Models of masculinity: sex education,the United States Public Health Service,and the YMCA, 1919-1924

In 1918, the U.S. Public Health Service (PHS) told American parents that "it is no longer possible for you to choose whether your child will learn about sex or not." According to the PHS, most American boys learned about sex from "improper sources" by the age of nine. The "unfortunate effect of these early impressions" had, PHS warned, not only resulted in a gross misunderstanding of sex, but also been a major factor in the spread of venereal disease (The Parents' Part [the U.S. Public Health Service, 1918], p. 5). To counter and correct this miseducation, PHS joined with the Young Men's Christian Association (YMCA) to create a sex education program aimed at adolescent boys. Officially launched in the spring of 1919, the "Keeping Fit" campaign provides a unique insight into the federal government's attempt to medicalize and regulate American sexuality through the forum of public health.     

Old medicine in a new bottle

Arthur Kleinman, Peter Kunstadter, E. Russell Alexander, and James L. Gale, eds. Medicine in Chinese Cultures: Comparative Studies of Health Care in Chinese and Other Societies. Washington, D. C. U. S. Department of Health, Education and Welfare. Public Health Service. National Institutes of Health. 1975. xvi and 803 pp. Maps, tables, notes, references, and index. $11.00.     

The Spatial Dynamics of Poliomyelitis in the United States: From Epidemic Emergence to Vaccine-Induced Retreat, 1910-1971

This article seeks to advance an understanding of the spatial dynamics of one of the great emergent viral diseases of the twentieth century-poliomyelitis. From an apparently rare clinical condition occurring only sporadically or in small outbreaks before the late nineteenth century, poliomyelitis had, by the early 1950s, developed into a globally distributed epidemic disease. But, from 1955, continued growth was suddenly and dramatically reversed by the mass administration of inactivated (killed) and live (attenuated) poliovirus vaccines. After almost half a century of vaccine control, the world now stands on the brink of the global eradication of the disease. Against this background, the article draws upon information included in the U.S. Public Health Service's Public Health Reports and the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report to examine the spatial dynamics of poliomyelitis during the phases of epidemic emergence (1910-1955) and vaccine-induced retreat (1955-1971) in the United States. It is shown that epidemic emergence was accompanied by shifts in the spatial center of activity from early diffusion poles in the northeastern states, to the western seaboard, and then finally to cover all the states of the Union. This was accompanied by accelerating epidemic propagation. The introduction of mass vaccination from the mid-1950s realigned spatial transmission of the disease, producing increased spatial volatility in the geographical center of activity and heightened dependence of epidemic outbreaks upon endemic reservoirs in the most populous states. Finally, the empirical results are generalized to suggest that the emergence and reemergence of many infectious diseases is a distinctively geographical process.     

马丁·麦乐西与美国城市环境史研究

马丁·麦乐西教授是美国著名的环境史学家,曾经担任“美国环境史学会”(1993-1995年)、“公共史全国委员会”(1992-1993年)和“公共工程历史学会”(1988-1989年)的主席。本文分为两个部分。第一部分从理论基础、概念界定、功能发挥以及具体的历史研究成果等方面介绍了他的城市环境史成就。第二部分是作者对马丁教授的访谈,他就城市环境史与农业生态史的关系、自然环境与人工环境的关系、技术在城市环境史中的作用、环境正义运动的性质等问题进一步阐述了自己的观点。另外,本文在注释中附有朱尔·A·塔尔教授对相关问题的简要回答。     

The Tuskegee Syphilis Study and the scientific concept of racial nervous resistance

In 1932, the U.S. Public Health Service began a study of untreated syphilis among black men in Macon County, Alabama. This project, later known as the Tuskegee Syphilis Study, became one of the most notorious ventures of twentieth-century medicine. Much has been written on it. Historians have suggested that scientific racism strongly influenced the study. But specific links between earlier racial science and the scientific conduct of the study have remained unexplored. The examination in this paper of the concept of a racially determined resistance to syphilis in the nervous system establishes such a link. Discussion of nervous resistance to syphilis appeared in the medical literature in the early twentieth century as a conjecture about the natural inferiority of blacks. White physicians used the concept to interpret racial differences in neurosyphilis as evidence of the rudimentary development of the brain. A small community of African American physicians joined other national experts in syphilis who chose to explain apparent racial differences through alternate mechanisms. But the scientific advisors to the Tuskegee Syphilis Study favored the concept of a racial resistance to neurosyphilis and steered the early design of the study to help to elucidate it. The Tuskegee Syphilis Study was an examination of untreated syphilis, but it also became a demonstration of a putative racial characteristic of syphilis long considered evidence of the natural inferiority of blacks. An examination of the concept of racial nervous resistance and its influence on the research in Macon County helps to define the influence of scientific racism on this notorious medical study.     

Gender,Science, Politics and Geographies of the City

Most histories of urban studies represent the theoretical statements of the Chicago School of Sociology in the 1920s as foundational. However, perspectives on sociospatial relationships associated with Robert Park and his co-workers could be recognised as a distinctively masculinised form of knowledge, centred on science, objectivity and distancing. Contemporaneous research on the city by women in the Chicago School of Social Service Administration has been ignored by (predominantly male) urban geographers and sociologists. I argue that this neglect can be explained by a downgrading of knowledge produced by these women in relation to scientific sociology, by the context of political radicalism within which the research was produced, and by subsequent developments in urban studies which were unsympathetic to their ideas. In making this case, I first identify significant theoretical contributions made by women in the School of Social Service Administration. Second, the marginalisation of the women's research is related to the sexist attitudes of male sociologists coupled with the claims of a masculinised social science, positioned above other forms of knowledge. The question of gendered knowledge is explored through object relations theory and, particularly, the work of Evelyn Fox Keller. Thirdly, I discuss the politics of women in the School of Social Service Administration and the Hull House Settlement. Their embrace of socialism, feminism and pacifism contributed further to their marginalisation .     

The dearth of the clinic: lead,air, and agency in twentieth-century America

By surveying myriad ways that twentieth-century American experts and nonexperts grappled with the health implications of aerial exposures to lead or substances that may have contained lead, this paper urges medical historians' attention toward environments-workplaces, homes and the outdoors-and their extrabodily ontology. Health histories framed around dust, toxins, fumes, and pollution rather than around particular diseases challenge long-accepted narratives, such as Hibbert Hill's old generalization about a "New Public Health" shift from "the environment to the individual." Greater environmental focus can also advance "bottom-up" health history. Pushing the gaze of twentieth-century medical and public health historians beyond hospitals, "public health" departments, clinically confirmable disease, and "patient" roles, it draws historians' attention to health-related realms in which laypeople often claimed greater knowledge and competence.     

BOOKNOTES

Annette Baker Fox, The Politics of Attraction: Four Middle Powers and the United States Edward N. Peterson, The American Occupation of Germany: Retreat to Victory Charles R. Frank, Jr., Foreign Trade and Domestic Aid Rhodri Jeffreys-Jones, American Espionage: From Secret Service to CIA Philip J. Farley, Stephen S. Kaplan, and William H. Lewis, Arras Across the Sea Carol Corder, Planned Cities: New Towns in Britain and America Charles H. Levine, ed., Managing Human Resources: A Challenge to Urban Governments Harvey H. Kaiser, The Building of Cities Development and Conflict David Rogers, Can Business Management Save the Cities? The Case of New York Eugene Lewis, American Politics in a Bureaucratic Age: Citizens. Constituents. Clients and Victims Fred A. Kramer, Dynamics of Public Bureaucracy Fred A. Kramer, ed., Perspectives on Public Bureaucracy Grover Starling, Managing the Public Sector Christopher C. Hood, the Limits of Administration B. Guy Peters, The politics of Bureaucracy: A Comparative Analysis George W. Downs, Jr., Bureaucracy, Innovation, and Public Policy Richard Steiner, Managing the Human Service Organization: From Survival to Achievement Michael J, White, Michael Radnor, and David A, Tansik, Management and Policy Science in American Government     

Engaging in the disablement process over space and time: narratives of persons with multiple sclerosis in Ottawa, Canada

This article presents an interpretive analysis of the narratives of 15 men and women who have been diagnosed with multiple sclerosis (MS) living in the city of Ottawa, Ontario, Canada. Relatively little is known about how people who are affected by MS cope with the challenges posed by social and physical barriers in their environment. Our research investigates two objectives: (1) to explore how those who have developed MS cope with their disease and resulting impairments, both in terms of the bodily experiences of becoming a chronically ill person and in terms of how they cope with changing relationships, changing identities and challenges in their physical environment; and (2) how they engage in the process of disablement over time and space as a result of these changing social and spatial relationships. We argue that the physical body and its social placings in public and private spaces are intertwined and both affect experiences of health, ability, impairment, disability and chronic illness. We further argue that these relationships are experienced across time and space, and in place, as people who have developed a chronic illness, such as MS, engage in, with and through the process of disablement. This article demonstrates the need for researchers to pay more attention to the role and significance of the simultaneity of space, place and time in shaping the experiences of people with disabilities and chronic illnesses, as it has been shown that these variables played a significant role in regulating the everyday experiences of this study's respondents.     

THE CHILDREN'S COUNTRY: ETHICAL STATEMENTS / USEFUL INSTRUCTIONS

This paper brings a number of post-structuralist concerns to the analysis of a text in Aboriginal English from Paddy Roe in Broome, Australia. Accordingly the text is reproduced in full as a statement, or set of statements, standing next to the analysis. It deals with issues of Aboriginal land-rights. The analysis characterises structuralist thought as having a preoccupation with the metaphor of depth in textual analysis, bringing with it the idea of foundational mechanisms for the establishment of meaning. Post-structuralism, on the other hand, treats texts as surface enactments and statements (rather than sentences), seeing meaning more in shifting relations of context, distribution and circulation of texts. The notion of commentary and the speaking subject are problematised in the (rhetorical) analysis which highlights the ethical dimensions of the text, treating it as a set of enabling statements which construct a certain sort of Aboriginal listener who is then positioned to take over and repeat the discourse for the benefit of land-rights. In a more general way the paper proposes an ethical dimension to statements in language in general as well as positing indirect or reported speech as a kind of norm.     

Front and Back Covers,Volume 37, Number 6. December 2021

Front and back cover caption, volume 37 issue 6 COVID-19 DIVINATION Front cover: Domestic fire makes human life possible in the Siberian Arctic. The fire also communicates warnings and predictions to those who can listen and understand it, like this Nenets woman. Back cover: The UK National Health Service (NHS) designed its Covid-19 (‘track and trace’) app to avoid ambiguities like those of Siberian fire interpretation, but in doing so, it creates a climate of detachment and cynicism. This app serves as a critical public health technology by warning users that they have been near someone who has subsequently turned out to be infected. So why has it encountered so much resistance and non-cooperation? In this issue, Roza Laptander and Piers Vitebsky look for an answer by comparing these on-screen phone alerts with messages from the domestic fire of nomadic Siberian reindeer herders as it crackles alerts about potential illnesses or accidents. Though these prediction technologies may seem radically different, they are both instruments for thinking about possible futures and adjusting behaviour. They are both forms of divination that differ not so much in their logic as in their embeddedness in wider cosmologies of person, fate and society. The Siberian fire generates meaning as a focal point within many narrative strands concerning family, landscape and the movement of animals; its properties contribute to local ideas of normality, and acceptance of its messages is rooted in intimacy and entanglement. This highlights how the Covid-19 app belongs to a state of emergency and exception. Its statistical idiom of risk and its culturally hyper-valued focus on privacy deliberately conceal the identities of people caught in the chain of infection, thereby blocking social and narrative coherence.     

Relief Efforts Denied: The Civilian Public Service Training Corps and the Starnes Amendment, 1942–43

Abstract

The Civilian Public Service Training Corps was a programme for conscientious objectors to train for the relief and rehabilitation of the war-ravaged areas during World War II. Although the Historic Peace Churches (Brethren, Mennonite, Society of Friends) and the Selective Service already had a tentative programme in place, Congress eliminated the possibility of wartime relief with the Starnes Amendment to the Military Appropriations Act of 1943. The historical scholarship differs, but an examination of the parties involved reveals that Congress' rejection of the Training Corps stemmed from a number of reasons, which included a desire to use military funds for military purpose and antipathy toward First Lady Eleanor Roosevelt and her role in American politics.     

Passing Nonincremental Policy: Presidential Influence in Congress,Kennedy to Carter

This article represents an important step in understanding early, modern presidents’ strategic use of signing statements by taking a sharp focus on the presidency of Dwight D. Eisenhower. In contrast to recent presidents who have used the instrument increasingly to challenge legislative provisions, Eisenhower's use of signing statements was rather complex—from political credit-claiming, explaining the provisions of bills to the American public, and reinforcing his views on the federal-state balance of power—to maintaining bipartisan relations on foreign policy, shaping implementation of congressional bills, and selectively criticizing Congress for overspending. The theoretical framework devotes particular attention to the interplay of contexts—electoral, institutional, and economic—on Eisenhower's use of signing statements by policy area across his two terms.     

When Does Cooperation Improve Public Policy Implementation?

Interorganizational cooperation is often considered valuable in the public sector. However, in this article it is suggested that the impact of cooperation on public policy implementation is dependent on the type of policy being carried out. It is argued that complex policies are more effectively put into practice if agencies cooperate a lot, whereas less difficult tasks are handled just as well without interorganizational cooperation. Thus, two policies within the Swedish active labor market policy are examined. The empirical test focuses on the cooperation between Public Employment Service offices and municipal labor market administrations. In agreement with the hypothesis, the findings suggest that policy matters. The implementation of one of the policies—the complex policy—is enhanced if cooperation between agencies increase. On the other hand, cooperation does not improve implementation of the less complex task. The study is based on quantitative data.     

田山花袋《一个士兵》的疾病意义读解

《一个士兵》以日俄战争中的辽阳会战为背景,描写了一名患有脚气性心脏病的普通士兵由发病到死亡的过程。小说没有选择残酷的战争场面,而选择了疾病与人的对决。本文从疾病这一角度切入,关注小说中有关脚气病、身体的言说,探讨国民的身体在“富国强兵”的社会背景下如何成为国家管理的对象,以及属于国家的身体在遭遇疾病之时如何回复其私有性。     

Migration,nursing, institutional discrimination and emotional/affective labour: ethnicity and labour stratification in the UK National Health Service

The UK has a long history of recruiting foreign nurses to meet labour shortages. This article explores the ways in which a combination of institutional discrimination in recruitment and promotion and daily interactions and practices in the workplace practices constructed migrant nurses as less skilled and inappropriately embodied and so restricted their overall career trajectories. Based on qualitative research with migrant nurses of Caribbean and Asian origins who came to the UK in the post-war era, we show how race and ethnicity were the basis of initial restrictions in training leading to permanent stratification in the nursing labour force. In the interactive and emotional labours of caring, foreign-born nurses are subjected to stereotypical and normative assumptions about their attributes and skills from colleagues, managers and patients that affect their opportunities to progress within the National Health Service. We thus combine an analysis of institutional discrimination with an understanding of cultural practices in the workplace to explain their disadvantaged position.     

Gender and Organisational Restructuring in the National Health Service: Performance, Identity and Politics

Over the past decade, debates within economic geography and organizational sociology have shown that gender is embedded within economic discourses, organisational relations and processes of restructuring. The argument has been widely illustrated through reference to "identity", with examples offered of the ways in which organizations and organisational change draw on specific performances of masculine and feminine identities. However, whilst we now know a great deal about organisational expectations of gendered performance at work, we actually know little of how these required performances impact individual constructions of identity. This paper aims to explore this gap between organisational discourses of gender, on the one hand, and the construction of individual identities, on the other. The paper uses narrative analysis of interviews with five nurses working in two hospitals in the British National Health Service (NHS) to trace the place and articulations of organisation, profession and gender in the construction and presentation of self. The paper reveals complex processes of negotiation and resistance and both stable and shifting identifications as individuals actively construct gendered identities inter alia through their interpretations of organisational and professional change. This emphasis on agency, resistance and personal politics has important implications for thinking about the nature and form of workplace politics and may offer a missing piece of the puzzle in recent bids to build new forms of labour organisation.