Writing the self: feminist experiment and cultural identity

This dissertation examines how twentieth-century experimental women writers construct non/narrative texts whose text-subjects mediate identity and call for increased possibilities for subject-identification in the world. The use of innovative formal strategies and experiment with narrative, combined with the content of identity critique, make these texts political projects that variously explore gender, sexuality, race, and ethnicity in relation to contemporary American culture. In this project I bring discussions of identity into the theorization of formally innovative writing. I work to move away from the kinds of essentializing practices of identity politics--in which subjects are fit into specific identity categories--and toward more complicated, contextualized, and historical understandings of identity formation. I begin with the notion that identity categories, or markers, play out in different contexts and are, at different moments: simultaneous, fluctuating, overlapping, and spatial (instead of hierarchical). I then continue toward readings of literary texts that function as new models of identification for spatially contextualized subjects. This project is significant for the way in which it brings together a diverse selection of non/narrative writing by women in the twentieth-century, and combines textual and cultural analysis to think through identity issues in relation to contemporary social subjects. This project is grounded in literary modernism and moves into work by contemporary American women writers at the end of the twentieth century. I begin by pairing the work of Gertrude Stein and Lyn Hejinian in chapter 1, and that of H.D. and Beverly Dahlen in chapter 2. As modernists, Stein and H.D. are key figures who negotiate identity and non/narrative writing, and are important influences for Hejinian and Dahlen. The paring of modern and contemporary authors in the first two chapters illustrates a correlation between writing styles and practices as well as how these diverge from the early to late part of the century. Hejinian\u27s body of work, beginning in the 1970s, can be read as coming out of Stein and thinking avant-garde practice through her own contemporary politics as a Language poet. Dahlen seems to pick up H.D.\u27s Freudian project, and additionally incorporates deconstruction and feminist criticism of the 1970s and 80s in her work. Hejinian and Dahlen also serve as intermediaries between the modernists and later contemporary writers--many of whom have been influenced by modernists such as Stein and H.D., as well as subsequent avant-garde authors and practices. Chapters 3 and 4 focus on contemporary prose and hybrid works by Pamela Lu, Renee Gladman, Claudia Rankine, Juliana Spahr, Gloria Anzaldua, and Theresa Hak Kyung Cha. These writers, to different degrees, use a variety of formal strategies and problematize narrative autobiographical writing to simultaneously focus on language as instrumental to subjectivity and to represent experience as cultural content. They negotiate practices of avant-garde experimentation and writing that explores identity-as-process through examinations of gender, sexual orientation, race, ethnicity, and history. Their text-subjects become witnesses to the discrepancies in culturally inscribed norms, and call for expanded possibilities for narrative and social representation; their texts become new models for representing contemporary subjectivity. Reading the primary texts through theorists including Julia Kristeva, Judith Butler, Susan Stanford Friedman, Rachel Blau DuPlessis, and Kelly Oliver, among others, offers me ways to show how textual practice and cultural critique in this literature lend toward theorizing expanded possibilities for personal and social subject identification--how subjects identify--in the world. This project is invested in continuing to open spaces of possibility for textual practice and social subjectivity, as well as the feminist political impulse to dissolve margins and bring those marginalized voices into spaces with greater potential for personal and social identifications and politics

Geographies of Identity

Geographies of Identity: Narrative Forms, Feminist Futures explores identity and American culture through hybrid, prose work by women, and expands the strategies of cultural poetics practices into the study of innovative narrative writing. Informed by Judith Butler, Homi Bhabha, Harryette Mullen, Julia Kristeva, and others, this project further considers feminist identity politics, race, and ethnicity as cultural content in and through poetic and non/narrative forms. The texts reflected on here explore literal and figurative landscapes, linguistic and cultural geographies, sexual borders, and spatial topographies. Ultimately, they offer non-prescriptive models that go beyond expectations for narrative forms, and create textual webs that reflect the diverse realities of multi-ethnic, multi-oriented, multi-linguistic cultural experiences. Readings of Gertrude Stein’s A Geographical History of America, Renee Gladman’s Juice, Pamela Lu’s Pamela: A Novel, Claudia Rankine’s Don’t Let Me Be Lonely, Juliana Spahr’s The Transformation, Theresa Hak Kyung Cha’s Dictée, Gloria Anzaldúa’s Borderlands/La Frontera, and Layli Long Soldier’s WHEREAS show how alternatively narrative modes of writing can expand access to representation, means of identification, and subjective agency, and point to horizons of possibility for new futures. These texts critique essentializing practices in which subjects are defined by specific identity categories, and offer complicated, contextualized, and historical understandings of identity formation through the textual weaving of form and content

The Language of Suffering: A Review of Ghost Words and Invisible Giants by Lheisa Dustin

Ghost Words and Invisible Giants by Lheisa Dustin. Madison, NJ: Fairleigh Dickinson University Press, 2021. Pp. 308. $133.00 hardback

Know Your Epidemic, Know Your Response: COVID-19 in the United States

We document that during the week of March 10-16, the Covid-19 pandemic fundamentally affected the perceptions of U.S. residents about the health risks and socioeconomic consequences entailed by the pandemic. During this week, it seems, everything changed. Not only did the pandemic progress rapidly across the United States, but U.S. residents started to realize that the threat was real: increasing Covid-19 caseloads heightened perceptions of infection risks and excess mortality risks, concerns about the economic implications increased substantially, and behavioral responses became widespread as the pandemic expanded rapidly in the U.S. In early to mid-March 2020, average perceptions about the coronavirus infection risks are broadly consistent with projections about the pandemic, while expectations about dying conditional on infection and expectations about Covid-19-related excess mortality during the next months are possibly too pessimistic. However, some aspects of Covid-19 perceptions are disconcerting from the perspective of implementing and sustaining an effective societal response to the pandemic. For instance, the education gradient in expected infection risks entails the possibility of having different perceptions of the reality of the pandemic between people with and without a college education, potentially resulting in two different levels of behavioral and policy-responses across individuals and regions. Unless addressed by effective health communication that reaches individuals across all social strata, some of the misperceptions about Covid-19 epidemic raise concerns about the ability of the United States to implement and sustain the widespread and harsh policies that are required to curtail the pandemic. Our analyses also reveal perceptions of becoming infected with the virus, and dying from Covid-19, were driven upwards by a rapidly increasing national caseload, and perceptions of the economic consequences and the adaptation of social distancing were affected by both national and state-level cases

Current Knowledge and Considerations Regarding Survey Refusals: Executive Summary of the AAPOR Task Force Report on Survey Refusals

The landscape of survey research has arguably changed more significantly in the past decade than at any other time in its relatively brief history. In that short time, landline telephone ownership has dropped from some 98 percent of all households to less than 60 percent; cell-phone interviewing went from a novelty to a mainstay; address-based designs quickly became an accepted method of sampling the general population; and surveys via Internet panels became ubiquitous in many sectors of social and market research, even as they continue to raise concerns given their lack of random selection. Among these widespread changes, it is perhaps not surprising that the substantial increase in refusal rates has received comparatively little attention. As we will detail, it was not uncommon for a study conducted 20 years ago to have encountered one refusal for every one or two completed interviews, while today experiencing three or more refusals for every one completed interview is commonplace. This trend has led to several concerns that motivate this Task Force. As refusal rates have increased, refusal bias (as a component of nonresponse bias) is an increased threat to the validity of survey results. Of practical concern are the efficacy and cost implications of enhanced efforts to avert initial refusals and convert refusals that do occur. Finally, though no less significant, are the ethical concerns raised by the possibility that efforts to minimize refusals can be perceived as coercive or harassing potential respondents. Indeed, perhaps the most important goal of this document is to foster greater consideration by the reader of the rights of respondents in survey research

Emotional Exhaustion in Primary Care During Early Implementation of the VA's Medical Home Transformation Patient-aligned Care Team (PACT)

Objective: Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies. Emotional exhaustion (EE) among workers can accompany major organizational change, threatening its success. Yet little guidance exists about the magnitude of associations with EE during primary care transformation. We assessed EE during the initial phase of national primary care transformation in the Veterans Health Administration. Research Design: Cross-sectional online surveys of primary care clinicians (PCCs) and staff in 23 primary care clinics within 5 healthcare systems in 1 veterans administration administrative region. We used descriptive, bivariate, and multivariable analyses adjusted for clinic membership and weighted for nonresponse. Participants: 515 veterans administration employees (191 PCCs and 324 other primary care staff). Measures: Outcome is the EE subscale of the Maslach Burnout Inventory. Predictors include clinic characteristics (from administrative data) and self-reported efficacy for change, experiences with transformation, and perspectives about the organization. Results: The overall response rate was 64% (515/811). In total, 53% of PCCs and 43% of staff had high EE. PCCs (vs. other primary care staff), female (vs. male), and non-Latino (vs. Latino) respondents reported higher EE. Respondents reporting higher efficacy for change and participatory decision making had lower EE scores, adjusting for sex and race. Conclusions: Recognition by healthcare organizations of the potential for clinician and staff EE during primary care transformation is critical. Methods for reducing EE by increasing clinician and staff change efficacy and opportunities to participate in decision making should be considered, with attention to PCCs, and women

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Geographies of Identity

Geographies of Identity: Narrative Forms, Feminist Futures explores identity and American culture through hybrid, prose work by women, and expands the strategies of cultural poetics practices into the study of innovative narrative writing. Informed by Judith Butler, Homi Bhabha, Harryette Mullen, Julia Kristeva, and others, this project further considers feminist identity politics, race, and ethnicity as cultural content in and through poetic and non/narrative forms. The texts reflected on here explore literal and figurative landscapes, linguistic and cultural geographies, sexual borders, and spatial topographies. Ultimately, they offer non-prescriptive models that go beyond expectations for narrative forms, and create textual webs that reflect the diverse realities of multi-ethnic, multi-oriented, multi-linguistic cultural experiences. Readings of Gertrude Stein’s A Geographical History of America, Renee Gladman’s Juice, Pamela Lu’s Pamela: A Novel, Claudia Rankine’s Don’t Let Me Be Lonely, Juliana Spahr’s The Transformation, Theresa Hak Kyung Cha’s Dictée, Gloria Anzaldúa’s Borderlands/La Frontera, and Layli Long Soldier’s WHEREAS show how alternatively narrative modes of writing can expand access to representation, means of identification, and subjective agency, and point to horizons of possibility for new futures. These texts critique essentializing practices in which subjects are defined by specific identity categories, and offer complicated, contextualized, and historical understandings of identity formation through the textual weaving of form and content