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    Chapter 4

    Feminist ResearchDebbie Kralik and Antonia M. van Loon

    n   Introduction

    n   Feminist theory

    n   Feminist epistemology

    n   Feminist principles in research

    n  Case study on the use of feminist researchprinciples

    n   Conclusion

    IntroductionThe purpose of this chapter is to explore feminist

    methodology in the context of nursing research.

    The questions posed in this chapter are: what is fem-inist research and how can feminism inform nursing

    research? To respond to these questions, we explore

    feminist epistemology, feminist principles, method-

    ology (how research should proceed) and method

    (approach to generating data) used by feminist

    researchers. We demonstrate the method and method-

    ology used in community-based research with

    women who were sexually abused when they were

    children.

    Feminist theoryThere are four main orientations of feminist theory:

    liberal, Marxist, radical and socialist feminist

    theory. Whilst further reading is required to under-

    stand each of these orientations, a brief overview is

    provided. The liberal feminist view developed dur-

    ing the 1800s where the focus was women’s lack

    of rights and opportunity based on family, gender,

    race, religion, and unequal distribution of wealth

    (Chinn & Wheeler 1985). Liberal feminism focused

    on reform through education.

    Marxist feminist theory claims women’s oppres-

    sion was caused by the introduction of privateproperty which led to the development of class

    systems and sexism. Marxist feminists contend

    that the oppression of women will resolve when

    there is a revolution to redistribute the property

    to society as a whole (Chinn & Wheeler 1985).

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    Socialist feminist theory proposes that the patri-

    archal family, motherhood, housework and consum-

    erism are the basis of women’s oppression. Thistheory considers the oppression of poor, working

    class women, third world women and women of 

    colour (Chinn & Wheeler 1985, Speedy 1991).

    The principles of radical feminist theory are

    derived from a woman-centred world view that

    challenges patriarchal systems. The perspective is

    that the oppression of women is caused by cultural

    institutions and cannot be resolved by changing

    those institutions. For oppression to be resolved

    gender discrimination and gender roles must be

    abolished (Chinn & Wheeler 1985).

    Feminist epistemologyFeminist epistemologies argue that knowledge is

    incomplete, situated in time and place, and embodied

    by cultural constructions. Feminist epistemologies

    identify the manner that dominant ways of knowing

    may be disadvantaging women and other oppressed

    groups, with the aim of surfacing and challenging

    power constructions to reshape understandings and

    practices, aiming to improve the situation for the

    oppressed group. Central to feminist epistemology

    is the idea of situated knowledge. The knower’s per-

    spective that situates their understanding of a topic

    is questioned. Feminist epistemologies contend that

    gender affects understanding; informing approaches

    to the central issue being studied and influencing

    social and political roles of people in the study. This

    impacts the values underpinning the inquiry

    and understanding of objectivity, consistency and

    authority. Consequently feminism becomes difficult

    to define, but a simple description by Stanley and

    Wise (1983, p. 55) provides a useful summary from

    which to start our discussion. It says feminist under-

    standing relies on ‘theoretical constructions about

    the nature of women’s oppression and the part thatthis oppression plays within social reality more

    generally’.

    It is important to recognise that there is no single

    way of knowing that can be described as feminist

    because all knowledge is context based. Thus

    diverse methods of understanding women’s experi-

    ences are legitimate ways of knowing in feminist

    epistemology. Many understandings of the samesubject will be reflected by the individual’s location

    to, and relationship with, the subject under investi-

    gation. People experience the world with their body

    and their mind. Thus understanding personal

    experiences of a phenomenon is assisted by first

    person accounts about the lived experience of the

    phenomenon under study. The researcher may only

    know these states by interpreting signs and features,

    or obtaining descriptions of the study subject from

    the person experiencing the phenomenon. Such

    knowledge relies on how the person represents their

    experience and the emotions, values, attitudes andinterests the phenomenon holds for that person. In

    many instances this knowledge is tacit, unspoken

    and highly intuitive.

    Those who have more information about the phe-

    nomenon under study are likely to interact and react

    to the phenomenon in different ways than those who

    come from a position of ignorance. People will form

    various beliefs about the phenomenon and these will

    be influenced by their prior experiences, values and

    belief systems, and their prior knowledge of the phe-

    nomenon under study. The varying places in which

    the person stands in relation to other inquirers also

    affects their access to necessary information about

    the phenomenon and their capacity to communicate

    about the phenomena to other people. This position

    may have an impact upon their judgement regarding

    what is significant or otherwise regarding the study

    subject. So we can see that how a person is situated

    affects their understanding of their experience

    and/or the phenomenon under study. The incredible

    diversity of individual people’s lives and personal

    experience necessitate the need for multiple and

    flexible approaches to research. Feminist knowledge

    emerges from an exploration and unpacking of 

    each person’s terms of reference, which are evolvingunderstandings.

    Feminist approaches to research enable one’s

    personal perspectives to surface (Chinn 2003). The

    researcher’s epistemology is shaped by the life

    experiences she or he brings to the research as well

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    as the influences of the many voices and conversa-

    tions within feminism. As researchers, our assump-

    tions and values underpin the research process. It isimportant to identify them prior to embarking on

    research and during the research process. The chal-

    lenge for us is ‘to develop a kind of self reflexivity

    that will enable us to look closely at our own practice

    in terms of how we contribute to dominance in spite

    of our liberatory intentions’ (Lather 1991, p. 150).

    Feminism is not a set of rules, methods and ideas

    (Lumby 1997) but is a perspective that may inform

    and guide the way we live. Hence feminism

    challenges us to be accountable for congruence

    between our thought and our behaviour (Maguire

    1996). Locating one’s feminism, and one’s personalepistemology, is a dynamic process involving reflec-

    tion and a critical consciousness. Feminist research is

    not an intellectual exercise guided by theory, but is

    passionate, political, participatory and personal. Femi-

    nist principles are intimately connected to our lives;

    hence knowing our world through a feminist lens has

    implications for how we live and work, and whether

    we engage in feminist research (Maguire 1996).

    Diverse feminist positions have evolved over time

    (Olesen 1994). The historical context and develop-

    ment of the arguments that constitute feminist the-

    ory are important for gaining a sense of where we

    have been and how we have arrived at this point.

    Theoretical history has meaning and purpose in con-

    necting the old to the new as it allows us to record

    advances and lay the foundation for advancing

    inquiry. Many gains made for women can be attribu-

    ted to the feminist movement. One example is the

    movement against domestic violence. Until femi-

    nism, there had been no acknowledgement of domes-

    tic violence, no legal avenues and support for women

    and no supported accommodation/sheltered hous-

    ing. During the 1970s, feminist groups funded shel-

    ters, but the government, police, and media paid

    little attention to violence within the family, eventhough violence continues to be one of the most per-

    vasive health and social issues facing women world-

    wide. In 2006 there is funded supported

    accommodation in our cities, improving public

    awareness based on long-term media campaigns

    against domestic violence, reformed laws and police

    practices, and altered legislative strategies aimed at

    contesting violence against women and children.

    Feminist principles in researchCommon to the various feminist theoretical orien-

    tation is the notion of patriarchal power relations

    that oppress women where women’s interests or

    social positions are subordinate to men (Speedy

    1991). Although there are many forms of feminist

    thought, there are also shared aspects. A femi-

    nist worldview sensitises researchers to consider

    voice, that is who is being heard and who is being

    excluded. It is also of central importance to exploreand understand the context and lives of people

    participating in research by understanding power

    relations and how those play out in individual

    experiences of help-seeking (Crotty 1998). In so

    doing, however, a feminist perspective refrains

    from perpetuating the view of the ‘woman as vic-

    tim’ of their circumstances; instead it celebrates

    diversity and varied strengths (Maguire 1996).

    Chinn and Wheeler (1985, p. 76) explain this charac-

    teristic of feminist research:

     A feminist perspective does not seek to romanti-

    cise or idealise these women, but rather to developinsights that allow us to appreciate their struggles,

    understand their limitations and see their joys and 

    their pains as similar to ours.

    The diverse feminist theories hold differing per-

    spectives about the forces that oppress women, and

    consequently advocate different ways by which

     justice (via action and change) may be achieved

    (Kolmar & Bartkowski 2000). Feminist theory

    aims to transform women’s lived experiences and

    women’s participation in the construction of 

    new possibilities (Smith 1991). A woman-centred

    approach is fundamental to feminist research, withthe aim of illuminating the life context and experi-

    ences of women, grounded by their frame of 

    reference, experiences and language (DuBois 1985,

    Speedy 1991). This thinking develops through a

    critical awareness of experiences, values, ideologies

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    and goals. It is through this awareness that con-

    sciousness raising and action becomes possible as

    women learn to view the world through a criticallens and contradictions in their lives become illumi-

    nated. Some ‘common threads in feminism’ (Maguire

    1996, p. 107) have been identified as:

    n   acknowledgement that women face oppression

    and exploitation;

    n   women experience their oppressions, struggles

    and strengths in diverse ways;n  a commitment to reveal the forces that cause and

    sustain oppression;

    n   a commitment to working  with  women (individu-

    ally and collectively) towards action that will chal-

    lenge and change oppressive structures and forces.

    The intent of feminist principles is to encourage

    women to take action to develop new structures

    or reshape existing forces so that women can ‘live

    out new ways of being in relationship with the

    world’ (Maguire 1996, p. 108).

    Feminist inquiry has often been conceptualised as

    research   for   women and   with   women rather than

    research on women (Campbell & Bunting 1991, Hall

    & Stevens 1991, Olesen 1994, Scharbo-DeHaan

    1994, Webb 1993). Feminism focuses on the way-

    women are represented, and the way in which knowl-

    edge is constructed (Griffiths 1995, Maynard &Purvis 1994). Feminist research has revealed that,

    while most knowledge has been generated and

    defined by males, the perspective they espouse is

    not the only one and not always appropriate (Speedy

    1991). The experiences of men are not the experi-

    ences of women, nor are the experiences of women

    homogeneous. Feminists have challenged not only

    the view of the way knowledge is produced but

    also whose view the research represents. Feminist

    principles in research are political, transformative

    and transparent and therefore used where the aim

    of the research is to create change (Jackson 1997).It is important that feminist research extends

    further than the creation of knowledge to have a

    commitment to social justice (Drevdahl 1999) and

    social change that will serve to enhance the lives

    of women (Hall & Stevens 1991).

    Speedy (1991, p. 201) identified three main

    principles that inform feminist research. They are:

    n   recognition that women are oppressed, and

    that the reasons for oppression need to be exam-

    ined so that action can be taken and changes

    made;

    n  valuing of women’s experiences; and

    n  consciousness-raising that results in alternative

    views of the world from a woman’s perspective.

    Consciousness-raising involves the recognition of 

    social, political, economic and personal constraints

    on freedom, and is the forum in which decisions

    of actions are made that will challenge those

    constraints and initiate change (Henderson 1995).

    Consciousness-raising allows women the opportu-

    nity to view the world in a different way.

    Consciousness-raising is when:

    . . .   women experience a shared sense of reality

    and a shared sense of oppression; they become

    conscious of their problems as group problems

    rather than as their own individual problems

    (Henderson 1995, p. 63).

    In feminist research, the questions that are asked

    and the research focus are as important as the data

    generated. Questions focus on exploring women’s

    perceptions and feelings, and experiences are val-ued and made visible (Bowes 1996, Crowley & Him-

    melweit 1992, Lather 1988 and 1991, Puwar 1997). It

    is important that the words ‘feminism’ or ‘feminist’

    are used in the research and that feminist literature

    is cited (Chinn 2003). The research process ensures

    a balance of power in the relationship between

    researcher and researched, and consciousness-

    raising is used as a methodological tool to empower

    women participants (Bowes 1996, Millen 1997,

    Punwar 1997, Webb 1993). The research is reported

    in a way that the reader becomes engaged with

    women’s experiences (Chinn 2003) and the researchfindings are made available to those who participated

    in the generation of data. It is also important that the

    research findings are disseminated widely to women

    so that the findings can be incorporated into their

    lives (Webb 1993). Participants are involved in all

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    aspects of the research; hence it is important that

    researchers consider ways of ending the research so

    that participants are unharmed and the benefits of the research can be sustained. It is fundamentally

    important that feminist research also attempts to

    bring about progressive change in the interests of 

    women.

    Feminist theory can guide nurses to explore

    issues that are relevant to women and nursing, and

    yet a review of the literature will reveal that in

    comparison with the total amount of nursing

    research that is published, the contribution from

    feminist research is relatively small. Drevdahl

    (1999) called for nursing research and the develop-

    ment of nursing theories to extend further than thecreation of knowledge and have social justice as their

    goal. Ford-Gilboe and Campbell (1996, p. 173) were

    also concerned with a narrow focus of feminist

    nursing research:

     Feminist research not only studies women and 

    women’s experience within the social context, but 

    it also seeks to help women deal with the issues

    that are revealed as part of the process. Both the

    knowledge gained and the research process itself 

    may serve as vehicles for creating social change

    that enhances lives of women.

    A feminist perspective in nursing research can chal-lenge the medical dominance over health care consu-

    mers and create a consciousness raising that is

    necessary to plan and implement change (Drevdahl

    1999, Speedy 1991). Feminism provides a framework

    by which differences such as gender and culture may

    be incorporated into the design of nursing research.

     Jackson (1997) contends that feminism is an openly

    political and transformative process; hence feminist

    principles can be used in research where the aim is

    to catalyse changes in nursing practice.

    Case study on the use of feminist research principlesThe purpose of this section is to demonstrate how

    feminist principles (shown in italics) can guide

    nursing research. We illustrate using a research

    study that aimed to promote the capacity of adult

    women survivors of child sexual abuse (CSA) who

    had become addicted to alcohol and/or drugs andsubsequently become homeless (van Loon & Kralik

    2005a, 2005b and 2005c). Through the research pro-

    cess that spanned 2 years, women participants gen-

    erated personal resources that enabled them to

    move into a healthier and more life-affirming future.

    The intention was to develop a programme that

     facilitated change through action and to   disseminate

    that programme in the form of resources that were

    sustainable and transferable to similar service

    settings. The resources  increase understanding  of the

    issues impacting women survivors of CSA, and those

    with alcohol, drug and gambling misuse problems asthey transition their past and move toward self-man-

    agement. The resources aim to promote personal

    capacity  for this community group and service pro-

    vider capacity to provide more appropriate responses

    to the needs that these women have identified.

    Feminist research considers how the   social 

     position of the knower  affects what and how they

    understand. A person’s social location is culturally

    endorsed by such attributes as gender , race, ethnicity,

    family relationships, social status, roles and positions.

    These attributes are shaped into a social identity that

    affords the person power  and status. This identity is

    subject to sociocultural norms which prescribe the

    responsibilities, qualities, behaviours, feelings and

    life-skills which the society believes are proper for

    that role. The women in this study on child sexual

    abuse experienced significant social dislocation, as

    this woman explains:

     My Mum used to say to me, ‘You’ve always been

    weird. You’re strange.’ The strangeness came

     from seeing the dislike in her face and reacting 

    to it. I developed another identity. I did it to save

    myself from being hurt. I’ve had severe beatings

    and stood up and said, ‘Yeah, come on, go again!’ 

     Even though it was killing me inside. I was hurting 

     so much and crying within. It’s the face you put on

    to pretend it doesn’t matter, so you can survive

    emotionally. I think inside all of us there’s a little

     grain of hope that wants to keep trying to save

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    the relationship all the time. There’s a little spark

    that keeps waiting and hoping to find a connec-

    tion. (van Loon & Kralik 2005c, p. 38)

    The groups included women from culturally diverse

    backgrounds: Indigenous Australians; women from

    fragmented families – homeless due to violence;

    and women struggling with addictions. These

    women were   positioned by society   as problematic

    and less worthy citizens. The women recognised

    their ‘difference’, being fully aware that they did

    not fit the status and roles of ‘normal’ members of 

    our community. They had always felt different, as

    this woman illustrates:

     I was very quiet. I did a lot of reading, it was myescape. I didn’t get along with other kids, because I 

    was very shy. I was often sick. No one was allowed 

    to come to my place, not that I would have invited 

    them anyway. I never went to anyone’s house either.

     I didn’t trust anyone becauseit wasn’t safe to do that.

     I was tormented at schoolbecause I was different . . . I 

     got used to it . . . I was everyone’s scapegoat at home

    and at school. I was just different so I learnt to shut 

    up so I was noticed less. I stopped speaking because

    that meant less trouble for me. (van Loon & Kralik

     2005c, p. 39).

    Most had accepted a position of ‘less than’ and

    always ‘wanting’. They affirmed the norms that

    went with labels such as ‘homeless’ and ‘addict’,

    viewing themselves as incapable of changing their

    circumstances. They had been typecast and margin-

    alised by mainstream society as a group who were

    wasting valuable resources. This common under-

    standing and its concomitant oppressive fate had to

    be  challenged  if it was to be overcome, then  change

    may be possible (van Loon et al 2004).

    The research   partnership   was a South Austra-

    lian community nursing organisation and an organ-

    isation that facilitates emergency and transitionalsupported accommodation, plus a range of service

    providers to women with complex health and social

    needs. The main stakeholder groups (women and

    services) were bought together in discrete groups

    between 2003 and 2005 using a  participatory action

    research process. We documented the process and

    articulated the outcomes, so that both would be

    transferable  to other settings.The need to work with women to develop capacity

    was important. Over 93% of the women coming

    through the supported accommodation had experi-

    enced the trauma of childsexual abuse and as a result,

    some had used drugs, alcohol and gambling to man-

    age their emotional and physical suffering (van Loon

    & Kralik 2005a). Thus it was essential that the

    research method employed built capacity while

    providing a degree of   liberation from this oppressive

    state. Feminist inquiries seek to understand oppres-

    sion in social groups, and via this understanding,

    transform  that situation. The commitment to femi-nism was one motivation for this research; thus

    research and action could not be separated.   The

    unashamed goal of emancipatory inquiries is   social 

    change that surfaces oppressive processes so they can

    be overcome (Freire 1970). Both the research process

    and the research outcomes must meet this objective.

    Thus participatory action research was deemed the

    most appropriate method to meet these goals.

    This research took a   feminist standpoint   by

    representing the experience of child sexual abuse

    from the perspective of the women CSA survivors,

    giving   epistemic privilege   and   authority   to their

    voices. Thus the subject matter generated remained

    in the   participants’ control . The  language used was

    theirs so we could accurately describe and  represent 

    the truth of their experience. We sought to under-

    stand their current social location, role, and the  sub-

     jective identity   resulting from labels such as

    ‘homeless’, ‘unemployed’, ‘abused’, ‘addict’ etc. It

    was important to privilege the women’s voices if we

    were to gain a reliable understanding of what was

    required to help these women transition their strug-

    gles and their oppressed social position. The goal

    was to understand the   realities of experiences  con-

    structed by this particular group of women, withthe emphasis being on the context in which their

    lives were lived. In this way, the research was

    grounded in the actual experiences of the women

    and was therefore able to  raise the consciousness  of 

    the women who participated. Their understanding

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    was illuminated through the processes of reflecting on

    and describing their lives, as this participant notes:

     I have been here for six months and in that time I 

    kind of believe the hardened shell I had around me

    about talking about these things has cracked a bit.

     It was really hard to speak about my life at first,

    but since the shell cracked, it has been a real 

    release of a lot of pain and pressure within me.

    (van Loon & Kralik 2005c, p. 8).

    These women were disadvantaged, experiencing fun-

    damental disruption in their lives that drove them to

    misusealcohol,addictive substances and/or gambling.

    If we only heard from the service providers’standpoint

    we would not understand the strengths and humanpotential present in these women. We would gain a

    superficial understanding of their experience.  Privile-

     ging the standpoint of the women   represents their

    understandings as socially contingent and allows the

    women to consider actions they can take to overcome

    their situation. We took the perspective that  every

    woman was the expert of her experience and she knew

    what she needed to facilitate her healing. We believed

    and accepted that each woman’s story was true and

    sought to validate her experiences, empowering  her to

    work with the strengths in her story.

    Our research used a   participatory   perspectivewhere we aimed to help women reflect  on past experi-

    ences and current issues in their lives,   making 

    connections   between past and present in their life

    story. Finally, each woman was   invited to action

    change that might move her toward her preferred

    future. We did not engineer discussion to a prefixed

    agenda, although we did seek clarification on

    discussion to unpack issues as they surfaced. This

    was done to facilitate understanding. We did not

    psycho-pathologise the women’s addiction/s, or any

    other behaviour they may have used to cope with their

    life situations. Instead we viewed these as responses

    that enabled survival at that time. Through dialogue,

    perspectives shift, as these women note:

     I don’t think the reasons for using have disappeared;

    they will always be there; but the way I have storied 

    those within my head has changed. I think what I 

    used to treat with contempt, rebellion and anger 

    haschanged into something else. I have become more

     patient and compassionate with myself and others.(Van Loon & Kralik 2005c, p. 18)

     I couldn’t get emotionally close to anybody. It 

    was like my body would just switch off and I’d just 

    be there, but you know I might as well have been

    doing something else. Now it’s starting to feel like

    my body’s coming back to me and all my emotions

    and everything’s coming together in a more man-

    ageable way. (van Loon & Kralik 2005c, p. 31)

    As a group, we   discussed   issues raised by the

    women and these were fed back in written form

    after each meeting for   reflection   and   considered action. We listened for what was being said and

    what was not being said. We paid particular atten-

    tion to   power constructions,   gendered understand-

    ings, choices – or lack thereof, and the practices

    and structures sustaining reactions and choices.

    We looked carefully for  barriers and enablers   that

    impacted upon each woman’s capacity to act. This

    was their story so we tried to   faithfully represent 

    their issues  to the service providers for their action.

    This service provider speaks about how that pro-

    cess can initiate changes to practice:

     I have noticed improvement in my own approachto working with young people. I am changing the

    way I do assessments (actually considering CSA

    questions as part of assessment) since I have been

     partaking in this group. This is due to my height-

    ened awareness. (van Loon & Kralik 2005c, p. 58)

    Feminist research says participants are the owners

    of their story and as such material must be critiqued

    and validated by the participants. This occurred at

    every stage of this research process up to publica-

    tion. It did add workload and expense to the project,

    which is a challenge in today’s competitive funding

    environment. As researchers we did author and col-late the work, but the women owned the final prod-

    uct with great pride as their work. They could look

    back on the process and see how they had shifted

    to a position of more personal power, as this woman

    notes:

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    What makes up you makes up me, but in different 

    degrees. Everyone has strengths and weaknesses.

    With the new knowledge I gain, I can build anew sense of who I am – a new beginning each

    day – always changing, always becoming. I am

    more than the sum of what happened to me as a

    child. Much, much more! I am only just beginning 

    to see the real me, and I think I like what I see! 

    (van Loon & Kralik 2005c, p. 86)

    ConclusionFeminist research acknowledges that most women

    face some form of oppression and exploitation.

    Women experience their oppression, struggles and

    strengths in various ways because of their diverse

    realities and their identities as women. Within thiscontext of diversity, feminist research celebrates

    the practical and informs the theoretical. Under-

    standing and knowledge gained from feminist

    research approaches are more than theory or

    description; they are based on women making

    sense of their own lives and facilitating collective

    action to change their social situation.

    EXERCISES

    Consider the following questions:

    1. Where can feminist theory be identified or located in nursing?2. What is ‘theory’?3. What is the subject or focus of ‘feminist theory’ – women? What women?4. What are the goal(s) or role(s) of feminist theory and feminist research?

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