Skin & Bones

Skin & Bones

Content type: Health story

Skin & Bones is Renée Watson’s novel about the experiences of Lena, a 40-year-old African American woman in predominantly white Portland, Oregon.  Health, body image, weight, diet, and beauty standards are prominent topics throughout the book and these are contextualized within larger themes about race, gender, gentrification, work, love, faith, and friendship.  There are many passages in the book that show how beliefs about health are communicated through interactions with Lena’s friends, family, romantic partners, co-workers, and service providers. For example, the book opens with a chapter entitled, “the weight I carry,” that problematizes assumptions about health and weight in an interaction with a healthcare provider. Lena’s observations about the interaction (e.g., the too-small gown, unfounded assumptions and problematic statements from the health care provider) are woven with reflections on her lifeworld.  Immediately following this chapter is a brief reflection on “morbid” as a word used in relation to weight; it concludes with the statements, “Comment on my appearance. But tell yourself it’s about my health.”

Health-related themes are prominent enough that one might assign the entire book and this would provide opportunities to see “big” or “fat” as an identity that intersects with race and gender and to discuss health themes in relation to sex, social support, family, and community.  However, the book is also written in chapters (some only a paragraph long) that could be excerpted to explore specific topics.  For example:

  • the aforementioned “the weight I carry” and “morbid” focus on a health care interaction
  • “Sunday supper” includes a reference to a mother who died from a failure to diagnose breast cancer because she was “a poor Black woman”
  • “shopping while fat” and “back to school shopping” address finding plus-sized clothing
  • “macro microaggressions” details lunch with younger white co-workers and concludes with the line, “…they sat there and basically admitted—in my presence—that of all the cares and worries to have in life, their greatest fear is having a body that looks like mine.”
  • “aunt Aretha” examines “soul food” and its complicated connections to health, family, race, and class
  • A sequence of chapters–“fat girl, dance,” “how whiteness killed the body positive movement” (an excerpt from Kelsey Miller), “debriefing,” “positivity,” “positive,” and “body positivy” address how fat acceptance intersects with race and this is taken up later in two chapters describing Lena and her friends’ experience at a “Fat Girl Wellness Conference”

One especially powerful recurring storyline involves messages about self-acceptance, health, and diet that Lena received from her own mother and what she communicates with her daughter. These are difficult chapters and include a near overdose on diet pills that is initially taken as a suicide attempt. A strong bond between Lena, her mother, and her daughter sustains them and the book addresses the complexities of communicating about health, race, gender, and beauty in our personal relationships.

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I Walked off Alone to get my Tubes Tied

I Walked off Alone to get my Tubes Tied

Content type: Health story

In this informative essay, the author retells the stories of Gopli Gameti and Parvati Meghwal, two women in rural Udaipur from the Gameti community. Women in this community are often left behind as their husbands migrate for work. This story highlights the challenges faced by women in these rural areas in making health and life decisions independently.For example, women must seek healthcare (which can often be far away, expensive, or logistically difficult), navigate maternal choices like tubal ligation, and advocate for their own reproductive care on their own. Gopli also describes the sense of empowerment and liberation that comes with taking control of one’s own health when possible. This narrative can be incorporated into a class focused on gender studies, public health, or sociology. It provides real-life examples of how women in rural settings navigate healthcare decisions and family planning, specifically in the context of male migration. It can facilitate discussions on the intersectionality of gender, migration, and health, allowing students to analyze the socio-cultural factors influencing women’s choices.

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Tamara: an Abortion Story

Tamara: an Abortion Story

Content type: Health story

Tamara shares her story of seeking an abortion in the state of California shortly after finishing graduate school and starting a new job. Despite being a former pregnancy options counselor and health educator, she faced challenges in accessing abortion care within the university system and encountered stigmatization from protesters outside the clinic as well as  from fellow patients. She also experienced complications from the procedure.  Her narrative emphasizes the importance of supportive environments during the abortion process as well as  the emotional and financial aspects of the experience. She also addresses the impact of restrictive abortion laws, such as those seen in Texas, on individuals seeking timely and safe procedures. In courses focused on reproductive health, women’s studies, or public health, Tamara’s story provides a firsthand account of the difficulties  individuals may encounter in accessing abortion care, including navigating legal restrictions and facing societal stigma.

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Grand unified theory of female pain

Grand unified theory of female pain

Content type: Health story

Loosely connected series of observations and thoughts about women and pain, some literary, some from the author’s own experience. One theme is how often womens’ pain is ignored or downplayed as bid for attention.

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