Whose Good Death? Valuation and Standardization as Mechanisms of Inequality in Hospitals

Journal of Health and Social Behavior, Ahead of Print.
Although most clinicians have come to perceive invasive life-sustaining treatments as overly aggressive at the end of life, some of the public and greater proportions of some socially disadvantaged groups have not. Drawing on 1,500+ hours of observation in four intensive care units and 69 interviews with physicians and patients’ family members, I find inequality occurs through two mechanisms complementary to the cultural health capital and fundamental causes explanations prevalent in existing health disparities literature: in valuation, as the attitudes and values of the socially disadvantaged are challenged and ignored, and in standardization, as the outcomes preferred by less advantaged groups are defined as inappropriate and made harder to obtain by the informal and formal practices and policies of racialized organizations. I argue inequality is produced in part because wealthier and White elites shape institutional preferences and practices and, therefore, institutions and clinical standards to reflect their cultural tastes.

The big picture: Representation of LGBTQ characters and themes in picture books available in the United States 1972-2018

Sexualities, Ahead of Print.
The number of LGBTQ picture books—literary works for children containing lesbian, gay, bisexual, trans, and queer characters and themes—has increased considerably since 2000. While different segments of this category of books have been examined, there has been a limited examination of the entire genre. Using 234 English-language LGBTQ picture books available in the United States between 1972 and 2018, I conducted a content analysis of the main themes and central characters as well as investigate how the main themes changed over time and the extent to which they reflected the larger historical contexts in which they were created. I find that very few LGBTQ characters are cast as main protagonists and some (i.e., bisexuals) are completely absent. Similarly, I find an increase in diversity of themes over the decades yet with most centering on marriage, parenting, and domesticity. Together, LGBTQ picture books convey a limited view of the LGBTQ lives.

Rape culture: sexual intimidation and partner rape among youth in sexually diverse relationships

Sexualities, Ahead of Print.
South African studies on rape culture have examined this issue in relation to heterosexuality. They demonstrate how toxic masculinity exercises sexual power by victimizing women and girls. However, little is known about manifestations of rape culture in contexts where both victims and perpetrators are same-sex attracted young people within intimate relationships. Thus, this article extends the scope of the scholarly discussions on rape culture by exploring how rape culture manifests itself in the social and intimate lives of sexually diverse South African youth. It will also reflect on some of the ways that could be explored to address rape culture.