Browsing by Author "Niland, Patricia Ruth"
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- ItemMetaphors of menopause in medicine : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University, Wellington, New Zealand(Massey University, 2010) Niland, Patricia RuthMedical textbooks have previously represented women’s bodies and menopause life transitions by using notions of ‘machine productivity’ and ‘machine breakdown’ (Martin, 1987). This study aimed to explore whether these representations have changed, especially given recent HRT clinical trial results. Eight relevant compulsory medical textbooks for first and second year medical students at two New Zealand Universities were identified. A Foucauldian discourse analysis (Parker, 1990) was undertaken on relevant content to identify representations of menopause, HRT, women’s bodies, and ageing. Five major discourses were employed in the textbooks in descriptions of menopause and HRT: failure, estrogen deficiency as disease; HRT as saviour; obscurity and the new discovery discourse. Menopause continues to be represented as resulting from a ‘failure’ of a machine-like body. Although the recent HRT clinical trials were reported as a serious risk factor in half of the textbooks, HRT was also represented as a saviour particularly against postmenopausal osteoporosis. The discovery of ‘new’ drugs to ‘treat’ HRT and the ‘postmenopausal’ patient were heralded with much excitement. Medical textbooks continue to use failure discourses to describe women’s bodies at menopause. New risk-based HRT assessments for ‘patients’ with menopause ‘symptoms’ are promoted. These portrayals reinforce linear and reductionist ways of thinking about menopause and women at midlife and provide few spaces for resistance or alternative constructions to more accurately reflect women’s embodied worlds.
- ItemYoung adults' friendships : over a network, over a drink : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy at Massey University, Wellington, New Zealand(Massey University, 2014) Niland, Patricia RuthFriendship is a crucial relationship for young adults, yet their own sense-making of friendship within their everyday social lives remains under-explored. As a social practice, friendship is constituted through people’s shared meanings within everyday contexts. Two central social contexts for young adults are social networking sites (SNSs) and drinking. It was theorised that young adults bring shared friendship meanings to these contexts which, in turn, engage with their friendship practices, and these interactions are key to young adults’ understandings of friendship. The aims of this research were firstly to explore young adults’ friendships in relation to their uses of SNSs; secondly, to explore their friendships in relation to their drinking practices; and thirdly, to explore their uses of SNSs within the context of their drinking and friendships. Twelve same and mixed-gender friendship discussion groups were conducted with fifty-one New Zealand European young adults (18-25 years). Seven participants also showed the researcher their own Facebook pages in individual interviews. This method is a form of a ‘go-along’ walking tour of an informant’s significant places, adapted to navigating through an online SNS space. Foucauldian discursive analyses identified that friendship was constructed through discourses of ‘social pleasure’, ‘time and effort’, ‘protection’ and ‘self-authenticity’. These friendship discourses were enacted in particular ways within Facebook and within drinking practices, involving pleasures and tensions that threatened and challenged friendships. Friendship as ‘social pleasure’ was a primary shared meaning to appropriate Facebook, and to engage in drinking practices. Uses of Facebook, however, required friends to perform intensive friendship response, protection, privacy and identity work, and drinking also required friends’ protection from drinking harms. Friendship tensions were demonstrated in the effort required to maintain a ‘bad but good overall’ drinking night and to always have positive drinking photo displays; effectively airbrushing drinking practices offline and online. This research provides new knowledge of the complexities and work involved for young adults to ‘do’ their friendships within a technologically mediated social world, and within an entrenched societal drinking culture. This research contributes key insights for health initiatives (particularly alcohol harm-reduction strategies) that seek to promote healthier lives for young adults.