{"id":39410,"date":"2019-05-09T13:49:23","date_gmt":"2019-05-09T13:49:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjgh\/?p=39410"},"modified":"2019-05-09T13:49:23","modified_gmt":"2019-05-09T13:49:23","slug":"lets-talk-about-sex-what-has-sexuality-got-to-do-with-violence-during-global-health-fieldwork","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjgh\/2019\/05\/09\/lets-talk-about-sex-what-has-sexuality-got-to-do-with-violence-during-global-health-fieldwork\/","title":{"rendered":"Let\u2019s talk about sex \u2013 what has sexuality got to do with violence during global health fieldwork?"},"content":{"rendered":"<p><em>Val\u00e9ry Ridde and colleagues recently published an Editorial entitled \u201c<a href=\"http:\/\/dx.doi.org\/10.1136\/bmjgh-2019-001616\">It\u2019s time to address sexual violence in academic global health<\/a>\u201d. While I support the call to fight the violence endured by women, I disagree with the authors in a number of respects.<\/em><\/p>\n<p><strong>Sexual violence is not peculiar to global health<\/strong><\/p>\n<p>The situations encountered when doing field research in global health do not fundamentally differ from those of normal life, as long as you get out of your family comfort zone. I don\u2019t believe there is a \u201cculture of sexual harassment\u201d specific to the global health or cooperation fields. Girls and young women are harassed in Europe or America in plenty of contexts \u2013 be it as school or sports clubs for instance \u2013 for those lucky enough not to be abused in family contexts. Women have been harassed and sexually assaulted for thousands years all around the world and actually, one is usually more on the alert and more prepared to face unusual situations while one travels to a country with a very different culture. So I don\u2019t think self-flagellation by academics and academic institutions in global health is very helpful \u2013 nor writing sexual harassment and violence policies, nor even ceasing collaborations with partners who will probably quickly find other, less regarding partnership opportunities.<\/p>\n<p><strong>Sex is not bad <em>per se<\/em>; violence is<\/strong><\/p>\n<p>By focussing on the \u201csexual\u201d aspect of violence or harassment, the authors miss the point on emphasising the \u201cviolence\u201d that is central to sexual violence or harassment. Sex is not bad <em>per se<\/em>; violence is. The issue is not that an old man tries to get favours out of a young woman \u2013 women can be consenting, and can also harass men, or manipulate men for personal interest. It might even be hypothesised that the world would be a better place if people had more, and better consented sex. The issue is that a more powerful individual \u2013 for reasons of position or cultural norms associated with gender, age, ethnicity, etc. \u2013 takes advantage of that power to exploit another individual, to get something without his or her informed consent. True, women are often in the weak position because they lack financial autonomy, and\/or social standing or recognition, and\/or equal rights to their male counterparts.<\/p>\n<p>But no, women are not inherently weak. Just stop stealing our rights and power, and you will see how strong we are. I am no more shocked when I see my academic partner choose his prettiest student to be his mistress, buy her extravagant wigs, a smartphone and credit, than when I see the same humiliate his male students, appropriate their work and steal the per diems they received when attending a conference as part of our project. That is violence, not sex. Exploitation and manipulation in the work environment, and all in social interactions, is a much broader issue, potentially affecting all of us. I am afraid that providing educated, global health future elite \u201csexual harassment and assault resistance training\u201d will not help and may in fact perpetuate the negative, weak image of women without addressing the real issues.<\/p>\n<p><strong>Let\u2019s grapple with the essence of the problem, not symptoms<\/strong><\/p>\n<p>The repressive strategies presented by the authors have little chance to succeed, because they inappropriately target the symptoms rather than the essence of the evil. Imposing puritanical norms in academic partnership contracts will not help to \u201cdecolonise global health\u201d. Likewise, associating shame and guilt with sex will not help to free people from limiting, emasculating and oppressive social norms. The essence of the problem is to be found at the philosophical level. Violence is inherent to a world in which competition and individual success have become values, instead of cooperation. Hence, gender-based injustice and violence are so deeply rooted all over the world that it will take decades before any substantial improvement can be made, until there is perfect equilibrium between masculine and feminine sides of humanity. Can humanity ever extirpate itself from the long-lived opposition between men and women? We must continue to search for relief in complementarity and unity rather than in opposition\u2026 but we are still very far from that goal. That said, achieving unity in mankind is probably not within reach of global health academics and institutions.<\/p>\n<p><strong>The appropriate strategy is empowerment, not repression<\/strong><\/p>\n<p>So, while we cannot address the essence of violence in society, let us at least try to attack the symptoms in a more appropriate way. First by recognizing that what appears as sexual violence has more to do with abuse of power than with sex. And second, by providing not only students, but also research partners, with basic knowledge and tools to unravel exploitation and manipulation and to augment their sense of self-esteem. The only way to protect potential victims from gender-related and any kind of violence is not through adopting policies and uttering threats, but through empowering them and enabling them to learn how to be respected. But then, is it possible to teach such personal skills and behaviours in the first place, and is that really the role of an academic institution? More importantly, I don\u2019t think Global North academics and institutions are in a right position to tell their Global South partners that the abuse of power and resources at the expense of the weakest is bad\u2026<\/p>\n<p><strong><em>About the author : <\/em><\/strong><\/p>\n<p><strong><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-39411\" src=\"https:\/\/blogs.bmj.com\/bmjgh\/files\/2019\/05\/EP-150x150.png\" alt=\"\" width=\"150\" height=\"150\" \/>Elisabeth Paul is a lecturer at the Universit\u00e9 libre de Bruxelles, Ecole de sant\u00e9 publique and a research associate at University of Li\u00e8ge, Belgium<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Competing Interests :<\/strong> The authors has read and understood the BMJ Group policy on declaration of interests and declare they have nothing to declare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Val\u00e9ry Ridde and colleagues recently published an Editorial entitled \u201cIt\u2019s time to address sexual violence in academic global health\u201d. While I support the call to fight the violence endured by women, I disagree with the authors in a number of respects. Sexual violence is not peculiar to global health The situations encountered when doing field [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjgh\/2019\/05\/09\/lets-talk-about-sex-what-has-sexuality-got-to-do-with-violence-during-global-health-fieldwork\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":350,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[81,96,97],"class_list":["post-39410","post","type-post","status-publish","format-standard","hentry","category-science-activism","tag-global-health","tag-sexual-harrassment","tag-women-empowerment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Let\u2019s talk about sex \u2013 what has sexuality got to do with violence during global health fieldwork? - BMJ Global Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjgh\/2019\/05\/09\/lets-talk-about-sex-what-has-sexuality-got-to-do-with-violence-during-global-health-fieldwork\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Let\u2019s talk about sex \u2013 what has sexuality got to do with violence during global health fieldwork? - BMJ Global Health blog\" \/>\n<meta property=\"og:description\" content=\"Val\u00e9ry Ridde and colleagues recently published an Editorial entitled \u201cIt\u2019s time to address sexual violence in academic global health\u201d. 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While I support the call to fight the violence endured by women, I disagree with the authors in a number of respects. 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