Postfeminist Versions of Equality? An Analysis of Relationship and Sex Counseling Practices in Finland

Relationship and sex counseling are pivotal components of the “therapeutization of society,” which has been identified and widely examined as a key transformation of 21st-century modern Western societies. The particular understandings of gender and sexuality that circulate in those practices contribute to the wider everyday conceptions of intimate life and are thus important to investigate from a feminist perspective. Combining insights from studies on therapeutic cultures, research on intimate relationships, scholarship on postfeminism, and affect theory, this article taps into the often ambivalent ways in which gender equality and sexual rights are articulated in relationship and sex counseling practices. My data are derived from an ethnographic investigation of relationship enhancement events in Finland. Equality was widely supported at these events, but there was no consensus regarding what desirable equality actually looked like. My analysis identifies several contradictory patterns in the data. First, there are statements to the effect that equality has “gone too far.” Second, many experts express tokenized critiques yet remain invested in depoliticizing views. Third, there are acts of resistance that embrace diversity and expand everyday understandings of gender and sexuality. I argue that these patterns constitute a postfeminist sensibility, thus complicating the belief that Nordic countries are exceptionally supportive of equality.

Optimizing G6PD testing for Plasmodium vivax case management and beyond: why sex, counseling, and community engagement matter

Safe access to the most effective treatment options for Plasmodium vivax malaria are limited by the absence of accurate point-of-care testing to detect glucose-6-phosphate dehydrogenase (G6PD) deficiency, the most common human genetic disorder. G6PD-deficient patients are at risk of life-threatening hemolysis when exposed to 8-aminoquinolines, the only class of drugs efficacious against P. vivax hypnozoites. Until recently, only qualitative tests were available in most settings. These can identify patients with severe G6PD deficiency (mostly male) but not patients with intermediate G6PD deficiency (always female). This has led to and reinforced a gap in awareness in clinical practice of the risks and implications of G6PD deficiency in females—who, unlike males, can have a heterozygous genotype for G6PD. Increasing recognition of the need for radical cure of P. vivax, first for patients’ health and then for malaria elimination, is driving the development of new point-of-care tests for G6PD deficiency and their accessibility to populations in low-resource settings. The availability of user-friendly, affordable, and accurate quantitative point-of-care diagnostics for the precise classification of the three G6PD phenotypes can reduce sex-linked disparities by ensuring safe and effective malaria treatment, providing opportunities to develop supportive counseling to enhance understanding of genetic test results, and improving the detection of all G6PD deficiency phenotypes in newborns and their family members.

Optimizing G6PD testing for Plasmodium vivax case management: why sex, counseling, and community engagement matter

Safe access to the most effective treatment options for Plasmodium vivax malaria are limited by the absence of accurate point-of-care testing to detect glucose-6-phosphate dehydrogenase (G6PD) deficiency, the most common human genetic disorder. G6PD-deficient patients are at risk of life-threatening hemolysis when exposed to 8-aminoquinolines, the only class of drugs efficacious against P. vivax hypnozoites. Until recently, only qualitative tests were available in most settings. These accurately identify patients with severe G6PD deficiency (mostly male) but not patients with intermediate G6PD deficiency (always female). This has led to and reinforced a gap in awareness in clinical practice of the risks and implications of G6PD deficiency in females—who, unlike males, can have a heterozygous genotype for G6PD. Increasing recognition of the need for radical cure of P. vivax, first for patients’ health and then for malaria elimination, is driving the development of new point-of-care tests for G6PD deficiency and their accessibility to populations in low-resource settings. The availability of simple, affordable, and accurate point-of-care diagnostics for the precise classification of the three G6PD phenotypes can reduce sex-linked disparities by ensuring safe and effective malaria treatment, providing opportunities to develop supportive counseling to enhance understanding of genetic test results, and improving the detection of all G6PD deficiency phenotypes in newborns and their family members.

Whatever you Say: A Multimethod Investigation of Sex, Romantic Relationships, and Interpersonal Dependency

An individual’s level of interpersonal dependency influences the way he or she engages with others, and researchers have achieved a comprehensive understanding of the interplay between dependency and interpersonal relationships across an array of social situations. This knowledge has improved the efficacy of medical and psychotherapeutic work with dependent clients and has informed approaches taken to reduce the societal costs of dependent personality disorder (e.g., increased risk for suicide and self-harm, perpetration of child abuse, perpetration of domestic violence, victimization by a partner, and physical illness). Relatively little research, however, has explored dependency’s links to sexual activity and sexual functioning, the findings of which stand to offer a similar wealth of knowledge valuable to sex counseling, couples therapy, sexual health, and our overall understanding of sexuality. The current study utilized a multimethod research design to explore dependency as it relates to sexual and romantic relationships and sexual activity. Multiple associations emerged between dependency, both interpersonal dependency and a healthy variant of dependency, and sexual activity. Based upon these findings, an initial discussion of sexual activity and sexual functioning through the lens of dependency is offered, as well as a brief discussion of some of the therapeutic implications of this knowledge and suggestions for working with dependent clients.