Sobriety as self-care?

Since the turn of the 21st century there has been increasing popular engagement with the phenomenon of self-care. By this I mean those (sometimes everyday) activities that individuals carry out to manage and restore their own health, both mental and physical. This is how self-care has been most commonly understood within Western healthcare and clinical settings (Levin and Idler, 1983). However, themes of self-care have been co-opted by consumer brands within marketing campaigns, particularly targeted at women. Products and services are sold with the promise of relaxation, fulfilment and wellness – sometimes with a substantial price-tag attached, and with the expectation that consumers are able-bodied. Alcohol brands have also been found to draw upon similar, feminised themes of respite, reward and time-out within their marketing in order to present a healthful interpretation of alcohol-consumption. Wine or gin is sometimes portrayed as a key, constituent part in a woman’s self-care routine (Atkinson et al., 2021). Indeed, this is quite the departure from the self-care that was practiced within radical feminist circles of the Women’s Liberation Movement (Dudley-Shotwell, 2020) and Audre Lorde’s writings on living with cancer: Lorde described her self-care as ‘a political decision as well as a life-saving one’ (1988 [2017], p. 130).

This rise to prominence of self-care has coincided with the emergence of women-founded, UK-based online sobriety communities that utilise social media platforms to help people change their relationship with alcohol, such as Club Soda, Sober Girl Society and Sober & Social. These communities primarily facilitate peer to peer support and sometimes provide additional services, including coaching and social events. The majority of their members are women, compared to men, who are less likely to utilise traditional, evidence-based treatment programmes (Davey, 2021).

In a recent open-access, peer-reviewed article (Davey, 2022), I explored the ways in which women, who utilise or lead online sobriety communities, conceptualise their sobriety as a form of physical and mental self-care. I found that women draw on discourses of wellbeing to position sobriety as a practice of individualised, embodied self-care whereby they experience improvements to their physical, mental and menstrual health. Women used sobriety as a strategy of care for their minds and bodies when medical assistance was lacking or not forthcoming.

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Who Can Afford a Baby? An Intersection of Gender, Race, and Class Oppression in Fertility Treatment in the USA

The World Health Organization (WHO) describes infertility as an inability to achieve a viable pregnancy within one year of regular and unprotected heterosexual sex. Infertility is classified as a disease by WHO and as a disability under the Americans with Disabilities Act (ADA). The Center for Disease Control estimates that 1 in 5 heterosexual women who have no prior births experience infertility. This makes infertility one of the most common diseases/disabilities in women of reproductive age (Insogna & Ginsburg, 2018; World Health Organization, 2018:2020; Davis & Khosla, 2020).

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Gay and Alcoholic: A Lost Autobiography

Robert Hutton’s Of Those Alone (London: Sidgwick and Jackson, 1958) may be the earliest memoir of a gay alcoholic writer.

I came upon the book’s existence serendipitously, while browsing the papers of Marty Mann at Syracuse University. Mann was the first woman to achieve sustained sobriety in Alcoholics Anonymous and the founder of the National Council on Alcoholism in 1940. In a letter, Hutton thanked Mann for her help and revealed that he had portrayed her, thinly disguised, in his autobiography — as a character named Temeraire (an anagram of Mann’s nickname, Mart).

During the 1920s, when Hutton encountered Mann in London, she “was apt, when in her cups, to become belligerent and would have taken on and probably defeated Joe Louis.” When sober, by contrast, “she was a sagacious and amusing companion with a raffish insight into other people’s foibles.” Hutton also divulges that Temeraire “prefers women to men,” as did Mann herself, though she fiercely shielded her private life from public scrutiny.

Of Those Alone was written in the wake of the Report of the Departmental Committee on Homosexual Offences and Prostitution (1957) — familiarly known as the Wolfenden Report — which recommended that such acts, conducted in private between consulting adults, should no longer be proscribed or prosecuted. There was enormous controversy about these findings, and they did not take effect for a decade.

Published during the long interim, Of Those Alone decried the ignorance and intolerance of the British public. “The average individual,” states the dust jacket, “is baffled by something which appears to him to be both unnatural and vicious, and the tendency is for society to ostracise the offender.” The book, described as a “social document” as well as an “enthralling” human story, poses an issue for every “intelligent reader”: how much was the author a victim of “an outmoded and unimaginative legal ethical system, and how much was he himself to blame for the disasters which came upon him?” Hutton also takes up the prior question: whence homosexuality itself? Congenital or acquired? Destined by Nature or created by Nurture? Or both?

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Drinking Studies Showcase: Women and Online Alcohol Recovery Groups

This is the latest instalment to the Drinking Studies Showcase feature. Back in June, 2022, the ‘Women and Alcohol’ and ‘Sobriety, Abstinence and Moderation‘ DSN clusters hosted a joint lunchtime seminar. Dr Sally Sanger and Claire Davey provided short talks about their research on online alcohol recovery and sobriety groups. It’s a pleasure to be able to share the (edited) recording with you all.

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How can Pharmacists improve gender-affirming care? An insider’s perspective

Editor’s note: Maeleigh Tidd continues to explore the role of pharmacists in the provision of gender-affirming care for LGBTQ+ people, and return to the Pharmaceutical Inequalities series with an interview of Dolyn Salm, a transgender pharmacy student at the University of Wisconsin Madison School of Pharmacy. They discuss Dolyn’s experiences of navigating the US healthcare system during his transition, and his views on how pharmacists can be better prepared to support the needs of LGBTQ+ patients. The Pharmaceutical Inequalities series is funded by the Holtz Center and the Evjue Foundation.

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History of LGBTQ+ Health and Ongoing Health Disparities & Inequalities

Editor’s note: Maeleigh Tidd returns with another contribution to the Pharmaceutical Inequalities feature, this time co-authored with a graduate student colleague, Lucy Abrams. Mae and Lucy discuss the history of LGBTQ+ health in the USA, and situate existing LGBTQ+ rights within the international context. They subsequently discuss how pharmacists play a key role in providing gender-affirming care, and how this can be improved upon. The Pharmaceutical Inequalities series is funded by the Holtz Center and the Evjue Foundation.

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Resisting the pathologisation of women in research of alcohol and pharmaceuticals

I was recently reading Dr Jessica Taylor’s latest book Sexy but Psycho: How the Patriarchy Uses Women’s Trauma Against Them. Taylor is a working class, radical, lesbian feminist who has a proven track-record working with traumatised women and girls. In this book she argues for a trauma-informed approach to working with women and girls and documents the long-standing tendency by the patriarchy (systems that uphold male power) to pathologise them as a result of their traumas, reframe them as mental illness, and unnecessarily medicate them for these ‘disorders’.

Pre-existing research shows that women are more likely to be diagnosed with depression, anxiety and somatic disorders, borderline personality disorder, panic disorder, phobias, suicide ideation and attempts, postpartum depression and psychosis, eating disorders and PTSD (Riecher-Rossler, 2016). Furthermore, women are more likely to be diagnosed with multiple psychiatric disorders at one time (Anxiety and Depression Association of America, 2019).

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Women’s Fight for Sexual & Reproductive Health Rights

Editor’s NoteIn light of the forthcoming US Supreme Court decision on Dobbs v Jackson, Maeleigh Tidd provides her third contribution to the Pharmaceutical Inequalities series which considers its implications for women’s access to reproductive healthcare. In doing so, she reaches back to the 19th century to explore American women’s historical access to, and use of, contraception and abortion. The Pharmaceutical Inequalities series is funded by the Holtz Center and the Evjue Foundation.


As we approach the 50th anniversary of Roe v. Wade, a landmark decision of the United States Supreme Court ruling a women’s liberty to have an abortion, we were struck with a leaked draft of the Supreme Court’s opinion of overturning this Constitutional right for women. But, perhaps, this is only the beginning of the regression of women’s rights to sexual and reproductive health.  

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