Prostate cancer : Anglo-Australian heterosexual perspectives

Prostate cancer is one of the most prominent diseases in men’s health. It is inherently 'male', given the exclusivity of the prostate gland to men’s bodies and its physiological connection to testosterone and male sexuality. The biomedical complexities of prostate cancer continue to be unravelled and researched and are often connected to identifying causes, the virtues of screening and treatment modalities. However, despite the biological male 'sex' link, most of the prostate cancer research is not connected with research on gender relations, men and masculinities. The net outcome is that men’s lives and illness experiences are absent in much of the prostate cancer research. This PhD thesis Prostate cancer: Anglo-Australian heterosexual perspectives, is an ethnographic study of thirty-five Anglo-Australian men diagnosed with prostate cancer. Participants shared their experiences of living with prostate cancer in the context of health promotion, health services and in relation to their sexuality and intimate relationships. Through participant photographic novella and in-depth semi-structured interviews, rich cultural insights are provided. A social constructionist gender analysis is used in this research that shows how the social constructions of masculinity interconnect and occasionally collide with prostate cancer throughout the illness trajectory.

Turning the pages : adolescents, schools and reading

This study focuses on adolescents and reading. My premise is that adolescents develop a reading identity which is influenced by an existent reading culture to which they are exposed. This existent reading culture can be influenced in particular by schooling, family and the opinions of peers. One major influence is the classroom. Within the English curriculum, what criteria do English teachers use for selection of set texts and are there differences in criteria in all-boy/all girl and co-educational schools? I reflected on the prevailing perceptions that relate to gender, masculinity and popular culture which can affect what it means to be a boy, literate, and a reader of fictional texts. My first folio piece examines adolescents’ reading within five secondary schools, including an all-boy school, to ascertain whether boys in single-sex schools read more fictional texts and whether they enjoy reading more than their counterparts in co-educational schools. Authors are frequently invited to visit schools and work with students. My second folio piece investigates author visits in five secondary schools, from the perspectives of English teachers, teacher librarians and cohorts of middle school students. I wanted to find out why schools ask authors to visit and what are the expected outcomes of these visits, particularly in regard to adolescent reading identities. The third folio piece examines authors’ narratives concerning school visits. Authors have certain expectations when working with students and talking about their writing. I wanted to discover how authors think they can provide maximum impact on students through their visits, by asking a cohort of authors to recount their ‘dream school’ visits and ‘nightmare school’ visits. Interpretations of the research about boys and reading, and author visits from the schools’ perspectives are analysed using a form of content analysis. The third research project concerning authors’ narratives is interpreted using lexical networks. Prominent elements of my study explore adolescent reader identities through the influences of schooling and through author visits. In the conclusion of this study, these elements are drawn together and broad recommendations are outlined that pertain to the encouragement of positive adolescent reading identities.

Defining moments in men's lives : a study of personal narratives

This study explores the defining moments in six men’s lives. The empirical dimension of the research is built around the personal narratives these men tell of their lives across a series of four interviews. The central research theme is the notion of the defining moment as a key element in the processes of establishing how men understand and interpret the events and incidents that have shaped their lives. In the context of this study, the defining moment is seen as the moment or period in time when an individual gives definition to a specific event or experience, as a transition point with (potentially) life-altering consequences. Some of the thematic structures presented include relationships with significant adults (parents, teachers), masculinity, self-harm, schooling, mental illness, isolation, loneliness, stress and relationships with peers. In my pursuit of a methodology that could accommodate the aims of this study, I explored the process of meaning through the qualitative paradigm. Drawing on the principles of qualitative research, as applied through narrative inquiry, I deployed a semi-structured interview format to collect the lived experiences of participants. By privileging the stories that individuals tell of their experiences, the narrative method recognises that data are inexorably located in the contextual and contingent. The experiences and narratives that are presented in this thesis are built around the authentic voices of participants. The study presents a warrant for working with men’s defining moments to disrupt, alter and redefine their attitudes and behaviours in order to improve their lives. Based on the insights gleaned through this study, I argue that there are defining times/points in people’s lives where their experiences can be life altering. When these experiences involve uncertainty, anxiety, stress and other pernicious effects, their longer-term consequences can be devastating. The study confirms existing research, that men are reluctant to seek help or reveal their insecurities during such times, therefore making them particularly vulnerable to defining moments. The conclusion of this thesis establishes some broad recommendations pertaining to working effectively with men and their defining moments. I focus particular attention on the place of schooling and education in helping individuals recognise and respond to the early symptoms of what is potentially a life-altering experience. Schools and, by association, teachers need to be actively and strategically involved in this process. To this end, I argue the need for targeted interventions that are both sensitive and timely. In their engagements with young males, parents, teachers, coaches and mentors need to be particularly attuned to their silent screams for help.

When the whole 'bloke' thing starts to crumble : men's access to chronic illness (arthritis) self management programs

This thesis explores the issue of men's access to chronic illness self management programs from a social constructionist perspective. A combination of research methodologies was used; a quantitative analysis to confirm gender differences in levels and patterns of service use; a qualitative analysis to gain an increased understanding of the factors affecting men's access; and a trial to test the application of the research findings. The clients and services of Arthritis Victoria were chosen as the setting for this research. The quantitative analyses were conducted on contingency tables and odds ratios and confirmed that men were under-represented as service users. The analyses also identified gender differences in patterns of service use. The qualitative analysis was based on a series of in-depth, semi-structured interviews. It was undertaken from a grounded theory approach to allow for the development of theoretical explanations grounded in the data. It was found that men's decisions to access chronic illness self management programs were strongly influenced by dominant social constructions of masculinity which constrained help-seeking and health management behaviour. However, the restrictive influence of hegemonic masculinity was progressively undermined by the increasing severity of the chronic condition until a crisis point was reached in terms of the severity of the condition or its impact on lifestyle. This resulted in a reformulation or rejection of hegemonic masculinity. The described conceptual framework was consistent for men from diverse social groupings, although it appeared less prominent in both younger and older men, suggesting that dominant social constructions of masculinity have the greatest influence on health decisions during the middle stage of adulthood when work and family obligations are greatest. The thesis findings informed the development of some guiding principles for reviewing the structure and delivery of chronic illness self management services for men. The guiding principles will have direct application in the planning of Arthritis Victoria programs, and implications for other chronic illness self management programs in Australia, and also in Western countries with a similar health and sociocultural setting to Australia.

Little boys : the potency of peer culture in shaping masculinities

This study explores the peer group understandings of five male friends between the ages of six and eight years and seeks to examine the ways in which the group’s social dynamics interact to define, regulate and maintain dominant and collective understandings of masculinities. Within a self-selected affinity context, and drawing on their lived and imagined experiences, the boys’ enact and interpret their social worlds. Adopting the principles of ethnography within a framework of feminist poststructuralism and drawing on theories of ‘groupness’ and gender(ed) embodiment, the boys’ understandings of masculinities are captured and interpreted. The key analytic foci are directed towards examining the role of power in the social production of collective schoolboy knowledges, and understanding the processes through which boys subjectify and are subjectified, through social but also bodily discourses. The boys’ constructions of peer group masculinities are (re)presented through a narrative methodology which foregrounds my interpretation of the group’s personal and social relevances and seeks to be inductive in ways that ‘bring to life’ the boys’ stories. The study illuminates the potency of peer culture in shaping and regulating the boys’ dominant understandings of masculinity. Within this culture strong essentialist and hierarchical values are imported to support a range of gender(ed) and sexual dualisms. Here patriarchal adult culture is regularly mimicked and distorted. Underpinned by constructions of ‘femininity’ as the negative ‘other’, dominant masculinities are embodied, cultivated and championed through physical dominance, physical risk, aggression and violence. Through feminist poststructural analysis which enables a theorising of the boys’ subjectivities as fluid, tenuous and often characterised by contradiction and resistance, there exists a potential for interrupting and re-working particular masculinities. Within this framework, more affirmative but equally legitimate understandings and embodiments can be explored. The study presents a warrant for working with early childhood affinity groups to disrupt and contest the dominance and hierarchy of peer culture in an effort to counter-act broader gendered and heterosexist global, state and institutional structures. Framing these assertions is an understanding of the peer context as not only self-limiting and productive of hierarchies, but enabling and generative of affirmative subjectivities.

Foucauldian analysis and 'the best interests of the child'

In this thesis I have developed a theoretical framework using Michel Foucault’s metaphor of the panopticon and applied the resulting discursive methodology to prominent risk assessment texts in Tasmanian Government child protection services. From the analysis I have developed an innovation poststructural practice of discursive empathy for use in child protection social work. Previous research has examined discourses such as madness, mothering, the family and masculinity using Foucault’s ideas and argued that each is a performance of social government. However my interest is in ‘the best interests of the child’ as governmentality; risk as the apparatus through which it is conducted and child abuse its social effect. In applying a discursive analysis, practices of risk assessment are therefore understood to actually produce intellectual and material conditions favourable to child abuse, rather than protect children from maltreatment. The theoretical framework produces in this thesis incorporates three distinct components of Foucault’s interpretive analytics of power: archaeology, genealogy and ethics. These components provide a structure for discourse analysis that is also a coherent methodical practice of Foucault’s notion of ‘parrhesia’. The practice of parrhesia involves social workers recognised that social power is subjectively dispersed yet also hierarchical. Using this notion I have analysed ‘the best interest of the child’ as a panopticon and argued that child abuse is a consequence. This thesis therefore demonstrates how child protection social workers can expose the political purpose involved in the discourse ‘the best interests of the child’, and in doing so challenge the hostile intellectual and material conditions that exist for children in our community. In concluding, I identify how discursive empathy is a readily accessible skill that social workers can use to practice parrhesia in a creative way.

Many versions of masculine : an exploration of boys' identity formation through digital storytelling in an afterschool program

Both scholarly literature and popular media often depict predominantly negative and one-dimensional images of boys, especially African-American boys. Predictions of these boys’ anticipated difficulties in school and adulthood are equally prevalent. This paper reports qualitative research that features case studies of nine urban boys of color, aged nine to eleven, who participated in an afterschool program where they learned to create digital multimedia texts. Drawing on an analysis of the children’s patterns of participation, their multimodal products, and their social and intellectual growth over time, the study revealed that these children demonstrated many versions of male selves, and that their digital stories narrated these identities in ways that often challenged hegemonic versions of masculinity. These enactments of identity were made possible by the ways that their afterschool social space structured their activities, as well as by the symbolic means and subject matters privileged in that space, principally digital multimodal narratives and popular culture. At a time when afterschool programs are under pressure to become extensions of the school day, this research argues for recognition of and support for the different functions such programs can serve when structured as alternative spaces for learning and identity formation.

Kurunuavanua: Fijian bodies and the economy of war

In Kurunavanua (the trembling of the earth) Bolatagici investigates representations of Pacific Island masculinity, Fiji and the economy of war. Her ongoing research is concerned with neo-colonial encounters between the US, Australia, Britain and Pacific Island nations. This exhibition is informed by research into the exploitation of the Pacific by comparing the participation of Fijian soldiers in the nuclear tests at Christmas Island in the 1950s to the current recruitment of Fijians to work for Private Security Military Companies in the Middle East.

Women as consumers of a male domain : Australian Rules Football and its female fans

Looked at from a global perspective, sports are mostly male preserves. Those played by women seldom attract a large spectatorship and the numerous at-ground viewers of men’s play mostly are men. An exception is Australian Rules Football (AFL), a male sport that since the 19th century has drawn a considerable female following, with women accounting for about half of the ‘live’ crowds. From single-person and focus group interviews conducted with female AFL fans, we examine how women voice their support for a sport characterised by hyper-masculinity in players’ on-field and off-field behaviours, in the organisation and control of the sport, and in the ‘natural’ authority credited to men’s voices in commentary and interpretation of it. Given their marginalisation in AFL and in sports generally, what do women fans gain from their avid support of AFL and how does this influence the construction of their identities as women? We examine these issues from a perspective supporting the idea of multiple, fragmented identities.

The future of football is female : a case of fan-tastic imaginings?

Consistent with FIFA president Sepp Blatter’s proclamation that the future of football is female, the Australian Football League (AFL) has instituted a range of initiatives in an attempt to present a ‘female friendly’ face and garner women’s support for the national game. Given the large number of women who follow the AFL, especially in comparison to other football codes nationally, it’s worth considering the motivations behind the AFL’s tactics. To what extent does what the AFL think women want correlate with women supporters’ experiences and realities of being a football fan? This paper presents findings from semi-structured and focus group interviews with female AFL fans to gauge their perceptions of being an Australian rules football supporter and its impact on their lived experiences and sense of self. The responses of women supporters are critically assessed in order to contemplate how women negotiate gender identity through their support of a male dominated sport. As well as offering insights into the role gender plays in leisure pursuits such as sport spectatorship, this paper considers how femininity and masculinity might be contested and/or remade through the practice of following football in the Australian context. By demonstrating the range and diversity of women’s experiences, this research has the capacity to generate alternative imaginings of fanship and sporting community beyond gender stereotypes.

Negotiating masculinities : 'Yolngu Boy'

Concern with issues about masculinity has not only spread to many countries, but also into many fields.Health services re-noticing the relevance of men's gender to problems Educators are discussing programs for boys Criminologists have begun to explore why boys and men dominate the crime statistics, and violence prevention programs are taking increasing notice of gender issues. The intellectual debate about masculinity now has practical consequences. How we understand men and gender, what we believe about masculinity, what we know (or think we know) about the development of boys, may have large effects for good or ill in therapy, education, health services, violence prevention, policing and social services.

The fuzzboys

This doctoral thesis, comprising of a young adult novel and an accompanying exegesis, explores the experiences of young adults living in small towns, their pastimes and preoccupations, and their experimentation with sexuality and gender. Its depiction of alternative masculinities for young people challenges a normative, heterosexual framework of gender relations.

The psychological and relationship impact of erectile dysfunction

This thesis demonstrated that Australian men with erectile dysfunction (ED) experience poorer levels of masculinity, self-esteem, quality of life, sexual satisfaction and relationship satisfaction than do men without ED. The implications of these findings for the current medical approach to treating this sexual dysfunction were discussed. The portfolio explores grief following elective abortion and reflects on how grief responses may present in post-abortion counselling. The potential utility of grief therapy to this counselling is demonstrated in four case studies.

Spirituality and the transition to manhood

This thesis explores experiences of transitioning to manhood of a group of New Zealand men, focussing on aspects of spirituality. Participants describe perceptions of masculinity that digress from cultural norms, question the trend to advocate specific 'rites-of-passage', and view faith communities as potentially significant but often irrelevant in practice.

The impact of the use of PDE5 inhibitors for erectile dysfunction on the lives of Australian men

This article presents findings from a recent cross-sectional study that was designed to evaluate both the impact of erectile dysfunction (ED) on the lives of Australian men, and explore whether the use of PDE5 inhibitors was able to alter this impact. The sample comprised 410 men with ED, and 242 men who did not have ED. All men were primarily recruited over the internet via men's health web sites. Participants completed a questionnaire to assess their self-esteem, masculinity, quality of life, sexual satisfaction, relationship satisfaction and usage of oral ED medication. The results demonstrated that men with ED experienced deficits on all of the psychosocial areas when compared to men without ED. Moreover, treatment with ED medication did not alleviate this deficit. Implications of these findings for the treatment of men with ED are discussed in the context of the biopsychosocial model of health and the need for a multidisciplinary approach to ED management is highlighted.