Insomnia stories…

Insomnia stories…

insomnia

The men in my family were easy sleepers. It wasn’t uncommon to see my father and his six brothers lie down on the floor after a big meal and just nod out. Of course, that left my aunts to clean up, after they had also cooked the meal, and I bet they could have used a nap too. At the time, I figured that taking a post-meal snooze was the “way things were” for the men in the family. But gradually, as I developed a feminist consciousness, I resented these lazy guys. As my age gradually crept up to where theirs were back then, I have begun to appreciate their supreme capacity to sleep just about anywhere, anytime. My father was also one of those people who could nod out for five minutes – taking a so-called “power nap” – only to emerge refreshed and able to fully re-enter the conversation when he awoke. 

Later, when he was in his 90s, he began to experience serious insomnia, lying awake for hours and hours throughout the night, going crazy with boredom and frustration. While I sympathized with his dilemma at the time, it wasn’t until I experienced my own sustained insomnia – after a back injury – that I understood how horrible it is to not be able to sleep night after night. I discovered that sleep deprivation steals one’s energy, one’s optimism, and sometimes even one’s sanity. With increasing lack of sleep, the exhaustion compounds and the world becomes slightly, if not majorly, off-kilter. 

baby and cat

Insomnia is a lot of things, which includes having a hard time getting to sleep, as well as waking up early and having a difficult time getting back to sleep. Not surprisingly, it isn’t a contemporary phenomenon. No, we in the so-called modern world didn’t invent it. Insomnia goes way, way back. The term “insomnia” first appeared in 1623, and means “want of sleep”. One of the biggest causes of insomnia, stress, is something that people have been struggling with for eons. It’s just the nature of stress that looks slightly different these days, compared to a few centuries ago. But if you think about it, there are a lot of similarities. 

We’re stressed because we work hard or we don’t have enough work. We’re stressed because we live in a violent world that is unpredictable. We’re stressed if we experience social isolation or prejudice. We’re stressed when we don’t have enough to eat, and don’t know where the next meal is coming from. We’re stressed because our jobs are too demanding or not challenging enough. We’re stressed because we worry about paying our bills. We’re stressed because we don’t feel loved enough, or because we have tension with our partners or our friends. One might call these universal problems, and these stressers will vary based on your economic situation as well as your race, gender and sexual identity. And maybe a few centuries ago, we might have also worried about predators or major diseases that wiped out entire swaths of people. All of these stressors can lead to loss of sleep. 

sleeping pills

A lot of famous people are recorded as having suffered from insomnia. Sir Isaac Newton suffered from depression and had difficulty sleeping. Winston Churchill had two beds because if he couldn’t sleep in one, he would try the other. Thomas Edison, like my father, was a cat-napper, because he couldn’t sleep at night. Some insomniacs turned to drugs. Marcel Proust and Marilyn Monroe took barbiturates to help them sleep. English writer, Evelyn Waugh, took bromides to induce sleep. As we know, Michael Jackson died because of a lethal cocktail of medications to help him sleep, including propofal, used for sedation before surgeries, lorazepam, used for anxiety, and a host of other meds, including midazolam, diazepam, lidocaine and ephedrine. He was obviously so desperate to sleep that he was willing to try them all. 

hot milk

Author and columnist Arianna Huffington calls insomnia a “feminist issue”, and has written columns in Huffington Post lamenting her lack of sleep from jet lag. Another Huff Post columnist, Dora Levy Mossanen, calls insomnia a “smart, devious virus that mutates and changes form every season like the flu virus. Except that this tricky bugger is tuned to our circadian rhythm and is able to change and disguise itself at whim to confuse the heck out of us”. Mossanen does all the “right things”: She doesn’t drink caffeine, goes to bed at a decent hour, drinks hot milk before bedtime, takes warm baths, reads non-stimulating books, listens to guided meditation on her i-pod, and imagines serene seashores. And yet she says, “I toss and turn at the beginning of the night, counting backwards and forwards so many times that if my mind was prone to mathematics, I’d have solved all the mathematical problems of the world by now”. 

For the most part, my insomnia has cleared, but every so often it rears its ugly head. While in the midst of a minor insomniac “relapse”, I asked my friends and colleagues for their insomnia narratives. I wanted to know how long their insomnia lasted, why they thought they were struggling with sleep; what they did when they were awake; how it affected them the next day. I learned that the main causes of insomnia are: 

* Anxiety, the everyday kind like preparing to teach a class, and larger anxieties, like worrying about keeping a job; 
* Depression, which impedes relaxation necessary to fall and stay asleep; 
* Medications, because some meds like decongestants and pain meds keep us awake. Antihistamines might initially make us groggy, but they can cause excess urination which gets us up a lot during the night; 
* Alcohol, which may make you more relaxed, but prevents deeper stages of sleep and can cause you to wake up in the middle of the night; 
* Chronic pain, which is distracting and worrisome and can lead to anxiety, which prevents sleep; 
* Medical conditions, like arthritis, cancer, heart disease and Parkinson’s disease, which are linked with insomnia; 
* Poor sleep habits, like weird sleep schedules, or an uncomfortable sleep environment; 
* “Learned insomnia” – which is worrying too much about not being able to sleep, which makes it hard to get to sleep; and 
* Eating too much before sleeping or eating the wrong snack, which can give you heartburn and make it uncomfortable to fall sleep. 

In response to my call for insomnia stories, only women replied. I know that isn’t because men don’t experience insomnia; but perhaps men don’t want to reveal their sleeping problems publicly, even though I promised confidentiality. (It’s not too late, for my male readers!)

One woman said, “You do realize you’ve opened the floodgates, yes? Amazing topic. Of course, I’m too sleep-deprived and deep into end-of-semester madness to respond right now! Maybe during my next bout of insomnia (perhaps tonite). ;-)” 

Here are a few responses from other insomniacs: 

One woman says, “Funny you should ask, as I am suffering from insomnia just now, maybe a week long bout this time, but by far not the longest ever. I wake up about 4am and cannot fall back asleep if my life depended on it. Not sure why I have such a hard time staying asleep, maybe it’s hormonal (menopause) or maybe it’s all the craziness at the office (new department chair, no office support as the old secretary retired, research lagging, …). Often I am not the only one awake, as my spouse is also a stressed-out insomniac. I typically try to fall back asleep, but if it doesn’t happen, I get up and read in the living room until I feel exhausted from being up at 4 am. What sometimes works is counting backwards from 100 in another language. Needless to say, the next day I feel a bit out of it, but nothing like the “zombieness” I did when my child used to wake me up. I am not desperate yet, but may try to find my melatonin from the previous bout to get me back on track. Sometimes it works, sometimes it doesn’t”. 

Another woman says, “My insomnia stories are boring. I get up and clean the house, read, catch up and/or get ahead on my work. That makes me feel like I am not wasting my time trying to fall asleep. Usually that day I am racing, energetic and feel good about all I have accomplished. By that night I am crashing and I pay the next day in bodily aches/pain. Not very exciting…”

Another says, “I have had quite a few episodes of insomnia. There were times when I would go days or even a week without adequate sleep. I would either fall asleep and then wake up in the middle of the night and not be able to go back to bed, or I would just simply stare at the ceiling until I finally fell asleep, only to wake up about every half an hour for the rest of the night. Either way, insomnia sucks! I eventually couldn’t take it any longer and sought medical help. Come to find out, I have general anxiety disorder and that was greatly affecting my sleep. Even now – I am on medication- I still have bouts of insomnia when I am highly stressed. My mind is constantly going, so when something important is coming up I find myself having trouble sleeping. In the middle of the night I have tried a number of things: read a book, go to the gym (thank you, 24 hour fitness), eat, watch TV, and try and go back to sleep. As a student, during the day I am pretty much reading, writing, researching, or preparing for a class I TA for. 

“After a night of insomnia, I usually feel terrible the next day. Even if I am tired, I don’t try and nap because if I do, the likelihood of getting a good night’s sleep decreases. If I go a few days or even a week without sleep, my brain has pretty much checked out. I go through the motions but I don’t feel like I am really all there. Hopefully that makes sense. Insights? I would say that everyone is different and should try different things to help them sleep. I hate taking medicine, even when I am sick, so seeing a doctor was the last thing on my list. I tried doing yoga, eating better, not watching TV or reading at night…but nothing helped me. Being put on medication was a great relief because I sleep really well, for the most part”. 

And finally, one of my neighbors says, “Sometimes I look out the window to see who else might be up in the neighborhood. I am tempted to text them or call and get together, maybe we should start an insomniac club”. 

That sounds tempting… I suppose that one strategy I’m employing is writing this post. Maybe “outing myself” as an insomniac will help diffuse the potency of this insidious problem. If I were to characterize my current “brand” of insomnia, it’s “learned insomnia”, meaning that I begin to fall asleep and then just as I’m fading into a hazy fog, my brain says “you’re falling asleep”, at which point I’m awake! Luckily, the problem has lessened since I first put out the call for insomnia stories. May it fade away! 

Tell me your insomnia story! What has helped you overcome your sleeplessness? 

sleep couple

Life as a “Sometimes Adjunct”

adjunct 1 
Adjunct:  “a thing added to something else as a supplementary rather than an essential part”.

I’ve been teaching Sociology as an “adjunct” for nearly 20 years.  I never liked this descriptor, but I learned early on that most students don’t know or seem to care about my title or my status, and for me, that’s the bottom line. I have found that students are oblivious to stratification within academia – the cascade of titles and honors that starts with part-timers at the bottom, and then officially begins with Assistant Professor, the tenuous first step which initiates the gradual and arduous climb up and up, until – if lucky – one reaches Associate, Full and eventually, at the far end of the career spectrum, Emeritus, the end of the line, after decades of classes taught, research conducted, peer-reviewed articles and books published, talks given and dissertations advised.

Chichén Itzá Pyramid
Chichén Itzá Pyramid

When prospective parents and students tromp around campus, asking all the right questions, they are rarely prompted to ask one of the most relevant questions:  “Will my professors be part-time (low-paid) labor?” No, if they ask anything related to the status of teachers, they want to know if the professors have doctorates, and often the answer is “yes”, avoiding the issue of labor stratification altogether.

That said, most students just assume that their teacher is the professor, unless that teacher is still a graduate student. In fact, in every undergraduate class I have taught, students insist on calling me “Professor”, even when I tell them to call me by my first name. I generally stop short of telling them about my status in the academic chain; I also don’t tell them that they may never see me again because I’m not sure if I’ll be re-hired. I have had some teaching jobs where students are shocked when, at the end of the semester, they hear I might not be back the following year.  Sometimes, that opens up the conversation about stratification within the academic labor market. After all, this is Sociology, where issues of class, gender and race are paramount. Why not insert one’s own “social location” into the mix?

The increase in employment of part-time, adjunct faculty in academia has become an “issue” for some university systems, especially when union contracts or state laws limit the number of part-time faculty. Despite bloated administrative budgets and the building of new athletic centers and sports arenas designed (in some places) to make an institution more “competitive”, the teaching staff is where pennies are pinched.

Adjunct teaching an add-on rather than central
Teaching as an adjunct is not my “full-time work”; it truly is an adjunct to my career, in which I co-run a small social science consulting group called Arbor Consulting Partners (www.arborcp.com). In other words, thankfully, I don’t depend on this income as my “bread and butter”. Teaching is my passion but it’s really hard to make a living teaching as an adjunct.

I have been lucky to not be at the bottom end of the adjunct pay scale – which can be as low as $2,000 per course, but the wages generally hover around $5,000-6,000 at many research universities, unless you’re teaching at one of the “prestige” institutions. Many adjuncts piece together a string of teaching gigs, sometimes as many as 6 classes per semester and sometimes in different institutions, just to pay the bills. They/we receive no benefits, and while they are teaching a full load, they often don’t have an office – or if they do, they share it with all the other part-timers, so it’s hard to use for meetings with students or to get any work done. Adjuncts can work their butts off and still be poor and disenfranchised.

Adjunct 7 teach for food
Generally, an adjunct functions outside of the system. We’re not paid to go to meetings or advise students. This is fair, given that we’re only paid to teach. But for those who would like to be more involved – and even be considered for a tenure track position – this status can be a liability. New hires in academia are judged for their ability to teach and advise students, and in research universities, they are judged by their academic scholarship.  Adjuncts rarely have time to pursue their own research, and if they do, it’s on their own dime, unless they have sought and received a grant, which is harder to do without an institutional base. Some universities even disallow part-timers from receiving university grants.

Having the capacity to teach many different courses is central to any adjunct’s survival. I have taught a variety of Sociology courses in a range of academic institutions, including courses on aging, sex and gender, feminist theory, work and family policy, gender and leadership, and most recently, a course on Evaluation Research, which is the work I do as a consultant. For some of those jobs, I had a one-year contract, but mostly, I have been teaching by the course and by the semester, with the possibilities of returning, which I have now happily done in three of the institutions where I have taught. Generally, I have either replaced a professor who is on-leave, taught a course that full-time faculty didn’t have time to teach, or more recently, I have taught courses that no one else has the expertise to teach.

One thing that I love about teaching at the university level is the freedom to design a syllabus, regardless of whether a course has been taught by another professor. Not all adjuncts get to do this. Over the years, I have experimented with incorporating the arts into my teaching, and invariably, other professors (those on the ladder) tell me they think it’s really cool. I have been lucky that, for me, teaching as an adjunct is a choice. I have also had some incredible colleagues, supportive and inclusive. But many adjuncts do not feel they are treated as equals relative to full-time faculty.

Unionizing the adjunct labor force

Adjunct Teacher, Otis College of Art and Design, LA
Adjunct Teacher, Otis College of Art and Design, LA

There is a growing movement to unionize this low-paid contingent labor force, and the Service Employees International Union (SEIU) and the American Federation (AFT) of Teachers are two of the major unions now leading the charge nationally. A dozen new union locals have been established, including one at Tufts University, where I got a one-year contract right after I completed my doctorate, and another at Lesley University, where one of my friends, a fully tenured faculty member, played a key role. Both were organized by SEIU.

So where do I stand? I strongly believe that it is in the interests of all parties within academia for Part-time Faculty to be paid well and have good working conditions, including consistency in the courses they teach and multi-year contracts, as this contributes to the overall quality of education at the institution. At the same time, Universities should not rely so heavily on part-time labor. The slow creep of an unstable labor force comprised of part-time contracted workers is a disservice to students, their parents and the institution overall.

Tufts University Adjuncts
Tufts University Adjuncts

At Tufts, part-time faculty members successfully negotiated a contract that included 22% pay raises over a 3-year period, longer-term contracts, and the right to be interviewed for full-time positions in one’s department. In addition, their contract stipulates that adjuncts who teach three or more courses over the academic year will have access to health, retirement, tuition reimbursement, and other employee benefits. This is a major victory for part-timers and the University, overall.

Historically, it has always been challenging to organize “professional” workers, given the notion that labor unions are associated with blue-collar workers, not teachers or nurses or social workers, who are falsely considered “above that”. But frankly, this notion is just a way to hold back the collective strength of workers from having more power. The move to organize adjunct labor – just like the move to organize all workers who are underpaid and undervalued – is critical not just to the individuals who directly gain from union representation; it is also critical for the broader society and economy.

Harvard University Widener Library
Harvard University Widener Library

A recent article in the Harvard Crimson describes the working conditions for its “non-ladder” faculty, or put in more plebeian terms, adjunct faculty. Harvard can call these workers what they want, but they are still contingent labor. Adjuncts at Harvard and other Ivy’s get paid sometimes twice or three times what adjuncts at less prestigious institutions get paid.  But unlike tenure track faculty, they are subject to short contracts, far lower wages than their colleagues, and lower status than their colleagues. An exception to this is when the Ivy’s hire former politicians or entrepreneurs who command high wages to teach a course because of the prestige they bring to the institution. For the “average” non-ladder employee at Harvard, the institution affords a status akin to a post-doc, a coveted year following the completion of one’s doctorate which may be devoted to research. This is because teaching at Harvard, even as a “non-ladder” employee, carries the imprimatur of a fancy-labeled institution. Surely, one would think, if that institution is hiring this person to teach their students, they must be smart by association.

Core Faculty, Lesley University
Angelica Pinna Perez, Dalia Llera and Jason Pramas, Core Faculty supporting the union vote, Lesley University

Bigger questions must be raised about whether universities are going to depend more fully on lower-waged contracted workers. The system of tenure, where faculty members are essentially hired for life, has been subject to debate for many years, posting the question: Is the tenure system critical to protecting intellectual inquiry, and/or is it a system that rewards decreasing productivity? But this thinking avoids the real issues. The tenure system is not to blame for the rise in part-time contracted labor in academia. We must, instead, look at bloated administrative budgets and the trend to create amenities to attract students, particularly those paying full-freight.

David Kociemba, President of the American Association of University Professors (AAUP) at Emerson College, where he teaches in the Department of Visual and Media Arts, is quoted as saying the adjunct movement is “four decades in the making”, but he was able to finish the union drive at Emerson College in only two months. This just demonstrates how ready some part-time faculty members are to get organized, given the opportunity.

So far, I have not been at an institution during a union drive for adjunct labor. That is perhaps another casualty of life as a “sometimes adjunct”, or any adjunct for that matter, given that these part-time workers aren’t tethered to the institutions where they teach. But I imagine that if I do continue to teach courses here and there, I will eventually sit in the eye of the storm, and instead of supporting the movement from the sidelines, writing blog posts and signing petitions, I will add my voice to the collective. While I don’t count on my adjunct jobs to pay the bills, I wouldn’t mind…

Sociologists in the Policy Arena: A Conversation with Tekisha Everette


My first job in Boston was working for Senator Jack Backman, a progressive state Senator who headed up the Human Services Committee on Families and Elder Affairs.  I was considered his “child and family expert”, but I hardly felt like an expert, particularly in that shark tank of policymaking.  I loved and hated that job, the daily tedious business of writing legislation, sitting for hours in meetings, taking orders as the lowest of the low on that totem pole. But I learned how to analyze a state budget, and how bills get passed, and who makes decisions behind which closed doors. I also learned that I wasn’t suited to moving things from inside the system, but I loved being an outsider trying to make the system move. 

Senator Backman sponsored the first universal child care bill in the state, arguing that all children should have access to early childhood education. While this seems laudable now, at the time it was laughable because people felt it was so “out there”, beyond anything that was remotely possible. This was the early 80s, and while women had already been entering the labor force in droves, some politicians were just getting used to it. 

The Governor, a rabid right-wing demagogue, vociferously argued against increasing child care subsidies to poor families, much less even considering universal child care policy. His famous line was that “child care is a Cadillac service”, a “luxury” that the state could not afford, particularly because it was women’s place to stay at home to care for their families. It took several decades for Massachusetts and 39 other states to finally implement universal pre-kindergarten (UPK).

The most compelling part of my job was working with a ferociously committed group of early childhood teachers who fought for more funding for child care programs, including funds to increase child care worker wages. Since my role was as a liaison to a liberal Senator, they lobbied me to take up their cause. Initially I felt flattered that they were trying to convince me to support their issues, but I soon realized that I was “one of them”, except that I had some leverage to help them get access to key legislators. 

It was from this group of amazing early childhood education advocates that I learned about the need for government subsidies to defray the high cost of child care for low- and middle-income parents. It was from them that I learned about the high turnover of child care workers because of their low wages – and the negative impact of teacher turnover on the quality of care to children. Not too soon after I left that job, I became a lobbyist for a statewide child care association.

Recently, I organized a panel for the Sociologists for Women in Society winter meeting, and as I looked for speakers who could demonstrate the wide range of jobs that sociologists have in the “applied world”, I discovered Tekisha Everette, a brilliant Sociologist who, at the time, was working as a lobbyist with the American Diabetes Association. Tekisha spoke about why she chose to be an Applied Sociologist, the substance of what she actually does in her job on a day-to-day basis as a lobbyist, and how she incorporates a race/gender/class lens in talking with policymakers about public health issues. Having worked in the policy world, I was particularly moved by how Tekisha uses her scholarship as a sociologist, incorporating analyses of how race, gender and class affect public health policy issues. Here’s a snippet of our conversation: 

Mindy:  Tekisha – why did you choose to do Applied Sociology?

Tekisha: I chose Applied Sociology because I wanted to combine my educational background – political science, policy and sociology – to affect change in society. I wanted to go beyond studying society to applying that knowledge to drive policy change in society. 

M:  Can you tell me a bit about the types of applied jobs you have held?

T:  I am a lobbyist now but I’ve been policy analyst and a liaison between state government employees and a firm of economists. In each position, I have used my research skills as well as my sociological theoretical lens to execute my work. For me, this has been an amazing experience because I am relevant in a variety of spaces and I can alter my voice and perspective based on what is needed in the situation. 

M:  How would you describe the role you play within the organization’s structure?

T:  I am the lead lobbyist for my organization and I lead a team of three lobbyists and one manager. I provide strategic leadership on policy and legislative efforts of the Association. I also serve as a member of senior management for the department and help shape a number of our projects and priorities. Since most, if not all, of our initiatives have to be evidence-based, I spend a fair amount of time reviewing, requesting, and explaining research to support our legislative ideas. 

M:  What does the work of a lobbyist entail?

T:  Interacting with Members of Congress and their staff, the White House and federal agencies, training and helping our advocates to use their experience to gain support for legislative proposals, reading/reviewing research and translating it into policy. 

M:  How do you incorporate a sociological lens in your work?

T:  Since I have come to my organization, there have been a number of times where I’ve been able to bring a sociological lens to affect decision-making. Overall, I think I have worked to change the way we make decisions to ensure that we take a variety of backgrounds and various interests into account. Being a sociologist gives me the advantage of being able to go beyond the data and making it relevant to policymakers in ways they can understand. My goal is to always be sure I can explain the impact of policy at a localized level – and to incorporate the impact from a gender, race and class perspective.

M:  What drives you to do this work?

T:  I believe that you have to be a able to explain anything you do to your grandma! Perfecting the art of being able to use research and explain it to a variety of audiences is important to me.
Tekisha has just accepted a new position to become the inaugural Executive Director of Health Equity Solutions in Connecticut. The organization is a non-profit focused on addressing health equity issues in Connecticut through public policy, education and advocacy activities. She begins her new position in May, as she takes on another opportunity to have an impact in the policy arena!

Women, menopause, the pharmaceutical industry and horses…

Around 10 years ago, when I was going through menopause, I switched to a new OB/GYN who nearly convinced me to go on Hormone Replacement Therapy (HRT). I had told her that my mother struggled with hot flashes and depression during her “change of life”, as they say, and I was worried about what it would be like for me. As a preventive measure, she prescribed HRT. Jump two frames forward and there I was, standing in line at the local pharmacy waiting to pick up my meds, but feeling very ambivalent. I’ve always been drug-adverse, and I thought, ‘why am I considering taking these meds unless it’s absolutely necessary?’ I was trying to stave off a problem that didn’t actually exist!

Serendipitously, I started to chat with the woman in line next to me, a friend of a friend, who suggested that if I had questions about HRT, I should take a look at Dr. Christine Northrup’s book, “The Wisdom of Menopause”. Even though I walked out of that store with a filled prescription, I never cracked the bottle. Northrup says, “I’ll take my chances with the hormones that mother nature has taken at least 3 million years to come up with”, arguing that women with healthy ovaries and adrenals may not need (HRT). Even for the one-third of women who have had their ovaries removed and may benefit “from a little estrogen or a little progesterone or possibly a little testosterone”, Northrup says that “in no case should these be the conventional hormones that are synthetic. This is important for people to know: you cannot patent a naturally occurring hormone”. (Northrup’s advice about nutritional supplements below.*) 

It turns out that there are some serious reasons to avoid HRT. Medical sociologist, Gayle Sulik, writes:  “Clearly, there is a relationship between the use of synthetic hormone therapies and breast cancer even if the mechanisms are not fully understood. In 2002, when the findings from the Women’s Health Initiative estrogen-plus-progestin study came out, about 38 percent of postmenopausal women in the U.S. were using some type of hormone therapy drug. When the WHI findings hit the news, sales plummeted and breast cancer incidence rates also dropped”.

An article published in the New England Journal of Medicine also linked a sharp decline (6.7 percent) in breast cancer incidence in 2003 with the release of the first Women’s Health Initiative report “and the ensuing drop in the use of hormone-replacement therapy among postmenopausal women in the United States.’”
I later read somewhere that around 40% of women who get their HRT prescriptions filled never take the stuff, and that info validated my choice. The link between HRT and breast and other cancers was too real to me. My mother had had breast cancer, and it seemed like taking these drugs was like playing with fire. Instead I devoured literature on alternative ways to deal with menopause symptoms, drank my soy milk and copped a “bring it on” attitude.

As if there weren’t enough reasons to question the use of Hormone Replacement Therapy, I just discovered another. Call me naïve or sheltered, but it never occurred to me that Premarin – an HRT taken by a number of my friends – was named for what it actually is: Pregnant Mare’s Urine. In other words, the drug of choice for so many menopausal women comes from horses that are “farmed” for this exact purpose. Northrup says, “People will tell you that Premarin is natural–yeah, it’s natural if you are a horse!”

According to an April 5th Boston Globe article by Nestor Ramos,, these horses are kept “inside long barns in the Canadian provinces of Manitoba and Saskatchewan”, lined up in rows of small stalls, “tubes snaking up from under them into vessels nearby”. Geez! Ramos, comments, “It sounds like science fiction — some equine version of “The Matrix,” in which a superior species saps humans for their nutrients — but it’s true: The urine is precious”.

The article is a human interest piece focusing on two women – one, age 70; the other, in her late 20s – who share a love of horses. It turns out that while selling Premarin is a profitable industry, “keeping hundreds of horses pregnant every year” in order to gather their urine has a downside. The mares have babies, and selling the foals for meat is also apparently a profitable business. The elder woman has spent years going back and forth to Manitoba to rescue some of these foals from the “slaughterhouse floor”, but her energy to make this trip has waned, so having a protégé who shares her passion has made it possible for her to carry out this mission, and in a way, build in the potential for someone to carry on when she no longer can make the journey.

I love the story of these two women: one in which the passion and leadership of the “elder” inspires the younger, and the vibrancy of the younger who makes this difficult journey possible. But what if there wasn’t such a lucrative industry around harvesting pregnant mare urine in the first place to supposedly rescue aging women from a natural change in their reproductive cycles? Northrup comments, “The hormones that naturally occur in the human female body have been altered so that the drug companies can justify the R&D programs to patent a hormone and therefore make their money. It’s frightening!”

Check out this Huffington Post piece by investigative reporter Martha Rosenberg, called “When the publication plan is ready, the research will appear”, in which she describes how the marketing arm of a drug company published articles denying the link between HRT and cancer. “Though the marketing firm’s “science” is egregiously flawed — HT has strong links to breast cancer, breast cancer, heart disease and Alzheimer’s — the papers have not been retracted.”

The cultural narrative for menopause, very much aided and abetted by the pharmaceutical industry – is that it’s a medical crisis to be tackled. Women’s natural reproductive functions have long been viewed as indicative of “otherness”, weakness and incapacity, from menstruation to menopause. While many women surely benefit from a medical approach to easing symptoms of menopause, we must question who and what the medicalization of menopause serves, and recognize that menopause isn’t a wasting away, a time in which we go bonkers and lose our minds and bodies. It is just another passage in a series of chapters in women’s lives.

* Northrup does recommend the use of nutritional supports such as omega 3 fats and B vitamins, “to help clear estrogen dominance from your system”.  Because when you stop ovulating and you don’t have progesterone to balance the estrogen, “that can create a state of anxiety, jitters, and headaches”. Her advice? Eating soy or ground up flax seed “helps a great deal to give you plant hormone support while your body is making the transition”.

For more reading, see:
Peter Conrad: Medicalization and Social Control: http://66.199.228.237/boundary/addiction/medicalization_and_social_control.pdf

Meyer, Medicalization of Menopause: Critique and Consequences: http://www.ncbi.nlm.nih.gov/pubmed/11809008

Marlene Cimons: Medicalization of Menopause: Framing Media Messages in the 20th Century: http://drum.lib.umd.edu/bitstream/1903/8352/1/umi-umd-5616.pdf

Being an Applied Sociologist: A Conversation with Chantal Hailey


When attempting to transform communities through social policy, it is imperative to not only understand what the social problem is, but also how and why it exists and persists. Trained sociologists have indispensable tools for this type of applied work. – Chantal Hailey
                                                                    

                                                                                                               

In my last blog post – Choosing Applied Sociology I referred to a 2013 article in Inside Higher Ed in which Sociologist Roberta Spalter-Roth, from the American Sociological Association, comments that “In sociology, there is close to a perfect match between available jobs and new Ph.D.s”, if you take into account non-academic jobs (https://www.insidehighered.com/news/2013/08/06/sociology-job-market-continues-recover-steadily). She notes that while these “applied” jobs often pay more than university teaching positions, graduates rarely know about them and professors may even discourage their students from entering these professions. 

Unfortunately, the majority of Sociology grad students view the tenure-track job market as their only career choice, but there are many Sociologists who have chosen to work in applied settings. The skills gleaned through a Sociology degree are applicable – or dare I say, “marketable” – in a whole host of other venues, including government, corporations, and all sizes of nonprofits, local, state and national. We are researchers, lobbyists, program managers, teachers/trainers, and more.

I decided to organize a panel on this topic at the annual meeting of Sociologists for Women in Society, held in Washington, DC.  And on February, 2015, three distinguished Applied Sociologists from the DC area presented about why they chose this route of practice, what they do and for which populations, and how they incorporate sociological principles into their work, framed by a race, class, gender lens.  In this post, one of the speakers, Chantal Hailey, talks about her draw to applied work, which she began as a Sociology student at Howard University. After a number of years doing Applied Sociology, Chantal is now a first year doctoral student at New York University.

Mindy:  What interested you in doing applied work?

Chantal:  Throughout out my childhood, I lived, attended summer camps and had friends and family who lived in low-income urban neighborhoods. I was able to see how low-quality schools, subpar housing, limited opportunities and violence shaped young peoples’ lives and limited their potential. I had a passion to transform these communities into places where all people could thrive. But on the other hand, I was a nerd. I enjoyed research, history, math and statistics. 

During my internship at a research branch of a community development corporation, I discovered that providing statistical trends on health, education, and housing to nonprofits could help them inform how they served low-income communities. I also discovered that the voices of women and people of color were sometimes absent from these discussions. I knew that in order to get a seat at the table, as a black woman, I needed to have the highest credential possible. So I began my academic journey at Howard University (as an) undergraduate in the Sociology department, knowing that my ultimate goal was to complete a doctoral degree in Sociology. 

Mindy: Did you know you were learning about Applied Sociology at that point?

Chantal:  While I was at Howard, I didn’t know of any distinction between applied and “pure” sociology.  I just completed papers on topics that were important to me–public housing, poverty, and education. Urban Institute (UI) kept popping up in my literature reviews and I applied for internship there after my junior year. 

Mindy:  What did you do when you were at Urban Institute?

Chantal:  At Urban Institute (UI), I transformed from an intern to a Research Assistant to a Research Associate. UI’s research is a combination of researcher-generated projects and responses to RFPs (Requests for Proposals). Two of my projects exemplify the type of applied sociology I was able to undertake at UI.  The first is the “Long Term Outcomes for Chicago Public Housing Families” project (LTO). LTO is a 10-year longitudinal study of families whose Chicago public housing was demolished or revitalized through the Plan for Transformation. We employed mixed methodology – family surveys; in-depth interviews with heads of household, young adults and children; and administrative data review. 

                                                                            

We found that after relocation from distressed public housing developments, families generally lived in better quality housing in safer neighborhoods, but many adults struggled with physical illnesses and youth suffered the consequences of chronic neighborhood violence.

Mindy:  What was your role there? What did you do?

Chantal:  As a team member in this project, I assisted in developing the survey, helped lead data analysis, generated the young adult interview guides and conducted in-depth interviews with the young people in the study. I also co-led and lead-authored research briefs on housing and neighborhood quality and youth. A research brief is a 15-20 page synopsis of research findings. Unlike most journal articles, there is not a long literature review. 

This short article allows us to disseminate the findings to wide audiences. In addition to the standard research brief, we also produced blogs, HUD online journal articles, and radio reports; and briefed the Chicago Housing Authority, Senate committee members, and the press.  LTO used sociological methods to understand policy, but intentionally shared this knowledge with wider policy makers and practitioners. 

Mindy: You say that trained Sociologists have “indispensable tools” for applied sociology. Can you elaborate on this a bit?

Chantal:   Sociology can address a plethora of subject areas that often intersect (i.e. inequality, education, crime and violence, health, etc.), and it unveils the mechanisms behind social problems. A Sociology education trains researchers to look for the hidden transcripts among social groups and interactions, not just the most apparent narrative. It allows for simultaneous macro, meso, and micro analysis to understand multiple contributing factors. And it emphasizes the impact social context has on policies’ implementation and outcomes. 

This was especially apparent in the LTO study. We understood that in addition to families’ relocation from public housing, a series of key factors – including proliferating national rates of housing foreclosure, increasing Chicago neighborhood violence, and rising income inequality – also shaped families’ experiences in South Side Chicago neighborhoods.

A Sociology education provides an array of methodological tools that can be tailored to best address research questions (i.e. interviews, focus groups, ethnography, quantitative analysis).  It pairs theories of race, class, family structure, etc. to better understand social issues. These analytic and research skills allow us to partner with government, non-profit, and academic agencies to both advance sociological theory and offer practical solutions to social problems.

Mindy:  Thank you!  And can you provide another example of applied work you’ve done, where you’ve been able to bring your analytic and research skills to the fore?

Chantal:  In D.C., I participated in a Community Based Participatory Grant funded by NIH entitled Promoting Adolescent Sexual Safety (PASS). UI, University of California San Diego, D.C. Housing Authority, and D.C. public housing residents collaborated in the PASS project.

This research team – along with a mix of individuals from different racial, class, and professional backgrounds – aimed to develop a program to increase sexual health and decrease sexual violence. 

Mindy:  How did you use what you were learning as a Sociology student/practitioner?

Chantal: Again, we used sociological methods to conduct this project, including an adult and youth survey, in-depth interviews with community members, participant observations, and focus groups. 

Mindy:  You said this project was participatory. Can you talk about who was involved?  How was it participatory?

Chantal:  Through the grant, we developed a community advisory board, a group of 15 residents who participated in creating the PASS program. The interactions between the community advisory board, community practitioners, and the researchers challenged the researchers to not only study educational, class, geographic and racial inequalities, but also to assess how our interactions dismantled or exacerbated power inequities. 

Mindy:  Earlier, when we spoke, you talked about what it was like to be an African-American researcher who also had a personal understanding of the experience of people you were researching. Can you talk a little about that?

Chantal: As an African American woman on the project with family who lived in D.C., I was personally challenged to both create distance as a researcher and closeness as a fellow black D.C. resident. I often found myself “code-switching” during community meetings, as I communicated with both my co-workers and the community members. Feeling a responsibility to and, often, sympathizing with the desires of the researchers and the residents, I also had to sometimes explain and mediate diverging understandings during conflicts. This closeness and distance dichotomy was also pertinent during data analysis. While my experiences allowed me to recognize and interpret focus group participants’ terminologies and cultural cues, I had to ensure that my sympathies with the community did not cloud my ability to see inconvenient truths. 

Mindy: And how did you get what you learned out there to your target audiences?

Chantal: This research project, like most UI projects, focused on dissemination to wider audiences in palatable formats–a community data walk, research briefs, blogs and journal articles.
 

Mindy:  Finally…now you’re a doctoral student at NYU and studying Sociology.  How do you see yourself moving forward as a Sociologist?  How will you incorporate what you’ve learned into your future practice? (or is that something you’re still figuring out!)

Chantal:  As I continue in graduate school at NYU, I aim to crystalize my research identity and trajectory. I have methodological and policy research experience through the Urban Institute, and I am gaining theoretical expertise while completing my doctoral degree. I hope to incorporate these elements into my research and become a conduit between academia, policy makers, and urban communities to make inner city neighborhoods a place where all children can thrive. A mentor once advised me that graduate school is a journey where you begin in one place and end in another. I am tooled with amazing applied experiences and I’m excited to see how my graduate school journey directs my path.