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Public health programs facilitate access to resources that not only provide individuals’ options but also often foreclose individual preference through prescriptive requirements. This chapter takes two disparate cases from public health – vaccines and family planning –that reveal patterns of inequality in who has access to individual choice and who requires state support to exercise choice. Looking specifically at dynamics of funding and compulsion, this chapter elucidates how reliance on the rhetoric of individual choice as an expression of freedom rewards those with the greatest access to resources and fails to make sure that all members of the community have the resources to shape their own outcomes or to make sure collective health is protected.

Purpose – To examine debates within the transgender rights movement over the GID diagnosis in order to demonstrate how diagnosis can be resisted as a source of stigma and social control at the same time that it is embraced as a means of legitimating experience and gaining access to resources, including medical services.

Methodology/approach – This chapter draws on qualitative data from: in-depth interviews with transgender rights activists and advocates, participant observation in transgender health care and activism settings, and content analysis of print and web-based materials on transgender health.

Findings – Transgender rights activists and advocates overwhelmingly reject the pathologization of gender variance. However, some actors advocate complete demedicalization, while others advocate diagnostic reform. Actors' advocacy for each position is influenced by the perceived costs versus benefits of diagnosis.

Social implications – The findings of this research shed light on the multiple and often contradictory effects of diagnosis. Diagnoses can both normalize and stigmatize. They can function to allow or deny access to medical services and they can support or act as barriers to legal rights and protections. Understanding these contradictory effects is essential to understanding contests over diagnosis, including the contemporary debate over GID.

Originality/value of paper – Through examination of an intra-constituent contest over diagnosis, this research demonstrates the need to distinguish medicalization from pathologization and illustrates the importance of examining the multiple and contradictory effects of diagnosis, both in and outside of medical settings.

Growing up in a small (l,000) Nevada town in the l930s and 1940s, I acquired a neophyte's sociological eye and sensibility, though, of course, not an analytical framework from which to make sense of that social world. The everyday life in that little town encouraged perception of subtle, but nevertheless very sharp social, cultural, economic, racial, gender, and class differences among its residents.

This project examines how queer and trans zines have complicated the notion of traditional patient narratives and provides insight into the issues that LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning) populations face when accessing healthcare information and resources. Historically, information about queer and trans identities has been suppressed in the United States, reflecting dominant social values that pathologize queer identities. Using health-related zines housed at the Queer Zine Archive Project as a case study, this project investigates how queer and trans zines about healthcare have resisted these homophobic and transphobic ideologies. The analysis reveals that queer and trans zinesters use their feelings of impatience with the medical industry to fuel communal solutions to accessing and providing health care information.

Obstetric violence is the mistreatment of women in the setting of obstetric care, which includes preconception, medically assisted reproduction, pregnancy, childbirth and postpartum. Obstetric violence follows and perpetuates the devaluation and subjugation of women in patriarchal societies, where socio-cultural conceptions contribute to a view of the female body as faulty and deviating from the male prototype. These shape the perception that female reproductive processes require technological corrections. The medicalisation of reproductive processes and the mechanisation of a normal life event, with the threat of death and other life-changing consequences, disempower women and objectify the body and its functions.

The entrance of women into the workforce and the specialised fields, feminising care professions, failed to shift this paradigm. Female health workers are trained in the procedures instituted by dominant patriarchal structures, expressing values encoded in the professional culture and the institutions where they work. As women conform to the models they are exposed to during their training, perpetuating corporate hierarchies and practices, they act as agents and perpetrators of obstetric violence. Thus, obstetric violence also constitutes a specific type of violence against women at the hands of other women.

By its very nature, the field of medical sociology has considerable potential for incorporating a consideration of gender in its research. After approximately a generation of the women's movement, women's studies, and the study of gender in sociology, now is an appropriate time to assess the impact of feminism on the mainstream of the field. Such an assessment is distinct from a feminist critique of medical sociology, with its implication that the field has many shortcomings, and also from a review of the growing sociological study of women's health (e.g., Auerbach and Figert 1995) and their role in providing as well as receiving care. Instead, my purpose is to examine representative research in mainstream medical sociology for evidence of the extent and nature of feminism's influence. Overall, I argue that by the 1990s mainstream medical sociology has been significantly affected by feminism, but that this effect is qualified in important ways.

This chapter considers the value of visual analyses for studying social movements through a study of pro-life uses of images of the fetus in the Australian abortion debate. In doing so, it points to important connections between the study of emotions in politics and visual approaches to social movement studies. It also contributes new primary material on the politics of reproduction through its study of the Australian pro-life movement, on which little has been written. Through discursive analysis of visual materials and practices embedded in three case studies, I demonstrate the range of strategies being used; their selection was informed by a wider survey of available records of pro-life uses of images of the fetus over the past four decades. Emotion is a powerful element of politics, and images of the fetus challenge the emotions, and hence the humanity, of the viewer. I identify three major themes represented in pro-life images of the fetus: the wonder of life; the human form and human frailty of the fetus; and the barbarity of modern society. The meanings of these images are built on our parallel understandings of both sight and emotion as immediate and unmediated. Moreover, the ambiguities and dualities of images of the fetus make their themes more, rather than less, persuasive.