Open and Closed Knowledge Systems, the 4 Stages of Cognition, and the Cultural Management of Birth

This conceptual “think piece” looks at levels or Stages of Cognition, equating each of the Four Stages I examine with an anthropological concept. I equate Stage 1—rigid or concrete thinking—with naïve realism (“our way is the only way”), fundamentalism (“our way should be the only way and those who do not follow it are doomed”), and fanaticism (“our way is so right that everyone who disagrees with it should be either converted or eliminated”). I equate Stage 2 with ethnocentrism (“there are lots of other ways out there, but our way is best”). The next two Stages represent more fluid types of thinking—I equate Stage 3 with cultural relativism (“all ways are equal in value and validity”), and Stage 4 with global humanism (“there must be higher, better ways that can support cultural integrity while also supporting the individual rights of each human being”). I then categorize various types of birth practitioners within these 4 Stages, while showing how ongoing stress can cause even the most fluid of thinkers to shut down cognitively and operate at a Stage 1 level that can involve obstetric violence—an example of further degeneration into Substage—a condition of panic, burnout or “losing it.” I note how ritual can help practitioners ground themselves at least at a Stage 1 level and offer ways in which they can rejuvenate and re-inspire themselves. I also describe a few of the ongoing battles between fundamentalists and global humanists and the persecution that Stage 4 globally humanistic birth practitioners often experience from fundamentalist or fanatical Stage 1 practitioners and officials, often referred to as the “global witch hunt.

The technocratic body: American childbirth as cultural expression

The dominant mythology of a culture is often displayed in the rituals with which it surrounds birth. In contemporary Western society, that mythology--the mythology of the technocracy--is enacted through obstetrical procedures, the rituals of hospital birth. This article explores the links between our culture's mythological technocratic model of birth and the body images, individual belief and value systems, and birth choices of forty middle-class women--32 professional women who accept the technocratic paradigm, and eight homebirthers who reject it. The conceptual separation of mother and child is fundamental to technocratic notions of parenthood, and constitutes a logical corollary of the Cartesian mind-body separation that has been fundamental to the development of both industrial society and post-industrial technocracy. The professionals' body images and lifestyles express these principles of separation, while the holistic ideology of the homebirthers stresses mind-body and parent-child integration. The conclusion considers the ideological hegemony of the technocratic paradigm as potential future-shaper.childbirth mythology technocracy professional women home birth

The role of obstetrical rituals in the resolution of cultural anomaly

To a technological society like that of the United States, the natural process of childbirth presents special conceptual dilemmas, as it calls into perpetual question any boundaries American culture tries to delineate between itself and nature. The author builds on previous works in which she has argued that the American core value system centers around science and technology, the institutions through which these are disseminated into society, and the patriarchal system through which these institutions are managed. A constant reminder that babies come from women and nature, not from technology and culture, childbirth confronts American society with practical, procedural dilemmas: How to create a sense of cultural control over birth, a natural process resistant to such control? How to make birth, a powerfully female phenomenon, reinforce, instead of undermine, the patriarchal system upon which American society is still based? How to turn the natural and individual birth process into a cultural rite of passage which successfully inculcates the dominant core value system into the initiates? In the absence of universal baptism, how to enculturate a non-cultural baby? Some of the dilemmas discussed in this article are universal problems presented by the birth process to all human societies; others are specific to American culture. Each contains within it a fundamental paradox, an opposition which must be culturally reconciled lest the anomaly of its existence undermine the fragile technology-based conceptual system in terms of which American society organizes itself. After a brief discussion of the history of this technological paradigm, the author analyzes eight of the dilemmas presented by childbirth to American society, demonstrating how they have been neatly resolved by obstetrical rituals specifically designed to removed birth's conceptual threat to the technological model by making birth appear, through technological means, to confirm instead of challenge the basic tenets of that model. From this perspective, routinely used obstetrical procedures such as electronic fetal monitoring, episiotomies, the lithotomy position, and even the Cesarean section emerge as rational ritual responses to the conflicts between reality as American society has constructed it, and the physiological realities of birth.ritual childbirth obstetrics technology