I have spent most of my career working with birthing people. I will declare at the outset that I am interested in a critical, holistic, lifespan approach to reproductive and sexual health, rather than a biologically deterministic view. Just as the transition into birthing can be fraught, biologically and socially (when the birth plan gets thrown out), so can the transition out of being a birthing person. There is a difference though. The former is largely accompanied by rituals, celebration, and joy. The latter not so much, maybe because birth is a future-focused event, while menopause is a slower less predictable process (or an event if surgically induced) that is overlayed with ageism and sexism or as Leah Lakshmi Piepzna-Samarasinha says in What Fresh Hell Is This?: Perimenopause, Menopause, Other Indignities, and You “menopause is kind of a collision course with parts of the patriarchy and sexism and oppression”. In many cultures, it marks a transition to valued roles but in the dominant white culture where I’ve spent most of my life, cultural messages suggest that the menopausal person no longer has any social value, their value is in the past and not the future. No longer beautiful or desirable, no longer useful or productive (Atkinson et al., 2021), instead a transition marked by degeneration, deficit, atrophy, and entropy. There’s no party, no gifts, no cards, and no supply of casseroles to mark the liberation from periods, or societal strictures. The silence extends beyond the social to the informational. There are few apps and a million fewer self-help books. 

The solution to managing both birth and menopause in neoliberal white settler colonial societies like Australia and New Zealand, is individualized rather than structural. Healthist and responsibilization discourses circulate and permeate the performance of intensive motherhood in the perinatal period and or being an “agile worker” during both, where bodily functions and evidence thereof are supposed to remain hidden (Atkinson et al., 2021). If one simply obeys the health advice to  “take care of oneself” that is drink less alcohol, eat carefully, exercise regularly, etc, then you’ll reduce the risk of X and feel better. Never mind whether you are in precarious work, or housing, are poor, a carer, Indigenous, or a person of color. The representations of menopause are typically “pale and professional” and assume that everyone has the same unbridled access to resources.

The theme for March has been aging and menopause. First, I was on a panel on menopause with Dr Sonia Davison, Endocrinologist at the Jean Hailes Medical Centre and past President of the Australasian Menopause Society; Grace Molloy, co-founder and CEO of Menopause Friendly Australia and Genevieve Morris, comedian, actor and improvisor. It was organised by the City of Melbourne and MCed by the brilliant Nelly Thomas.

I also hosted a webinar for Women’s Health Victoria about codesign with marginalised groups and digital health resources. Their codesigned digital health promotion resource In My Prime, brings together accessible and evidence-based health and wellbeing information on topics relevant to women over 50, from menopause to financial security. The site also features an online exhibition of photographs of nude trans and cis inclusive women taken by photographer Ponch Hawkes. The stellar panel included: Michelle McNamara, Treasurer, Transgender Victoria & In My Prime advisory group member, Vicki Kearney, Women with Disabilities Victoria and Victoria’s Experts by Experience Research Project participant, Catalina Labra-Odde, Research, Advocacy and Policy Officer at, Multicultural Centre for Women’s Health and Associate Professor of Public Health Jacqueline Boyle Director of Health Systems & Equity at Eastern Health Clinical School, Monash University.

I am so glad that the conversations about aging and menopause are taking place. It’s really heartening to know that organisations like the Australasian Menopause Society Limited (AMS) made up of healthcare professionals with a special interest in women’s health in midlife and menopause have accurate, evidence-based information for healthcare workers and the wider community, including helping you find a doctor near you who understands menopause. Jean Hailes has fabulous accessible information on menopause and Health Talk have comprehensive resources on early menopause. Women’s Health Victoria have partnered with Professor Martha Hickey from The University of Melbourne, and people with lived experience to co-design In My Prime, a health and wellbeing resource for women over 50 (with medical information reviewed by clinical experts) which includes comprehensive resources on menopause, cardiac health, brain health and much more. It also articulates a clear aim, which is to address gendered ageism in healthcare. You can find fact sheets on menopause and women’s health translated into several community languages and videos explaining menopause, subtitled in Vietnamese, Cantonese, and Mandarin on the International Menopause Society website. It is also pleasing to see research including other populations, for example Vietnamese women in Melbourne.

I am nervous about assuming that because there is more talk, more information about menopause or destigmatization of it, we might assume that  “everyone” with ovaries is being included in the conversation. There’s a valid critique that representations of menopause typically center the “pale and professional” leaving out queer, trans, intersex, non-binary, poor, First Nations, and People of Colour, all of whom might have different experiences of menopause (Jermyn, 2023, and Riach, 2022). Equally these groups may experience multiple layers of inequality well before before they even try to get their needs met in the health system. They might experience racism, ableism, classism, and cisgenderism, in the world which might impact their trust in health services to help with perimenopausal symptoms. Organizations like Menopause Friendly Australia are trying to introduce “menopause-friendly” accreditation standards, but workplace environments, policies, and procedures tend to be skewed towards white, middle-class professional women, hence the need for an intersectional lens (see the wonderful work that Multicultural Centre for Women’s Health does in this space). The longitudinal Study of Women’s Health Across the Nation (SWAN), which began in 1994 has followed 3,000 women in perimenopause and menopause and found that Black and Hispanic women reach menopause earlier than white, Chinese and Japanese women. Black and Hispanic women experience certain menopausal symptoms for almost twice as long as do white, Chinese and Japanese women. There is also increasing evidence of health disparities in midlife between Black and White women largely due to structural racism.

The lack of culturally safe or  “affirming healthcare encounters” (Riach, 2022) contributes to the so called menopause ethnicity gap. Barriers to accessing menopause advice or taking up Menopause hormone therapy (MHT) also known as hormone replacement therapy (HRT), leading to under-diagnosis, misdiagnosis, or delayed diagnosis. In Australia, A report from the 2023 National Women’s Health Survey, titled The impact of symptoms attributed to menopause by Australian women by Susan Davis, Vicki Doherty, Karen Magraith and Sarah L. White recommendations include: “Greater action is urgently needed to work with priority populations, particularly diverse Aboriginal and Torres Strait Islander communities, to understand their knowledge and information needs and co-design culturally intelligent health promotion approaches to better manage menopause symptoms and seek care when required.”

In research about migrants, difficulty navigating the health system and adhering to healthist discourses and health promotion edicts, often struggling to access services or find health professionals that they trust. Different communities and families will also have different views about menopause, ranging from menopause just being part of living and requiring no special preparation or support, while in others, patriarchy and a lack of access to information may make menopause stigmatized. When people from migrant backgrounds eventually access their General Practitioner they might not find someone experienced in menopause care, or who is culturally competent or safe. Unmanaged menopause symptoms like vasomotor symptoms (flushes and sweats) being associated with an increased risk of coronary heart disease, and impact a person’s mental health and quality of life. Other barriers identified in the Multicultural Centre for Women’s Health excellent first issue of the WRAP (Migrant and Refugee Women’s Research, Advocacy and Policy for 2024 include the exclusion from Medicare of those on a temporary visa, which means that temporary migrants are not eligible to receive subsidized medications and treatment. People on limited incomes might also find the cost of these treatments out of reach even though they are available on the Pharmaceutical Benefits Scheme (PBS) preventing some migrant women from achieving optimal menopausal health.

I am not altogether convinced that health literacy and better health information are remedies in and of themselves. As Nelly our comedian MC quipped “Just because I can understand my body better, does not mean that I can control it”. I think instead the answer might be community. A community of health professionals who can work holistically around a person and escape the machine view of the body, and medical siloes. A community of peers, or inter-generational chosen family who might have time for slow, deep, and long conversations that could nourish and inform. I’m a bit biased since I am now a podcaster, but I’m pleased at the proliferation of alternative voices like Menopause Whilst Black hosted by Karen Arthur, Omisade Burney-Scott’s Black Girl’s Guide to Surviving Menopause” podcast, Dr Nighat Arif a GP in the UK, The My Bloody Hell podcast Episode 9:How Race, Ethnicity & Culture Impact Menopause and Why it Matters. There are also bigger conversations happening including the Senate Inquiry into the physical, mental, economic, and financial impacts of menopause and perimenopause. I also recommend What Fresh Hell Is This?: Perimenopause, Menopause, Other Indignities, and You by Heather Corinna which broadens the menopause lens to include people with disabilities; queer, transgender, nonbinary, and other gender-diverse people; BIPOC; working class and other folks. Jen Gunter in a similarly inclusive publication calls menopause, a time of reproductive reckoning that requires not buying into the patriarchal gaslighting that sees older people with ovaries as having diminished value. Not entropy and atrophy (see Juicy Crones by Jay Courtney), but value. Valuing the age and knowledge that older women have and finding ways to be informed about this transition and making structural change. It will take all of us to do this, just as birthing does.

Useful references
Atkinson, C., Carmichael, F., & Duberley, J. (2021). The Menopause Taboo at Work: Examining Women’s Embodied Experiences of Menopause in the UK Police Service. Work Employment And Society, 35(4), 657–676. https://doi.org/10.1177/0950017020971573
Downham Moore, A. M. (2022). The French Invention of Menopause and the Medicalisation of Women’s Ageing: A History. Oxford University Press. https://doi.org/10.1093/oso/9780192842916.001.0001
Ilankoon, I. M. P. S., Samarasinghe, K., & Elgán, C. (2021). Menopause is a natural stage of aging: a qualitative study. BMC Women’s Health, 21(1), 47. https://doi.org/10.1186/s12905-020-01164-6
Jermyn, D. (2023). “Everything you need to embrace the change”: The “menopausal turn” in contemporary UK culture. Journal of Aging Studies, 64, 101114. https://doi.org/10.1016/j.jaging.2023.101114
Li, Q., Gu, J., Huang, J., Zhao, P., & Luo, C. (2023). “They see me as mentally ill”: the stigmatization experiences of Chinese menopausal women in the family. BMC Women’s Health, 23(1), 185. https://doi.org/10.1186/s12905-023-02350-y
Mattern, S. (2019). Part III. Culture. In The Slow Moon Climbs (pp. 255–366). Princeton University Press. https://www.degruyter.com/document/doi/10.1515/9780691185644-005/html
Riach, K. (2022, October 18). Menopause can affect every workplace – here’s how to start supporting every worker experiencing it. The Conversation. http://theconversation.com/menopause-can-affect-every-workplace-heres-how-to-start-supporting-every-worker-experiencing-it-192711
Riach, K., & Jack, G. (2021). Women’s Health in/and Work: Menopause as an Intersectional Experience. International Journal of Environmental Research and Public Health, 18(20). https://doi.org/10.3390/ijerph182010793
Stanzel, K. A., Hammarberg, K., Nguyen, T., & Fisher, J. (2022). “They should come forward with the information”: menopause-related health literacy and health care experiences among Vietnamese-born women in Melbourne, Australia. Ethnicity & Health, 27(3), 601–616. https://doi.org/10.1080/13557858.2020.1740176

“…the neo-liberal academy has compelled me to compete and compare, to work on my own, to overwork, and to count narrowly. At various times, neoliberal ideologies have crept into my mind/writing/body, breaking me down. The academy’s “finite games” of winners and losers, the demands to prove I am a “credible academic”, the narrow counting and the changing and hardening rules of entry have kept me running on the production treadmill, frequently distracting me from what matters most” (Harré et al., 2017, pp. 5, 9).

I am a serial book chapter reader and writer. If you check out this link, you’ll see I have written a fair few. Writing a book chapter seems less daunting than trying to write a whole book, and less prescriptive and intimidating than journal articles because I can more easily imagine the reader. It may be a student or someone from my academic or professional community, but I have a sense of their ethical and political commitments. In quantified academia, research activity and impact are crucial to academic promotion/tenure and research funding. In my field of health, peer-reviewed journal articles are the gold standard. When I think like a ‘professional’ academic I sometimes wonder if book chapters are ‘worth’ writing. So much of “successful” knowledge production depends on your discipline, your structural location (not only whether you are tenured or precarious, but also whether you have a marginalised identity/ies or work in a marginalised field), your preferences for dissemination or contribution in terms of who you write for, and how ambitious you are, so it’s political as well. None of this is helped by the ways in which academia is still predicated on being an exceptional competitive individual which can preclude more contemplative kinds of collaboration (Black, 2022). In the Gigiversity, there’s also what Mark Carrigan calls temporal budgeting which can be a barrier to writing as a creative process. Writing becomes calculated, something that has to be accounted for, and made time for.

I am not immune from living a calculated life. I recently said no to an invitation to write an academic book chapter (and I am still ambivalent about this) because of the opportunity cost, not because of wanting it published in a journal where it would “count” more, but because my career is now based on consulting, so the time I spend writing without payment means not getting paid. You can read more about the reasons not to write book chapters in this blog by Adam Chapnick. I have also co-edited a book Researching with Communities: Grounded perspectives on engaging communities in research, supposedly a huge no-no, but that’s for another blog. Rasmus Nielsen’s conceptualization of the value of the book chapter genre is helpful (1) argumentative chapters, (2) trailer chapters, and (3) review chapters. In the first category, a book chapter can help to think through an argument in an interpretive and personal way; and the second category where you operationalize the underlying concerns for another project is where my work has typically landed. I save the third for journal articles. So why even write book chapters? Here are some of my reasons.

As a reader and scholar, anthologies have saved me as a person of color. This Bridge called my Back and later Black British Feminism edited by Heidi Mirza, which I devoured avidly in a largely monocultural academic New Zealand are just two examples. As an author Sara Ahmed, says that the Mirza book was pivotal to a broader political identity and that being part of “a collection can be to become a collective” (Ahmed, 2012, p.13). Younger me would have been so thrilled to get my hands on Towards a Grammar of Race In Aotearoa New Zealand edited by Arcia Tecun, Lana Lopesi and Anisha Sankar. Covering all the things younger me was living through but had no vocabulary for, things like racial capitalism, colonialism, white supremacy, and anti-Blackness.

More elegantly and evocatively, my friend and podcast guest extraordinaire Alice Te Punga Somerville writing from Musqueam whenua, offers many metaphors for the collectivity of edited books, as food, as gathering, as connected across time and space, tantalising and replenishing. She adds (in discussing a new edited book by Kiri Piahana-Wong and Vaughan Rapatahana) “Māori have always been collective with our writing: so many anthologies, collections, joint readings, festivals, hui, organisations, writing groups, one-off collectives, roopu… this one draws consciously on the Into the World of Light/ Te Ao Mārama anthologies called into being by Ihimaera and others… but all of these Māori literary awa are part of a massive network of tributaries and streams and gorges and brooks and braided rivers and underwater culverts and, yes, all the way out to open ocean…she concludes “slurping down this awa which is replenishing and exciting me… and loving this hui with writers known by my heart, writers I have long admired from afar, and writers I have yet to meet.”

These relationships and collaborations are such a good reason for writing book chapters. Helen Kara who I enjoy for their interest in creative methods values the sense of community or social network that can accompany an edited book when there is a clear theme and the authors richly complement each other, which cannot be achieved with a single or co-authored book. It’s what Debra Brian says is a plus for the reader — “they often capture an important moment in the history of the discipline, or an opportunity to bring together multidisciplinary takes on a central theme.” I have recently had a chapter on racism and care published in No longer silent: Voices of 21st Century Nurses edited by Lesley Potter with support from the Australian College of Nursing. It is envisioned as a snapshot of contemporary nursing in Australia. Here’s a short excerpt:

There is trepidation and vulnerability that accompanies naming racism, rather than the more palatable good feeling word diversity (De Souza, 2018). Discourses of diversity and inclusion are what Ahmed (2012) describes as ‘non-performative institutional speech acts’ meaning that just their use as words do not necessarily change what it is they are naming Ahmed, 2012, p. 119). Racism is so direct, so harsh in the text as opposed to toned down with my good humor or the self-effacing charm I have cultivated as a bolster. I am a nurse who migrated to Australia post PhD for work in academia. As a person of color or brown settler, I occupy a position of unease and anxiety, uninvited living on stolen land, in a country where relationships between Indigenous people, settlers and migrants are contested. I am also privileged to be a mobile, highly educated researcher working in the prestigious context of a University. As (Moreton-Robinson, 2007, 2015) quips, the White nation-space of so-called Australia, excludes both Indigenous people and non-British people. However, I invoke this process of critical reflexivity and locate my own positionality to account for myself and for my writing. A person with ancestral heritage in Goa, India but whose personal and familiar multiple migrations, have been shaped by colonization. I provide these histories and geographies to account for how I write, they provide me with a specific set of ethical and political commitments that aim to contribute to making nursing a profession that is less discriminatory and more equitable for both those who follow me and those we purport to serve. I care about nurses and nursing and am troubled by the paradox that a profession that claims to care could be implicated in perpetuating inequities for some populations. This stance of critique and the desire for accountability may make what I write seem particularly critical, however, it also reflects a deep investment in the nursing profession.

Changes in models of publishing have also made writing book chapters more worthwhile Patrick Dunleavy says in an LSE blog. Dorothy Bishop admits her best writing is in book chapters where she has had the freedom to integrate broad perspectives, but argued in the past that writing a book chapter was like burying your work because of difficulties in trying to access and cite work. However, now that e-book chapters are becoming as discoverable, and more affordable, the reader or potential citer no longer has to pay massive prices for books that are just as easy to find as journal articles. Individual chapters have become easier to use in teaching, as they can be added to reading lists on learning management systems (LMS). I have added a book chapter on Cultural Safety I co-wrote for the book The Relationship is the Project for a lovely intensive course I’ve been teaching in the School of Art with Alan Hill and Jody Haines at RMIT University called Creative Practice in Place: Working on Unceded Lands. Interestingly the chapter has been reprinted online in two different contexts, in Arts Hub as Taking action for Cultural Safety and republished in Spotlight, the Arts Wellbeing Collective magazine which makes it more accessible. However, access does not equal citations, so even if they are used in essays or theses, they may not show up in citation metrics.

Book chapters open up different formats and creative options compared to journal articles, which is why one of my favorite academic bloggers Pat Thomson who blogs at Patter writes them. Another favorite blogger Agnes Bosanquet writes In defence of book chapters that book chapters let you publish “something experimental, fun and adventurous” and you can take more “risks with style, structure and method”. Concluding that “when I want to write in the company of others, flex my writing muscles in new ways, and find pleasure in the craft of writing, then book chapters are a gift”. Historian Zora Simic says “I find them a more liberating form than a journal article and some of that is because of the way I think – journal articles typically demand an argument that is pursued in coherent fashion whereas I prefer ambiguity, open and loose ends, experimentation, and exploration for the sake of it.” This desire to write playfully and creatively resonates with me. There’s also a pragmatic freedom that Thomson identifies. Firstly, because your chapter is part of a collection, you do not have to do as much prefacing and situating as you would in a journal article. and secondly, you do not have to convince people to read the chapter because the editors have already done that work for you.

Viewing a field through a different lens is another reason to write a book chapter, providing a way in which students or practitioners can get a feel for a topic, its scope and debates. Elaine Swan adds “I recommend them to students as they can see how a topic can be understood through different concepts and methods.” Scholars like Carol D’Cruz find the breadth of the approaches to tackling the same issue appealing: “I love variety in the perspective and approach in edited collections, especially when all answering the same/similar problem.” Some writers also appreciate the opportunity to learn, to use their experience in another context, like Zora Simic who says “Once I responded to a call for contributions to a book called Fat Sex. I’d always wanted to know more about the history of fat activism/feminism and this was the perfect opportunity. It had nothing whatsoever to do with my other research, apart from being about feminism. But I loved writing and researching it.”

Leaving your mark in a field is another drawcard. Debra Brian contends saying yes to a book chapter “can signal your commitment and standing in the field, your academic social capital, etc — and it can bring other opportunities. Sometimes it is worth doing for the sake of collaboration and relationships and the opportunity to find a home for something that needs to be said but doesn’t really ‘fit’ in another format.” This really rang true for me in my contribution to Jessica Dillard-Wright’s book Nursing a Radical Imagination: Moving from Theory and History to Action and Alternate Futures co-edited with Jane Hopkins-Walsh and Brandon Brown where I wrote about creative methods in nursing education. We’ve subsequently collaborated on a number of other projects, Jess (and Jane) contributed an artwork for our exhibition and course for The Big Anxiety Festival, and did a Zoom guest lecture to art students. We have also just cowritten No as an act of care A glossary for kinship, care praxis, and nursing’s radical imagination Jessica Dillard-Wright, Favorite Iradukunda, Ruth De Souza, and Claire Valderama-Wallace in the tome Routledge Handbook of Philosophy and Nursing Edited By Martin Lipscomb. I feel deep gratitude for the friendship that has evolved between us in the process of talking and writing (a non-academic benefit (Tom Pepinsky) of writing book chapters)! Here’s the abstract:

Radical imagination and the transformations that ensue are fundamentally collaborative, connected, and conscious. In an effort to first imagine and then co-create a more just, equitable present/future for nursing and those with whom we care in the spirit of radical imagination, this chapter examines nursing care as praxis and the shifts that occur in embracing kinship as a reciprocal model for nursing. In so doing, we challenge embedded power structures within the healthcare-industrial complex – and thus nursing – as we currently know it. Using feminist, queer, anti-colonial, anti-imperialist, and abolitionist insights, we imagine a present/future for nursing liberated from the capitalist political economy entrenched in a boundless society of control. This speculative vision is urgent, encompassing, and material, bursting open the boundaries of nursing as we consider with whom we align and how we build toward a future on a deteriorating planet.

Obviously, academics have to be strategic about writing but I also write because writing helps me make sense of things. I write to think, just as I speak to think. The former is far more laborious for me but I am getting better at it. Book chapters allow me to play, to experiment, and to feel part of a community, a collective and that is hard to beat.

Panel at the Wheeler Centre March 1st 2023

March is an exciting month for me with events and exhibitions about M/others and birthing, starting with a panel at M/Other at the Wheeler Centre in Melbourne.

“Last year, more than 300,000 children were born in Australia, yet systems in place for childbirth remain opaque and often discriminatory. For M/OTHER, the Wheeler Centre brings together a panel of perinatal health experts and creatives to explore the disparity between birthing expectations and reality, the birthing body, structural healthcare barriers faced by First Nations communities, and why mental health care for new parents so often falls short. Combining their personal experience with years of research and expertise in the fields of perinatal health, this panel features author of The Cost of Labour, Natalie Kon-Yu; nurse and Vice Chancellor’s Fellow at RMIT, Dr Ruth De Souza; and Karinda Taylor, CEO at First Peoples’ Health and Wellbeing. Together with feminist writer and organiser Karen Pickering, they will navigate the intersections between pregnancy, birthing and healthcare for a multi-faceted discussion of the contemporary birthing experience.”

If you missed it, you can watch below.

The Perinatal Society of Australia and New Zealand (PSANZ) Congress follows from the 5th – 8th March at the Melbourne Convention and Exhibition Centre. PSANZ is a multidisciplinary society dedicated to improving the health and long term outcomes for parents and their babies. The theme for the Congress is ‘Laneways to Better Perinatal Outcomes’. I am excited to be presenting as part of a panel on Tackling racism in perinatal care being chaired by Nisha Khot (guest on the Birthing and Justice podcast episode Season 2, Episode 5) and Jayne Kotz. Some of my favourite people are also on the panel on Wednesday: Catherine Chamberlain (guest on the Birthing and Justice podcast episode Season 4, Episode 2) will be talking about What do Parents need to Feel Safe?; Mandy Truong will be talking about Overcoming Institutional and Organisational Racism in Health Settings: Jacynta Krakouer (guest on the Birthing and Justice podcast episode Season 4, Episode 2) will be talking about The Australian Antiracism Alliance (AAPP) An Aboriginal-led initiative, the Australian Anti-Racism in Perinatal Practice (AAPP) Alliance which is a group I am proud to be a part of. It is made up of First Nations and non-Indigenous academic and industry experts with an interest in generating knowledge and action to improve First Nations women’s experiences and outcomes within the perinatal sector in Australia. You can read a paper we co-wrote: Identifying and dismantling racism in Australian perinatal settings: Reframing the narrative from a risk lens to intentionally prioritise connectedness and strengths in providing care to First Nations families. I’ll be talking about Cultural safety and maternity/birthing care. Focussing on voice and representation, and the Birthing and Justice podcast.

https://www.psanz.com.au/

Then at the end of the month, I’m convening a panel at the Centre for Contemporary Photography (CCP). This time with some of my previous podcast guests Eleanor Jackson, Natalie Kon-yu, Helen Ngo and Skye Stewart (forthcoming). It accompanies a beautiful exhibition at CCP which includes Lisa Sorgini: ‘Behind Glass’, Ying Ang: ‘The Quickening’, Odette England: ‘Dairy Character’, and Miriam Charlie: ‘Getting to Borroloola’. Hope to see some of you there!

Panel moderated by me (Ruth De Souza) with Eleanor Jackson, Natalie Kon-yu, Helen Ngo and Skye Stewart

In March I am also doing presentations for Diversity Arts Australia on Cultural Safety and the arts; A keynote on the theme Reimagining Asian Mental Health for Te Papa; a keynote at the Echuca Regional Health Research and Innovation Symposium (which has already been postponed twice because of the pandemic and floods); and finally a panel for the Screenworks’ 2023 Regional to Global Screen Forum.

So, this incredible book Nursing a Radical Imagination: Moving from Theory and History to Action and Alternate Futures, Edited by Jess Dillard-Wright, Jane Hopkins-Walsh, Brandon Brown has been published, and what a thrill to have a chapter in it!

The book is described as “Examining the historical context of healthcare whilst focusing on building a more just, equitable world, this book proposes a radical imagination for nursing and presents possibilities for speculative futures embracing queer, feminist, posthuman, and abolitionist frames”.

Cover of my copy of the book

My chapter: Using Arts-Based Participatory Methods to Teach Cultural Safety details my efforts to introduce Cultural Safety into a Bachelor of Nursing program through collaborations with artist friends. There’s a section on engaging teaching colleagues in Possum skin bracelet making with Dr Vicki Couzens, a Gunditjmara woman from the Western Districts of Victoria who is a Senior Knowledge Custodian for possum skin cloak story and language reclamation and revival in her Keerray Woorroong Mother Tongue.

Me with Dr Vicki Couzens (taken in 2015).

Then the story of developing a unit for nursing students where a workshop was offered at the start of the semester drawing on Forum theatre developed by Augusto Boal co-facilitated with two experienced practitioners Azja Kulpińska and Dr Tania Cañas (action shot of us below).

Tania, Azja and I in action

In my chapter I set the scene of trying to teach Cultural Safety in Australia by talking about: whiteness in the “lucky country”; how Cultural Safety was introduced into nursing curricula; the University as both a colonial site and place of transformation; and how nursing degree programs experience the strictures of the neoliberal University while reproducing colonial legacy inequalities in the curriculum factory. I suggest the barriers to a culturally safe and transformative curriculum in nursing include: conservatism, multiple stakeholder demands, technomanagerialism, surveillance, precarity, conservatism, a lack of skills, and unexamined whiteness. I include a reflexive section which I call Teaching Cultural Safety while being unsafe. I conclude the chapter by describing teaching as a marginalised subject while a minoritised scholar as being like teaching into a headwind (see Anderson, et al., 2020) and drawing on Mukandi and Bond (2019) suggest that trying to “out-teach” the imposition of racialised ideas is impossible, but creating pockets where reparative and healing work can happen is something I am proud of doing.

I share my last words below:

So how do we make sure that the future of nursing is collectively “ours” when the responsibility for the work of Cultural Safety is unevenly distributed, devalued, and displaced onto those who are fighting with both armory and weapons to survive in whiteness? Those who are struggling with the work of fitting in or disappearing, who are tasked with being there without really being there? (Mukandi & Bond, 2019). High-quality academic work including teaching is slow work, time is needed to try things, to engage and innovate, to facilitate curiosity and creativity in students (Mountz et al., 2015). None of which can happen effectively in accelerated and precarious work contexts. If we want to deliberately teach students to not only be capable and competent but to fight for equity, anti-racism, and social justice, we must make time to challenge or experiment, otherwise we risk reproducing a depoliticised “what’s already there” future workforce, fixated on the useful, the commodified and utilitarian. A workforce that reproduces structural violence, joining generations who have done much the same. As Cultural Safety becomes tamed and domesticated, into University curricula, we must ensure it does not lose its critical edge. I am unconvinced that we can shift whiteness in nursing. But maybe, just maybe by making this contribution, “being part of a collection [in this book] can be to become a collective”(Ahmed, 2012, p. 13). This is my hope.