Smoking Cessation Ethnography
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Transcript of Smoking Cessation Ethnography
To the students of the MIT ethnography course:
Here’s a research report I did in the late 1990s. It may serve as a model for your presentation January 31st.
Please treat as a rough guide. You are free to invent your
own form.
Best, Grant McCracken
Smoking Culture: the real “benefits” of
smokingthe true costs of quitting•
•
•
•
•
• text by Grant McCracken, Ph.D.
• video by Suzanne Stein, M.A.
• Health Canada
• March 12, 1998
presentation
• objectives• methods• research• smoking culture• section 1
– cultural meanings
• section 2– cultural practices
• section 3– strategic responses
• conclusion
objectives
• to investigate “smoking culture”
• an anthropological account
• smoking from the respondent’s point of view
• beyond “peer group pressure”
• cultural logic of smoking
• cultural significance of smoking
• the “benefits” of smoking
• the true costs of quitting
• what people are giving up when they quit
methods
• ethnographic interviews
• open-ended– seeking key terms in situ– asking for their illumination– determination of cultural
meanings & logic
• respondent directed
• ethnographer a simpleton who knows that he doesn’t know
research
• “intercept” interviews– school grounds, street corners
– 10 minutes (+/-)
• drop-in interviews– schools, skateboard parks
– 1-2 hour interviews (+/-)
• prearranged interviews– homes
– 2 hours (+/-)
• 30 hours of interviewing
• 50 teens
• November 1997 - January 1998
caveats
• “teens” no homogeneous category– “teens” in fact more various than
“adults”
• a dubious category– “teens” not for reification
• surest way to get this wrong is to talk to teens as “teens” (Jaya)– wellspring of bad communications
• these results speak for – some but not all groups– some individuals but not all the time
shared objectives
• for all the diversity, there are some commonalities:
• shared project
• moving away from parental influences and authorities
• the end of colonialism
• a new imperative: how to construct this thing called a self
• that is externally & internally plausible & habitable
• esp. in a world without “franchising”
• when, increasingly, selves are “custom-built” & “hand-made”
smoking culture I
• some liberties with term
• extraordinary resource
• rich in definitional elements
• experimental “routines”
• the playwright’s chap book
• not perfectly discrete
• but robust & resilient
• not impervious to commercial messages, the “movies.” or public health communications
• but not changed without extraordinary effort & some cunning
smoking culture II
• an ancient & active culture
• knowledge passed down from generation to generation
• a kind of folklore: what’s in a Player’s filter?
• rituals of initiation
• a liminal activity
• a repertoire of behaviors
• body of meanings, tissue of lies
• affirmed constantly by marketing, movies, & every school yard
preliminary goods news
• health warnings have had effect• as one respondent says
– “[warnings] scare the shit out of you”
• years of education have done their work
• ancient culture penetrated• oral tradition has new content• given sheer density & power of
smoking culture, no small accomplishment
enduring bad news
• Canada > 500,000 teens smoke
• with knowledge of health risks
• with repeated warnings from– school education– print advertising & TV spots– pack warnings
• the oral traditions of smoking culture shot through with new knowledge of hazards
• but the culture continues, the culture recruits, the culture flourishes
smoking culture
• one way out of the bad news?• teens look to smoking for
something more than – nicotine– group pressure– social accessory– dieting aid
• smoking culture perseveres because it serves as a definitional resource
• a bundle of ways of thinking, acting, constructing the self
true proportions of the problem
• when we ask people not to start• when we ask people to stop• we are asking them to give up
nicotine, resist group pressure, forgo social accessory & dieting aid
• but we’re also asking them to give up
• a smoking culture• a chap book and repertoire• ways of thinking, acting,
constructing the self
the strategic challenge
• assess smoking culture
• mapping the meanings
• establishing the “meta-pragmatic” functions
• what smoking means
• how smoking is put to work
• penetrating an ancient culture
• reaffirmed by marketing, movies, & school yard
• with communications strategies
• that acknowledge the culture & the community
Smoking culture in 3 sections
• section 1: cultural meanings
• section 2: cultural practices
• section 3: strategic responses
section 1: cultural meanings
smoking meaningless
• no intrinsic cultural meaning
• the Bob Newhart routine
• “you do what with it, Walter?”
• well placed incredulity
• smoking is a peculiar activity
• we have given it cultural meaning & potency
• we have made it meaningful
• we have made it a definitional resource
cultural meanings
• gender
• age
• rebellion
• style
• showing cool
• showing warm
• mood manipulation
• (not all of these mutually exclusive)
gender
• smoking gets cultured
• loaded up with meaning
• more particularly
• smoking gets gendered
• as it turns out, in this culture it begins to take on maleness
• the military legacy
• the open range legacy
• the noir legacy
• (a partial list and hasty review)
a caveat
• “maleness”
• just as much a cultural construction as smoking
• we resist this reading with notions of the biological & natural but culture > nature
• this analysis treats “maleness” as a cultural construct
• (indeed the culture of smoking and culture of maleness have helped construct one another)
Lucky Strike
• war good to tobacco
• took soldiers off to places tobacco cheap & plentiful
• soldiers treated cigarettes the way prisoners do
• U.S. Generals Grant & Sherman
• British battleship Formidable
• Lucky Strike & US troops
• a clear cultural formulae
• war helps define “maleness” and smoking together
• smoking takes on “maleness”
Marlboro
• the mythical world of wild west
• more imagined than real
• rugged individuals
• rugged individualism
• freedoms of the open plain
• several notions of the frontier
• a clear cultural formulae
• frontier defines “maleness” and smoking together
• smoking takes on “maleness”
gumshoe tobacco
• smoking, prop of noir tradition• Humphrey Bogart’s transformation:
hood to hero• defining image: HB squinting through
a wall of smoke• definition of resourcefulness• symbol of self control, detachment,
power• a clear cultural formulae• noir fiction defines “maleness” and
smoking together• smoking takes on “maleness”
tobacco and gender
• smoking taking on cultural meaning
• gendered with “male” meanings from domains of war, frontier and noir– outside worlds
– worlds of action
• places of – struggle and contest
– toughness, aggression
• smoking a marker of self and other mastery
the Camel caveat
• Camel’s originally an exercise in Said’s orientalism
• made to evoke not gendered meanings but colonial ones
• Marlboro began as a “female” brand & was regendered by the marketplace
• in sum: “maleness” not the only gendered meaning in smoking culture
smoking and males
• smoking puts a repertoire at the disposal of males
• at crucial developmental moment: when constructing maleness
• to create/claim certain qualities• proof must be forthcoming• smoking definitional, helps:
– “cure” the self– burn off eagerness– show toughness, aggression– self & (for?) other mastery
smoking and females(circa 1998)
• gender under construction• a rethinking of femaleness esp.• Mary Tyler Moore Cybil• Marilyn Madonna• Madonna Courtney Love• Donna Reed Roseanne• Joan Baez Ani DiFranco• Phyllis DillerJaneane Garofalo• Barbara Walters Kathy Griffin
(updated)• Ike & Tina Turner Tina
gender breakout
• breaking out of the prison house of gender
• systematic refusal of old meanings assigned by gender
• systematic survey of new definitional opportunities
• taking possession of new meanings
• some of them apparently “male” meanings
• these will do nicely, thank you
Boy Capel’s pants
• long standing strategy
• Coco Chanel
• the designer btw the wars
• wore her lover’s riding pants
• the world held its breath
• a strategy to accompany that of the suffragette
• power of the vote
• power of rights of property
• now, the secrets of hegemony
• the very language of power
smoking and females
• Ani DiFranco as the key text
• coming of age in NA society
• the horrifying discovery
• “that i live in a breakable, take-able body
• an ever-increasingly valuable body” (My IQ, Puddle Dive)
• the traditional qualities of “femaleness” are– assumptions of vulnerability– invitations to harassment
• coming of age as exposure to risk
smoking culture in action
• meanings of smoking useful• allow females to summon cultural
meanings against sexist definitions of the self
• allow construction of new selves with defensive properties
• several interpretive possibilities:– I refuse trad. gender defs. (&?)
– I show invulnerability (&?)
– I corrupt myself before you do
– I corrupt myself so you cannot
• more work needed but one “benefit” of smoking culture
age
• age a matter of culture• some cultures usher people into
adulthood upon sexual maturity• our culture makes a space between
childhood & adulthood• & provides no rite of passage• always a contested transition
– “teen” claiming early entry– parents demanding late
• people must fashion own passage• claim & construct their maturity
smoking and age
• many things make smoking redolent of maturity
• one of the viseral experiences of the adults around you
• cigar smoke and starch
• but we are always saying “this is for adults”
• and now we do it as health policy
• smoking always forbidden fruit
• now especially so
vexing paradox
• the more we decry smoking
• the more we declare not for children and teens
• the more we mark it off as risk and danger
• the more attractive it becomes
• much of the health policy that has worked so well
• has only helped to increase this particular cultural meaning
• cause for other and new strategies
the promethean factor(?)
• it’s almost as if...
• (anthropological heresy)
• smoking is the fire/power of the Gods
• to steal this substance
• is to steal this power
• the thrill of that first cigarette
• the cunning, stealth, the liminal space, the stolen cigarette
• as close as anything gets to a rite of passage
the post-promethean factor(?)
• it’s almost as if...• (caveat goes here)• one respondent:• it’s like fire coming out of your mouth• is this a claiming of powers beyond
the parental• a claiming of powers beyond the
bourgeois• a claiming of powers unknown or
repudiated by the adult• a suggestion only
claiming age
• single most telling marker of youth, childhood is eagerness
• the way teens know children is by the latter’s excitableness
• the most embarrassing moment is the irruption of excitableness
• smoking a superb device for extinguishing eagerness
• at a stroke (?) eagerness is gone
• a useful way to prevent irruption
smoking culture in action
• cultural meanings of tobacco• make smoking an opportunity to
claim maturity• to prosecute the case for new
freedoms and privileges• and new autonomy from parental
control• smoking culture provides home-
made, self bestowed rite of passage• another “benefit” of smoking
culture
rebellion
• smoking as the badge of refusal
• the American cult of the outsider
• a James Dean Legacy
• now stock Hollywood image
• at the movies still
• “the villain always smokes”
• once largely male, less and less gendered (cf. Thelma & Louise)
• rule breaking
• the self damage logic (tattooing)
familiar paradox
• the more we decry smoking
• the more we declare not for children and teens
• the more we mark it off as risk and danger
• the more it becomes an opportunity to break rules
• to play out the outsider’s posture
• much of the health policy that has worked so well
• cause for other and new strategies
cosa nostra
• one respondent: It’s our thing• do not tell us what to do• inverted refusal• under “age:” adults saying it’s our
thing• here: teens saying it’s our thing • our badge of refusal• we refuse your terms of
engagement• we will make our own way• a key “benefit” of smoking culture
style and pattern
• the great induction
• to an arbitrary system
• the things you have to learn
• how to – hold in hand– hold in mouth– to open, extract, hide, exchange– to inhale, exhale
• highly patterned, specific
• big penalties for error
• getting to sprezzatura
messages in the bottle
• style the medium of many messages• i.e., gender, age, rebellion• place of hiding (see section 2)• the opportunity for scrutiny: the line
of tin cans• marker of membership• texture of social experience• the stuff of an ancient culture• ritual architecture of the moment• sub-group differences: ravers...
smoking culture in action
• not hard wired but hot wired
• repeated until burned into muscle memory
• habitual knowledge
• difficult to learn
• deeply comforting to know
• a useful marker in the world
• the very door of induction
• the very stuff of “our thing”
• a “benefit” of smoking culture
the construction of cool
• a moment in the field
• very young teen makes mistake
• an error actually of style
• cigarette mishandled, disappears
• the collapse of the managed self
• momentary panic: coat in flames?
• then surveillance
• had cool produced by smoking been damaged by smoking?
• were friends smirking? yes!
• remarkably, his cool held
cool and power
• “cool” in our culture several origins, several meanings
• our concern, disengagement
• Elizabethan cool
• men’s hearts be free and they will love whom they lyste
• we don’t have to show our compliance
• we may offer up obedience, but we will withhold this
• smoking as a show of withholding
cool as contract
• smoking invested with cool by military, Western, & noir trads.
• Humphrey Bogart as an early creature of cool
• self control at work in our culture, this community & incident
• but, more pressingly, cool is:
• distance and disengagement from the social moment
• a withholding, a show of discretionary power
• that participation is not coerced
smoking culture in action
• another message of messages• distance from childhood• refusal of parenthood• protective barrier behind which the
difficult business of self construction can be conducted
• a political message• a statement of structural place in
the world at the moment this place is disputed and negotiated
• a “benefit” of smoking culture
construction of warm
• smoking culture a rich one
• contains X and not-X
• easy to make too much of cool
• smoking also a means to be “warm”
• a way to show engagement, vividness
• to be present, engaged, excited
• more on this in section 2
• another “benefit” smoking culture
the construction of threat
• the visual preemptive strike
• a way not just of declaring toughness (within or without gender idiom)
• also a way of declaring malevolent intent
• sometimes merely preemptive
• if you attack me, you can expect response in kind
• but sometimes more forthright
• I am to be feared
• “benefit” of smoking culture
mood manipulation
• respondents clear on use of smoking for “self medication”
• smoking as calming
• creates a place in space
• creates a moment in time
• creates a focus
• creates justification in a culture that treats inactivity as idleness
• creates an “away” experience
• change in focal plane
• disengagement not as politics but as palliative
mood manipulation
• highly structured, ritualized• breaks individuals out of time and
space• gives pretext• forgives, allows disengagement• an opportunity to reestablish self
possession and/or cool• meanings working in concert• smoking as place of respite• smoking as reliable companion• key “benefit” of smoking culture
section 2: cultural practices
smoking useful
• gets “social work” done
• from Canada’s contribution to social sciences: Irving Goffman
• highly strategic device in “impression management” & the presentation of self
• from Michael Silverstein
• highly strategic “meta-pragmatic function”
• how smoking helps get work done
sociality
• solitary smoking
• ticket of admission
• meeting someone (micro)
• license to join (macro)
• sustain self/role/occasion/face
• the problem of social smoking
solitary smoking• solitary smoking is a social act
• there is a relationship between smoking and smoker
• writing, thinking, walking
• giving respite, separation, pacing, concentration
• “portable world” phenomenon
• the companionable cigarette
• whatever happens at least I have my smokes
• building and maintaining the rlts with the self
• self management, meta-pragmatic function & benefit
ticket of admission
• smoking has still more powerful uses as instrument of sociality
• for some a ticket of admission
• one respondent: “I never came out here before I started smoking because I found everyone so intimidating”
• some spaces & friends off limits to many non-smokers
• cigarettes work crudely as badge of membership
• meta-pragmatic function & benefit
meeting someone
• a more micro social device
• smoking as pretext & text for meeting
• style and pattern of smoking offers permission and script
• you may approach to ask for a cigarette/drag/puff
• how you approach to ask for a cigarette/drag/puff
• & then manage relationships through exchange of smokes
• some social circles a Kula ring
sustaining performances at risk
• Goffman argues every social actor (teen or not) constantly at risk of error and loss of face
• what is not successfully “in process” at risk of coming undone
• nothing is utterly, definitively said or done in social life
• everything must be renewed and acquitted
• everyone inclined to social error, some teens esp. inclined to it
when things to wrong
• we are gifted with impression management strategies
• & meta-management strategies
• what to do when things go wrong
• pea on table; you cannot bale
• smoking as a perfect place of first resort
• finding, lighting, smoking all give pretexts for the removal, renewal, repair
• strategy and benefit without which you’re vulnerable
sustaining role/occasion in danger
• Goffman argues every social moment (teen or not) constantly at risk of error and loss of face
• what is not in process at risk of dissolution
• when things go wrong, they can get bad
• a great sliding into difficult
• arrest the slide or ...
• smoking culture to the rescue
section 3: strategic responses
smoking culture
• meanings in review– gender
– age
– rebellion
– style
– cool
– warm
– threat
– mood
• real “benefits” • true costs
smoking culture II
• practices in review– solitary smoking– joining a group– establishing a relationship– sustaining performances at risk– smoking as text and pretext
• real “benefits”
• true costs
communications caveat I
• this group deeply suspicious – of an adult world – and more particularly of– medical authority– government authority– marketing “persuasions”– social scientists– journalists– popular culture makers (Hollywood,
music...)
• they have seen the “man behind the curtain”
• they are not impressed
communications caveat II
• this is not a group– that can be patronized– that can be “played”– that will respond to threats– that will respond to promises– that will respond to blandishments– that will suffer fools gladly
• this group possesses media literacy• they will spot artifice, stratagem• all but the most candid, transparent
strategies ill advised
communications caveat III
• they do not wish to be called “teens”
• they do not wish to be treated as a group (Jesse)
• they do not wish to be “played back” to themselves
• esp. not by an art director’s (or anthropologist)
• most important: don’t try to be one of them
• don’t try to be “cool” (or “warm”)
existing communications strategies
• government efforts in general
• recollected advertising
• health warnings on packages
government efforts in general
• evidence of accomplishment
• “scare the crap out of you and that’s good”
• “I remember the first time I saw the woman withering away, I went whoa”
• “they should go extreme, otherwise kids won’t here, they’re listening to MTV”
• mixed reviews
health warnings on package
• some approve:
• warning on boxes is good, a second thought
• some disregard
• some mock
• some collect and mock
• some rework to mock
problem with health warnings on package
• voice of authority
• voice of adult authority
• voice of adult government authority
• voice of adult government and medical authority
• “don’t tell me what I can and can’t do”
new communications strats
• when to intervene
• older to younger
• ad busting
• new warnings on pack
• media literacy
• website
• CD ROM
• anthropologist
• noticing how people smoke
• noticing all the things noticed here
when to intervene
• a crucial summer
• a liminal time
• no longer the lord of junior high
• no longer the captive of day care
• newly attentive to popular culture
• between programs
• a moment of vulnerability, opportunity, curiosity
• the moment to make contact
new strategies: older to younger
• it is clear that some younger teens smoke to establish credentials to join older teens
• they believe that they look older
• collect video of older teens saying otherwise
• e.g., “they look disparate to me, like they are trying to hard”
• this is teens talking to teens through intermediary of government
new strategies: ad busting
• we know that the corporate connection helps sensitize teens to smoking
• we know there is activism here
• we know there is an “anti-smoking culture” in the works
• encourage “anti-smoking culture”
• encourage ad busting ideology
• this is teens by teens for teens
new strategies: health warnings
• design according to teen suggestions, e.g.,
• person’s face before and after smoking
• tongue cancer, throat cancer
• x-ray of cancerous lung
• wake-up stupid
• cancer cell mutating
• a crowd of people standing around a hospital bed
• you’re cool
new strategies: noticing media (media literacy)
• create materials for school boards and websites
• encourage media literacy courses at younger age
• supply movie footage, advertising reels, print ads
• supply some “things to look for” possibilities
• leave it to teens to instruct teens
• wait for adbusting perspective to emerge
new strategies: noticing smoking culture (anthropology)
• create materials for school boards and websites
• encourage “culture busting” • a sensitivity that encourages self
consciousness and intervention• supply movie footage, etc.• supply some noticing possibilities• leave teens to instruct teens• wait for culture busting sentiment
to emerge
new strategies: website & CD
• delivery vehicle for classrooms & noticing media and noticing smoking culture programs
• archive– movie clips– TV & print tobacco ads– ethnograpic video
• critiquing opportunities– old communications– proposed communications– voting & comment systems
• (for CD) chat line
new strategies: “smokes and booze” strategy
• Avi Lewis’ New Music treatment “Smokes and Booze”
• new penetration of beer & cigarette marketing in rock
• clear discomfort on part of musicians & fans
• create “musicians against tobacco” campaign fund
• each band contributes % of tobacco supported work
bands come clean
• creates a concert system that needs no Tobacco Ind. support
industry/fans come clean
summary
• objectives• methods• research• smoking culture• section 1
– cultural meanings
• section 2– cultural practices
• section 3– strategic responses
• conclusion