Communicating Heterosexism in Queer Pregnancies: a Multiadic Interview Study
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Communicating Heterosexism in Queer Pregnancies: A Multiadic Interview Study A dissertation presented to the faculty of the Scripps College of Communication of Ohio University In partial fulfillment Of the requirements for the degree Doctor of Philosophy Nicole C. Hudak August 2019 © 2019 Nicole C. Hudak. All Rights Reserved This dissertation titled Communicating Heterosexism in Queer Pregnancies: A Multiadic Interview Study by NICOLE C. HUDAK has been approved for the School of Communication Studies and the Scripps College of Communication by Benjamin R. Bates Professor of Communication Studies Scott Titsworth Dean, Scripps College of Communication ii Abstract HUDAK, NICOLE C., Ph.D., August 2019, School of Communication Studies Communicating Heterosexism in Queer Pregnancies: A Multiadic Interview Study Director of Dissertation: Benjamin R. Bates Heterosexism is a power system in society that promotes the belief that every person is and should be heterosexual (Pharr, 1997). In knowing that heterosexism permeates everyday discourse, this dissertation examines how queer experiences are understood through the lens of heterosexism. Specifically, this dissertation focuses on the queer pregnancy experience, as lesbian motherhood is heavily scrutinized (Hequembourg, 2007). As part of the pregnancy experience, queer women enter healthcare spaces. Both healthcare and medical education promote heterosexism in their education (Zuzelo, 2014; Murphy, 2016) and in practice (Hudak, 2016; Saulnier, 2002). To explore how heterosexism is communicated and resisted in queer pregnancy, I conducted a multiadic interview (Manning, 2015) study with sixteen queer couples who had recently experienced a pregnancy. Through critically analyzing the interviews, two main findings emerged surrounding heterosexism being communicated in healthcare and heterosexism being communicated in public and private relationships. I used Michel Foucault and Sara Ahmed as theoretical guides to explore how surveillance, discipline, and constructions of happiness operated to promote heterosexism in the queer couple’s experiences. iii Acknowledgments Throughout the dissertation process, I was humbly reminded that success has never been accomplished alone. There were people in my life who have supported me both in the dissertation and my academic journey. My wife, Dr. Valerie Rubinsky, I do not think I could have made this achievement without your constant support. In both my triumphs and falling moments, you have been by my side, encouraging me along the way. I could not have asked for a more caring, compassionate, and just brilliant partner to share in this journey with. Dr. Bates, I am not sure many doctoral students have had advisors who were as flexible in the dissertation process. I have appreciated your willingness to advise this project from both near and far. Further, thank you for allowing me space to grow in my scholarship and for challenging me during these past four years. Dr. Harter, you have taught me how to integrate my voice into my scholarship. In both classes and my writing, you have encouraged and provided feedback that has allowed me to expand my horizons as a scholar. Thank you for introducing me to new literature and scholars who have shaped this dissertation and my past and future scholarship. Dr. Chawla, thank you for staying with me on my academic journey at Ohio University. I believe you have strengthened my writing throughout my fours years and has given me the courage to write this dissertation. Also, I appreciate how you have introduced me to more critical scholars and varying critical theoretical perspectives. Dr. Balbo, I am so glad that you were eager to be on this dissertation committee. You have taught me important lessons in inclusion for varying populations. Thank you iv for also answering my random medical questions that came up during the dissertation process. Finally, thank you for being an open medical provider who is actively working for positive changes for the LGBTQ community. To my parents, Scott and JoAnn, thank you for supporting me throughout my entire educational career. I know that when I told you I wanted to get my doctorate you were nervous but supported me regardless. I cannot thank you enough for the constant love and support and for being there with me when I finally became Dr. Hudak. Dr. Rudnick, I would not be here today without you. Around eight years ago you asked me if I wanted to read journal articles so that I could discuss them with you. You not only showed me that I was smart, but that I was capable of this grand adventure. Thank you for always being there whenever I needed to bounce ideas or look over sections of my writing. I look forward to our future as colleagues and friends. Finally, to my participants. I cannot thank you enough for taking the time to speak with me and share your stories. It was an honor to get to know members of my community and to learn from every one of you. Your stories were full of life and could not be fully captured in this one document. I hope that I did not misrepresent your experiences, and if I did, I take full responsibility. It was clear how much you cared for your families and the futures that you have created. I wish you all the best. v Table of Contents Page Abstract .............................................................................................................................. iii Acknowledgments.............................................................................................................. iv Chapter 1: An Introduction ................................................................................................. 1 Chapter 2: Reviewing the Literature ................................................................................... 6 Understanding Heterosexism ...................................................................................... 11 Patient-Provider Communication................................................................................ 25 Partner Support in Pregnancy ..................................................................................... 28 Lesbian Pregnancy ...................................................................................................... 33 Theoretical Framing .................................................................................................... 56 Chapter 3: Research Practices ........................................................................................... 63 Recruitment and Interviews ........................................................................................ 64 Participants .................................................................................................................. 70 Queer Embodiment ..................................................................................................... 79 Analysis....................................................................................................................... 82 Chapter 4: “Visible in a Birth Space,” Heterosexism in Birth Related Healthcare .......... 86 Tension of Politics, Dismissal, and Visibility ............................................................. 87 Patient-provider Communication ................................................................................ 98 Beyond Providers ...................................................................................................... 153 Improving Care ......................................................................................................... 165 Concluding Healthcare.............................................................................................. 173 Chapter 5: “Biologically not Yours,” Communicating Heterosexism in the Public and Personal . ......................................................................................................................... 175 Public Expressions of Heterosexism ......................................................................... 176 Communication in the Workplace. ........................................................................... 187 Family Communication and Support. ....................................................................... 197 Queer Community. .................................................................................................... 231 Partner Communication and Support ........................................................................ 238 The Self and Heteronormativity ............................................................................... 266 Chapter 6: Conclusion .................................................................................................... 276 Answering the Research Questions .......................................................................... 277 Implications............................................................................................................... 285 vi Limitations ................................................................................................................ 295 Future Directions ...................................................................................................... 298 Concluding Remarks ................................................................................................. 300 References ....................................................................................................................... 302 Appendix A: Participant Demographic Form ................................................................