The Experience and Positioning of Affect in the Context of Intersubjectivity: The Case of Premenstrual Syndrome

The experience and positioning of affect is a material-discursive-intrapsychic experience, which can be interrogated through the examination of the intersubjective realm. This paper examines ways in which women experience and negotiate premenstrual change in affect, positioned as premenstrual syndrome (PMS), drawing on in-depth interviews conducted with 58 women. All of the women interviewed described premenstrual changes in affect in a similar manner, as being characterised by intolerance, irritation, emotional sensitivity, feeling more negative towards others, and feeling overwhelmed in the face of life’s demands. Without exception, women expressed a desire to be alone premenstrually, in order to escape relational demands and responsibilities, to reduce stimulation, or to avoid conflict. The way that these premenstrual changes and the woman’s desire to be alone were positioned by the woman’s partner, and dealt with within relationships, provided the material and discursive context for the woman’s experience and negotiation of PMS. Women whose partners were accepting and supportive were more likely to take up a position of awareness, acceptance and self-care in relation to premenstrual change, whilst women whose partners were unsupportive were more likely to engage in self-castigation and self-pathologization. This suggests that intersubjectivity, the examination of subjectivity and affect in the context of relatedness, will be a fruitful avenue of exploration for critical psychologists, as well as for researchers interested in the complexity of women’s premenstrual experiences

A complex negotiation: Women’s experiences of naming and not naming premenstrual distress in couple relationships

Recent research has demonstrated the importance of family relationships in women’s experience of premenstrual changes, and their construction of these changes as ‘PMS’. However, the discursive process by which women take up the subject position of ‘PMS’ sufferer through the explicit naming of ‘PMS’ to an intimate partner has received little research attention. Drawing on 60 individual interviews with Australian women, conducted between 2004 and 2006, we examined accounts of naming ‘PMS’ in intimate relationships, women’s explanations for naming or not naming, and their experiences of their partner naming them as premenstrual. The analysis process identified an overarching theme of naming ‘PMS’, which was made up of three themes: naming to explain; ‘PMS’ becoming the only explanation for distress; and ‘PMS’ as not a legitimate explanation for distress. The findings suggest that clinicians need to be aware of women’s complex, and often ambivalent, experiences of naming ‘PMS’ within their relationships, when working with women, and couples, seeking treatment or support for premenstrual distress. Premenstrual distress; PMS; relationships; cultural construction; Positioning Theor

Australian’s Knowledge and Perceptions of Direct-to-Consumer Personal Genome Testing

Background: As direct-to-consumer personal genome testing (DTC-PGT) is increasingly available in Australia, knowledge of Australian’s perceptions and attitudes towards his technology is needed in order to assess the (potential) impact it might have on the Australian public and health care system. Aims: To explore the knowledge and perceptions of direct-to-consumer personal genome testing (DTC-PGT) in an Australian sample. Methods: An online survey asking about knowledge and perceptions of DTC-PGT, undertaken between October 2011 and April 2012, of 270 Australian residents. Results were analysed using SAS. Results: Our study found limited consumer knowledge of, and interest in pursuing DTC-PGT in Australia. 93% of respondents correctly identified DTC-PGT as available to consumers directly, but only 40% correctly identified its availability in Australia. When asked about the content and value of the information DTC-PGT provides, the majority of respondents indentified that DTC-PGT could provide information about one’s health and/or ancestry (82% and 74%). Additionally, respondents indicated they believed this information to be equally important as non-genetic information about one’s ancestry and health. Conclusion: While few respondents expressed an intention to pursue DTC-PGT (27%), the majority of people, irrespective of whether they wished to pursue it or not, believed that genetic information was as important as non-genetic information in regards to their health and their ancestry. The value ascribed to genetic information suggests genetics plays a role in people’s lives and at this time, further qualitative research could explore the ways in which people might use and understand the genetic information provided by DTC-PGT. Keywords: predictive genetic testing, consumer health information, ethical issues, survey methodolog

Report of the Sydney Women and Sexual Health (SWASH) Survey 2006, 2008, 2010, 2012, 2014

The Sydney Women and Sexual Health (SWASH) survey is a comprehensive survey of important health issues relevant to lesbian, bisexual and queer (LBQ) women including sexual health and wellbeing, violence, mental health, tobacco use, illicit drug use, alcohol consumption, and cancer screening behaviours. This report presents results from surveys conducted at the Sydney Gay and Lesbian Mardi Gras Fair Day and other community events and venues during the Sydney Gay and Lesbian Mardi Gras seasons in 2006, 2008, 2010, 2012, and 2014. It highlights several health issues of particular concern – many of which have persisted over time – where mainstream preventive health interventions that are inclusive of this group or targeted to LBQ, are needed.ACON (formerly the AIDS Council of NSW) is NSW’s leading health promotion organisation specialising in HIV prevention, care and support, and lesbian, gay, bisexual, transgender and intersex (LGBTI) health

Using local evidence to inform public health priorities for lesbian and bisexual women’s sexual health

The 2010 National Women’s Health Policy (NWHP) acknowledged for the first time that lesbian and bisexual women may be at risk of poor health outcomes. It called for “information and access to services to sexual health, reproductive health, safe sex practices, screening and maternal health”. A lack of systematic, nuanced research on the sexual health of Australian lesbian and bisexual women has resulted in lack of data and difficulty in understanding the needs of and how best to respond to this group. AIM To identify the sexual health needs of lesbian and bisexual wome

“…not some young tourist”: The male overseas-acquired HIV social research study

As with the trend in the rest of Australia, the majority of HIV diagnoses in Western Australia (WA) over the past 20 years have been amongst men who have sex with men in Australia. However, a differing trend seen more recently in WA has been the number of HIV diagnoses among heterosexual and homosexual men who acquired HIV while overseas compared to other states. The number of Western Australians acquiring HIV overseas has increased from 41 people in 2002-2004 to 91 people in 2005-2007. The upward trend of overseas acquired notifications continued in 2008-2009 (Combs and Giele 2009; DoH (WA) 2009). While the epidemiological data clearly showed an increase in overseas acquired HIV, there was little information on why the increase was occurring. The Male Overseas Acquired HIV Social Research Study investigated the social, cultural, behavioural and cognitive factors which may have contributed to the overseas-acquisition of HIV by male WA residents. The study used a qualitative approach to collecting and analysing data from in depth interviews with men who had acquired HIV while travelling or working overseas. The study was a joint project of the WA Centre for Health Promotion Research, National Centre in HIV Social Research, National Centre in HIV Epidemiology and Clinical Research and the Australian Research Centre in Sex, Health and Society and funded by the Western Australian Department of Health, Sexual Health and Blood Borne Virus Program. Men were recruited through the WA AIDS Council, Royal Perth Hospital, Fremantle Hospital, Northern Territory AIDS and Hepatitis Council and Clinic 34, Darwin. Fourteen men participated in the study during 2008 and 2009

“…not some young tourist”: The male overseas-acquired HIV social research study

As with the trend in the rest of Australia, the majority of HIV diagnoses in Western Australia (WA) over the past 20 years have been amongst men who have sex with men in Australia. However, a differing trend seen more recently in WA has been the number of HIV diagnoses among heterosexual and homosexual men who acquired HIV while overseas compared to other states. The number of Western Australians acquiring HIV overseas has increased from 41 people in 2002-2004 to 91 people in 2005-2007. The upward trend of overseas acquired notifications continued in 2008-2009 (Combs and Giele 2009; DoH (WA) 2009). While the epidemiological data clearly showed an increase in overseas acquired HIV, there was little information on why the increase was occurring. The Male Overseas Acquired HIV Social Research Study investigated the social, cultural, behavioural and cognitive factors which may have contributed to the overseas-acquisition of HIV by male WA residents. The study used a qualitative approach to collecting and analysing data from in depth interviews with men who had acquired HIV while travelling or working overseas. The study was a joint project of the WA Centre for Health Promotion Research, National Centre in HIV Social Research, National Centre in HIV Epidemiology and Clinical Research and the Australian Research Centre in Sex, Health and Society and funded by the Western Australian Department of Health, Sexual Health and Blood Borne Virus Program. Men were recruited through the WA AIDS Council, Royal Perth Hospital, Fremantle Hospital, Northern Territory AIDS and Hepatitis Council and Clinic 34, Darwin. Fourteen men participated in the study during 2008 and 2009

HIV risk among Australian men travelling overseas: networks and context matter

Increasing international mobility presents a risk for communicable disease transmissions. Overseas-acquired HIV infections have been increasingly observed across Australian jurisdictions. This includes a mix of men emigrating from countries with high HIV prevalence and men travelling abroad. There is currently little research exploring international mobility and HIV risk and as a consequence the increase of men acquiring HIV while travelling overseas is poorly understood. This article draws on data from a qualitative study exploring the risk perspectives and experiences of 14 Australian men who acquired HIV while travelling overseas in the years between 2000-2009. Participants articulated a strong desire to distance themselves from the identity of a tourist. Social networks were highlighted as important entry points to engage with other foreign travellers and expatriates. These networks were highly influential and were understood by the participants to provide guidance on how they should negotiate the local scene, including where to meet sex partners. Limited discussion of safe sex and HIV was mentioned in these contexts. The findings suggest that prevalent social norms and social networks play an influential role in how participants negotiate sex and social relations in overseas settings. These networks could potentially provide sites for effective HIV prevention programs. Keywords: male tourists; HIV transmission; social networks; behaviour; sexual risk; HIV preventio

Women in contact with the gay and lesbian community in Sydney: Report of the Sydney Women and Sexual Health (SWASH) Survey 2006, 2008, 2010 and 2012

The Sydney Women and Sexual Health (SWASH) survey is run by a collaboration of ACON and researchers at the University of Sydney (prior to 2009, researchers were based at the University of New South Wales). It was first carried out in 1996, initiated by workers from two ACON projects, Women Partners of Gay and Bisexual Men and the Gay and Lesbian Injecting Drug Use Project, who were faced with a lack of empirical evidence on which to base their intervention work. The survey is regularly revised to reflect the needs of the community and knowledge deficits identified through research literature. Over its lifetime, SWASH has become a comprehensive survey of sexual health and wellbeing, violence, mental health and levels of psychological distress, and a number of other important health issues relevant to lesbian, bisexual and queer (LBQ) women, such as tobacco use, illicit drug use, alcohol consumption, and cancer screening behaviours. Where possible, questions have been used from established national surveys such as the Australian Health Survey, National Drug Strategy Household Survey, Australian Study of Health and Relationships, and Australian Longitudinal Survey of Women’s Health. While research on LBQ women’s health and wellbeing has increased since the birth of the survey, epidemiological data on sexual health, mental health, experiences of abuse and violence and behaviours such as screening, illicit drug use, alcohol and smoking that can leave women vulnerable to adverse health outcomes, is still inconsistent. Moreover, as long as the inclusion of sexuality questions in large epidemiological surveys remains patchy or data is reported only by sexuality and not by sexuality and gender, SWASH provides a unique and important source of health-related information about Australian LBQ women. This report presents results from surveys conducted at the Sydney Gay and Lesbian Mardi Gras Fair Day and other community events and venues during the Sydney Gay and Lesbian Mardi Gras seasons in 2006, 2008, 2010 and 2012