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Supporting and policing mothers: an analysis of the disciplinary practices of health visiting

Peckover, Sue (2002) Supporting and policing mothers: an analysis of the disciplinary practices of health visiting. Journal of Advanced Nursing, 38 (4). pp. 269-377. ISSN 0309-2402

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    Abstract

    Aim. This paper draws on the notion of disciplinary power developed by Michel Foucault to discuss whether the professional practices inherent in British health visiting can be understood in terms of support or surveillance.

    Background. The notion of disciplinary power embedded within Foucault's writings has been widely applied to the sociological analysis of health care professions. While a number of studies have focused on nursing practice, there has been little empirical work developing these ideas in the context of British health visiting.

    Methods. A qualitative approach using interviews with 24 health visitors and 16 women who had experienced domestic violence was used. For reasons of confidentiality, the women were not matched to the health visitors. Data analysis was continuous with data collection and led to identification of a number of categories. The theoretical framework of feminist poststructuralism underpinned the analysis.

    Findings: The women who participated in this research described their engagement in a number of disciplinary practices. These included the discursive production of themselves as good mothers, subjects and objects of the health visiting gaze, as well as their practices of resistance to health visiting work. Analysis of the health visitors' interview data provided further evidence concerning the exercise of disciplinary power in their everyday work of providing support and health care to women and children.

    Conclusions. The paper highlights tensions within the health visitor's role between welfare and surveillance, as well as differences between lay and professional perspectives.

    Item Type: Article
    Additional Information: UoA 40 (Social Work and Social Policy and Administration) © 2002 Blackwell Science Ltd
    Uncontrolled Keywords: disciplinary power, domestic violence, health visiting, mothers, Foucault
    Subjects: R Medicine > R Medicine (General)
    R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
    R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
    Schools: School of Human and Health Sciences
    School of Human and Health Sciences > Centre for Applied Childhood Studies
    Related URLs:
    References:

    Abbott P. & Sapsford R. (1990) Health visiting: policing the family?
    In The Sociology of the Caring Professions (Abbott P. & Wallace
    5 C. eds), Falmer Press, Basingstoke, pp. 120–152.
    Binney V., Harkell G. & Nixon J. (1981) Leaving Violent Men: a
    Study of Refuges and Housing for Battered Women. Women’s Aid
    Federation of England, Bristol.
    Bloor M. & McIntosh J. (1990) Surveillance and concealment: a
    comparison of techniques of client resistance in therapeutic
    communities and health visiting. In Readings in Medical Sociology
    (Cunningham-Burley S. & McKegany N. eds), Tavistock, London,
    6 pp. 159–181.Bowes A.M. & Domokos T.M. (1998) Health visitors’ work in a
    multi-ethnic society: a qualitative study of social exclusion. Journal
    of Social Policy 27, 489–506.
    Burman E. (1994) Deconstructing Developmental Psychology. Routledge,
    London.
    Busfield J. (1996) Men, Women and Madness. MacMillan Press Ltd,
    Basingstoke.
    Chalmers K. (1991) The development of the health visitor-client
    relationship. Scandinavian Journal of Caring Science 5, 33–41.
    Coffey A. & Atkinson P. (1996) Making Sense of Qualitative Data.
    Sage Publications, CA.
    Council for Education and Training of Health Visitors. (1977) An
    Investigation Into the Principles of Health Visiting. Council for
    Education and Training of Health Visitors, London.
    Cowley S. (1995) In health visiting, a routine visit is one that has
    passed. Journal of Advanced Nursing 22, 276–284.
    David M. (1985) Motherhood and social policy: a matter of
    education? Critical Social Policy 12, 28–43.
    Davies C. (1988) The health visitor as mother’s friend: a woman’s
    place in public health 1900–14. Social History of Medicine 1, 39–
    60.
    Davin A. (1978) Imperialism and motherhood. History Workshop 5,
    9–65.
    De La Cuesta C. (1994) Relationships in health visiting: enabling and
    mediating. International Journal of Nursing Studies 31, 451–459.
    Dingwall R. (1977a) Collectivism, regionalism, and feminism: health
    visiting and British social policy 1850–1975. Journal of Social
    Policy 6, 291–315.
    Dingwall R. (1977b) The Social Organisation of Health Visitor
    Training. Croom-Helm, London.
    Dingwall R. & Eekelaar J.M. (1988) Families and the state: an
    historical perspective on the public regulation of private conduct.
    Law and Policy 10, 341–361.
    Dingwall R. & Robinson K.M. (1993) Policing the family? Health
    visiting and the public surveillance of private behaviour. In Health
    and Wellbeing: a Reader (Beattie A., Gott M., Jones L. & Sidell M.
    7 eds), McMillan, Basingstoke, pp. 165–173.
    Donzelot J. (1979) The Policing of Families. Hutchinson, London.
    Edwards J. (1995) Parenting skills’: views of community health and
    social service providers about the needs of their ‘clients. Journal of
    Social Policy 24, 237–259.
    Edwards J. (1998) Screening out men: or ‘Has Mum changed her
    washing powder recently?’ In Men, Gender Divisions and Welfare
    (Popay J., Hearn J. & Edwards J. eds), Routledge, London, pp.
    8 259–286.
    Elkan R., Kendrick D., Hewitt M., Robinson J.J.A., Tolley K., Blair
    M. et al. (2000) The effectiveness of domiciliary health visiting: a
    systematic review of international studies and a selective review of
    the British literature. Health Technology Assessment 4, Vol. 13.
    Foucault M. (1976) The Birth of the Clinic. Tavistock, London.
    Foucault M. (1979) Discipline and Punish. Vintage Books, New
    York.
    Foucault M. (1984) The History of Sexuality, Vol. 1. An Introduction.
    Penguin, Harmondsworth.
    Foucault M. (1988) The History of Sexuality, Vol. 2. The Use of
    Pleasure. Penguin, Harmondsworth.
    Graham H. (1979) Prevention and health: every Mother’s Business. A
    comment on child health policies in the 1970s. In The Sociology of
    the Family: New Directions for Britain (Harris C. ed.), Sociological
    10 Review Monograph, no. 28. University of Keele, Keele, pp. 160–185.
    Kelly L. (1988) Surviving Sexual Violence. Polity Press, Cambridge.
    Kelly L. (1994) The interconnectedness of domestic violence and
    child abuse: challenges for research, policy and practice. In
    Children Living with Domestic Violence: Putting Men’s Abuse of
    Women on the Child Care Agenda (Mullender A. & Morley R.
    eds), Whiting and Birch, London.
    Knott M. & Latter S. (1999) Help or hindrance? Single, unsupported
    mothers’ perceptions of health visiting. Journal of Advanced
    Nursing 30, 580–588.
    Machen I. (1996) The relevance of health visiting to contemporary
    mothers. Journal of Advanced Nursing 24, 350–356.
    Maxwell J. (1997) Children and state intervention: developing a
    coherent historical perspective. In Nursing History and the Politics
    of Welfare. (Rafferty A.M., Robinson J. & Elkan R. eds),
    12 Routledge, London, pp. 226–241.
    May C. (1992a) Nursing work, nursing knowledge, and the subjectification
    of the patient. Sociology of Health and Illness 14, 472–
    487.
    May C. (1992b) Individual care? Power and subjectivity in therapeutic
    relationships. Sociology 26, 589–602.
    Mayall B. (1990) The division of labour in early child care – mothers
    and others. Journal of Social Policy 19, 299–330.
    Mayall B. (1993) Keeping children healthy – The intermediate
    domain. Social Science and Medicine 36, 77–83.
    Mayall B. & Foster M. (1989) Child Health Care. Living with
    Children, Working for Children. Heinemann Nursing, Oxford.
    McIntosh J. (1987) A Consumer Perspective on the Health Visiting
    Service. Social, Paediatric and Obstetric Research Unit, Department
    of Child Health and Obstetrics, University of Glasgow and
    Greater Glasgow Health Board, Glasgow.
    McKie L. (1995) The art of surveillance or reasonable prevention?
    The case of cervical screening. Sociology of Health and Illness 17,
    441–457.
    McNay L. (1992) Foucault and Feminism: Power, Gender and the
    Self. Polity Press, Cambridge.
    McWilliams M.&McKiernan J. (1993) Bringing It Out in the Open:
    Women and Domestic Violence in Northern Ireland. HMSO,
    Belfast.
    Nettleton S. (1991) Wisdom, diligence and teeth: discursive practices
    and the creation of mothers. Sociology of Health and Illness 13,
    98–111.
    Nettleton S. (1992) Power, Pain and Dentistry. Open University
    Press, Buckingham.
    Nicolson P. (1990) Understanding postnatal depression: a mothercentred
    approach. Journal of Advanced Nursing 15, 689–695.
    Oakley A. (1992) Social Support and Motherhood. Blackwell,
    Oxford.
    Orr J. (1980) Health Visiting in Focus. Royal College of Nursing,
    London.
    Pahl J. (1982) Men who assault their wives: what can health visitors
    do to help? Health Visitor 55, 528–531.
    Pahl J. (ed.) (1985) Private Violence and Public Policy: the Needs of
    Battered Women and the Response of the Public Services. Routledge,
    London.
    Peckover S. (1998) Domestic violence: on the health visiting agenda?
    Community Practitioner 71, 408–409.Peckover S. (1999) Regulation and Resistance: an Analysis of the
    Practices of Health Visitors and Women Experiencing Domestic
    Violence. Unpublished PhD Thesis. Department of Social Policy
    and Social Work, University of Warwick, Coventry.
    Phoenix A. (1990) Black women and the maternity services. In The
    Politics of Maternity Care. Services for Childbearing Women in
    Twentieth-Century Britain (Garcia J., Kilpatrick R. & Richards M.
    13 eds), Clarendon Press, Oxford, pp. 274–299.
    Robinson J. (1985) Health visiting and health. In Political Issues in
    Nursing: Past, Present and Future (White R. ed.), vol. 1. Wiley and
    14 Sons, Chichester, pp. 67–86.
    Robinson K. (1992) Knowledge and practice of working in
    the community. In Health Visiting: Towards Community
    Health Nursing (Luker K. & Orr J. eds), Blackwell, Oxford,
    15 pp. 16–42.
    Rose N. (1989) Governing the Soul: the Shaping of the Private Self.
    Routledge, London.
    Salvage J. (1985) The Politics of Nursing. Heinemann, Oxford.
    Silverman D. (1987) Communication and Medical Practice. Sage,
    London.
    Silverman D. (1993) Interpreting Qualitative Data. Methods for
    Analysing Talk, Text and Interaction. Sage, London.
    Smart C. (1996) Deconstructing motherhood. In Good Enough
    Mothering? Feminist Perspectives on Lone Motherhood (Silva
    16 E.B. ed.), Routledge, London, pp. 37–57.
    Smart C. (ed.) (1992) Regulating Womanhood. Historical Essays on
    Marriage, Motherhood and Sexuality. Routledge, London.
    Stark E. & Flitcraft A.H. (1988) Women and children at risk: a
    feminist perspective on child abuse. International Journal of
    Health Services 18, 97–118.
    Symonds A. (1993) Tracing the tradition of health visiting. Health
    Visitor 66, 175–176.
    Taylor J. & Daniel B. (2000) The rhetoric vs. the reality in child care
    and protection: idealogy and practice in working with fathers.
    Journal of Advanced Nursing 31, 12–19.
    Thomas C. (1997) The baby and the bath water: disabled women and
    motherhood in social context. Sociology of Health and Illness 19,
    622–643.
    Twinn S. (1991) Conflicting paradigms of health visiting: a continuing
    debate for professional practice. Journal of Advanced
    Nursing 16, 966–973.
    Twinn S. & Cowley S. (1992) The Principles of Health Visiting: a
    Re-Examination. Health Visitors Association/United Kingdom
    Standing Conference on Health Visitor Education, London.
    Ussher J. (1991) Women’s Madness: Misogyny or Mental Illness?.
    Harvester Wheatsheaf, London.
    Walsh M. & Ford P. (1989) Nursing Rituals, Research and Rational
    Actions. Heinemann Nursing, Oxford.
    Weedon C. (1997) Feminist Practice and Post-Structuralist Theory.
    Basil Blackwell, Oxford.

    Depositing User: Sara Taylor
    Date Deposited: 30 Aug 2007
    Last Modified: 23 Dec 2010 15:28
    URI: http://eprints.hud.ac.uk/id/eprint/375

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