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Lecture 16: Menstruation, culture, and stigma in Indian society

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0:04[music]

0:09[music]

0:16>> Good morning everyone. I welcome you

0:18once again to my course introduction to

0:20medical humanities. This is going to be

0:22week four lecture 16 and my lecture is

0:25titled menstruation culture and stigma

0:28in Indian society.

0:30Before I begin, I'll quickly brief you

0:32about what I'm going to include in this

0:34particular unit.

0:36Basically, all the four themes that I

0:38discussed in my earlier unit about

0:42reproductive justice, about mental

0:44health, about trauma narratives, about

0:46care,

0:47uh all these will be read through close

0:50reading of select literary and cinematic

0:53text.

0:54So, uh

0:55in this lecture today, uh when I am

0:58discussing uh menstruation, which is

1:00concern of at least half of the

1:03population, I'm going to

1:06analyze two films, Padman and The Great

1:08Indian Kitchen as a focus point.

1:12Let me begin.

1:14This is a quick overview of what I am

1:16going to talk about. Let me straight

1:19away come to what I

1:21basically mean in this particular

1:23lecture.

1:25Let me come to basically the focus of

1:27what I'm going to say.

1:29Uh before I talk about, in fact, uh in

1:32this particular lecture, I take up three

1:36or four concepts uh related to

1:38menstruation. Of course, beginning with

1:40stigma, talking about shame, talking

1:43about mobility and a little bit on the

1:46culture side, but before that, I think

1:48these three concepts are quite seminal

1:51to the understanding of how we can go

1:53about reading uh menstruation in

1:56contemporary times. The first one on

1:59your screen is body politics. Now, when

2:02we think of body politics, what I

2:04primarily mean to say is that

2:07the body, specially a woman's body,

2:10becomes the site where most of the

2:12social control is being played out. So,

2:16body in that sense becomes site of power

2:19and control, and most of the social

2:22rules are executed

2:25on or through her body. So, that is one

2:28concept that is essential because when

2:30we talk about menstruation, despite it

2:33being a natural process, it becomes a

2:37biological process, rather. It becomes

2:39so much culturally attached that bodies

2:43have to bear the burden of it.

2:45The second is that of epistemological

2:48violence. What do you mean by

2:50epistemology?

2:51Primarily, the term was introduced uh by

2:55Gayatri Chakravorty Spivak, but I think

2:58later on it developed much where you

3:01think of epistemology as the way in

3:05which knowledge is created. Now, when we

3:08talk about violence, what does that add

3:11to epistemology? It means that the

3:14institutions or society creates

3:17rules and regulations in such a way, a

3:20knowledge system in such a way that it

3:24becomes biased towards some, in this

3:27case, menstrual bias, menstrual stigma.

3:30You talk about that as an epistemology,

3:33where knowledge becomes a source of

3:36violence on some people. We have talked

3:38about this in great detail when we were

3:41theorizing, but epistemological violence

3:43is something which is important to note

3:46in the context of reading the text that

3:49I have chosen closely in this regard.

3:51The third is around stigma.

3:54Now, what is a stigma? Stigma is a

3:55social mark of shame attached to a

3:59person or group. Now,

4:02this particular aspect of

4:05theory,

4:06it turns a natural condition into

4:09something seen as impure, inferior, or

4:12unacceptable. In our case, in the case

4:15of our study, uh menstruation is a

4:17biological process, but the way society

4:21and culture assigns meaning to it, it is

4:23problematic, and it becomes a source of

4:25shame and stigma for women. Now, let us

4:29locate menstruation. So, what is

4:31menstruation? It is primarily a

4:33biological process, but gets a social

4:37and cultural meaning,

4:39and that is the source of a lot of

4:42stigma and shame.

4:43There are many

4:46taboos associated with

4:49menstruation.

4:51UNICEF, in fact, has identified some

4:53seven, and I list out a few here. I will

4:56note

4:58on your screen. A girl should not talk

5:01about periods in public.

5:03Any form of physical activity can

5:05disrupt the menstrual flow.

5:08Foods like curd, tamarind, and pickle

5:11disturb the menstrual flow. During their

5:14periods, girls are impure, and more. So,

5:17around this thought, I also weave the

5:20theoretical framework that I am going to

5:24address, but primarily, if you look at

5:27these four myths that UNICEF has

5:31identified, they don't have any

5:33scientific purpose, and that is why they

5:35are myths. But, UNICEF listed it out

5:37because they had absolutely zero base in

5:40which menstruation as a biological

5:43process was affecting. So,

5:46this particular myth the debunking of

5:50the myth can happen also through media

5:52is what has been identified. If media

5:55portrays the same kind of uh uh

5:58stereotypes,

6:00the same kind of traditional views, then

6:03probably it is stereotyping. And if it

6:06alters the narrative, it is it

6:09definitely has the potential to change.

6:11The two films that I have identified

6:13today for close reading have the

6:15potential for change, and that is why I

6:17bring it to your class.

6:19Uh before I straight away come to the

6:21films, let us take some of the

6:23historical and anthropological insights

6:26regarding

6:27what and how menstruation derives its

6:31meaning. So, historically, if you look

6:34at it, uh you will find that there are

6:37uh symbolic contamination and cultural

6:40taboos associated with

6:42I mean, and the process of menstruation.

6:45It is also called as periods and many

6:47other names that you can

6:49uh think of in your own culture.

6:53So,

6:54the problem here is that

6:57there is no uniform rule.

7:01Different cultures identify different

7:03kind of characteristics or assign

7:05different kind of meaning to the

7:07menstruation process. Many times, you

7:10will find very contradicting ideas in

7:12the sense that it can be powerful and

7:15polluting both at the same time.

7:17And this

7:19contradictory narrative leads to many

7:21prohibitions and rituals that are part

7:25of the larger picture in which meaning

7:29of menstruation is constructed.

7:32Now, Chris Knight is a theorist who

7:34links these early rituals to later

7:37repression. So, what does this mean?

7:39That something which began as a kind of

7:42a ritual has now become a restriction.

7:46So,

7:47many of these things did not have any

7:50scientific value,

7:52but they added

7:54because of their persistent existence,

7:57because there there are people who kept

7:59on doing it, it became a ritual nobody

8:01wanted to question.

8:03There are also other anthropologists who

8:06suggest menstruation may remove

8:08pathogens or reduce the metabolic cost

8:10of endometrial maintenance, which is a

8:13very scientific thing, but

8:16menstrual stigma and medicalization of

8:19menstruation have contributed to

8:22gender-based disparity. What does this

8:24mean? This means that, I mean, just

8:26recently there was a decision on

8:28menstrual leave, and you know about

8:30this, you can read great detail, but

8:33primarily it is that is also very

8:35paradoxical in nature, because at when

8:37we are saying that there is a demand for

8:40menstrual leave,

8:42uh it does identify that it's a

8:45situation in which women need rest or

8:48related uh aspects, but

8:52it can be very discriminatory as well,

8:54because then you become

8:56in the larger narrative of uh socially

8:59abled woman and a less productive

9:03I mean, person. So, you know, it's very

9:05contradictory in the sense how these

9:08narratives work, and that is why

9:10uh I mean, uh still

9:12there are many feminists who do not

9:14agree to uh menstrual leave, because

9:16they say that it can affect uh women's

9:19participation in workplace.

9:21In the 20th century, how however, we see

9:24immense amount of shift globally in

9:27terms of how menstruation is dealt with,

9:29because there are many products that

9:32came in dealing with menstruation. One

9:35of the uh elements that I take up

9:38hygiene uh was prioritized in 20th

9:41century and I think that is

9:44a

9:44technological intervention that is a new

9:46intervention in 20th century that kind

9:49of changed the narrative towards what it

9:52was conventionally on menstruation. And

9:56finally, in the context of not just

9:59India but globally, there has been a lot

10:02of effort put in

10:05educating about what is to be done

10:08during menstruation and not to be done

10:11during menstruation. But primarily,

10:13there are two things that are happening

10:15in terms of menstrual education. One is

10:19how do you reduce stigma associated with

10:22menstruation, the shame associated with

10:25it, and the second is around the

10:27hygiene. What is How do you maintain the

10:30hygiene quotient at that point of time

10:32so that there are no chances of other

10:35diseases to be uh happening. That is one

10:37thing that is kind of component of

10:40menstrual education.

10:42Let us now straight away move to the two

10:44films that we are talking about, Pad Man

10:47and The Great Indian Kitchen.

10:49So, when it comes to Pad Man, in fact,

10:51if you watch the film, you will find

10:53that it's a beautiful love story between

10:55a husband and wife. On the surface, yes.

10:59On a deeper level, no.

11:02In fact, it it is a very big narrative

11:04on destigmatizing

11:06uh menstruation. If you look at the

11:10film,

11:11uh if you read about the film, you will

11:13find that the film is based on

11:16Arunachalam Muruganantham from

11:18Coimbatore, Tamil Nadu who created

11:21low-cost sanitary pads for his wife

11:24primarily, uh but then in general. Uh

11:28so, there is a character called

11:30Lakshmikant and his wife Gayatri in the

11:32film. Lakshmi Kant is played by Akshay

11:35Kumar naturally a superstar chosen to

11:38spread this kind of a message. If you

11:40remember there are other advertisements

11:42also in which you must have seen Akshay

11:44Kumar spreading that message. That's a

11:46clear cut stand on how we are enabling

11:50our society to de-stigmatize

11:53these issues around women.

11:55So if you look at this film it looks

11:58like a very beautiful story but in the

12:00core of it you find that it is breaking

12:03menstrual stigma through affordable

12:05sanitary pad innovation.

12:08The theme is menstrual health awareness,

12:11resilience of a common individual. At

12:14some point of time Gayatri says and I'm

12:16loosely translating it she says that I

12:19mean

12:20there is no she doesn't support social

12:23taboos but the cost of

12:26breaking social taboos is something that

12:28she's uncomfortable with. I mean this is

12:30a loose translation maybe

12:32we will

12:33I mean if you see the film you will

12:35actually know the context that I'm

12:36talking about. So these are three themes

12:39that she talks about in the particular

12:41film. We move on to the next film which

12:43is Joe Baby's film. It's called The

12:46Great Indian Kitchen.

12:47In in fact the film was earlier released

12:50on a cable TV I have read and then of

12:53course it went on to become such a big

12:56hit

12:57not just by women but across India being

13:00dubbed into kind of languages and also

13:03I mean in English, Hindi for larger

13:07outreach and that was primarily because

13:10it was not just normalizing the unpaid

13:13labor. I mean if you look at the film it

13:15looks like it's primarily about kitchen

13:18space being the site of women's unpaid

13:21labor but if you look at the deeper

13:24layers you find that it is also a

13:26narrative on destigmatizing

13:28menstruation.

13:30And how, you know, the domestic spaces

13:33become

13:34a kind of

13:36a

13:37promoter of those gender-based

13:39operation.

13:41Uh the first theme that I'm going to

13:43talk about is the theme of impurity as

13:47explored in Pad Man. Now, if you see the

13:51film, I mean, you can see here in on

13:54your screen that there is an argument

13:56that is happening where Gayatri's

13:58folding her hands and if you look at the

14:01stance of Akshay Kumar, he's he's

14:03receptive, but he's not he's unable to

14:06understand what is happening and why is

14:09she so, you know, apologetic about

14:12something. So, if you look at the film,

14:14you find that the issue of impurity

14:16around menstruation appears in recurrent

14:19fragments in the film. Uh as Gayatri

14:22believes she must not be touched by her

14:24husband during the menstruation because

14:26she's supposedly impure at that point of

14:28time and that is why maybe she should

14:32not be touched. And uh

14:35many warnings she gives to her husband.

14:37If you look at

14:39the screen, you will find that

14:41after many warnings from his wife

14:43Gayatri, Lakshmikant fails to stay away

14:46from the woman's affair, which is often

14:49considered impure. So, woman's affair

14:52here is the process of she's

14:54menstruating and hence he should stay

14:56away. The deliberate cinematic shots, I

14:59mean, if you look at the film, you will

15:01find that

15:02Gayatri's at the outer space and

15:05Lakshmikant is in the

15:08I mean, is in the inner space of the

15:09home. This is very deliberate because

15:12and also if you look at the image, you

15:13will find that the rags are stand I

15:15mean, the rags are outside. This is

15:17clearly

15:19explicating the notions of impurity

15:22within the setup of a Indian home. When

15:25she tells her husband, "It's a woman's

15:27problem. Please stay away.

15:29As per our tradition, it's considered

15:31impure." He reverts,

15:34"Come inside and create a new ritual."

15:36Now,

15:37it looks like a very simple sentence,

15:40"Come inside and create a new ritual."

15:43But, it is actually breaking away from

15:46the already existing rituals that are

15:48being practiced and that has been

15:51conditioned in Gayatri's mind. So, if

15:54you analyze the film through these

15:56narratives, you find that it is a very

15:58iconoclastic moment in

16:00uh how uh menstruation is being

16:03showcased in Indian cinema. Because this

16:06is probably for the first time there is

16:07a film talking about menstruation so

16:10openly and

16:12and in such a de-stigmatizing way.

16:16The second uh

16:17film that we are taking up, The Great

16:19Indian Kitchen, even here we find the

16:21themes of impurity. If you look at the

16:23image, there is an aunt uh I mean, who

16:26is showing uh this uh young bride how to

16:30kind of go about it.

16:32The film roughly invests 16 minutes in

16:36uh reflecting about menstruation and we

16:38we see that the question of impurity is

16:42not really uh overtly discussed, but

16:44then there are scenes which you can

16:48see and analyze. Now, one of the

16:51quotations I'm going to uh read here

16:53which will help you understand the

16:56situation, which will help you

16:58understand what I am talking about in

17:00terms of impurity. Now, the aunt in this

17:03image, if you're if you're following,

17:05please look at your screen. The aunt in

17:07this image is taking the young bride and

17:09she says,

17:10"Under running water, wash everything

17:13that you have used, including the

17:15spread. Put your washed clothes away

17:18from those of others. Burn the sanitary

17:21pads. Don't leave them lying around.

17:24Don't evoke the wrath of snake god.

17:27After 7 days, purify everything you have

17:30used with holy water. Don't think that

17:32Gulf returnees are exempt from God's

17:35wrath. So, not only she gives her

17:37guidelines, she also takes a dig

17:41at her because her parents have

17:44worked in Gulf and she's from there.

17:47So, she also takes a dig that don't

17:50think that you if you do not come from

17:52this culture, if you have not been

17:54raised here in the place where they are,

17:58mean that you have all the right to kind

18:00of break it. So, you know, the purity

18:03quotient that you have to be very pure

18:04during that time, uh and uh how the idea

18:09of impurity is associated with

18:11menstruation is showcased in The Great

18:14Indian Kitchen as well. So, we dealt

18:16with the theme of impurity in both the

18:18films. We move on to the shame

18:20narrative. Now, if you uh look at the

18:23screen, there are so many people. It

18:25looks like a village panchayat, and

18:28indeed it is where, you know, uh when uh

18:31Lakshmikant has been manufacturing this

18:34low-cost sanitary pads, he has been

18:36asking many women to try, and that has

18:39been a matter of shame for his wife,

18:41Gayatri, to the extent that entire

18:44village has come together, and they are

18:46now shaming Gayatri that her husband is

18:49doing something like this. And uh

18:52when Lakshmikant asks her that if she

18:55wanted to go to her home, her paternal

18:57home, because she's facing so much of

19:00shame, she says,

19:01"Tell me,

19:02do you want to leave, Gayatri? I told

19:05you, for a woman, nothing is worse than

19:07shame, not even a disease." So, she is

19:10ready to bear the burden of

19:13being

19:15not well.

19:17She's ready to suffer

19:19through some disease, but she's not

19:21ready to bear the shame

19:23that she has to face because her husband

19:25is ultimately uh you know, trying to

19:29come up with a solution and produce a

19:31low-cost sanitary pad. So, it's a very

19:33interesting scene I I came across and I

19:35thought it would be very nice for you to

19:37kind of read how the entire village,

19:41mostly male you will see, have come up

19:43to uh shame Gayatri, whose husband is

19:48uh doing something which is kind of

19:50blasphemous in certain sense.

19:53In uh the film The Great Indian Kitchen,

19:56you see now in this particular film, uh

19:58the new bride is sitting inside, whereas

20:01the aunt is standing outside. Again, the

20:04inner-outer space narrative you can see.

20:07Uh there is no direct reference to

20:09shame, but uh when she's sitting on bed,

20:12the aunt comes and she's surprised. And

20:14she says,

20:15"You sleep on a bed? Hasn't anyone told

20:18you not to sleep on a bed?" And this is

20:21a kind of an ostracizing attitude and uh

20:25she clearly warns him, "Okay, I mean,

20:28you have sat on the bed, it's fine. I

20:29mean, there is a kind of a uh dismissive

20:32attitude, but she says, "Don't meet

20:34anyone or go out." So, a clear

20:36indication is there that if you are uh

20:39going out or meeting somebody, then it's

20:41a I mean, what kind of a woman are you?

20:43That kind of a narrative you can see in

20:45this particular image. Uh you even if

20:47you locate both the faces, there is a

20:50there there is a kind of a startling

20:52effect in in uh the faces of both these

20:56women.

20:59The third idea is that of mobility. Like

21:02I said, before I move on to uh

21:06the other aspect, The mobility quotient

21:09is

21:10extremely important. Now, many times,

21:13not just in these two narratives, you

21:15will come across several other

21:17narratives even in documentaries where

21:19the moment a woman starts menstruating,

21:22she's supposed to just be inside. While

21:26it is quite assumable that some women

21:29might have a lot of problem while they

21:30are menstruating and it's absolutely all

21:32right to take rest, but not all women.

21:36Generalizing this phenomena is

21:38problematic. So, if you look at this

21:39scene, so see, it's a very beautiful

21:42scene of how inner space outer space

21:45works. So,

21:47Radhika Apte, Gayatri standing outside,

21:49there is a window and she's watching

21:52these boys play cricket match. And while

21:55they are playing, they are, I mean, it

21:57it clearly is indication they are

21:59having fun, but the boys playing outside

22:02discuss how it is natural for her to

22:04stay on the balcony as she's on her

22:06period. So, they also know because she's

22:08there and nothing can happen then

22:11there is one boy,

22:13a very young boy who passes a remark and

22:15he says, "She's currently on her

22:17five-day test match going on." So,

22:20a very clear-cut example of how even a

22:24even a young mind is

22:27trained

22:28to

22:29believe that mobility is not something

22:32that one does while they are on period.

22:35So,

22:35a social conditioning from the very

22:37beginning is happening and mobility is

22:40at question for women. Same way, if you

22:43see at the the narrative of Great Indian

22:46Kitchen, you there are many close shots

22:48like recurrent shots. So, the when she's

22:51secluded in a small room, you see aunt

22:53coming and this woman

22:56being there just confined in a room,

22:58totally confined

23:01without any mobility. So, she was asked

23:03to be in her room where her food is

23:05given and she's asked to wash her

23:07utensils so that they can be reused and

23:10to emphasize on its

23:13mobility quotient, the director takes

23:16continuous shots. Like,

23:18you are just going on changing over a

23:20period of 7 days and that is very

23:23suggestive but very effective if you

23:26look at uh, the scene in the film.

23:29Uh, finally, the hygiene aspect is uh,

23:33shown in both the films. If you look at

23:36this particular scene, you find that

23:38there is a

23:39cloth which is there and uh,

23:41I mean, Lakshmikant is going to pick it

23:44but Gayatri says no. Please don't do

23:46that.

23:47And she says that I mean, it's it's not

23:50nice. So, Lakshmikant says, "You use

23:53such dirty cloth on these days? I won't

23:56even clean my bicycle with this." Uh,

23:59but that is a situation. So, the hygiene

24:03quotient which is in clinical sense

24:05prioritized,

24:07that has gone for a toss in this

24:09particular scene which is a reflection

24:11of what was happening or what is perhaps

24:13happening in society. Later, the male

24:16doctors exchange surfaces the horrors

24:19women undergo. During menstruation, they

24:22use dirty rags, leaves, sometimes even

24:25ash. If you invite illness, it will

24:27come. So, naturally, something which is

24:30clinically proven that these dirty

24:32cloths can cause disease is taken care

24:36of in this particular film. It's a

24:37clear-cut message. These are products

24:40one should not do.

24:43This is a clear indication that hygiene

24:45is an important component of a dressel

24:49during menstruation.

24:51Similarly, if you see this particular

24:54scene, Uh the new bride is bathing in in

24:58water and uh

25:00it is a it is a suggestion that the

25:02condition of the room where the woman is

25:05staying in the room is very dark and

25:09obviously what kind of medical care will

25:11she get? And therefore she's compelled

25:15to take bath many times and if you look

25:17at this pond, it doesn't look like it is

25:19very hygienic pond but she's supposed to

25:21go there and take bath to maintain

25:23hygiene. But in contrast where she's

25:27staying, the room is very dingy and

25:29dark. So clearly the hygiene quotient is

25:33compromised and the way it shows in the

25:36film, you find that probably it needs

25:38more

25:39attention. The process of menstruation

25:41needs more attention towards hygiene.

25:45There are some other recurrent practices

25:48around menstruation. I thought I will

25:49pick up and show you. In Padman, they

25:51show this celebration of menarche. On

25:54your screen everybody, The Great Indian

25:56Kitchen, she can't touch the plant. I

25:58mean, there is a tulsi plant over there

26:00and then secondly, we have furtive

26:02selling of sanitary pads. So you can see

26:04that the shopkeeper is selling the

26:07sanitary pads under the table as if it

26:09is a kind of a shame. So uh these three

26:12images I picked up. There is more that

26:14you will see when you see the film.

26:16Thank you so much. I look forward to

26:18seeing you in the next slide.

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