done with it in five minutes. I am not one of those women who are into “blood and birth and death,” to quote Joan Didion’s rather extraordinary and puzzling definition of what it means to be female, but I do think that the desire to eliminate the first of these functions springs from a self-hate that is precisely parallel to the male fear of blood that underlies so many primitive taboos toward women.
In any event, the extremist fringe of the self-help movement in no way invalidates the legitimate case women have against gynecologists. These doctors are undoubtedly blamed for a great deal that is not their fault; they are, after all, dealing in reproductive and sexual areas, two of the most sensitive and emotionally charged for women. Still, I have dozens of friends who have been misdiagnosed, mismedicated, mistreated and misinformed by them, and every week, it seems, I hear a new gynecological atrocity tale. A friend who asks specifically not to be sedated during childbirth is sedated. Another friend who has a simple infection is treated instead for gonorrhea, and develops a serious infection as a side effect of the penicillin. Another woman tells of going to see her doctor one month after he has delivered her first child, a deformed baby, born dead. His first question: “Why haven’t you been to see me in two years?” Beyond all this, there are the tales of pure insensitivity to psychological problems, impatience with questions, preachy puritanism particularly toward single women, and, formarried women, little speeches on the need to reproduce. My usual reaction to these stories is to take a feminist line, blame it all on complicated sexism or simple misogyny. But what Ellen Frankfort has managed to do in
Vaginal Politics
—and what makes her book quite remarkable—is to broaden women’s health issues far beyond such narrow analyses. “The mystique of the doctor, profound as it is, is not the only negative feature of the present health system,” she writes. “Unfortunately, the women from the Los Angeles Self-Help Clinic … seemed to be focusing mainly on this aspect of the problem while ignoring the need for institutional change. Feminist politics cannot be divorced from other political realities, such as health care and safety.”
The problems women face with doctors stem not just from their own abysmal lack of knowledge about their bodies, and not just from female conditioning toward male authority figures. (The classic female dependency on the obstetrician, Frankfort notes, transfers at childbirth to dependency on the pediatrician, all this “in perfect mimicry of the dependency relationship of marital roles.”) They stem also from inequities in the health system and from the way doctors are educated. The brutalizing, impersonal training medical students receive prepares them perfectly to turn around and treat their patients in exactly the same way: as infants. Writes Frankfort: “We feel hesitant to question their procedures, their fees or their hours, and often we’re simply grateful that we’re able to see them at all, particularly if they’re well recommended.” My sister-in-law, who is pregnant, told me the other day that she was afraid to bother her gynecologist with questions for fear of “getting on his wrong side.” As Frankfort points out: “The fear that a patient will be punished unless he or she is totally submissive reveals a profound distrust of the people in control of our bodies.”(I have, I should point out, exactly the same fears about my lawyer, my accountant, and my maid. Generally speaking, none of us is terribly good at being an employer.)
Vaginal Politics
covers a wide range of health subjects: the New York abortion scene, drugs, psychoanalysis, breast cancer, venereal disease, the law, the growth of the consumer health movement in America. At times, the tone is indignant to the point of heavy-handedness. Also, I caught several factual errors. But Frankfort has
In any event, the extremist fringe of the self-help movement in no way invalidates the legitimate case women have against gynecologists. These doctors are undoubtedly blamed for a great deal that is not their fault; they are, after all, dealing in reproductive and sexual areas, two of the most sensitive and emotionally charged for women. Still, I have dozens of friends who have been misdiagnosed, mismedicated, mistreated and misinformed by them, and every week, it seems, I hear a new gynecological atrocity tale. A friend who asks specifically not to be sedated during childbirth is sedated. Another friend who has a simple infection is treated instead for gonorrhea, and develops a serious infection as a side effect of the penicillin. Another woman tells of going to see her doctor one month after he has delivered her first child, a deformed baby, born dead. His first question: “Why haven’t you been to see me in two years?” Beyond all this, there are the tales of pure insensitivity to psychological problems, impatience with questions, preachy puritanism particularly toward single women, and, formarried women, little speeches on the need to reproduce. My usual reaction to these stories is to take a feminist line, blame it all on complicated sexism or simple misogyny. But what Ellen Frankfort has managed to do in
Vaginal Politics
—and what makes her book quite remarkable—is to broaden women’s health issues far beyond such narrow analyses. “The mystique of the doctor, profound as it is, is not the only negative feature of the present health system,” she writes. “Unfortunately, the women from the Los Angeles Self-Help Clinic … seemed to be focusing mainly on this aspect of the problem while ignoring the need for institutional change. Feminist politics cannot be divorced from other political realities, such as health care and safety.”
The problems women face with doctors stem not just from their own abysmal lack of knowledge about their bodies, and not just from female conditioning toward male authority figures. (The classic female dependency on the obstetrician, Frankfort notes, transfers at childbirth to dependency on the pediatrician, all this “in perfect mimicry of the dependency relationship of marital roles.”) They stem also from inequities in the health system and from the way doctors are educated. The brutalizing, impersonal training medical students receive prepares them perfectly to turn around and treat their patients in exactly the same way: as infants. Writes Frankfort: “We feel hesitant to question their procedures, their fees or their hours, and often we’re simply grateful that we’re able to see them at all, particularly if they’re well recommended.” My sister-in-law, who is pregnant, told me the other day that she was afraid to bother her gynecologist with questions for fear of “getting on his wrong side.” As Frankfort points out: “The fear that a patient will be punished unless he or she is totally submissive reveals a profound distrust of the people in control of our bodies.”(I have, I should point out, exactly the same fears about my lawyer, my accountant, and my maid. Generally speaking, none of us is terribly good at being an employer.)
Vaginal Politics
covers a wide range of health subjects: the New York abortion scene, drugs, psychoanalysis, breast cancer, venereal disease, the law, the growth of the consumer health movement in America. At times, the tone is indignant to the point of heavy-handedness. Also, I caught several factual errors. But Frankfort has
Similar Books
