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Monday, 4 January 2016

‘I wouldn’t say it’s sexism, except that … It’s all these little subtle things’: Healthcare scientists’ accounts of gender in healthcare science laboratories

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Social Studies of Science
Soc Stud Sci. 2013 February; 43(1): 136–158.
PMCID: PMC3546634


Valerie Bevan, Department of Management Learning and Leadership, Lancaster University Management School, Lancaster University, Lancaster, UK;
Valerie Bevan, Department of Management Learning and Leadership, Lancaster University Management School, Lancaster University, Bailrigg, Lancaster LA1 4YX, UK. Email: ku.oc.navebv@navebv

Abstract

We explore healthcare scientists’ accounts of men in healthcare science laboratories. By focussing on subtle masculinist actions that women find disadvantageous to them, we seek to extend knowledge about women’s under-representation in senior positions in healthcare science – despite women being in the majority at junior levels. We maintain that healthcare science continues to be dominated by taken-for-granted masculinities that marginalize women, keeping them in their ‘place’. Our aim is to make visible the subtle practices that are normally invisible by showing masculinities in action. Principally using feminist analyses, our findings show that both women and men are often unaware of taken-for-granted masculinist actions, and even when women do notice, they rarely challenge the subtle sexist behaviour.
Keywords: feminist research, healthcare science, taken-for-granted masculinities, under-representation of women, women in science

Introduction

Why are women seriously under-represented in senior positions within UK healthcare science?1 The puzzle is particularly striking because women healthcare scientists2 are in the majority – in stark contrast with science, engineering and technology (SET) professions and associated professions generally, where women represent only 15.5 percent of all scientists (Kircup et al., 2010: 74). National figures are not available, but the major employer of healthcare scientists in which this study was largely based (called ‘PQR’ for the purposes of this article) employs 1600 healthcare scientists, of whom 60 percent are women. However, all 13 healthcare scientists in the most senior grade are men, as are more than two-thirds of the 110 staff in the two grades below. A similar pattern exists in academic posts in biosciences more generally where comparable numbers of women and men gain PhDs, but fewer than 10 percent of professors in biosciences are women (Kircup et al., 2010: 60).
In this article, we seek to contribute to an understanding of the marginalization of women that leads to their under-representation in senior posts in healthcare science, an analysis that will be of relevance to scientists more generally. In doing so, we especially seek to challenge the failure highlighted in much of the mainstream literature on scientific life:
to take serious notice not only of the fact that science has been produced by a sub-set of the human race – that is, almost entirely by white, middle-class men – but also of the fact that it has evolved under the formative influence of a particular ideal of masculinity [associated with] ‘virile’ power. (Keller, 1985: 7)
We are also concerned, therefore, to challenge the gendered division of labour more generally in healthcare and other sciences. We note, for example, women’s lower pay overall, and the lack of esteem for those scientists (overwhelmingly women) who work on part-time or on temporary, contracts (Crompton and Lyonette, 2011; Valian, 2004); we also note that salary progression and gaining tenure happen more slowly for women (Valian, 2000).
To address these challenges, we present readings of interviews with UK-based healthcare scientists conducted between 2006 and 2008.3 Our readings are particularly influenced by traditions within feminist research concerned with the apparently mundane and taken-for-granted discursive construction of gendered differences: ‘the ways in which power is relayed in everyday practices … [in the] minutiae of social relations … [and] through seemingly trivial incidents and transactions’ (Morley, 2006: 543).
We are also informed by the experiences that one of us has had from a lifetime’s career as a healthcare scientist herself. The first author started work as a laboratory technician in the 1960s and quickly learned her ‘place’ (Miller, 1986: 75; Newman, 1995: 19) in the hierarchy of the healthcare science laboratory – an environment dominated by men. This environment was similar to that described by Kemelgor and Etzkowitz (2001) in academic science: where women face ‘ongoing subtle and overt exclusion’ (p. 240), where ‘two worlds’ (p. 242) exist, one for men and another for women, and where women are denied access to communication and support mechanisms that are available to men. However, although always perturbed by such difficulties, she had no language through which to question and oppose – or even fully articulate – these difficulties and ‘assum[ed she was] … deficient’ (Miller, 1986: xiii).
Like the women interviewed, the first author rarely challenged the masculinist actions for much of her working life. This began to change around 2000, upon taking a part-time master’s degree in management studies, when, for the first time, she became exposed to feminist concepts that had previously been (at best) on the periphery of her consciousness. She then started to see ways to articulate better the sorts of concerns she had long been bothered by but had not been able properly to name. Indeed, enthusiasm for more feminist ideas was such that she continued to study part-time until 2009, gaining a social science PhD, while working full-time in PQR. Hence, we wish to emphasize that we are seeking to be politically engaged in this article – to produce ‘passionate scholarship’ (Dubois, 1983: 108) – because of our personal stakes in the issues studied.
However, readings that emphasize the subtle nature of women’s disadvantage in healthcare science are offered, not merely because they resonate with the experiences one of us has had as a woman working in healthcare science, but also because arguments of this nature are underplayed in many of the official, policy-orientated reports intended to improve the numbers of senior women in UK healthcare science. Subtle forms of discrimination have become the commonest sort of explanation for the under-representation of women in science (Rhoton, 2011) and other similarly prestigious occupations, at least among social scientists (Bendl, 2008; Benokraitis and Feagin, 1995; Fotaki, 2011; Jeanes et al., 2011; Morley, 2006; Pringle, 1998; Risman, 2004; Wajcman, 1998; and see specialist journals including, for example, Gender & Society and Gender, Work & Organization). However, any kind of research of this nature appears to have been more or less unknown to the scientists interviewed in our study, participants (both women and men) still appearing to favour theories of women’s ‘lack’ to explain gendered inequality.
We speculate that the novelty of our work for many healthcare scientists may arise in part from the hegemonic status still accorded to the experimental paradigm and the idea that ‘science values control and subordination’ (Martin, 2001: 608; see also Albert et al., 2008). While experimental methods are clearly appropriate for the conduct of healthcare science as science, its hegemony is problematic nevertheless because it appears to have led to a disregard for interpretive social scientific research in the study of the social practices within healthcare science. As Albert et al. (2008: 2529) observe ‘our findings suggest that social scientists who pursue qualitative methodologies currently have the support of only a subset of biomedical scientists, mainly those who have been exposed to social science research.’ We use qualitative methods influenced by feminist ideas in the belief that they represent a means to explore issues that, without their use, are difficult to see, or even to name.
Our aims, then, are twofold. The first aim is to highlight how our findings in healthcare science share affinities with, but also significant differences from work using similar methods and assumptions conducted in other areas of science. In other words, we aim to contribute to knowledge about gendered relations in healthcare science and in science more generally. Our second aim is complementary to the first. It is to use our research as a vehicle to suggest how things might be changed in science – especially, though not exclusively, in healthcare science.
This article proceeds as follows: First, we review some of the key findings about the position of women in science and how these findings have been used (or not) in relation to current policymaking concerning gender equality in healthcare science. After an account of methodology, we turn to the empirical materials. Following further discussion, we conclude with suggestions about how feminist ideas, while hardly guaranteeing change, have the potential to make a positive difference to the situations of women and men in healthcare science.