Archives
Constructing menopause knowledge through socio-material practices
Marilys Guillemin
Centre for the Study of Health and Society, School of Population Health, University of Melbourne, Victoria, Australia
Abstract
Constructivist critiques of the concept of menopause as hormone deficiency argue that menopause is a social construction, saturated with political and professional concerns. Extending this critique, I employ an interactionist science studies approach focussing on generating knowledge through practices. Locating the analysis in the menopause clinic, several key practices of the clinic are examined to show how the particular understanding of menopause as hormone deficiency is constructed and generated through the working of these practices. Focussing on these socio-material practices and interactions reveals how this particular understanding of menopause is shaped and stabilised. Directing attention to how particular knowledge claims come about makes visible that these are only one of many possible outcomes, thus opening up potential reconstructions of both current practices and prevailing knowledge claims.
References
Becker, H. S. and McCall, M. M. (1990) Symbolic interaction and cultural studies,
Chicago: University of Chicago Press.
Cabot, S. (1991) Menopause. Hormone replacement therapy and its natural
alternatives, Melbourne: Women's Health Advisory Service.
Callon, M. (1985) 'Some elements of a sociology of translation: Domestication of the
scallops and the fishermen of St. Brieuc Bay' in J. Law (ed), Power, action and belief: A
new sociology of knowledge?, London: Routledge & Kegan Paul, 196-233.
Callon, M. (1991) 'Techno-economic networks and irreversibility' in J. Law (ed), A
sociology of monsters. Essays on power, technology and domination, London & New
York: Routledge, 132-164.
Clarke, A. and Fujimura, J. H. (1992) The right tools for the job. At work in the
twentieth century life sciences, Princeton, NJ: Princeton University Press.
Clarke, A. E. (1989) 'A social worlds research adventure. The case of reproductive
science' in T. Gieryn and S. Cozzens (eds), Theories of science in society,
Bloomington, Indiana: University of Indiana Press, 15-42.
Clarke, A. M. and Gerson, E. M. (1990) 'Symbolic interactionism in social studies of
science' in H. S. Becker and M. M. McCall (eds), Symbolic interaction and cultural
studies, Chicago: Chicago University Press, 179-214.
Coney, S. (1991) The menopause industry. A guide to medicine's 'discovery' of mid-life
women, Auckland: Penguin.
Denzin, N. K. (1992) Symbolic interactionism and cultural studies. The politics of
interpretation, Oxford & Cambridge: Blackwell.
Fujimura, J. H. (1992) 'Crafting science: Standardized packages, boundary objects and
"translation"' in A. Pickering (ed), Science as practice and culture, Chicago & London:
University of Chicago Press, 168-214.
Grady, D., S. Cummings, et al. (1992) 'Guidelines for counselling postmenopausal
women about preventive hormone therapy' Annals of Internal Medicine 117, 1038-
1041.
Grady, D., S. Rubin, et al. (1992) 'Hormone therapy to prevent disease and prolong life
in postmenopausal women' Annals of Internal Medicine 117, 1016-1037.
Greer, G. (1991) The change. Women, aging and the menopause, London: Hamish
Hamilton.
Guillemin, M. (1996) Unravelling the account of menopause as hormone deficiency:
Working practices of the menopause clinic. Unpublished doctoral dissertation,
University of Melbourne, Melbourne.
Klein, R. (1992) 'Menopause malpractice: What's new about Hormone Replacement
Therapy' In R. Sorger (ed), A critical look at Hormone Replacement Therapy,
Melbourne: Healthsharing Productions, 21-26.
Latour, B. (as J. Johnson) (1988) 'Mixing humans and nonhumans together: The
sociology of a door-closer' Social Problems 35(3), 298-310.
Law, J. and Mol, A. (1995) 'Notes on materiality and sociality' The Sociological Review
43, 274-294.
MacPherson, K. I. (1981) 'Menopause as disease: The social construction of a
metaphor' Advances in Nursing Science 3(2), 95-113.
Marsh, M. S. and Whitehead, M I. (1992) 'Management of the menopause' British
Medical Bulletin 48(2), 426-457.
McCrea, F. B. (1983) 'The politics of menopause: The "discovery" of a deficiency
disease' Social Problems 31 (1), 111-123.
Melton, J. L. (1990) 'Epidemiology of osteoporosis: Predicting who is at risk' Annals of
the New York Academy of Sciences 592(13 June), 295-306.
Petchesky, R. P. (1987) 'Fetal images: The power of visual culture in the politics of
reproduction' in M. Stanworth (ed), Reproductive technologies: Gender, motherhood
and medicine, Minneapolis: University of Minnesota Press, 57-80.
Sartoris, D. J., Moscona, A., Resnick, D. (1990) 'Progress in radiology: Dual-energy
radiographic absorptiometry for bone densitometry' Annals of the New York Academy
of Sciences 592 (June 13), 307-325.
Sheehy, G. (1992) The silent passage, London: Fontana.
Star, S. L. and Griesemer, J. (1989) 'Institutional ecology, 'translations' and boundary
objects: Amateurs and professionals in Berkeley's Museum of Vertebrate Zoology,
1907-1939' Social Studies of Science 19, 387-420.
Strauss, A. L. (1991) Creating sociological awareness. Collective images and symbolic
representations, New Brunswick, NJ: Transaction Publishers.
Strauss, A. L. (1994) Continual permutations of action, New York: Aldine de Gruyter.
Strauss, A. L., Fagerhaugh, S., Suczek, B., Wiener, C. (1985) The social organization of
medical work, Chicago: University of Chicago Press.
Utian, W. H. (1976) 'Scientific basis for post-menopausal estrogen therapy. The
management of specific symptoms and rationale for long term replacement' in R. Beard
(ed), The menopause. A guide to current research and practice, Baltimore: University
Park Press, 175-201.
Worcester, N. and Whatley, M H. (1992) 'The selling of HRT: Playing on the fear
factor' Feminist Review 41 (Summer), 1-26.
Wren, B. (1985) 'Oestrogen replacement therapy. The management of an endocrine
deficiency disease' Medical Journal of Australia 142 (Special supplement: 27 May), S1-
S15.

eContent Home