In defence of Caitlin Moran and populist feminism

Some educated women seem to want to keep feminism for themselves and cloak it in esoteric theory.

Feminism has a lot to answer for. In precise terms, it is called upon to answer for 3.3 billion very different individuals, united (mostly) by an additional X chromosome and a vagina - and sometimes not even that. This means that issues of race, class, religion, sexuality, politics and privilege often end up fracturing feminist dialogue, most regularly causing disagreements between those armed with an MA in Gender Studies and a large vocabulary to match, and those without. Recent weeks have seen a backlash against the populist feminism of writers such as Caitlin Moran, whose bestselling book How To Be a Woman has been somewhat snobbishly referred to by academic feminists as "an intro to feminism." It was suggested that because Moran had written a book with such an encompassing title, that she owed it to her audience to attempt to represent every facet of female experience. As the most popular figurehead of modern feminism today, there was an overriding consensus amongst certain groups that she should be campaigning for as many sections of female society as possible.

In How To Be a Woman, however, Moran had depicted a very specific tale of femininity: white, working class womanhood in Wolverhampton. This is not unusual, considering that her book is essentially an autobiography. The fact that it has become an international bestseller is no small achievement: an "intro" to feminism, perhaps, but one that is, unusually, completely free of pomposity. The fact that a feminist book has managed not only to have mass appeal but also to be funny with it is something to be celebrated. The fact that it deals with the experience of someone who grew up on benefits makes the two of us (and our single mums) want to dance around our bedrooms with joy. This woman has removed the dust and the stuffiness from a movement which at its most academic is almost incomprehensible, instead expressing its ideals in a way that thousands of women understand and identify with. It is a massive achievement.

And therein lies the nub of the problem: feminism is, and to an extent always has been, a white, middle class movement. Watching Loose Women the other day, we were struck by how the question put to the panel seemed to woefully underestimate the inequalities still rife in our society. "Does feminism still have a place in this world?" they asked, as we banged our heads against our desks. But then Paul O’Grady said something about how his auntie in rollers, with her Woodbine sticking out of her gob, was completely a feminist, just wouldn’t necessarily have used the term, and we started thinking that perhaps many of the women watching and those in the audience would have answered the question with a resounding "no. Feminism doesn’t have a place. Not in our world, anyway."

And to an extent, why should it? If class or race, and not merely gender, is what is preventing you from becoming Director General of the BBC, or Prime Minister, or the editor of the Telegraph, then equal rights for women in isolation of these factors are going to make sod-all difference. You’ll still be left with hungry mouths to feed, or a violent partner, or a shit school. Winning places for women on the boards of FTSE 100 companies is not a priority when your benefits have just been cut and your ex-partner keeps moving house to avoid the CSA. Going into certain state comps and discussing the nuances of intersectionality isn’t going to have much dice if some of the teenage girls in the audience are pregnant, or hungry, or at risk of abuse (what are they going to do? Protect or feed themselves with theory? Women cannot dine on Greer alone.) "This woman does not represent me", they will think of their well-meaning lecturer, because how can she, with her private education and her alienating terminology and her privilege, how can she know how poverty gnaws away at your insides and suppresses your voice? How would she know how that feels?

What feminism needs is more voices - a whole chorus of them. By all means, we can criticise those already at the top, but we should be combining that with a real desire to listen to women from all walks of life and their experiences: to actively seek them out, rather than waiting for the lucky few to claw their way into our ranks. Giving them jobs on newspapers so that they can write movingly and persuasively about the inequalities they suffer. Because working class women are rarer than hen’s teeth in almost all sections of the media, and just as unexpected. From the newspapers we read a study in, to the PR consultants who compiled it, to the advertising agencies who placed the pictures, the working class are demonstrably underrepresented. Only last month, London ad agency Iris was berated online for producing a pamphlet called Iris on Benefits: a guide on the benefits of working for the company (private healthcare, extended holiday, etcetera) that illustrated itself tastelessly with pictures of "chav" clichés. The joke was that it was a play on the word ‘benefits’, which these Burberry-hatted, Nike-trainered, Jeremy-Kyle-watching stereotypes were assumedly claiming. One of Iris’s lines of defence was that the pamphlet was "only meant to be seen internally", as if it went without saying that none of their own internal employees would be working class, past recipients of benefits, or indeed merely offended by such depictions. Fuck that.

The fact that these assumptions prevail is disappointing but not surprising. And in the case of feminism, real campaigning can often only be done with the time and money afforded to privileged people: students with the privilege of time, middle class people with the privilege of money, or squatting activists playing at being poor with the privilege of knowing they have a moneyed parental safety net behind them. This is not to say that those who campaign are not doing positive things for women everywhere. But when we seek out an actual, tangible voice to the campaigns that are supposed to be equalising the playing field for women everywhere, all too often it’s the same voice that we hear. And it doesn’t have a Geordie accent. 

It almost seems as though some educated women want to keep feminism for themselves, cloak it in esoteric theory and hide it under their mattresses, safe and warm beneath the duck down duvet. As long as that happens, though, the lives of many women and men in this country will remain the same. Feminism should not be a discipline far removed from the lives of ordinary people, but part of a larger social justice movement that strives to achieve a better life for everyone. Caitlin Moran may not be perfect, but she has come closest thus far. In the last few weeks some have been bandying about the oft-quoted phrase "my feminism will be intersectional or it will be bullshit." We would suggest that anyone with an interest in genuine equality for all adapt that phrase to "my feminism will be comprehensible or it will be bullshit." Achieving "intersectionality" is impossible unless you can communicate clearly, with everyone.  Moran at least speaks a language that we all understand. And how many other feminists can you credit with that?

Caitlin Moran attends the Attitude Magazine Awards at One Mayfair on October 16, 2012. Photograph: Getty Images.

Rhiannon Lucy Cosslett and Holly Baxter are co-founders and editors of online magazine, The Vagenda.

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The surprising truth about ingrowing toenails (and other medical myths)

Medicine is littered with myths. For years we doled out antibiotics for minor infections, thinking we were speeding recovery.

From time to time, I remove patients’ ingrowing toenails. This is done to help – the condition can be intractably painful – but it would be barbaric were it not for anaesthesia. A toe or finger can be rendered completely numb by a ring block – local anaesthetic injected either side of the base of the digit, knocking out the nerves that supply sensation.

The local anaesthetic I use for most surgical procedures is ready-mixed with adrenalin, which constricts the arteries and thereby reduces bleeding in the surgical field, but ever since medical school I’ve had it drummed into me that using adrenalin is a complete no-no when it comes to ring blocks. The adrenalin cuts off the blood supply to the end of the digit (so the story goes), resulting in tissue death and gangrene.

So, before performing any ring block, my practice nurse and I go through an elaborate double-check procedure to ensure that the injection I’m about to use is “plain” local anaesthetic with no adrenalin. This same ritual is observed in hospitals and doctors’ surgeries around the world.

So, imagine my surprise to learn recently that this is a myth. The idea dates back at least a century, to when doctors frequently found digits turning gangrenous after ring blocks. The obvious conclusion – that artery-constricting adrenalin was responsible – dictates practice to this day. In recent years, however, the dogma has been questioned. The effect of adrenalin is partial and short-lived; could it really be causing such catastrophic outcomes?

Retrospective studies of digital gangrene after ring block identified that adrenalin was actually used in less than half of the cases. Rather, other factors, including the drastic measures employed to try to prevent infection in the pre-antibiotic era, seem likely to have been the culprits. Emboldened by these findings, surgeons in America undertook cautious trials to investigate using adrenalin in ring blocks. They found that it caused no tissue damage, and made surgery technically easier.

Those trials date back 15 years yet they’ve only just filtered through, which illustrates how long it takes for new thinking to become disseminated. So far, a few doctors, mainly those in the field of plastic surgery, have changed their practice, but most of us continue to eschew adrenalin.

Medicine is littered with such myths. For years we doled out antibiotics for minor infections, thinking we were speeding recovery. Until the mid-1970s, breast cancer was routinely treated with radical mastectomy, a disfiguring operation that removed huge quantities of tissue, in the belief that this produced the greatest chance of cure. These days, we know that conservative surgery is at least as effective, and causes far less psychological trauma. Seizures can happen in young children with feverish illnesses, so for decades we placed great emphasis on keeping the patient’s temperature down. We now know that controlling fever makes no difference: the fits are caused by other chemicals released during an infection.

Myths arise when something appears to make sense according to the best understanding we have at the time. In all cases, practice has run far ahead of objective, repeatable science. It is only years after a myth has taken hold that scientific evaluation shows us to have charged off down a blind alley.

Myths are powerful and hard to uproot, even once the science is established. I operated on a toenail just the other week and still baulked at using adrenalin – partly my own superstition, and partly to save my practice nurse from a heart attack. What would it have been like as a pioneering surgeon in the 1970s, treating breast cancer with a simple lumpectomy while most of your colleagues believed you were being reckless with your patients’ future health? Decades of dire warnings create a hefty weight to overturn.

Only once a good proportion of the medical herd has changed course do most of us feel confident to follow suit. 

This article first appeared in the 20 April 2017 issue of the New Statesman, May's gamble

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