The conjugal debt and medieval canon law

Marriage in Western European society was the preserve of the Christian Church throughout the later middle ages. The law of the Church played a significant role in the formation of doctrine concerning that institution, including the sexual relationship of spouses. Adopting a debt-model of conjugal relations, the canonists maintained that each partner owed marital coitus to the other. The lawyers emphasized the mutually binding character of this obligation, and consistently dejended the right of spouses to exact their marital due, insisting that this duty could be abrogated only by mutual consent. As heirs to an ascetic patristic tradition, however, the lawyers tended to be suspicious of fleshly pleasure. A peculiar and ambivalent doctrine resulted from this tension between an appreciation of the intrinsic goodness of the married state and a distrust of sex, one of its major constituents.     

Book reviews

Australian Books

A. T. Yarwood: Attitudes to Non‐European Immigration (Problems in Australian History), Cassell, Melbourne, 1968, pp. 146, $2.25.

Frank Hardy: The Unlucky Australians, Thomas Nelson, Melbourne, 1968, pp. 249 + index, $4.95 (cloth), $1.95 (paper).

Stanley Brogden: Australia's Two‐Airline Policy, Melbourne University Press, 1968, pp. 235, $5.75.

C. A. Hughes, ed.: Readings in Australian Government, University of Queensland Press, 1968, pp. 504, $6.50.

Jean Spender: Ambassador's Wife, Angus and Robertson. Sydney, 1968, pp. 207, $4.25.

Arthur Huck: The Chinese in Australia, Longmans, Melbourne, 1968, pp. 117, $4.50.

M. Revelman: Sex and Politics in Australia, Publicity Press Books, Adelaide, 1968, pp. 297, $1.35.

J. A. La Nauze, ed.: Alfred Deakin: Federated Australia: Selections from Letters to the Morning Post: 1900–1910, Melbourne University Press, 1968, pp. 314, $7.20.

Overseas Books

Frank Parkin: Middle‐Class Radicalism: The Social Bases of the British Campaign for Nuclear Disarmament, Melbourne University Press, 1968, pp. 207 + vii, $4.75.

L. J. Sharpe, ed.: Voting in Cities, Macmillan, London, 1968, pp. 340, $8.80.

The Times News Team: The Black Man in Search of Power, Nelson, London, 1968, pp. 174, $4.95.

J. A. A. Stockwin: The Japanese Socialist Party and Neutralism: A Study of a Political Party and its Foreign Policy, Melbourne University Press, 1968, pp. 197 + x, $6.50.

D. A. Low, ed.: Soundings in Modern South Asian History, Australian National University Press, Canberra, 1968, pp. 399 + viii, $7.50.

Gwendolen M. Carter, Thomas Karis and Newell M. Stulyz: South Africa's Transkei: The Politics of Domestic Colonialism, London, Heinemann, 1967, pp. 184 + viii, $6.70.     

Korean unification: a solution to the challenges of an increasingly elderly population?

South Korea experienced below replacement fertility for the first time in 1983, which also marked the point from which fertility rates continued to decline over the next 20 years to reach a low of 1.2 in 2003. In spite of recent pronatalist policies, the fertility rate has remained near this level and has not increased appreciably. The reasons for sustained low fertility in South Korea are complex and solutions remain elusive. One option that has been suggested is reunification with North Korea, which could address the eventual decline in the population and mitigate the increasing proportion of the elderly. Although the conditions surrounding the German reunification experience were vastly different than what Korea will likely undergo, it is informative to look at Germany as a guide to the demographic parameters of reunification. Three projection models for 2015–2050 are presented; even the highest fertility models show that reunification will not be the answer to population restructuring already underway in South Korea as a result of sustained low fertility.     

“Deliver Me From This Indignity!”: Cottage Hospitals,Localism and NHS Healthcare in Central England, 1948-1978

Victorian and Edwardian cottage hospitals, compared to infirmaries and workhouse institutions, have been neglected by social historians. Yet, they provided an infrastructure dedicated to localism and healthcare for the aged under the new National Health Service (NHS) after World War Two. This article focuses on two renowned Midlands cottage hospitals built in mid-Northamptonshire at Pitsford. In their patient case-histories we can engage with: dignity standards, medical regime, ward designs, staffing levels, budget provisions, and patient voices. These popular institutions had a well-deserved reputation for delivering high-quality geriatric medicine from 1948 to 1978. Human vignettes detailing the physical indignities of ageing nonetheless proliferate in the records. The longevity of these basic issues was to prove to be a recurring tension in NHS financial planning. Budget models lacked enough funds for aged patients to receive ‘stable’ bedside care. Instead, NHS accountants allocated resources to ensure the future ‘sustainability’ of the system itself. A new paradigm highlights the inherent financial contradictions and empty political promises that those needing geriatric care often experienced, and still do. Throughout, the rediscovered cottage hospital records contain important historical lessons for the present impasse about how to define, deliver and secure dignity for elderly patients in today’s NHS.