Health Justice and Maternity Care: Recognizing Social Suffering during Pregnancy, Childbirth and Early Parenthood

该项目将调查怀孕少女这一类别是如何构成的，围绕这一类别的知识是如何产生的，以及年轻孕妇如何经历提供旨在减少少女怀孕和支持少女母亲的服务。借鉴福柯的工作，它将研究权力如何通过行为政府进行富有成效的运作。该项目将查明旨在最大限度地增进人口健康和个人福祉的做法可能产生的边缘化影响。这将通过对国家和国际政策以及学术文献的调查，从历史和地理角度进行定位。其次，将对康沃尔的十几岁孕妇进行采访。重点是年轻女性的视角和经历，探索少女怀孕是如何被女性同化和/或抵制的，作为她们身份的一部分。第三，将对康沃尔的政策执行者、卫生保健和社会专业人员进行采访。通过这些采访，该项目将检查服务提供商如何看待青少年怀孕的“问题”，以及他们如何看待用户群体。它将调查围绕少女怀孕和育儿的社会规范如何支持评估和监测措施。它将探索围绕少女怀孕的监管做法是如何变得可行的，这些做法是如何复制的，以及反思服务提供者和政策参与者如何对青少年怀孕减孕战略的潜在边缘化影响进行反思。该项目将结合对访谈的解读、对政策网络的观察和对哲学文本的阅读，以发展一种灵活的政府心理批评理论(包括谱系学、日常生活现象学和解释性公共政策)。治理方法有助于在日常政府的技术和做法层面上通过面对面的接触作为自我行为来分析权力关系。这一方法承认，作为知识的专门知识如何使特定的做法和对真理的主张合法化，通过这些做法和主张，可以说和做的看起来是有意义的。该项目将建议改进服务提供和政策制定，以妇女的经验为驱动，并以所发展的政府心态的批判性理论为依据。作为项目合作伙伴，Healthwatch Cornwall将在研究的所有阶段发挥重要作用，包括研究设计、研究结果的解释、建议的制定和传播。

The project will investigate how the category of pregnant teenager is constituted, how the knowledges surrounding it are produced and how young pregnant women experience the provision of services aimed at reducing teenage pregnancy and supporting teenage mothers. Drawing on the work of Foucault, it will examine how power works productively through the government of conduct. The project will identify the potentially marginalizing effects of practices aimed at maximizing the health of the population and well-being of individuals.Initially, the project will examine the existing policy framework within Cornwall in relation to teenage pregnancy. This will be situated historically and geographically through a survey of national and international policy and the academic literature. Second, interviews will be conducted with teenage pregnant women in Cornwall. The focus is the perspective and experience of the young women, exploring how teenage pregnancy is assimilated and/or resisted by women as part of their identity. Third, interviews will be conducted with policy actors and health care and social professionals in Cornwall. Through these interviews the project will examine how service providers view the 'problem' of teenage pregnancy and how they view the user-group. It will inquire into how the social norms surrounding teenage pregnancy and mothering support measures of assessment and surveillance. It will explore how regulatory practices surrounding teenage pregnancy become thinkable, how these practices are reproduced and how reflective service providers and policy actors are concerning the potentially marginalizing effects of teenage pregnancy reduction strategies.The project will combine the interpretation of interviews, observations of policy network and reading of philosophical texts to develop a flexible critical theory of governmentality (which includes genealogy, phenomenology of everyday life and interpretive public policy). The governmentality approach facilitates an analysis of the relations of power at the level of the technologies and practices of everyday government through face to face encounters as the conduct of self. This approach recognizes how expertise as knowledge works to legitimize particular practices and claims to truth through which what can be said and done come to appear meaningful.The project will recommend improvements to service delivery and policy making driven by the experience of the women and informed by the critical theory of governmentality that is developed. As the Project partner, Healthwatch Cornwall will play an essential part in all stages of the research, including the research design, interpretation of findings, development of recommendations and dissemination.