ORCID Profile
0000-0002-6103-3514
Current Organisation
Australian National University
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Applied Ethics | Bioethics (human and animal) |
Expanding Knowledge through Studies of Human Society | Social Structure and Health | Bioethics
Publisher: SAGE Publications
Date: 08-2011
Publisher: Springer Science and Business Media LLC
Date: 31-03-2014
Publisher: Informa UK Limited
Date: 05-06-2017
Publisher: Wiley
Date: 25-10-2012
DOI: 10.1111/J.1467-9566.2012.01530.X
Abstract: In recent years images of independence, active ageing and staying at home have come to characterise a successful old age in western societies. 'Telecare' technologies are heavily promoted to assist ageing-in-place and a nexus of demographic ageing, shrinking healthcare and social care budgets and technological ambition has come to promote the 'telehome' as the solution to the problem of the 'age dependency ratio'. Through the adoption of a range of monitoring and telecare devices, it seems that the normative vision of independence will also be achieved. But with falling incomes and pressure for economies of scale, what kind of independence is experienced in the telehome? In this article we engage with the concepts of 'technogenarians' and 'shared work' to illuminate our analysis of telecare in use. Drawing on European-funded research we argue that home-monitoring based telecare has the potential to coerce older people unless we are able to recognise and respect a range of responses including non-use and 'misuse' in daily practice. We propose that re-imagining the aims of telecare and redesigning systems to allow for creative engagement with technologies and the co-production of care relations would help to avoid the application of coercive forms of care technology in times of austerity.
Publisher: Hindawi Limited
Date: 03-2003
DOI: 10.1046/J.1365-2354.2003.00331.X
Abstract: The objective of this study was to examine the feasibility, implementation, acceptability and impact of an evidence-based specialist breast care nurse (SBN) model of care in Australia. Primary data were collected from four erse Australian breast cancer treatment centres over a 12-month period. The design was a multicentre demonstration project. Information about the provision of care and patient needs was collected through prospective logs. Structured interviews were conducted with women who received the SBN intervention (N = 167) and with a control group of women treated prior to the intervention period (N = 133). Health professionals (N = 47) were interviewed about their experience of the SBN. Almost all women had contact with an SBN at five scheduled consultations and 67% of women in the intervention group requested at least one additional consultation with the SBN. Women in the intervention group were more likely to receive hospital fact sheets and to be told about and participate in clinical trials. Ninety-eight per cent of women reported that the availability of an SBN would affect their choice of hospital, with 48% indicating that they would recommend only a hospital with a SBN available. Health professionals reported that SBNs improved continuity of care, information and support for the women, and resulted in more appropriate referrals and use of the time of other members of the team. In conclusion, the SBN model is feasible and acceptable within erse Australian treatment centres there is evidence that some aspects of care were improved by the SBN.
Publisher: Informa UK Limited
Date: 03-2002
Publisher: SAGE Publications
Date: 09-01-2014
Publisher: Informa UK Limited
Date: 11-03-2016
Publisher: SAGE Publications
Date: 02-2004
Abstract: Theorizing interconnections of sexual and racial differences remains a core problematic within feminist theory. In this article the author argues that these connections might in some cases usefully be understood as constituting a chiasmas. The term ‘chiasmas’ is taken from MichËle Le Doeuff’s analysis of the writings of 18th-century physiologist Pierre Roussel. Le Doeuff argues that Roussel’s understanding of sexual difference is chiastic. An examination of contemporary medical and scientific discourses around the menopause and its treatment through hormone replacement therapy (HRT) takes the argument onto new ground. The author argues here that menopause-related discourses rely on a chiastic logic that connects sexual difference with racial differences. Identification of such logics may prove useful to feminist analyses of specific entanglements of the logics of sexual and racial differences, in contemporary and historical instances.
Publisher: Oxford University Press (OUP)
Date: 03-2006
Publisher: Informa UK Limited
Date: 02-2016
Publisher: Walter de Gruyter GmbH
Date: 12-2018
Abstract: Although reproduction involves (at least) two sexed bodies, men are often missing from in/fertility research. Surveys such as the widely-used Demographic and Health Surveys (DHS) engage in often unintentional yet highly consequential practices of gendering. Here we identify two processes through which surveys have the potential to render male infertility invisible: defining the population at risk of infertility in an exclusionary way and designing survey instruments to select out some groups/issues. Compiling information about survey s les and inclusion criteria in the DHS, and combining this with a qualitative examination of instrument design, we identify areas of men’s invisibility across time and place. While inclusion of men in DHS s les has increased over time, some men (e.g. single and orced, transgender) remain missing in many survey settings. This is problematic from a reproductive justice perspective. Survey results, which both reflect and contribute to men’s invisibility, are widely used as an evidence-base for family and population policies. Moreover, reproductive health services are only made available to those whose reproductive health needs are recognized men’s exclusion from the reproductive discourse contributes to the stratification of reproduction. Men’s underrepresentation in in/fertility data also reinforces the notion that reproduction is a woman’s domain, and so contributes to a system that places responsibility for reproduction on women. It is vital to explore how gender is enacted or ‘done’ in such research.
Publisher: Informa UK Limited
Date: 06-2009
Publisher: OpenEdition
Date: 04-2009
Publisher: Wiley
Date: 06-08-2013
DOI: 10.1111/HEX.12109
Publisher: Informa UK Limited
Date: 03-03-2015
DOI: 10.1080/13691058.2015.1005671
Abstract: Using biosensors, or devices that provide biological information to users about their own bodies, to map ovulation and time intercourse is a practice of rising significance in economically privileged countries. Based on an ethnographic study of ovulation biosensing, this paper explores the contradictions between device manufacturers' figurations of reproductive heterosex as a natural and pleasurable experience facilitated by fertility monitoring technology, and heterosexual women users' accounts of the pleasures and difficulties of ovulation monitoring and associated sexual encounters. Drawing on Science and Technology Studies and the concept of 'script', we examine the frameworks of action defined by makers of ovulation biosensors and how these are accepted, refused or remade by users. Within the scientific romance configured by manufacturers, reproductive heterosex emerges as exciting and fun, whilst the hard, 'technical' work of conception is done by ovulation technologies. Yet ovulation monitoring is described by many heterosexual women users as an exciting and yet anxiety-producing practice through which they come to know their bodies differently, often through online discussions with other women. Living a 'conceptive imperative', women engaging with ovulation sensing reconfigure their reproductive embodiment and shift their relationship to male partners in ways that reveal heterosexual 'baby-making' as a complex and nuanced practice worthy of critical engagement.
Publisher: SAGE Publications
Date: 03-2016
Abstract: Globally, increasing numbers of children are thought to be going through early onset puberty. This much debated fact leads to significant concerns about young people’s sexualities, as early developers are thought to be more likely to engage in early sexual activity. Underpinning historical, national and subpopulation (including ‘racial’) comparisons is a standard measurement tool: the Tanner Scale of sexual development. The scale is based on James M. Tanner and R.H. Whitehouse’s ground-breaking longitudinal study of children’s growth undertaken in London between 1949 and 1971. This article explores the largely over-looked and under-theorized significance of the scale’s history, arguing that the study’s focus on children living in an English care institution and its material practices of documenting their growth, including photography, has important ethical and scientific implications for understanding sexual development as a bio-psycho-social process.
Publisher: SAGE Publications
Date: 05-2006
Abstract: How could social scientists and cultural theorists take responsibility in engaging with science? How might they develop an experimental sensibility to the links between the production of knowledge and the production of existence or forms of life? Critically outlining key fields in the social and cultural studies of science, we interrogate a number of approaches to these questions. The first approach tries to make sense of how science operates in relation to economic, political and cultural forces. The second analyses science as a form of embodied work or practice. The third engages with science as collaborative-collective elaboration of events, ranging across cultural theory, contemporary art and participant ethnographies. This outline sketches a vector of responsibility across this erse range of engagements, suggesting that contemporary movements between science and other knowledges constitute ethical and political imperatives.
Publisher: Informa UK Limited
Date: 02-10-2015
Publisher: OpenEdition
Date: 04-2009
Publisher: Wiley
Date: 05-2021
Abstract: In 2008, Timmermans and Haas called for a ‘sociology of disease’ to develop and challenge the sociology of health and illness. A sociology of disease, they argued, would take seriously the biological and physiological processes of disease in theorising health and illness. Building on two decades of Science and Technology Studies and feminist work on biological actors such as hormones and genes, we propose a ‘cortisol sociology’ to push further at this argument. As a ‘messenger of stress’, cortisol is key to understanding human and non‐human health as a biosocial phenomenon. We argue that sociologists should engage with cortisol through critical yet open‐minded reading of the relevant science and critical triangulation studies, and by tracking cortisol’s movements from science into public worlds of biosensing and self‐monitoring.
Publisher: SAGE Publications
Date: 02-05-2016
Publisher: SAGE Publications
Date: 15-04-2013
Abstract: Early onset puberty is increasingly prevalent among girls globally according to many scientists and clinicians. In the medical and scientific literature early sexual development is described as a problem for girls and as a frightening prospect for parents. News media and popular environmentalist accounts lify these figurations, raising powerful concerns about the sexual predation of early developing girls by men and boys and the loss of childhood innocence. In this article the author frames one feminist approach to early puberty, arguing that feminist theorists should both take scientific work around population changes in sexual development seriously and use their critical skills to unpick and challenge the discourses constituting early development as a matter of concern. The author suggests that contemporary academic and policy debates on the ‘sexualization’ of girls have important resonance for critical explorations of early puberty. These debates currently pay little attention to the physiological aspects of sexual development and could be enriched by so doing. As in the case of ‘sexualization’, issues of class, racialization and agency are central to understanding and challenging normative concerns about girls’ early sexual development.
Publisher: Informa UK Limited
Date: 2004
DOI: 10.1080/14647270400016449
Abstract: Contemporary scientific and clinical knowledges and practices continue to make available new forms of genetic information, and to create new forms of reproductive choice. For ex le, couples at high risk of passing on a serious genetic condition to their offspring in Britain today have the opportunity to use Preimplantation Genetic Diagnosis (PGD) to select embryos that are unaffected by serious genetic disease. This information assists these couples in making reproductive choices. This article presents an analysis of patients' experiences of making the decision to undertake PGD treatment and of making reproductive choices based on genetic information. We present qualitative interview data from an ethnographic study of PGD based in two British clinics which indicate how these new forms of genetic choice are experienced by patients. Our data suggest that PGD patients make decisions about treatment in a complex way, taking multiple variables into account, and maintaining ongoing assessments of the multiple costs of engaging with PGD. Patients are aware of broader implications of their decisions, at personal, familial, and societal levels, as well as clinical ones. Based on these findings we argue that the ethical and social aspects of PGD are often as innovative as the scientific and medical aspects of this technique, and that in this sense, science cannot be described as "racing ahead" of society.
Publisher: Informa UK Limited
Date: 07-2006
Publisher: SAGE Publications
Date: 04-2002
DOI: 10.1177/1460012002003001063
Abstract: Sex hormones today are seen as central to the production of biological sexual difference. This article examines the development of this scientific `fact', and asks how hormones came to be in this position. The article does not involve original historical research, however. Instead it uses existing histories of hormonal sexual difference to develop a theoretical argument about body histories. How can the history of scientific views of bodies be written and understood? What can these histories tell us about the relation between scientific representations of bodies and the materiality of bodies? Combining and critiquing arguments from feminist histories of science, Bruno Latour's actor network theory, Michel Serres's theory of folded time, and Donna Haraway's notion of situated knowledges, this article argues for the centrality of embodiment and location to useful body histories.
Publisher: Elsevier BV
Date: 03-2016
Publisher: SAGE Publications
Date: 02-02-2012
Abstract: The provision of ‘distant’ care to older people living at home through telecare technologies is often contrasted negatively to hands-on, face-to-face care: telecare is seen as a loss of care, a dehumanization. Here we challenge this view, arguing that teleoperators in telecare services do provide care to older people, often at significant emotional cost to themselves. Based on a European Commission-funded ethnographic study of two English telecare monitoring centres, we argue that telecare is not ‘disembodied’ work, but a form of care performed through the use of voice, knowledge sharing and emotional labour or self-management. We also show, in distinction to discourses promoting telecare in the UK, that successful telecare relies on the existence of social networks and the availability of hands-on care. Telecare is not a substitute for, or the opposite of, hands-on care but is at its best interwoven with it.
Publisher: Routledge
Date: 17-06-2019
Publisher: OpenEdition
Date: 04-2009
Publisher: SAGE Publications
Date: 31-07-2017
Abstract: What happens when neuroscientific knowledges move from laboratories and clinics into therapeutic settings concerned with the care of children? ‘Brain-based parenting’ is a set of discourses and practices emerging at the confluence of attachment theory, neuroscience, psychotherapy and social work. The neuroscientific knowledges involved understand affective states such as fear, anger and intimacy as dynamic patterns of coordination between brain localities, as well as flows of biochemical signals via hormones such as cortisol. Drawing on our own attempts to adopt brain-based parenting, and engaging with various strands and critiques of new materialism and affect theory, we explore the ways in which the social sciences and humanities might fruitfully engage with neuroscientific concepts and affects. How does science-affected indeterminacy, with all its promises of ontological and experiential agency, help us to observe, wait, bind or hold together volatile mixtures of habit, speech and action?
Publisher: Elsevier BV
Date: 02-2011
DOI: 10.1016/J.SOCSCIMED.2010.08.014
Abstract: 'Telecare solutions' are seen as a potential means of addressing the future care needs of ageing societies in Western economies. The development of these remote care systems runs in parallel with policies aimed at 'ageing in place' and is targeted at supporting the perceived care needs of frail older people within the home. Drawing on ethnographic and deliberative panel data from European Community funded research, we consider how these developments contribute to a reshaping of the place and experience of care for older people. We do so by addressing the ways in which remote care systems can, firstly, act to change the experience of home and secondly, re-order the place of care-work and responsibilities to care as new actors become enrolled within the care network and existing care-givers take on differing roles and responsibilities. Finally, we consider how this paper contributes to conceptual debates around institution and extitution - that is, the de-territorialisation of the physical structure of the institution and its re-manifestation through new spaces and times that seek to end interior and exterior distinctions.
Publisher: SAGE Publications
Date: 05-2003
DOI: 10.1177/1363460703006002003
Abstract: Contemporary life is taking its toll on sex, according to scientific, environmental and pop-scientific literature. Both women and men are being overwhelmed with estrogens and hormonally active chemicals in their environments - in water, plastics, and food. Such `estrogenization' produces interesting questions about the `nature' of sex, gender and reproduction, and their relations to each other. This paper critically juxtaposes contemporary discourses on estrogenization with feminist work on sex, gender and reproduction. It asks: How might a feminist theorizing of the body take on questions about sex hormones without essentializing sex or reproduction, or underestimating their relevance as biological actors in the production of sex?
Publisher: Informa UK Limited
Date: 12-2010
Publisher: Elsevier BV
Date: 2008
DOI: 10.1016/J.SOCSCIMED.2007.08.011
Abstract: Following a recent decision by the human fertilisation and embryology authority (HFEA), British women undergoing in vitro fertilisation (IVF) treatment can be 'paid to share' their eggs with stem cell researchers. The HFEA and the clinic proposing the scheme present this as a 'win-win' arrangement benefiting both infertile women and couples and British science. It is also represented as concurrently both 'business as usual' and an exceptional case. Constituting a significant departure from the previous policy and practice of altruistic donation, the scheme has raised significant concerns among clinicians and activists. Here, we ask what questions feminists can bring to these debates without resorting to a position of either refusal or affirmation. Drawing on erse materials from public debates, as well as social scientific literature on gamete and embryo donation, we undertake a close analysis of the discursive framing and justification of the proposal. We argue that these discourses are characterised by three linked areas of elision and distinction: treatment and research eggs and embryos and donation and selling. Our analysis highlights the need for innovative social, ethical and political consideration of egg sharing for stem cell research.
Location: United Kingdom of Great Britain and Northern Ireland
Start Date: 10-2021
End Date: 12-2024
Amount: $485,000.00
Funder: Australian Research Council
View Funded Activity