As a
student of nursing my focus is on western medical science. We are taught about evidence based practice
where to justify our actions (or inaction) high quality research should inform. There is even a hierarchy of what is
considered good evidence. The evidence
pyramid shows that as you move up, the amount of evidence lessens but the
accuracy increases.
Many high-quality studies use double blind randomized
controlled variables and in health care gender variables are always at the
forefront in considering study designs.
As I am learning gender is not simply binary in terms of male and female
but can be fluid, fixed, or can change from one identity to another. Joan Scotts’ article “Gender: A Useful
Category of Historical Analysis”, opened my eyes on how we categorize gender
(1986). I feel it important to clarify
her definition of gender:
What is Gender?
Scott defines gender having two parts and several subsets:
1.
Gender is a constitutive element of social
relationships based on the perceived differences between male and female.
2.
Gender is a primary way of signifying
relationships of power.
a.
Culturally available symbols – mother earth,
phallus, etc
b.
Normative concepts that try to limit these
symbols.
c.
Kinship, economics, and politics influence ideas
of gender
d.
Subjective identity – how one sees themselves
My understanding of her concept of gender is that it is
contextual, informed by societal norms, and simply cannot be categorized as
male or female. I am not totally
ignorant that gender identity is complex as I am aware of categories propagated
by media in terms of the LGBTQ community.
Delving into a category of my own, which is simply male, I begin to
question what this means. Have I
succumbed to the social and stereotypical norm of masculine male that I have restricted
my introspection to only include what is “acceptable” to be a man? Personally, Scotts definition has opened my
eyes on what defines me. Is it the
outside telling me who to be, or is it truly what is inside that is being
evoked.
Going back to the issue of gender when it comes to
scientific enquiry I now rethink what this can do for future study. Interestingly, the European Union commissioned
an inquiry into this issue titled Gender in Research (European Commission, 2001). Although dated, it put forth some compelling
arguments as to the future study considering gendered issues. As Western sciences have a masculine character,
gender stereotypes dominate scientific discourse, and this gender bias is
shaping the scientific agenda which also is male dominated(European Commission,
2001). According to Schiebinger (1999), sustainable science needs to be
pragmatic in that it considers goals and outcomes from a gendered perspective.
It also requires the recognition of socio-economic elements to provide
entry-points for the identification of gender impacts. This gives me hope that as we change and
learn more on gendered inequities, science is slowly trying to identify ways to
accommodate.
In Canada, there is a program called Gender-Based
Analysis Plus (GBA+) that allows people to report on policies, programs,
initiatives or services that you feel are impacting gendered groups. They do admit that the service is underused
and are looking for improvements.
As I continue with my education and seek to provide
evidenced based practice I will continue to critique and look for gender appropriate
information.
References
European Commission (2001). Gender in Research, retrieved
from: http://ec.europa.eu/research/pdf/gender-in-research-synthesis-report_en.pdf
Schiebinger, L. (1999) Has feminism changed science?
Cambridge: Harvard University Press +
12, 201-206.
Scott, J. (1986) Gender: A Useful Category of Historical
Analysis. The American Historical Review
91(5) 1053-1075.
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