be a sign of domestic abuse. Their focus is solely on preventing drug/alcohol users getting pregnant).

The media provided no real discussion of what services already exist, what they offer, how they work, where they could be improved. Without this, discussions on Project Prevention were meaningless but this didn’t stop media approaching the issue of drug/alcohol abuse and incentivised sterilisation as though this were a necessary and beneficial option, required because of gaps in existing services. Since no services were seemingly assessed it would be difficult to draw these conclusions but it didn’t stop the media. Who also ignored the concerns of drug/alcohol charities, human rights groups, and healthcare practitioners.

Nor was much investigation carried out into Project Prevention, or their previous incarnation CRACK (Children Requiring a Caring Kommunity) despite numerous publications on them in health/legal journals (see here, here, here, here, here and here)

Blogger Stuart Sorensen emerged in this debate as a voice of sanity and tireless campaigner against Project Prevention. Inviting the UK representative of Project Prevention to explain their plans for the programme in the UK then creating resources for practitioners and the public around how to tackle the organisation (all his writing about Project Prevention can be found here and on twitter)

Despite some journalists and bloggers writing about Project Prevention as though it were an established and worthwhile UK organisation, in fact it is not. Ethically in the UK practitioners cannot sterilise people who’ve been financially incentivised or who are drug/alcohol dependent. They can, with the person’s consent, suggest long acting reversible contraception (LARC), although Project Prevention do not appear linked with any existing drug/alcohol or reproductive health services. Currently they are requesting monetary donations to fund getting people onto LARC which can already be freely offered via the NHS. But the media and uncritical bloggers haven’t really considered the ramifications of this at all. The project and messages behind it are popular with media and some quarters so it continues to require vocal opposition. Not least because its focus on the poor, vulnerable and socially excluded feels like eugenics to many people. Rather than giving Project Prevention a platform we would do better to explore complex cases around reproductive health and drug/alcohol abuse, and ways to ensure services can better support addicts and their families.

In the midst of this we had a general election. Labour lost. The conservatives and liberal democrats formed a coalition. Many long term labour supporters, myself included, had become disenchanted with many of the actions of the labour party. Particularly around its use and neglect of scientific evidence to inform policy and law. (I wrote about my direct experiences of this here). The Liberal Democrats were eager during electioneering to persuade scientists to focus on ‘geeking the vote’ and made many promises around healthcare, education, academic funding, university fees and supporting science. Perhaps unsurprisingly many working in academia and science were persuaded to vote for them on this basis (I certainly was, something I am still regretting – and you’ll understand exactly why when you read this – the most personal post I’ve ever shared on this blog). For some the subsequent backtracking and u-turns of the Liberal Democrats have come as no surprise, to others of us it has come as a dreadful shock. And a sad let down not only to see the behaviour of the Liberal Democrats since they became part of the coalition, but also to note many of those who so actively courted the academic and science vote have dropped contact with us. Leaving us feeling cheated on many levels. A truly depressing turn of events.

June saw the FDA reject the drug Flibanserin – the female ‘desire drug’ despite months of media hype about this being the next ‘female viagra’ (as the media consistently and incorrectly described it). Shortly after drug development was discontinued, while later in the year Ray Moynihan’s fantastic book Sex, Lies and Pharmaceuticals highlighted further the problem of medicalisation of female sexual functioning by the pharmaceutical industry.

Also over the summer we saw a scandal break around off label use of the drug dexamethasone given to pregnant women to prevent congenital adrenal hyperplasia (CAH) in girls. CAH is a disorder that affects the adrenal glands, so a person will not make enough of the hormones aldosterone and cortisol, but will make too much androgen. One of the results of this can be girls with CAH having ‘ambiguous genitals’. Using dexamethasone to prevent CAH (and particularly to prevent girls developing male genitals) is a standard practice for some clinicians, as is offering genetic testing to parents with a history of CAH. Many endocrinologists and medics have argued prescribing dexamethasone should only happen within a controlled, supervised, trial programme (which is currently not the case). The real scandal around CAH came from a clinican who was prescribing ‘dex’ to not only prevent CAH but also to prevent lesbianism.

This case was broken by Alice Dreger and colleagues and quickly spread to the media who focused on the need for using dex to treat CAH and the circumstances under which it might be used (see here and here for examples). The media, while expressing dismay, were not as critical about the use of dex to ‘treat’ both gender and sexuality as bloggers were. The blogosphere (particularly writings from trans and intersex people) took a more politicised, critical and wide ranging approach to this story (see for example this post from Mark Simpson assisted by @quietriot_girl, which links to other discussions about dex, sexuality and CAH).

Around the same time, a separate story was broken by Dan Savage which also involved Alice Dreger and colleagues. This time alerting practitioners and the public to research being undertaken at Cornell University by Dr Dix Poppas. Poppas’ research focused on ‘treating’ young girls judged to have oversized clitorises by performing clitoral reduction surgery on them. And testing for post operative sensitivity with manual stimulation and the use of a vibrator. Unsuprisingly this led to an outcry, primarily from bloggers (rather than the mainstream media who didn’t give it as much attention). Bloggers and activists saw the research as child abuse and female genital mutilation/cutting (examples here, here and here). It also led to wider discussions around surgical interventions and intersexuality within forums and on twitter – some of which became pretty heated but were definitely of interest. Sadly even within these discussions some intersex people felt they were (as so often happens) being spoken for or spoken over. The CAH and particularly Cornell case showed us we still have a long way to go around open and respectful dialogues in this area.

While it was right to focus on both the CAH/dex/lesbianism and the Cornell /cutting stories, what proved interesting about both was they recieved far more attention and debate across the blogosphere than within the mainstream media. But both these cases still received masses more attention in both blogs and the mainstream media than the clitoraid case. Despite the Clitoraid case being equally troubling on many levels. Those of us involved in challenging Clitoraid were left wondering whether it was simply the case that when it came to the rights of African women the press and bloggers just weren’t as interested. Not a comfortable feeling.

The media tend to view the summer months as ‘silly season’ and they certainly didn’t disappoint in August, with a spectacular misunderstanding of public health data and wild claims that not only were dramatic numbers of 11 year olds on the pill, but the belief they were all using hormonal contraception because they were sexually active. In reflecting on the story health practitioners began to realise just how little journalists covering stories like this understand about young people, puberty and hormonal contraception. Or that very few young women are prescribed the pill – and if they are it’s usually for things like acne or heavy periods. A rundown of the story in its full ridiculous glory can be found here

Not to be outdone by the press, MP for Peterborough Stewart Jackson decided the best use of twitter was to insult his followers who questioned his anti sex education statements. By calling them ‘sex obsessed leftie weirdos’ and other choice insults. Accounts of which can be found here and here .

In the US a spate of suicides of teens bullied over their sexuality led to Dan Savage establishing the It Gets Better project aimed at providing messages to young LGBTI people that things can improve. Numerous celebrities, politicians, activists and members of the public have posted their stories to the project in an attempt to highlight for many young people suffering homo/transphobic bullying that life can change and is worth living. There are too many to share here but the notable and moving contributions (in my view) to discussing how ‘it gets better’ came from Councilman Joel Burns

and the staff at Pixar

This programme was unusual as it took a slightly different approach to the usual anti bullying approaches, by taking a positive and hopeful view. Perhaps unsurprisingly some critics felt it oversimplified problems, suggested that things always worked out okay, and that adulthood is an automatic escape from homo/transphobia. In particular the message that it was worth enduring hardship/distress now because a brighter future awaited proved problematic for many. (This is explored in more depth here). Debates began about whether the project was a good idea. Blogger Furrygirl robustly responded to feminist critics of the scheme. While thoughtful writer Tania Glyde took a different view, thinking around why sometimes things don’t get better – and why that happens. And how often this may not be under your control. Her amazing and moving post on this is here.

It Gets Better still requires discussion and evaluation – it would be interesting to see what a difference this grassroots project may make. But it also reminds us of the lessons many working in sexuality, sex and relationships health/education already know. Which is that we can’t give blanket messages. It is important to have positive goals, but telling people what to do rather than how to get there may not be enough. And that anti bullying messages based on oversimplistic ‘it’ll be okay’ or ‘it’s dreadful’ are unhelpful. Instead we need more tailored approaches to tackling homo/transphobia for young people, adults and families. Across schools, the legal system, media and beyond. It Gets Better may have its fans and critics, but it has reminded us many young people are at risk of bullying within the school or other spaces and we all need to take action to empower and safeguard them. Now and in the future.

During the year it became apparent that science funding and other provision for education were under threat and in October UCL scientist (and all round fabulous woman) Jenny Rohn decided to take a stand. She gathered together a merry band of scientists and practitioners and got them to back the Science is Vital campaign which resulted in a petition, plenty of blog posts on the topic, extensive media coverage, and defended science against the cuts. Oh and some really questionable singing

Oh, and this woman turned up too :-)

November saw the 40th anniversary of Page Three – but was this a cause for celebration? Nobody seemed sure. It also marked the closure of the Teenage Pregnancy Independent Advisory Group (TPIAG) who had overseen the (then) government’s Teenage Pregnancy Strategy over the past decade. Their final report can be found here, with TPIAG warning that not taking action on teen pregnancy (and supporting teen parents) will cause problems in the future. While the Teenage Pregnancy Strategy was not without its critics (from various sources) it did commit to supporting teen mothers and identifying causes of teen pregnancy. What will happen under the Coalition in relation to support for young people, and particularly teenage parents, remains to be seen.

This month also saw the Geek Calendar project go into overdrive, with plenty of coverage, advanced orders and the opportunity to raise funds and awareness for libel reform. I was delighted to participate and hope many of you are now a proud owner of a Geek Calendar of your own!

At the close of the year the government have revisited the issue of prostitution, calling for a review into best practice in managing the issue, echoed by ACPO who have also called for a review of legal and health approaches to sex work. Media coverage on this so far has been positive, but focused more on women, not addressed male and trans workers.

The year has also ended on a similar note to how it began, with a return to reviewing sexualisation and commercialisation, this time led by Reg Bailey (chair of the Mothers’ Union) who will be looking at existing reviews in this area and deciding what else needs addressing for children and young people. Critics have already questioned why a ‘review of reviews’ need completing, and whether Bailey is the appropriate person to oversee this process.

Linked to this was the government suggestion that Internet Service Providers block access to porn which has had a mixed reception. However, debates about sexualisation continue to be a media favourite and are for the most part not based on sound research. Indeed much of it seems to just be speculation – like this claim that cheating footballers are normalising adultery. This sadly seems to be the way Bailey and others are trying to bring boys into this debate. Not exactly helpful.

During the year we’ve had to say goodbye to several people who’ve been trailblaizers in the areas of sex, education and health. Including
Claire Rayner
Professor Otto Wolff (a hero of mine who was the first and pretty much only senior health practitioner to recognise the work of agony aunts as having a relevant health role)
Actress and model Pamela Green
Cory Silverberg also pays respect to others who have passed during the year over at his blog.

Join me on New Year’s Eve when I’ll be looking back over my Sex and Relationships Predictions for 2010 and seeing how many of them came true, or where I was completely off track. And in the new year I’ll be giving you a new list of predictions for 2011.

Thanks to @bishtraining @mngreenall @SexEdUKation for their help with this blog – and checking I’d managed to remember all that’s happened this year! And for @quietriot_girl and many others who emailed me to remind me about things I’d forgotten and needed to add.

Posted in Commercialisation, Critical appraisal, Female Sexual Dysfunction, Flibanserin, G spot, Health/care, Human rights/law, Politics, Pornography | Comments closed

Christmas Good Causes: for your consideration

It’s nearly Christmas and you may have already got gifts for friends and family. But if you’re still wondering what last minute goodies to buy, or can stretch to one more present, then here’s a few suggestions for charities and organisations who could do with your support.

These are all programmes I feel are often not given much publicity and may not fit in the usual ‘good gift’ type Christmas promotions, but nevertheless do amazing work all year round and deserve our support.

I’ve picked 6 charities/groups who represent various different activities around sex, relationships and health. Some are faith based, some secular. Some are specifically focused to one region or country, others are international. You may want to support the one you feel most impressed by – or perhaps give a small amount to several of these very good causes.

As well as financial support there are also other ways to help these organisations so do read up on any that interest you and see if you can help them as a volunteer in the new year.

Hesperian Foundation

Hesperian is a non-profit publisher of books and newsletters for community-based health care. It produces free resources in various different languages on topics such as Where There Is No Doctor, Disabled Village Children and Helping Health Workers Learn.

Here are ways you can get involved, which don’t just involve financial donations – you can also volunteer, translate and review books, and let other people know about the work Hesperian are doing.

Jabulani Rural Health Foundation

Jabulani is a non-profit organisation that supports Zithulele Hospital and its surrounding community. Zithulele Village is situated in a remote part of the Wild Coast (Eastern Cape Province, SA). Founded in 2007 by four Christian doctors, our focus is on healthcare, education, poverty relief, environmental issues and care for those affected by HIV/AIDS.

Practitioners at Zithulele have introduced a number of innovative programmes for rural health which have been reported in The Lancet and SAMJ and include nutrition, maternal health, occupational therapy and education projects.

A short film about the hospital can be found here:

Donation information can be found here
Become a friend of Zithulele here

Scarleteen

Scarleteen is an independent, grassroots sexuality education and support organization and website. Founded in 1998, Scarleteen.com is visited by around three-quarters of a million diverse people each month worldwide, most between the ages of 15 and 25. It is the highest-ranked website for sex education and sexuality advice online and has held that rank through most of its tenure.

More info here

Donate here

Outsiders
Outsiders is a community for people with physical and social disabilities that enables people to meet, make friends, overcome isolation and form relationships. It coordinates local meet ups, provides advice and hosts numerous events to raise funds for greater advocacy for people with disabilities. It also operates a peer support network, lobbies for greater rights for disabled people, and informs health and social care practice around sex, relationships and disability.

As well as providing financial assistance there are other ways you can help Outsiders including lobbying on issues around disability rights, and assisting the organisation with research, advocacy and resources. More information on how to give here


Education for Choice

Education For Choice is the only UK-based educational charity dedicated to enabling young people to make informed choices about pregnancy and abortion.

When young people have opportunities to explore the decisions that can lead to and result from pregnancy they are better able to:
Protect themselves from sexually transmitted infections and unintended pregnancy
Make informed choices
Access appropriate services to support their choices.
Education For Choice’s work is focused on the word choice. Whilst we concentrate on the issue of abortion, as it is the issue that receives least attention, we believe that work with young people should value all pregnancy choices equally.
Our ethos is that the best outcomes of unintended pregnancy occur when the woman involved has been able to make her own informed choice.

Donate here

The New View Campaign

The New View Campaign was formed in 2000 as a grassroots network to challenge the distorted and oversimplified messages about sexuality that the pharmaceutical industry relies on to sell its new drugs.
The pharmaceutical industry wants people to think that sexual problems are simple medical matters, and it offers drugs as expensive magic fixes. But sexual problems are complicated, sexuality is diverse, and no drug is without side effects.

The goal of the New View Campaign is to expose biased research and promotional methods that serve corporate profit rather than people’s pleasure and satisfaction. The Campaign challenges all views that reduce sexual experience to genital biology and thereby ignore the many dimensions of real life.

The New View Campaign is devoted to education, activism, and empowerment. We invite you to benefit from the information on this website, and we invite your support and participation.

More information on donating and volunteering for the New View, as well as implementing its ideas into policy and practice can be found here

I hope you are able to support one or more of these charities/organisations financially or in some other way.

Thanks for your continued support for this blog. Your feedback, suggestions and ideas for content (and how to improve the blog) is always very welcome.

Wishing you a very Merry Christmas and all the best for a happy and healthy New Year.

To get people in the Christmas spirit – and the mood for giving, I’ll be sharing carols, seasonal songs and a few sketches on twitter between 1-4pm on 22nd December (GMT) on the hashtag #PsXmasCharityConcert.

If you missed it, here’s the concert in full – please consider giving to one or more of the charities/organisations listed above while you tune in!

We opened with Mariah Carey’s All I Want For Christmas Is You

Followed by Meryn Cadell’s The Cat Carol which you can listen to here. [Not really suitable for young children, anyone who feels a bit hormonal, or people who like cats]

Then it was time for a bit of reading, with the fabulous Joyce Grenfell’s Nursery School Nativity Play And George, Wise Men never do that…

I bet you’ve never heard a better (or madder) version of The Little Drummer Boy than this one by The Klezmonauts.

It’s a Christmas tradition in our house that my dad reads King John’s Christmas as part of our family concert (he does it beautifully). So it felt apt to include it in my virtual Christmas Concert.

Next it was time for some Christmas kitsch – and it doesn’t get much kitscher than Eddie Dunstedter and his organ. I feel like I need a pair of heels, a cocktail and a Christmas pinny to really get into this one…

And if that wasn’t camp enough, it was time for some innuendo with Larry Grayson asking ‘Who’s stuffing your turkey this Christmas?’ (Go on, you can tell me!)

Do you believe in reindeer and the magic of Christmas? Of course you do! It’s only those pesky physicists who try and spoil things with all their logical explanations. Bah humbug!

Another song due after that, and it was over to Si Cranstoun and a very jolly Miss Santa Claus (he’s part of the Dualers – who are fab!)

What could be more seasonal than a song about an Angel Gabriel by LAMB?
I can fly
But I want his wings
I can shine even in the darkness
But I crave the light that he brings

Hoping you have someone in your life who make you feel this way.

On a lighter note I asked if people were familiar with the term Camp As Christmas? You will be after watching Bearforce 1 and ‘Christmas is here’ (which frankly ought to be the Christmas number one IMHO)

Next it was time for an activity for all the family – and kids of all ages. The Santa Application form (which I use in teaching questionnaire design – only at Christmas obviously). Still time to get your application written!

Obviously it wouldn’t be Christmas without a bit of Judy Garland, and the tearjerker anthem Have yourself a merry little Christmas

Last up in the virtual concert was my favourite carol In The Bleak Mid Winter which has the most beautiful words written by Christina Rossetti. I have a bad habit of ruining carol services by blubbing my way through the final verse of this.

Thanks for joining in my charity concert – either here or on twitter, and remember this was all for the good causes listed above, so please give them your money or your time if you are able.

Merry Christmas!

Posted in Abortion/TOP, Activism and Open Access, Contraception, Female Sexual Dysfunction, Health/care, International, Medicalisation, Sex education, Sex positive, Uncategorised | Comments closed

‘Porn Block’ – a realistic proposal from the UK government?

father ted, careful now*

Amidst stories about snow and the final of The Apprentice you may have noticed yesterday’s news claiming the government wants to persuade Internet Service Providers (ISPs) to block access to online pornography.
The Sun – Porn Block on PCs
The Daily Mail – Porn, keep out! Parents to be allowed to block computers from receiving sexual material (not only do the Mail confuse the opt out/opt in system, but also seem unaware parents can already restrict access to adult content online)
The Guardian – Broadband firms urged to block sex websites to protect children (as with much other media coverage the Guardian stacks its story up with a problematic survey from Psychologies magazine, more on this later)
The Telegraph – Internet Pornography Curb By The Government

Where did this story come from?
It originated from a question asked by MP for Devizes (Cornwall) Claire Perry in a House of Commons debate on Internet Pornography on 23 November (summary here). From this Ed Vaizey (Minister for Communication, Culture and the Creative Industries) suggested a meeting with the major UK ISPs to talk about a potential blocking of access to porn and a sign up system (so those wanting to access sexual materials online would have to opt in to gain access).

You can see from the debate linked above and media coverage the focus is presenting this proposal in terms of child protection, and as a mental health issue.

As yet no meeting has been set up and no ISPs agreed formally to any proposed blocks at source. Indeed from today’s news ISPs appear to be saying the proposal is ‘unworkable’.

This proposal is, however, likely to be politically popular – at least in some quarters. It taps into fears parents may have around sexualisation and risks to young people. It appeals to sex negative/conservative voters. It also removes responsibility from parents who may lack confidence or familiarity with the internet and be uncertain what young people might be seeing online or know how to address this. Like many discussions within the sexualisation debate (which this is falling under) it may seem intuitively a good move, yet there are numerous problems associated with this proposal.

Here are some of them

What is this proposal aiming to do?
Although the proposal is suggesting a block at source, it seems this is going to be difficult to provide in practice. It is also only focusing on online pornography, not addressing other areas of sexual content young people might be accessing, nor social networking sites where young people may also be having contact with others people (sometimes in a sexual way). This doesn’t mean these other sources should also be blocked – but it does raise the question why the government is only focusing on ‘online pornography’? What evidence is there that this poses the most significant risk to young people (compared with other media), and what evidence do we have that the best solution to tackling the problem is a block at source with an opt in approach?

Despite media coverage and political debate it is not clear what is proposed (aside from wanting to meet some ISPs), and certainly no clear explanation of why the focus should be on online pornography only or the extent to which this is a major child protection issue (greater than say, addressing poverty; housing; poorly performing schools; addressing the physical and sexual abuse of children; and improving the training funding and support for social services, schools and other youth services).

Defining ‘porn’
One of my plans during my PhD (which focused on evaluating research on pornography effects) was to create absolute definitions of ‘pornography’ and ‘erotica’ as distinct and measurable categories which could be used in research, legal and health settings. In practice I found it pretty difficult to achieve (and gave up trying).

When asked, participants would define porn as ‘dehumanising’, ‘degrading’, ‘exciting’, ‘base’ while ‘erotica’ was described as ‘arousing’, ‘mutual’, ‘equal’ or ‘tender’. In fact what people were really doing was suggesting the values they attributed to said terms. Erotica was viewed far more positively than porn.

However, when I presented the same participants with actual sexual images to talk about they couldn’t agree upon which were porn or erotica. Indeed some saw certain images as ‘erotica’ which others viewed as ‘pornographic’. Unpacking why they felt this was a fascinating part of my research, but indicated for me something that has plagued researchers and lawyers for years. Because sexual materials are usually linked to moral and/or political judgements you can end up in a situation described by Ellen Willis (1979) as “[i]n practice, attempts to sort out good erotica from bad porn inevitably come down to What turns me on is erotica; what turns you on is pornographic”

Before any blocks at source can be made there has to be some level of agreement of what ‘online porn’ is. Currently it isn’t clear what this is defined as and given the range of sexual material online it will be difficult to agree what should or should not be restricted. And who will make these decisions?

Moreover it is unclear where sex advice, art, and conversations about porn online will fall within this proposed restriction. Critics of the proposal are concerned over wider censorship issues that it raises.

What about parental control?

While in opposition the Conservative Party made much complaint about the so-called ‘nanny state’ they saw being endorsed by Labour. Frequently Conservative MPs used the mantra of ‘parent power’ to advocate not having to tackle sex education and sexual health care for young people. Ironically we now see the same party suggesting rather than parents deciding what their offspring can have access to or supervising access to the internet, this decision will be made for families by the state in collaboration with ISPs.

Parents are currently already able to limit access online. They are also able to limit what access young people have to sexual imagery from other media sources, and decide whether or not to allow a young person to play computer games or use social networking sites. Parents can also talk to young people about safety online, confidence and communication generally, and tackle wider topics around sex and relationships.

Sadly, however, many parents don’t do this. This may be down to embarrassment, time pressures, a lack of awareness of risk to young people, a lack of knowledge of about the internet, or a lack of involvement in parenting generally.

For many parents a block at source could seem appealing as it means they don’t have to set controls over what their children are accessing. They may also believe this absolves them of the task of controlling media access more generally, or having to talk about sex and relationships, or around issues of respect, assertiveness and communication.

Simply putting a block on porn access online would not prevent young people seeing imagery elsewhere. Nor would it mean they would no longer require parental support, supervision and advice.

Blocking more than ‘porn’?

One of the major concerns over this proposal is it would block more than porn. Anyone who has had the fun experience of working within organisations like the NHS (as I’ve had for many years) will recognise how intranet blocks can stop you accessing advice sites and even research papers tackling topics containing ‘naughty’ words like breasts or testicles, psychosexual problems or sex education.

A feature of blocking at source means it’s not just sexual imagery created for entertainment/arousal that is blocked, you may also find you cannot find self help, advice or educational materials.

This government proposal could mean the many young people who have questions about their gender or sexuality, are being abused or bullied, want to know about puberty, STIs, contraception or pregnancy, or have general ‘am I normal?’ worries will not be able to gain access to such information online. For many young people these questions are not always ones they can ask of teachers or parents. Parents or teachers don’t always give them the answers they need. It may be on more sensitive topics they can’t ask friends or even use internet cafes or libraries. The privacy of online advice may be the only place they can find answers. As not knowing about these issues can put young people at risk and cause mental distress it seems ironic a proposal based around safeguarding young people’s mental health could directly harm it.

Advice websites, online information forums, resources like Scarleteen that talk frankly about sex for young people could easily find themselves blocked within this proposal.

Under such a proposed scheme parents (and other adults) may also find they cannot find out information about ovarian cancer, psychosexual problems, smear tests, fertility, miscarriage, pregnancy advice, partner abuse or rape.

Young people (and adults) have a basic human right to information about their sexual lives, gender and sexuality (see here and here for two examples discussing this issue). These proposals bring up wider discussions not only around censorship, but also about open access to health information.

Do blocks and bans work?

Many adults may remember our recent history where pornography was largely illegal within the UK, or was heavily restricted in accessibility. Jokes abound about the only place to find porn – aside from under your parent’s bed – would be what you stumbled across during walks in the woods (or perhaps shared by a bigger boy at school). However this did not stop young people wanting to see, or seeking out, sexual materials.

It would be wrong to suggest availability, access and commercialisation around sexual imagery hasn’t altered. It does seem sexual imagery is more prevalent and easier to access than in the past – but not just in terms of ‘online pornography. Shifts within commercial markets have also meant more discussions about sex in the mainstream media, advertising, music and other entertainment industries – aimed at adults as well as young people.

This does not mean such materials should also be met with a blanket ban. Focusing on ways to talk about the messages shared within popular culture, from parents and peers are important. It seems peculiar this government seeks to block access to one form of sexual imagery but are less interested in addressing realistic and rights based sex and relationships education.

Generally blocking or banning one area doesn’t seem to work (research and wider issues discussed here) – people still find ways to access material, and given sexual media appears in more places than online porn it is unlikely just blocking one area will make much difference. Indeed we’re left uncertain what difference politicians expect as a result of such a block.

Moreover in discussions in this area we are not hearing about research that talks about the more complex and nuanced relationships young people have with the media (see here and here for examples). This proposal also seems to be assuming the majority of young people have some kind of private internet access at home, and this is their main source of viewing explicit material. However this may not be the case and does not guarantee young people won’t find sexual imagery in other sources. The proposal seems to be suggesting that online access to porn is causing specific harms and yet no clear evidence is being shared about what those harms may be.

It is not clear what this proposed block is for. Is it to protect young people? If so, from what? Finding out about sex? Seeing sexually violent images? Being exposed to adult content while they are still young? To prevent young people becoming sexually active? It seems to be working under an assumption that young people who see sexual images may be mentally harmed, or perhaps will become sexually active at a young age, or be coerced (or coerce others) into a sexual act they may not have previously considered. Yet within this no clear evidence is presented around whether this is being observed now and what impact this is having on young people long term.

The media’s lack of critical attention

Press coverage of this story has been largely uncritical. In that it has presented the proposals set out by the government without any real discussion of how workable they may be or the issues related to potential blocks that might put young people at risk. Moreover the media have not been particularly careful to focus on the wide range of evidence addressing media effects in this area (and particularly about young people’s use of online porn). Instead most media coverage have backed up their stories with the quote from a survey from Psychologies magazine that 1/3 of young people have seen online porn (when aged under 10).

This represents part of the problem with the media on this issue. Journalists appear to believe that online porn does cause harm to young people and therefore rather than thinking more critically about sexualised culture and youth, they accept studies that support their position.

The Psychologies survey is particularly flawed as it is presented as being representative of children across the UK, whereas it was actually only conducted in one London school.

I was concerned over the way this research was conducted on young people and when raising questions about it was sent various emails and was called by the editor about it. This included a copy of the survey questions and response rates.

From this correspondence it was difficult to identify whether parents did or didn’t know their children were completing an online survey about pornography. Questions asked were in placed muddled or confusing, and while some answers suggested young people had seen online porn, the majority of respondents had not (and nor were they in a sexual relationship). Indeed most respondents who had seen porn weren’t particularly troubled by it – seeing it as arousing or a joke. The limited sample, problematic questions, ambiguity over parental consent and young people’s ability to opt out of the research means this survey is not reliable. And yet it remains popular among both journalists and politicians as ‘proof’ of our ‘problem’ with online porn and young people in the UK.

It would be unfair to single out Psychologies magazine as they are not the only media outlet who has completed research in this area that could have been a lot more robust. Channel 4’s Sex Education Show also conducted a survey on porn as part of its second series (The Sex Education Show vs Pornography) which, despite being told that pornography was not the major issue affecting young people still made a show with this focus because the series was commissioned to have a campaigning focus similar to ‘Jamie’s School Dinners’ (as one producer informed me). Because many of the cases presented in the programme suggested accessing extreme porn was both easy and commonplace it persuaded many people this was a major campaign issue. Even people who might usually question evidence or ask to see research accepted the depiction of online porn within the programme as ‘the norm’.

Completing research on young people and sexual imagery is something that is important but has to be managed ethically, responsibly and carefully. At present while claims are made about the number of young people accessing sexual imagery and the impact this is having on them, in truth there is a lack of robust research in this area. This is mainly linked to a lack of funding to study the topic, and limits to what can be asked of young people by ethics committees.

We do have evidence around the impact of porn but not all of this is based on online porn and even when it is, is flawed by a lack of definitions about what ‘online porn’ is. Many studies are overly simplistic, lab based and feature undergraduate students. The experiences of sexualised media (not just online porn) on young people remains an under researched area and at this time it is difficult to make any firm conclusions about its impact.

Claims about how it is changing young people’s brains, behaviour and bodies sound frightening but often do not have much reliable data to back them up.

Unfortunately at present politicians continue to avoid engaging with evidence on a critical level and various lobby groups of different pro and anti porn (but largely anti porn) positions are making their views count more than independent research. As a result many claims are being made about online porn and its impact on young people but, if you try and source any evidence for said claims, it is difficult to find anything particularly reliable.

The media and politicians, rather than accepting a few flimsy studies that back up their beliefs, need to look more closely at what is happening to young people and hear from those conducting careful, respectful and ethical research in this area.

What happens now?
This is only a proposal. So at present no meeting has been set up and it may be no meeting may happen. Critics of the proposal are arguing it’s a play on the part of the conservative to faith based voters, in a similar move to actions taken in Australia (see here and here). And that it won’t go any further than a chat with ISPs (if that far). Others argue the proposal is based on well meaning, but ill informed, intentions that will continue to be focused upon as part of wider debates on sexualisation.

We have seen little critical discussion of the issue within the media outside of talking over whether the proposal is workable. Debates about the evidence in this area, the acceptance of limited studies to make policy, parallels with Australia, and the needs and rights of young people are largely absent in media coverage and in debates on blogs or twitter (which have tended to focus more on the censorship or tech angles).

Because this is a proposal there are things you can do about this issue. You can lobby your MP and ask them what their views are, and provide them with more balanced information about young people, their rights and ways in which we can empower them to negotiate a commercialised/sexualised culture. (Here’s a nice set of free resources to help them!)

We can all ask to see what evidence the government has that this specific proposal would make a demonstrable difference to the lives of young people, what that difference might be, and how it might be measured.

Critics who fear this is another form of censorship and regulation need their concerns addressing.

We need to be careful to continue discussions about young people’s rights and responsibilities without questioning of this current proposal (or ones like it) degenerating into accusations of promoting abuse or denying young people need support. (As previously experienced in debates on extreme porn).

Parents can lobby for greater responsibility and control and reject the idea of an opt in system. They can argue the existing system where parents can already block access and talk to their children about sex/relationships issues is adequate. This requires parents to step up to the plate and be more engaged in the parenting process and certainly educators, practitioners, healthcare providers, therapists and youth organisations can do more to support parents in this role.

Despite this debate being largely about them the opinions of young people are largely absent. It would be good to hear more from young people about what they think about online porn and related issues. We do not do enough to include young people’s voices, nor offer support or empowerment to them on this or other child protection issues and that is something we should rectify as these debates look set to continue.

We can focus on increasing access to relationships education both at home and school, support online services already offering independent and ethical advice to young people on sex/relationships, and ensure any education offered covers topics around delay, respect, communication, confidence and pleasure. Not just about biology, STIs, just saying no, and contraception.

We should question the government on this issue. Why are they considering this proposal? Why is it important to them? What do they think it will achieve? Who are they aiming to protect? And if they are interested in child protection what other areas such as child poverty (in particular) might they also be focusing on?

This proposal raises wider issues around health, education, access, and rights to information. So it is worth looking beyond what may be fairly empty government proposals or broader discussions on censorship and think about what this government’s understanding of young people’s rights may be – along with their awareness of ‘sexualisation’ and how to deal with it.

Certainly young people are living within a different culture where there is easier access to sexualised (and often commercialised) messages. These are not just within the domains of ‘internet porn’ but often in the pages of our daily papers, celebrity sex scandal stories, music, advertising and so on. It is important to talk about the information both young people and parents need, but deciding to begin this debate recommending a top down, censoring approach does not allow us to really explore what would help young people and where actual risks may be from.

Want to know more?
If you are interested in this issue a discussion is ongoing about it on twitter using the hashtag #ukpornban Meanwhile people like @quietriot_girl @auntysarah and @bishtraining have been actively engaged in debating this proposal on twitter. Bish has also written an excellent summary about the issues raised by the proposal here. If you see any other blogs or articles discussing this issue you think are helpful please email me (info@drpetra.co.uk) and I’ll add them to this post.

Other interesting writing on this topic from:

Pandora Blake
who talks about some of the flaws in both the proposed scheme and the ‘research’ behind it. This is picked up by both @violetblue in ZDNet and @TomRoyal in ComputerActive who focus on the groups behind the proposal. Particularly the pressure group Media March. Tom’s post was written a year ago, but it seems Media March are still keen to persuade politicians to their cause. More on this organisation can be found at Liberal Conspiracy

Both Mashable and
Guardian Technology discuss whether the proposals even make any sense. (The piece by @tomscott says pretty much what I say above, just a lot more succinctly!)

@foxsoup writes at ThoughtSoup on the major limitations of The Psychologies survey (which journalists are continuing to treat as though it is a robust and leading piece of research in this area). While The Register takes a more pragmatic approach and discusses whether this proposal is really an issue and if it will ever lead to any action (they also talk about the reasons why this issue is being raised now).

In a more personal account Unaverage Girl focuses on how blocking porn could have killed her, reminding us of the wider issues about access to information for young people.

While on a lighter note @zoeimogen suggests we remember Cleanternet (a similar suggestion to this current proposal)

Meanwhile Claire Perry announced on twitter 100% of negative or abusive commentary about opt in system for internet porn is from the chaps. Women 100% positive (so far) Since then many women have taken the opportunity to tell her they disagree.

* Image used here comes from the amazing TV series ‘Father Ted’ where Fathers Ted and Dougal are required to protest against a ‘blasphemous film’ (the clip for which is here, wonderful).

Posted in Child(ren), Commercialisation, Critical appraisal, Evidence based, Pornography, Sex education, Teenager(s) | Comments closed

International Day to End Violence Against Sex Workers 2010

red umbrella image

Today is International Day to End Violence Against Sex Workers. If you’ve not heard about it before it aims to highlight hate crimes committed against sex workers, show support for and among sex workers, and alert the public about the physical and emotional violence sex workers face – and the systems that maintain this. A good introduction to the aims and purpose of the day can be found in Annie Sprinkle’s essay Stopping the terror: a day to end violence against prostitutes.

In this essay Dr Sprinkle explains why sex worker violence remains a problem:
From working as a prostitute myself for two decades I know that violent crimes against sex workers often go unreported, unaddressed and unpunished. There are people who really don’t care when prostitutes are victims of hate crimes, beaten, raped and murdered. They will say:

“They got what they deserved.”
“They were trash.”
“They asked for it”
“What do they expect?”
“The world is better off without those whores.”

No matter how people feel about sex workers and the politics surrounding them, sex workers are a part of our neighborhoods, communities and our families and always will be. Sex workers are women, trans people and men of all shapes, sizes, colors, ages, classes and backgrounds who are working in the sex industry for a wide range of reasons. Many of us are out and proud, and spend a lot of time trying to explain to the public that we freely choose our work and we are not “victims.” But the truth is, some of us have been, or will become, real victims of rape, robbery and horrendous crimes.

Across the world there will be a number of events marking the occasion which you may already be part of.

Coinciding with International Day to End Violence Against Sex Workers, are a number of excellent articles shared on the issue of violence and stigma over the last few days including:
Rosie Campbell and Shelly Stoops’ Treating Violence Against Sex Workers As A Hate Crime and Chi Mqbako’s Can We End Violence Against Sex Workers?

NSWP (Global Network of Sex Work Projects) are marking the event with the release of a special issue of the journal Research for Sex Work – Focusing on Violence and Sex Work (open access). Matt Greenall picks up on this theme with a wonderful example of a project around addressing violence and abuse in Madagascar. More resources for international projects and programmes on sex work can be found at the Paulo Longo Research Initiative. Clarisse Thorn discusses why ‘whore stigma’ makes no sense (this piece focuses more on cis women sex workers but still raises issues relvant to male and trans workers, gay or straight).

Meanwhile both Laura Agustin’s ‘Helping women who sell sex’ and Audacia Ray’s Things That Are Broken: Sex Worker Activism invite reflection on some of the core issues facing sex workers and their allies.

You may be unsure how you might mark this occasion, so this blog post from last year by Cory Silverberg discusses more about the day and includes 10 suggestions from Annie Sprinkle about how you can show your support. Audacia Ray outlines other related sex worker events running throughout December.

In sharing information about this day I’ve been asked, very reasonably, about the appropriateness of just one day to address such a major issue. And as with other events (like World AIDS Day) it is worth noting that for some people violence is a frequent part of their lives, not a one off event. It is for that reason, the high prevalence of abuse faced by sex workers (and the generally poor response to it), that such a day is needed. It reminds us of the problems that exist and encourages us to take action. That may be through campaigning for legal changes, improving education and research in this area, lobbying politicians, tackling the barriers to healthcare many sex workers face (an overview of some of these issues can be found here), learning how to be more of an ally for sex workers, or supporting one another (if you’re a current or ex sex worker).

Posted in Activism and Open Access, Homo/transphobia, Human rights/law, International, Prostitution, Uncategorised | Comments closed

World AIDS Day 2010

Today is World AIDS Day with events taking place globally around the theme of Universal Access and Human Rights. You can follow discussions about the day with links to activities and organisations involved on twitter using the hashtags #WAD2010 and #PreventionRevolution

Access is an important but often overlooked issue within this area. Getting education to help people protect themselves from HIV or making care available for people with HIV/AIDS are both still major problems being faced worldwide. Particularly in resource poor communities. Women, children, sex workers, LGBT communities may find it more difficult to reach basic educational and health services, particularly in countries with gender inequalities or where homosexuality is illegal. A lack of critical reflection on the meanings of masculinity within research and care around HIV/AIDS can often mean mens’ health needs or problems can be overlooked or only focused on in negative terms.

Aside from funding and staffing issues, access to HIV services can center around transport and roads, availability of aid, poverty, housing, and education generally (particularly literacy programmes). Not to mention problems of rape and sexual violence, domestic abuse and availability of medication.

Access isn’t just about treatment services for those living with HIV/AIDS but also around prevention and treatment programmes. Which can often be blocked by moral or political opposition or apathy. Which is why access and human rights are interlinked. People deserve the right to have accurate information to help them protect themselves from HIV or gain appropriate care and support if they are positive.

The theme of access for the coming year is an important one and hopefully will be an opportunity for health care staff, educators and researchers to focus on a broader definition of the term. Access also applies to the education, training and support of staff working in health and social care in HIV/AIDS. We still have problems with a lack of open access for many academic journals covering issues staff need to be aware of and that should be something we all press for in the next twelve months.

Easily available and high quality education programmes for staff also need to be based on the specific needs of communities, encourage capacity building and are constructivist in nature – using the lived experiences and local contexts of staff to inform their teaching. Currently much teaching, while well intentioned, is delivered in a context-free, top down and short term fashion. Illustrated here with these wonderfully reflective pieces by Matt Greenall here and here. This can result in programmes that tell people what they ought to do, but not how to achieve this – and how to amend messages if they don’t fit people’s personal or local needs. A lack of sustainability and support within programmes can also often leave communities disempowered and distrustful of research, education or health initiatives.

There can also be a problem around applying what we know. All too often funding for HIV programmes can lead to people deciding to do more research (a survey or focus group) without consulting the existing evidence base on this area which could well inform practice and save time. This is not to say there’s no place for research in HIV/AIDS. Just for practitioners to think carefully about what they are doing and why they are doing it. Critical reflection on both our research and teaching in this area is essential if we wish to improve upon current care and outcomes for the communities we serve.

Health educators and researchers working in this area often struggle themselves with limitations of time, money and demands of funders and local/national politics. Not to mention barriers caused by internalising homophobic, sex negative and gender/class/tribal judgements. With a call to consider access it is important we focus more critically about the teaching we offer and how this work can have meaningful outcomes that include and work with communities.

A couple of examples of this in action can be found in the recent Distance Learning for Health conference which brought together health educators who shared examples of good practice and reflected on ways to improve their work internationally. A review of the event and access to presentations given can be found here. While Contestations provides space for practitioners, activists and educators to debate and think critically around topics related to healthcare that often are oversimplified or overlooked. And, as you can see from Matt Greenall’s posts above are crucial to reflect upon if we’re to improve our understanding of health and human rights.

Finding ways to share knowledge and educational resources can be a powerful approach to tackling HIV/AIDS, but equally importantly allows us to remember that HIV is not the only health problem the world is facing. Thinking about access to education and creative ways of providing this can also allow us to consider additional issues that are impacted upon by HIV but can also be ignored because of a focus on HIV/AIDS. Things like maternity services, mental health, disability, tackling poverty, or managing non communicable diseases, or infections such as TB or malaria.

I will share more on the blog about programmes I hear about in expanding access to education and prevention and would be keen to hear from bloggers, institutions or organisations who are finding creative ways to introduce empowering, critical and reflexive educational programmes with health care staff on HIV (and related issues).

In the meantime if you are thinking these are interesting issues but ones you cannot contribute to directly, here are 10 things you can do in the fight against HIV/AIDS.

Posted in Academia, Activism and Open Access, Critical appraisal, Evidence based, Health/care, HIV/AIDS, Homo/transphobia, Human rights/law, Sexually transmitted infection(s), Uncategorised, Violence/Abuse | Comments closed

Page 3 at 40 – a cause for celebration?

This week, according to The Sun, the newspaper marks 40 years of Page 3. Across the course of the week the paper promises further celebrations, including a giveaway of a pack of playing cards and images of popular Page 3 girls such as Sam Fox, Jordan and Linda Lusardi.

Although Page Three seemed to have a heyday in the 1980s, it remains popular both within the paper and online. Indeed the newspaper can credit much of its revenue to the presence of bare boobs on Page Three.

However, it is not without controversy and certainly over the past 40 years debates have raged over the presence of the page and what it stands for.

Some (particularly The Sun itself) have presented the paper as harmless fun, a bit of a joke that celebrates the female form. It has been seen as a means of launching highly lucrative careers for a number of women, and for that reason beyond reproach.

Others view Page Three far more negatively. Views here range from seeing it as a representation of sexism in action – that its very presence devalues and dehumanises women. Or that it contributes directly to sexual harassment of women and girls – either in encouraging men to see women as sex objects, or by the display of Page 3 images in places of work that make women feel excluded.

A slightly different interpretation of Page 3 linked to this is that it isn’t the cause of abuse in women but it is a symptom of an unequal and sexist society. Or that it is racist, presenting mainly young white women as the norm, while fetishising on the basis of race the minority of Black or Asian models who feature.

Complaining about Page 3 has presented people with problems, however. For example critics of the Sun’s editorial policies, treatment of its workers, or wider political aims have seen those as more important issues than challenging Page 3. And advocates of free speech within media have remained unsure what to say about calls for banning pictures of bare breasts. Others have questioned whether Page 3 really is a big enough issue to get upset about given other problems around housing, pay, childcare women have to deal with.

In the 1980s there were some debates around the impact of Page 3 with some academics such as Guy Cumberbatch questioning what effect it might have on human behaviour. His argument was that while hard core porn existed, it was not as accessible to people as Page 3 which was mainstream, and available on a daily basis with no restrictions. Cumberbatch and other academics questioned whether having more access to less explicit materials could have more impact on sexual behaviour. Anti porn feminists, though coming from a different position, also questioned the mainstreaming of Page 3 as part of our daily lives as being a means of reproducing sexism as an every day event.

Critics of Page 3 complained the images of women were not always the problem and the photos had to be viewed in the wider context of the captions that appeared alongside them and the news stories on the same and preceding pages. The appearance of stories of rape, child abuse, or more recently discussions of sexualisation of young people appearing within the same paper (or particularly close to a Page 3 image) can be seen as hypocritical and inappropriate.

Page 3 has not gone without direct challenge. In the 1990s Clare Short attempted to have Page 3 removed. Her experience of resulting backlash towards her (which was vicious and sustained) and responses from women was published in a book Dear Clare, this is what women feel about Page 3 you can read the Introduction here.

Regardless of how you feel about Page 3 this book is worth reading. It is a couple of decades old now but it is a fascinating record of a point in history and tackling a contentious issue. It highlights in particular the problems that can be faced in questioning sexual images in the media – and how attempts to silence critics centre on devaluing their argument with accusations of their being prudish, ugly, boring or anti sex.

Unfortunately discussions around Page 3 have often resulted in women being judged or blamed. Whether it’s women who oppose Page 3 being dismissed as killjoys or Page 3 girls constructed as stupid or immoral. Sadly some of the debates around Page 3 often pitted women against each other with feminists called to attack Page 3 stunnas by the media eager to orchestrate a bitch fight.

This missed the many relevant criticisms of women (and men) of the presence of Page 3, while targeted hostile and aggressive responses towards Page 3 models rather than at the Sun, its editors, staff, advertisers and readership. Even now debates around Page 3, when they happen, tend to focus on discussions that quickly degenerate into girl blaming and rehearse female victimisation stories rather than looking at wider issues of commercialisation and the Sun’s editorial approaches.

Part of the problem within this area is that not everyone who dislikes Page 3 can agree on exactly why they have a problem with it – or what should be done about it. It is possible to be pro porn but still have questions about Page 3, although this can cause tensions when discussing with predominantly anti porn groups. Indeed many people who have issues with sexually explicit media also have issues with the politics and actions of anti porn groups – making it complicated to talk about issues in a calm way.

Aimed at straight men, the assumption is that Page 3 has nothing to say to women (or that women universally oppose it). While the voices of bi and lesbian women have been heard less in discussions of Page 3 certainly it would be wrong to say women have only one (negative) response to the images. In her 1983 essay ‘The Page Three Girl Speaks to Women Too’ Patricia Holland discusses how the images in Page 3 show other women how they should look, dress, pose and act in order to ‘be sexy’ for their ‘fella’. Rather than just being something women dislike and turn the page on, Holland explains how the presence of Page 3 plays a role in constructing what female desire looks like.

This leads to perhaps some of the less reported struggles women have with Page 3. That they may feel it is sexist but they also feel it excludes them from relationships with men or sets up a standard of femininity to which they cannot compete with. Page 3 girls are young and selected for particular body shapes (the fashions for which have changed over the past 40 years). They are photographed in flattering poses to accentuate breasts and bums. This can make women feel insecure in comparison, or imply the normal or preferable female form is that shown on Page 3.

It may be easier to dismiss such concerns if the paper itself did not play upon them. Even in the recent celebrations of Page 3 the launch of a video that focuses on ‘the woman you would secretly like your woman to be’

Despite the major opposition to Page 3 in the late 1980s and early 1990s cultural changes more widely perhaps explain why we appear less bothered about it now. Lads’ mags, wider accessibility to the internet, a more mediated and commercialised culture have all led to more access to sexualised imagery than we had in the recent past. With such changes you may question why Page 3 remains so apparently popular? After all the images of topless women are no longer unique to that paper.

Page 3 seems to have been archived along with Carry On films and Benny Hill as a bygone representation of gentle sexism that we know is there but we turn a blind eye to. Or perhaps can be rewritten as an ironic joke.

Have we resolved how we feel about Page 3? Is it just a joke? Are we no longer bothered by it? Or has its presence over 40 years simply meant we see it as part of our media fixtures and fittings?

What does seem certain is Page 3 is unlikely to disappear. It is a very lucrative part of The Sun. But it is undoubtedly presenting women, and sex and the female body in a specific way. Claims that it’s empowering to women may be questioned given the gimmick that goes with the 40th anniversary to see the Page 3 girls in 360 (also available for the iPad) where you can “make our model go full screen and she’ll pirouette at your command”

It may be easy to simply dismiss Page 3 as sexist or silly, ignoring how it has been a major part of a particular publication for 40 years. Over that time our attitudes to sex and relationships, to sexual politics and to sexuality have changed. The paper itself has both reported and constructed desirability and the female form with shifting fashions for poses, breast sizes, hair styles and clothing. Studying the history of Page 3 and what it’s had to say about women and men is worthy of consideration.

Page 3 hitting 40 is perhaps not as interesting as the history that hides behind the page, and the fact that as it reaches this milestone there has been relatively little public response. Certainly people don’t seem to be joining in the celebrations, but nor are many people speaking up about concerns over Page 3 or views on female imagery in the media more widely.

Perhaps people feel these debates no longer need to be had. I’m not so sure this is right. Page 3 presents us with a number of often uncomfortable issues for discussion, many of which we haven’t resolved. If The Sun is celebrating this is a good a time as any to debate the presence of Page 3 – and the politics of the paper more widely.

Posted in Uncategorised | Comments closed

The Mass Libel Reform Blog – Join The Fight for Free Speech!

Free speech is not for sale button

This week is the first anniversary of the report Free Speech is Not for Sale, which highlighted the oppressive nature of English libel law. In short, the law is extremely hostile to writers, while being unreasonably friendly towards powerful corporations and individuals who want to silence critics.

To commemorate this event, bloggers, journalists and other free speech advocates are all posting today to remind us of this issue and why it is important.

The Libel Reform Campaign explains:

The English libel law is particularly dangerous for bloggers, who are generally not backed by publishers, and who can end up being sued in London regardless of where the blog was posted. The internet allows bloggers to reach a global audience, but it also allows the High Court in London to have a global reach.

You can read more about the peculiar and grossly unfair nature of English libel law at the website of the Libel Reform Campaign. You will see that the campaign is not calling for the removal of libel law, but for a libel law that is fair and which would allow writers a reasonable opportunity to express their opinion and then defend it.

The good news is that the British Government has made a commitment to draft a bill that will reform libel, but it is essential that bloggers and their readers send a strong signal to politicians so that they follow through on this promise. You can do this by joining me and over 50,000 others who have signed the libel reform petition.

Remember, you can sign the petition whatever your nationality and wherever you live. Indeed, signatories from overseas remind British politicians that the English libel law is out of step with the rest of the free world.

If you have already signed the petition, then please encourage friends, family and colleagues to sign up. Moreover, if you have your own blog, you can join hundreds of other bloggers by posting this information on your own site. There is a real chance that bloggers could help change the most censorious libel law in the democratic world.

We must speak out to defend free speech. Please sign the petition for libel reform!!

I hope you can support the campaign by writing about this issue yourself, and by encouraging other people to get involved. Further information about the problems caused by our libel laws (as they stand) can be found courtesy of the Geek Calendar participants:



My mum’s signed up and supported* – get your family to join in too!

*in fairness she was partly motivated to do this because she’s developed an unhealthy interest in a couple of geeks in the Geek Calendar and believes signing the petition will get her a hot date with them. I may have misled her somewhat. Never mind. All in a good cause.

Posted in Activism and Open Access, Politics | Comments closed

“VD is for everybody”

good time girls = VD

There’s been a lot of interest online today about a 1969 Public Service Advert – ‘VD is for everybody’, which shows a range of people who could have a sexually transmitted infection. You can see it here:

Having been flagged up on Boing Boing debate has centred on whether the advert was counter productive and seemed to endorse STIs, or whether it was highlighting how anyone could be at risk from infections – even ‘nice’ people like you (as the song goes).

What’s interesting about this advert is it’s not unique in public health messaging around STIs. In fact the ‘you can’t tell by looking’ theme has run across sex advice campaigns for years. For example this 1948 US advert for the US Navy shows you can’t be sure who has an STI (while rehearsing the women-blaming angle that can often subtly or not so subtly underpin campaigns of this kind – see also the ad at the start of this post!).

It’s also found in this UK public information advert by the Department of Health’s ‘Condom Essential Wear’ campaign.

@mngreenall has found a couple of international examples such as this Nigerian campaign featuring Femi Kuti
Femi Kuti HIV
And this more sinister advert from Kenya’s Ministry of Health
Kenya Skeleton HIV

While South African HIV prevention organisation LoveLife have a fascinating overview of their media/behaviour change campaigns. A similar global archive of different sexual health campaigns (some commercial, some governmental) can be found at the wonderful Sex Smart Films.

The plan within all of this kind of messaging is to challenge the stereotype that STIs can only affect certain people and that anyone could potentially get or share an STI. They also flag up how many STIs can be symptomless so you may not always know you have one. The former two adverts focus on telling people about risk and where to get help, while the latter one focuses on risk and prevention (condom use). That may say more about changing cultural values in media to allow prevention messages to be shared. Often symptom and treatment messages are easier to talk about in health media, although even then barriers can exist over how frank an advert can be.

Debates continue on how best to share STI messaging in public health campaigns. Humour, blame, shame, fear or reassurance can (and have) all been used to try and get the public to be more aware about their sexual wellbeing. Critics often claim hosting any campaign that talks about STIs frankly could ‘glamourise’ them or make it seem they’re ‘acceptable’, or only appeal to the ‘worried well’. While defendents of public sexual health campaigns argue adverts can destigmatise STIs, alert people to the risk of having an infection, encourage getting tested, and make it clear they are commonplace but that doesn’t mean they’re problem free and shouldn’t be tackled.

Practical barriers can also impact on sexual health media – politicians may be anxious about endorsing widespread public health campaigns on this issue. Charities and NGOs may run campaigns but often from particular positions (meaning some messaging can fit the blame/shame angle more than others). Television companies can also be skittish about what advertising they’ll allow and ad agencies may be keen to create something that’s shocking or visually striking but may not be particularly helpful or accurate.

Unfortunately in a lot of cases adverts are not run for any length of time, nor is their impact evaluated. Indeed for many governments, charities or organisations the belief that an advertising campaign has reached the public is seen as the end of an intervention. The aim of adverts like this are usually to raise awareness AND change behaviour, but follow up to see if any impact has been made in either category is not always carried out. Meaning it is often difficult to be sure what, if any, impact such campaigns have had. (A good review on mediated public health campaigns can be found here which explores this issue in more depth).

The ‘you can’t tell by looking’ advertising message is not unique to 1969. Indeed it was being used long before this date and continues to be used globally in sexual health information programmes. Seeing what messages have been used in the past allows us to consider whether they may still work in the future, what other approaches you could try instead, and most importantly to ensure any public health campaign starts with a built in evaluation plan to assess impact.

It’s great people have been thinking critically about public health messaging on STIs, so while people are eager to talk about it why not think about why kinds of campaigns you would like to see – and share examples of good and bad messaging you find online.

Update: Thanks to all of you who’ve been sending me examples of media campaigns for sexual health, I’ll add more as I get them – and any evaluations of activity also welcome!

Posted in Condom(s), Movie(s), Sexually transmitted infection(s), Television | Comments closed

Turning tricks: A horrid Halloween tale of a polling company, a parenting website and the misrepresentation of mothers

witch burning

Yesterday I was alerted to a worrying press release by @MrMMarsh (who has an amazing track record in critiquing commercial surveys). It was for Bounty.com – a parenting website, conducted by OnePoll. It claimed “one in 10 women have tricked a man into getting them pregnant with less than half actually wanting the person they ‘used’ to stick around once the baby was born” and went on to make further allegations about the women who deceive their partner into helping them conceive.

These women, according to this press release, are liars and tricksters, who use their seductive wiles to beguile men into parting with their seed.

Hmmm. Sounds similar to the way we used to accuse women of witchcraft – how apt for Halloween.

And apparently that was the reasoning behind this baffling campaign. According to Bounty (who had the story on their ‘entertainment page’) the poll was just a bit of ‘seasonal fun’. Doubtless they were only thinking of this in purely ‘fun’ terms, playing around the term ‘trick or treat’ with the suggestion women ‘tricked’ men into paternity. But due to a lack of forethought they inadvertently rehearsed other, far more sinister narratives about women’s sexuality that have been used to judge and harm women for centuries.

Perhaps unsurprisingly the campaign backfired. Massively. The outcry on Twitter and elsewhere online was uniformly negative about Bounty, OnePoll, and the ‘women as tricksters’ campaign.

However, that wasn’t before the story hit the headlines with coverage in both the Sun and the Daily Record.


What’s wrong with this poll?

The press release outlines 10 ‘most common ways women ‘trick’ someone’. Since we don’t have the original questions asked we can only assume they were based around these options, which include:
1. You just didn’t talk about it
2. You told them you were on the pill
3. You told them you’d had the injection
4. You weren’t very careful about taking the pill
5. You got them drunk
6. You told them you’d had the coil fitted
7. You put a needle through the condom / wrapper
8. You told them it was the wrong time of the month to conceive
9. You had a one night stand and didn’t make them use contraception
10. You told them you were infertile

These are a very odd mix indeed, and many of them describe common events that are not deliberate attempts at deceiving a partner into getting you pregnant. For example failed contraception (listed in 4) is a fairly common way for pregnancy to occur (although this survey presents it in a far more blaming way). Being confused over when you are fertile (which is one way of interpreting number eight) is also another reason women can find themselves pregnant. Simply not discussing pregnancy is not a definite sign of ‘tricking’ a partner. For many couples the topic of pregnancy is not always paramount unless they are particularly struggling with conception.

Not using contraception on a one night stand isn’t a great idea but it does happen and unless you’re specifically out to try and get pregnant from the encounter again is not a sign of someone deliberately tricking a partner into a pregnancy. It might, however, be a case of someone assuming they can’t get pregnant from a one night stand and discovering that’s a myth.

Knowing you’re fertile and telling someone otherwise (10) is not the same as thinking you may not be fertile and finding yourself pregnant – not unusual as some women will attest.

While options 2,3 and 6 involve lying about contraception use and 7 specifically describes scuppering a contraceptive, the remaining questions could easily happen without a person deciding to maliciously mislead another. Because there is no follow up to these questions there’s no way of knowing the context in which they happened.

From this the press release jumps to talk about how women continue to lie after they’ve got pregnant and talks about trapping ‘an unsuspecting male’.

While the press release does explain the majority of women don’t do this, the overwhelming tone of the story is that women are liars and out to trap men by getting pregnant. That they’re so deceitful they’ll continue to hide the secret that they tricked someone into getting them up the duff.

Why is this survey a problem?

Leaving aside the issues outlined above there are very real reasons why a survey like this is dangerous. Pregnancy and parenthood, while often positive, can also be stressful and difficult. Both can place considerable pressure on relationships. Adding to this any suggestion that women lie about getting pregnant could be devastating to many couples.

We already know that domestic violence is intertwined with paternity disputes (see here , here and here for example), although this is more often over concerns or accusations of whether a child is the biological offspring of a parent. Jealous and/or controlling partners can use accusations over paternity or the circumstances of a pregnancy to justify abuse.

At the very least this survey could put doubt into the minds of partners that they may have been conned into a pregnancy they weren’t ready for or perhaps didn’t want. Or make women feel their partners will distrust them. This might cause new parents to worry at one of the most vulnerable times in their lives. And if couples are already struggling because of distrust over conception this survey could provide unhelpful ammunition and widen the gulf between people.

Obviously it would be remiss to say no woman has ever misled a partner over a pregnancy – either with good intentions or maliciously. But this study was not robust or compassionate enough to explore this issue sensitively. Instead it overemphasises the likelihood of cheating a partner – and implies this is always deliberately malevolent.

As this is such a sensitive issue it would be reassuring to know how participants were treated. Because neither OnePoll nor Bounty have made the process of this study transparent we have no idea how participants felt about being questioned over the circumstances of their conceptions. Could they have felt judged? Embarrassed? Humiliated? Were they left fearful a partner might discover they had not been clear about their motives in getting pregnant? Were some left feeling they were liars when previously they’d simply thought they’d misunderstood their cycle?

In social research you should always be careful not to cause harm or distress, to anticipate what harms you may cause in the questions you ask. On a potentially sensitive topic like this you would usually have many steps in place to ensure participants were supported and helped if the work raised any issues for them. We have no idea if women who took part in this survey were distressed by it (or the subsequent reporting).

It is important to stress that in all probability neither Bounty nor OnePoll considered the issues of domestic violence or relationship harm when putting this work together. I am not arguing here they deliberately aimed to distress women and their partners. However it does indicate the lack of consideration behind this work. Part of good survey work (and all social research) involves thoroughly considering and planning for all potential interpretations, outcomes and consequences of your work – good or bad. It is shocking that nobody at Bounty or OnePoll could apparently see what potential problems this work could create.

Given the poll is problematic on so many levels – and the public reaction to it so negative – you might have expected Bounty and OnePoll to take immediate and apologetic action.

Bounty’s response

Bounty initially shared the story on Twitter, however once they began to receive criticism for it they deleted this message later following it up with the statement “Apologies 2 any1 offended by our recent research story – this was meant as a bit of seasonal fun & is by no means a judgement of anyone”

While they were right to apologise, their reaction that this was ‘fun’ did not indicate a real understanding of WHY people were so offended by their publicity stunt. Nor did it seem sincere given they kept the poll information as a headline feature on their ‘entertainment’ page, despite requests to remove it.

OnePoll’s response

OnePoll’s reaction was as problematic as Bounty’s. If not more so. Rather than directly engaging with the issue or apologising (as Bounty attempted) they contacted me on Twitter saying Hi there – we are the agency who carried out this research, would love to have a chat with you, DM me your number? Thanks!

I suggested they email me a statement, which they duly did:
“As the agency which commissioned this research and distributed the resulting news story, I would like to respond. OnePoll polled 3,000 mothers on behalf of Bounty, looking into the subject of pregnancy. The stats emerged that a small percentage of women admitted to tricking their partner into getting pregnant. I’d like to say that the resulting story in no way glorifies or condones this, in fact Bounty support the very opposite in their quotes. As market research specialists and providers of national news, we would always present the stats, as they are, however controversial. I would like to apologise to anyone who was offended by this piece of research”.

Let’s look at this statement in more depth. The poll apparently was on the ‘subject of pregnancy’. Was this how it was presented to mothers? If so, how may they have felt if then asked to discuss if they had ‘tricked’ their partner into getting them pregnant? We don’t know the answer to this.

The press release and subsequent media coverage may not be seen as ‘glorifying’ misleading a partner, but it does make it seem like a major issue and the press release and subsequent coverage are highly judgemental to women as a result. The stats here (not presented by the company at this time) were arguably always going to be ‘controversial’ because the questions asked were framed in such a way as to create this outcome. As was the press release.

Rather than this being a case of a robust piece of carefully designed and sensitive research into fertility being accurately reported, what we see here is a deliberate strategy to create a shocking headline that will guarantee press coverage. Although it’s important to stress this is a standard approach in PR nowadays, so nothing particularly unique to or sinister about this particular poll.

I found the response from OnePoll odd. At a time when their work was being debated on Twitter they decided to email me a statement. I don’t know why. I responded:
“Thanks. I think you would be better of making these statements on Twitter and taking responsibility there. Ethically I think this was not a good approach and I hope given the criticism you’re noting from researchers, PR and other marketing companies – as well as from parents – that you will work to deliver more thoughtful work in the future.
Since you’re stating you think it’s important to put out the stats ‘however controversial’ you should also make these available via your site now so people can see the questions you asked, the way you recruited your participants and the data you collected.
Perhaps as Bounty have had the grace to apologise you may also want to make it clear it was not a serious piece of research rather than trying to make it look otherwise.
Many people were offended by the research and also your role in it. I think it best you try and repair that damage now on Twitter, on your website and through your future conduct”.

I followed this with a message on Twitter that I had been in discussion with OnePoll and advised them to apologise, justify the survey and make their data publicly accessible (as they claimed in the email is standard practice).

No response came to my email or to anyone’s messages on Twitter. At this time OnePoll have not apologised for nor justified this work on Twitter or their website. Nor have they made the data from this poll publicly available despite saying it was standard practice. They have, however, celebrated the news coverage of this story on their website.

If either Bounty or OnePoll genuinely were concerned over running this survey or the message it portrays their reaction would have been different. It suggests neither company are particularly concerned but simply want criticism to go away. Perhaps other people working in PR or communications could pick up on how this issue has been handled and what impact it could have on brand Bounty or the reputation of OnePoll.

What you can do?
Judging by responses on Twitter today, plenty of people have been upset by this survey and the actions of both OnePoll and Bounty. If you feel this has not been adequately dealt with you can take further action.

For Bounty you can write to their advertisers – all shown on their website asking them if they are comfortable placing their adverts with a parenting organisation who approve publicity stunts that present women as liars. And who then apparently ignore the distress caused to parents and the public. You may also want to do this more publicly engaging Bounty’s sponsors on Twitter, Facebook or other social networks where they may have a presence. If you belong to Bounty (or have purchased their products/services) you may consider whether you wish to continue this relationship.

OnePoll can be reported to the Market Research Society who oversee correct conduct and ethical practice in commercial social research. An outline of their professional standards can be found here, while details of how to make a complaint can be found here.

Everyone is accountable here, everyone signed this work off and approved it at all stages. From coming up with the idea, through to asking women about their experiences, through to writing the press release and subsequent submission to the media.

There were plenty of steps when SOMEONE could have noted there was a major problem and put a stop to this work. Nobody did. Everyone involved needs to take responsibility for this.

Commercial companies and market research ones need to learn they can’t misuse surveys to promote products, particularly if they could cause harm or mislead people. The same social networks they use to promote will be used to hold them accountable and expose poor practice. Creating commercial campaigns that could harm or distress cannot be explained away as ‘seasonal fun’. Here’s hoping both Bounty and OnePoll have the courage and decency to make amends for this sorry tale.

Posted in Contraception, Parents, Postnatal, PR, Pregnancy, Surveys/questionnaires | Comments closed