Making sense of sex: rethinking intentionality

After 30 years of public health policy based on a rational-choice model of behaviour, women in the USA continue to have sex, get pregnant and give birth to children in ways that do not conform to the behavioural prescriptions of family planning programmes. Traditionally, USA social science research has attempted to explain why women deviate from public health behavioural models. In this paper, narrative theory is employed to reorient the study of women's sexual behaviour. Specifically, reproductive life histories are analysed to illuminate how women interpret their reproductive experiences and how culturally available interpretative materials, in particular prescriptive ideals and explanatory narratives, may prospectively influence women's reproductive experiences.