Constructing female sexual and reproductive agency in mental capacity law

Int J Law Psychiatry. 2019 Sep-Oct:66:101488. doi: 10.1016/j.ijlp.2019.101488. Epub 2019 Aug 7.

Abstract

Respect for the sexual, reproductive, and relational choices of women with learning disabilities remains unrealised to date, despite the autonomy-based focus of mental capacity law in England and Wales as well as the UN Convention for the Rights of Persons with Disabilities. Instead, such women appear trapped within a triple-bind - where they not only act in ways that might reinforce oppressive norms around gender and disability, but they are mentally incapable of even making such self-subjugating choices. The triple-bind emerges for two reasons: first, learning disability is understood as an essentialist property that determines action; second, the normative logic of feminism and the social model of disability is bound to the binary between emancipation - subjugation, which excludes the nuanced and ambiguous agency of women with learning disabilities as a result. What is needed instead is an alternative framework of female agency that can accommodate a mode of ambivalence, indifference, inhabitation, and at times, complicity - in other words, instances where women make choices that appear contrary to their emancipation from disabling, patriarchal norms or relationships. Women with learning disabilities navigate a complex nexus of norms, power relations, and relational connections, some of which are coercive and oppressive, yet simultaneously subjectively affirming and enabling. I argue for an alternative analytical framework of female agency in order to accommodate how women with learning disabilities undertake the complex negotiation of power and social norms, as well as render visible their agency in their sexual, relational, and reproductive choices.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Disabled Persons / legislation & jurisprudence*
  • Disabled Persons / psychology
  • England
  • Female
  • Humans
  • Learning Disabilities* / psychology
  • Mental Competency* / legislation & jurisprudence
  • Mental Competency* / psychology
  • Personal Autonomy*
  • Reproductive Rights / legislation & jurisprudence*
  • Reproductive Rights / psychology
  • United Nations
  • Wales
  • Women's Health