Overgangsalderens repræsentationer i danske selvhjælpsbøger fra 2006-2023
Et multimodalt diskursanalytisk perspektiv
DOI:
https://doi.org/10.54337/ojs.globe.v20i1.11830Abstract
This study employs the theory of Social Semiotics and the method of multimodal critical Discourse analysis (Machin & Mayr 2023) to explore the depiction of menopausal women in recent Danish self-help books. While previous research has focused on verbal discourses surrounding menopause, less is known about its visual representation, especially within a Danish context. Multimodal Critical Discourse Analysis (MCDA) allows this study to explore the discourses underlying both the text and images in these publications. Previous research on menopause discourses suggests that representations of this life stage are typically discussed from either a medicalised, feminist, or consumerist viewpoint (De Graeve & De Vuyst 2022; Hvas & Gannik 2008; Lyons & Griffin 2003), often advocating natural health and lifestyles (Hvas & Gannik 2008). This study finds that visual portrayals of Danish menopausal women focus on individualised accounts of an idealised lifestyle, where women are depicted in harmony with nature, actively engaging with their mental and physical health, and expressing happiness. Menopause is, verbally, described as difficult work, yet visually shown as something women navigate in their leisure time with ease and grace in these books. This aligns with online imagery, where influencers tend to depict menopausal women as predominantly white, able-bodied, resourceful, educated, and living in urban environments (Thorsen 2024). This sharply contrasts with the reality many women face, which may include isolation, hot flushes, and hormonally induced depression. These books, therefore, present distorted realities and potentially fall short of being helpful to women going through menopause. By critically examining these distorted realities and the discourses that construct them, this article contributes to a foundation for more informed communicative practices regarding menopause.
References
Aagaard, Marina (2023). Overgangsalder optur. Versus hedeture, forfald og stress før og under og efter overgangen. Aagaard.
Baber, Rod. (2023). ‘Marketing the menopause’. Climacteric, 26(3): 171–172. https://doi.org/10.1080/13697137.2023.2196885
Bech, Charlotte (2011). Hormoner i balance. Politikens Forlag.
Bell, Susan E. (1987). ’Premenstrual syndrome and the medicalization of menopause: A sociological perspective’. In Ginsberg, Benson E. & Bonnie Frank Carter (eds.), Premenstrual syndrome and menopause. New York: Plenum Press.
Berg, Linda, Anna Sofia Lundgren, & Maria Jönsson (2022). ‘Balansreceptet: Konsten att hantera hormoner i självhjälpslitteraturens hormonberättelser’ [‘The Balance Recipe: The Art of Managing Menopause in Self-help Literature's Hormone Stories’]. Kvinder, Køn og Forskning, 34(2): 11–26. https://doi.org/10.7146/kkf.v34i1.129048
Bibliotek.dk (n.d.). Bibliotek.dk. https://bibliotek.dk/. Senest tilgået 10. september 2026.
Bog & idé (n.d.). Bog & idé. https://www.bog-ide.dk/. Senest tilgået 10. september 2026.
Bueter, Anke (2017). ’Androcentrism, feminism, and pluralism in medicine’. Topoi 36(3): 521–530.
Butler, Robert N. (1969). ‘Age-ism: Another form of bigotry’. The Gerontologist, 9(4). 243–246. https://doi.org/10.1093/geront/9.4_Part_1.243
Butler, Robert N. (1980). ‘Ageism: A foreword’. Journal of Social Issues, 36(2): 8–11. https://doi.org/10.1111/j.1540-4560.1980.tb02018.x
Calasanti, Toni M., & Kathleen F. Slevin (eds.). (2006). Age Matters: Realigning Feminist Thinking. New York: Routledge.
Coupland, Justine, & Angie Williams (2002). Conflicting discourses, shifting ideologies: Pharmaceutical,alternative'and feminist emancipatory texts on the menopause. Discourse & Society 13(4): 419-445. https://doi.org/10.1177/0957926502013004451
Dan, Alice J. (ed.). (1994). Reframing Women's Health. Thousand Oaks: Sage.
De Graeve, Katrien, & Sara De Vuyst, Sara (2022). ’Menopausal rage, erotic power and gaga feminist possibilities’. European Journal of Women's Studies, 29(3): 438–453. https://doi.org/10.1177/13505068221094222
Endara-Mina, Jesús, Lisseth Coloma-Ramirez, Cristopher-Josue Escudero, Katherine Andrade-Travez, Crisopher-Jordan Osorio, Erika Campaña, Kelly Chicaiza, Magaly Inga, & Paulina Rios-Quituizaca (2025). ‘Experience of menopause across ethnic groups: Mapping the evidence through a scoping review’. Frontiers in Reproductive Health, 7, 1732836. https://doi.org/10.3389/frph.2025.1732836
Folketinget (2024). Åben høring om sundhedsvæsenet og kvinders overgangsalder. https://www.ft.dk/samling/20231/almdel/suu/bilag/256/2853418.pdf (13.12.2024).
Gottlieb, Sanne (2019). Klimakteriesild. Grønningen 1.
Gullette, Margaret Morgantoth (1997). Declining to Decline: Cultural Combat and the Politics of Midlife. Charlottesville: University Press of Virginia.
Halliday, Michael A. K. (1994). An Introduction to Functional Grammar (2nd ed.). London: Arnold.
Hankinson Nelson, Lynn (2017). Medicine. In Biology and Feminism: A Philosophical Introduction. Cambridge: Cambridge University Press.
Harlow, Siobán D., Sherri-Ann M. Burnett-Bowie, Gail A. Greendale, Nancy E. Avis, Alexis N. Reeves, Thomas R. Richards, & Tené T. Lewis (2022). ‘Disparities in reproductive aging and midlife health between Black and White women: The Study of Women’s Health Across the Nation (SWAN)’. Women's Midlife Health 8(1), 3. https://doi.org/10.1186/s40695-022-00073-y
Harper, Donna, & Eloise Farrow-Smith (2023). ‘Menopause policies are being adopted in workplaces. Is Australia ready for “the change”?’. https://www.abc.net.au/news/2023-10-18/menopause-womens-health-policy-inworkplaces/102976708 (12.02.2025).
Hassing, Anne Louise (2024). Balance midt i livet: På opdagelsesrejse i overgangsalderen. Politikens Forlag.
Hestbæk Andersen, Thomas (2018). ’Strategisk tekstforfatning’. In Fanth, Jakob & My Gaarde Andersen (eds.), Professionel Kommunikation. Samfundslitteratur. 259-277.
Hestbæk Andersen, Thomas, & Alexandra Emilie Møller Holsting (2015). Teksten i grammatikken. Syddansk Universitetsforlag.
Hjernøe, Anne (2023). Stærk overgang. Politikens Forlag.
Hvas, Lotte (2017). Overgangsalderen – bedre end sit rygte. Klim.
Hvas, Lotte, & Gannik & Dorte Effersøe (2008). ’Discourses on menopause—Part I: Menopause described in texts addressed to Danish women 1996–2004’. Health, 12(2), 157–175. https://doi.org/10.1177/1363459307086842
Høj, Gitte, & Lone Gjørtsvang (2019). Elsk din (overgangs)alder: Din guide til et stærkere, sundere og sjovere liv. Klim.
Illouz, Eva (2008). Saving the Modern Soul: Therapy, Emotions, and the Culture of Self-help. Berkeley: University of California Press.
Jermyn, Deborah (2023). ‘“Everything you need to embrace the change”: The “menopausal turn” in contemporary UK culture’. Journal of Aging Studies, 64, 101114. https://doi.org/10.1016/j.jaging.2023.101114
Kaufert, Patricia A. (1996). ‘The social and cultural context of menopause’. Maturitas, 23(2): 169–180.
Kenalemang, Lame Maatle (2022). ‘Visual ageism and the subtle sexualisation of older celebrities in L'Oréal's advert campaigns: A multimodal critical discourse analysis’. Ageing & Society, 42(9): 2122–2139. https://doi.org/10.1017/S0144686X20002019
Kenalemang-Palm, Lame Maatle (2023). ‘The beautification of men within skincare advertisements: A multimodal critical discourse analysis’. Journal of Aging Studies, 66, 101153. https://doi.org/10.1016/j.jaging.2023.101153
Kress, Gunther & Theo van Leeuwen (1996). Reading Images: The Grammar of Visual Design. 1st ed. London: Routledge.
Kress, Gunther & Theo van Leeuwen (2021). Reading Images: The Grammar of Visual Design. 3rd ed. London: Routledge.
Langer, Jerk W. (2006). Overgangsalder. Politikens Forlag.
Ledin, Per, & David Machin (2018). Doing Visual Analysis: From Theory to Practice. London: Sage.
Ledin, Per, & David Machin (2020). Introduction to Multimodal Analysis. London: Bloomsbury Publishing.
Levy, Sheri R., & Jamie L. MacDonald, (2016). ‘Progress on understanding ageism’. Journal of Social Issues, 72(1), 5–25. https://doi.org/10.1111/josi.12153
Lindberg, Helle (2022). ‘Overgangsalderen er mere end biologi’. Sygeplejersken, 1: 14–16.
Loos, Eugène, & Loredana Ivan (2018). ‘Visual Ageism in the Media’. In Ayalon, Liat & Clemens Tesch-Römer (eds.), Contemporary Perspectives on Ageism. Cham: Springer International Publishing.
Loppie, Charlotte, & Barbara Keddy (2002). ‘A feminist analysis of the menopause discourse’. Contemporary Nurse, 12(1): 92–99.
Lyons, Antonia C., & Christine Griffin (2003). ‘Managing menopause: A qualitative analysis of self-help literature for women at midlife’. Social Science & Medicine, 56(8): 1629–1642. https://doi.org/10.1016/S0277-9536(02)00165-X
Løfgren, Susanne (2015). Kvinder i overgang – om overgangsalderens udfordringer og muligheder. Forlaget casu.dk.
Machin, David, & Andrew Mayr (2023). How to Do Critical Discourse Analysis: A Multimodal Introduction. Sage.
MacKendrick, Norah, & Hannah Troxel (2022). ‘Like a finely-oiled machine: Self-help and the elusive goal of hormone balance’. Social Science & Medicine 309, 115242. https://doi.org/10.1016/j.socscimed.2022.115242
McGee, Micki (2005). Self-help, Inc.: Makeover Culture in American Life. Oxford: Oxford University Press.
McMahon, Victoria L. (2023). Shakespeare, Tragedy and Menopause: The Anxious Womb. Cham: Palgrave Macmillan.
MenoMedic (n.d.). Overgangsalder: specialiseret lægeklinik. https://www.menomedic.dk/ Senest tilgået 10. september 2026.
Merone, Lea, Komla Tsey, Darren Russell, Andrew Daltry, & Cate Nagle (2022). ‘Evidence-based medicine: Feminist criticisms and implications for women's health’. Women's Health Reports 3(1). https://doi.org/10.1089/whr.2022.0032
Minichiello, Victor, Browne, Jan, & Kendig, Hal (2000). ‘Perceptions and consequences of ageism: Views of older people’. Ageing & Society 20(3): 253–278. https://doi.org/10.1017/S0144686X99007710
Nordic Menopause Clinic (n.d.). Nordic Menopause Clinic. https://nordicmenopauseclinic.dk/ Senest tilgået 10. september 2026.
Nørgaard, Nina, & Theo van Leeuwen (2026). ‘Visuals in public health information – insights from multimodal social semiotics’. In Koteyko, Kevin Harvey, Daniel Hunt, & Gavin Brookes (eds.), The Routledge Handbook of Language and Health Communication. London & New York: Routledge.
Nørgaard, Nina, Theo van Leeuwen & Carole Jepsen (2023). ‘Visual design for sexual and reproductive health promotion: A global perspective’. Visual Communication, 22(3), 421–428. https://doi.org/10.1177/14703572231170481
Nørgaard, Nina (2019). Multimodal Stylistics of the Novel: More than Words. New York: Routledge.
Bibliotek.dk (2024). https://bibliotek.dk/hjaelp/om-bibliotek-dk/ (13.03.2024).
Orgad, Shani, & Catherine Rottenberg (2024). ‘Mediating menopause: Feminism, neoliberalism, and biomedicalisation’. Feminist Theory, 25(3): 338–358. https://doi.org/10.1177/14647001231182030
Perz, Janette, & Jane M. Ussher (2008). ‘“The horror of this living decay”: Women’s negotiation and resistance of medical discourses around menopause and midlife’. Women’s Studies International Forum, 31(4): 293–299. https://doi.org/10.1016/j.wsif.2008.05.003
Riley, Sarah, Adrienne Evans, Emma Anderson & Martine Robson (2019). ‘The gendered nature of self-help’. Feminism & Psychology, 29(1): 3–18. https://doi.org/10.1177/0959353519826162
Rimke, Heidi (2020). The Routledge International Handbook of Global Therapeutic Cultures: Self-help, Therapeutic Industries, and Neoliberalism. New York: Routledge.
Saxo (n.d.). Bøger hos Saxo – Danmarks største udvalg af danske og engelske bøger. https://www.saxo.com/dk. Senest tilgået 10. september 2026.
Schuldt, Laura Kongsmark (2024). ’I Storbritannien giver virksomheder kvinder fri – men Danmark halter langt bagefter, mener læge’. TV2, 28.02.2024. https://nyheder.tv2.dk/samfund/2024-02-28-i-storbritannien-giver-virksomheder-kvinder-fri-men-danmark-halter-langt-bagefter-mener-laege (12.02.2025).
Skarum, Sarah (2023). ’Forskere går nye veje for at belyse tabubelagt overgangsalder’. Politiken, 20.02.2023, 6.
Skive, Leif (2006). Fra overgang til overskud – om motion, kost og hormoner. Komitéen for Sundhedsoplysning.
Smith-Rosenberg, Carroll, & Charles Rosenberg (1973). ‘The female animal: Medical and biological views of woman and her role in nineteenth-century America’. The Journal of American History, 60(2). https://doi.org/10.2307/2936779
Sontag, Susan (1972). ‘The double standard of aging’. Saturday Review of Literature, 39: 29–38.
Standing, Theresa S., & Greer Glazer (1992). ‘Attitudes of low-income clinic patients toward menopause’. Health Care for Women International, 13(3): 271–280.
Thorsen, Lotte (2024). ’Pludselig gik Birgitte Nyborg i overgangsalder. Det havde forskeren aldrig set før’. Politiken, 26.10.2024.
Toft Simonsen, Renée (2018). Jeg er f*cking hot!. Politikens Forlag.
Trolle, Ditte (2024). Overgangsalderen. https://www.sundhed.dk/borger/patienthaandbogen/kvindesygdomme/sygdomme/hormonbehandling/overgangsalderen/ (27.05.2024).
van Leeuwen, Theo (2005). Introducing Social Semiotics. London: Routledge.
van Leeuwen, Theo (2008). Discourse and Practice: New Tools for Critical Discourse Analysis. New York: Oxford University Press.
VELUX FONDEN (2024). Med fem nye bevillinger til 22 mio. kr. sætter VELUX FONDEN fokus på handlekraft og livskvalitet i det sene voksenliv. https://veluxfonden.dk/da/nyhed/med-fem-nye-bevillinger-til-22-mio-kr-saetter-velux-fonden-fokus-paa-handlekraft-og (11.02.2025).
World Health Organization [WHO] (2019, 27 August). Sexual health. WHO. https://www.who.int/health-topics/sexual-health#tab=tab_1
World Health Organization [WHO] (2021, 31 August). Ageism. WHO. https://www.who.int/health-topics/ageism#tab=tab_1
World Health Organization [WHO] (2024, 16 October). Menopause. WHO. https://www.who.int/news-room/fact-sheets/detail/menopause
Østerlund, Ida (2024). ’Otte ud af ti får symptomer: I Danmark er det et tabu, i England støttes kvinder i overgangsalderen.’ Fagbladet FOA, 07.08.2024. https://fagbladetfoa.dk/arbejdsmiljoe/otte-ud-af-ti-faar-symptomer-i-danmark-er-det-et-tabu-i-england-stoettes-kvinder-i-overgangsalderen/ (02.06.2025).
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