Agency And Bodily Autonomy In Systems Of Care

Agency and Bodily Autonomy in Systems of Care examines the ways in which humans and their bodies become enmeshed in various systems of care. Seven case studies demonstrate the ways in which people lose, negotiate, establish, or impose bodily autonomy in diverse contexts. Diverse methods and perspectives from cultural and medical anthropology, bioarchaeology and public health establish the need for advocacy and policy change to improve health outcomes by re-envisioning systems of care as spaces that include room for individual agency and bodily autonomy. This volume explores diverse subjects to promote advocacy for patient-centered care and bodily autonomy, and for liberation from over-medicalization.

A fierce and galvanizing reminder that resistance is everywhere in the fight for abortion and reproductive justice in the United States. Fighting Mad is a book about what "reproductive justice" means and what it looks like to fight for it. Editors Krystale E. Littlejohn and Rickie Solinger bring together many of the strongest, most resistant voices in the country to describe the impacts of the Supreme Court's Dobbs decision on abortion access and care. The essayists and change agents gathered in Fighting Mad represent a remarkable breadth of expertise: activists and artists, academics and abortion storytellers, health care professionals and legislators, clinic directors and lawyers, and so many more. They discuss abortion restrictions and strategies to provide care, the impacts of criminalization, efforts to protect the targeted, shortcomings of the past, and visions for the next generation. Fighting Mad captures for the social and historical record the vigorous resistance happening in the early post-Roe moment to show that there are millions on the ground fighting to secure a better future.

This collection of original essays explores the social and relational dimensions of individual autonomy. Rejecting the feminist charge that autonomy is inherently masculinist, the contributors draw on feminist critiques of autonomy to challenge and enrich contemporary philosophical debates about agency, identity, and moral responsibility. The essays analyze the complex ways in which oppression can impair an agent's capacity for autonomy, and investigate connections, neglected by standard accounts, between autonomy and other aspects of the agent, including self-conception, self-worth, memory, and the imagination.

Madness, Violence, and Power: A Critical Collection disengages from the common forms of discussion about violence related to mental health service users and survivors which position those users or survivors as more likely to enact violence or become victims of violence. Instead, this book seeks to broaden understandings of violence manifest in the lives of mental health service users/survivors, 'push' current considerations to explore the impacts of systems and institutions that manage 'abnormality', and to create and foster space to explore the role of our own communities in justice and accountability dialogues. This critical collection constitutes an integral contribution to critical scholarship on violence and mental illness by addressing a gap in the existing literature by broadening the "violence lens," and inviting an interdisciplinary conversation that is not narrowly biomedical and neuro-scientific.

The State of World Population 2022 will take up the issue of unintended pregnancy and look at its drivers and impact. We will take a look at causes and consequences of unmet need for family planning, but also at the constellation of forces that can lead to an unintended pregnancy and at how that pregnancy can harm a woman’s or adolescent’s health, her earnings potential and more.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

This book about the art, craft and science of expert midwifery care, while focusing on ‘alternative physiological births’ that are those ‘outside’ of guidelines, the contents can be applied to any birthing choices. Drawing upon the findings of a PhD that captured the experiences of midwives who proactively supported alternative physiological births while working in the National Health Service, their practice was conceptualised as ‘skilled heartfelt practice’. Skilled heartfelt practice denotes the interrelationship between midwives’ attitudes and beliefs in support of women’s choices, their values of cultivating meaningful relationships, and their expert practical clinical skills. It is these qualities combined that give rise to what is called ‘full-scope midwifery’ as defined by the Lancet Midwifery Series. This book illuminates why and how these midwives facilitated safe, relational care. Using a combination of emotional intelligence skills and clinical expertise while centring women’s bodily autonomy, they ensured safe care was provided within a holistic framework. Moreover, this book offers insights for midwives to move beyond ‘rule-based’ practice, where the benefits of expert practice are illuminated. Midwives facilitating ‘alternative’ physiological births epitomise evidence-based practice, which centres the woman or birthing person as the expert in their life, and the midwife meets them where they are with expert skills to support them. But what does this look like in clinical practice, particularly for those employed by institutions, those ‘working within the system’ who have constraints that private or self-employed midwives don’t have? How does a midwife cultivate those skills within a culture and climate that devalues both relationships, midwives and women’s autonomy? This book aims to provide a roadmap for those seeking to cultivate these skills. The core focus will be the midwife-mother relationship from the perspectives of the midwives, rather than the midwives wider working relationships or workplace contexts. This is purposeful so to offer a deep dive into the nuanced and varied ways of delivering this type of care. However, the realities of practice are also firmly embedded with the book, tensions will be explored, limitations acknowledged.