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

“Women with low libidos ‘have different brains’”

naughty brain *

If you ever wanted to see how the media simultaneously loves and destroys stories on sex and science, this week we had a classic example of truly bad sex coverage. All based on a conference presentation that suggested low libido in women could be detected through brain scanning.

I’ll move on to the research itself in a second, but first let’s look at some of the media coverage this study generated. Women with low libidos ‘have different brains’ yelled the Telegraph’s MEDICAL CORRESPONDENT (although let’s be fair they probably didn’t pen the headline). The BBC went with a similar angle (and equally daft headline) ‘Libido problems ‘brain not mind”. The carnival of largely poor and uncritical coverage can be found here.

From the press coverage you’d be forgiven from thinking there’d been a massive new scientific breakthrough here. The brainz/sex/laydees combo is a heady mix for journalists – and probably why this conference presentation at the Annual Meeting of the Society for Reproductive Medicine was probably selected for press release. The abstract for this presentation can be found here (although I’ve taken the liberty of printing it in full below)

[O-199] CEREBRAL ACTIVATION PATTERNS IN WOMEN WITH HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD) VERSUS WOMEN WITH NORMAL SEXUAL FUNCTION.

T. L. Woodard, N. T. Nowak, S. D. Moffat, M. P. Diamond, M. E. Tancer, R. Balon Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, MI; Department of Psychology, Behavioral and Cognitive Neuroscience, Wayne State University, Detroit, MI; Department of Psychiatry, Wayne State University School of Medicine, Detroit, MI

OBJECTIVE: To identify and compare cerebral activation patterns of premenopausal women with acquired HSDD versus those with normal sexual function during viewing of sexually explicit film clips.
DESIGN: Prospective Cohort Study.
MATERIALS AND METHODS: After IRB approval, 19 premenopausal women with HSDD and 7 women with normal sexual function were recruited to participate in the study. The diagnosis of HSDD was confirmed using the Sexual Function Questionnaire (SFQ), Female Sexual Distress Scale (FSDS) and a clinical interview. Functional neuroimaging was performed on a 4 T Siemens Bruker Hybrid Scanner while participants viewed three categories of video stimuli (solid blue screen, neutral videos, and sexually explicit videos), which alternated every 60 seconds for 32 minutes in a block design. Data were analyzed using Statistical Parametric Mapping 2 (SPM2).
RESULTS: When cerebral activation patterns associated with viewing sexually-explicit videos in normal women was compared to that of women with HSDD, women with normal sexual function had greater activation in superior frontal and supramarginal gyri. Women with HSDD exhibited greater activation in the inferior frontal, primary motor, and insular cortices. Additionally, normal women had greater activation in the posterior cingulate cortex while women with HSDD appeared to recruit the midcingulate region.
CONCLUSION: Cerebral activation patterns in women with HSDD differs from those in women with normal sexual function and may reflect differences in how they interpret sexual stimuli.
Supported by: Wayne State University Departments of Psychiatry and Obstetrics and Gynecology.

Tuesday, October 26, 2010 5:15 PM

Oral Presentation: Sexuality Special Interest Group

So this is the presentation that spawned massive global coverage. A conference presentation based on an exploratory study of 19 women with self identified sexual problems and 7 ‘normal’ controls (whatever that means). This is a very small sample, and is not from a peer reviewed publication, and it makes grand claims about neurological activity and sexual functioning which may not be as exciting as they first appear. Without access to a paper to judge, however, we really don’t have much more to go on.

Fortunately a few smart bloggers who know their stuff about neurology and sex have done a very good job in critiquing the study based on what they can tell from the abstract. These include:
Cory Silverberg on why ‘Sex Researchers Want Your B-R-A-I-N-S’
The Neurocritic explaining ‘Media HSDD: ‘Hyperactive Sexual Disorder Detection’
Neuroskeptic also explores the research in their post ‘Brain Scans Prove That The Brain Does Stuff’

I’ve been bothered on two levels about this research. Firstly, the generalisations about neurology/sexual functioning, which the bloggers linked to above do a far better job than I could in dismantling. I’ve no doubt there are interesting things to explore in relation to brain/behaviour and sex, but am not convinced studies like this are really adding to our understanding of sexual functioning.

But what worried me more is the way the media responded to this story. The conference presentation was distributed to the media over the weekend, which is when journalists first alerted me to it. That means (at least some) journalists had a couple of days at least to research and write this story. It also means that a fair number of journalists were talking to academics like me (or other therapists/activists) who were telling them to find out….

- Who funded this research? (That’s important given the influence of the pharmaceutical industry in this area, particularly with their role in medicalising HSDD)
- The problem with the very small sample size
- The issue that this study was only appearing in the form of a conference presentation and had not been submitted to peer review for a journal, nor published in a format people could read to form conclusions about the robustness of the research
- How sexual dysfunction and ‘normal’ were measured and how women were assigned to these categories
- What measures were used to test arousal, and did those seem reasonable in terms of producing similar responses in participants
- Whether the research made any sense to neurologists, and particularly to talk to neurologists and get them to give their view (and to use this to interpret the research when writing it up)
- Where this work fits within the wider context of HSDD – not least given it’s very recent history with the ‘desire drug’ Flibanserin being abandoned by the drug company who created it, the British Medical Journal debating the problem of medicalisation of female sexual functioning, and Ray Moynihan’s groundbreaking expose on the disease mongering of HSDD in his book Sex, Lies and Pharmaceuticals.

It was, after all, only a couple of weeks ago the press were telling us HSDD doesn’t exist. But two weeks isn’t long in media land and certainly nobody seemed to do any searching to highlight this in the pieces they were writing.

In fact the main format for these stories was to rehash the research uncritically, talk in an alarmist manner about the prevalence of women’s problems but explain their lack of sex drive was ‘in the brain’. With a couple of therapists or medics quoted cautioning about overgeneralising on HSDD – but nobody specifically taking on the research. That remains a common problem with all coverage of this kind. A token spokesperson’s required to give ‘balance’ but that usually still approaches the original research as though it’s robust enough to pin a story on – rather than the research itself that requires a thorough appraisal.

Remember many journalists reporting on this story were MEDICAL or HEALTH or SCIENCE correspondents, many of whom were actually at the conference. So they could, and should, have asked questions about the study based on the things I’ve listed above. If you’re a journalist specialising in health/science these should not be particularly difficult things to ask. In fact it should be the first things you question on. A basic search around recent coverage on HSDD should also have alerted any journalist (regardless of speciality) that this is a controversial area full of problems with funding, bias and spin.

Some of the journalists I heard from decided, after reflecting on the study, simply not to report on it. Fair enough you may think, they decided it wasn’t that robust and wasn’t worth writing about. However this is as problematic as writing about the study uncritically. If you don’t talk about a study because you don’t give it much credit the public won’t know why you’ve got a problem with it.

A far more appropriate response from the media should have been to take the story but ask questions about the findings, put them in context, and talk to the public about what kind of things can cause lack of desire, why it’s a problem to medicalise these factors, and where scientists are trying to do this (as may have happened here).

Even if all your competitors are gushing over a small sample conference presentation that sounds sciencey but actually isn’t that informative, if you’re the only person who tackles the problems with the science and the wider social ramifications then you have an exclusive. Again, many journalists were given the opportunity to do this but they chose either to report the study uncritically, or not cover it at all.

The problem we have at the moment is the mainstream media appear incapable of understanding or accurately reporting sex science stories – even when they are given information to enable them to do this. And while we are rightly complaining about the activities of the pharmaceutical industry, the problems of medicalisation and the poor research that accompanies this, we also need to note the media are a major cause in the misrepresentation of HSDD to the public.

Perhaps it might be more accurate to say (in the words of blogger and consultant @mngreenall) ‘hacks have “different brains” that “light up” when there’s guff to be written about sex’. Certainly it seems if there’s a sex science story that promises a whacking gender difference and an oversimplistic answer to a complex problem the media are guaranteed to give it coverage. No matter how weak the research may be, nor how serious the repercussions can be to the public who desperately need quality information to reassure them about their sexual anxieties.

It’s so depressing to see stories unfold like this, and at such times it’s always good to fall back on ‘women know your limits’ for a more biting and ironic take on womenz brainz….

* Image source here

Posted in Activism and Open Access, Bad science, Female Sexual Dysfunction, Flibanserin | Comments closed

Young people – want better relationships education? Time to speak up!

want more sex education banner

As we already are sadly aware, the future of sex education in the UK remains unclear. Despite promises for sex education to be statutory and numerous consultations and reviews on the issue (including those by Ofsted, NICE and the Department of Education) we are still waiting to hear what is going to happen regarding sex education within schools.

Last week’s spending review indicated there will be cuts to many budgets affecting young people – not least around local government which often covers youth services and resources. Not just providing sex education but delivering activities and support for young people – and importantly giving them activities, goals and aspirations. Current cuts look set to discriminate against the poorest in society and in such times of economic austerity we can expect to see sex and relationships education fall off the radar. Indeed it may be deliberately ignored as might service provision for reproductive and GU services.

None of which is good news for young people, parents, teachers or health care providers.

Predictably within debates on the future of sex education it’s been young people’s voices that are largely absent. Last week saw the launch of a new campaign from the NCB’s Sex Education Forum encouraging young people to speak up for relationships education. Their Youth Advocacy campaign asks “Are you happy with the sex and relationships education (SRE) you have received? If not, it helps to know what you can do to make a difference in your local area. Read on to learn more about your rights, get top tips and resources, and find out about other young people like you who have made a difference”. Their website includes resources, films and materials to enable young people to campaign for better sex education. I’d encourage young people, teachers, parents, youth workers and other advocates to use these resources to push for quality relationships education in school, at home, and in other youth services.

Simply providing more sex education isn’t the answer
(and seems unlikely to happen anyway). What we need is quality, evidence based and appropriately tailored programmes that focus on relationships, communication, confidence and respect – and are inclusive of young people, not imposed in a top down manner.

Housing, education, poverty and family support are also crucial. It doesn’t matter if we provide great relationships education if young people are not getting good overall education, lack hobbies and activities to enjoy, or are living in poor housing or on low incomes. While we focus on keeping relationships education as an important issue we cannot lose sight of these equally necessary factors that impact on young people’s lives – and that of their parents.

I’ll keep you updated on where things stand with sex/relationships education and will be creating resources for parents and teachers over the coming months (as it looks like we’ll be having to take more responsibility to tackle relationships education on budget and without national or local government support). In the meantime let’s look to young people to keep this issue in focus, and to campaign more widely for their rights to safe, happy and healthy childhoods.

Posted in Parents, Sex education, Teenager(s) | Comments closed

“I wanted to make it better for people” – In Memory of Claire Rayner

Claire Rayner picture

A few years ago I was invited to the 60th Anniversary celebrations for BBC Radio 4’s Woman’s Hour. It gathered together women of all ages to mark the many issues the show had covered in its history.

I was a few months pregnant at the time and struggling to stay awake and suppress endless nausea. It was early days and I’d a history of miscarriage so only my partner and I knew I was pregnant. Given my worries about the pregnancy I hadn’t planned on staying at the anniversary party very long.

As I was about to leave I spotted Claire Rayner. I was thrilled to see her as she had served as a guide to me through my teenage years with her advice giving in the media, and latterly had served as an inspiration for me in my role as an Agony Aunt. Despite being very nervous about approaching one of my heroes I decided to tell Claire how much I admired her work.

I duly delivered my message without really expecting any conversation to follow. Claire grabbed my hand and said. ‘You work as an agony aunt?’ ‘Yes’ I replied. ‘Do you answer all the problems you are sent?’ she demanded. I explained (somewhat sheepishly) I answered as many letters as I was given by the websites and magazines where I worked, but I didn’t always get to see or answer everything.

She then told me how vital it was to answer all the letters sent to me, that it was my job as an advisor, and that people were reliant on support from agony aunts so we had a duty of care to them. Following it up by joking about how she had issues with the job title (auntie) but felt the role was vital.

I sat, fascinated, as she revealed to me how she had worked as an agony aunt. How she had used funds from her novels to allow her to answer all the letters she was sent (not just those that ended up in print). How she often had to trace people simply by a postmark to try and ensure they got help when they were living in a violent relationship or struggling with suicidal thoughts. [She did not mention, but I knew from her work and reputation that Claire was one of the first people to talk about sexuality and gay rights within healthcare, as well as issues around sexual functioning and cancer, and sex and disability].

She talked to me about how important sex education was – reliving some of her campaigning work in this area. Including advice to parents, young people and through campaigning for greater sexual health awareness and sex education. (You can hear Claire talking about this issue here). Claire was one of the first people to write for both adults and young people, professionals and the public in an accessible way. We cannot underestimate her impact on our sexual and reproductive lives, sex education and healthcare.

During our conversation Claire gently but firmly she asked me what my views were on sex education and sexual health. This was a topic we both agreed upon, but we talked about how there were still so many limits to reproductive healthcare in the UK and internationally, about the importance of contraception and sexual health advice and school sex education. Again we returned to the topic of advice giving in the media with Claire outlining her views about how agony aunts could encourage parents and politicians to help young people be informed. She expressed her concerns for young people and talked about how vital it was to provide sex advice to ensure people were not ignorant, afraid or struggling to cope with unplanned pregnancies, infections or sexual abuse.

Our conversation spread to talking about how media advice giving had changed. Drawing on her background in nursing, Claire was one of the first people to push for media advice giving to be recognised as a legitimate speciality. We discussed how the role of the agony aunt in the past was one used to share health information and even challenge the status quo (for example celebrating female sexuality or providing frank sex information to young people). Claire raised the concern that contemporary advice giving was less involved with the reader, lacked empathy and was far more commercial. She worried that people weren’t truly offering a service to readers who were not all benefiting from advice – not least because not all advisors appeared qualified or particularly compassionate.

She wasn’t wrong on that score. Increasingly we’re seeing advice giving delivered via celebrities or people who use an advice column to promote their own products rather than a public service (for a discussion on this and other issues relating to advice giving see here).

As someone who struggles with the conflicts often found with advice giving in modern media I was comforted to hear about the possibilities of health and activism within media from someone who’d been doing this job for years.

During our conversation I noticed Claire was looking tired and although I didn’t want to end our chat I also didn’t want to exhaust her. I was also still feeling pretty poorly myself so I explained I had to leave. ‘So soon?’ Claire joked ‘you’re one of the youngest here!’. ‘I’m pregnant’ I blurted out. Immediately Claire switched to agony aunt mode. ‘Are you well?’ I found myself telling her I wasn’t that well and was worried about another miscarriage. Patting my hand she provided invaluable advice, from tips on dealing with nausea through to managing my fears over losing another baby.

It was something I recognised and had seen before in other agony aunts I admire. It’s as though they just can’t help themselves offering support and care if it seems like it’s needed. It’s something I also do myself, although had often felt foolish for. Talking to Claire I realised that it was actually just fine. Some of us are simply put here to try and make other people feel better – and to campaign against systems and practices which harm and exclude.

Given the hostility many agony aunts face, Rayner was a wonderful example of good practice – putting the role into the spotlight while demanding it be taken seriously as a legitimate form of help in social and healthcare (as well as media).

So it is with sadness I’ve learned that this wonderful and inspirational woman has died.

Showing her compassion to the end she apparently asked friends and family to share her last words “Tell David Cameron that if he screws up my beloved NHS I’ll come back and bloody haunt him.”

Claire Rayner. A trailblazer, campaigner, and a woman who wanted to make life better for those she met – and all those she never met but helped nonetheless. She certainly achieved that ambition. Ahead of her time she serves as an inspiration to any of us working in advice giving, sex education, healthcare and patients’ rights.

I’ll be honouring her memory by continuing to campaign for the role of the Agony Aunt to be taken seriously, and to demand those offering advice via the media offer compassionate, accurate and caring services to those who need it.

Further obituaries here
Telegraph
Claire Rayner, the woman who taught us to love agony aunts

Daily Mail
The Independent

Posted in Agony Aunt, Sex education | Comments closed

Science is Vital! Show your support

science promotion poster

You don’t need me to tell you that science is important. I’m sure we can all think of different ways science has transformed our lives. However, in the UK science is under threat with proposed cuts to science funding. This will affect research, teaching, innovation and practice.

Scientists are rightly concerned about this, and led by UCL’s Jenny Rohn have launched the Science Is Vital campaign to celebrate science and highlight its importance within the UK. It has brought together social, health, and natural scientists together. It includes people working in research, health and science practice, and those working in education (from schools, universities and adult education).

You can get involved by signing the petition, writing to your MP, lobbying parliament or coming along to the rally this Saturday (9 October) 2-4pm in Central London.

Please join us. Everyone is welcome! If you are working as an academic or practitioner, if you teach science at any level, if you work in health or social care, or if you are anyone who has benefited from science (for example through medical care). You don’t have to be formally involved in science to join in – if you’ve just got a passion for the subject, or perhaps your friends or family members have then you may want to come along. Or perhaps you’re a parent of a child who seems curious about the social, natural or health sciences and you want to ensure they’ll have a future studying (and possibly working in) these areas.

Some have questioned whether this campaign can truly represent all scientists, worrying whether it favours the natural sciences over the health or social sciences. It’s my impression the focus is about defending science in all its forms. Ultimately cuts to science funding and academia means we’re all going to struggle, regardless of how our work is positioned. It is time to stand up for what we do and celebrate how well we do it.

For me, it’s very important to focus on funding for both teaching and research since the areas where I work (sexual and reproductive health and international health) are areas which traditionally can struggle for funding and to provide quality teaching and research support. When cuts are made its those of us within the vitally important but often overlooked ‘Cinderella subjects’ who are often the worst affected. Challenging the funding cuts also reminds us our work is often internationally based and it won’t just be UK citizens who’ll suffer if funds are restricted.

I’m standing up for science because it’s about the research myself and colleagues do in sexual and reproductive health. It’s about money to help fund attempts to reduce and combat HIV and other STIs. It’s about addressing gender inequalities, relationships violence, and abuse. It’s about tackling reproductive health problems. It’s for ensuring safer deliveries for mothers and healthcare for infants. It’s about making our sexual and reproductive lives healthy and safe. It’s about promoting health literacy and general wellbeing. And it’s about ensuring practitioners working globally get evidence based training that encourages critical thinking to promote best practice for their patients.

Science IS vital. Do stand up for it and join in if you can. I’ll be at the demonstration at the weekend and I hope to see you there.

In the meantime here’s a lovely song about science from They Might Be Giants. Reminding us science isn’t just vital, it’s very real too….

Posted in Academia, Activism and Open Access, International | Comments closed

Love Geeks? Then buy a Geek Calendar!

geek calendar logo

Over the past few months, geeks, scientists, writers and presenters have been mulling over how to raise more funds and awareness for libel reform. This follows a number of recent high profile libel cases in the UK which have been seen as attempts to silence debate – particularly in areas of health and science.

While the Libel Reform Campaign has been involved in a number of activities to boost awareness, those of the geekier persuasion wondered if there might be something they could also contribute. After some discussion a charity calendar was hit upon as a way of uniting and celebrating geekiness in all its guises – while celebrating a good cause.

A number of high profile scientists, writers, artists, performers and broadcasters were invited to take part – including Simon Singh, Gia Milinovich, Jonathan Ross, Brian Cox, Chris Addison, Ben Goldacre and Evan Harris.

I was particularly glad to see several of my favourite journalists, artists and performers featured including Aleks Krotoski, Hannah Devlin, Adam Rutherford, Mark Henderson, Ed Yong, and Matt Parker.

The calendar was put together by a team of enthusiastic volunteers including
Alice Bell, Louise Crane, Mun-Keat Looi with photographers Ben Gilbert and Greg Funnell. Each ‘geek’ had a photo depicting different aspects of their lives, work or hobbies. Everyone involved with the calendar gave up their time for free.

Given this stellar line up I was massively surprised and extremely flattered to be asked to feature in the calendar. Although I’d deny it if you asked me, it’s fair to say I am a geek. I’m fascinated with research methods, the whole process of research and how it works, and deconstructing how we study people in the health and social sciences. I’m obsessed with critical appraisal and applying evidence to practice and evaluating our health and educational activities. I’m driven to improve research practice internationally, along with increasing our understanding of research ethics, and the safety and wellbeing of researchers. Clearly when your interests are that dull you need to liven them up – and I do that through adding sex to the mix. You’d be amazed how much more understanding research governance becomes if you’re considering the ethics of studying our intimate lives.

Once I’d agreed to take part the dilemma of what we’d do for my photo shoot began. I was offered the choice of how I’d like to be photographed, with ideas from shoots already undertaken provided for inspiration. With that encouragement my first choice was to recreate this shot of Josephine Baker with her cheetah Chiquita*

josephine baker and chiquita the leopard

Ms Baker is my hero and has been since I first saw a photo of her when I was six. I thought she was the most glamorous woman I’d ever seen. I still think that. Having a pet cheetah was the icing on the cake. In true geek style over the years I’ve been obsessed with La Baker, her career, her values, her trials and tribulations and her achievements. (If you’d like to know more about her this book is a great introduction).

However, I wasn’t sure my fandom of Baker would be clearly conveyed within the calendar, and anyway I couldn’t find a co-operative cheetah for love nor money. So that idea was out.

Because my research involves talking to people about sensitive issues photographing me actually doing any research or training introduced ethical problems around consent which made that kind of photo shoot inappropriate for a calendar.

Since sex research and education is so important to me I really wanted to have a photo shoot that captured that passion, as well as indicating how varied sexology is – and why it’s important.

So we eventually settled on a shoot at Crossbones Graveyard in Southwark. If you’ve never heard of it you wouldn’t be alone. It’s a pretty much forgotten part of London where ‘single women’ (aka prostitutes) were buried, along with paupers (male and female), and infants. Although it’s part of old, hidden London people clearly haven’t lost touch with their history as the gates of the old graveyard remain adorned with ribbons, mementos and messages to ancestors and those who have passed more recently.

I thought it would be an excellent choice of venue because history is vital to sex research – you can’t understand your present situation without understanding what has come before. Given the histories of the poor, the oppressed and particularly sex workers is so often airbrushed from our cultural memories, the idea of commemorating those who lie buried at Crossbones was a privilege. It also drew together for me the core aspects of sex research – understanding history, geography, anthropology, plus documenting and interrogating people’s lived experiences. I hoped including it in the calendar would encourage people to think more about those we often ignore and overlook, those whose sexualities or sexual lives differ from our own.

Knowing those buried there included sex workers, unmarried mothers, impoverished fathers and infants drew upon my commitment to researching and educating in sexual health. It reminded me why this work is so important – and how gender and health inequalities have harmed and oppressed in the past and continue to do so today in many parts of the world. The tributes to infants who’ve died that are still lovingly placed at the memorial also serve as a poignant reminder for any of those working in reproductive and maternal health (and more personally for those of us who have lost a baby through miscarriage, stillbirth or cot death).

As you can see I didn’t make this choice lightly. One of the core criticisms made by sex workers regarding how they’re represented by research revolves around being misrepresented, patronised, sidelined or spoken for. The frequently made criticism that (some) academics work ‘off the backs’ of sex workers and benefit (while workers may not) always needs remembering – even if those being represented in this case have long departed. In choosing Crossbones as a venue I didn’t want it to seem we were ignoring those who lay there, nor that we were glossing over or in any way making light of their histories.

This extended to how we’d photograph the gates of Crossbones. Among the ribbons and adornments include many messages, including names and personal details of people’s relatives – many of which are deeply moving. Some of which speak of very recent losses. All of those involved in the calendar felt it wasn’t appropriate focus on this identifying information and so we used the gates as a backdrop to avoid this.

Aside from the wish to link with sex worker history there were additional reasons for me wanting to be photographed south of the river. Apart from being proud of my South London roots (I was born in Lewisham), other members from my family on my father’s side come from Southwark. I have also worked with healthcare practitioners and young people across many South London boroughs, as well as conducting research (with colleagues) on modernising sexual health services there.

You can see an additional write up on the actual process of the photo shoot here and background photos here.

UK libel laws currently restrict our ability to raise questions about many social and health issues. The fear many journalists, bloggers, academics and activists have around being sued for asking questions or highlighting inequalities or poor practice has a potentially devastating chilling effect. We can all do our bit to challenge this problem but you can do something right now by ordering a calendar (you can buy one here).

And to give you a little more inspiration here’s a trailer of the calendar showing the geeks in all their glory….

* most accounts of Baker refer to her having a leopard although I’m told on good authority she actually owned a cheetah.

Posted in Activism and Open Access, Ethics, Gender, Health/care, Human rights/law, Prostitution | Comments closed