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Thomson, Gill; Esbich-Burton, Katherine; Flacking, Renee (2014)
Publisher: Blackwell
Languages: English
Types: Article
Subjects: B900
Emotions such as guilt and blame are frequently reported by non-breastfeeding mothers, and fear and humiliation is experienced by breastfeeding mothers when feeding in a public context. In this paper we present new insights into how shame-related affects, cognitions and actions are evident within breastfeeding and non-breastfeeding women’s narratives of their experiences. As part of an evaluation study of the implementation of the UNICEF UK Baby Friendly Initiative (BFI) Community Award within two primary (community-based) care trusts in North West England, 63 women with varied infant feeding experiences took part in either a focus group or an individual semi-structured interview to explore their experiences, opinions and perceptions of infant feeding. Using a Framework Analysis approach and drawing on Lazare’s categories of shame, we consider how the nature of the event (infant feeding) and the vulnerability of the individual (mother) interact in the social context to create shame responses in some breastfeeding and non-breastfeeding mothers. Three key themes illustrate how shame is experienced and internalised through ‘exposure of women’s bodies and infant feeding methods’, ‘undermining and insufficient support’ and ‘perceptions of inadequate mothering’. The findings of this paper highlight how breastfeeding and non-breastfeeding women may experience judgement and condemnation in interactions with health professionals as well as within community contexts, leading to feelings of failure, inadequacy and isolation. There is a need for strategies and support that address personal, cultural, ideological and structural constraints of infant feeding.
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    • American Academy of Pediatrics. (2012) Breastfeeding and the use of human milk. Pediatrics 129, 827-841.
    • Barbalet, J. M. (1999) Emotion, social theory, and social structure: a macrosociological approach. Cambridge University Press: Cambridge.
    • Blum, L. (2000) At the breast: Ideologies of breastfeeding and motherhood in the contemporary United States. Beacon Press: Boston.
    • Burns, E., Fenwick, J., Sheehan, A., & Schmied, V. (2013) Mining for liquid gold: midwifery language and practices associated with early breastfeeding support. Maternal and Child Nutrition 9, 57-73.
    • Department of Health (2014) Maternity and early years: making a good start to family life. Retrieved from http://dera.ioe.ac.uk/1833/1/dh_115021.pdf.
    • Dykes, F. (2005a) A critical ethnographic study of encounters between midwives and breastfeeding women in postnatal wards in England. Midwifery 21, 241-252.
    • Dykes, F. (2005b) 'Supply' and 'demand': breastfeeding as labour. Social Science & Medicine 60, 2283-2293.
    • Dykes, F. (2007) 'Resisting the gaze': the subversive nature of breastfeeding. In: Exploring the 'dirty' side of women's health (Eds M. Kirkham), Routledge: London.
    • Dykes, F., & Flacking, R. (2010) Encouraging breastfeeding: a relational perspective. Early Human Development 86, 733-736.
    • Dykes, F., Richardson-Foster, H., Crossland, N., & Thomson, G. (2012) 'Dancing on a thin line': evaluation of an infant feeding information team to implement the WHO code of marketing of breast-milk substitutes. Midwifery 28, 765-771.
    • Flacking, R., Nyqvist, K. H., & Ewald, U. (2007) Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. European Journal of Public Health 17, 579-584.
    • Foot, J. (2012). What makes us healthy? The asset approach in practice: evidence, action, evaluation. from http://www.assetbasedconsulting.co.uk/uploads/publications/WMUH.pdf
    • Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology 13, 117.
    • Gilbert, P. (2000) The Relationship of Shame, Social Anxiety and Depression: the Role of the Evaluation of Social Rank. Clinical Psychology & Psychotherapy 7, 174-189.
    • Gilbert, P., & McGuire, M. (1998) Shame, Status, and Social Roles. Psychobiology and Evolution. In: Shame. Interpersonal Behavior, Psychopathology, and Culture (Eds P. Gilbert & B. Andrews), Oxford University Press: New York.
    • Gribble, K., & Gallagher, M. (2014) Rights of children in relation to breastfeeding in child protection cases. British Journal of Social Work. doi: 10.1093/bjsw/bcu004
    • Hauck, Y. L., & Irurita, V. F. (2002) Constructing compatibility: managing breast-feeding and weaning from the mother's perspective. Qualitative Health Research 12, 897-914.
    • Hoddinott, P., Craig, L. C., Britten, J., & McInnes, R. M. (2012) A serial qualitative interview study of infant feeding experiences: idealism meets realism. BMJ Open. 10.1136/bmjopen-2011-000504
    • Kaufman, G. (1996) The psychology of shame: theory and treatment of shame-based syndromes. (2 ed.). Springer: New York.
    • Lakshman, R., Ogilvie, D., & Ong, K. K. (2009) Mothers' experiences of bottle-feeding: a systematic review of qualitative and quantitative studies. Archives of Disease in Childhood 94, 596-601.
    • Lazare, A. (1987) Shame and humiliation in the medical encounter. Archives of Internal Medicine 147, 1653-1658.
    • Lee, E. (2007) Health, morality, and infant feeding: British mothers' experiences of formula milk use in the early weeks. Sociology of Health and Illness 29, 1075-1090.
    • Lewis, H. (1971) Shame and Guilt in Neurosis. International Universities Press: New York.
    • Lynd, H. (1958) On Shame and the Search for Identity. Science Editions, Inc: New York.
    • McAndrew, F., Thompson, J., Fellows, L., Large, A., Speed, M., & Renfrew, M. (2012) Infant Feeding Survey 2010. Health and Social Care Information Centre: UK.
    • Murphy, E. (1999) 'Breast is best': infant feeding decisions and maternal deviance. Sociology of Health and Illness 21, 187-208.
    • Murray, L., & Cooper, P. (1997) Effects of postnatal depression on infant development. Archives of Disease in Childhood 77, 99-101.
    • Niedenthal, P. M., Tangney, J. P., & Gavanski, I. (1994) "If only I weren't" versus "if only I hadn't": distinguishing shame and guilt in counterfactual thinking. Journal of Personality and Social Psychology 67, 585-595.
    • Ritchie, J., & Lewis, J. (2003) Qualitative research practice: a guide for social science students and researchers. . Sage: London.
    • Royal College of Midwives. (2012). Maternal emotional wellbeing and infant development: a good practice guide for midwives. Retrieved Feb 2014, from http://www.rcm.org.uk/college/your-career/information-services/resources/
    • Rubin, R. (1968) Body image and self-esteem. Nursing Outlook 16, 20-23.
    • Rubin, R. (1984) Maternal Identity and the Maternal Experience. Springer Publishing Co.: New York.
    • Scheff, T. J. (1997) Emotions, the social bond, and human reality: part/whole. Cambridge University Press: Cambridge.
    • Schmied, V., & Barclay, L. (1999) Connection and pleasure, disruption and distress: women's experience of breastfeeding. Journal of Human Lactation 15, 325-334.
    • Schmied, V., Beake, S., Sheehan, A., McCourt, C., & Dykes, F. (2011) Women's perceptions and experiences of breastfeeding support: a metasynthesis. Birth 38, 49-60.
    • Stockdale, J., Sinclair, M., Kernohan, G., & Keller, J. (2011) Understanding motivational theory and the psychology of breastfeeding. In: Theory for Midwifery Practice. (Eds R. Bryar & M. Sinclair), Social Science Research Unit: London.
    • Tangney, J. P., Miller, R. S., Flicker, L., & Barlow, D. H. (1996) Are shame, guilt, and embarrassment distinct emotions? Journal of Personality and Social Psychology 70, 1256-1269.
    • Tantam, D. (1998) The emotional disorders of shame. In: Shame: Interpersonal behaviour, psychopathology and culture. (Eds P. Gilbert & B. Andrews), Oxford University Press: New York.
    • Taylor, E., & Wallace, L. (2012) For shame: feminism, breastfeeding advocacy, and maternal guilt. Hypatia 27, 76-98.
    • The National Board of Health and Welfare (2012) Breast-feeding and smoking habits among parents of infants born in 2010. Centre for Epidemiology: Stockholm.
    • Thomson, G., Bilson, A., & Dykes, F. (2012) Implementing the WHO/UNICEF Baby Friendly Initiative in the community: a 'hearts and minds' approach. Midwifery 28, 258-264.
    • Thomson, G., Crossland, N., & Dykes, F. (2012) Giving me hope: women's reflections on a breastfeeding peer support service. Maternal and Child Nutrition 8, 340-353.
    • Thomson, G., & Dykes, F. (2011) Women's sense of coherence related to their infant feeding experiences. Maternal and Child Nutrition 7, 160-174.
    • World Health Organization (2003) Global Strategy for Infant and Young Child Feeding. WHO: Geneva.
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