Exploring and Working to Resist the Gendered, Colonial Risk-Thinking Mechanisms Within and Between the Child Welfare and Healthcare Systems

Authors

  • Meredith Berrouard School of Social Work, Wilfrid Laurier University

Abstract

This paper critically examines the experiences of new mothers connected to both the child welfare and healthcare systems in a mid-sized city in Ontario, Canada. An anonymized practice exemplar illustrates the oppressive, traumatic nature of hospital perinatal care experiences for many new mothers. Drawing on Foucault’s work, as well as risk theory, post-structural feminism and critical race theory, this scenario is analyzed in order to highlight the problematic gendered, neoliberal and colonial disciplinary discourses upheld within and between the child welfare and healthcare systems related to risk and “good” motherhood; the unquestioned power and paternalistic nature of the medical system; and how these power relations, practices and discourses play out in the lives and experiences of certain women in very harmful and oppressive ways. Ultimately, the paper argues that disciplinary discourses related to risk, and privileged Eurowestern ideals around “good” mothering upheld within and between the child welfare and healthcare systems impact on the lives, bodies and subjectivities of Indigenous mothers in particularly harmful ways. The paper concludes by discussing a feminist anti-carceral social work framework, as well as the concept of cultural humility. It argues that for white settler child welfare workers in particular, engaging in practice with these frameworks in mind is one way that child welfare workers can begin to combat the harmful practices and discourses that exist within and between their system of practice and other State institutions.

References

Blackstock., C., Trocme, N., & Bennett, M. (2004). Child Maltreatment Investigations Among Aboriginal and Non-Aboriginal Families in Canada. Violence Against Women, 10(8), 901-906.

Bolton, S. C. (2005). ‘Making up Managers’: The Case of NHS Nurses. Work, Employment and Society, 19(1), 5-23.

Brown, D. (2006). Working the System: Re-Thinking the Institutionally Organized Role of Mothers and the Reduction of “Risk” in Child Protection Work. Social Problems, 53(3), 357-371.

Browne, A. J. (2007). Clinical Encounters between Nurses and First Nations Women in a Western Canadian Hospital. Social Science and Medicine, 64, 2165-2176.

Browne, A. J. (2005). Discourses Influencing Nurses’ Perceptions of First Nations Patients. Canadian Journal of Nursing Research, 37(4), 62-87.

Cull, R. (2006). Aboriginal Mothering Under the State’s Gaze. In D. M. Lavell-Harvard & J. Corbiere Lavell (Eds.), “Until Our Hearts are on the Ground”: Aboriginal Mothering, Oppression, Resistance and Rebirth, (141-156). Toronto: Demeter Press.

Davies, B., Browne, J., Gannon, S., Hopkins, L., McCann, H., & Wihlborg, M. (2006) Constituting the Feminist Subject in Poststructural Discourse. Feminism and Psychology,16(1), 87-103.

Fischer-Borne, M., Cain, J. M., & Martin, S. L. (2015). From Mastery to Accountability: Cultural Humility as an Alternative to Cultural Competence. Social Work Education, 34(2), 165-181.

Fiske, J., & Browne, A. J. (2006). Aboriginal Citizen, Discredited Medical Subject: Paradoxical Constructions of Aboriginal Women’s Subjectivity in Canadian Health Care Policies. Policy Sciences, 39, 91-111.

Foucault, M. (1979). The Body of the Condemned. In M. Foucault, Discipline and Punish: The Birth of The Prison. New York: Vintage Books.

Foucault, M. (1997a). The subject and power. In J. Faubion (ed.), Michel Foucault The Essential Works 1954- 1984,Vol. III. Power. New York: The New Press, 326-348.

Foucault, M. (1997b). Governmentality. In J. Faubion (ed.), Michel Foucault The Essential Works 1954-1984, Vol. III, Power. New York: The New York Press, 201-222.

Gillies, V. (2005). Meeting Parents’ Needs? Discourses of ‘Support’ and ‘Inclusion’ in Family Policy. Critical Social Policy, 25(1), 70-90.

Gosselin, C. (2006). “They Let Their Kids Run Wild”: The Policing of Aboriginal Mothering in Quebec. In D. M. Lavell-Harvard & J. Corbiere Lavell (Eds.), “Until Our Hearts are on the Ground”: Aboriginal Mothering, Oppression, Resistance and Rebirth, (196-207). Toronto: Demeter Press.

Greene, S. (2006). Becoming Responsible: Young Mothers’ Decision Making Regarding Motherhood and Abortion. Journal of Progressive Human Services, 17(1), 25-43.

Greene, S. (2008). Embodied Exclusion: Young Mothers’ Experiences of Exclusion from Formal and Informal Sexual Health Education. Atlantis, 32(2), 124-135.

Greenwood, M., & De Leeuw, S. (2006). Fostering Indigeneity: The Role of Aboriginal Mothers and Aboriginal Early Child Care in Response to Colonial Foster Care Investigations. In D. M. Lavell-Harvard & J. Corbiere Lavell (Eds.), “Until Our Hearts are on the Ground”: Aboriginal Mothering, Oppression, Resistance and Rebirth, (173-183). Toronto: Demeter Press.

Harvey, D. (2005). A Brief History of Neoliberalism. New York: Oxford University Press.

Henderson, A., Harmon, S., & Houser, J. (2010). A New State of Surveillance? Applying Michel Foucault to Modern Motherhood. Surveillance and Society, 7(3/4), 231-247.

Jackson, D., & Mannix, J. (2004). Giving Voice to the Burden of Blame: A Feminist Study of Mothers’ Experiences of Mother Blaming. Journal of Nursing Practice, 10, 150-158.

Jacobs, L. A., Kim, M. E., Whitfield, D. L., Gartner, R. E., Panichelli, M., Kattari, S. K., Downey, M. M., McQueen, S. S., & Mountz, S. E. (2020, October 1). Defund the Police: MovingTowards an Anti-Carceral Social Work. D-Scholarship @ Pitt. http://d-scholarship.pitt.edu/39769/.

Jaremko Bromwich, R. (2015). Foundations in the Project: The Project in Conversation. In R. Jaremko Bromwich (ed.), Looking for Ashley: Re-Reading What the Smith Case Reveals about the Governance of Girls, Mothers and Families in Canada, 12-63. Bradford: Demeter Press.

Kinser, A. E. (2010). An Overview of Feminist Writing on Motherhood. In Motherhood and Feminism, (1-26). California: Seal Press.

Krane, J., & Davies, L. (2000). Mothering and Child Protection Practice: Rethinking Risk Assessment. Child and Family Social Work, 5, 35-45.

Mahon, R., (2008). Varieties of Liberalism: Canadian Social Policy from the ‘Golden Age’ to Present. Social Policy and Administration, 42(4), 342-361.

Maracle, L. (1988). I am Woman: A Native Perspective on Sociology and Feminism. Vancouver: Press Gang Publishers.

McDonald-Harker, C. (2015). Mothering in the Context of Domestic Abuse and Encounters with Child Protection Services: From Victimized to “Criminalized” Mothers. In J. Minaker & B. Hogeveen (Eds.), Criminalized Mothers, Criminalizing Motherhood, (323-354). Bradford, ON: Demeter Press.

McHoul, A., & Grace, W. (1993). A Foucault Primer: Discourse, Power and the Subject. Australia: Melbourne University Press.

Minaker, J., & Hogeveen, B. (2015). From Criminalizing Mothering to Criminalized Mothers: An Introduction. In J. Minaker & B. Hogeveen (Eds.), Criminalized Mothers, Criminalizing Motherhood, (1-24). Bradford, ON: Demeter Press.

Mzinegiizhigo-Kwe Bedard, R. E. (2006). An Anishinaabe-kwe Ideology on Mothering and Motherhood. In D. M. Lavell-Harvard & J. Corbiere Lavell (Eds.), “Until Our Hearts are on the Ground”: Aboriginal Mothering, Oppression, Resistance and Rebirth, (65-75). Toronto: Demeter Press.

Oksala, J. (2016). The Neoliberal Subject of Feminism. In J. Oksala (ed.), Feminist Experiences: Foucauldian and Phenomenological Investigations, 111-126. Illinois: Northwestern University Press.

O’Reilly, A. (2004). Introduction. In. A. O’Reilly (ed.), From Motherhood to Mothering: The Legacy of Adrienne Rich’s Of Woman Born (1-26). Albany, New York: State University of New York Press.

Pollack, S. (2010). Labeling Clients “Risky”: Social Work and the Neo-Liberal Welfare State. British Journal of Social Work, 40, 1263-1278.

Pollack, S. & Rossiter, A. (2010). Neoliberalism and the Entrepreneurial Subject: Implications for Feminism and Social Work. Canadian Social Work Review, 27(2), 155-169.

Pryce, A. (2000). Frequent Observation: Sexualities, Self-Surveillance, Confession and the Construction of the Active Patient. Nursing Inquiry, 7, 103-111.

Rabinow, P., & Rose, N. (1994). The Essential Foucault: Selections from the Essential Works of Foucault 1954-1984. New York: The New York Press.

Razack, S. (2000). Dying From Improvement: Inquests and Inquiries into Indigenous Deaths in Custody. Toronto: University of Toronto Press.

Reid, C., & Tom. A. (2006). Poor Women’s Discourses of Legitimacy, Poverty and Health. Gender and Society, 20(3), 402-421.

Rhodes, L. (2019). The Colonizing Effect of Western Mental Health Discourses. Social Work and Policy Studies: Social Justice, Practice and Theory, 2(2), 1-16.

Rich, A. (1986). Of Woman Born. New York: W.W. Norton & Company.

Richie, B. E., & Martensen, K. M. (2020). Resisting Carcerality, Embracing Abolition: Implications for Feminist Social Work Practice. Affilia: Journal of Women and Social Work, 35(1), 12-16.

Rogowski, S. (2015). From Child Welfare to Child Protection/Safeguarding: A Critical Practitioner’s View of Changing Conceptions, Policies and Practice. Social Work in Action, 27(2), 97-112.

Rose, N. (1996). The Death of the Social? Re-Figuring the Territory of the Government. Economy and Society, 25(3), 327-356.

Rose, N. (2000). Government and Control. British Journal of Criminology, 40, 321-339.

Savarese, J. L. (2015). Theorizing Soft Criminalization in the Child Welfare System: An Analysis of Re S.F. In J. Minaker & B. Hogeveen (Eds.), Criminalized Mothers, Criminalizing Motherhood, (88-111). Bradford, ON: Demeter Press.

Schram, S. F., & Silverman, B. (2012). The End of Social Work: Neoliberalizing Social Implementation. Critical Policy Studies, 6(2), 128-145.

Smith, A. (2015). “Better Dead than Pregnant”: The Colonization of Native Women’s Reproductive Health. In A. Smith (ed), Conquest: Sexual Violence and American Indian Genocide, 79-93. Duke University Press.

Tervalon, M. & Murray-Garcia, J. (1998). Cultural Humility versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education. Journal of Healthcare for the Poor and Underserved, 9(2), 117-125.

Webb, S. (2006). Social Work in a Risk Society: Social and Political Perspectives. New York: Palgrave Macmillan.

Wrennall, L. (2010). Surveillance and Child Protection: De-Mystifying the Trojan Horse. Surveillance and Society, 7(3/4), 304-324.

Young, I. M. (1990). Pregnant Embodiment. In I. M. Young (ed.), Throwing Like a Girl and Other Essays in Feminist Philosophy and Social Theory, (46-62). Indiana: Indiana University Press.

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Published

2021-06-28

Issue

Section

Student edition 2021