Let’s Talk About Menstruation with Ease

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The significance of dialogue and discussion around ‘the red week of our month’.

 

Why do we hesitate to say that we bleed

Yes, every month for at least thirty long years

It is blood that flows through our vagina

But unfortunately on rags and cloths

Even the privilege of sanitary napkins

Is wrapped in whispers you see

We say it’s that time of the month

And that is enough a reason

To cancel our trips, dance classes

And even a temple visit

Why do we not accept this bleeding

Much biological without societal strings

This is neither impurity nor weakness

This is just menstruation, my monthly routine.

Today mainstream Hindi movies such as PadMan and Phullu have been seen to take a step to acknowledge the taboos around menstruation and unhealthy practices that prevail along with it. With this growth in the discourse regarding menstruation, it is seemingly easier to talk about it. However, hesitance still prevails among women and men while they speak of it. How many men and women actually step out with a packet of sanitary napkins without a black plastic cover or even talk about the importance of menstrual cycle, the need to keep oneself clean?

A term as basic as this is defined by the Oxford Dictionary as “the process in a woman of discharging blood and other material from the lining of the uterus at intervals of about one lunar month from puberty until the menopause, except during pregnancy”. In biological terms, it is understood as the discharge of blood due to the inability of the ovum in a woman’s body to fertilise, thus causing its discharge through blood and other material at an interval of every 28 days. Despite the simplicity of its definition, we use words and phrases such as “chums”, “that time of the month”, “I’m dirty/impure”, “monthly sickness” to disguise the flow of menstrual blood. Similar descriptions are also seen to be used in multiple vernacular languages.

The problem persists deeper than just the terminology used colloquially, the fact that women bleed renders them impure. Not only does it seclude them from the community, religious and social gatherings, but it also becomes a major reason for girls to drop out of schools. The reason for this being that blood entails shame and curse. “What will happen if others find out”, “She cannot participate in physical activities”, and so on.

Members of a low-income school, run by the Teach for India group working in urban areas, observed that though the number of boys and girls is mostly equal in primary school, the number of girls hugely declines in middle school and stands at the ratio of one girl per six boys. This is sufficient to suggest a worrisome situation in rural India which is further rooted in conservatist practices wherein women sleep separately, are prohibited entry into the kitchen and places of worship during their menstrual cycle.

The issue regarding menstruation is the taboo and secrecy conditioned in us by the society, our families as well as our school teachers. It is high time that we understand that menstrual cycle isn’t any of God’s punitive actions or a result of witchcraft. More importantly, it isn’t blood cancer or any other disease as well. Why should we use cloths or rags and hide them after every wash? These practices and beliefs only worsen the reproductive health of women leaving them vulnerable to infections in the urinary tract and vagina. In addition to this, it places women at the lower end of education levels and weakens their economic contribution to the country. This, in turn, tilts the balance in favour of men allowing them to thrive on their contribution to the society and economy. The reiteration of such conservatism is strengthened by the silence surrounding menstruation. While it is important for older women to unshackle these norms, it is equally important for men to understand the cycle as a natural biological phenomenon. One way to broaden the discourse on the subject is through open discussion within families, open discussions with the fathers and even schools that the taboos may be broken.

In the course of my research about menstruation, I found that the discourse in the English language, although more recently in India, has been flexible about menstruation, its surrounding taboos and the necessity of hygienic conditions while bleeding. It is disturbing to see that information disseminated about the subject in the Hindi language is limited to the discussion about “what is menstrual cycle”, “rules to be followed during periods” and “menstruation and religious prayers”. Elementary google searches yielded that there was a lack of commentary on the subject, hence obliterating any discussion on the prevailing taboos surrounding it. Even a widely read Hindi newspaper such as Dainik Jagran had minimal articles about menstrual taboos or about the recent movies which aim to diminish them. It is undeniable that this orthodoxy is deeply embedded in our socio-religious practices. However, the language also remained obstinate in attempts to transform such beliefs.

While it is essential to talk about menstruation, it is equally important to initiate a discourse in languages which have a wider outreach to the local Indians. It is here that one needs to be able to say without shame “Yes, I bleed every month”. The moment we all accept it as a part and parcel of our normal routine, it will no longer be a reason to outcast us in any society.

 

Feature Image Credit: chuttersnap on Unsplash

 

Shivani Gayakwad is a Volunteer Researcher at One Future Collective and a Researcher for Compliance, Forensics and Intelligence at Control Risks India. She has expertise in South Asian politics and an ardent interest in women’s menstrual health and financial independence.

 

References:

TedX Talks. A Taboo-Free Way to Talk about Periods | Aditi Gupta | TEDxGatewayWomenYouTube, YouTube, 29 Oct. 2015, www.youtube.com/watch?v.

Menon, Aneesha. “The Nirmal Bharat Yatra — Breaking the Menstrual Taboo And Other Barriers.” The Better India, The Better India, 2 Nov. 2012, www.thebetterindia.com/6221/the-nirmal-bharat-yatra-breaking-the-menstrual-taboo-and-other-barriers/.

Singh, Tanaya. “Why Should Girls Quit Schools Once They Get Their Periods? Two Women in Mumbai Fight the Taboo.” The Better India, The Better India, 27 May 2016, www.thebetterindia.com/55968/mukti-project-mumbai-menstrual-health/.

Mapping and negotiating power

Uncuff India Episode 10: Dimensions of conflict and peace: visioning a utopian world

Uncuff India Episode 9: Civic space and dissent: A pathway to social justice

Academic Stress in Students

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Cues to ensure and assure a stress-free academic environment for students.

 

School education is a very important part of an individual’s life and is also a turning point in their academic life. At this stage, the academic performance of a student plays a crucial role in deciding the next stage of their education, which in turn shapes their career. An excess of academic stress during this stage can result in adverse effects that are far-reaching and prolonged.

In today’s highly competitive world, students face various academic problems including exam stress, disinterest in attending classes and the inability to understand a subject. Academic stress involves mental distress regarding anticipated academic challenges or failure or even the fear of the possibility of academic failure. Academic stressors show themselves in many aspects of the students’ environment: at school, home, in their peer relations and even in their neighbourhood.

Excessive levels of academic stress can result in an increased prevalence of psychological and physical problems like depression, anxiety, nervousness and stress-related disorders, which in turn can affect their academic results. Anxiety as a disorder is seen in about 8% of adolescents and children worldwide. Anxiety and stress have a substantial negative effect on their social, emotional and academic success. Depression is becoming the most common mental health problem college students suffer these days. It is also a reflection of an individual’s academic frustration, academic conflict, academic anxiety and academic pressure. The four components of academic stress usually identifiable in a student are academic frustration, academic conflicts, academic anxieties and academic pressures.

According to most high school students, their greatest academic stressors include tests, grades, homework, academic and achievement expectations and parental pressure. School-related stresses include inadequate instructional methods, teacher-student relationships, heavy academic workload, poor physical classroom environments, inability to balance one’s leisure time with school, and disorganization surrounding academic assignments and schedules. Additional sources consist of a struggle to meet academic standards, worries about time management and concerns over grades and scores. Students are thus, seen to be affected by the negative causes of academic stress.

The mental health of students, especially in terms of academic stress and its impact, has become a serious issue among school and policymakers because of the increasing incidence of suicides among students across the globe. The Lancet Report states that India has the world’s highest suicide rates among the youth. Parental pressure for better academic performance is found to be mostly responsible for academic stress. Due to the constant pushing of the student by the parents in order to perform better in both academics and extra-curricular activities, some children develop deep-rooted nervous disorders during their childhood.

Academic and exam stress is found to be positively correlated with parental pressure and psychiatric problems. It is important to remember that the mental constitution or coping capacities vary from one child to another. Therefore, children with poor coping capacities become more prone to anxiety, depression and fear of academic failure and this shows us that one should not compare one student with another.

Looking at these high levels of academic stress in students which can also lead to psychological disorders, there is an urgent need to develop suitable interventions and solutions to reduce this level of stress and psychiatric morbidity.

Here are some ways for students to manage and overcome academic stress:

1. Always have something to look forward to every day and it doesn’t always have to be something big. This helps to have a reason to anticipate the next day and thus cope with academic stress better.

2. Studies have shown that a regular exercise routine often decreases symptoms of depression and stress. So exercise and sports, YES.

3. Create a proper schedule that will help you manage your academics and other activities in a more efficient manner.

4. Understand your academic capabilities, what is expected of you and try not to have unreasonable expectations.

5. Surround yourself with positive people, ALWAYS.

 

Feature Image Credit: Jason Rosewell on Unsplash

 

Anoushka Thakkar is a Research Associate (Mental Health) at One Future Collective.

 

Resources:

Beilock, Sian. “Back to School: Dealing with Academic Stress.” Monitor on Psychology, American Psychological Association, Sept. 2011, www.apa.org/science/about/psa/2011/09/academic-stress.aspx.

Bedewy, Dalia, and Adel Gabriel. “Examining Perceptions of Academic Stress and Its Sources among University Students: The Perception of Academic Stress Scale.” Advances in Pediatrics., U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC5193280/.

synergies.lib.uoguelph.ca/index.php/ajote/article/view/2762/3253.

Sorbara, Cathy. “How PhDs Can Leave Academic Stress Behind Forever And Transition Into Industry.” Cheeky Scientist®, 29 Mar. 2017, cheekyscientist.com/9-ways-to-manage-and-overcome-academic-stress/.

 

Mapping and negotiating power

Uncuff India Episode 10: Dimensions of conflict and peace: visioning a utopian world

Uncuff India Episode 9: Civic space and dissent: A pathway to social justice

Why is Geriatric Mental Health a Less Discussed Issue?

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Debunking associated myths and beliefs.

Mental health issues in the elderly are more often than not treatable. Unfortunately, this is not the popular opinion. As the geriatric population is on the rise, their mental, as well as physical healthcare, needs significant attention. However, their healthcare is often viewed as a personal challenge of the families and caretakers.

If stigmatising mental health wasn’t enough, there is a huge amount of stereotyping directed towards ageing. Consequently, geriatric mental health is misunderstood, stigmatised, neglected and even treated improperly.

Many older adults are at the risk of developing mental disorders, neurological disorders or substance use problems in addition to age-related physiological issues. Over 20% of the adults aged 60 and more suffer from some mental or neurological disorder and 6.6% of all disability among people over 60 years is attributed to mental and neurological disorders. Anxiety disorders affect 3.8% of the older population, substance use problems affect almost 1% and around a quarter of deaths due to self-harm are among people aged 60 or above.

These issues are under-identified by healthcare professionals and are not taken seriously by families and patients due to the stigma, which prevents them from seeking immediate help.

Numerous myths have risen due to societal perceptions regarding geriatric mental health. This article aims to list and debunk the most common ones.

Myth 1: Dementia is a normal part of the ageing process

It is widely believed that as people age, senility sets in and this is considered normal. This myth has left a large number of elderly people undiagnosed because family members have not paid enough attention to the symptoms. Besides, loss of memory may not always translate to dementia and there might be other causal factors that should be looked into (such as sudden onset of depression or death of a family member). At times, even a stroke or vascular dementia could be the cause of lack of memory.

Myth 2: The risk of Alzheimer’s cannot be reduced

The risk of Alzheimer’s can, in fact, be reduced by keeping oneself physically and mentally active. There is a wide range of factors that contribute to the development of Alzheimer’s and the controllable ones can be modified. As we age, diabetes, hypertension, smoking, obesity etc. can take a massive toll on us and prevent the preservation of our cognitive skills. Keeping a steady track on one’s overall health can definitely make a difference.

Myth 3: Depression is more common among older adults

As a matter of fact, depression is much more common among young and middle-aged adults. It is a misconception that depression occurs as we age. However, it is true that depression can be much more severe among older adults and may worsen at the onset of dementia. It is also believed that depression cannot be treated in the elderly which is untrue. With timely and adequate treatment, symptoms of depression in older adults can be significantly reduced.

Myth 4: Substance Abuse is not common among the elderly

This is a popular myth as people have certain set preconceived notions regarding the elderly and substance use among that population. Substance abuse is a steadily growing problem. It is also a product of depression among older adults. This issue is not identified enough among them and hence does not receive the attention it needs. Alcoholism among the older population is widely prevalent. There are also a large number of hospitalisations due to the overdose of substance abuse as well as heart attacks caused by abuse.

Myth 5: Older adults are difficult to treat

This myth results due to the notion that older adults are adamant to stick to their guns and hence there is no use in trying to bring about a change. Most of the family members of the patient do not make sincere attempts to get help for their deteriorating mental health and blame it on the elderly’s rigidity. This is not the case as it has been seen that there can be a good level of flexibility and co-operation displayed by older adults.

Overall, these myths only have negative consequences. Multiple warning signs are either missed or overlooked in the process and the mental health of the patient only worsens. To top it all, they are often underdiagnosed. All these factors have, often, led to premature deaths among the elderly.

Advocates, policymakers, and healthcare professionals must realise that mental health issues in the geriatric population need to be carefully handled and considered. Evidence-based diagnostic tools should be utilised to ensure correct intervention. Families must be educated about the facts and briefed about the appropriate ways to deal with their relative’s mental health. A dynamic population that, contrary to popular belief, still has much to contribute — must receive the care and treatment they rightly deserve.

 

Feature Image Credit: Avgust Chech on Unsplash

 

Shruti Venkatesh is a Research Associate (Mental Health) at One Future Collective.

 

References:

Bogucki, O. (2017, September). Misconceptions About Depression in Older Adulthood. Scholars Strategy Network.

Elderly Mental Health: 5 Myths That Prevent Older Adults from Getting
Treatment. (2017, December 1). Desert Parkway.

Kennedy, G. J. (2003, February 11). Geriatrics — Myths and Perspectives,
Special Guest Editorial. Medscape.

Myths and Facts About Depression in the Elderly. (2016, February 29). Health.

A snapshot of today’s older adults and facts to help dispel myths about aging. (n.d.). American Psychological Association.

 

Mapping and negotiating power

Uncuff India Episode 10: Dimensions of conflict and peace: visioning a utopian world

Uncuff India Episode 9: Civic space and dissent: A pathway to social justice