Testosterone: An Ethography

Lead Research Organisation: London School of Hygiene & Tropical Medicine
Department Name: Public Health and Policy

Abstract

This project will explore notions of masculinity, including fatherhood, through an exploration of the role testosterone plays across a range of discourses and practices. I intend to conduct a multi-sited ethnography within a number of contrasting contexts that will chart some of the different ways in which the testosterone is drawn on in ideas of virility, potency and fertility. It will focus on ideologies that conceive of testosterone as an isolated essence, property or thing, and as a consequence will examine the role current ideas about hormones in general have in the construction of essentialist ideas of gender and gendered roles. The overall approach will consequently be adopted in order to uncover the range of social and cultural values entrenched in people's understandings of biology, and more specifically, how different groups of people make sense of the contemporary 'biology of gender'. I will go on to explore the far reaching implications of gendered values that are embedded in contemporary ideas of biology, and hence the extent to which these both shape, and are fashioned by, wider social processes.

I intend to conduct observation, interviews and document analysis in order to capture the multifaceted way in which testosterone is constructed through both material practices and cultural representations. Research will question the language and terminology used to describe testosterone, investigating how understandings differ. I will explore viewpoints that position testosterone as 'the male hormone' considering the effect of this understanding - whether such classification can create a social pathology. Further, I am interested in how the measurement of testosterone may create categories of 'normal' and 'abnormal' biology.

These themes resonate with the ESRC' strategic vision for innovative social research that prioritises health and well-being. In particular the interest in social pathology may provide insight into how categorising within biology may be detrimental to individual's mental health - an identified key priority from the ESRC. The skills I will be developing as a researcher via the core skills sessions will allow me to maximise the potential of research. In particular, the knowledge of how to conduct research in a multi-sited manner will allow me to represent numerous perspectives, comparing and contrasting viewpoints. The scope of research is far reaching and offers the potential for multiple publications that can resonate with numerous academic communities.

The studentship offers continual opportunities for professional development and throughout the research process I will aim to increase my existing skill set in order to meet ESRC expectation. In particular I am committed to maximising the conceptual impact of the project and contributing to the understanding of issues and the reframing of debates. In the same way the Institute of Medicine concluded "every cell has a sex" we need to recognise the complex entanglement of hormones, within debates of sex and gender in health research (Springer et al. 2012), demonstrating that the study of hormones is rarely value free.

Publications

10 25 50

Studentship Projects

Project Reference Relationship Related To Start End Student Name
ES/P000592/1 01/10/2017 30/09/2027
1922655 Studentship ES/P000592/1 01/10/2017 14/07/2021 Lauren Redfern
 
Description My research has generated further insight into the experiences of menopausal women using testosterone as part of their Hormone Replacement Therapy (HRT). This has been achieved via observations in a specialist clinic menopause clinic. As my research has taken place at a private clinic that is not funded by the NHS, I have been able to observe and comment upon the distinctions between private and NHS services as identified by both patients and clinicians/healthcare professionals. This has included a consideration of why patients are deciding to pay for clinic appointments. Through the narratives of my participants I have been able to explore the frustrations faced by women in relation to accessing hormonal treatments - in particular testosterone. I have also been exploring the shifting landscape of care and the move and development of online communities and support. I have considered the impact this has had for both patient and service provider. It has opened up important questions pertaining to the additional pressures faced by clinicians in a virtual age.
Exploitation Route It has opened up questions regarding gendered tensions in hormonal medicine and offers the opportunity to expand on this. It includes a consideration of the differences between private and NHS funded healthcare. Further exploration of the reasons why people are choosing to seek private care, particularly in the field I have been exploring (menopause and hormonal treatment) would be important to continue.
Sectors Communities and Social Services/Policy,Healthcare,Pharmaceuticals and Medical Biotechnology,Other

URL https://www.menopausedoctor.co.uk/menopause/038-research-on-testosterone-menopause-lauren-redfern-dr-louise-newson
 
Description I have been featured on a podcast discussing my work. Please see: https://www.menopausedoctor.co.uk/menopause/038-research-on-testosterone-menopause-lauren-redfern-dr-louise-newson
First Year Of Impact 2020
Sector Healthcare
Impact Types Societal

 
Description Conference Presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact I submitted an abstract to a conference entitled 'Post-Patriarchal Masculinities' which was accepted. I presented findings from my ongoing research which was well received. My talk was filmed and I was interviewed in relation to my research and its impact upon understandings linking hormones to innate behaviour.
Year(s) Of Engagement Activity 2019
URL https://conferencealerts.com/show-event?id=212981
 
Description Podcast Recording 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Patients, carers and/or patient groups
Results and Impact I was asked to speak about my research at the Newson Health Clinic as part of practitioner Louise Newson's ongoing podcast series on the menopause. The feedback received so far has been very positive.
Year(s) Of Engagement Activity 2020
URL https://www.menopausedoctor.co.uk/menopause/038-research-on-testosterone-menopause-lauren-redfern-dr...