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23 - The Study of Identity in Health Psychology

from Part IV - Current Domains

Published online by Cambridge University Press:  29 October 2021

Michael Bamberg
Affiliation:
Clark University, Massachusetts
Carolin Demuth
Affiliation:
Aalborg University, Denmark
Meike Watzlawik
Affiliation:
Sigmund Freud University, Berlin
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Summary

In this chapter we consider the ways in which the study of identities has been approached in Critical Health Psychology. Critical approaches to health psychology move away from individualistic concerns to consider the ways in which wider social-psychological, socio-political and socio-cultural processes may influence the choices available to us in relation to our health and well-being practices. Using exemplars from different aspects of health psychology research, we consider the enacted, situated, relational, and embodied nature of identities. To illustrate the work on identities in critical health psychology, our focus in the chapter moves to focusing on women’s identities in healthcare contexts, noting also the gendered aspects and expectations within these contexts. Firstly, we consider early motherhood, using infant feeding as an example, and consider the ways in which identities are enacted, situated, relational, and embodied in infant feeding discourses. Secondly, we focus on women’s health, particularly the decisions made following mastectomy and their consequences in relation to changed identities. We discuss the ways in which women negotiate their embodied identities and the ways in which choices made are intertwined with relationships both with self and others. We conclude that our examples draw attention to the multiplicity of identities in everyday life, demonstrating how they are played out in a variety of ways. Furthermore, we argue that identities should form a key area of study within critical health psychology, specifically to consider the differential effects and experiences of actors within social and health settings.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Alderman, A. K., Kuhn, L. E., Lowery, J. C., & Wilkins, E. G. (2007). Does patient satisfaction with breast reconstruction change over time? Two-year results of the Michigan Breast Reconstruction Outcomes Study. Journal of the American College of Surgeons, 204(1), 712.Google Scholar
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179211.Google Scholar
Amir, L. H. (2014). Breastfeeding in public: “You can do it?” International Breastfeeding Journal, 9, article 187, doi:10.1186/s13006-014-0026-1.Google Scholar
Antaki, C. & Widdicombe, S. (Eds.). (1998). Identities in Talk. London: Sage.Google Scholar
Archer, S., Holland, F.G., & Montague, J. (2016). “Do you mean I’m not whole?” Exploring the role of support in women’s experiences of mastectomy without reconstruction. Journal of Health Psychology, 21, 112, doi:10.1177/1359105316664135.Google Scholar
Ayo, N. (2012). Understanding health promotion in a neoliberal climate and the making of health conscious citizens. Critical Public Health, 22(1), 99105.Google Scholar
Badinter, E. (2013). The Conflict: How Modern Motherhood Undermines the Status of Women. New York, NY: Saint Martin’s Press.Google Scholar
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191215.CrossRefGoogle Scholar
Barnes, B. (2015). Critiques of health behaviour change programs in the Global. South African Journal of Psychology, 45(4), 430438.CrossRefGoogle Scholar
Beck, U. (1992). Risk Society. London: Sage.Google Scholar
Benwell, B. & Stokoe, E. (2006). Discourse and Identity. Edinburgh: Edinburgh University Press.Google Scholar
Berterö, C. & Wilmoth, M. C. (2007). Breast cancer diagnosis and its treatment affecting the self: A meta-synthesis. Cancer Nursing, 30(3), 194202.Google Scholar
Binns, C. W. & Scott, J. A. (2002). Using pacifiers: What are breastfeeding mothers doing? Breastfeeding Review10(2), 2125.Google Scholar
Bordo, S. (2003). Unbearable Weight: Feminism, Western Culture, and the Body, 10th Anniversary Ed. Berkeley, CA: University of California Press.Google Scholar
Budds, K., Locke, A., & Burr, V. (2016). “For some people it isn’t a choice, it’s just how it happens”: Accounts of “delayed” motherhood among middle-class women in the UK. Feminism and Psychology, 26(2), 170187.CrossRefGoogle Scholar
Budds, K., Locke, A., & Burr, V. (2013). Risky business. Constructing older mothers in the British Press. Feminist Media Studies, 13(1), 132147.CrossRefGoogle Scholar
Bury, M. (1982). Chronic illness as biographical disruption. Sociology of Health and Illness, 4, 167182.Google Scholar
Cairns, K. & Johnston, J. (2015). Choosing health: Embodied neoliberalism, postfeminism, and the “do-diet.” Theory and Society, 44(2), 153175.Google Scholar
Chamberlain, K. & Murray, M. (2017). Health psychology. In Willig, C. & Stainton-Rogers, W. (Eds.), The Sage Handbook of Qualitative Research in Psychology, 2nd Ed. (pp. 431449). London: Sage.CrossRefGoogle Scholar
Christopher, K. (2012). Extensive mothering: Employed mothers’ constructions of the good mother. Gender and Society, 26, 7396.Google Scholar
Crossley, M. L. (2000). Narrative psychology, trauma and the study of self/identity. Theory and Psychology, 10(4), 527546.CrossRefGoogle Scholar
Crossley, M. L. (2009). Breastfeeding as a moral imperative: An autoethnographic study. Feminism & Psychology, 19, 7187.Google Scholar
De Boer, M. Zeiler, K., & Slatman, J. (2019). Sharing lives, sharing bodies: Partners negotiating breast cancer experiences. Medicine, Health Care and Philosophy, 22, 253265, doi:10.1007/s11019–018-9866-6.Google Scholar
Demuth, C., Keller, H., & Yovsi, R. D. (2012). Cultural models in communication with infants: Lessons from Kikaikelaki, Cameroon and Muenster, Germany. Journal of Early Childhood Research, 10(1), 7087, doi:10.1177/1476718X11403993.Google Scholar
Dowling, S. (2018). “Betwixt and between”: Women’s experiences of breastfeeding long term. In Dowling, S., Pontin, D., & Boyer, K. (Eds.), Social Experiences of Breastfeeding: Building Bridges between Research, Policy and Practice (pp. 5570). Bristol: Policy Press.Google Scholar
Earle, S. (2003). Is breast best? Breastfeeding, motherhood and identity. In Earle, S. & Letherby, G. (Eds.), Gender, Identity and Reproduction: Social Perspectives (pp. 135150). London: Palgrave.CrossRefGoogle Scholar
Faircloth, C. (2013). Militant Lactivism?: Attachment Parenting and Intensive Motherhood in the UK and France. Oxford: Berghahn.Google Scholar
Fishbein, M. & Ajzen, I. (1975). Belief, Attitude, Intention and Behavior. Reading, MA: Addison-Wesley.Google Scholar
Frank, A. W. (1995). The Wounded Storyteller. Body, Illness, and Ethics. Chicago, IL: University of Chicago Press.Google Scholar
Fredrickson, B. L. & Roberts, T. A. (1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21, 173206.Google Scholar
Gilbert, E., Ussher, J. M., & Perz, J. (2013). Embodying sexual subjectivity after cancer: A qualitative study of people with cancer and intimate partners. Psychology & Health, 28(6), 603619.Google Scholar
Grant, A. (2016). “I … don’t want to see you flashing your bits around”: Exhibitionism, othering and good motherhood in online perceptions of public breastfeeding. Geoforum, 71, 5261.Google Scholar
Goffman, E. (1959). The Presentation of Self in Everyday Life. New York, NY: Doubleday.Google Scholar
Grant, A., Mannay, D., & Marzella, R. (2018). “People try and police your behaviour”: The impact of surveillance on mothers’ and grandmothers’ perceptions and experiences of infant feeding. Families, Relationships and Societies, 7(3), 431447, doi:10.1332/204674317X14888886530223.Google Scholar
Grogan, S., Gill, S., Brownbridge, K., Kilgariff, S., & Whalley, A. (2013). Dress fit and body image: A thematic analysis of women’s accounts during and after trying on dresses. Body Image, 10, 380388.Google Scholar
Gross, S. Musgrave, G., Janciute, L. Barnett, S., Fuchs, C., Kavada, A., Kroeger, N., & Michalis, M. (2018). Well-Being and Mental Health in the Gig Economy: Policy Perspectives on Precarity. London: University of Westminster Press.Google Scholar
Hall Moran, V., Burt, S., Dykes, F., & Shuck, C. (2006). Breastfeeding support for adolescent mothers: similarities and differences in the approach of midwives and qualified breastfeeding supporters. International Breastfeeding Journal, 1, 23, doi:10.1186/1746-4358-1-23.Google Scholar
Hallam, J., Howard, C., Locke, A., & Thomas, M. (2019). Empowering women through the positive birth movement. Journal of Gender Studies, 28(3), 330341.Google Scholar
Hallam, J., Howard, C., Locke, A., & Thomas, M. (2016). Communicating choice: an exploration of mothers’ experiences of birth. Journal of Reproductive and Infant Psychology, 34, 175184, doi:10.1080/02646838.2015.1119260.Google Scholar
Hallowell, N. (2000). Reconstructing the body or reconstructing the woman? Perceptions of prophylactic mastectomy for hereditary breast cancer risk. In Potts, L. (Ed.), Ideologies of Breast Cancer: Feminist Perspectives (pp. 153180). Basingstoke: Palgrave Macmillan.Google Scholar
Harcourt, D. & Rumsey, N. (2001). Psychological aspects of breast reconstruction: A review of the literature. Journal of Advanced Nursing, 35(4), 477487.Google Scholar
Haslam, C. Jetten, J., Cruwys, T., Dingle, G., & Haslam, A. (2018). The New Psychology of Health: Unlocking the Social Cure. Abingdon: Routledge Press.Google Scholar
Hays, S. (1996). The Cultural Contradictions of Motherhood. New Haven, CT: Yale University Press.Google Scholar
Heidegger, M. (1927). Being and Time, new edition translated by Macquarrie, J. & Robinson, E., 1978. Oxford: Wiley-Blackwell.Google Scholar
Heyman, B., Alaszewski, A., Shaw, M., & Titterton, M. (2010). Risk, Safety and Clinical Practice: Health Care through the Lens of Risk. Oxford: Oxford University Press.Google Scholar
Hoddinott, P. & Pill, R. (1999). Nobody actually tells you: A study of infant feedingBritish Journal of Midwifery7(9), 558565.Google Scholar
Holland, F. G., Archer, S., & Montague, J. (2014). Younger women’s experiences of deciding against delayed breast reconstruction post-mastectomy following breast cancer: An interpretative phenomenological analysis. Journal of Health Psychology, 19, 112.Google Scholar
Horton-Salway, M. (2001). Narrative identities and the management of personal accountability in talk about ME: A discursive approach to illness narrative. Journal of Health Psychology, 6(2), 247259.CrossRefGoogle Scholar
Howard, J. A. (2000). Social psychology of identities. Annual Review of Sociology, 26, 367393.Google Scholar
Jagsi, R., Jiang, J., Momoh, A. O., Alderman, A., Giordano, S. H., Buchholz, T. A., Kronowitz, S. J., & Smith, B. D. (2014). Trends and variation in use of breast reconstruction in patients with breast cancer undergoing mastectomy in the United States. Journal of Clinical Oncology, 32(9), 919926, doi:10.1200/JCO.2013.52.2284.Google Scholar
Jetten, J., Haslam, C., & Haslam, A. (2012). The Social Cure: Identity, Health and Well-being. London: Psychology Press.Google Scholar
Kelleher, C. M. (2006). The physical challenges of early breastfeeding. Social Science and Medicine, 63, 27272738.Google Scholar
Knaak, S. (2010). Conceptualising risk, constructing choice: breastfeeding and good mothering in risk society. Health, Risk and Society, 12(4), 345355.Google Scholar
Lawrence, G., Kearins, O., Lagord, C., Cheung, S., Sidhu, J., & Sagar, C. (2011). The Second All Breast Cancer Report. Focussing on Inequalities: Variation in Breast Cancer Outcomes with Age and Deprivation. London, UK: National Cancer Intelligence Network.Google Scholar
Lee, E. (2007). Health, morality, and infant feeding: British mothers’ experiences of formula milk use in the early weeks. Sociology of Health and Illness, 29(7), 10751090.Google Scholar
Lee, E. (2008). Living with risk in the age of “intensive motherhood”: Maternal identity and infant feeding. Health, Risk & Society, 10, 467477.Google Scholar
Leeming, D. (2018). Managing the dynamics of shame in breastfeeding support. In Dowling, S., Pontin, D., & Boyer, K. (Eds.), Social Experiences of Breastfeeding: Building Bridges between Research, Policy and Practice (pp. 2338). Bristol: Policy Press.Google Scholar
Leeming, D., Williamson, I., Lyttle, S., & Johnson, S. (2013). Socially sensitive lactation: Exploring the social context of breastfeeding. Psychology and Health, 28, 450468.Google Scholar
Lippman, A. (1999). Choice as a risk to women’s health. Health, Risk and Society, 1, 281291.Google Scholar
Locke, A. (2009). Natural versus taught: Competing discourses in antenatal Breastfeeding workshops. Journal of Health Psychology, 14(3), 435446.Google Scholar
Locke, A. (2012). Preparing women to breastfeed: Teaching breastfeeding in prenatal classes in the United Kingdom. In Hall Smith, P., Hausman, B. L., & Labbok, M. (Eds.), Beyond Health, Beyond Choice: Breastfeeding Constraints and Realities (pp. 110119). Chapel Hill, NC: Rutgers Press.Google Scholar
Locke, A. (2015). Agency, “good motherhood” and “a load of mush”: Constructions of baby-led weaning in the press. Women’s Studies International Forum, 53, 139146.Google Scholar
Locke, A. (2018). Parenting ideologies, infant feeding and popular culture. In Dowling, S., Pontin, D., & Boyer, K. (Eds.), Social Experiences of Breastfeeding: Building Bridges between Research, Policy and Practice (pp. 147162). Bristol: Policy Press.Google Scholar
Locke, A. & Budds, K. (2013). “We thought if it’s going to take two years then we need to start that now”: Age, probabilistic reasoning and the timing of pregnancy in older first-time mothers. Health, Risk and Society, 15(6–7), 525542.Google Scholar
Lorde, A. (1997). The Cancer Journals: Special Edition. San Francisco, CA: Aunt Lute Books.Google Scholar
Lupton, D. (1999). Risk. London: Routledge.Google Scholar
Maclachlan, M. (2004). Embodiment: Clinical, Critical and Cultural Perspectives on Health and Illness. Milton Keynes: Open University Press.Google Scholar
Marks, D. (2002). The Health Psychology Reader. London: Sage.Google Scholar
Matarazzo, J. D. (1980). Behavioral health and behavioral medicine: Frontiers for a new health psychology. American Psychologist, 35(9), 807817, doi:10.1037/0003-066X.35.9.807.Google Scholar
Matlin, M. W. (2008). The Psychology of Women, 6th Ed. Belmont, CA: Thomson Wadsworth.Google Scholar
Millsted, R. & Frith, H. (2003). Being large-breasted: Women negotiating embodiment. Women’s Studies International Forum, 26(5), 455465.Google Scholar
Montalto, S. A., Borg, H., Buttigieg-Said, M., & Clemmer, E. J. (2010). Incorrect advice: The most significant negative determinant on breast feeding in MaltaMidwifery26(1), e6e13.CrossRefGoogle Scholar
Morrison, V. & Bennett, P. (2016). An Introduction to Health Psychology, 4th Ed. Harlow: Pearson.Google Scholar
Murphy, E. (1999). “Breast is best”: Infant feeding and maternal deviance. Sociology of Health and Illness, 21, 187208.Google Scholar
Murray, M. (2015). Critical Health Psychology, 2nd Ed. Basingstoke: Palgrave Macmillan.Google Scholar
National Health Service (September, 2019). www.nhs.uk/conditions/breast-cancer/.Google Scholar
Nwandison, M. & Bewley, S. (2006). What is the right age to reproduce? Fetal and Maternal Medicine Review, 17, 185204.Google Scholar
Ogden, J. (2019). Health Psychology, 6th Ed. New York, NY: McGraw-Hill Education.Google ScholarPubMed
Parton, C., Ussher, J. M., & Perz, J. (2017). Women’s constructions of heterosex and sexual embodiment after cancer. Feminism & Psychology, 27(3), 298317.Google Scholar
Phipps, A. (2014). The Politics of the Body: Gender in a Neoliberal and Neoconservative Age. Cambridge: Polity Press.Google Scholar
Prochaska, J. O. & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 3848.CrossRefGoogle ScholarPubMed
Reardon, R. & Grogan, S. (2011). Women’s reasons for seeking breast reduction: A qualitative investigation. Journal of Health Psychology, 16, 3141.Google Scholar
Rubin, L. R. & Tanenbaum, M. (2011). “Does that make me a woman?” Breast cancer, mastectomy, and breast reconstruction decisions among sexual minority women. Psychology of Women Quarterly, 35(3), 401414.Google Scholar
Rúdólfsdóttir, A. G. & Jóhannsdóttir, Á. (2018). Fuck patriarchy! An analysis of digital mainstream media discussion of the #FreetheNipple activities in Iceland in March 2015. Feminism & Psychology, 28(1), 133151.Google Scholar
Rumsey, N. & Harcourt, D. (2005). The Psychology of Appearance. Milton Keynes: Open University Press.Google Scholar
Ryan, R. M. & Deci, E. L. (2012). Multiple identities within a single self: A self-determination theory perspective on internalization within contexts and cultures. In Leary, M. R. & Tangney, J. P. (Eds.), Handbook of Self and Identity (p. 225246). New York, NY: Guilford Press.Google Scholar
Seymour-Smith, S. (2008). “Blokes don’t like that sort of thing”: Men’s negotiation of a “troubled” self-help group identity. Journal of Health Psychology, 13(6), 785797.Google Scholar
Seymour-Smith, S., Wetherell, M., & Phoenix, A. (2002). “My wife ordered me to come!” A discursive analysis of doctors’ and nurses’ accounts of men’s use of general practitioners. Journal of Health Psychology, 7(3), 253267.Google Scholar
Sisco, M., Du, H., Warner, J. P., Howard, M. A., Winchester, D. P., & Yao, K. (2012). Have we expanded the equitable delivery of postmastectomy breast reconstruction in the new millennium? Evidence from the National Cancer Database. Journal of the American College of Surgeons, 215, 658666.Google Scholar
Smyth, L. (2018). Breastfeeding’s emotional intensity: The moral politics of health promotion. In Dowling, S., Pontin, D., & Boyer, K. (Eds.), Social Experiences of Breastfeeding: Building Bridges between Research, Policy and Practice (pp. 3954). Bristol: Policy Press.Google Scholar
Stets, J. E. & Burke, P. J. (2005). Identity theory and social identity theory. Social Psychology Quarterly, 63(3), 224237.Google Scholar
Tajfel, H. & Turner, J. C. (1985). The social identity theory of intergroup behaviour. In Worchel, S. & Austin, W. G. (Eds.), Psychology of Intergroup Relations (pp. 724). Chicago, IL: Nelson-Hall.Google Scholar
Thompson, A. E., Anisimowicz, Y., Miedema, B., Hogg, W., Wodchis, W. P., & Aubrey-Bassler, K. (2016). The influence of gender and other patient characteristics on health care-seeking behaviour: A QUALICOPC studyBMC Family Practice17, article 38, doi:10.1186/s12875–016-0440-0.Google Scholar
Tugwell, S. (2019). Breastfeeding selfies as relational practice: Becoming a maternal subject in the digital age: a single case study. International Breastfeeding Journal, 14, article 23, doi:10.1186/s13006–019-0218-9.Google Scholar
Ussher, J. (2006). Managing the Monstrous Feminine: Regulating the Reproductive Body. London: Routledge.Google Scholar
Wall, G. (2001). Moral constructions of motherhood in breastfeeding discourse. Gender and Society, 15, 592610.Google Scholar
Wallston, B. S., Wallston, K. A., Kaplan, G. D., et al. (1976). The development and validation of the health related locus of control (HLC) scale. Journal of Consulting and Clinical Psychology, 44, 580585.Google Scholar
Wilkinson, S. (2001). Breast cancer: Feminism, representations and resistance – a commentary on Dorothy Broom’s “Reading breast cancer.” Health, 5(2), 269277.CrossRefGoogle Scholar
Williams, S. J. (1996). The vicissitudes of embodiment across the chronic illness trajectory. Body and Society, 2, 2347.Google Scholar
Wolf, J. B. (2007). Is breast really best? Risk and total motherhood in the national breastfeeding awareness campaign. Journal of Health, Politics, Policy and Law, 32, 595636.Google Scholar
Wolf, J. B. (2010). Is Breast Best? Taking on the Breastfeeding Experts and the New High Stakes of Motherhood. New York, NY: NYU Press.Google Scholar
Yalom, M. (1997). A History of the Breast. New York, NY: Alfred A. Knopf.Google Scholar
Young, I. M. (1990). Breasted experience: The look and feeling. In Young, I. M. (Ed.), Throwing Like a Girl and Other Essays on Feminist Philosophy and Social Theory (pp. 189209). Bloomington, IN: Indiana University Press.Google Scholar
Zeiler, K. & Folkmarson Kall, L. (2015). Feminist Phenomenology and Medicine. New York, NY: New York Press.Google Scholar
Zierkiewicz, E. (2012). Mastectomy scars: Stigma, emblem or sign of disability? Analysis of principal meanings of the loss of a breast. Fizjoterapia, 20(2), 3242.Google Scholar

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