Dr Hannah Frith


Principal Teaching Fellow
SFEA, CPsychol, PhD
+44 (0)1483 689433
22 AC 04

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Postgraduate research supervision

Completed postgraduate research projects I have supervised

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Publications

Introduction: Teachers are often faced with incidences of young people who self-harm but can feel ill-equipped to offer support. The United Kingdom (UK) government state that all staff working in schools should be trained on how to deal with self-harm, yet a large proportion of teachers identify a lack of training as a barrier to supporting students. Barriers to receiving training are a lack of time and resource in schools.

Aim: This study seeks to investigate whether a bespoke eLearning module, designed for UK secondary school teachers, helps to increase knowledge and confidence in supporting young people who self-harm.

Method: Twenty-one schools across the West Midlands and South West of England were contacted via email and invited to complete a 30-minute web-based eLearning module on self-harm in schools. Participants were also invited to complete pre-and post-intervention measures and a follow-up questionnaire. The data was analysed using non-parametric statistics and the free-text comments using Thematic Content Analysis.

Results: 173 teachers completed the eLearning and pre-and post-measures and 16 completed a follow-up questionnaire. The eLearning significantly enhanced participants’ perceived knowledge, actual knowledge and confidence in talking to and supporting young people who self-harm. 90.7% of participants felt that eLearning was a good way to receive training. The following themes emerged from the qualitative data: Learning about self-harm is important; eLearning is convenient and accessible; eLearning is less engaging than other modes of training delivery; Training improved my confidence and understanding; The module could be enhanced with further detail and guidance; Wanting ongoing support.

Introduction: Prevalence studies show that fewer girls are diagnosed with Autism Spectrum Conditions (ASCs) than boys. This difference is particularly marked where there is no cognitive impairment. Some suggest that ASCs present differently between males and females, perhaps leading to delayed diagnosis in girls. A review of the literature exploring sex/gender differences found that many studies have measured the severity of ASC symptoms rather than the quality of difference. Limited research has considered the perspectives of parents on the signs noticed in their daughters and the context in which difference is noticed. Objective: This study sought to explore how parents make sense of their daughters’ behaviours and the processes by which behaviours are perceived as requiring intervention or diagnosis. Participants: Five parents whose daughters (aged 9-12 years) had recently received a diagnosis of an Autism Spectrum Condition without cognitive impairment were invited to tell their stories of diagnosis. Design: Transcripts were analysed using a narrative approach, focusing on how stories were told. Findings: Narrative themes were identified across transcripts in relation to the process by which behaviours are made sense of. Themes included: daughters only showing their ‘real self’ in safety; their distress peaking; parents questioning normality; and parents feeling blamed and unheard. Conclusions: The findings are discussed in relation to existing research and theory. Implications are discussed in relation to education and health services and UK policies. Further research into parents’ experience of judgement in relation to their child’s behaviour, and exploration of interventions for masking in girls is needed.
The experience of trauma is manually defined across the psychology profession. This study offers a relational approach to trauma, exploring the subjective experience of growth. Intimate partner violence (IPV) is recognised as a substantial public health concern within LGBTQ+ relationships, however much of the research is heterocentric in nature, which creates invisibility within research, services and society. This is the first study to look at experiences of growth in relation to same-sex IPV (SSIPV). It explores women’s lived experience of growth and emotionally abusive trauma, using Interpretative Phenomenological Analysis. Three super-ordinate themes were revealed through analysis of the data, which offer a journey across the participants’ experiences; ‘Living for the partner’, ‘Finding solid ground again’, ‘Living for the Self’. Several themes are reminiscent of existential concepts, which reflect the existential-phenomenological underpinnings of counselling psychology (CoP) and can be useful for practitioners developing a pluralistic understanding of trauma and sexuality. Generally, the findings echo research evidence on heterosexual IPV, with growth present across similar relational life domains. However, unique differences were reported through a socio-political lens, related to being embedded within a heteronormative society. These findings have implications for professionals, including how victims/survivors of SSIPV interpret their experience, relate to others and access help across services and support networks. This not only has implications for growth, but also for recovery and could keep individuals in abusive contexts for longer. Overall it is concluded the experience of growth is ongoing, embodied and intertwined with distress and the process of becoming. Growth is experienced across all existential life domains, also supporting previous research into post-traumatic growth. This study offers ways in which counselling psychologists can approach working with victims/survivors of SSIPV, with particular attention to diversity, context and subjectivity, in line with CoP values.
Hannah Frith (2015)Sexercising to orgasm: Embodied pedagogy and sexual labour in women’s magazines, In: Sexualities18(3)pp. 310-328 SAGE Publications
Positioned as the ‘peak’ of sexual experience, orgasm is packed with sociocultural meaning. Exploring the construction of orgasm in Cosmopolitan magazine in the context of the shift towards a postfeminist sexuality and the neoliberal shift towards the rational management of sex as work, this article argues that magazines offer a ‘pedagogy of the body’ by teaching women to: (1) become aware of how to touch their body; (2) strengthen muscles and master bodily responses; (3) position the body and understand how male and female bodies fit together, and (4) instruct men in how to interact with female bodies. Postfeminist, neoliberal and pedagogical discourses merge to offer explicit instruction in how to develop a ‘technology of sexiness’ by training the body to ensure orgasmic success
Hannah Frith (2017)Faking, finishing and forgetting, In: Sexualities21(4)pp. 697-701 Sexualities
Virginia Braun, Victoria Clarke, Nikki Hayfield, Hannah Frith, Helen Mason, Naomi Moller, Iduna Shah-Beckley (2018)Qualitative story completion: Possibilities and potential pitfalls, In: Qualitative Research in Psychology16(1)pp. 136-155 Routledge
Virginia Braun, Victoria Clarke, Hannah Frith, Nikki Hayfield, Helen Malson, Naomi Moller, and Iduna Shah-Beckley came together at the University of the West of England (UWE) in July 2017 to discuss and share their enthusiasm for the story completion method. Virginia nominally “led” the discussion to keep us on track. This is a transcript of the discussion, edited by the Special Issue editors, principally Hannah Frith, which we have all read and commented on. The discussion begins with the contributors introducing themselves and their experience of the story completion method. It then identifies a series of “knotty issues” about story completion which we explored: 1) what can stories tell us?; 2) research practicalities, comparative design, and sample size; 3) what happens when story completion doesn’t go to plan?; and 4) getting published. The conversation ends by considering “future possibilities for story completion research.” Our aim was not to reach consensus of definitive “answers” but to debate and gain perspective on an open issue. Hence, we reach no “conclusion” for any of these issues.
Orgasmic Bodies explores how bodily experiences of orgasm are worked up as present/absent, complicated/straightforward, too slow/too fast, fake or real, in the doing of masculinities and femininities. Engaging with both science and popular culture it examines the meanings given to orgasmic bodies in contemporary heterosex.
Hannah Frith (2017)Ejaculatory Timing and Masculine Identities: The Politics of Ab/normalising Sexual Performance, In: Edges of Identity: The Production of Neoliberal Subjectivities University of Chester Press
Dave Harley, Julie Morgan, Hannah Frith (2018)Cyberpsychology as Everyday Digital Experience across the Lifespan Palgrave MacMillan UK
Digital technologies are deeply embedded in everyday life with opportunities for information access and perpetual social contact now mediating most of our activities and relationships. This book expands the lens of Cyberpsychology to consider how digital experiences play out across the various stages of people’s lives. Most psychological research has focused on whether human-technology interactions are a ‘good’ or a ‘bad’ thing for humanity. This book offers a distinctive approach to the emergent area of Cyberpsychology, moving beyond these binary dilemmas and considering how popular technologies have come to frame human experience and relationships. In particular the authors explore the role of significant life stages in defining the evolving purpose of digital technologies. They discuss how people’s symbiotic relationship with digital technologies has started to redefine our childhoods, how we experience ourselves, how we make friends, our experience of being alone, how we have sex and form romantic relationships, our capacity for being antisocial as well as the experience of growing older and dying. This interdisciplinary book will be of great interest to scholars and practitioners across psychology, digital technology and media studies as well as anyone interested in how technology influences our behaviour.
Sexuality is a complex and multifaceted domain – encompassing bodily, contextual and subjective experiences that resist ready categorisation. To claim the sexual as a viable research object therefore raises a number of important methodological questions: what is it possible to know about experiences, practices and perceptions of sex and sexualities? What approaches might help or hinder our efforts to probe such experiences? This collection explores the creative, personal and contextual parameters involved in researching sexuality, cutting across disciplinary boundaries and drawing on case studies from a variety of countries and contexts. Combining a wide range of expertise, its contributors address such key areas as pornography, sex work, intersectionality and LGBT perspectives. The contributors also share their own experiences of researching sexuality within contrasting disciplines, as well as interrogating how the sexual identities of researchers themselves can relate to, and inform, their work. The result is a unique and diverse collection that combines practical insights on field work with novel theoretical reflections.
Hannah Frith (2020)Appearance and Society, In: Oxford Handbook of the Psychology of Appearance Oxford University Press
This article explores a number of examples of how appearance and the reading about it operate to produce class-based divisions and the different emotional registers which are used to do so. First it examines how the brief description of a woman called Teresa Bystram's appearance in Britain's largest circulation daily tabloid newspaper, The Sun positions her as a ‘chav’ — a figure which circulates through popular cultural representations and has become a pervasive term of abuse for the white poor, evoking mockery and disgust. Second, it examines how mockery, disgust, and humiliation are the emotional registers through which makeover television shows engage in symbolic violence against the working classes, before moving on to consider the implications of makeover shows which adopt a different emotional register.
Hannah Frith (2012)Narrating biographical disruption and repair: exploring the place of absent images in women’s experiences of cancer and chemotherapy, In: Visual Methods in Psychology: Using and Interpreting Images in Qualitative Research Routledge
Pictures of our first day at school, a special birthday, holidays, weddings, friends, and new additions to the family; photograph albums capture particular moments in a life. In providing opportunities for storytelling, generating laughter over outdated fashions or changing hair-styles, and allowing the rehearsal and creation of family histories, photographs are also a site for constructing a sense of the past and creating a bridge between the past, present and future. Photograph albums offer a means for narrating the lives of ourselves and of others (Van House et al., 2004; Brookfield et al., 2008) and for charting biographical continuity. In contrast, an illness, such as cancer, can provoke a sense of ‘biographical disruption’ – a critical break between past (before the illness), present and future lives (Bury, 1982). The diagnosis of an illness, and in particular cancer, forces people to experience many changes in their lives, including the reality of an uncertain future, threats to identity and sense of self, and a re-evaluation of the person’s place in the world (Frank, 1995). As such, the stories that cancer patients tell about themselves as they negotiate their way through diagnoses, treatment regimens, changed bodies, and disrupted identities are not just a way of making sense of an illness, but also a life (Mathieson and Stam, 1995). Narratives and storytelling are a medium through which people can make sense of, organise and draw together fragments of their lives into a cohesive whole, and are characterised by a temporal ordering of events (Hydén, 1997). Narratives are considered an invaluable source of experiential knowledge, a resource for developing empathy and patient-centred care, and an important conduit for aiding coping among patients (Charmez, 1999; Frank, 1995; Greenhalgh and Hurwitz, 1999). Drawing on a photographic study of women’s experiences of chemotherapy treatment for breast cancer, I consider the ways in which asking women to visually represent their lives engages them in the task of creating memories and doing ‘biographical work’ to establish the place of their illness within their identities and life worlds. Asking women to mark out particular moments as significant, invites them to enact a bittersweet experience of creating memories that they might rather forget (a cancer diagnosis can be traumatic, and chemotherapy treatment unpleasant), while documenting a move towards recovery and a re-integration of the self into ‘normal’ activities (Radley and Taylor, 2003a). Re-viewing these images and using them to narrativise their experiences during an interview calls on women to remember past events and to confront images of past selves. Against this backdrop, this chapter explores the work that women do to re-image ‘missing’ photographs, and explores the role of absent images in creating boundaries around what selves are available to be remembered. In other words, I examine how the materiality of photographs is implicated in the biographical work done by women undergoing chemotherapy treatment for cancer as they narrate their experiences. But first, I will briefly describe the study from which the data are drawn.
When orgasms are positioned by biomedical discourse as the pinnacle of healthy sexual expression, and when popular culture urges individuals to work on their sexual technique to get bigger, better, and more intense orgasmic pleasure, how do people account for the absence of orgasm? This question was explored in a qualitative study using the story completion method where participants complete the end of a story in which a male or female partner does not have an orgasm during sex. Story completion was originally developed as a projective measure within psychoanalytic traditions, designed to access people’s inner thoughts, feelings, and motivations. This case study describes the benefits of using the story completion method as a social constructionist approach to examining the sensitive topic of sexuality. Considered in this discussion is the use of ambiguous stimuli; the benefits of writing about others rather than the self; the creative method of responding; and its merits as a relative quick, cheap, and effective method of data collection. The research demonstrates how discursive imperatives including (1) placing orgasm as central to demarcating problematic from unproblematic sex, (2) emphasizing sexual skill and working technique in pleasuring one’s partner, and (3) making open communication and reciprocity pivotal to successful relationships coalesce in accounts of orgasmic absence to produce different entitlements and obligations for men and women in heterosex.
Heidl Williamson, Diana Harcourt, Emma Halliwell, Hannah Frith, Melissa Walalce (2020)Adolescents’ and Parents’ Experiences of Managing the Psychosocial Impact of Appearance Change During Cancer Treatment, In: Journal of Pediatric Oncology Nursing27(3)pp. 168-175 SAGE Publications
Using combined qualitative data from multiple case study interviews and an online survey, this study explored the impact of appearance change on 22 adolescents receiving cancer treatment aged 13 to 18 years and six of their parents. Data were analyzed using template analysis. Appearance changes were a major concern. Adolescents typically struggled to adapt to new experiences and concerns related to this highly sensitive issue. Many felt anxious and self-conscious and were reluctant to reveal appearance changes in public. These feelings were compounded by the negative reactions of others (e.g., staring, teasing, and inappropriate questioning), which sometimes lead to avoidance of social activity and threats of noncompliance. Parents of these children felt ill-prepared to manage appearance-related anxieties. Adolescents wanted support to develop the practical and social skills necessary to maintain a “normal” appearance and manage the negative responses of others. However, some adolescents showed resilience and, with support from friends and family, developed strategies to manage their altered appearance and its social consequences. These strategies are explored, which can inform interventions to support adolescents and parents.
Hannah Frith, Kate Gleeson (2008)Dressing the Body: The Role of Clothing in Sustaining Body Pride and Managing Body Distress, In: Qualitative Research in Psychology5(4)pp. 249-264 SAGE Publications
This qualitative research extends current theorizing on behavioural strategies for managing body distress by exploring how women manage body image through clothing practices. Eighty two women reported their subjective understanding of how body evaluation and clothing practices are interconnected in response to open-ended questionnaires. Thematic analysis of responses revealed that clothing practices are a mundane and agentic part of the adjustive and self-regulatory processes for managing distressing body image (cf. Cash, 2002b). Clothing is used strategically to manage bodily appearance and anxiety by hiding ‘problem areas’, accentuating ‘assets,’ and flattering the figure. Body image is actively negotiated and managed through everyday behaviours which fluctuate on ‘fat’ days and ‘thin’ days. These data illustrate the processes which underpin the active negotiation of body image and capture the fluidity of body evaluations and strategies for managing the appearance of the body. These findings raise a number of challenges for theorizing and research including the need to adopt methods which capture the dynamic interplay of body image processes, and the need to address body appreciation as well as distress.
Hannah Frith (2012)‘CONGRATS!! You had an orgasm’: Constructing orgasm on an internet discussion board, In: Feminism and Psychology23(2)pp. 252-260 SAGE Publications
Drawing on insights from conversation analysis, this article explores a discussion about orgasm on an internet forum. Critical of sex education for failing to address young women as sexual subjects with embodied desires, some feminists believe the internet offers alternative spaces for young women to discuss pleasure. I argue that the micro-political work done by offering ‘congratulations’ on one such site serves to mark young women’s orgasms as both ‘newsworthy’ and ‘good news’ in ways which simultaneously disrupt the idea that sexuality is inappropriate for young women while paradoxically reaffirming conventional ideas about the centrality of orgasm to sexuality.
Hannah Frith, Jayne Raisborough, Orly Klein (2010)C’mon girlfriend: Sisterhood, sexuality and the space of the benign in makeover TV, In: International Journal of Cultural Studies SAGE Publications
In the context of a purported shift from humiliation to the benign exemplified by the marked contrast between How to Look Good Naked and What Not to Wear, this article examines the cultural work performed by the ‘space of the benign’. We identify three main mechanisms — body appreciation, synthetic friendship and suspended sexuality — which manipulate existing constructions of female friendship and homosexuality to produce the host as the ‘gay best friend’. As such, the host sidesteps the heterosexual scopic economy while seeking to re-place women within it, and avoids the censure frequently directed at female presenters. At the same time, by coaxing women towards an acceptance of their body as is, How to Look Good Naked provides a ‘feel-good’ sense of empowerment while preserving individualistic framings of body problems and solutions. We conclude that the show rehabilitates women within the heteronormative scopic economy, and reinscribes them as neo-liberal consumers.
Hannah Frith, Jayne Raisborough, Orly Klein (2012)Making death ‘good’: instructional tales for dying in newspaper accounts of Jade Goody’s death, In: Sociology of Health and Illness35(3)pp. 419-433 Wiley
Facilitating a ‘good’ death is a central goal for hospices and palliative care organisations. The key features of such a death include an acceptance of death, an open awareness of and communication about death, the settling of practical and interpersonal business, the reduction of suffering and pain, and the enhancement of autonomy, choice and control. Yet deaths are inherently neither good nor bad; they require cultural labour to be ‘made over’ as good. Drawing on media accounts of the controversial death of UK reality television star Jade Goody, and building on existing analyses of her death, we examine how cultural discourses actively work to construct deaths as good or bad and to position the dying and those witnessing their death as morally accountable. By constructing Goody as bravely breaking social taboos by openly acknowledging death, by contextualising her dying as occurring at the end of a life well lived and by emphasising biographical continuity and agency, newspaper accounts serve to position themselves as educative rather than exploitative, and readers as information‐seekers rather than ghoulishly voyeuristic. We argue that popular culture offers moral instruction in dying well which resonates with the messages from palliative care.
Hannah Frith, Jane Raisborough, Orly Klein (2012)Shame and Pride in How to Look Good Naked, In: Feminist Media Studies14(2)pp. 165-177 SAGE Publications
Most academic work exploring the makeover genre has argued that TV “experts” draw on a narrative of humiliation to push the participant to adopt more appropriate forms of feminine appearance. However, shows like How to Look Good Naked, while sharing the problematic logics of the makeover, are qualitatively different in tone and style from more aggressive shows. We extend emerging analyses which argue that makeover shows can be read as reflecting struggles for recognition by demonstrating that TV “experts” can also interrupt processes of mis-recognition by offering alternative symbolic systems of interpretation of the body by which the body can be recognised, visible and valued. We argue that humiliation is not the only point of affective engagement for audiences of these shows, while wanting to avoid the seductive illusion that this makes the shows more empowering or less malevolent. We conclude that in failing to embrace the wide variety of affective mechanisms by which we might be able to appreciate the popular appeal of reality TV, we do a disservice to female audiences and women participants, as well as limiting our own theoretical insights.
Jane Raisborough, Hannah Frith, Orly Klein (2012)Media and Class-making: What Lessons Are Learnt When a Celebrity Chav Dies?, In: Sociology47(2)pp. 251-266 SAGE Publications
Class is often overlooked in sociological studies of death, just as studies of class overlook death. The controversial media coverage of the death of Jade Goody provides a useful focus for exploring contemporary class-making. Recent sociological analyses of class representations in popular culture have demonstrated how denigration and humiliation serve as mechanisms which position sections of the white, working class (chavs) as repositories of bad taste. We argue that these are not the only (or even the most prevalent) affective mechanisms for class-making. In this article, we explore how cultural imperatives for ‘dying well’ intersect with what could be perceived as more positive or even affectionate representations of Jade to produce ‘good taste’ as naturalised properties of the middle class. As such, we demonstrate that the circulation of inequalities through precarious and dynamic cultural representations involves more complex affective mechanisms in class boundary work than is often recognised.
Hannah Frith (2012)Accounting for orgasmic absence: exploring heterosex using the story completion method, In: Psychology and Sexuality4(3)pp. 310-322 Routledge
Orgasms are central to academic and lay debates about sexual ‘normality’ and ‘dysfunction’ and are culturally constructed as the peak of heterosexual sex (Potts, 2000). Conversely, sexual interaction without orgasm is positioned as ‘only foreplay’, a failure or dysfunctional. Examining how people account for orgasmic absence during heterosex using a story completion method, this article addresses three key themes: (1) ‘reciprocity, blame and the orgasmic imperative’, which places obligations on both men and women to elicit or deliver an orgasm to another; (2) ‘sex work, technique and the orgasmic imperative’, which indicates the growth of a ‘performance imperative’ in which both men and women must work to improve their sexual skills and (3) ‘honesty and dishonesty in sexual communication’ in which open communication is positioned as difficult but key to solving sexual difficulties. Collectively, these themes demonstrate how gendered discourses of sexuality coalesce to produce an orgasmic imperative that provides different entitlements and obligations for both men and women.
Hannah Frith (2009)Sexual scripts, sexual refusals and rape, In: Rape: Challenging Contemporary Thinkingpp. 99-122 Willan Publishing
The construction of sexual violence between heterosexual partners as a problem of communication (a misunderstanding in which consent or non-consent is poorly communicated or inaccurately understood) has been at the heart of debates about the nature of sexual negotiation, what 'counts' as rape, and how to eradicate sexual violence. But womens' refusals are often not heard, ignored or overruled, and establishing women's right to refuse sexual activities (of any kind, with any one and under any circumstances) and to have these refusals recognized has been central to campaigns asserting that 'No Means No'. This chapter explores the 'problem' of sexual negotiation and communication—often simplistically characterized as saying 'yes' or 'no'—as represented in both academic and lay discourse. In lay discourse, women often report that they fail to say 'no' clearly or effectively, or that their behavior is misperceived as indicating sexual interest, while men report difficulty understanding women's communications about sex. The 'problem' of communication also underpins two of the most popular explanations for rape (especially acquaintance rape) in academic discourse—sexual script theory and miscommunication theory. Script theory asserts that culturally prescribed 'scripts' for sexual interactions ascribe the role of sexual initiator and pursuer to men and sexual gatekeeper to women. So, women are responsible for limiting and saying 'no' during sexual interactions which follow cultural patterns of activities in a preset order. Miscommunication theory suggests that 'acquaintance rape' results from poor communication between men and women, in which women fail to say no clearly and effectively while men fail to understand or act upon women's refusals. This chapter explores the interplay between lay explanations for difficulties in sexual negotiations and these academic theories. Drawing on discursive psychology and conversation analysis, the chapter highlights some of the limitations of sexual script and sexual miscommunication theories for understanding rape and sexual aggression, but also seeks to account for their prevalence in young heterosexuals' everyday talk about sexual interactions
Visual representations of orgasm – whether in the flesh or mediated through a screen – are produced in a context of intense uncertainty about whether what is being seen represents an authentically experienced bodily event. Despite detailed scientific scrutiny and close attention to bodily signs, the authenticity of women's orgasm remains a site of cultural anxiety and contested gender politics. This uncertainty is exacerbated by the construction of female orgasm as inherently invisible or un-see-able, and ‘faking’ orgasm as a prevalent social practice. Drawing on existing literature from psychology, sociology and porn studies, this theoretical paper explores the problem of visually representing orgasm in the context of these uncertainties, and examines how the distinction between the ‘real’ and the ‘fake’ is structured by discourses of authenticity. Pornography and everyday sexual interactions provide ideal contexts for exploring the practices of producing and consuming visual representations of embodied experience because both necessitate a see-able orgasm which consumers/lovers can read as ‘real’. This paper demonstrates that considerable interpretative work is necessary to read the female body as authentically orgasmic in the context of cultural uncertainty, and that distinctions between the ‘real’ and the ‘fake’ are continually reworked. Drawing on the contrast between ‘surface’ and ‘deep’ acting (Hochschild, 1983), I argue that the distinction between the ‘real’ and the ‘fake’ cannot be established by recourse to unmediated bodily experience, and instead, researchers should consider how and when this distinction has traction in the world and the implications of this for gendered power relations, subjectivities and practices.
Kate Gleeson, Hannah Frith (2011)Qualitative Data Collection: Asking the Right Questions, In: Qualitative Research Methods in Mental Health and Psychotherapy: A Guide for Students and Practitioners Wiley
Hannah Frith (2013)Labouring on orgasms: embodiment, efficiency, entitlement and obligations in heterosex, In: Culture, Health and Sexuality15(4)pp. 494-510 Routledge
Women's orgasms have long been subject to vociferous scientific debate, but over the last 10–15 years a small but growing body of largely feminist qualitative research has begun to explore how the sociocultural construction of orgasm finds contemporary articulation in popular culture and in lay accounts of heterosex. This work is explicitly concerned with gendered power relations and how these operate. This paper provides a critical review and synthesis of this work by exploring three discursive imperatives: (1) orgasm and the coital imperative (2) efficient orgasms and hard work (3) and the ethic of reciprocity. Drawing on these insights, this paper outlines how a focus on embodiment, on situated meaning-making and on everyday sexual practices would further extend our understanding of the social construction of orgasm. Finally, the paper argues for the importance of locating these processes of meaning-making in relation to socially structured material realities.
Individuals who undergo treatment for head and neck cancer will often face a number of adverse physical and psychological outcomes. The treatments of surgery, radiotherapy and chemotherapy frequently cause the patient to experience functional difficulties including problems with swallowing, breathing, eating, speaking and pain. As well as aversive outcomes from treatment, the process itself can be demanding, requiring frequent appointments and physical discomfort. National guidelines suggest that all patients should have access to psychological support throughout the treatment process. However, it is unclear how accessible this support is for many patients. Previous research has identified that patients would like more information prior to treatment, specifically with regard to coping mechanisms. This study aimed to enhance the literature around the experience of head and neck cancer treatment, in order to understand what kind of information could be given to patients before they start treatment. Data was retrieved from online blogs written by head and neck cancer patients, and was analysed using thematic analysis. This is the first study to utilise online resources of this kind in this area of cancer. Novel findings from this study suggest that some patients could use writing online blogs to improve support networks, gain meaning from their illness, and process their experiences. However, further research is required to ascertain the transferability of the benefits of writing within this patient group.