Empowered or patronized? The role of emotions in policies and professional discourses on birth care

Abstract

While the focus on emotions has been associated with the rise of psychosocial welfare and has promised a gateway to accommodate individually diversified needs of citizens in policies, the article shows that the role of emotions needs to be better understood. Highlighting emotions can serve both to empower and to patronize those who experience them. Referring to emotions can thus strengthen hierarchies and downplay individual requests to initiate a change. The analysis of professional discourses on birth care in Czechia shows the value of contextualising emotions. While midwifery discourses apply the emotional context of birth to support women in their specific birth choices, medical discourses use the emotional context to patronize them and to limit their requirements. As a result, policy demands are seen as illegitimate when coming from midwives, who want to see women’s choices more respected in care. We analyse this dynamic through intimacy. As a conceptual framework used in sociology of care, ‘intimacy’ ties individual emotional experiences to collective discourses on care, the body and related feelings. Viewing professional discourses on birth care through intimacy reveals the role of emotions in the collective recognition of the personal struggle for the right to give birth in conditions that respect bodily and emotional integrity, which informs how we think of the role of emotions in policies in general.