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Abstract
In this article, I consider how comm unities form around health care advo-
cacy and activism . M y concer n is the place of visual media in the politics
of breast cancer. Ar t photography and lm are considered against main-
stream images and m edia cam paigns focusing on breast cancer. The prima ry
work considered is the self-portrait photography of the artist Matuschka
and the lm The Body Beautifulby N gozi O nw ura h. I argue that thesealternative texts help us to think about the ways in which issues such as
race, age and beauty are key aspects in the experience of breast cancer, and
not tangential cultural issues or appearance-related side effects , as one
breast cancer su pport program m e puts it.
Keywords breast cance r; co m munity ; body; m ed ia; mastect omy;
photography
IT WO U LD B E impossible to understand health cultures in the US without
acknowledging the crucial role of media in their formation. Television, print
med ia, cinem a, online discussion groups and m edical educational computer pro-
gram s are impor tant, if underconsidered me ans through which health issues are
taught, comm unicated and lived. This article considers a few examples of breast
cancer media produced by women who identify as activists, alternative media
produ cers and me mbe rs of the com mun ity of wom en affected by breast cancer.
First, though, I want to address some of the problems that have made it difcultto think through questions of identity and community around health culture
without also considering the role of me dia (lm, print media, photography, video
and digital technolog ies) in the incorp oration of illness and survival as aspects of
identity and comm unity. In the discussion that follows, I try to dem onstrate the
importance of focusing on local or minor media productions work by inde-
pendent or alternative media producers, personal video and ar t photography
rather than m ainstream m edia. As I will try to dem onstrate below, the concepts
Lisa Cartwright
COMMUNITY AND THE P UB LIC
B ODY IN B REAS T CANCER MEDIA
ACTIVIS M
C ULT U R A L S T UD IE S 1 2 ( 2 ) 1 9 9 8 , 1 1 7 1 3 8 Routledge 1998
j Articles
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of community and media function in highly specic ways within health cultures,
dem anding analytic strategies that take into account the specicity of media user s
and audiences.
Health and com mu nity
Arenas of political action d evoted to health care, illness and disability historically
have for me d on the basis of collective responses to exper iences with illness and
the health care system. Advocacy and activist groups, self-help and support
groups, and mo re loosely based networks of individuals organized on the basis
of shared experiences which might include having a particular illness and/ortreatment, protesting lack of access to medical treatment, advocating for
research, m anaging pain, needing emotional support, negotiating loss of bodily
functions, identifying as a survivor, confronting iatrogenic illness, facing ongoing
disability, or doing support work or caregiving. W hereas broad social networks
have form ed around breast cancer generally (for examp le, the National Breast
Cancer Coalition (NBC C)), groups have also organized themselves on the basis
of these m ore delimited issues as well as on the ba sis of identity or region (the
Chicago Lesbian Comm unity Cancer Project, or the Atlanta-based N ationalBlack Wom ens Health Project). W hat are the implications of using the terms
identityan d communityto refer to g roups that coalesce around illness and/o r dis-
ability? There are impo rtant discontinuities between health status as a category
of identity or com mu nity and the mo re familiar identity categories of ethnicity,
race, nationality, gender, class and sexuality. Akhil Gupta and James Ferguson
present a version of current thinking on com mun ity form ation that helps me to
access this issue. They state:
something like a transnational public sphere has rendered any strictly
bound ed sense of com munity or locality obso lete . At th e same tim e, it has
enabled the creation of for ms of solidarity and identity that do not rest on
an appropriation of space where contiguity and face-to-face contact are
paramount.
(Ferguson and Gupta, 1992: 9)
In the fragmented world of postmodernity, Gupta and Ferguson argue, space
has been reorganized in a way that forces us fundamentally to rethink the poli-
tics of comm unity, solidarity and cultural difference. They m ake this point w ith
regard to an issue w herein space its occupation and its ownership is essen-
tial in a particular way: they are concerned w ith the establishmen t of groups
such as displaced and stateless peoples, ethnic groups, exiles, refugees and
m igrants. But wh at are the implications of this idea of the obsolescence of
bounded com munity an d lo cal ity w hen we consid er collective identi ty as it
C U LT U R A L S T U D I E S1 1 8
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forms , provisionally, on the basis of illness, disability and the ght for access to
treatment? Do reterritorialized space and transcultural formations become
m etaphors, or is there a parallel reconguration and dispersal of collective iden-
tity in the postmodern experience of breast cancer? For example, would it beaccurate to describe sur vivors of breast can cer as a transcultural or transnational
com mun ity because breast cancer strikes wom en of all classes, ethnicities and
nationalities?
Comm unity form ation on the basis of health and illness is always highly
provisional and unstable, in part because group form ation takes place on the basis
of a condition or experience that is always strongly determined by more con-
ventional identity categories. Illness is not necessarily attached to, but must
always be lived through, other categories of identity and com mu nity categoriesthat come into play at every level of the construction of publics and cultures
around disease. In short, illness may take on the trappings of an identity category;
it may be the basis for the form ation of a (highly conditional) comm unity, and it
m ay be the grounds for the form ation of a public sphere. Bu t the experiences and
cultures of illnesses none the less are always lived through identity positions and
arenas of public and professional discourse that exceed the fram eworks and cu l-
tures of disease. This is further com plicated by the fact that illness com mun ities
are comprised of people whose respective identities as ill or disabled shiftthroughout the course of a disease. W ithin breast cancer com mun ities, one might
occupy the position of caregiver, patient and sur vivor at different po ints in time,
or even simultaneously.
While distinctions among these positions are fairly well acknowledged
within groups formed around health issues, differentials of class, cultural iden-
tity, ethnicity and sexuality are quite often bracketed in o rder to und erscore the
unifying factor of disease. The online breast cancer listserv, for example, is com -
prised of wom en with breast cancer, survivors and their caregivers (doctors,health professionals, hospice workers, friends and family). The individuals who
par ticipate in this forum forge conditional bonds on the ba sis of their day-to-day
experiences. But this kind of transcultural alliance some times problem atically
fulls the cond itions of H aberm ass concept of a liberal public sphe re, rather than
becom ing an increasingly m ore in teract ive, less rig id ly class -, race- an d nat ion-
based m ode l of a public. In bro ad-b ased groups like th e breast ca ncer listserv or
the NBC C, participants from disparate backg rounds bracket cultural differences
on the basis of a com m on experience with breast cancer. This approach is to be
lauded for its emph asis on the pervasive scope o f the disease, but it provides
limited me ans for addressing the class and c ultural specicity of the experience,
diagnosis and treatment of breast cancer among women of different ages,
econom ic groups, regions and designated races. Following the mod el of white
middle-class womens organizations in the 1970s and earlier, broad-based
support groups tacitly uphold the liberal fantasy of a quasi-universal discourse
among women.
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What I am arguing against here is the idea that disease is the great leveller,
or that coalition po litics can or sho uld sm ooth over differences as they im pact on
experiences of disease and disability. M uch o f m ainstream b reast cancer me dia
so far has elided these differences. For this reason, I have chosen to focus on m ediatexts that empha size the sp ecicity of different wom ens experiences w ith breast
cancer. The work I have singled out for attention falls into the categories of
alternative or activist media. R ather than looking at material like public service
advertisements, Primetime feature stories and Lifetime television specials, I will
be consider ing act iv is t and ar t ph oto gra phy an d vid eo. Before turning to this
work, however, I want to look more closely at some presuppositions that often
accompany the analysis of non-mainstream media.
H ealth care and alternative m edia
The a nalysis of activist media often relies on a binary m odel that sets off local,
oppositional, comm unity-based groups against the globalizing force of main-
stream m edicine and m edia institutions. M uch recent health care activism,
however, crosses the boundaries between these two spheres. Groups like ACT
UP (AIDS Coali tion to Unleash Power) and the NBCC include among the irmembers media and medical professionals with entrenched institutional prac-
tices as well as patients and lay advocates. In m any areas of political organizing,
alliances, however uneasy, have been forged across genders, classes, professions
and cultures. W hat is new here is not w hat counts as comm unity or coalition,
but the fact th at the crisis of il lness, and not an aspec t of shared id en ti ty in the
conventional sense, is the basis for alliance. In the past decade we have seen an
unprecedented degree of inuence over medical policy brought to bear by
medical countercultures com posed of patients, activists and nonprofessionalcaregivers. The very idea of a counterculture as an extra-institutional force
beco mes com plica ted w hen we consid er th is trafc betwee n th e medical pro fe s-
sions and activist groups and the role of laypersons in policy m aking.
Some of the more signicant media activity shaping US health culture is
taking place through advocacy, activist and com mun ity health groups using visual
me dia as a prime for m of public intervention. It is essential to consider how
agents within these arenas gain a public voice; how they acqu ire access to decision
ma king at the level of the institution or the state; and w hat the relationship is
between m ed ia pro ductions th at orig inate from a po si tion of ac tivism or
com mu nity politics (AID S videos, breast cancer awareness pam phlets) and those
that originate w ithin minor public spheres w hose position at the m argins of
public culture does not necessarily stem from oppression, or from a stance of
opposition. Progressive work in medicine is not necessarily com ing only from
practices identied as coun tercultural or as oppositional, as I w ill try to dem on-
strate below in the case of the work of photo grapher M atuschk a. W hen we look
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at the interaction am ong various media for ms (political cinem a, m ainstream pho -
tojourna lism) and various public constituencies, it becomes difcult to theorize
media activism as a unitary sphere situated outside institutional medicine, or
outside a m ass public culture.Viewed in this light, the binaries of a public and a counterp ublic, m ainstream
and activist politics become less than productive analytic mod els. The se for mu -
lations parallel the media studies binaries of broadcasting and narrowcasting,
mainstream media and alternative media. The terms counterpublic or countercul-
tures suggest oppositionality, w hen in fact m any alternative publics are forged
around the increasingly fragmented special interests that constitute the global
market. Likewise, the term narrowcast implies ma rginality of those cultures tar-
geted (ethnic groups, special interest groups, exilic cultures, language groups,and so on), whe n in fact these groups are often com prised of nancially and
politically powerful, if num erically small, sectors of the view ing public.1
W ithin media studies, the concept of the local mo re often appears in writ-
ings about alternative me dia production, decentralized com munity-based pro-
gramm ing, and activist m edia. The term carries connotations of appropriation
and resistance to mainstream media politics and institutionally sanctioned uses
of technology. If muc h of the literature on m edia assumes a singular mo nolithic
form , failing to account for the specic conditions of discrete media for m s anduses, w ritings about alternative m edia often construc t the ip side of that ima ge
what Coco Fusco (1 98 8) has dubbed fantasies of opposit ion ality , tota li zing
accounts of resistant media strategies that do not take into account the partial
and specic constituen cies, locations and effects of particular media inter ven-
tions.
In the case of the breast cancer me dia texts I consider below, gender, class
and cu ltural identity becom e key factors in the form ation of distinct pu blic cul-
tures around breast cancer. M oreover, I argue, within these cultures, there is nounitary concept of breast cancer. The disease is represented and lived through
issues such as class, beauty, fashion and ageing. Emotions such as anger, pain and
fear are tied to the correlated effects of disease and ageing, hair loss through
chemotherapy, and the physical, visible transform ation of that iconic and
fetishized body part, the breast. Audre Lorde emphasized this cultural aspect of
bre as t cancer in The Cancer Journals (1980) when she criticized other one-
bre as ted wom en fo r h id ing beh in d th e m ask of prosthesis or the dan gerous
fantasy of reconstruction promulgated by groups like Reach to Recovery, the
Am erican C ancer Societys signature programme for women with breast cancer
(Lorde, 1980: 16). R2R, developed by breast cancer patient Therese Lasser in
1952 (when the Halsted radical mastectomy was the conventional treatment),
was based on the then radically new idea that laywomen who had experienced
bre as t cancer could provid e a unique kind of emotio nal support for o ther wom en
in recovery. In ofcially adop ting this programm e in 1969, the ACS placed certain
topics off lim its for discussion, such as family relationships, doctors and the scar
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itself, em phasizing instead the goal of convincing wom en with mastectom ies that
they do no t have a handicap bu t a condition from w hich they can recover given
the right attitude, clothes and prosthesis. Lorde cautioned that this sort of cos-
metic sham would underm ine the sense of comm unity and solidarity necessaryfor wom en w ith breast cancer to organize effectively (Lorde, 1980: 16).2
The circumstances that Lorde described in 1980 the depoliticizing cos-
metic cover-up of not just the (missing or altered) breast but the cultural and
personal difculties surrounding the disease and its aftermath have taken on
new proport ions. In 1988, the ACS launched Look Good, Feel Better , an ini-
tiative cond ucted jointly w ith a charitable found ation set up by cosm etic manu -
facturers in w hich wom en receiving breast cancer treatmen t are invited to their
hospitals for LGFB programmes, essential ly group m akeover workshops inwh ich they get tips on suc h things as devising stylish head coverings and ap ply-
ing makeup. Anthropologist Janelle Taylor, in a critique of the m arketing of
beau ty products to women under th e guise of char ity, de scrib es an LGFB adver-
tisement that appeared in Mirabella concer ning appearance-related side effects
of breast cancer . The advertisemen t argues that W hen you give yourself an ori-
ginal Oscar de la Renta design, youre not the only one w ho gets som ething
beau ti fu l . . . yo ure helping in th e gh t ag ainst breast cancer. . . . So g ive. And
get (quoted in Taylor, 1994: 30). Often m arketed in the conjuncture of breastcancer and fashion are particular items which take on status as fetish and icon
(the scarf as a means of concealment and ador nment, standing in for lost hair;
the shoe as a fetish object par excellence). A similar message is conveyed in an ad
for Larry Stuart shoes, part of a spread promoting the autumn 1994 three-day
charitable event of the Fashion Footwear Association of New York (or FFANY,
an acronym that suggests displaced attention from the breast to the buttocks).
The event, sponsored by 800 comp anies, was a shoe sale held at the Plaza Hotel
in New York. The advertisement presents a photograph of m ud-covered hikingboots w ith th e cap tion th ese are fo r war . Below th is is a second image of shoe s
classy blac k suede T-s trap pumps w ith a m atchin g evenin g bag. These sh oes,
the advertiseme nt tells us, are for the w ar on breast cancer .
If these are par t of the uniform for the war on breast cancer, we might ask
the question: W here is the battleground? Ap parently the foot that comes dow n
against breast cancer , to borrow a line from the Larry Stuart advertisement, is
shod in the signiers of conser vative fem ininity. M y issue w ith this advertisement
is not that it suggests that activists m ight wear heels, or that I think corporate
America is not a viable battleground for cancer activism (it most certainly is).
Rather, it is part of a broader trend in which liberal and right-w ing camp aigns
appropriate the strategies and language of more progressive campaigns and
movements, changing their constituencies and goals in the process. It has been
widely acknowledged that AIDS activism of the 1980s and early 1990s was a
model for the development of a broad-based campaign against breast cancer in
the 1990s. But wh ereas in the 1980s A IDS activism was hardly a ma instream
C U LT U R A L S T U D I E S1 2 2
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campaign, by 1996 breast cancer has emerged, in the words of journalist Lisa
Belkin (1996), as the years hot charity.
Lorde (1980) argued that the socially sanctioned prosthesis is merely
another way of keeping wom en with breast cancer silent and separate from eachother. The advertiseme nt and programm es of the 1990s d escribed above, all of
w hich prom ote beauty aids as prosthetic m eans of recovery, suggest instead that
the m edia cultures of fashion and b eauty technolog ies do provide a resource for
com munity building. However, this process appears to be occurring predom i-
nantly among those women concerned about breast cancer who are invested in
conventional notions of gender, body and b eauty. The problem we face is not that
women are depoliticized, silent or separate, but that the media-savvy breast
cancer activism that has em erged in the late 19 90s constructs the breast cancercom munity around a set of signiers that includes white, straight, middle and
upper class, urban, educated, professional and conservative. In addition to mar-
ginalizing wom en w ho are poor or working class and/or less well educated (and
w ho are less likely to have access to inform ation and treatment), this concep t of
com mun ity also fails to acknow ledge the lifestyles and con cerns of wom en who
do no t share the politics, fashion p references or sexual orientation of the collec-
tive prole tacitly gene rated by this m edia cam paign.
In the texts I consider below, alternative med ia producers take up breastcancer via beauty and fashion in reective and innovative ways to provide new,
non -norm ative ways of constructing the post-operative body. The form ation of
communities and public cultures on the basis of breast cancer politics entails a
reconguration of the post-operative female body in public space. Breast cancer
culture becom es a cruc ial site for the re-evaluation of wh at counts as a bea utiful
body, and w hat mean in g age, ra ce and cultural id en tity have in a cul ture where
disease and health technologies are reconstructing what a healthy body is, and
what particular body parts m ean.
A ctivist pho tography
Alisa Solomo ns imp or tant essay chronicling breast cancer activism , The politics
of breast cancer, appeared in the Village Voice in May 1991.3 Signicantly, the
article begins with an ironic anecdote about a post-op breast surgery patient
named Miriam w ho is visited by a R 2R volunteer a woman with big hair andnails and a body-hugg ing Lana Turn er-style sweater. To M iriams co nsternation,
the volunteers main a genda is the prosthetic recovery of M iriams breast that
is, her bodys public return to norm ative standards of female bodily form . Un til
the early 1990 s, the typical media image of a wom an w ith breast cancer was the
smiling, middle-aged white wom an, identied as a survivor a wom an whose
clothed body and perfectly symmetrical bustline belied the impact of breast
cancer. A 1995 episode of Chicago Ho pe typies this public fantasy of survival as
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physical restoration. The episode features a teenage girl. She is African-Am eri-
can and beautiful and, tragically, she has breast cancer. This perfect young bo dy
loses a breast to ma stectomy. H owever, by the end of the episode a skilful plastic
surgeon returns the g irls body to its near-perfect state. We are given a view o fthe young womans reconstructed body as her mother exclaims to the doctor:
How do you do w hat you do? Here the body of the wom an with breast cancer
is nally ma de public. H owever, the body which this episode m akes available for
public display is a black wom ans body, a m ove that replicates the medical tra-
dition o f using the bod ies of black wom en for teaching dem onstrations and text-
book ex am ples. The privac y of white women s experience with bre as t cancer is
thus maintained. M oreover, this episode culminates by displaying the body of the
woman with breast cancer at a moment when all signs of disease and its treat-ments are erased. Elided is not only the scar of the unreconstructed breast, but
the fact that the great ma jority of wome n w ith breast cancer are far from young.
Like many print advertisem ents prom oting mamm ograms, the Chicago Hope
episode m akes invisible the factors of age and associated issues of beauty that are
relevant to the majority of women w ith breast cancer, w hile including black
bodies only to replicate a ce nturies-old pro blem in Western m edical repre sen-
tation.
The repression of the im age of scar tissue, hair loss and ageing is not limitedto the popular media. Two years after the publication of Solom ons essay, her
title, The politics of breast cancer was given to a urry of feature articles pub-
lished in the scientic, liberal fem inist and m ainstream p resses. In 1993, Science
(Marshal et al., 1993) and Ms (Rennie et al., 1993) both published special sec-
tions with the same title. Interestingly, neither series features the fem ale body in
any sign icant w ay. Ms used a typeface graphic design on its cover and illustrated
the persona l vignettes that were scattered througho ut the essays w ith small, at-
tering portraits of sm iling survivors with sym metrical bustlines. Science optedfor wh at the editors described as a statistical por trait of breast cancer (a display
of graphs and charts) along with the great m en of science approach (the only
actual portraits in the piece were head shots of scientists credited with research
breakthro ughs) .
Surprisingly, it was the New York Times M agazines variation on So lomo ns title
theme that provided a radical twist on the mainstream tendency to disembody
breas t cance r. To illustrate T he an guished politic s of breast cancer by Susan
Ferraro, the cover story for 15 August 1993, the New York Times Magazine editors
chose for the c over a photog raph of a stylishly thin woma n wearing a high-fashion
wh ite sheath and headscarf, her dress cut low on the diagonal to reveal the
wom ans mastectomy scar (Figure 1). The prom inently placed publication of this
image, a self-portrait by the artist Matuschka titled Beauty out of damage ,
m arked a watershed in media representations of breast cancer. Matusch ka, an ex-
fashion model and p hotographer, not only exposes her scar to public view, but
artfully fram es and lights it for optim al display. A s she puts it, If I m going to
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C OM M U NIT Y A ND T H E P U B L IC B O D Y 1 2 5
Figure 1 q Matusc hka 1993 Beauty Out of Dam age
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both er putt ing anything on my chest, why not install a cam era? (M atus chka,
1992: 33). The scar occupies the space closest to the centre of the page, a locus
towards which the eye is drawn by angles cut by Matuschkas arm and the
shadows created by her prominent bone structure and the gowns neckline.M atuschkas head is in prole, turned away from the camera, as if to dramatize
the large caption that lls a por tion of the page to prono unce: You C an t Look
Away Anymore.
The publication of Beauty out of damage was a watershed in the public rep-
resentation of breast cancer becau se it rendered pu blic an im age previously famil-
iar only to medical students and doctors, and wom en and their caregivers, fam ilies
and close friends. The image stunned the New York Times public because it exposed
physical evidence of breast cancer surgery that previously had been subject torepression in the mainstream press, with its images of smiling survivors and
charts. It generated a vast outpouring of com men tary by readers both in suppor t
of and in opposition to the papers editorial decision to use this image on its maga -
zine cover. W hile som e readers saw in the photograph the message that wom en
who h ave undergone m astectomy are not victim s to be pitied and feared, and the
altered or m issing breast as som ething not to be prosthetically and journa listically
covered over and restored, others saw the image as an inappropriate display of
private parts and private matters. The issues that concern me m ost, though, arethe photographs representation of age, beauty and agency, and its apparent evo-
cation of the natural and the technological as they pertain to these issues.
Solomon, in her account of Miriam and the Reach to R ecovery volunteer,
suggests that the volunteer projects an outmoded politics of the body onto the
post-operative M iriam. She relates that Miriam is offended by the volunteers
assump tion that prosthetic simulation or restoration is the r st step to recovery.
Solomon seems to advocate, along w ith Lorde, a public body that bears its scar
as a natural and perhap s even healthy condition. This body is represented in aphotog raph used to illustrate her Village Voice essay of 1991, photographer Hella
Ham mids 1977 por trait of Deena M etzger, titled The w arrior .
Metzger was 41 years old when she was diagnosed with breast cancer in
1977. In a recent interview she recalls that after her mastectomy W hen I went
to a health club even a wom ens health club I noticed that I w as the only one
in the place with a mastectomy. I began to understand that women w ho had m as-
tectomies were not showing their bodies. A po et and novelist w ho had been red
from her tenured professorship for reciting a poem she had w ritten abou t censor-
ship (she eventually won an appeal in the Supreme Co urt), M etzger was n ot one
to comply with the times and hide her body. Instead, she adorned her scar with
a tattoo to better display it. If I were sitting in a sau na or I would b e swim ming
or something, because my chest was tattooed, it was implicit that someone could
look at my body, she explains. In this intimate setting, wom en would turn to
me and say, Thank you, and they felt relief. They saw having a ma stectomy was
not the en d of the w orld. 4
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W ishing to document the scar and tattoo, M etzger contacted Ham mid,
whose previous work included child photography shown in The Family of Man
exhibition curated by Edward Steichen for the Museum of Modern Art in the
1950s. The warrior features the nude torso of Metzger, her white skin, natu-rally curly hair and exuberant expression framed against a backdrop of clouds.
H er arm s reach out in a gesture of openne ss to nature and the cosm os a gesture
that also expo ses fully her single breast and h er scar and tattoo, itself an image
evoking nature (a tree branch). Like the im age of M atuschka, this photograph
puts a positive and politicized spin on the scar and the on e-breasted fem ale body,
evoking Lordes fantasy of an army of one-breasted women confronting the
m edical establishment. But the two images differ in an important way: Metzgers
curly hair, unclothed torso and setting evoke an aesthetic of natural beauty andhealth. She is shot against the sky, as if eupho rically reaching to recovery w ithout
the aid of technology. As journalist Delaynie Rudner has rem arked, the image
draws you in with a touch of innocent hippie celebration (1995: 15). Rudner
describes Ham m ids photograph of M etzger as the perfect rst in the non-
m edical imaging of a mastectomy scar. W hether or not this is true, the image
certainly presented a stunning alternative to the ongoing medical tradition of
representing m astectomies, wherein womens faces are blacked out or their
heads cropped off to maintain anonym ity. The wa rrior sends a clear invitationto look and to acknow ledge that a mastectomy can be healthy and happy w ithout
being phy sical ly re store d .
M atuschkas self-por trait is a far cry from th is upbeat late 1970s dep iction o f
pleasure in the post-operative body in its natural state. M atuschka occupies a
stark environm ent suggesting both clinic and urban art studio sites where bodies
and body images are technologically transform ed. Like Metzger, she looks away
from the camera; however, her expression is serious if not severe. She is clothed
in a form -hugging sheath that suggests both a hospital gow n and formal eveningwear, a garment that suggests the bodys discipline and restriction w ithin the term s
of high fashion. Her headscarf, covering short dark hair, is reminiscent of the
turbans preferred by som e wom en to conc eal the fact of their hair loss as a result
of chemo therapy treatments. M atuschkas public im age of breast cancer clearly
advocates pushing the envelope of cultural expectations abou t the body within the
fashion industry: she looks forward to the day Vogue magazine would consider
devoting an entire issue to the dozens of beautiful one-breasted women who live
all over the world (Matuschka, 1992: 33). W hile Metzgers scar is displayed in a
manner that seem s to prom ote its joyous revelation, M atuschkas is artfully lit and
frame d to em phasize the role of concealment and d isplay in its disclosure. And
whereas The warrior puts forth the post-operative woman as a naturally beauti-
ful gure, Beauty out of dam age suggests a concept of beauty whose aesthetic
involves an appreciation of the fashioning of the body. Th e photograph seems to
suggest that far from destroying beauty, m astectomy can be appropriated for a
politicized display of high-tech beauty. In a new tw ist on techno -aesthetics, mas-
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tectomy joins the reper toire of body-altering surgical technique s that have gained
currency in 1 990s m ainstream fashion, techniques that include breast prosthetics,
implants and reconstruction; liposuction; face lifts; tummy tucks; eyelid recon-
struction, and body piercing. W hile som e of these techniques are associated withthe impetus to render the body closer to cultural nor ms, others appeal to cultural
constructions of the exotic or the unique.
W hile the a ssociation of on e-breastedness w ith d isease m akes it unlikely that
this condition will ever be incorporated into mainstream beauty culture,
M atuschkas photog raph goes a long way towards placing the fact and the look
of this bodily state into public consc io usness. I am not arguin g that M atusc hkas
self-portrait critiques the technological alteration of the body offered in pro-
cesses like breast reconstruction or the use of prostheses. Rather, my point is thatthis portrait foregrounds the scar as a physical and aesthetic transformation of
the body that is as signicant to the experience of breast cancer as these other
techniques and their mo re conventional (and familiar) results. In this image,
M atuschka has o pted to reclaim the scar as an object of aesthetic and political sig-
nicance and, more profoundly, as an object of fascination, if not beauty.
Despite its appearance in such a well-respected public site, Matusch ka and
her photograph,Beauty out of damage , were not emb raced by the breast cancer
community as universal signiers of the current state of breast cancer politics.The m agazine cover image w as nominated for a Pu litzer prize in 1994, but this
mo m ent did n ot necessarily mark a shift in the p ublic politics of breast cancer.
The photograph, like previous and subsequent work produced by Matuschka,
was not received with universal enthusiasm. That some readers were dismayed
by th is ed ito ria l deci sion is cle ar from so me of th e m any lett ers to th e ed itor
wh ich followed the storys publication. Indeed, author Susan Ferraro forewarn ed
readers of the controversial nature of M atuschkas work: Her po ster-size self-
portraits have shocked even some o f her mainstream sisters, she wr ites. This isnot surprising, since Matuschkas work circulated primarily in activist and art
venues such as demonstrations and exhibitions including the Womens Health
Show, a multi-site show m ounted in gallery spaces around N ew York C ity in the
winter of 1994.
De spite this public perception of M atuschka as too controversial or radical
a gure, her identity as an activist and m emb er of a health care counterculture
is far from secure. Or iginally a photographers mod el, M atuschkas transition
into breast cancer act iv ism was, in her own words, by chance. Although a
mem ber of the Wom ens Health Action M obilization (W HA M !), an activist
group close to ACT UP in its tactics and structure, M atuschkas relationship to
health activism seems to have been largely through the groups embrace of her
work. As she explained in an interview,
W HAM ! discovered me. I didnt even know what WH AM ! was. I was at a
talk-out on breast cancer in Washington, D.C., in front of the legislature
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and various other politicians back in 1991. I was on chemotherapy. I was
wear ing a blonde wig, and I had already made a bunch of posters. . . . Evi-
dently, when I got up and spoke I moved a lot of the audience. There were
two or three WH AM ! mem bers there, and they had just started a breastcancer departm ent. They said that they would like to use one of my ima ges,
and asked me to come to one of their meetings. So I went to their m eet-
ings. Thats how it began.5
Conventions like the DC talk-out provided Matuschka with a venue to market
her photograph s in the for m o f postcards and posters. It was at the Breast C ancer
Coalition Convention in California in May of 1993 that Susan Ferraro encoun-
tered M atuschka by chance, displaying her posters on her ow n body, sandwich-board style (she had been barred from se llin g them). Andrew Moss , the ed ito r
of the New York Times Magazine, explained that Matuschka was called when the
ma gazine decided to run Ferraros story, whic h included m aterial on M atuschka,
at the eleventh hou r, and they had only a few days to locate a cover image.
According to M atuschka, the m agazine specied that they w anted an image with
a face but no breast. M osss accoun t suggests that the photo struck the editorial
team like a hamme r , leaving them unanimously com mitted to using it for the
cover.6
M atuschkas ambiguous status as, on the one hand, conventional m odel and
art photographer and, on the other, activist-by-default, allowed her to emerge as
a public icon of breast cancer activism in a m ainstream m edia venue like the New
York Times. Likewise, her ambiguous status as both youthful/beautiful and
damaged (to quo te the term she chose for her photographs title) allowed her
image to play a particular role for a particular set of readers. For the photograph
in question w as undoubtedly targeted to a very specic readership, those who
get the New York Times th ose wom en w hom Ferraro identies as the m ain streamsisters who might be offended by Matuschkas more daring work (Figure 2). Pre-
sumably these wom en m ight be willing to participate in activism in the form of
liberal political pressure groups and advocacy organizations FFANY, for
example. The Times tacitly marketed Matuschka the activist as an evocative but
acceptable symbol of w hite, urban, m iddle-class, professional womens breast
cancer activism . Ferraros article docum ents and constructs an activist counter-
sphere whose ties to nineteenth-century liberal counterspheres of women-only
voluntary associations are strikingly apparent, if not stated outright. Breastcancer, in this form ulation, is a disease with its ow n class aesthetic, culture and
constituency.
In sum, this image that apparently functioned as a mass public icon was in
fact identied w ith a relatively elite sector of wom en. The p ublic im age of breast
cancer which it puts forth tacitly incorporates whiteness, youth, thinness and
urban chic as core elements of the co llective body for which the activist fem in-
ist body collectively speaks. Yet very rarely d o we see p ublic representations of
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C U LT U R A L S T U D I E S1 3 0
Figure
2
q
Matuschka1994Which
SideDoYouWant?
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older wom en (in their fties and sixties, say), w ho constitute the greater m ajority
of breast cancer cases in this country and who certainly comprise a large per-
centage of the New York Times Magazine readership. Photog raphs like the self-po r-
trait of artist Hannah W ilke and her mother, from a series produced between1978 and 19 81, are much less likely to circulate in public venues. This image
documents Wilkes mothers breast cancer. Wilke, like Matuschka, built her
career on self-portraits, m any of which featured her nude and youthful, slender
body. In th e ea rly 1990s, W ilke en ded her career with Intr a-Venous , a se ries of
nud e self-portraits of her own ageing and can cer-ridden body. N ot surprisingly,
this series, which d ocuments her treatm ent for lymphom a (the disease from
w hich she died in 1993 ), received far less attention than her earlier work.
These p oints about the factor of age in representations o f breast cance r leadme dangerously close to making an argument in favour of some sort of media
realism: breast cancer campaigns should depict older women and so forth. This
is hardly my goal. Rather, I am in favour of representations that take up the com -
plexities of age and beauty as they pertain to specic groups o f women for w hom
bre as t canc er is most imm ed iate ly a concer n (w omen in their fties an d six ties )
as well as those wom en c ategorically left out of discussions about breast cancer
med ia (for example, black wom en). It is worth recounting here a well-known
tenet of feminist lm theory: audience mem bers do not always or necessarilyrecognize themselves in images of their ow n kind that is, older women m ay
not necessarily identify any more with images of other older women than they
will with images of, say, younger wome n. (If this were not the case, M atuschkas
image would no t have received the broad-based response it got.) Perhaps the
inordinate num ber of representations of youthful, slender bodies in m ainstream
bre as t ca ncer m ed ia campaign s is not an error on th e part of m edia producers,
but an effecti ve use of the mechan ism s of id en ti cat ion and fantasy th at invite
viewers to look at and identify w ith particular bodily ideals and par ticular cul-tural nor ms, regardless of their own age and appearance.
To elaborate on this possibility, I will turn to a second m edia text, Ngozi
Onwurahs The Body Beautiful, a 1991 experim ental documentary lm about the
relationship between a young wom an a teenage bi-racial fashion m odel and
her m other, a w hite woman in her fties who is disabled by rheum atoid arthri-
tis and wh o bears the mem ories and the scars of breast cancer surgery. This
loosely autobiographical lm foregrounds the cultural aspects of breast cancer
that are repressed not on ly in the erasure of the post-operative body, but in the
elision of cultural difference am ong wom en imp acted by the disease.
The Bo dy Beautiful
In the U nited States, O nwurah has been represented as a black British lm-
maker, a docum entary lm-maker whose wo rk circulates in the womens lm
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festival circuit. These designated categories of race, nationality and genre inform
the reception of her three best-known lms currently in circulation in this
country (Coffee-Colored Ch ildren, 19 88; The Body Beautiful, 1991, and Welcome to
the Terror Dome, 1994). However, what is less than clear from the promotion ofher work in the U S is that Onw urah is not only British but also N igerian. W hereas
in the U S she is m ost often identied as a black lm-m aker, in England she is
recognized (and identies herself) as mixed-race. H er lms are also difcult to
categorize within the limited terms of US lm criticism : they comb ine tech-
niques of conventional and experim ental docum entary and narrative, resisting
categorization within any o f the groups of black B ritish cinema familiar to U S
independent lm audiences.
By introducing O nw urah in this manner, I mean to highlight the fact that raceis as provisional and circum stantial a category as illness or disability. As The Body
Beautifulaptly dem onstrates, cultural identity and disability can also be intercon-
stitutive categories. W hile O nwu rah shares a history, a national identity and rep-
resentational politics w ith m any black British lm-m akers, her work is structured
through a discontinuity that also shapes cultural identity and representational
strategies in highly particular ways that is, in ways that, for Onw urah, have to
do not only with having been raised in N igeria and exiled to England at the age
of 9, but with her subsequent experience as an exoticized beauty, a professionalmo del whose com mo dity is her light-skinned body and her am biguously African-
Anglo features. Both The B ody Beautifuland O nwu rahs earlier lm Coffee-Colored
Children demonstrate that race is a historical category that can be structured
through experiences such as exile, loss of a father, a mothers disability, and a
general loss of the unity and stability of suc h basic categories as family and b ody.
Onwurahs identity is deeply informed by her status as the daughter of a white,
disabled and scarred m other a wo man w ith w hose body she strongly identies,
and a wom an w hose erotic and identicatory investment in the beauty, youth andcolour of her daughters body is also profoundly deep. The Body Beautiful is pri-
mar ily about M adge and N gozi Onw urahs relationship to public perceptions of
ageing, disguremen t and d isability. But, as in the print media b reast cancer cover-
age discussed above, questions of identity (nationality, race, class, sexuality and
gender) and related issues (health, beauty, ageing) are the fundam ental term s
through which this lm engages with public views about breast cancer.
In the central scene of the thirty-m inute lm , Ng ozi convinces her m other
to accom pany her to a sauna (coincidentally also the site of Metzgers enlighten-
m ent about the public repression of the scar). Inside the sauna, women lounge
bare to th e w ai st. M adge keeps her towel w ra ppe d up high, coverin g her
m astectomy scar. But she dozes off and the towel slips, exposing her scar. W hile
M adge sleeps, Ngo zi witnesses the stares of the wome n in the sauna as they look
and turn away from her m others scar. M adge wakes up, almost instantly feeling
for her towel and pulling it up over her chest, looking around in sham e to see if
anyone has noticed.
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This scene performs a function not unlike that of Matuschkas photograph:
the taboo mastectomy scar is placed on display, shocking a public audience, w hile
the perform er of this scene averts her gaze from the eyes of the viewer. But there
are crucial differences between these texts. W hereas Matuschkas youthful andfashionably thin body is framed by a high-fashion sheath, M adges plump, ageing
torso is haphazardly draped with a towel. M oreover, while Matuschka clearly
poses for her photograph, we gaze on M adge while she sleeps, ostensibly unaware
of her position as spectacle. And wh ile Matusch ka as photograph er actively prof-
fers her body as both icon and m odel of wh at breast cancer can m ean (albeit for
women of a particular age, culture and class), Madge (who, signicantly, plays
herself in the lm ) perform s at the direction of her daughter, w ho is behind the
camera (and is played by an actor). If M atuschkas im age is a performance ofdeant pride and an assertion of the agency of the woman with breast cancer,
M adges is a staging of public embar rassment for the benet of N gozis (and the
viewers) enlightenm ent. Ngozi (we) learns com passion and awareness of the
me aning of Madges difference through Mad ges hum iliation.
M atuschkas distinction, due in part to her status as media icon, buffers her
availability as an identicatory gure for wom en viewers. H er function as a highly
symb olic image p recludes the shock of recognition available in the representation
of Madge. In the scene in which M adges body is exposed to the gaze of otherwomen , the camera provides us w ith subjective shots taken from the point of
view of the various wome n in the sauna, intercut with shots of these wom en from
N gozis line of sight. The organization of shots invites the viewer to see M adge
through the eyes of her daughter. We see Ma dge being seen by those wom en wh o
clearly are made unco m fortable at the sight of Madge s body. It might be argued
that Madges body represents not only the unimag inable, unim age-able fear that
any wom an m ight one day be disgured by breast cancer, but that age itself
inevitably w ill generate bodily ch anges (sagging, weight gain, loss of muscle tone) aspec ts of female bodily transformation held in gen er al publ ic contem pt an d
denial. In a sense, the missing breast is just one signier of Ma dges bodily ageing;
but th e scene al so represents Ngozi s shif t from a st ro ng iden ticat ion with the
body of th e m other to her ability to se e th at body from a dista nced, public eye.
By shifting the emphasis from the scarred body as iconic (as in the case of
M atuschkas photog raph) to that body as a lo cus in the shifting politics of looking,
The Body Beautiful is able to d irect its viewers to wo rk self-consciously through
com plex respon ses like recognition, identication and denial of bodily signs of
disease and ageing.
The them e of the negotiation of the public eye and the iconic status of the
marked body carries over from Onwurahs earlier lm, Coffee-Colored Children,
an experim ental docum entary devoted to recoun ting mixed-race Ngozi and her
bro th er Sim ons exper ien ce of grow in g up in Brita in . In Coffee-Colored Ch ildren,
we see the siblings as children being taunted with racial slurs, attempting to wash
off their skin colour, and eventually coming to term s with the com plex public
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me anings of their bodies. The Body Beautiful, then, functions, like the earlier lm,
as a means of coming to terms w ith the body of the mother as a white body, but
as a body that is also ma rked by a com plex of other cultural identities and con -
ditions. This is not to say that physical disability and racial identity are alike, butthat disability is a process im plicated in the con struction o f cultural identity along
with race, class and gender; and that historically there has been continual slip-
page between the classication and ranking of bodies according to racial typolo-
gies and according to categories of health, disability and illness.
I want to consider this point more fully through one of the more contro-
versial scenes in The Body Beautiful: a fantasy/memory scene featuring Madge.
Leaving the sauna, M adge and N gozi stop for a cup of tea. M adge spies a young
black man playin g po ol and ex chan g in g sexis t ban te r w ith his fr ien ds, a co nver-sation in w hich a wom ans breasts are referred to as fried eggs . As M adge looks
on, the man catches Ngozis disapproving narrowing of the eyes, and he returns
her look w ith interest. This exchange of looks promp ts Madge to recall a
me mo ry of her N igerian husband. Mad ge states in voice-over, I saw the look in
his eyes and rem em bered it from so mew here in the past. A single caress from
him would sm ooth out the deform ities, give me the right to be d esired for my
bod y and not in sp ite of i t. The sh ots th at fo llow dem onstrate th e stre ngth of the
identicatory bon d that exists between m other and daughter on the b asis of oneanothers bodies. As M adge and the young m an make love, the sound-track gives
us Madges subjective memories of the young Ngozi and her brother arguing.
Intercut with this scene are shots of N gozi the mod el, her lips and breasts being
made up for a photo shoot, and M adge looking on and directing the love scene
from an am biguously situated off-screen space. Just as the mo ther lives through
her daughters public body, as if it were a prosthetic extension of the sexuality
and youth she feels she has lost, so Ngo zi ima gines herself in control of the
enlivening of her m others sexual desires. Above all, Ngozi wants to return toher mother the sexual life she feels she has lost with the loss of her breast and
(subsequently) her youth. However, rather than visually restoring her mo thers
body to som e pr ior state of co m plet ion fo r th e purpose of th e fantasy, N gozi
dem ands that the scar itself must be rend ered a site of sexual p leasure for both
her mother and the young m an. The shots of love-making between M adge and
the young man are intercut with shots of Ngozi being made up and shot by a
fashion photographer who commands,pump it up, give me some passion . Like
the photographer who directs her performance from off-screen space, the char-
acter Ngozi directs her mo thers love-m aking scene from ex tradiegetic space. As
the young man m oves down M adges torso w ith caresses and kisses, he hesitates
at the scar. Touch it , Ngo zi com mands from her directorial position in off-
screen space, touch it, you bastard .
Without question, The Body Beautifulis about co nstructing a public image of
bre ast can cer th at goes beyond gen era lize d notions of illness , disab ility an d cul-
tural identity. As On wu rah explains,
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It w asnt simply just a mo therdaugh ter thing. [The lm] had all of the
obvious stuff about the body and beauty, but it had quite a lot about race
in it, too, almost by accident things that I hadnt really thought about.
For exam ple, her fantasy sequence would need to be w ith a black m an, andI wanted to try to get out of that. This sequence involved blackwhite,
youngold, disablednondisabled. Just for this fantasy sequence, the lm
was going to take on all of these m issions. At one po int I was going to try
to have a white guy in there, but m om was really insistent that her fantasies
werent just abstract fantasies. They were fantasies to do w ith her, and she
wanted this black guy.7
The Body Beautifuldem onstrates that public discourse o n disability is alw ays abou tissues such as desire and pleasure, race and age. But how does this lm function
w ithin public cultures of health specically? W ho is the audience for this lm ? In
the US, The Body Beautifulcirculates through indepen dent lm venues. It has been
show n at womens and experimental lm festivals, academ ic conferences, and in
university lm an d wom ens studies classroom s. In the United States, it is not a
movement lm in the sense that it is not often screened among g roups form ed
on the basis of health issues. However, the lm has a very different set of venues
in Britain. On wu rah explains:
In England, we have something called the W I [Womens Institute]. It s the
kind of organization that Miss M arple wou ld have belonged to in the ru ral
areas. They have the largest women s health support network in the U.K.
Their groups have actually used The Body Beautiful . And theyre the m ost
right-wing, the m ost conservative, that you can get. But I think that here
[in the U S] you actually have m ore restrictions or self-censorship on things
to do with nudity, sex, or violence. I m just beginning to realize this.
A nd
The Body Beautifulwasnt m eant to be an educational lm. It isnt a lm for
wom en w ho have just learned that they have breast cancer. You have to be
a little bit down the journey to see the lm. But still, its used widely. Qu ite
often my mom goes out with it, and its a comp letely different experience
then. Its still m ainly a lmm akers lm, a womens festival lm. Its just tooblu nt. If som eo ne diagnosed m e with breas t ca ncer and I saw the lm the
next day I think Id go out and kill myself the d ay after, its so c onfron-
tational.8
The co ntradictions here are striking. In England the lm is used in the m ost con-
servative sector of wom ens advocacy grou ps, yet it is too con frontational for
even its own p roducer to to lerate if she were to w atch it as a wom an w ith breast
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cancer. H ere we see the same co ntradictions evident in the appropriation of acti-
vist Matuschkas demonstration posters for the New York Times Magazine story.
This suggests that perhaps in England as in the US we are seeing a blurring of
boundar ie s betw een in sti tu tion al health cultures and cou nte rcultures, andbetween mainstre am and alternat ive med ia ve nue s and audiences. O nw urah
herself emphasizes the importance of recognizing local conditions of use and
context:
In Britain there is a burgeoning disabilities movement, and I den itely saw
[the lm ] in the context of that. It had a place within the issues surround -
ing the rights and disabilities m ovem ents. Ive gotten involved because my
mo thers always been disabled and my gran dm other was deaf since the ageof two, so we used to sign with her.9
Earlier I posed the questions: W hat are the implications of this idea of the obso-
lescence of boun ded com mun ity and locality when w e consider collective iden-
tity as it form s, provisionally, on the basis of illness, disability, and the ght for
access to treatment? Do reterritorialized space and transcultural for mations
becom e metaphors, or is th ere a paral le l re co ngura tion and dispersa l of col-
lective identity in the postm odern experience of breast cancer? The Body Beauti-fu l speaks to these questions insofar as it addresses viewers across the bounded
com mun ities of health educators, the British and Am erican independent lm
com mun ities and disabilities movem ents, while also addressing issues of iden-
tity and its relationship to race, age, illness and disability. But while the lm
addresses with great com plexity the specic cultural issues framing exper iences
of breast cancer, it none the less fails to generate a sense of comm unity among
its diverse audiences. M ost imm ediately, the lm s display of an intergenera-
tional and interracial sexual fantasy and a physically close mixed-racemotherdaughter relationship place its message beyond the interests of many
m ainstream viewers. O nw urahs own adm ission that she would not wan t to see
the lm if she herself were facing breast cancer has been ec hoed by n ume rous
women who have been in audiences where I showed the lm and spoke about
it. These points leave me facing a troubling contradiction: How are these issues
to be raised and worked through, if not by wom en to whom they are of the m ost
concern? Would it be better to bracket differentials of class, cultural identity,
ethnicity and sexuality in order to under score the shared experienc es of disease?
Are the effective media texts those that provide easy answers (for example,
prosthetic recovery) and false closure (a return to som e ideal of a norm al life)?
I would argue that work l ike Matuschkas and Onw urahs, difcult as it may
be, perfor ms th e cruci al task of w iden ing the pool o f collective images , ex pand-
ing the possibilities of what can be seen beyond outmod ed norm s and altering
historical concepts of the body beautiful to incorporate the effects of breast
cancers limited treatment options.
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Notes
1 S ee, fo r e xa mple, H a mid N a cys stu dy o f th e Ira nia n ex ilic co mmu nity in
southern C alifornia that both produces and views Persian-language program -m ing narrowcast cable shows that m ore often than not em brace family values
and political views which would be regarded as conservative within Euro-
Am erican cultural standards (Nacy, 1993).
2 For a brie f d iscus sion o f R2R and simila r g roups see Batt (1994: 22137).
3 Th is essay, t it led The po litic s o f b reas t cancer , was republ ished in Camera
Obscura, 28 (1992).
4 Q u oted in R udn er (19 95 : 1 4 15 ). I am in deb te d to R udn ers es say fo r th e
information regarding the Ham mid/M etzger photograph. He notes that the
photograph was originally the inspiration for a book of poetry by Metzger
titled Tree. W hen the publisher refused to use the im age for the books cover,
Metzger used it to accompany a poem she wrote for a poster that became a
cult item in fem inist circles around the country. In 1992, in the third of its
four p rintings, Tree was nally published with The wom an war rior on its cover
(by Wingbow Press). H amm id died the sam e year of breast cancer (Rudner,
1995: 1516).
5 F ro m an un pu blish ed in ter v ie w w ith M a tu schk a by th e au th or.
6 M o ss and M atu sc hka are qu ote d in Ru dn er (19 95 : 2 46 ).7 In Cartw right, 1994.
8 In Cartw right, 1994.
9 In Cartw right, 1994.
References
Batt, Sharon (1994) Patient No M ore: The Politics of Breast Cancer, Charlottetown,
Canada: Gynergy Books.
Belkin, Lisa (1996) How breast cancer becam e this years hot charity , New York Times
Magazine, 2 2 D e cemb er: 4 06, 5 2, 5 56.
The Body Beautiful (1991) Director Ngozi Onw urah. Distributed by Wom en Make
M ovies, N ew York City.
Cartwright, Lisa (1994) Interview w ith Matuschka. Unpublished.
Coffee-Colored Children (1988) Director Ngozi Onw urah. Distributed by Women
M ake Movies, N ew York City.
Ferguson, James and Gupta, Akhil (1992) Beyond culture: space, identity, and thepolitics of difference , Cultural Anthropology, 7 (1 ): 6 2 3.
Fusco, Co co (1988) Fantasies of oppositionality: reections on recent conferences
in New York and Boston , Screen, 29(4): 8093.
Lorde, Audre (1980) The Cancer Journals, San Francisco: Spinsters Ink.
Marshal, Eliot (1993) The politics of breast cancer, Science, 259, 22 January.
Matuschka (1992) The body posit ive: got to get this off my c hest , On the Issues,
winter: 307.
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