Calling out privilege and ignoring hidden identities

It is predictable. A woman or a gay person or a person of color tries to describe their own experience, and along comes a straight, white male to explain why their experience is all wrong and how the world really works. This egregious “mansplaining,” as it has come to be known is decried, and the perpetrator is publicly pilloried. Or something like that.

In one sense, I’m all for public shaming of people who are shameless. I like for people who are smug and self-satisfied to be provoked and put under the lens of public scrutiny. I agree that “mansplainers” need to learn to listen for change instead of lecturing constantly. HideHowever, I think a little caution is needed. No, I think we should all just stop and try to have respectful conversations. I think this for one simple reason: It is impossible to tell what a person’s experiences are without engaging them in conversation. Yes, being male gives a person some privileges. Yes, being white gives a person certain privileges. Yes, being heterosexual gives a person some privileges. The problem is that it is impossible to look at someone and even tell whether they are white, male, or heterosexual or whatever.

Yes, I suppose it is a privilege to be able to “pass” as someone with privilege, but many people find their own privilege limited or restricted by factors that may be invisible to you. Such as:

Race: You may also think of race as a biological fact, though there is no biological determinant for race, it is not always possible to tell someone’s race by looking as evidenced by an exchange between Jay Smooth and Nancy Giles of CBS Sunday Morning. Giles accused Jay Smooth of “talking black” to attract a black audience. Smooth let her know that he is “actually” black.

Atypical gender: You may have the idea that gender is a biological fact, and you may think you know what transgender men and women look like, but there is really no way to tell what someone’s biology is, much less what someone’s identity is. The person you are seeing may be a transgender man, a transgender woman, or a person who simply does not fit gender binaries. Some people say that people who grew us “as boys” were socialized to accept male privilege. If you believe that transgender girls, forced to live as boys, accept and benefit from male privilege, you should read accounts of what life is like for these children.

Sexual minorities: You may think your “gaydar” is excellent, but it isn’t really possible to identify sexual minorities by looking at them. Many victims of anti-gay attacks and bullying are not gay, and many people you assume to be straight may not be. Some married people are bisexual, and some people consider their sexuality to be fluid.

Religious minorities: We know that many Americans hate and fear anyone they suspect may be Muslim, regardless of what religion the person may actually practice, but all religious minorities are subject to scorn and harassment. More Americans say they would vote for a gay candidate than an atheist, and 40 percent of self-identified atheists and agnostics say they have experienced some from of prejudice or discrimination. As a result, many members of religious minorities live with secrets and not as their authentic selves. This doesn’t rob them of the privileges they have, but it does give them an understanding of oppression.

Sexual assault survivors: I once had a conversation with a therapist who said that women needed to speak up about their experiences of sexual abuse because we need to hear from the actual victims, not men. I was astonished that she actually believed that almost no sexual abuse victims are men. This was a few years ago, and I think there is more awareness of male survivors now (thanks to articles like this, but the prejudice against them remains. While talking to a man, it is not safe to assume he is not a survivor of sexual abuse or assault. It is further not safe to assume that his abuser, if he had one, was male. When you blithely declare that men have the privilege of not worrying about being raped, you may be speaking to a rape victim, and you should keep that in mind.

Victims of domestic abuse and violence: Male victims of domestic abuse and violence are put in an almost impossible position.  If they speak up, people will say they are big enough to defend themselves against a woman (despite the fact that not all men are stronger or bigger than their partners). If they do defend themselves, they are perceived as the attacker, and when violence occurs, it is usually men who are arrested. They may seek allies among female victims, but they are rarely welcomed or offered services that are available to women. Further, much domestic abuse is in the form of economic abuse, emotional abuse, and verbal abuse. Given that such abuse of men is comedic fodder in television and movies, it is next to impossible for men to gain support. One of the most difficult challenges for male victims is the denial of victimhood that results from perceived privilege that is not there.

Disease/Disability: To become ill or disabled is to lose a degree of autonomy. Loss of autonomy makes anyone susceptible to oppression. Disease and disability may be visible but may also be invisible. It is impossible to tell by looking who is suffering from either, and it is equally impossible to tell who is being oppressed as a result. When we are injured or ill, we are at greater risk for manipulation, emotional abuse, financial abuse, sexual abuse, and assault.

Poverty: Poverty is the great equalizer. I understand that poor men may have a different experience from poor women and that certain races experience poverty somewhat differently from other races, but poverty is oppression, and those who have experienced oppression have a shared vernacular and an expanded empathy.

I realize that certain kinds of privilege carry over into all aspects of life. For example, a white male victim of domestic abuse may have advantages over a non-white victim. I do not want to deny privilege in any setting or argue that it doesn’t exist. What I know, however, is that those who experience oppression have a common experience that can lead to better understanding. Rather than shutting someone down when he speaks, it may pay to assume that many men have experienced oppression and do, indeed, know something of its harmful effects. It also pays to remember that people you assume to be men may not be men (either by biology or identity) and that people you assume to be white may not consider themselves white.

One final note: Sometimes people say that people with hidden identities should disclose them upfront. People have a right to decide for themselves when, where, and how often they want to disclose personal information. You have no right to make assumptions about them or to demand disclosure. No one is required to speak as “a person with cancer” or “a transgender woman” or “victim of domestic abuse.” These facts about a person need not be that persons complete identity or defining feature. We are part of the same human community. Can we just acknowledge that?

Why I Hate Valentine’s Day

Last year, I wrote a short essay on why I hate “Steak and BJ Day,” which is that it is built around sexist stereotypes and highlights relationships as transactions, consisting men giving gifts in exchange for red meat and sexual favors from women. Indeed, the idea of heartmanSteak and BJ Day (March 14) was to repay men for their generosity to women on Valentine’s Day. After being so kind to women with flowers, chocolate, and diamonds (or whatever), men deserved a day devoted to the kinds of things they like (ugh!).

Valentine’s Day is less crude and less obvious, but it still reinforces and exploits gender stereotypes. You might object that Valentine’s Day is a day for couples to express their love for one another equally, and I’m sure some see it that way, but men spend, and are expected to spend, far more money on Valentine’s Day than women. The implication is that men who buy lavish gifts will receive rewards of affection and sex. Satirist Andy Borowitz succinctly captured this relationship when he posted this:borowitz
I really object to the gender stereotypes that say women just want chocolate and flowers from men and will reward men with sex when they receive what they really want. I’ve heard of some mythological women who actually want sex for themselves, but men aren’t expected to hold their genitals for a ransom before providing sex.

I also have some suspicion that some men want more from women than a hot meal and a sexual favor, but women aren’t expected to show men affection and care just as a means to get in their pants.

Nonetheless, I do celebrate Valentine’s Day, and I think I always have. Perhaps I am just a victim of social programming, or maybe I’ve tried, with limited success, to create a holiday for a genuine and equal sharing of love, affection, and small gifts. I’m not sure whether it is possible to rise above the reductionistic stereotypes that infuse us from birth, but Valentine’s Day gives us a little more wiggle room than Steak and BJ Day. It is impossible to say the name of Steak and BJ Day without invoking crude masculine stereotypes. However, we can create our own Valentine’s Day, or at least pretend to, so let’s share equally, love equally, and make a better world.

Happy Valentine’s Day.

At-Home Dads Then and Now: Still Not a Babysitter

At-Home Dads Then and Now: Still Not a Babysitter

When my first son was born, his mother and I were lucky enough that we could juggle our schedules and avoid putting him in daycare. I hadn’t thought much about the role of fathers before becoming a father, but I was soon to learn the full extent of social prejudice towards dads. I think the most common complaint for nurturing fathers everywhere, whether they stay home with their children or not, is being referred to as a babysitter (for example, see here. When out and about, people would often attempt to compliment me with a cheery, “Oh, it is so nice to see dads out babysitting.” Depending on my mood, I would sometimes challenge them by asking, “Have you ever seen any moms out babysitting?” When in a less surly mood, I would say, “I’m not babysitting; these are my children!” Over the years, fathers have generally become much more involved in childcare, but too many people still diminish their role to babysitting.

In the office where I worked at the time my son was a baby, we had a dry-erase board to show where people were when out of the office. When female coworkers were out with

By whatsthatpicture from Hanwell, London, UK [CC-BY-2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons
their children, someone would write on the board “sick daughter” or something similar. When my son was sick, I would return to find a notice proclaiming I was out “babysitting.” It didn’t seem like such a problem at first. I would just chuckle and explain that if I had a babysitter, I wouldn’t have to miss work. I would also note that babysitters get paid for their efforts, but fathering my child provided no financial rewards at all. I was trying to raise awareness of the importance of fathering, but I generally only succeeded in raising a chuckle.

I also noticed that when I went to a doctor’s visit with his mother, the doctor and nurses would speak to her even when I was closest or even when I was actually holding my son. It was clear that the mother was the default parent and the father, no matter how involved, could only provide auxiliary services. It was around this time that I read The Nurturing Father by Kyle Pruett. Since its publication, this book has faced some criticism but remains a groundbreaking and relevant work in fatherhood research. The book explored many facets of fathering, but the only message I saw was that fathers can do everything mothers can do, and it made me want to stay home with my son (rather, sons, as we were soon expecting our second child).

I was able to quit my job and stay home full time. My life was a mélange of celebration and condemnation. Many people would congratulate me on being in touch with my “feminine” side. Others would offer an indirect criticism with a loaded questions such as, “How does your wife feel about you staying home full time?” Or, sometimes men would say, “Oh, I wish my wife would let me do that!” I resented the implication that I was “not working,” and I further resented the implication that I was somehow taking on something easier than what my wife was doing. Any mention of this was generally met with, “Well, now you know what women have faced for centuries!” Women (and nurturing men) have suffered from bias and disrespect for centuries, but I don’t think at-home dads are the ones most in need of consciousness raising experiences.

On the other hand, I was quite lucky. I found several playgroups that welcomed me with enthusiastically open arms. I was often the only dad to be found, but I did meet a couple of other at-home dads. For the most part, the women in the group treated me like any other parent, but occasionally I had awkward conversations. One mom once asked me whether I fed my children. Given that they were strong and healthy, I thought the answer was obvious, but I guess she was asking whether someone else was feeding them for me. When I told her I did, indeed, feed my children, she replied, “With hot food?” Nope, we dads just give them cereal and cookies, of course. I let her know I cooked for my children and moved on. Fortunately, she was the exception to the rule of open and inviting moms who were happy to share childcare tips and horror stories. Other men in the eighties weren’t so lucky. A few men sued mothers-only groups for access to parenting support. All parents struggle with the pressure of parenting, and finding others for support is essential.

Dads are generally expected to be extremely proud when their sons follow in their career footsteps, and I am proud that my younger son now has children of his own and stays home to care for them. Some things have changed in the intervening years, but people still ask him whether he is “babysitting” from time to time. More fathers stay home full time now (or at least take the role of primary caregiver), so it attracts less attention. The biggest difference I notice when out with my grandchildren, though, is that almost all men’s rooms now have changing stations. Gone are the days of having to choose between changing a diaper on the floor of a public restroom or a more sanitary location in full view of the general public.

I don’t really think anyone would be surprised now to learn my son knows how to turn on the stove, but there biases against men involved with children persist in some areas. Men are still mocked for their ignorance of food, as can be seen here. Moms remain the default experts on nutrition, soothing, and health. Too many people believe that only moms know how to care for children, as seen here. Dads are recognized more for playing with their children and encouraging them to be joyful and competitive.

Life will be easier for moms and dads when the denigration of childcare ends and everyone who cares for our next generation, whether mom, dad, or an early childhood teacher, is respected and valued for their contribution to creating the next generation of nurturers, leaders, inventors, and parents. We’re doing much better, but we can aim higher still.

Our Bodies, Ourselves and the birth of bioethics

The first works of academic bioethics I read were by notables such as Peter Singer, James Rachels, and Bonnie Steinbock, but that is not where my interest in bioethics actually began. In the 1980s, I ran across the book, Our Bodies, Ourselves, and I was immediately captivated by the book and the movement it represented, even if I wasn’t part of the particular movement.

The book began as an outgrowth of the feminist movement when 12 women met in 1969 to discuss their experiences with doctors. They began compiling and disseminating their stories and information to empower women to take charge of their own healthcare decisions. Bioethics as a professional field developed in the 1970s, but the authors of Our Bodies, Ourselves were ahead of professional bioethicists by a few years. In 1970, these authors released a booklet titled “Women and Their Bodies.” While professional bioethicists focused on the role of autonomy in healthcare, these women were creating autonomy by giving women information and the courage to take charge of their own healthcare. You can read more about the history here.

At the time these women met, abortion was illegal and most doctors were male. As the authors explained in the preface to the first edition of the book, “we wanted to do something about those doctors who were condescending, paternalistic, judgmental and noninformative.” To combat the attitudes they found common in doctors, they presented information on birth control, abortion, menstruation, masturbation, and sexuality in frank and shame-free language. As a outcome of the approach, they said, “Our image of ourselves is on a firmer base, we can be better friends and better lovers, better people, more self-confident, more autonomous, stronger and more whole.”

Our Bodies, Ourselves, the book, continues to be published (now in more than two-dozen languages), and the organization, Our Bodies Ourselves (OBOS), continues as a nonprofit organization promulgating information on girls’ and women’s health and sexuality. Their efforts now extend globally through the Our Bodies Ourselves Global Initiative (OBOGI).

These women approached bioethics from the ground up and changed the world.

This is how I feel bioethics should be conducted for the greatest impact. Patients, ideally, should drive the focus of bioethics and inform both ethicists and healthcare providers of what issues are important. The only way for this to happen is for patients to tell their stories of how they experienced healthcare, medicine, illness, and even death.

To that end, I am inviting patients to submit their own stories of illness and medicine to Ethics Beyond Compliance. If you would like to submit a story related to your experience of illness (either as a patient or as a caregiver) or grief, please send it to me. I will have a story coming up in the next few days, but I hope to make it a regular feature of the blog.

See also: O is for Our Bodies, Ourselves