Conditions of Mothering: The Bio-Politics of Falling in Love with Your Child
The Hebrew University of Jerusalem
T his article discusses and deconstructs the m yth o f ‘m otherly lo v e ’ by contrasting it w ith fieldw ork on Israeli parents* reactions to their appearance-im paired child. The ethnography o f these reactions presents a com m on pattern o f rejection— alternatively consisting o f both the abandonm ent o f the child at the hospital and o f various form s o f abuse at hom e. The article concludes by re-thinking the issue o f ‘m otherly lo v e’ and ‘b o n d in g ’ as conditioned on som e deeply-ingrained parental expectations regarding the appearance o f their child.
‘Motherly love’ is a powerful cultural idiom constituted upon an almost inextricable blend of historical, sociological, medical and feminist discourses. In this paper I discuss the reification of ‘motherly love’ by contrasting it with my fieldwork on parents’ reactions to their appearance-impaired child. Using this data as a test case, I confront it both with the social construction of the myth of bonding and the feminist thought concerning that issue. The objective of this article, then, is threefold: to introduce new empirical data into the discourse of parenting, to draw theoretical implications from it, and to use these implications to criticize both conventional and feminist conceptions of parenting, esped aily maternity. The presentation of empirical data, however, is intentionally delayed, appearing only after the articulation of the discourses has taken place. This retrospective reasoning is meant, to use a theatrical metaphor, to describe the ‘stage’ and ‘decor’ before the actors themselves appear. Hence the portrayal of theoretical discourses
*Direct all correspondence to: Meira W eiss, The Hebrew University o f Jerusalem , Mount Scopus, Departm ent o f Sociology and Anthropology, Jerusalem 91905, Israel.
The Social Science Journal, Volume 35, Number 1, pages 87-105. Copyright © 1998 by JAI Press Inc. All rights of reproduction in any form reserved. ISSN: 0362-3319.
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precedes that of the empirical case study, which is then used to deconstruct the former. The first section of the article will therefore introduce the dialectics of the social and medical notions of ‘bonding’ and the issue of “maternal ethics” in feminist discourse. The second section will present the case study of appearance-impaired children, relating it with others examples of child rejection. The third section will conclude with a reconsideration of ‘bonding’ from various viewpoints, and some reflections on the development and future of feminist thought as related to the issue of the body in general.
THE MYTH OF BONDING AND FEMINIST DISCOURSE ‘Bonding’ is commonly understood by social scientists, psychologists, physicians and lay men alike to consist of the natural, regular process of ‘falling in love’ with one’s child after birth. It is “that process through which the mother and the child come together and the child realizes that that’s the mother it was bom out of and the mother makes the outward realization that that is her child” (a midwife quoted in Amey 1985, p. 156). Notwithstanding the obvious observation that such ‘realizations’ indeed take place, what interests me here is the constitution of that process as being regular, natural, and furthermore, “motherly”. These assumptions regarding the nature of bonding and its universal existence have been accepted uncritically, despite various methodological flaws and scientific problems involved in the research. Evidence for bonding are derived from two sources: ethological research and quasi-experimental human research (see, e.g., Klaus and Kennell, 1976; Wilson, 1975; Klaus et al., 1972; Schaffer, 1977; Lytton, 1980). These sources perhaps take their conceptual point of departure from Darwin’s (1896, p. 563) conviction that the feeling of the mother for her child is ‘a maternal instinct’, leading women to show ‘greater tenderness and less selfishness’ and display ‘these qualities towards her infants in an eminent degree’. For a methodological and conceptual critique of the various studies of animal birth practices, postnatal separation and adoption, the reader is referred to Amey (1985, chapter 5). These ethological ‘evidence’, however, were only part of the case. They were to join forces with the interest of the medical professions (especially obstetrics) in extending their reach beyond birth to the early postnatal period of ‘adjustment’. ‘Bonding’ facilitated a new synthesis of mother and baby as a unit of interest, following the division of the unit that occurred with the earlier discovery of the fetus. It extended the obstetrical domain outside the hospital and into the family. Furthermore, it provided both direct and indirect justifications for needed social ‘reform s’ and policies such as the legal enforcement of reluctant parents to take home their appearance-impaired newborn (as it is in Israel, for example). More generally, it served to resurrect old justifications for certain social practices in a new scientific rhetoric. For bonding is, perhaps first and foremost, a theory that lends legitimacy to the notion that women are the only appropriate attendants for children. It is, in the phrasing of Marxist feminists that we shall later examine, an ideological justification for keeping women in the home with their children, hence perpetuating their inequality in the labor market. As a direct result of the adherence to ‘bonding’ ideology, its lack— medically constituted as “diseases of nonattachment”— was to be powerfully rejected, stigmatized and
Conditions of Mothering
denounced. It is in this context that one should realize the degree of ideological internalization distilled in the following statements made by Selma Freiberg (1977, p. 62): The bondless m en, w om en, and children constitute one o f the largest aberrant populations in the w orld today, contributing far beyond their num bers to social disease and disorder. T hese are people w ho are unable to fulfill the m ost ordinary hum an obligations in w ork, in friendship, in m arriage, and in childrearing ... W here there are no hum an attachm ents there can be no conscience. A s a consequence, these hoilow men and w om en contribute very largely to the crim inal population.
‘Motherly love’ is one of the most prominent commonplaces found behind the ideology of bonding. The two are, in fact, mutually dependent; if ‘motherly love’ is uncritically accepted, then ‘bonding’ necessarily follows. However, while ‘bonding’ has lent itself to be constituted ‘scientifically’ in the discourses of psychology, ethology and obstetrics, ‘motherly love’ has remained outside the reach of scientism. The following is a rather brief discussion of the invention of motherly love, followed by feminists’ ambivalent views of it. Elizabeth Badinter (1981) argued that motherly love is a bourgeois invention, discovered as recently as the 19th century. Viviana Zelizer (1985) found that until the 19th century in the Western world, children were valued by their parents only as workers. Only in the late 19th century did children begin to be valued for their emotional or intrinsic worth; at that point, they became ‘priceless.’ For very poor women, the emotional bonding taken-for-granted by middle and upper classes may be, even today, an unaffordable luxury (see Boswell, 1988; Fuchs, 1984, 1992; Scheper-Hughes, 1992). Numerous historical accounts of children who were so expendable they were not named until it was clear they would live beyond the first year (Aries, 1962) support this claim. Indeed, the history of childhood is more characterized by beating, neglect, abuse, abandonment, even infanticide (see de Mause. 1974; Scrimshaw, 1984) then by some romantic ‘motherly love’. Not to mention the common practice of wet-nursing, which may be referred to as little more than a public license to kill unwanted and excess babies, or other notorious social practices such as foundling homes, baby “pap” and the common use of laudanum syrup and other narcotic “pacifiers” . The modem invention of mother love corresponds, then, not only with the rise of the modem bourgeois nuclear family but also with a demographic transition involving the precipitous decline in infant mortality and female fertility. As Nancy Scheper-Hughes (1992, p. 401) puts it, “modem notions of mother love derive from a new reproductive ‘strategy’; to give birth to a few infants and to “invest” heavily in each one from birth onward.” Having drawn this critical description, we now come to the feminist notions of mother love. These notions can be divided into two opposites. The first succumbs to the radical, ideological interpretation which regards ‘mother love’, as well as bonding theory, as prejudiced against women interested in pursuing a life in which children are not the raison d ’etre of the women or their exclusive focus of attention. ‘Mother love’ here stands for wom an’s traditional role in childcare, which constitutes a major source of wom en’s subordination. Tiger and Fox (1974, p. 110), for instance, assert that this role has entailed “the male control of females for sex and dominance, and the female use of the male for impregnation and protection”.
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The second, opposite feminist view of mother love stems for what Sayers (1982) has called “biological essentialism” . Alice Rossi, for instance, who first recommended that sexual equality would only be achieved by getting women and men to participate equally in looking after children (Rossi, 1964), has later declared that the traditional division of childcare between the sexes is ordained by biologically given differences. Biology has rendered women better able than men to care for children (Rossi, 1977). Rossi further implied that oxytocin uniformly makes women maternal towards their children, and that this lactation hormone results in an “innate predisposition in the mother to relate intensely to the infant” (Rossi, 1977, p. 24).1 It would be wrong, then, for women to ignore their “true nature” ; they can achieve equality only by celebrating their unique ‘feminine virtues’. In the same vein, Helen Lewis (1976) urges women to value their traditional role in childcare, a role which she says is devalued only because we live in an exploitative society. The feminist theories belonging to the “biological essentialism” type are in fact based on some conception of human (and maternal) nature. Among these theories proposing essential, or universal, womanly scripts are Sara Ruddick’s (1983) “maternal thinking”. Nancy Chodorow’s (1978) “feminine personality”, and Carol Gilligan’s (1982) “womanly ethos”— all of which on closer examination can be found to be both culture and history bound (see also Lorber, 1993). Chodorow’s, for instance, is a brand of “psychological essentialism” arguing that the emotional bond between mother and daughter does not lead to the development of strong ego boundaries, but to identification and mergence. This is reversed in the case of boys, who further distance themselves from their mothers through the oedipal and adolescent stages. This sex difference perpetuates itself when women recreate their early experience of child caretaking, a function that men (as a result of their childrearing) are ill-equipped to fulfill.2 Having thus constructed ‘the stage’, it is now high time that I place my own argument, as well as my findings, on it. These challenge both the ‘scientific’ conception of maternal ‘bonding* and those cultural feminists who argue for a singular, essentialist conception of a “womanly” ethic and ethos of maternal responsiveness, attentiveness, and caring labor. Indeed, these two conceptions are inter-connected, as the reductionist form of the latter can be seen in the clinical literature on maternal ‘bonding’ understood as a universal maternal script. I contend with Scheper-Hughes (1992, p. 341) that “mother love is anything other than natural and instead represents a matrix of images, meanings, sentiments and practices that are everywhere socially and culturally produced.” In place of a “poetics” of motherhood, then, let us look for the “pragmatics” of motherhood. My own search after this pragmatics of motherhood will be carried through the case-study of appearance-impaired children.
TWISTED MOTHERS OR TWISTED CHILDREN? IMPAIRED APPEARANCE AS A TEST CASE IN MOTHERLY LOVE My findings regarding parents’ reactions towards their appearance-impaired child are based on a 6-year fieldwork carried on in three major hospitals in Israel (Weiss, 1991, 1993a). These reactions, so I found, shared a common pattern of rejection— altematively consisting of both the abandonment of the child in the hospital and of various
Conditions of Mothering
forms of abuse at home. The general argument stemming from these findings is that if there is such a thing as ‘mother love’, then it is not natural and regular but rather conditioned on some deeply-ingrained expectations regarding the appearance of the child. The harsh scenes I observed imply that the decision whether to “adopt” (to have, to care for, to bond to) one’s biological child precedes the act of loving the child. This decision, unnoticed and unconscious in the case of “normal” children, bluntly poses itself and is made visible in the case of impaired appearance. Reactions to appearance-impaired children are a historical and cross-cultural phenomenon. Rejection, abandonment, killing and abuse of such children have been widely reported since the times of the Greek Polis Sparta (for historical accounts see Pollock, 1983; Hunt, 1972; de Mause, 1976). In European folklore the handicapped child was perceived as a ‘changeling’, a creature laid in the cradle by fairies who stole the m other’s (real) child. The “changeling” could be recognized by its peculiar proportions. big head and ugly face; it could not stand or walk, drank greedily and insatiably and sucked four or five wet-nurses dry; it did not laugh or talk but screamed and shouted interminably (Haffter, 1968). Mentally retarded children were thus clearly taken for changelings, particularly cases with hydrocephalus and cretinism. The fact that the unwanted child was regarded as a changeling provided the justification for various forms of rejection and abandonment of such children. Irish changelings were often “helped” to return to the spirit world from whence they came, in some cases by burning them in the family hearth (Scheper-Hughes, 1992, p. 375). In almost all cases of handicap, mental retardation and impaired appearance in infants, there is a powerful stigmatization at play. Too often this stigmatization is also a death sentence. Examples abound not only in Western history but also cross-culturally. The African Nuer studied by Evans-Pritchard (1956) referred to the physically deformed infant as a “crocodile” child, and presumably submerged it in water. Another similar attitude towards “witch children” (characterized by such physical anomalities as breech presentation, congenital deformity, and facial or dental abnormality) was practiced until very recently among the West-African Bariba (see Scheper-Hughes, 1992, p. 376 account). Such physical abnormalities are also counted among the “signs” which tell Brazilian Shantytown mothers that their child is “taboo”, which leads to his mortal neglect (see Scheper-Hughes, 1992, p. 376, were a more elaborated crosscultural list of such practices can also be found). In our own Western, modem society, we find that stigmatization of impaired appearance still persists, though practices of infanticide and mortal neglect are replaced by hospitalization and social denigration. The issue of impaired appearance of American children was recently smdied by Beuf (1990) who found that such mainly-aesthetic disorders as vitiligo, psoriasis, cleft palate, obesity, and myopia are often deeply stigmatized. This was also shown in studies of handicapped children (Goodman et al., 1963; Bern, 1970), infants with facial deformities (Salyer et al., 1985) and amputee children (Centers and Centers, 1963), among others. The children I observed in the hospitals (newborns, toddlers, and older children) suffered from internal and external deformities and various sorts of diseases. The findings presented henceforth are based on observations of 100 mothers who gave birth to normally-looking children and 350 parents of impaired (appearance or otherwise) children. These 350 newborns comprised all of the impaired children bom in the three
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hospitals during the period of observation; 250 of them suffered from impaired appearance (e.g. spina bifidae, cleft lip, bone malformations, etc.) and 100 suffered from internal abnormalities (e.g. heart or kidney diseases). Research on impaired appearance or deformity in general has mostly taken the form of standard interviews and questionnaires in which respondents were asked to evaluate their behavior toward their children (Florian and Shurka, 1981; Florian and Katz, 1983). Evidently, there exists a difference (often quite significant) between what parents say in these artificial contexts and how they actually behave. However, this latter aspect remained unobserved. In contrast, the current study focuses on actual behavior of parents, and it does so by direct observation accompanied by unstructured conversations. However, before the ethnography is presented, let us glance briefly at the statistics of child abandonment in these Israeli hospitals. As we see in Table 1, most of the children suffering external defects (68.4%) were abandoned, even though most of them did not suffer from life-threatening illnesses and in certain cases the defect was only severe aesthetically (e.g. a cleft palate). In contrast, most of the children suffering from internal diseases were not abandoned even in cases of serious illness where the chance of recovery is slim. The following cases, taken out of the overall data, should serve to exemplify this tendency. The case studies to be presented are representative of the entire study population.
Case 1: The Child With the Tail The Meshulams’ son was born with spina bifida. Mrs. Meshulam, a 21-year-old native Israeli of Yemenite extraction, is a housewife with 10 years of schooling. She and her husband identify themselves as religious, and have another son. The midwife noticed the serious defect the moment the child was bom, since part of the membranes of the spinal cord were exposed and protruding: Mother: Midwife: Mother: Another Midwife: Mother:
Wonderful, is it a boy or a girl? A boy. Oh, I ’m so happy. I so much wanted a boy. Let me see him. Yes, but he seems to have something on his spine. Is it serious? Is it crooked? Are they going to operate on him in order to remove the crookedness?
The doctor, who was summoned immediately, brought the father into the deliver)׳ room and explained the situation to the parents, saying that “the child has no chance of
Newborns by Type of Defect and Parental Reactions (N in Parentheses)
Parental Reaction Abandonment "Adoption" Total
Type of Defect Internal (no external signs) 7.00% 93.00%
(7) (93) ( 100 )
(178) (172) (350)
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surviving for more than a few months. We cannot repair such a defect. My advice is that you sever contact with the child.” Heavyhearted, the parents remained silent. Then they whispered to each other and finally came to a decision: Mother (emphatically): ־Doctor: Father:
We want to see the child. I don’t think you should. It will be hard for you. We insist.
The nurse brought in the child, who was already dressed and looked very cute. Mother: Father: Mother:
W hat a doll, ... You look so cute. Really beautiful. He is such a lovely child. Your saying that he has a defect and is going to die just doesn’t make any sense. I certainly w on’t cut off contact with him. Exactly. W e’re going to take him home. O.K., give him to me now so I can diaper him.
Father: Nurse: Mother (distrustful, suspicious that he will be taken away from her): First we want to see just what it is our son has on his back. Nurse: Maybe tomorrow? Mother: No, right now.
The mother kissed and hugged the baby, then grudgingly handed him over to the nurse. The nurse undressed him and showed the parents his deformity. The parents immediately recoiled as if they had received an electric shock. Mother:
Get him out of here. Take him away (motioning away with her hand). What an ugly thing.
For two days the mother did not go to see her baby. She told a nurse whom she had befriended in the ward that she had given birth to a “baby with a tail” and that she was not going to let “such an ugly thing” into her house. The mother was discharged from the hospital; her child remained there, and she never returned to see him. Like other mothers whom we observed, the first thing this woman was interested in was the sex of her child. She was happy to hear that she had had a boy. Next, her interest shifted to his external appearance. She cast a rapid, superficial glance at her child (because he was speedily whisked out of the room), enough to see his body, his hands and feet. The impression she received of a normal child made it hard for her to comprehend how, in her own words, “there could be something wrong with him if it doesn’t look like it.” The parents did not trust the doctor when he said the newborn had no chance of survival; they believed that the child’s prospects of living should find expression in external signs: “It must be something visible.” Hence their request to
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“see the child” and examine him themselves. During the first few moments, when the child’s deformity was covered, he was called “cutie” and “beautiful” and was showered with kisses. The parents clearly felt a contradiction between the child’s good looks, on the one hand, and his likelihood of dying, on the other. Their momentary decision not to sever contact with the child reflected their perception that the child’s external appearance was more important than “what the doctor said”. But the rapid reversal in their decision was also founded on the same perception; they were repulsed by the child the moment they saw his deformity as it was, bare and undisguised.
Case 2: A Cosmetic Repair Gabi suffered from spina bifida; but in his case the defect was very slight and curable. In a manner parallel to other studies of appearance-impaired children who underwent cosmetic surgery (see Beuf, 1990), the case of Gabi serves to illustrate the change in attitude toward the child before and after the operation. On first encountering Gabi and his physical deformity, the parents— non-religious and of European extraction—reacted with complete rejection and disclaimed any responsibility for him, saying “he is dead for us”. This reaction was not altered by the favorable prognosis given by a senior physician. Only after the external deformity was removed did the parents consider “re-adopting” their child; not, however, before cautiously examining his looks so as to assure themselves of the repair’s success. In this full transformation from abandonment to acceptance, the “cosmetic repair” can indeed be regarded as a rite of passage, involving even the traditional act of re-naming: as the father announced after the operation, “we have decided to change his name to Samuel. If a new son has been bom to us ... he should have a new name, as well.” Miriam, another child bom with spina bifida, which in her case resulted also in a paralysis, was abandoned at birth. She had an operation which removed the physical deformity, but left her paralyzed and with a very poor prognosis for recovery. The mother was informed that the physical deformity was removed, and thus she arrived, after months of neglect, checked her daughter’s naked body, and thereafter remained at her bedside and nursed her. Unlike Gabi’s case, in which the cosmetic “repair” removed all the symptoms, Miriam was left paralyzed. Yet the similar change of heart demonstrated by the parents attest to the overarching significance they attached to the external deformity. Furthermore, I observed many “normal” children bom with a cleft lip or lack of proportion in their facial features, who were abandoned at the hospital even though the prognosis for cure was excellent. It thus appears that the rejection by parents is due not to the severity of the disease but to the external deformity. In addition, acceptance of formerly appearance-impaired children was seen to take place after the deformity has been removed, irrespective of the severity of their disease as established by the doctors. The following case is different from the others in that it deals with an appearanceimpaired child who was taken home by her parents (if, however, not so willingly). It serves to illustrate that although “external acceptance” (in the form of parents’ consent to take the child home) may indeed take place, the actual rejection does not stop there, but takes many shapes within the supposedly safe environment of the home.
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Case 3: The Monster's Ghetto Pazit’s parents reside in a town in the central region of Israel. They are Jews, 30 years old, who were bom in Morocco and immigrated to Israel as infants. They have elementary education. The mother is a housewife, considered to be warm and caring toward both her healthy sons, aged five and six. The family resides in a two-room apartment. Pazit was bom with external deformation— asymmetry of the facial organs-and internal organic deficiency of the heart and kidneys. Her chromosome formation was normal, and there was no indication of mental retardation. Two days after delivery, Pazit’s parents requested her transfer to an institution. They maintained this position even when after several weeks all tests confirmed that the baby was mentally normal. The mother explained: “It’s difficult for us... we are good parents ... but this girl we do not want at hom e... because she’s sick and looks like a monster ... she is blue [due to a heart defect], each ear is different, she has a large nose ... everyone who sees her is appalled [the mother bursts out crying] ... It’s impossible to accept her condition and her appearance... We don’t want this girl”. The mother concludes: “We can’t bring this girl home. I ’m willing to visit her at the hospital, but not to take her home. Where will we put her? We have a small home ... We can’t isolate her so that no one will see her. No one will want her in his room. We don’t have a balcony to put her on, and if we put her in the corridor everyone will have to see h er... we are not taking her home”. The parents’ refusal to take Pazit home persisted for a few months. Over this period they shut themselves up at home, drew the shutters and refused to admit strangers, fearing that Pazit might unexpectedly be brought home. Once a week the mother visited Pazit, accompanied by the local social worker. When Pazit was eight months old, the hospital authorities filed a complaint of child desertion with the police, and demanded police intervention. Two days later Pazit’s parents received a cable informing them that the girl would be brought home the following day. Early the next morning, a hospital nurse, accompanied by a policeman, brought Pazit to her parents’ home. When their ringing at the door remained unanswered, the policeman put Pazit, well wrapped, at the door. About two minutes later the door opened and Pazit was hastily taken in. I arrived at their home about an hour earlier and observed the parents’ behavior. Very silently, the father picked Pazit up and said, “Where will we put her?” Mother: Father: Mother: Father: Mother:
In the living room? That’s a problem. How will we watch television? Maybe we should put her in the kitchen? Impossible. We eat there. So, w e’ll put her in the corridor. There is no other way. The children will play in their room or in the living room.
And so. Pazit was put in the corridor. The father removed the light bulb, leaving the corridor in total darkness so that Pazit cannot be seen.4 “It’s a ghetto for monsters”, said the parents. The mother tends to Pazit reasonably well. She is kept clean and has no wounds. Yet, about every two weeks she is hospitalized. During these periods the corridor is lit again, and the house is opened to visitors. “We have to breathe once in a
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while,” says the father. The mother also “tries to rest” when Pazit is in the hospital, and prefers not to visit her. Pazit passed away when she was one year and three days old. By darkening her allocated territory and turning it into an empty space, essentially outside the home, Pazit5s parents in effect banished her from the family territory, cutting off contact between her and other members of the family, as if her physical being was a source of pollution (see Douglas, 1966). The selection of the corridor as the transient territory of the child is perhaps not random, as the corridor signifies marginality in its being “between and betwixt” the rooms; it is hence a marginal territory fit for a marginal creature, or a “non-person” (for an analysis of the personal, as well as territorial, stigmatization of appearance-impaired children at the home, see Weiss, 1993b).
Everything is in Allah's Hands
The following case depicts the decision taken by a mother to refrain from operating on her daughter, who was bom with spina bifida. Not going on with the operation was considered a practical death sentence by the physicians, who tried to persuade the mother, but in vein. By concentrating on the mother’s reactions, a distinct behavioral pattern is exposed. The mother realized the consequences of her decision. She used the argument “all is in God’s hands” as a justification for human passivity. This behavioral pattern was common among parents of newborns with severe spina bifida who confronted the same dilemma. The fact that the particular mother I am about to describe, Hitam, was a Moslem-Arab and an uneducated peasant, did not make her different. Perhaps the only noticeable difference between Hitam’s resolution and that of Israeli-Jewish educated city professionals, was that the latters’ talked about it more. Even when otherwise completely secular, these well-educated Israeli couples resorted to the same religious excuse used by Hitam. This is possibly connected to the ultimate value of such an excuse (“all is in God’s hands”) for human passivity. On her seventh delivery in Northern Hospital, Hitam gave birth to a girl with spina bifida. Midwife:
It’s O.K. now, Hitam. it’s all over. Congratulations, you have a girl.
Suddenly the midwife turned white, removed the baby, and called the doctor. The doctor looked at the infant, placed her on the table and began examining her. Hitam:
Oh, it hurts so much. Way, Way, this girl killed me. I have a girl, but she’s killed me with the pain. I want to sleep now ... [closing her eyes].
Having examined the girl, the doctor approached Hitam together with the midwife. Midwife [touching Hitam gently] Hitam [smiling]:
We want to talk with you. What is it? I ’m tired.
Conditions of Mothering Doctor:
Hitam [in alarm]: Doctor: Hitam [in a panicky voice]:
I ’m sorry, but there is something we must tell you. Your baby girl is not quite healthy. She has something serious with her spinal cord. W hat’s the matter with her? W hat’s the matter? It causes paralysis in the legs, and can cause death.
W hat’s the matter with her? W hat’s wrong? Show me. I want to see. That’s not advisable ... but we told you about her, Nurse: because we might have to operate and you’ll have to sign. W hat’s wrong with her? Show her to me. Hitam: The midwife brings the girl. Hitam [looking at her girl, making a distorted face, This is a wahaj (devil). It frightens me. and saying in disgust]: Doctor Look. Hitam, the child must have an operation. If she [gently]: does not have the operation, she’ll die immediately. You and your husband must decide and sign a form that you consent to the operation. Hitam did not respond. The doctor and midwife moved aside. Several minutes later Hitam turned her face the other way and calls the midwife. Hitam Do me a favor. I want to speak with the doctor again. [to the midwife]: O.K. W e’ll call a pediatric specialist to look at your Midwife: girl. And also bring my husband from the village, tell him Hitam: to come quickly. Half an hour later the pediatrician arrived and set about examining the girl. Look, doctor... you’ve seen the girl... it’s a wahaj Hitam: [crying]. I’ve heard of such cases before, in our village. Even our family had a wahaj once. Thank you very much for caring for kids like these... but I don’t want anyone to operate on the girl... please don't take care of her... leave her be... let her die ... don’t do anything. It’s a waste. Trust Allah. That’s just the point. I’m not God. I can’t decide not to Doctor: take care of the girl. Exactly. W e’re not God. so we won’t decide. Let God Hitam: do what’s good and what’s necessary. Allah is great... only He knows what is good. If we don’t do what’s necessary, if we don’t operate, Doctor: your girl will die. Everything is in God’s hands; we are but clay. God Hitam: decides.
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Doctor: Hitam: Doctor:
Hitam, do you have any other requests to make? Yes. I ’d like to know why she [the girl] looked dark, not pink? I don’t know.
The doctor left, and the girl was taken to another room. Hitam lay in bed, resting and drinking coffee. An hour later her husband arrived. Talking to his wife about what happened, he turned pale. Nurse: Husband: Nurse: Husband:
Can I get you some coffee, sir? Yes, thank you. Would you like to speak with the doctor? No thank you. my wife has explained to me ... and I agree with her. W hat’s the point of operating? It’s a pity for her to suffer. Better not to take care of her. Everything’s in the hands of Allah. What about the rest of your family in the village? Have you talked it over with them? Do they know anything about it? No. When they called me to the hospital, I understood that something was wrong, so I didn’t even tell them that Hitam had already given birth. I wanted to come and see what’s up, first. That’s good, good.
Four hours later the doctor arrived and informed them of their girl’s death. The parents received the news quietly. Several minutes later the father got up from his chair, exchanged a few words with Hitam, and went over to the doctor. Husband [to the doctor]:
Doctor, my wife requested me to ask something of you. Please don’t throw the girl away ... we want to take her back to the village and bury her there. I don’t know what the procedure is, but I’ll see to it that your request is fulfilled.
Towards the evening Hitam ’s relatives arrived and told her they were sorry to hear she had a stillbirth. Hitam lay in bed, apathetic, and did not respond to her relatives’ attempts to feed her. Like other parents I observed, Hitam too refused to consent to an operation on her daughter, and thus disclaimed responsibility for her life. She disagreed with the doctor’s view that to remain passive was to be an accessory to the girl’s death. To clear herself of responsibility, Hitam appealed to God. Trust in God, she told the doctor. In other words, she wished not to intervene in the work of creation, although non-intervention meant certain death for her girl.
Conditions of Mothering
The cases presented thus far describe extremes of disavowal of parental responsibility for the life of a child who is perceived by the parents as a “threatening entity”. In these cases, territorial rejection or abandonment of children in the hospital is tantamount to a total disavowal of responsibility for their lives.
CONCLUSION: MOTHERLY LOVE AND BONDING RECONSIDERED My overall observations indicate a list of external attributes which, once spotted, often result in the child’s rejection by his parents. This list includes blue skin color, an opening along the spine, a cleft lip, lack of proportion in their facial features, medical apparatus attached to them or openings made in their bodies in unusual places. This list is similar to Scheper-Hughes’s (1992, p. 365) indication of physical deformities which lead gradually, but mortally, to the neglect of the child by his/her mother. In the case of modem, Westernized Israel, the mortal neglect so widely practiced in Brazil is replaced by other practices which nevertheless lead to similar results. Moreover, I found that parents were bothered more by external, openly visible impairments than by internal or disguised defects. We have seen that parents generally accept their children when others share the opinion that the child does not suffer an external defect. This is true both of healthy children and of children with slight internal defects that do not have external manifestations. Parents are more accepting of these children than of children with external defects that cannot be disguised (such as a cleft lip), even if the defect could be completely cured at some time in the future. In their decision, parents do not rely on the official information given them by doctors, but rather adapt and modify this information, and selectively take in only certain parts of it. The behavior of the parents towards their child does not change in the wake of some positive prognosis concerning his/her abnormality. Rather, their behavior changes in the wake of a cosmetic repair of the defect These findings cast profound doubts on the “natural” and “regular” process of parent-child attachment called “bonding”. Nancy Scheper-Hughes, who found similar types of child neglect among Brazilian mothers, related it to the ‘struggle of survival’ taking place under conditions of high mortality and high fertility. But this kind of materialist explanation is not relevant to the conditions of life in Israel. Alternatively, several possible explanations suggest themselves. I shall proceed to enumerate these explanations, each implying its own critique on the myth of bonding. Firstly, one may suggest that we are dealing here with an ethnically-based, specific socio-cultural phenomenon, whose reasons are to be located in the context of Israeli society. Indeed, other anthropological studies have explored parts of Israeli society as traditional social groups undergoing accelerated processes of modernization; when confronted with modem medical technology, members of these groups reacted in apprehension and refusal (for a discussion of the case of impotence, see Shokeid and Deshen (1974, pp. 151-172)). If this explanation holds, then ‘bonding’ must be viewed— as its counter behavior, child rejection-as an ethnically— based and culturally-bound phenomenon. ‘Bonding’ then must have, as Badinter (1981) and ScheperHughes (1992) each argued, ‘sufficient conditions’ (namely the bourgeois nuclear family) in order to be successfully employed as a reproductive strategy.
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Notwithstanding the possible validity of such a critique of the myth of bonding, such ethnically-based cultural explanations would have to be ruled out in our case, as the observed phenomenon cuts across ethnic, economical, or educational categories. One may still propose that this homogeneity stems from some deeply-rooted characteristic of Israeli society at large, for instance its continuing involvement in an armed conflict with its Arab neighbors, and— one may be led to hypothesize, according to Douglas (1973)— a society deeply concerned with external borders is also deeply concerned with body boundaries. Far-fetched in any event, such a hypothesis would also be ruled out by the evidence for the wide-spread cross-cultural existence of this phenomenon. The overwhelming frequency and commonness of the observed phenomenon would then require a more general explanation. One such account is readily provided by sociobiology. That the offspring should prove “worthwhile” in order to receive parental care is perhaps not surprising to zoologists. Many animal mothers would reject their offspring if the latter fails to communicate some needed signal— a proper squeak or the red inside of an open mouth (see Gould. 1982). Sociobiologists would perhaps consider this instinctive behavior— and its Darwinian function— as a sufficient explanation for the phenomenon of rejecting appearance-impaired children. In this view, ‘bonding’ is seen as a biological outcome of evolution, selected for its function in assisting reproduction. This is indeed the logic of the ‘biological essentialism’ mentioned before, which also states that “motherly love” is a by-product of the evolutionary function of bonding (for a critique on this view, see note 1). However, this view seems too general to account for the rejection of newborns with only slight external deformities. There is also a ‘biological' criticism that can be levelled against this theory. Evolutionary speaking, there are other forms of mothering, some more advantageous to the reproductive success of the group under different conditions, such as allo-mothering and step-mothering (see McKenna, 1979), which do not entail single mother-infant attachment. Why then was the latter type preferred by some human societies? Perhaps because it served the interests of male dominance, as some feminists would be quick to assert. I would like to advance here yet another possible account, general in its scope and more anthropological in orientation, namely that the child’s impaired appearance differs from the normal body-image ’־that we hold. It is this particular difference which is capable of producing a cognitive dissonance powerful enough to disrupt the “order of things”. The congenitally deformed infant challenges the tentative and fragile symbolic boundaries between human and non-human, natural and supernatural, normal and abominable. Such infants may fall out of category, and they can be viewed with caution or with revulsion as a source of pollution, disorder, and danger. This can result in the stigmatization of the appearance-impaired child as a “non-person”, and lead to his/her rejection. Body image is uniquely significant in the very first stages of bonding since no other information concerning the newborn really exists. The image of the body is therefore regarded as being also, one might say, the image of the “soul” . It is this extreme significance of appearance in the case of the newborn which can account for the finding that 68.4% of the appearance-impaired newborns were abandoned, whereas 93% of the newborns suffering from internal defects were “adopted”.
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referent, but rather part of a (masculine) bio-politic (De Beauvoir. 1949). De Beauvoir’s interpretation of maternity suggests that it is engendered both by the biological character of pregnancy and by the common social situation of women, in which they find themselves colluding with m en’s attempts to make them the ‘Other’. It is therefore a kind of middle way between the two oppositions I mention. This reading of De Beauvoir suggests that the feminist straddle between biological essentialism and socialization theory can indeed benefit from such a middle way. My own findings also support this conclusion. It refutes the biological essentialism of ‘cultural feminists’ by showing that there is no difference between women and men in the rejection of the child and by exposing the myth of ‘motherly love’. It does so not through some kind of a Marxist criticism of reproduction and the social order, but by demonstrating the significance of body image towards the acceptance of the child. Body image, itself a rather ambiguously-defined concept demanding a more detailed explication beyond the scope of this article, supposedly belongs to the realm of the theory of biological essentialism. Its assumed universal significance presumably governs social practices— as it is expressed, for example, under both materialist hardships and pre-demographic reproductive strategies (see Scheper-Hughes’s Brazilian account) and in Israeli society, modernized and progressive as it is. Biological images hence become images-of-knowledge which are then turned into both ideology and praxis through social institutions. The body, then, has both opposites— both biological essentialism and social antagonism— encapsulated within it. As the case of the appearance-impaired children so incisively portrays, the body is the repository of human qualities. Madness, criminality, intelligence, mind, life and the myriad of other qualities— not to mention gender— are assumed to be located ‘in' bodies. External body insignia such as deformity are hence considered as reflecting some essential, “inner” quality. Thus, a “monster-like” child (so perceived because of some external deformity) is nothing short of a “monster” in both outer (appearance) and inner (essence) terms. And in a parallel manner, women can be considered “motherly”, caring and affectionate, “by their nature”, because they are those who were biologically manufactured to carry the baby— as clearly attested by the phenomenon of pregnancy, which is, indeed, a protruding external body insignia. It is hence only through the body that one can realize the dialectics of the woman-assubject and the subjugation of woman. This is my interpretation of Adrienne Rich’s “rediscovery of the body”, with which this section opened (for another appraisal of the need to establish a ‘sociology of embodiment’, see Turner, 1991). This article, then, can be read as pointing to the body’s significance in shaping not only some abstract, theoretical feminist concerns, but also the very pragmatics of parenting-the criterion by which we decide to fall in love with our child.
H ow ever, this claim is refuted by the observation that w hen m en parent alone, as single parents, they do it ju st the w ay w om en do (G re if, 1985: R ism an 1987). It therefore could be argued that w hat seem s like a natural aptitude for parenting in w om en is actually the result o f their doing it so m uch more frequently and consistently than men.
Conditions of Mothering
This account, I believe, carries the most far-reaching criticism toward the theory of bonding, whether biologically or culturally based. It implies that ‘bonding’ is itself a fragile and tentative strategy dependant on our expectations regarding the child’s appearance. The “pragmatics of motherhood”, then, is a strange blend of aesthetic preferences, body-image conditioning and materialist constraints, not to mention male oppression. Moreover, my findings with regard to child rejection implicate both parents, implying that there is no real difference between the attitudes of mothers and fathers. The assumption concerning the “feminine virtues” of mothers, as opposed to the “cruel and deserting” nature of males, is hence also refuted. One of the most telling examples, in this context, was the observation that non-biological parents of a fostered appearance-impaired child accepted him much more easily and fully than his biological parents. Bonding, then, is an ideology which, like so many other ideologies that pose as social theories, turns social issues into individual’s problems. All of the social ills which concern bonding theorists are reconstructed by bonding theory as problems of women not bonding to their babies. Attention is directed away from fundamental cognitive issues and toward the individual. As Judy Lorber (1993) stresses, it is by such a process that women are singled out by calling attention to the possible biological roots of bonding and through the argument that it is only women who possess the biological constitution for solving our social problems.
FEMINISM RECONSIDERED: ANOTHER LOOK AT BODY IMAGE Adrienne Rich (1977) has argued that women will achieve liberation and equality ultimately only as a result of learning to ‘think through their body’. The feminist argument that women should re-discover themselves through their body has been interpreted in two major directions. First, that rediscovery could take place by touching upon the ‘biological essence’ and the ‘feminine virtues’ of women, presuming that such categories indeed exist. This interpretation, as we saw in the introduction, is derived from the theory of ‘biological essentialism’. Secondly, The rediscovery of the wom an’s ‘real’ body could take place through the unmasking of the illusion men had concealed and oppressed it with. This interpretation of the political body, or body politics, characterizes radical. Marxist feminism.6 Linda Zerilli (1992) has recently compared the teachings of Simone de Beauvoir and Julia Kristeva in a manner reflecting these opposite interpretations of “thinking through the body”. Kristeva’s writings on maternity re־assert the claim that female anatomy is her destiny, and seek to decipher the ‘female subjectivity’ in the biological cycles, as well as the duality and alienation, of pregnancy (Kristeva, 1980, 1986). Thus alluding to biological essentialism, Kristeva's prose was indeed criticized as denying the mother the possibility of questioning female destiny, “either fusing or confusing her with her infant” (Silverman, 1988, p. 102) and “understanding the desire to give birth as a species-desire, part of a collective and archaic female libidinal drive that constitutes an ever-recurring metaphysical reality” (Butler, 1990, p. 90). Simon De Beauvoir, the mother of second-wave feminism, opposingly refer to maternity with an existentialist anxiety about the loss of individual agency and autonomy, suggesting that the maternal body is never a natural body, never a biological
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Freiberg, S. 1977. Every Childs Birthright: In Defense o f Mothering. New York: Basic Books. Fuchs. R. (1984). Abandoned Children: Foundlingd and Child Welfare in Nineteenth-Century France. Albany: SUNY Press. ______ . (1992). Poor and Pregnant in Paris: Strategies fo r Survival in the Nineteenth Century. New Brunswick, NJ: Rutgers University Press. Gilligan, C. (1982). In a Different Voice: Psychological Theory and Women's Development. Cambridge and London: Harvard University Press. Goodman et al. (1963). Variant Reactions to Physical Disabilities. American Sociological Review, 25:429-435. Gould. J.L. (1982). Ethology. New York: WAV. Norton. Greif, G.L. (1985). Single Fathers. Lexington. MA: Lexington Books. Haffter, C. (1968). The Changeling: History and Psychodynamics of Attitudes to Handicapped Children in European Folklore. Journal o f the History o f Behavioural Sciences, I\': 55-63. Hunt, D. (1972). Parents and Children in History. New York: Harper and Row. Klaus, M.H. and J.H Kennell. (1976). Maternal-Infant Bonding: The Impact o f Early Separation or Loss on Family Development. St. Louis: Mosby. Klaus. M.H., R. Jerauld. N.C. Kreger, W. McAlpine. M. Steffa and J.H. Kennell. 1972. Maternal Attachment: Importance of the First Post-partum Days. New England Journal o f Medicine, 256:460-463. Kristeva, J. (1980). Motherhood According to Giovanni Bellini. In L.S. Roudiez (Ed.). Desire in Language: A Semiotic Approach to Language and Literature, pp. 237-270. New York: Columbia University Press. ______ . (1986). W om an’s Time. In T. Moi (Ed.) The Kristeva Reader. pp. 187-213. New York: Columbia University Press. Lewis, H. (1976). Psychic War in Men and Women. New York: New York University Press. Lorber. J. (1993). Paradoxes o f Gender. New Haven. CT: Yale University Press. Lytton. H. (1980). Parent-Child Interaction. New York: Plenum Press, de Mause. L. (Ed.). (1976). The History o f Childhood. London: Souvenir Press. McKenna. J. (1979). The Evolution of Allomothering Behavior Among Colobine Monkeys: Function and Opportunism in Evolution. American Anthropologist. 79:818- 852. Pollock. L. (1983). Forgotten Children: Parent-Child Relations from 1500 to 1900. Cambridge: Cambridge University Press. Rich. A. (1977). O f Woman Born. New York: Bentam Books. Risman. B. (1987). Intimate Relationships from a Microstructural Perspective: Men who Mother. Gender and Society, 7:6-32. Rossi, A. (1964). Equality Between the Sexes: An Immodest Proposal. Daedalus, 93:607-652. ______ . (1977). A Biosocial Perspective on Parenting. Daedalus, 106:1-32. Ruddick. S. (1983). Maternal Thinking. In J. Trebilcot (Ed.), Mothering: Essays in Feminist Theory. Totowa, NJ: Rovvman and Allenheld. Salyer, M.. A. Jensen, and C. Borden. 1985. “Effects of Facial Deformities and Physical Attractiveness on Mother-Infant Bonding”. In Craniofacial Surgery': Proceedings o f the First International Society o f Cranio-Maxillo-Facial Surgery. Sayers. N. (1982). Biological Politics: Feminist and Anti-Feminist Perspectives. London: Tavistock. Schaffer. H.R. (Ed.) 1977. Studies in Mother-Infant Interaction. London: Academic Press. Scheper-Hughes, N. (1992). Death Without Weeping: The Violence o f Everyday Life in Brazil. Berkeley: University of California Press. Scrimshaw, S. (1984). Infanticide in Human Populations. In Hausfater and Hardy (Eds.), Infanticide. New York: Aldine.
Conditions of Mothering 2.
H ow ever, C hodorow retains the radical fem inist outlook in stating that “the sexual division of labor and w o m en ’s responsibility fo r child care are linked to and generate m ale dom inance.” Still, this statem ent is anchored in w hat seem s to be a rather dubious psychological generalization: “psychologists have dem onstrated unequivocally that the very fact o f being m othered by a w om an generates in m en a psychology o f m ale dom inance and a need to be superior to w om en” (C hodorow , 1978. p. 214). Spina b ifida is a developm ental defect in w hich part o f the n ew b o rn ’s spinal cord and its covering are exposed through a gap in the spine. E vidently these harsh descriptions o f child abuse disturb the readers as they disturbed me. I should point out that com ing across parental behavior w hich could be term ed abusive in the eyes o f the law , I have im m ediately inform ed the p roper authorities. R egardless o f the m easures taken by these (the recurrent negligence o f w hich deserving another paper in another place), I have continued m y course o f visits. M y use o f the term ‘body im ag e' differs from that o f conventional psychological term inology. I use it— in the absence o f a better w ord— to denote the overall pattern o f cognition, the ‘g estalt’, the species-specific internal representation, applying to the hum an b o d y ’s contours. A nn Snitow (1992) has recently devised a tripartite periodization o f “fem inism on m otherhood” . First. 1963 (Friedan. o f course) to 1974— the first period o f w hat she calls the ‘dem on tex ts’, for w hich ‘we have been apologizing ever sin ce’ (p.34). Second, 19751979, the period in w hich fem inism tried to take on the issue o f m otherhood seriously. Third, 1979 to now, characterized by a shift from discussing m otherhood to discussing fam ilies. T his periodization can be considered as reflecting— in our term s— different perceptions o f the w o m an ’s body.
REFERENCES Aries, P. (1962). Centuries o f Childhood: A Social History o f Family Life. New York: Knopf. Amey, W.R. (1985). Power and the Profession o f Obstetrics. The University o f Chicago Press. Badinter, E. (1981). The Myth o f Motherhood. Souvenir Press: London, de Beauvoir, S. (1974). The Second Sex. (Ed. and Trans.). H.M. Parshley.  New York: Vintage Books. Bern. D. (1970). Beliefs, Attitudes, and Human Affairs. Belmont, CA: Brooks/Cole. Beuf, A.H. (1990). Beauty is the Beast: Appearance-Impaired Children in America. Philadelphia: University of Pennsylvania Press. Boswell, J. (1988). The Kindness o f Strangers: The Abandonment o f Children in Western Europe from Late Antiquity to the Renaissance. New York: Pantheon. Butler. J. (1990). Gender Trouble: Feminism arid the Subversion o f Identity. New York: Routledge. Centers. L. and R. Centers. 1963. Peer Group Attitudes Towards the Amputee Child. Journal o f Social Psychology, (57:127-132. Chodorow. N. (1978). The Reproduction o f Mothering. Berkeley: University of California Press. Darwin, C. (1896). The Descent o f Man and Selection in Relation to Sex. New York: Appleton. Original Edition, 1871. Douglas, M. (1966). Purity and Danger. Penguin Books. ______ . (1973). Natural Symbols. New York: Pantheon Books. Evans-Pritchard. E.E. (1956). N uer Religion. Oxford: Clarendon. Florian, V. and E. Shurka. 1981. Jewish and Arab Parents’ Coping Patterns with Their Disabled Child in Israel. International Journal o f Rehabilitation Research 4, (2): 201-204. Florian, V. and S. Katz. 1983. The Impact of Cultural, Ethnic and National Variables on Attitudes Towards the Disabled in Israel. International Journal o f Intercultural Relations, 7: 167-179.
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Shokeid. M., and S. Deshen. 1974. The Predicament o f Homecoming: Cultural and Social life o f North African Immigrants in Israel. Ithaca: Cornell University Press. Silverman. K. (1988). The Acoustic Mirror: The Female Voice in Psychoanalysis and Cinema. Bloomington: Indiana University Press. Snitow, A. (1992). Feminism and Motherhood: An American Reading. Feminist Reviews, 40:33-52. Tiger, L. and R. Fox. (1974). The Imperial Animal. New York: Dell. Turner, B.S. (1991). M issing Bodiesâ€” Towards a Sociology o f Embodiment, Sociology o f Health and Illness, 13(2):265-273. Weiss, M. (1991). Conditional Love: Parental Relations Towards Handicapped Children. Phd Thesis. Tel Aviv University, (in Hebrew). ______ . (1993a). Conditional Love: Parenthood, Bonding, and the Child's Body. Westport, CT: Greenwood. ______ . (1993b). Non Person and Non Home: Territorial Seclusion o f Appearance-Impaired Children. Journal o f Contemporary Ethnography. Wilson. E.O. 1975. Sociobiology: The New Synthesis. Cambridge: Harv ard University Press. Zelizar, V. (1985). Pricing the Priceless Child. New York: Basic Books. Zerilli. L.M.G. (1992). â€œA Process W ithout a Subject: Simone De beauvoir and Julia Kristeva on Maternity". Signs, /S ( l):l 11-135.
Published on Feb 25, 2013
פרופ' מאירה וייס, אמריטוס באוניברסיטה העברית/ כיהנה כראש הקתדרה לסוציולוגיה של הרפואה, כיושבת ראש לימודי המגדר באונ' תל אביב וכיושבת ראש ה...