"Protection on that Erection?": Discourses of Accountability & Compromising Participation in Digital Sexual Health

This paper analyses sexual health workers' 'talk' around their introduction of a digital platform to enhance a regionally managed condom distribution scheme for young people. In examining the discursive resources workers used in framing the sexual health service, their service users and digital technology, we argue that problematic ideologies around young people and sexuality were exercised and reproduced. Workers positioned themselves as the gatekeepers of young people's sexual health, who were in turn constructed as 'mischievous' and 'misguided', with technology having a corruptive role over what was considered to be 'healthy' and 'normal' sexual relationships. We suggest our findings indicate severe challenges in developing community-commissioned platforms alongside service providers, and questions how plausible user participation can be in attempting to conduct collaborative, participatory and engaged work in this context.

[1]  Patrick Olivier,et al.  App Movement: A Platform for Community Commissioning of Mobile Applications , 2016, CHI.

[2]  Anita M. Pomerantz Extreme case formulations: A way of legitimizing claims , 1986, Asking and Telling in Conversation.

[3]  G. Herek Heterosexism and homophobia. , 1996 .

[4]  Gavin Wood,et al.  "They're Just Tixel Pits, Man": Disputing the 'Reality' of Virtual Reality Pornography through the Story Completion Method , 2017, CHI.

[5]  Ann Blandford,et al.  Are HIV Smartphone Apps and Online Interventions Fit for Purpose? , 2017, DH.

[6]  Margaret Wetherell,et al.  Positioning and Interpretative Repertoires: Conversation Analysis and Post-Structuralism in Dialogue , 1998 .

[7]  V. Patel,et al.  Our future: a Lancet commission on adolescent health and wellbeing , 2016, The Lancet.

[8]  Christopher A. Le Dantec,et al.  Participation and publics: supporting community engagement , 2012, CHI.

[9]  Shaowen Bardzell,et al.  Sex toys and designing for sexual wellness , 2011, CHI Extended Abstracts.

[10]  Shaowen Bardzell,et al.  Designing (for) desire: a critical study of technosexuality in HCI , 2012, NordiCHI.

[11]  Rosalind Gill,et al.  Justifying injustice: broadcasters' accounts of inequality in radio , 2000 .

[12]  Lars Nordgren Mostly empty words--what the discourse of "choice" in health care does. , 2010, Journal of health organization and management.

[13]  E. Barber,et al.  Voice – Beyond the Passive , 1975 .

[14]  A. Nardone,et al.  Do sexual health campaigns work? An outcome evaluation of a media campaign to increase chlamydia testing among young people aged 15–24 in England , 2013, BMC Public Health.

[15]  Juan-José Igartua,et al.  The narrative and media literacy as influential factors in the efficacy of programs for the prevention of teenage pregnancy , 2016, TEEM.

[16]  Peter C. Wright,et al.  Experience-Centered Design: Designers, Users, and Communities in Dialogue , 2010, Experience-Centered Design.

[17]  V. Braun,et al.  "She'll be right"? National identity explanations for poor sexual health statistics in Aotearoa/New Zealand. , 2008, Social science & medicine.

[18]  Tien Ee Dominic Yeo,et al.  Promoting Hook-Ups or Filling Sexual Health Information Gaps?: Exploring Young People's Sex Talk on Facebook , 2017, SMSociety.

[19]  T. V. Dijk Principles of Critical Discourse Analysis , 1993 .

[20]  J. Coulter What is “Discursive Psychology”? , 2004 .

[21]  Raija Markkanen,et al.  Hedging: A Challenge for Pragmatics and Discourse Analysis , 1997 .

[22]  Elizabeth Sillence,et al.  Exploring the Preferences of Female Teenagers when Seeking Sexual Health Information using Websites and Apps , 2017, DH.

[23]  S. Wilkinson,et al.  Representing the Other: A Feminism & Psychology Reader , 1996 .

[24]  J. Potter,et al.  Discourse and Social Psychology: Beyond Attitudes and Behaviour , 1987 .

[25]  Sonia Livingstone,et al.  A qualitative study of children, young people and'sexting': A report prepared for the NSPCC , 2012 .

[26]  D. Hargreaves Revised You’re Welcome Criteria and Future Developments in Adolescent Healthcare , 2011, Journal of clinical research in pediatric endocrinology.

[27]  Shaowen Bardzell,et al.  Pleasure is your birthright: digitally enabled designer sex toys as a case of third-wave HCI , 2011, CHI.

[28]  S. Wilkinson Focus groups in feminist research , 1998 .

[29]  J. Zinken,et al.  Metaphor and discourse , 2009 .

[30]  D. Fleming,et al.  From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. , 1999, Sexually transmitted infections.

[31]  Risa Kitagawa,et al.  Texting and sexual health: experimental evidence from an information intervention in Kenya , 2015, ICTD.

[32]  Melissa A. Cyders,et al.  Risks, Risk Factors, and Outcomes Associated with Phone and Internet Sexting Among University Students in the United States , 2014, Archives of Sexual Behavior.

[33]  Patrick Olivier,et al.  Digital civics , 2015, Interactions.

[34]  Irina Shklovski,et al.  Disclosure, ambiguity and risk reduction in real-time dating sites , 2012, GROUP.

[35]  Shaowen Bardzell,et al.  I just made love: the system and the subject of experience , 2012, CHI EA '12.

[36]  C. Campbell,et al.  'I think condoms are good but, aai, I hate those things': condom use among adolescents and young people in a Southern African township. , 2001, Social science & medicine.

[37]  Gavin Wood,et al.  Sex Talk: Designing for Sexual Health with Adolescents , 2017, IDC.

[38]  Affrica Taylor,et al.  Troubling Childhood Innocence: Reframing the Debate over the Media Sexualisation of Children , 2010 .