I have just read this paper (on-line in pre-publication form): 

Scavenius M, van Hulsel L, Meijer J, Wendte H, Gurgel R.  In practice, the 
theory is different: A processual analysis of breastfeeding in northeast 
Brazil.  Soc Sci Med. 2006 Oct 27 

This is an exciting study which dissects the particular situation in Brazil 
to examine the understandings of women who are breastfeeding and 
investigates 'insufficient milk' in a nuanced, bio-psychosocial way.  The 
authors suggest that the understanding of women who breastfeed exclusively 
is that of breastfeeding as a process, while they demonstrate that 
de-breastfeeding (their term -- brilliant) is also processual and that 
insufficient milk is the end stage.  If you are thinking there is a 
familiarity to this, it is built on the analysis of Penny van Esterik, sadly 
neglected, imo. 

These findings resonate not only with my own understandings but also with my 
own ethnographic work (and that of a few others) here in the UK, obviously 
the cultural context will change many things, but the underlying theories in 
this paper may be very helpful in understanding what is going on (huge 
effort then needed to translate to clinical practice or public health 
practice). 

Magda Sachs 

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