A Eugenics Experiment: Sterilization, Hyperactivity and Degeneration

Total Page:16

File Type:pdf, Size:1020Kb

A Eugenics Experiment: Sterilization, Hyperactivity and Degeneration chapter 10 A Eugenics Experiment: Sterilization, Hyperactivity and Degeneration Erika Dyck John Smith first came to the attention of medical authorities at the age of nine- teen. He had struggled at school and his teachers claimed that he was dull. His parents were both identified as criminals and John admitted that he had mas- turbated since he was a boy about the age of twelve. As a young adult he sought medical help for his chronic masturbation. The doctor met with him, assessed his situation, and recommended a vasectomy to relieve his urge to masturbate, which authorities surmised might then alleviate his mental and intellectual problems. Two months after the operation John complained that he had gained weight and that the desire to masturbate had grown even stronger. He pleaded with his doctor to perform a more invasive surgery to remove this mental anguish and physiological burden. At this point his doctor recom- mended castration and the surgery proceeded apace. A year after the opera- tion John had gained more weight but felt significant relief from his mental pains. He had also stopped masturbating. When the doctor inquired about how he had curbed his masturbation, John responded, “the desire is as great as ever, but I have the will to resist.”1 John Smith is a pseudonym I have applied to a case that appeared in the New York Medical Journal at the turn of the twentieth century. It refers to an unnamed boy in Missouri who sought help at the Indiana Reformatory in the period leading up to the passage of the first eugenics law in North America.2 1 H.C. Sharp, “The Severing of the Vasa Deferentia and its Relation to the Neuropsychopathic Constitution,” New York Medical Journal (1902) vol. lxxv (10), 413. 2 Indiana passed the first involuntary sterilization law in the world in 1907. For a careful study of the American developments, see: A Century of Eugenics in America: From the Indiana Experiment to the Human Genome Era (ed) Paul Lombardo, (Bloomington: University of Indiana Press, 2011), p. ix for the Indiana beginning, but see the collection of essays for more on American eugenics. See also: Paul Lombardo, Three Generations No Imbeciles: Eugenics and Supreme Court, and Buck v. Bell (Baltimore: Johns Hopkins University Press, 2008); Gregory Michael Dorr, Segregation’s Science: Eugenics & Society in Virginia (Charlottesville: University of Virginia Press, 2008); Edwin Black, War Against the Weak: Eugenics and America’s Campaign to Create a Master Race (New York: Four Walls Eight Windows, 2003); Alexandra Minna Stern, Eugenic Nation: Faults & Frontiers of Better Breeding in Modern America © koninklijke brill nv, leiden, ���6 | doi �0.��63/9789004�867�9_0�� <UN> A Eugenics Experiment 261 This example illustrates one of the characterizations of deviant or abnormal male behavior and the consequent experiments aimed at boys and men that culminated in sterilization, even including castration. It also indicates the vol- untary nature of this exchange, emphasizing that the boy himself sought med- ical intervention to curb activity that he believed transgressed normalcy. This self-discipline and even self-policing might attract a Foucauldian analysis con- sidering the ways in which medicalized views extended into the private realm, and even invaded the personal, intimate thoughts of this young boy such that he mastered self-control as proof of his restored health.3 Examining the actions of the medical and psychiatric community, however, suggests that concerns over male sexual habits and actions attracted attention from eugenicists and psychiatrists particularly interested in legitimizing their professional aims through experimental practices. Historian Angus McLaren has written extensively on mental health and sexuality, and in the context of male masturbation and impotence he argues that medical interventions and individual concerns had a long history of experimentation. For men suffering from impotence, for example, he found that throughout the 19th century doctors searched for reliable aphrodisiacs, which commonly resulted in “external stimulation of the genitals by fric- tions, flagellations, and galvanism” and even electrical shocks,4 aligning these (Berkeley: University of California Press, 2005); Mark A. Largent, Breeding Contempt: the History of Coerced Sterilization in the United States (New Brunswick: Rutgers University Press, 2008); Ian Robert Dowbiggin, Keeping America Sane: Psychiatry and Eugenics in the United States and Canada, 1880–1940 (Ithaca: Cornell University Press, 1997); Harry Laughlin, “The Eugenical Sterilization of the Feeble-Minded,” in Mental Retardation in America (eds) Steven Noll and James W. Trent Jr. (New York: New York University Press, 2004), 225–231; Diane B. Paul, The Politics of Heredity: Essays on Eugenics, Biomedicine, and the Nature-Nurture Debate (Albany: State University of New York Press, 1998); Daniel J. Kevles, In the Name of Eugenics: Genetics and the Uses of Human Heredity (Cambridge: Harvard University Press, 1985); Wendy Kline, Building a Better Race: Gender, Sexuality, and Eugenics from the Turn of the Century to the Baby Boom (Berkely: University of California Press, 2001); and Johanna Schoen, Choice and Coercion: Birth Control, Sterilization and Abortion in Public Health and Welfare (Chapel Hill: University of North Carolina Press, 2005). 3 See any range of works by Michel Foucault, including and especially: Birth of the Clinic: An Archaeology of Medical Perception (New York: Vintage Books, 1994, first English transla- tion1973), which introduces his concept of the “medical gaze” emanating from clinical insti- tutions and ultimately imposing a discipline and order over bodies in a sophisticated deconstruction of the process of medicalization. 4 Angus McLaren, Impotence: A Cultural History (Chicago: The University of Chicago Press, 2007), 138. <UN>.
Recommended publications
  • Sterilization and Abortion Policy Billing Instructions
    Sterilization and Abortion Policy Billing Instructions Table of contents Table of contents ...................................................................................................................................... 1 Hysterectomy ............................................................................................................................................ 2 Acknowledgement forms ..................................................................................................................... 2 Prior authorization requirements ......................................................................................................... 2 Covered services ................................................................................................................................... 2 Intrauterine Devices and Subdermal Implants ......................................................................................... 4 Family planning: sterilization .................................................................................................................... 4 Prior authorization requirements ......................................................................................................... 5 Covered services ................................................................................................................................... 5 Abortion .................................................................................................................................................... 6 Claim
    [Show full text]
  • Sterilization As a Family Planning Method
    December 2018 | Fact Sheet Sterilization as a Family Planning Method Sterilization is a permanent method of contraception, and is the most commonly used form of family planning among couples both in the United States and worldwide. For men and women who no longer want to have children, sterilization offers a permanent, safe, cost-effective and efficacious way to prevent unintended pregnancy. Male sterilization is less common than female sterilization, but both are nearly 100% effective at preventing pregnancy. The Affordable Care Act’s no-cost coverage of sterilization has increased the affordability of the procedure for women, but it is still unclear the overall effect this will have on future utilization rates. Recent changes to insurance coverage policy, broader availability of long- acting contraceptives, as well as changes in the health care delivery system may reshape the choices that men and women make regarding the use of sterilization as a contraceptive method. This fact sheet explains the types of sterilization procedures available to women and men, reviews private insurance and Medicaid coverage policy, and discusses issues that affect availability in the U.S. Female Sterilization Female sterilization is an Figure 1 outpatient surgical Prevalence of Sterilization Among Women 15 to 44 Who procedure. The procedure Report Using a Reversible or Permanent Contraceptive blocks the fallopian tubes, Method, 2013-2015, by Selected Characteristics preventing eggs from All women, ages 15-44 22% travelling down the tubes to the uterus and blocking Ages 25-34 19% sperm from fertilizing the Ages 35-44 39% egg. Data from the Centers for Disease Control and Black 26% Hispanic 25% Prevention (CDC) show that White 21% among women ages 15 to 44 who use a contraceptive ≥ 200% FPL 16% method, one in five used ≤ 200% FPL 29% tubal ligation as their method 1 of contraception.
    [Show full text]
  • Sterilization of the Developmentally Disabled: Shedding Some Myth-Conceptions
    Florida State University Law Review Volume 9 Issue 4 Article 3 Fall 1981 Sterilization of the Developmentally Disabled: Shedding Some Myth-Conceptions Deborah Hardin Ross Follow this and additional works at: https://ir.law.fsu.edu/lr Part of the Disability Law Commons, Health Law and Policy Commons, Human Rights Law Commons, and the Law and Society Commons Recommended Citation Deborah H. Ross, Sterilization of the Developmentally Disabled: Shedding Some Myth-Conceptions, 9 Fla. St. U. L. Rev. 599 (1981) . https://ir.law.fsu.edu/lr/vol9/iss4/3 This Comment is brought to you for free and open access by Scholarship Repository. It has been accepted for inclusion in Florida State University Law Review by an authorized editor of Scholarship Repository. For more information, please contact [email protected]. STERILIZATION OF THE DEVELOPMENTALLY DISABLED:* SHEDDING SOME MYTH-CONCEPTIONS DEBORAH HARDIN Ross I. Introduction ..................................... 600 II. Non-Consensual Sterilization Under Statutory Au- thority .......................................... 602 A. Sociological, Legislative, and Judicial Back- ground ..................................... 602 B. Analysis of Present Statutes .................. 606 1. To Whom Applied ...................... 607 2. Procedure .............................. 607 3. Justification for Sterilization ............. 608 4. Standards .............................. 609 C. Substantive Due Process ..................... 609 1. No Compelling State Interest ............ 611 a. Justifications and False Assumptions
    [Show full text]
  • Contraception and Beyond: the Health Benefits of Services Provided at Family Planning Centers Megan L
    July 2013 Contraception and Beyond: The Health Benefits of Services Provided at Family Planning Centers Megan L. Kavanaugh and Ragnar M. Anderson HIGHLIGHTS n A large and growing body of literature explores the health benefits related to services received at family planning clinics. n Research indicates that family planning, including planning, delaying and spacing pregnancies, is linked to improved birth outcomes for babies, either directly or through healthy maternal behaviors during pregnancy. n Contraceptive methods have a range of benefits other than their primary purpose of preg- nancy prevention. Contraception reduces pregnancy-related morbidity and mortality, reduces the risk of developing certain reproductive cancers, and can be used to treat many menstrual- related symptoms and disorders. n In addition to contraception, a range of other beneficial health services are available to clients at family planning clinics. Services to prevent, screen for and treat diseases and conditions such as chlamydia, gonorrhea, HIV, HPV and cervical cancer, as well as to address intimate partner violence, benefit both female and male clients who visit these clinics. n Because not all women have equal access to the many benefits of contraception and other health services, there is more work to be done in implementing programs and policies that advance contraceptive access and improve health outcomes for all women. CONTENTS Introduction.......................................................................................3 Background and History
    [Show full text]
  • The Essure® Procedure New Advancement in Female Sterilization
    The Essure® Procedure New advancement in female sterilization Santé, Comprehensive Women's Healthcare is excited to offer patients the new Essure® procedure, the latest advancement in female sterilization. The Essure procedure is becoming the gold standard in permanent birth control, and is the only FDA-approved transcervical sterilization procedure available. Unlike tubal ligation and vasectomy, the Essure procedure does not require an incision. Instead, micro-inserts are passed through the cervix, and uterus, and placed into your fallopian tubes. During the first 3 months following the procedure, the body works together with the micro-inserts to form a tissue barrier that prevents sperm from reaching the egg. During this period, another form of birth control will be necessary. After 3 months, Dr. Agneshwar will perform a test to confirm the fallopian tubes are completely blocked. At this time, the Essure micro-inserts can be considered a reliable method of birth control. Clinical and Patient Benefits: Procedure performed in-office at Santé High safety profile High patient satisfaction No incisions No general anesthesia required Rapid return to normal activities Hormone-free The Essure procedure is 99.80% effective at preventing pregnancy based on a 4-year follow-up. The Essure procedure has been demonstrated in a small portion of the women undergoing clinical studies to be 99.74% effective based on 5 years of follow-up. Patient Selection Appropriate candidates for the Essure procedure include: Women who are certain about their desire to end their fertility (the procedure should be considered irreversible) Patients who are not good surgical candidates for a tubal ligation Patients for whom a pregnancy would create medical risk Patients who are dissatisfied with their current contraceptive method Dr.
    [Show full text]
  • Contraception Versus Sterilization
    Contraception Versus Sterilization THAMPU KUMARASAMY, MD , FRCS, FRCOG, MRCP Associate Professor, Department of Obstetrics and Gynecology, Medical College of Virginia, Health Sciences Division of Virginia Commonwealth University, Richmond, Virginia The World Health Organization reported 4 Inexpensive that 40% of the pregnancies in the world in 5. Removed from the act of intercourse 1977 were unplanned and 20% were un­ 6. Completely reversible wanted; in the United States in 1978 there were 7. Easily available 1,300,000 teenage pregnancies, of which one There are two types of effectiveness­ million ended in abortions To prevent these un­ theoretical effectiveness and use effectiveness. wanted pregnancies and also to abolish the Use effectiveness is invariably found to be lower cost in terms of money, time and lives, concep­ than theoretical effectiveness. tion control is very important Contraception is The varieties of contraceptive methods as old as the human race. In ancient times Chi­ available are nese women swallowed live tadpoles three days 1. Chance atter their menses for this purpose. North Afri­ 2. Douching can women mixed gunpowder solution and 3. The rhythm method loam from a camel's mouth and drank the re­ 4. Use of spermicides sulting potion. Egyptian women inserted pes­ 5. Condoms saries made of crocodile dung to achieve con­ 6. Diaphrams traception. Greek women in the second century 7. Condoms and spermicides or dia­ made a vaginal plug that contained oil, honey, phram and spermicides cedar gum and fig pulp; others ate the uterus of 8. Oral contraceptives, which can be a female mules. As recently as the 17th century, combined oral contraceptive or pro­ European brides were instructed to sit on their gestin-only (minipill) lingers while riding in coaches or to place 9.
    [Show full text]
  • How the Us Government Shaped Citizenship During the 20Th
    University of Pennsylvania ScholarlyCommons Publicly Accessible Penn Dissertations 2017 The Reproduction Of Citizenship: How The U.s. Government Shaped Citizenship During The 20th Century By Regulating Fertility, Procreation, And Birth Across Generations Elspeth M. Wilson University of Pennsylvania, [email protected] Follow this and additional works at: https://repository.upenn.edu/edissertations Part of the Political Science Commons Recommended Citation Wilson, Elspeth M., "The Reproduction Of Citizenship: How The U.s. Government Shaped Citizenship During The 20th Century By Regulating Fertility, Procreation, And Birth Across Generations" (2017). Publicly Accessible Penn Dissertations. 2921. https://repository.upenn.edu/edissertations/2921 This paper is posted at ScholarlyCommons. https://repository.upenn.edu/edissertations/2921 For more information, please contact [email protected]. The Reproduction Of Citizenship: How The U.s. Government Shaped Citizenship During The 20th Century By Regulating Fertility, Procreation, And Birth Across Generations Abstract Who qualifies, with full status, as an American citizen? Like all modern nation-states, the United States erects and maintains various types of legal and geographic boundaries to demarcate citizens from noncitizens. The literature in political science tends to focus on the ways in which immigration law structures citizenship over time, but this is only half the story. As this dissertation demonstrates, governments also regulate the birth of citizens from one generation to the next. The concept of a ‘civic lineage regime’ is introduced as the domestic counterpart to the ‘immigration regime,’ when it comes to structuring civic membership in the United States (and other nations). To bring visibility to this deeply constitutive yet largely unexamined dimension of American political development, the project engages in a close analysis of U.S.
    [Show full text]
  • Permanent Birth Control for Men Afterwards, the Man Will Still Ejaculate but No Sperm Vasectomy Will NOT: Is Called Vasectomy
    Can vasectomy be undone? control. Some of the reversible methods are METHODS OF BIRTH CONTROL Vasectomy should be considered permanent. as effective as sterilization but when you Method Pregnancies in It is very difficult to reverse. Even though the stop using them you are still able to cause 100 couples in vas deferens can sometimes be reconnected or pregnancy. Your options for birth control are the first year of sperm cells removed with a needle and syringe, listed in the table at the end of this pamphlet. typical use pregnancy may still not be possible. Vasectomy may be a good choice for you if: Vasectomy Less than one Some men are interested in storing their sperm • You are sure you do not want children in the in a sperm bank before having a vasectomy. You future, even if your partner does. Tubal sterilization Less than one should talk about this with your doctor. • Pregnancy would be dangerous to your Intrauterine Less than one Are there any forms I need to fill out? partner’s health. contraception • You cannot use or do not want to use other You will need to sign a consent form before your Contraceptive Less than one birth control methods. operation. If you have Medi-Cal, you must sign injection the consent form at least 30 days before your • You have a medical problem that you could Birth control pills 5 operation. You do not need permission from pass onto your children. your partner or anyone else. After you sign the Think carefully about your decision to use Contraceptive 2 consent, you can still change your mind at any permanent birth control! Vasectomy and tubal patch or ring time before the operation.
    [Show full text]
  • 1 FDA-Approved Patient Labeling NEXPLANON (Etonogestrel Implant)
    FDA-Approved Patient Labeling NEXPLANON (etonogestrel implant) Radiopaque Subdermal Use Only NEXPLANON does not protect against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases. Read this Patient Information leaflet carefully before you decide if NEXPLANON is right for you. This information does not take the place of talking with your healthcare provider. If you have any questions about NEXPLANON, ask your healthcare provider. What is NEXPLANON? NEXPLANON is a hormone-releasing birth control implant for use by women to prevent pregnancy for up to 3 years. The implant is a flexible plastic rod about the size of a matchstick that contains a progestin hormone called etonogestrel. It contains a small amount of barium sulfate (15 mg), so that the implant can be seen by X-ray, an ethylene vinyl acetate (EVA) copolymer (28% vinyl acetate, 43 mg) core, and magnesium stearate (0.1 mg). Your healthcare provider will insert the implant just under the skin of the inner side of your upper arm. You can use a single NEXPLANON implant for up to 3 years. NEXPLANON does not contain estrogen. What if I need birth control for more than 3 years? The NEXPLANON implant must be removed after 3 years. Your healthcare provider can insert a new implant under your skin after taking out the old one if you choose to continue using NEXPLANON for birth control. What if I change my mind about birth control and want to stop using NEXPLANON before 3 years? Your healthcare provider can remove the implant at any time. You may become pregnant as early as the first week after removal of the implant.
    [Show full text]
  • Eugenic Sterilization in California in the 1920S and 30S: the Human Betterment Foundation’S Study on the Effects of Sterilization
    Eugenic Sterilization in California in the 1920s and 30s: The Human Betterment Foundation’s Study on the Effects of Sterilization Meaghan Watters History of Science, History of Medicine Advisor: Prof. Daniel Kevles April 2, 2012 Watters 2 Intro In 1899, one of the inmates at the Indiana State Reformatory for Boys—a little boy from Missouri—reportedly complained to his doctor of excessive masturbation. He requested castration as the solution, but the attending physician Dr. Harry Sharp hesitated to perform what he referred to as the “mutilation.”1 Instead, he chose to perform a vasectomy, even though he didn’t have a specific warrant of the law. After the procedure, the child stopped masturbating, and his advisors claimed that his mind was better and he made better progress in school. After his success, others began requesting the operation as well, resulting in Sharp presenting a paper to the American Medical Association in 1901 and submitting an article to the New York Medical Journal in 1902 outlining the benefits of sterilization for the patient.2 The article claimed that post-operation patients “improve mentally and physically … and the will becomes stronger.”3 From there, it was only a short amount of time before Indiana passed the first compulsory sterilization law in 1907. Other states soon followed suit, and the purpose of sterilization became compounded, as it began to be performed for the good of society as well as for the good of the patient. Sterilization was quickly taken up by the eugenics movement as a major instrument to prevent the decline of the quality of the American population.
    [Show full text]
  • “Segregation Or Sterilization”: Eugenics in the 1912 Vermont State Legislative Session
    “Segregation or Sterilization”: Eugenics in the 1912 Vermont State Legislative Session In his farewell address to the Vermont legislature in 1912, Governor John A. Mead endorsed for the first time a eugenical policy to address a longstanding fear of an increase in “degeneracy” in the state. Under the new theory of eugenics, socioeconomic status, physical and mental ability, and mental health officially became a question of heredity. By Mercedes de Guardiola n October 3, 1912, Vermont Governor John A. Mead (1910– 1912) addressed the Vermont Legislature in his farewell speech. Mead advocated that one subject in particular war- ranted additional attention: “Our Degenerates,” which, according to him, had “never received special attention by the legislature of our state.”1 The governor’s call for a eugenical solution to the problem of “Our Degenerates” marked a defining moment for the eugenics move- ment in Vermont. It was the first time a state official had publicly pro- posed eugenics as an answer to a growing number of perceived social . Mercedes de Guardiola is an independent researcher. She received her B.A. in History and Art History from Dartmouth College, where she wrote her thesis on the history of eugenics in Vermont. Vermont History Vol. 87, No. 1 (Winter/Spring 2019): 59-86. © 2019 by the Vermont Historical Society. ISSN: 0042-4161; on-line ISSN: 1544-3043 60 . crises in the state. Although it drew on the growing international move- ment, it also built upon local institutional forays into the question of the role of heredity in social issues. The promotion of eugenics led the state toward a path of punitive social welfare during a period when the state government struggled to address a growing number of problems brought on by social upheaval and industrialization.
    [Show full text]
  • Determinants of Modern Contraceptive Method Preference in Nepal
    Permanent, Semi-Permanent, and Temporary: Determinants of Modern Contraceptive Method Preference in Nepal Emily J. Wornell, The Pennsylvania State University Dr. Leif Jensen, The Pennsylvania State University Extended abstract Background While contraceptive use has long been recognized as an important element in determining fertility rates (Davis and Blake, 1956; Bongaarts, 1978; Stover, 1998), contraception methods are not created equal, and even modern methods have the potential to impact fertility rates differently. Although failure rates of contraceptive use are not widely understood in the context of developing countries, the expectation is that they are at least comparable, if not higher, than those in the United States (Darroch, Sedgh, and Ball, 2011). A report by the Center for Disease Control (CDC,) in 2006 found that almost 50 percent of all pregnancies in the United States were unintended, and 43 percent of those occurred while using some form of contraception (Finer and Zolna, 2011). Similarly, it is estimated that 35 percent of all pregnancies in Nepal are unintended, although there is less known regarding contraceptive use and unintended pregnancies in the country (Adhikari, Soonthorndhada, and Prasatrkul, 2009). Contraceptive failure is typically due to human error or misuse, which results in higher failure rates for condoms and other temporary methods. Spermicide has the highest rate of failure among the temporary modern methods, at 28 percent, but this not a commonly used form of contraception in Nepal. Of those temporary, modern methods used by men and women in Nepal the average failure rate is 9 percent. Semi-temporary methods have a failure rate that ranges from 0.05 percent for hormonal implants to 0.8 percent for copper inter-uterine devices (IUDs).
    [Show full text]