nurs 220 study guide
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Study guide for first exam readings - basic concepts from readingTRANSCRIPT
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NURS 220 Study GuideAuthor Title Topic Main Idea and themes DefinitionsHooks “Feminist
Politics: where we stand”
Intro Basic history of feminism Sexism is the heart of the
matter Clear definitions are
important to the movement
Feminism: a movement to end sexism, sexist exploitation, and oppression
Reformist: want to alter existing system to give women more rights
Revolutionary: want to transform existing system to end patriarchy and sexism
Kane-low and Schuiling
“Women’s health from feminist perspective”
Intro Exploring women’s health compared to men’s
Exploring how gender affects process of providing health care services
Social construction of gender’s creates undue health risks for women
Feminist perspective in women’s health:
1. Work with women not for them
2. Heterogeneity as assumption, not homogeneity
3. Minimize/expose power imbalances
4. Reject androcentric models as normative
5. Challenge medicalization/pathologizing of normal physiologic processes
6. Seeks social and political change to address women’s health issues
Health disparities for women of color and low income
Gender assumptions negatively impact health
Gender: self-representation as man or woman or who that person is responded to by social institutions based on gender presentation. Rooted in biology and shaped by environment/experience
Sex: the classification of living things as man or woman according to reproductive organs and functions assigned by chromosomal complement
Biology: study of life and living organisms, including genetic molecular biochemical hormonal cellular physiological behavioral and psychological aspects of life
Social construction: process by which societal expectations of behavior become interpreted or ascribed as innate characteristics that are biologically determined
Oppression: not having a choice
Health (WHO definition
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care How do we define health?
(social, environmental factors)
Women’s health from a feminist perspective strategies
1946): state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
Valenti “You’re a hardcore feminist, I swear”
Intro We’re all afraid to admit that we’re feminists because of unappealing stereotypes
Feminism: belief in the social political and economic equality of the sexes or the movement organized around this belief
Truth “Ain’t I a
Woman”Intro Commentary on the
discourse about “rights” Uses herself as an example
of how women are equal to men in more ways then men want to think
Questions what intellect has to do with rights?
Torres “Simple explanation of social construction”
Intro Women’s movement challenges socially constructed ideas
Spit vs saliva
Social: by people Construction: created/given
meaning Social construction: an
agreed-upon meaning by a group of people or society given to something
Steinem “If Men Could Menstruate”
Anatomy/Phys
Example of men being able to menstruate and using it as a form of power over women
The characteristics of the powerful are thought to be better than the characteristics of the powerless
Muscio “Blood and Cunts”
Anatomy/Phys
Shame and discretion surrounding natural feminine processes
Pathologizing Opposes how society has
convinced women that we should remain oblivious to
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our bodiesValenti “Feminists Do
it better”Influences on Women’s expressions of sexuality
Women should take responsibility and control of our bodies to make informed decisions about sexuality
We shouldn’t be ashamed of having sex
Why do women allow penises to define their sexuality?
Binomial thinking (virgin vs slut)
Oppression of women’s sexual expression
Oppression of knowledge available to women through abstinence programs
Social constructions of women’s sexuality influence women’s expressions of sexuality
Glasford and Huang
“Immigrant Women’s health: a casualty in the immigration policy war”
Health disparities
Consequences of broken immigration system, economic exploitation and violence is multitude of reproductive health disparities for immigrant women
Policy recommendations: ensure better education, equitable access to family planning services, legal and safe immigration options
Equality: being treated exactly the same
Equity: Being treated in the most fair and circumstantial way
Example: Equality is giving everyone a free pair of size 10 shoes and equity is giving everyone a free pair of shoes in their size
Gamble “Under the shadow of Tuskegee”
Health disparities
African americans distrust health institutions and public health
Several factors have influenced and continue to influence attitudes toward the biomedical community
Jones “Levels of Racism”
Health Disparities
The variable “race” is not a biological construct that reflect innate difference,
Institutionalized Racism: differential access to the goods, services, and
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but a social construct that precisely captures the impacts of racism
Three levels: institutionalized, personally mediated, and internalized
Institutionalized – differential access to quality education, housing, employment, medical facilities, and a clean environment – lack of access to power
Personally Mediated – intentional or unintentional, acts of commission or omission, maintains structural barriers, condoned by societal norms – manifests as lack of respect suspicion, and everyday avoidance
Internalized Racism: reflects systems of privilege, societal values, erodes individual sense of value, undermines collective action – accepting limitations – manifests in embracing of “whiteness”
“The Gardener’s Tale” – importance of environment
Institutionalized racism is the most fundamental of the 3 levels and must be addressed for important change to occur
Who is the gardener?o Government –
power to deice, act, control of resources
o Dangerous when allied with one
opportunities of society by race – legalized – manifests in inherited disadvantage
Personally Mediated Racism: prejudice and discrimination, where prejudice means differential assumptions about the abilities, motives, and intentions of others according to their race and discrimination means differential actions toward others according to their race
Internalized Racism: acceptance by members of the stigmatized races of negative messages about their own abilities and intrinsic work
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group, or not concerned about equity
McIntosh “Unpacking the Knapsack of White Privilege”
Health Disparities
White privilege is denied and protected, though it is acknowledged that racism puts others at a disadvantage
Privilege such as this simply confers dominance because of one’s race or sex
Unearned advantage – being privileged without having to work for it
Silence and denial surrounding privilege are key political tools – keep the thinking about equality or equity incomplete, protecting unearned advantage and conferred dominance by making these taboo subjects
Obliviousness about white advantage, like obliviousness about male advantage, is kept strongly inculturated in the U.S., so to maintain the myth of meritocracy, the myth that democratic choice is equally available to all
Open question whether we will chose to use unearned advantage to weaken hidden systems of advantage and whether we will use any of arbitrarily-awarded power to reconstruct power systems on a broader base
Shange “With no immediate cause”
Violence against
Poem about the abuse against women by men from physical to sexual
Very violent and graphic –
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women
emphasizing the fact that this happens every day – every 3, 5, and 10 minutes
Campbell “Health Consequences of intimate partner violence”
Violence against women
Theme – abuse has numerous consequences on a woman’s health that can last all of her life there are physical, mental, and emotional health effects
Intimate partner violence is one of the most common causes of injury in women
Injuries, fear, and stress associated with intimate partner violence can remain for the remainder of one’s life
Gynecological problems are the most consistent, longest lasting, and largest physical health difference between battered and non-battered women
Abuse during pregnancy – threat to health and risk of death of the mother, fetus, or both from trauma
Mental health effects – Depression and PTSD most common in intimate partner violence
Use of Medical Care – poorer overall mental and physical health, more injuries, and more consumption of medical care including prescriptions and admissions in hospital in abused than non-abused women
The Lolita Effect
“Violence is Sexy”
Violence against
Media is constantly connecting women and violence
o Ex. Violence in
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women
horror films against women just after a “sexual scene”
Video games and music videos also connect women with violent situations
Message that is being sent is that “violence is sexy”
Many teens believe violence in a relationship is acceptable
What we can do: do not ignore or trivialize violent media content, encourage group discussion, use visual and internet tools, reach out to boys as activists
Chernik “The Body Politic”
Body image
Societal opinions give women an unrealistic ideal for a body image – feel like we have to fit a certain type and focus all of our attention on reaching an unattainable goal
“I observed a woman held up by her culture as the physical ideal because she was starving, self-obsessed and powerless, a woman called beautiful because she threatened no one but herself”
“When we deny ourselves physical food, we go hungry emotionally, psychologically, spiritually, and politically. We must challenge ourselves to eat and digest, and allow society to call us too big. We will understand their message to mean too powerful.”
Yancey “Obesity at a Body Women who are poor, of
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crossroads” image color, and lesbian are at higher risk for obesity
Obesity has reached epidemic proportions – huge increase in obesity
Contributes to various common chronic diseases including heart attack, stroke, postmenopausal breast cancer, colon cancer, type 2 diabetes, sleep apnea, etc.
Social and economic factors rather than solely individual choices are the underlying cause of the rapidly increasing proportion of overweight and obese people
Prevention policies and programs will be much more effective than individual weight loss strategies in reversing the precipitous increase in overweight, obesity, and their negative health counterparts
Food that is fattening is much cheaper than its healthier counterparts, physical activity has decreased due to many factors including technology, and people have become more sedentary
Less healthful eating and physical activity patterns in some demographic groups, seems to be due to social and physical environment differences
Fast food is very easy to get to and appealing to working families who have
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children because they know their children will enjoy the food and it’s quick and easy – targets neighborhoods with people of color
Television watching – ethnic differences in the valuation of thinness influence the decisions of advertisers and casting agents, distorting television “reality” – women of color may see it more acceptable to be overweight because various characters show that obesity is normative in the black community, thereby influencing teens’ body image ideals