rights

Please Speak Up About the Plan B Decision!

Submitted by Heather Corinna on Wed, 2011-12-07 13:54

It was probably obvious yesterday that we earnestly thought the FDA might finally turn around a longtime decision, one largely against all advice, information and recommendations from sexual, reproductive and adolescent health and rights experts and advocates, when it came to unfounded restrictions long put on teen access to Plan B.

And that was going to actually happen. The FDA was on board this time around and made the decision to ditch those restrictions. People under 17 were finally going to have the same kind of access to a safe, important kind of contraception those over 17 had, a kind of access there is simply no sound reason to restrict.

And yet.

In what Jodi Jacobson of RH Reality Check so rightfully said can, "only be called an astounding move by an Administration that pledged on inauguration day that medical and health decisions would be based on fact not ideology and for which women are a major constituency, today Kathleen Sebelius, Secretary of the Department of Health and Human Services (HHS) overruled a much-awaited decision by the U.S. Food and Drug Administration (FDA) to make emergency contraception (EC) available over-the-counter (OTC) to women of all ages."

I don't think we can express enough how tremendously and deeply frustrated and infuriated we are here that our optimism was in vain and was so outrageously gutted.

You can read more about it here, here and here and see the memorandum from Kathleen Sebelius here.

If you're like many of our readers and Facebook fans, reading those things will leave you feeling just as angry as we feel about it, if not more so.

It's so tremendously important your frustrations and opposition be heard (perhaps particularly by an administration which rallied youth for their support in getting elected and were so greatly benefitted when young people stood up for them).

It's so tremendously important that your requests for rights like these be heard. And that the incredibly sound, sage things you say like this from reader Arai, "These politicians really need to get on the same CENTURY as the one young people live. All the questioning for contraceptives, abortion rights, gay marriage are real in today's society," or this from reader Katrina, "Politicians on both sides of the aisle reach unheard of levels of cluelessness when it comes to youth reproductive rights and needs," are heard and seen. It is, of course just as important that they are also very thoughtfully and with great intention considered in choices like this, but we can't help much with that part, save continuing to say things like that and continuing to be ardent supporters of youth rights, including reproductive rights.

But what we can certainly help with is to provide at least one place where you can speak your mind about this and be seen and heard, and then take those comments and get more eyes on them from there.

Please leave your comments here about this decision if you are unhappy with it. Please pitch in to help add your voice to other youth voices about this issue if you want to do one of the most basic things you can, the most important things you can, to work towards a different, better, fairer, outcome.

Like we told one of our readers today when she asked why young people should have to ask, beg even, for rights you should have in the first place, the only answer we have is that you shouldn't. But just like other groups have had to voice a strong desire for rights they never should have -- like women and people of color seeking the right to vote, people of color seeking the same essential useful rights white people had, LGBT people asking for the same rights, freedoms and protections cisgender or straight people have -- you've got to keep doing the same with rights like this if you want them.

You shouldn't have to: you absolutely shouldn't have to. But, for now, you do.

Speak your mind: we want to hear you and other people, including this administration -- whether you're a citizen or not -- need to start hearing you. And listening.

P.S.: Would you rather blog about it in a different place? If you do, leave a link!

P.P.S.: The Change.org petition in protest of Secretary Sebelius' action is here.


Ready for arguments about increasing your access to Plan B? We can help.

Submitted by Heather Corinna on Tue, 2011-12-06 15:45

You may have heard that the FDA may finally remove age restrictions for the morning-after emergency contraception pill in the United States. If you've heard that, you may have started to hear some panic or fear-factoring, not just gratitude and relief.

Currently, in the United States, someone must be over the age of 17 in order to get Plan B at a pharmacy without a prescription. Until two years ago, the age limit was 18. It's still kept behind the pharmacy counter for people of all ages, but those over 17 do not need a prescription from a doctor or a clinic to purchase it.

For a long time now, organizations like ours and many, many other reproductive choice, justice and health organizations, have been lobbying to remove that age restriction, something other nations -- like Canada, Australia, Denmark, Norway, Sweden, Israel and others -- do not apply; a restriction which has never been supported by sound health data. The restriction per age has long been about politics, not health.

In fact, a medical council formed expressly to inform the FDA about Plan B in 2003 recommended it be provided without prescription regardless of age then, a recommendation the FDA did not follow. More than one staff member at the FDA during the years this has been an issue, including the highly dedicated Susan Wood, resigned in protest of decisions about Plan B access and the political motives for those decisions, which stood counter to sound medical information, what the basis of FDA decisions are supposed to be about.

We feel, like so many other sexual health and adolescent health organizations feel, like you might yourself, that young people should have the same rights with their reproductive choices that those over the age of majority do, including the ability to access safe contraceptive methods the same way as those over the age of majority do. We feel that decisions for all citizens like this need to be centered on credible health information, not political or personal agendas or religious beliefs.

Given this possible sea change, you may find yourself, not unlike some former members of the FDA, having discussions or heated arguments about this with people who really do not get it for a while, and in those, you're probably going to face a serious lack of facts. In case you need them, here's a quick and dirty roundup of some typically uninformed statements with some factual information and context to counter them with.

But Plan B is so unsafe! It's like a GIANT dose of birth control pills!

A lot of over the counter medications, also without age restrictions are not only dangerous, but far more associated with serious health risks.

For instance, you can get all of the following over the counter here in the U.S., none of which have any age restrictions (links are to informational listings about them, including health risks): ibuprofen, acetaminophen, cough syrups or cold medications which contain dextromethorphan or pseudoephedrine, sleeping pills or energy drinks. Heck, you can get candy bars within reach even if you are still only crawling around in footie pajamas, but we don't hear people talking about putting them behind the counter for the safety of diabetic kids.

Plan B is a medication just as safe or safer than some of those things, especially when those things aren't used as directed, which happens a lot, no matter how young or old people are. No deaths have been linked to Plan B, and we can't say that about any of the other things I put on that list above.

It's also not quite right to say that it's a "giant dose of birth control pills."

Most people who use the pill use combined oral contraceptives: a combination of a synthetic estrogen and a synthetic progestin. And while both of those things carry potential health risks, especially for people who have health or lifestyle issues that heighten those risks, the larger risks tend to lie with the estrogens or the combination of estrogen and progestin. Plan B does not contain any estrogen, only levonorgestrel, a progestin. That matters and makes it tough to compare to the most common daily-use oral contraceptives. That's also some of why reputable medical organizations assert that emergency contraceptive pills are usually safe even for people for whom regular contraceptive pills are unsafe. The World Health Organization lists no medical condition for which the risks of emergency contraceptive pills outweigh the benefits.

Too, people who use either combined birth control pills or minipills tend to use them for longer than one or two days like with emergency contraceptive pills, but instead will take a pill every day for weeks, months, years or decades, depending on how long they use them for. Very few people will start using birth control pills and only take two out of a pack.

Most oral contraceptives have 100 to 150 micrograms of levonorgestrel per pill; emergency contraceptive pills contain either two two 750 microgram levonorgestrel pills to be taken 12 hours apart (or together: taking them apart is mostly about reducing the chance of feeling nauseated) or one 1500 microgram pill, to be taken 12 hours apart. Almost everyone who uses a birth control pill for more than a week or two is taking in as much of the hormone in Plan B or, and most typically, far more. And these medications aren't like a sleeping pill or even an advil when it comes to overdose, if that concerns someone about the amount of hormone in Plan B. Not only do we know this is a safe amount to be used as directed, "overdosing" with oral contraceptives does not present the kinds of dangers we see with other kinds of medications. It might also help to take a look at the facts about frequent use of emergency contraception: in a word, we have no evidence so far, after more than decade of research, that has found any more or different risks than ongoing, proper use of other hormonal contraceptives.

Let's not forget that pregnancy can be one of the riskiest things there is when it comes to people's health. Preventing pregnancy with a safe medication like Plan B poses far less risk to someone's health, especially a young teen's health, than a pregnancy does.

But, but... it is SO DANGEROUS for TEENS!

But, but... it isn't. Not that anyone has discovered so far with many years of scientific study, anyhow. There has NEVER been broad medical or scientific support for the decision to require a prescription for minors, but not older people. It's been the other way around: most healthcare professionals and medical organizations, like the World Health Organization, the American Academy of Pediatrics, the American Medical Association and the American College of Obstetricians & Gynecologists, as well as, again, many doctors at the FDA, have objected to these age restrictions. The people who tend to oppose it most are people like this. (Note: that link is to an anti-choice site, the American Life League, which is hopefully obvious from the first sentence, but may become more so by the total lack of contextualization with the information given there, such as a lack of mention that all the risks they list for the MAP exist with a pregnancy. And maybe when reading their website.)

So much of what people know and have heard about emergency contraception has been informed and greatly influenced by people and organizations who are anti-choice, and who oppose Plan B and often other kinds of contraception, not because of concerns for anyone's health, but because of their political agendas to limit the control people -- most commonly women -- have over their bodies and reproduction.

Again, know what's dangerous, sometimes truly, earnestly dangerous? Pregnancy. Now, that doesn't mean people need to be afraid of pregnancy or that we're saying people who want to become pregnant shouldn't make that choice if it's a wanted choice. But there's a reason why maternal mortality rates are so high in places where pregnant people can't get sound, consistent care during pregnancy, labor and deliver from healthcare providers, including educated midwives. That's because pregnancy is dangerous. Preventing pregnancy with safe, studied contraceptives is always statistically safer than becoming pregnant. So, if someone wants to flip their lid about how dangerous contraceptives like Plan B are, they better at least be pulling out all the same stops and more about how potentially dangerous being pregnant and giving birth can be, too.

And even though legal abortion is also very safe, and in the first trimester, safer than a full-term pregnancy, emergency contraception is safer than abortion, too.

Some people have concerns that teens will not be able to understand how to use EC properly without getting a prescription from a doctor. While it doesn't make much sense to have that concern about EC and not all the other medications a young person can currently get over the counter, some studies have found that concern also is not sound. "Two studies were published in 2009 regarding emergency contraceptive label comprehension for teens. Raymond et al. found that 79% or more of adolescents aged 12-17 correctly understood six key concepts found in labeling: 1) EC prevents pregnancy after unprotected sex 2) it should be taken as soon as possible 3) it should be taken within 72 hours 4) it should not replace regular contraception 5) it does not protect against sexually transmitted infections (STIs) 6) it should not be used by women who are already pregnant." (The Reproductive Health Technologies Project, Tough Questions and Answers about Adolescents and Over-the-Counter Emergency Contraception, 2009) By all means, patient and consumer literacy is always something to be concerned with, but we have no reason to believe this is a greater concern with teens regarding Plan B than it is with people of all ages.

It might also help to know that there are already some contraceptive methods as available to teens as to those over the age of majority which we know or suspect may pose different or greater risks for them, like Depo-Provera, which may present risks around bone density for younger teens. And young people should be informed by their doctors or pharmacists of any risks these or other medications or devices present to them based on age, when there are any, just like people should be informed when older age increases a risk, or when a given health condition or lifestyle issue may increase risks.

And if there were different or greater risks with Plan B for young people than those one, three or ten years older, those same standards should be applied and, you can be certain, would be applies. Thing is, based on all the study of these medications so far, we don't have any data to suggest the risks are different or greater for those under 17.

I am not okay with teenagers being able to give themselves an abortion by just walking all willy-nilly into a pharmacy.

Even as a strongly pro-choice person, I don't know if I'd feel comfortable with that, either. I am, however, a fan of walking willy-nilly. It's much more fun than just plain old walking, that's for sure.

But that's moot, since no one of any age can give themselves an abortion by just walking into a pharmacy and getting Plan B, including in places where people of every age can access emergency contraception without a prescription. That's because you can't use emergency contraception to terminate pregnancy.

A lot of people -- some out of ignorance, some who know better but know how easy it is to obscure the facts by just muttering the A-word -- have the odd idea that emergency contraceptive pills and a medical abortion, or "the abortion pill" are the same thing. They're not. Plan B and other emergency contraception not only is a very different medication, it does very different things. Even if someone wanted to terminate a pregnancy with Plan B, this medication can't do that: it lacks that capacity.

You can get information on the "abortion pill" -- a bit of a misnomer by itself, since medical abortion involves two medications, not just one -- here.

But more people will have sex without using birth control if they can just get EC easily.

Emergency contraception has the word contraception in it because that is what it is: it, like other methods, is contraception. Is it as effective as several other methods? Nope. It's also more expensive, too, especially if people are using it often.

I'm not sure why anyone is this concerned about people choosing this method of contraception rather than others by this token, but for those who are, so far, we also don't have any data that shows that when EC is made more available, including giving minors the same access those older have, that there's any basis for that concern. As reported by the Alan Guttmacher Institute years ago, providing adolescents with advance doses of emergency contraception neither increases their likelihood of having unprotected sex nor negatively affects their use of condoms or hormonal contraceptives.

Perhaps more to the point, if one is worried about people not using contraception, then it's tough to figure how it makes sense to limit their access to contraception.

Want more information about emergency contraception, including teen health concerns? Check out these links:

If and when you get tired or arguing with someone about this who just will not let go of the non-facts, do yourself a favor and just print them out, pass them on, and give yourself a breather. Bashing one's head into walls is something we know isn't healthy. :) If, on the other hand, like some of us (coughcough) you seem to have dedicated much of your life to arguments like this and you find what we gave you here isn't enough? Leave a comment with an aspect or issue you want more information about or help voicing. We're glad to help you out.


Of SlutWalks, Perfect Storms and Getting Out of the Way

Submitted by Heather Corinna on Fri, 2011-07-29 08:41

From SlutWalk Manchester by Man Alive!From SlutWalk Manchester by Man Alive!On Monday, I talked about some of my own life, and the central, very personal, issue which kept me from attending one of the SlutWalks, an issue which also central to the walks themselves. On Tuesday, I brought up what appears to be a clear misrepresentation by the media, especially visually, of the walks. In both pieces, I expressed unwavering support for the walks.

While I did not agree with a good deal of it, I appreciated Rebecca Traister writing in the New York Times magazine last week.

But at a moment when questions of sex and power, blame and credibility, and gender and justice are so ubiquitous and so urgent, I have mostly felt irritation that stripping down to skivvies and calling ourselves sluts is passing for keen retort.

To object to these ugly characterizations is right and righteous. But to do so while dressed in what look like sexy stewardess Halloween costumes seems less like victory than capitulation (linguistic and sartorial) to what society already expects of its young women. Scantily clad marching seems weirdly blind to the race, class and body-image issues that usually (rightly) obsess young feminists and seems inhospitable to scads of women who, for various reasons, might not feel it logical or comfortable to express their revulsion at victim-blaming by donning bustiers. So while the mission of SlutWalks is crucial, the package is confusing and leaves young feminists open to the very kinds of attacks they are battling.

The above is, from everything I can gather, not a critique of the walks, but of the way the walks have been represented, more by the media than by the organizers or the majority of attendees of any of the walks.

In fact, when she wrote, "The most sophisticated attempts elicit just as much derision and, frankly, receive a fraction of the attention," I thought she was going to address that what she was criticizing was the media representation. But then she didn't, which confounded me. It seemed like she became part of the media misrepresentation herself, and took part in solidifying that simplification and misrepresentation. I also wondered if she was asking the organizers or attendees to somehow control the media, something none of us have the capacity to do, and even when we try, our efforts are most typically in vain. We can respond to the media -- and I do think more response is something missing from this picture, a part of the movement that could stand some work -- but that's all we can really do is respond. Activists are not responsible for how the media chooses to portray them, especially when the media chooses to misrepresent. Are we even remotely surprised that a movement in which young women are making themselves visible around issues of sex, violence and appearance has gotten the kind of coverage it has? If we are, how can we possibly still be surprised by reactions that are such literal representations of exactly what the protests are about?

She calls these efforts clumsy (but also necessary: "while clumsy stabs at righting sexual-power imbalances may be frustrating, they remain necessary.") I'm not so sure that they are. Rather, I'm not so sure that they are any more clumsy than a great deal of activism tends to be and has always been. By all means, I think more advance and in-depth organizing with this could have been helpful, especially strategies around dealing with the highly predictable media response. At the same time, sometimes effective activism is about seizing a moment -- a moment like Sanguinetti's comments -- and moving as fast as you can. Taking more time to organize can be of real use, but it can also happen that in doing so, you lose essential momentum. It's a call that is easy to err with either way.

Traister also says, “I found myself again wishing that the young women doing the difficult work of reappropriation were more nuanced in how they made their grabs at authority, that they were better at anticipating and deflecting the resulting pile-on. But I also wondered if, perhaps, this worry makes me the Toronto cop who thought women should protect themselves by not dressing like sluts.” I appreciate her honesty and her introspection.

I do think there have been some possible missteps around the walks, though I don't think that's about how some attendees of the walk have chosen to dress. And like Traister posed in that last quote, if we start thinking that way, I do think we have to take a good look in the mirror, whatever we're wearing, and look for how much of the harmful and patently wrong-headed messaging about dress, "asking for it" and sexuality we've internalized.

Samhita brought the issues around the media up in the Feministing response to and roundtable of Traister's piece, and I agree with what she said there in saying that "Activism and social change are not as much about what you meant to do, but instead what you do do, and what is Slutwalk doing in the mainstream media? Are people rethinking the role victim-blaming plays in sexual assault or are people too caught up in the term “slut?” I am not really sure." Media pushbacks are important to assure your message doesn't get lost or you don't wind up letting the media rewrite your aims. This is something Courtney also brought up in her commentary at Feministing.

Maya also voiced something in that roundtable I really appreciated about the Traister piece when she said, "to some extent, it’s inevitable that a grassroots protest movement, organized entirely on the local level, and filtered through a mainstream media that latches on to the word “slut” and images of half-naked young women, will struggle with message control. (My own limited experience with protest organizing definitely reminded me why I, like Traister, embrace a medium like writing that allows for so much more precision.) I just wish Traister had acknowledged that inherent challenge more, instead of reinforcing the idea that SlutWalk is just about women “stripping down to skivvies and calling ourselves sluts” – when she clearly knows that it’s about more than that and, at most protests, the hoodies probably outnumber the skivvies."

There's the issue of if a "dress code" should have been suggested or enforced. I can see how, when we're working around the issue that "slutty" dress has zip to do with sexual assault,some being playful with that can be seen as sending a mixed message, or as reinforcing the message being protested. I do personally think that someone presenting like this creates a more powerful statement about dress and victim-blaming than someone showing up without a sign, who isn't a survivor, wearing the kind of clothing most often considered (in the west, anyway, and even though it's often an error) to signal indiscriminate sexual availability.

Yet, at the same time, suggesting or enforcing a dress code for the walks stands counter to the core aims, like making clear there is NO way of dressing or not dressing which will "get you raped" or protect you from rape, but also no way of dressing or not dressing in which someone cannot or will not perceive you as sexually available. As well, it's clear that some attendees who came to the walks in whatever their "slutwear" was experienced something powerful in doing so. We always have to remember that when a movement is made up of people it is also attempting to serve, that what experience the activists have is no less important that what impact it has on those who are not directly participating.

Again, people are sexually assaulted wearing everything, anything, and nothing a person can possibly wear, and there is no one way of dressing which makes rape a victim's fault or responsibility because there is NO way of dressing which makes rape a victim's fault or responsibility. If any way of dressing really, truly protected us from violence, don't you think we'd all have tried dressing that way already? We only need one victim's story about how the way they was dressed didn't make any difference for them. We have millions of these stories: they are all of our stories.

As a feminist and activist who works primarily with sexuality but also with sexual violence, I also know how tremendously challenging it can be to try and address both of these things at once, and the ways that they intersect, especially in a world and a culture which often does not recognize that -- and sometimes even purposefully blurs and obscures -- consensual sex and sexual violence may not be things we can completely separate from one another, but they are also incredibly different, usually for the perpetrators of this violence, and most certainly for victims. We are going to stumble, because it is rocky terrain. The only way to avoid that completely is to not take steps at all, which is just not an option if we want any kind of change. Could folks organizing have asked for more help with that tricky balance? Probably. Would the walks and SlutWalk as a movement have benefitted from that? I have no idea.

As another maybe-critique, I've heard people voice a wish that there was, for all of the walks and their various self-produced web media as a whole, a lack of shared, stated core values and aims. I, too, can see how that could be valuable. At the same time, I wonder if the lack of that was what allowed this to become such an international movement, with communities, cities and cultures feeling a flexibility to adapt the walks to suit who they were and what they wanted and needed to address. Unilateral core aims, especially if done without an exceptionally diverse group of people taking part, could have created very real barriers to that, barriers which have long been problematic within feminism and other social justice movements.

I keep saying possible missteps, because the fact that myself, or Traister or any number of people think errors have been or are being made, or that all of this could be done better or worse doesn't mean we're right. We could be. We could also be wrong. It could be that despite it seeming like this thing or this other way of doing or saying that would have been the better move, that doing a given thing differently would have less impact.

I've been part of activist efforts and movements myself that fizzled, crashed or burned, even one or two that blew up in my face; actions or movements which were planned to death, actions or movements which were very spontaneous. I experience activism as being an awful lot like working in chemistry with elements and formulas which are experimental, untested or not entirely understood. You can try mixing things via various formulas we already have, and sometimes that works. Sometimes it doesn't: it makes a huge mess of things or does nothing at all. Sometimes you try new formulas, with the same array of results. When we're working in and with activism, we are usually working with unstable, unpredictable elements.

Growing up in and around activism, being quite literally born out of it, watching it and taking part in it in various forms for four decades now, one thing I know is that effective activism tends to require a sort of perfect storm, an often, if not always, difficult to predict mix of timing and numbers and ideas and actions and people. Even the literal climate -- not just the social climate -- can matter sometimes, as trite as that can seem. My father engaged in one activist movement, the civil rights movement, that eventually seems to have had its perfect storm. Another he engaged in, dedicating years to, sacrificing liberties for, was the movement against the Vietnam War, which pretty much flopped per its ultimate goal. From all anyone can tell, the Vietnam war did not come to an end because of antiwar activist efforts. Even though both of these issues were vital and core human rights issues that highlighted incredible abuses of human rights, even though both involved the dedicated efforts of millions, they didn't have the same impacts, and I don't think that was just about the differences between the two movements and the two issues. I think a great deal of the why of those differences was outside the control of activists entirely.

Traister finished her piece with something I thought was intensely valuable:

Social progress is imperfect, full of half-truths and sloppy misrepresentations. After all, we celebrate the victories of a civil rights movement that was shot through with misogyny, and of a women’s movement riddled with racial, class and sexual resentments. Fighting for power is a complicated, messy process, especially for complicated, messy human beings. Often, the best we can hope for is that our efforts draw a spotlight. Which, I guess, is enough to make SlutWalkers of us all.

Something else I believe to be true about activism, and have found to be so during my life experiences with and around it, and my historical understanding of it more broadly, is that it is often very difficult to evaluate until we have considerable distance -- emotional distance, and the distance of time having passed -- away from it. Without that kind of space so we are better able to see the bigger picture of what progress (or not) or change (or not) and what kind of change it sparked, created or completed, making an earnestly accurate evaluation of an action or movement is precarious.

Frankly, I think those trying to evaluate the results of the walks are trying to do so much, much too soon and with far too small a scope.

Going back to the American Civil Rights Movement, some people will list that movement as being less than a decade long. We can also know that at any point during that movement, a given action was seen or felt as the central action, the apex at the time. But depending on your scope, what you know about, and what you're recognizing, the span of that movement could be more like 20 years, 50 years, a hundred years or longer. I tend to see it myself as spanning over 200 years. Before the March on Washington and the Montgomery Bus Boycott, for instance, there was the school desegregation movement, fifty years before that, the formation of the NAACP, before that the civil rights act of 1875, slave rebellions before that and on and on and on. That movement also was sparked and moved by more people than Rosa Parks and Dr. Martin Luther King, Jr. Rosa Parks wasn't even the first to engage in her most historical action. In fact, she wasn't even the first to do it on that very bus line. There are so many activists who took part in actions that created the civil rights movement as a whole, people like Claudette Colvin, and like Octavius Catto, Gabriel Prosser, Bayard Rustin or Clara Luper, names few people know. There were people whose names we don't know or recognize and may never know. And for all we know, something one of those people did may have had more to do with the actions we recognize and the activists we know about. Trying to track a movement back isn't as easy or simple as it often seems, just like trying to evaluate what alchemy creates progress and change is not, and we are always going to see things differently depending on where we're at on the eventual (and often neverending) timeline.

This is some of what I mean when I talk about perfect activism storms and the scope of activism. When we're talking about activism around sexual violence towards women, already we have a timeline and a larger scope; we already have actions and activists and movements that reach back more then two centuries. Where do the Slutwalks fit on that timeline? What is their import in comparison to other activism around this issue? I don't think we can know that yet, nor do I think it's fair to ask that yet.

But I think that what we can know now, since people are asking, is that so far SlutWalk has been of value and has shown the potential to spark more than one kind of needed, important change.

Just a few relatively young feminists managed to spark numbers in-person, international activists movements largely made up of and led by young women all over the world. There have been alrgely attended walks, but there have also been so very many discussions, discussions and more discussions which have not been insular echo chambers, and where silences are being broken.

We have been able to hear, read and and be part of a real diversity of views, feelings and ideas. with a great deal of variance, many of which have involved a great deal of care, thought and positive intention. These discussions have generally been far more complex than simple yays or nays. These discussions are important, and often about more than either just sexual violence or just the right for women to be able to dress as they choose, and present or express their sexuality, when they do, as they choose without being held responsible for the violent actions of others when they do. From what I can gather, many of them have bounced off the issue of Slutwalks to get at some of the core issues that can create and have created divisions and exclusions in feminism and social justice that get in the way of women's rights and all human rights.

Even comments and discussions which illustrate some of the most ugly ignorance shows up exactly what people are trying to address with the walks is of value. It's tough to get a house clean if you can't see where all the dirt is, after all.

There are still discussions to be had here, issues that are part of the big picture to be addressed, like, for instance, that while blaming a victim -- or blaming someone who isn't even a victim yet -- based on her style of dress is largely, if not exclusively about women, male victims and survivors suffer a similar kind of victim-blaming around they way they present -- or are accused of not presenting -- their masculinity. There's the fact of the matter that, as with so many things, the world at large is often far more concerned, when it is at all, with the victimization of upper-middle-class white girls than with everyone (read: most people in the world) outside those groups. There's also the issue of how groups being presented as without their own sexuality, namely, those with disabilities, are often at the highest risk of, and have the highest rates of, sexual victimization, but also have the least freedom to engage in healthy, consensual and wanted sexual relationships and interactions. As someone who works primarily in human sexuality and hears about people's personal sex lives every day, there is also the incredibly sticky wicket of addressing how many people have sexual violence, exploitation, coercion and lack of real consent -- and not just women -- as part of their ongoing sexual relationships without the realization or recognition it is abuse and assault: who earnestly do not know and can often not even imagine, what healthy sexual relationships and interactions are like.

I think the walks and all of the discussion around them have given us a really great jolt in the arm to start having those conversations more and having them more widely.

The experiences attendees seem to be having vary, and it's clear the walks have offered a range of experiences. Survivors of assault have deeply connected with other survivors, or found a place where they felt able -- and for some of them, probably for the first time -- to feel safe in identifying as a survivor. Others have experienced a powerful and increased awareness about those of us who have survived sexual violence. I expect that someone in a hoodie and jeans walking next to someone in a bustier might have been able to see some common ground they did not before. For others still, the walks have provided an avenue to experience a lightening of the load so many of us have walked around with living in cultures which enable or excuse rape and which make many women feel afraid of expressing their own sexuality or enjoying their bodies. They have allowed women to deeply connect with other women, something which remains a huge challenge for many. I expect that for many participating in the walks, they brought them out to engage in in-person social justice activism for the very first time (something older feminists have been accusing younger feminists of having no interest in doing for a while now, mind you).

We know that how women dress or don't dress neither causes rape, nor can it protect against rape. We know that telling women to avoid dressing a certain way is not about protecting women, it's about controlling women or scaring women (and also about suggesting men need women to try to police or control their sexualities), something anyone who works in or around sexual violence or had education -- or should, like a police officer -- knows. We know that calling women names like "sluts" or otherwise arbitrarily applying perceptions of someone's sexual life or history to suggest someone's value as a person may be lesser is also about social control and can enable sexual violence. We know victims remain held responsible for their assaults far more often than perpetrators of those assaults. We know that calling these things out and stating and restating the truths they obscure is essential to reducing, and ideally, eradicating rape, and also crucial for an environment in which survivors of assault can heal and where people, whether they have been victimized by sexual violence or not, can truly see sexual violence for what it is and learn real ways to be safer.

All of these are aims of the walks; all of these aims are of great value and import, potential avenues to positive social change that could benefit everyone. And I do think that, so far, the walks have provided new inroads and outlets to cultivating these changes.

When thinking about how -- and if -- I was going to get involved with our local walk, I was reminded of Thomas Paine's words about revolutions, to "Lead, follow or get out of the way."

I knew I wasn't going to try to lead: this wasn't mine to lead, so far as I could tell. There were already leaders, and it's also seemed to me that much of Slutwalk as a whole is being led by younger people than myself, something I always want to support and never want to get in the way of. I wasn't going to follow. As I mentioned, there were a couple relatively minor issues with our local walk that kept me away, but also a far more core matter of my feeling that the most powerful way I could take part involved doing something I did not feel strong enough to do.

Which left me with the third option. To get out of the way. Which is what I chose to do and felt best about doing. But after I did that, I realized I wanted a bit of an addendum to that quote, because we can get out of the way without also being disengaged. We can be supportive from the sidelines, which is what I hope I have managed to do with these three pieces this week, and which is what I intend to do -- and hope others who don't feel they can or should earnestly lead or follow will do more of -- as this movement continues.


How can I keep from getting upset when he ignores my no?

Elizabeth1 asks:

I'm 15 and my bf told me about a week ago that he thought I should be loosing my virginity and a few days ago I did. I was ok with this and only said once that if it was ok with him I'd like to stop (the way he was looking at me was creeping me out), but it wasn't ok with him so he kept going. Afterwards I really creeped out and for some reason I started crying all over the place, which I can't explain. He doesn't get this either and got really upset about it. I wanna make things back up with him so I've said that we can try again and that I wont react so badly. Is there anyway I can calm down enough so that I don't upset him again by freakin out? Hope you can help xxx

How can I stop feeling so guilty?

chechelle asks:

I am 23. I started having sex with my boyfriend of 7 months at age 17. I was raised Christian, have stayed in the church until now but am seriously questioning what I believe. Ever since I first started having sex I have never been completely ok with it, always wondering whether I was doing something wrong or whether it was even ok. I would often feel extremely guilty once I reached the point of orgasm because it was like that was the time that I realized that I had given in to my desires and have done something wrong-again. (I had/have these same guilt feelings whenever I masturbate which I remember from age 12.) After the high school boyfriend I had sex with someone else a few years later but that one doesn't affect me nearly as much. A few years after that I met my now spouse. We started having sex after a few months and I always questioned whether what we were doing was ok or not, but I still wanted sex and I still enjoyed it. We got married a year ago and now I just cant enjoy sex at all. I just don't want to. When we do have sex it does feel good but not great and I feel like I am being punished for having sex before marriage. I also had a lot of pain starting close to when we got married and I eventually learned I had trich. So I don't know if I am now terrified of that happening again too? (even though we were both treated and I am supposedly cured) I have a great partner: he isn't pressuring me to get better and really wants me to be truly wanting sex otherwise he doesn't want it either. But I know he is getting anxious. How can I let go of the guilt that I have had for half my life? How can I enjoy sex again? What is wrong with me? I've discussed the spirituality aspects with several ministers and none of them think God is punishing me or that I have done anything wrong. I am also currently in counseling and we have talked at length about this sex issue and she is stumped too. I am ready to let go of this and move on but I just can't. Where should I go from here? Or should I just realize that there is no more sex in this life for me?

Why I Escort

I am a volunteer abortion clinic escort. This means I am there to walk with women coming into the abortion clinic. It's usually no more than a minute's walk from their cars to the front door of the clinic. Under normal circumstances, my help would hardly be needed. Except the circumstances outside an abortion clinic are rarely "normal."

Is it really illegal to sell me condoms?

ADistantPlanet asks:

This may be a bit of a strange question, but my attempts at researching this question have yielded very few results. I'm 16 years old, and the other day, I went into a gas station near my home in Michigan to buy some condoms. I'm on the Pill, but I use condoms every time with my boyfriend due to my paranoia of pregnancy. When I brought the condoms to the counter, the woman behind it informed me that there is a law that forbids the selling of condoms to those under 18. This didn't really sound plausible to me, considering that the age of consent in Michigan is 16 and it would be rather counterproductive to ban condoms for 2 years, however, the woman vehemently refused to sell them to me. Is there any sort of law (in Michigan or a national law) that forbids stores from selling condoms (or pregnancy tests, etc.) to minors?

International Map of Abortion Law

The Center for Reproductive Rights provides this in-depth map of abortion laws around the world.

Preventing Teen Pregnancy: Three Words Most Likely to Make My Blood Boil

Submitted by Heather Corinna on Fri, 2009-05-22 08:03

I hate, hate, hate that phrase. Nearly everywhere I go or look as a young adult sexuality educator anymore, I run into it incessantly.

Let me be clear: I don't hate doing all that we can, to help people of every age to avoid pregnancies or parenting they do not want or do not feel ready for. I'm so glad to do that, and it's a big part of my job at Scarleteen and elsewhere when I work as a sexuality and contraception educator and activist.


How do I deal with the results of a medical trauma or abuse?

malia asks:

Hi, I'm sixteen and about four months ago I was treated at the hospital for severe anemia due to over excessive menstruation. While I was there, I had to have a pelvic exam done, and I'm already really shy, and I've never been touched like that or even have had a boyfriend. So the doctor (who was a man) was about to do it, but I was so scared he had to physically spread my legs apart. Then he put the speculum in and did whatever, but he had to push through the hymen, and it hurt pretty badly. It seemed like he didn't care at all how I was doing, or anything. Now I cringe when people mention sex or anything like it because it reminds me of him and the pain and embarrassment. How am I ever going to trust a man enough again to let him get close, and how can I block this event out of my head?


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