Studies in the Psychology of Sex, Volume 6
CHAPTER XII.
16859 words | Chapter 39
THE SCIENCE OF PROCREATION.
The Relationship of the Science of Procreation to the Art of Love--Sexual
Desire and Sexual Pleasure as the Conditions of Conception--Reproduction
Formerly Left to Caprice and Lust--The Question of Procreation as a
Religious Question--The Creed of Eugenics--Ellen Key and Sir Francis
Galton--Our Debt to Posterity--The Problem of Replacing Natural
Selection--The Origin and Development of Eugenics--The General Acceptance
of Eugenical Principles To-day--The Two Channels by Which Eugenical
Principles are Becoming Embodied in Practice--The Sense of Sexual
Responsibility in Women--The Rejection of Compulsory Motherhood--The
Privilege of Voluntary Motherhood--Causes of the Degradation of
Motherhood--The Control of Conception--Now Practiced by the Majority of
the Population in Civilized Countries--The Fallacy of "Racial
Suicide"--Are Large Families a Stigma of Degeneration?--Procreative
Control the Outcome of Natural and Civilized Progress--The Growth of
Neo-Malthusian Beliefs and Practices--Facultative Sterility as Distinct
from Neo-Malthusianism--The Medical and Hygienic Necessity of Control of
Conception--Preventive Methods--Abortion--The New Doctrine of the Duty to
Practice Abortion--How Far is this Justifiable?--Castration as a Method of
Controlling Procreation--Negative Eugenics and Positive Eugenics--The
Question of Certificates for Marriage--The Inadequacy of Eugenics by Act
of Parliament--The Quickening of the Social Conscience in Regard to
Heredity--Limitations to the Endowment of Motherhood--The Conditions
Favorable to Procreation--Sterility--The Question of Artificial
Fecundation--The Best Age of Procreation--The Question of Early
Motherhood--The Best Time for Procreation--The Completion of the Divine
Cycle of Life.
We have seen that the art of love has an independent and amply justifiable
right to existence apart, altogether, from procreation. Even if we still
believed--as all men must once have believed and some Central Australians
yet believe[421]--that sexual intercourse has no essential connection with
the propagation of the race it would have full right to existence. In its
finer manifestations as an art it is required in civilization for the full
development of the individual, and it is equally required for that
stability of relationships which is nearly everywhere regarded as a demand
of social morality.
When we now turn to the second great constitutional factor of marriage,
procreation, the first point we encounter is that the art of love here
also has its place. In ancient times the sexual congruence of any man with
any woman was supposed to be so much a matter of course that all questions
of love and of the art of love could be left out of consideration. The
propagative act might, it was thought, be performed as impersonally, as
perfunctorily, as the early Christian Fathers imagined it had been
performed in Paradise. That view is no longer acceptable. It fails to
commend itself to men, and still less to women. We know that in
civilization at all events--and it is often indeed the same among
savages--erethism is not always easy between two persons selected at
random, nor even when they are more specially selected. And we also know,
on the authority of very distinguished gynæcologists, that it is not in
very many cases sufficient even to effect coitus, it is also necessary to
excite orgasm, if conception is to be achieved.
Many primitive peoples, as well as the theologians of the Middle
Ages, have believed that sexual excitement on the woman's part is
necessary to conception, though they have sometimes mixed up that
belief with false science and mere superstition. The belief
itself is supported by some of the most cautious and experienced
modern gynæcologists. Thus, Matthews Duncan (in his lectures on
_Sterility in Women_) argued that the absence of sexual desire in
women, and the absence of pleasure in the sexual act, are
powerful influences making for sterility. He brought forward a
table based on his case-books, showing that of nearly four
hundred sterile women, only about one-fourth experienced sexual
desire, while less than half experienced pleasure in the sexual
act. In the absence, however, of a corresponding table concerning
fertile women, nothing is hereby absolutely proved, and, at most,
only a probability established.
Kisch, more recently (in his _Sexual Life of Woman_), has dealt
fully with this question, and reaches the conclusion that it is
"extremely probable" that the active erotic participation of the
woman in coitus is an important link in the chain of conditions
producing conception. It acts, he remarks, in either or both of
two ways, by causing reflex changes in the cervical secretions,
and so facilitating the passage of the spermatozoa, and by
causing reflex erectile changes in the cervix itself, with slight
descent of the uterus, so rendering the entrance of the semen
easier. Kisch refers to the analogous fact that the first
occurrence of menstruation is favored by sexual excitement.
Some authorities go so far as to assert that, until voluptuous
excitement occurs in women, no impregnation is possible. This
statement seems too extreme. It is true that the occurrence of
impregnation during sleep, or in anæsthesia, cannot be opposed to
it, for we know that the unconsciousness of these states by no
means prevents the occurrence of complete sexual excitement. We
cannot fail, however, to connect the fact that impregnation
frequently fails to occur for months and even years after
marriage, with the fact that sexual pleasure in coitus on the
wife's part also frequently fails to occur for a similar period.
"Of all human instincts," Pinard has said,[422] "that of reproduction is
the only one which remains in the primitive condition and has received no
education. We procreate to-day as they procreated in the Stone Age. The
most important act in the life of man, the sublimest of all acts since it
is that of his reproduction, man accomplishes to-day with as much
carelessness as in the age of the cave-man." And though Pinard himself, as
the founder of puericulture, has greatly contributed to call attention to
the vast destinies that hang on the act of procreation, there still
remains a lamentable amount of truth in this statement. "Future
generations," writes Westermarck in his great history of moral ideas,[423]
"will probably with a kind of horror look back at a period when the most
important, and in its consequences the most far-reaching, function which
has fallen to the lot of man was entirely left to individual caprice and
lust."
We are told in his _Table Talk_, that the great Luther was accustomed to
say that God's way of making man was very foolish ("sehr närrisch"), and
that if God had deigned to take him into His counsel he would have
strongly advised Him to make the whole human race, as He made Adam, "out
of earth." And certainly if applied to the careless and reckless manner in
which procreation in Luther's day, as still for the most part in our own,
was usually carried out there was sound common sense in the Reformer's
remarks. If that is the way procreation is to be carried on, it would be
better to create and mould every human being afresh out of the earth; in
that way we could at all events eliminate evil heredity. It was, however,
unjust to place the responsibility on God. It is men and women who breed
the people that make the world good or bad. They seek to put the evils of
society on to something outside themselves. They see how large a
proportion of human beings are defective, ill-conditioned, anti-social,
incapable of leading a whole and beautiful human life. In old theological
language it was often said that such were "children of the Devil," and
Luther himself was often ready enough to attribute the evil of the world
to the direct interposition of the Devil. Yet these ill-conditioned people
who clog the wheels of society are, after all, in reality the children of
Man. The only Devil whom we can justly invoke in this matter is Man.
The command "Be fruitful and multiply," which the ancient Hebrews put into
the mouth of their tribal God, was, as Crackanthorpe points out,[424] a
command supposed to have been uttered when there were only eight persons
in the world. If the time should ever again occur when the inhabitants of
the world could be counted on one's fingers, such an injunction, as
Crackanthorpe truly observes, would again be reasonable. But we have to
remember that to-day humanity has spawned itself over the world in
hundreds and even thousands of millions of creatures, a large proportion
of whom, as is but too obvious, ought never to have been born at all, and
the voice of Jehovah is now making itself heard through the leaders of
mankind in a very different sense.
It is not surprising that as this fact tends to become generally
recognized, the question of the procreation of the race should gain a new
significance, and even tend to take on the character of a new religious
movement. Mere morality can never lead us to concern ourselves with the
future of the race, and in the days of old, men used to protest against
the tendency to subordinate the interests of religion to the claims of
"mere morality." There was a sound natural instinct underlying that
protest, so often and so vigorously made by Christianity, and again
revived to-day in a more intelligent form. The claim of the race is the
claim of religion. We have to beware lest we subordinate that claim to our
moralities. Moralities are, indeed, an inevitable part of our social order
from which we cannot escape; every community must have its _mores_. But we
are not entitled to make a fetich of our morality, sacrificing to it the
highest interests entrusted to us. The nations which have done so have
already signed their own death-warrant.[425] From this point of view, the
whole of Christianity, rightly considered, with its profound conviction of
the necessity for forethought and preparation for the life hereafter, has
been a preparation for eugenics, a schoolmaster to discipline within us a
higher ideal than itself taught, and we cannot therefore be surprised at
the solidity of the basis on which eugenical conceptions of life are
developing.
The most distinguished pioneers of the new movement of devotion
to the creation of the race seem independently to have realized
its religious character. This attitude is equally marked in Ellen
Key and Francis Galton. In her _Century of the Child_ (English
translation, 1909), Ellen Key entirely identifies herself with
the eugenic movement. "It is only a question of time," she
elsewhere writes (_Ueber Liebe und Ehe_, p. 445), "when the
attitude of society towards a sexual union will depend not on the
form of the union, but on the value of the children created. Men
and women will then devote the same religious earnestness to the
psychic and physical perfectioning of this sexual task as
Christians have devoted to the salvation of their souls."
Sir Francis Galton, writing a few years later, but without doubt
independently, in 1905, on "Restrictions in Marriage," and
"Eugenics as a Factor in Religion" (_Sociological Papers_ of the
Sociological Society, vol. ii, pp. 13, 53), remarks: "Religious
precepts, founded on the ethics and practice of older days,
require to be reinterpreted, to make them conform to the needs of
progressive nations. Ours are already so far behind modern
requirements that much of our practice and our profession cannot
be reconciled without illegitimate casuistry. It seems to me
that few things are more needed by us in England than a revision
of our religion, to adapt it to the intelligence and needs of
this present time.... Evolution is a grand phantasmagoria, but it
assumes an infinitely more interesting aspect under the knowledge
that the intelligent action of the human will is, in some small
measure, capable of guiding its course. Man has the power of
doing this largely, so far as the evolution of humanity is
concerned; he has already affected the quality and distribution
of organic life so widely that the changes on the surface of the
earth, merely through his disforestings and agriculture, would be
recognizable from a distance as great as that of the moon.
Eugenics is a virile creed, full of hopefulness, and appealing to
many of the noblest feelings of our nature."
As will always happen in every great movement, a few fanatics
have carried into absurdity the belief in the supreme religious
importance of procreation. Love, apart from procreation, writes
one of these fanatics, Vacher de Lapouge, in the spirit of some
of the early Christian Fathers (see _ante_ p. 509), is an
aberration comparable to sadism and sodomy. Procreation is the
only thing that matters, and it must become "a legally prescribed
social duty" only to be exercised by carefully selected persons,
and forbidden to others, who must, by necessity, be deprived of
the power of procreation, while abortion and infanticide must,
under some circumstances, become compulsory. Romantic love will
disappear by a process of selection, as also will all religion
except a new form of phallic worship (G. Vacher de Lapouge, "Die
Crisis der Sexuellen Moral," _Politisch Anthropologische Revue_,
No. 8, 1908). It is sufficient to point out that love is, and
always must be, the natural portal to generation. Such excesses
of procreative fanaticism cannot fail to occur, and they render
the more necessary the emphasis which has here been placed on the
art of love.
"What has posterity done for me that I should do anything for posterity?"
a cynic is said to have asked. The answer is very simple. The human race
has done everything for him. All that he is, and can be, is its creation;
all that he can do is the result of its laboriously accumulated
traditions. It is only by working towards the creation of a still better
posterity, that he can repay the good gifts which the human race has
brought him.[426] Just as, within the limits of this present life, many
who have received benefits and kindnesses they can never repay to the
actual givers, find a pleasure in vicariously repaying the like to
others, so the heritage we have received from our ascendents we can never
repay, save by handing it on in a better form to our descendants.
It is undoubtedly true that the growth of eugenical ideals has not been,
for the most part, due to religious feeling. It has been chiefly the
outcome of a very gradual, but very comprehensive, movement towards social
amelioration, which has been going on for more than a century, and which
has involved a progressive effort towards the betterment of all the
conditions of life. The ideals of this movement were proclaimed in the
eighteenth century, they began to find expression early in the nineteenth
century, in the initiation of the modern system of sanitation, in the
growth of factory legislation, in all the movements which have been borne
onwards by socialism hand in hand with individualism. The inevitable
tendency has been slowly towards the root of the matter; it began to be
seen that comparatively little can be effected by improving the conditions
of life of adults; attention began to be concentrated on the child, on the
infant, on the embryo in its mother's womb, and this resulted in the
fruitful movement of puericulture inspired by Pinard, and finally the
problem is brought to its source at the point of procreation, and the
regulation of sexual selection between stocks and between individuals as
the prime condition of life. Here we have the science of eugenics which
Sir Francis Galton has done so much to make a definite, vital, and
practical study, and which in its wider bearings he defines as "the
science which deals with those social eugenics that influence, mentally or
physically, the racial qualities of future generations." In its largest
aspect, eugenics is, as Galton has elsewhere said, man's attempt "to
replace Natural Selection by other processes that are more merciful and
not less effective."
In the last chapter of his _Memories of My Life_ (1908), on "Race
Improvement," Sir Francis Galton sets forth the origin and
development of his conception of the science of eugenics. The
term, "eugenics," he first used in 1884, in his _Human Faculty_,
but the conception dates from 1865, and even earlier. Galton has
more recently discussed the problems of eugenics in papers read
before the Sociological Society (_Sociological Papers_, vols. i
and ii, 1905), in the Herbert Spencer Lecture on "Probability the
Foundation of Eugenics," (1907), and elsewhere. Galton's numerous
memoirs on this subject have now been published in a collected
form by the Eugenics Education Society, which was established in
1907, to further and to popularize the eugenical attitude towards
social questions; _The Eugenics Review_ is published by this
Society. On the more strictly scientific side, eugenic studies
are carried on in the Eugenics Laboratory of the University of
London, established by Sir Francis Galton, and now working in
connection with Professor Karl Pearson's biometric laboratory, in
University College. Much of Professor Pearson's statistical work
in this and allied directions, is the elaboration of ideas and
suggestions thrown out by Galton. See, e.g., Karl Pearson's
Robert Boyle Lecture, "The Scope and Importance to the State of
the Science of National Eugenics" (1907). _Biometrika_, edited by
Karl Pearson in association with other workers, contains numerous
statistical memoirs on eugenics. In Germany, the _Archiv für
Rassen und Gesellschafts-biologie_, and the
_Politisch-Anthropologische Revue_, are largely occupied with
various aspects of such subjects, and in America, _The Popular
Science Monthly_ from time to time, publishes articles which have
a bearing on eugenics.
At one time there was a tendency to scoff, or to laugh, at the eugenic
movement. It was regarded as an attempt to breed men as men breed animals,
and it was thought a sufficiently easy task to sweep away this new
movement with the remark that love laughs at bolts and bars. It is now
beginning to be better understood. None but fanatics dream of abolishing
love in order to effect pairing by rule. It is merely a question of
limiting the possible number of mates from whom each may select a partner,
and that, we must remember, has always been done even by savages, for, as
it has been said, "eugenics is the oldest of the sciences." The question
has merely been transformed. Instead of being limited mechanically by
caste, we begin to see that the choice of sexual mates must be limited
intelligently by actual fitness. Promiscuous marriages have never been the
rule; the possibility of choice has always been narrow, and the most
primitive peoples have exerted the most marked self-restraint. It is not
so merely among remote races but among our own European ancestors.
Throughout the whole period of Catholic supremacy the Canon law
multiplied the impediments to matrimony, as by ordaining that
consanguinity to the fourth degree (third cousins), as well as spiritual
relationship, is an impediment, and by such arbitrary prohibitions limited
the range of possible mates at least as much as it would be limited by the
more reasonable dictates of eugenic considerations.
At the present day it may be said that the principle of the voluntary
control of procreation, not for the selfish ends of the individual, but in
order to extinguish disease, to limit human misery, and to raise the
general level of humanity by substituting the ideal of quality for the
vulgar ideal of mere quantity, is now generally accepted, alike by medical
pathologists, embryologists and neurologists, and by sociologists and
moralists.
It would be easy to multiply quotations from distinguished
authorities on this point. Thus, Metchnikoff points out (_Essais
Optimistes_, p. 419) that orthobiosis seems to involve the
limitation of offspring in the fight against disease. Ballantyne
concludes his great treatise on _Antenanal Pathology_ with the
statement that "Eugenics" or well-begetting, is one of the
world's most pressing problems. Dr. Louise Robinovitch, the
editor of the _Journal of Mental Pathology_, in a brilliant and
thoughtful paper, read before the Rome Congress of Psychology in
1905, well spoke in the same sense: "Nations have not yet
elevated the energy of genesic function to the dignity of an
energy. Other energies known to us, even of the meanest grade,
have long since been wisely utilized, and their activities based
on the principle of the strictest possible economy. This economic
utilization has been brought about, not through any enforcement
of legislative restrictions, but through steadily progressive
human intelligence. Economic handling of genesic function will,
like the economic function of other energies, come about through
a steady and progressive intellectual development of nations."
"There are circumstances," says C.H. Hughes, ("Restricted
Procreation," _Alienist and Neurologist_, May, 1908), "under
which the propagation of a human life may be as gravely criminal
as the taking of a life already begun."
From the general biological, as well as from the sociological
side, the acceptance of the same standpoint is constantly
becoming more general, for it is recognized as the inevitable
outcome of movements which have long been in progress.
"Already," wrote Haycraft (_Darwinism and Race Progress_, p.
160), referring to the law for the prevention of cruelty to
children, "public opinion has expressed itself in the public
rule that a man and woman, in begetting a child, must take upon
themselves the obligation and responsibility of seeing that that
child is not subjected to cruelty and hardship. It is but one
step more to say that a man and a woman shall be under obligation
not to produce children, when it is certain that, from their want
of physique, they will have to undergo suffering, and will keep
up but an unequal struggle with their fellows." Professor J.
Arthur Thomson, in his volume on _Heredity_ (1908), vigorously
and temperately pleads (p. 528) for rational methods of eugenics,
as specially demanded in an age like our own, when the unfit have
been given a better chance of reproduction than they have ever
been given in any other age. Bateson, again, referring to the
growing knowledge of heredity, remarks (_Mendel's Principles of
Heredity_, 1909, p. 305): "Genetic knowledge must certainly lead
to new conceptions of justice, and it is by no means impossible
that, in the light of such knowledge, public opinion will welcome
measures likely to do more for the extinction of the criminal and
the degenerate than has been accomplished by ages of penal
enactment." Adolescent youths and girls, said Anton von Menger,
in his last book, the pregnant _Neue Sittenlehre_ (1905), must be
taught that the production of children, under certain
circumstances, is a crime; they must also be taught the voluntary
restraint of conception, even in health; such teaching, Menger
rightly added, is a necessary preliminary to any legislation in
this direction.
Of recent years, many books and articles have been devoted to the
advocacy of eugenic methods. Mention may be made, for instance,
of _Population and Progress_ (1907), by Montague Crackanthorpe,
President of the Eugenics Education Society. See also, Havelock
Ellis, "Eugenics and St. Valentine," _Nineteenth Century and
After_, May, 1906. It may be mentioned that nearly thirty years
ago, Miss J.H. Clapperton, in her _Scientific Meliorism_ (1885,
Ch. XVII), pointed out that the voluntary restraint of
procreation by Neo-Malthusian methods, apart from merely
prudential motives, there clearly recognized, is "a new key to
the social position," and a necessary condition for "national
regeneration." Professor Karl Pearson's _Groundwork of Eugenics_,
(1909) is, perhaps, the best brief introduction to the subject.
Mention may also be made of Dr. Saleeby's _Parenthood and Race
Culture_ (1909), written in a popular and enthusiastic manner.
How widely the general principles of eugenics are now accepted as
the sound method of raising the level of the human race, was well
shown at a meeting of the Sociological Society, in 1905, when,
after Sir Francis Galton had read papers on the question, the
meeting heard the opinions of numerous sociologists, economists,
biologists, and well-known thinkers in various lands, who were
present, or who had sent communications. Some twenty-one
expressed more or less unqualified approval, and only three or
four had objections to offer, mostly on matters of detail
(_Sociological Papers_, published by the Sociological Society,
vol. ii, 1905).
If we ask by what channels this impulse towards the control of procreation
for the elevation of the race is expressing itself in practical life, we
shall scarcely fail to find that there are at least two such channels: (1)
the growing sense of sexual responsibility among women as well as men, and
(2) the conquest of procreative control which has been achieved in recent
years, by the general adoption of methods for the prevention of
conception.
It has already been necessary in a previous chapter to discuss the
far-reaching significance of woman's personal responsibility as an element
in the modification of the sexual life of modern communities. Here it need
only be pointed out that the autonomous authority of a woman over her own
person, in the sexual sphere, involves on her part a consent to the act of
procreation which must be deliberate. We are apt to think that this is a
new and almost revolutionary demand; it is, however, undoubtedly a
natural, ancient, and recognized privilege of women that they should not
be mothers without their own consent. Even in the Islamic world of the
_Arabian Nights_, we find that high praise is accorded to the "virtue and
courage" of the woman who, having been ravished in her sleep, exposed, and
abandoned on the highway, the infant that was the fruit of this
involuntary union, "not wishing," she said, "to take the responsibility
before Allah of a child that had been born without my consent."[427] The
approval with which this story is narrated clearly shows that to the
public of Islam it seemed entirely just and humane that a woman should not
have a child, except by her own deliberate will. We have been accustomed
to say in later days that the State needs children, and that it is the
business and the duty of women to supply them. But the State has no more
right than the individual to ravish a woman against her will. We are
beginning to realize that if the State wants children it must make it
agreeable to women to produce them, as under natural and equitable
conditions it cannot fail to be. "The women will solve the question of
mankind," said Ibsen in one of his rare and pregnant private utterances,
"and they will do it as mothers." But it is unthinkable that any question
should ever be solved by a helpless, unwilling, and involuntary act which
has not even attained to the dignity of animal joy.
It is sometimes supposed, and even assumed, that the demand of
women that motherhood must never be compulsory, means that they
are unwilling to be mothers on any terms. In a few cases that may
be so, but it is certainly not the case as regards the majority
of sane and healthy women in any country. On the contrary, this
demand is usually associated with the desire to glorify
motherhood, if not, indeed, even with the thought of extending
motherhood to many who are to-day shut out from it. "It seems to
me," wrote Lady Henry Somerset, some years ago ("The Welcome
Child," _Arena_, April, 1895), "that life will be dearer and
nobler the more we recognize that there is no indelicacy in the
climax and crown of creative power, but, rather, that it is the
highest glory of the race. But if voluntary motherhood is the
crown of the race, involuntary compulsory motherhood is the very
opposite.... Only when both man and woman have learned that the
most sacred of all functions given to women must be exercised by
the free will alone, can children be born into the world who have
in them the joyous desire to live, who claim that sweetest
privilege of childhood, the certainty that they can expand in the
sunshine of the love which is their due." Ellen Key, similarly,
while pointing out (_Ueber Liebe und Ehe_, pp. 14, 265) that the
tyranny of the old Protestant religious spirit which enjoined on
women unlimited submission to joyless motherhood within "the
whited sepulchre of marriage" is now being broken, exalts the
privileges of voluntary motherhood, while admitting that there
may be a few exceptional cases in which women may withdraw
themselves from motherhood for the sake of the other demands of
their personality, though, "as a general rule, the woman who
refuses motherhood in order to serve humanity, is like a soldier
who prepares himself on the eve of battle for the forthcoming
struggle by opening his veins." Helene Stöcker, likewise, reckons
motherhood as one of the demands, one of the growing demands
indeed, which women now make. "If, to-day," she says (in the
Preface to _Liebe und die Frauen_, 1906), "all the good things of
life are claimed even for women--intellectual training, pecuniary
independence, a happy vocation in life, a respected social
position--and at the same time, as equally matter-of-course, and
equally necessary, marriage and child, that demand no longer
sounds, as it sounded a few years ago, the voice of a preacher in
the wilderness."
The degradation to which motherhood has, in the eyes of many,
fallen, is due partly to the tendency to deprive women of any
voice in the question, and partly to what H.G. Wells calls
(_Socialism and the Family_, 1906) "the monstrous absurdity of
women discharging their supreme social function, bearing and
rearing children, in their spare time, as it were, while they
'earn their living' by contributing some half mechanical element
to some trivial industrial product." It would be impracticable,
and even undesirable, to insist that married women should not be
allowed to work, for a work in the world is good for all. It is
estimated that over thirty per cent. of the women workers in
England are married or widows (James Haslam, _Englishwoman_,
June, 1909), and in Lancashire factories alone, in 1901, there
were 120,000 married women employed. But it would be easily
possible for the State to arrange, in its own interests, that a
woman's work at a trade should always give way to her work as a
mother. It is the more undesirable that married women should be
prohibited from working at a profession, since there are some
professions for which a married woman, or, rather, a mother, is
better equipped than an unmarried woman. This is notably the case
as regards teaching, and it would be a good policy to allow
married women teachers special privileges in the shape of
increased free time and leave of absence. While in many fields of
knowledge an unmarried woman may be a most excellent teacher, it
is highly undesirable that children, and especially girls, should
be brought exclusively under the educational influence of
unmarried teachers.
The second great channel through which the impulse towards the control of
procreation for the elevation of the race is entering into practical life
is by the general adoption, by the educated classes of all countries--and
it must be remembered that, in this matter at all events, all classes are
gradually beginning to become educated--of methods for the prevention of
conception except when conception is deliberately desired. It is no longer
permissible to discuss the validity of this control, for it is an
accomplished fact and has become a part of our modern morality. "If a
course of conduct is habitually and deliberately pursued by vast
multitudes of otherwise well-conducted people, forming probably a majority
of the whole educated class of the nation," as Sidney Webb rightly puts
it, "we must assume that it does not conflict with their actual code of
morality."[428]
There cannot be any doubt that, so far as England is concerned,
the prevention of conception is practiced, from prudential or
other motives, by the vast majority of the educated classes. This
fact is well within the knowledge of all who are intimately
acquainted with the facts of English family life. Thus, Dr. A.W.
Thomas writes (_British Medical Journal_, Oct. 20, 1906, p.
1066): "From my experience as a general practitioner, I have no
hesitation in saying that ninety per cent. of young married
couples of the comfortably-off classes use preventives." As a
matter of fact, this rough estimate appears to be rather under
than over the mark. In the very able paper already quoted, in
which Sidney Webb shows that "the decline in the birthrate
appears to be much greater in those sections of the population
which give proofs of thrift and foresight," that this decline is
"principally, if not entirely, the result of deliberate
volition," and that "a volitional regulation of the marriage
state is now ubiquitous throughout England and Wales, among,
apparently, a large majority of the population," the results are
brought forward of a detailed inquiry carried out by the Fabian
Society. This inquiry covered 316 families, selected at random
from all parts of Great Britain, and belonging to all sections of
the middle class. The results are carefully analyzed, and it is
found that seventy-four families were unlimited, and two hundred
and forty-two voluntarily limited. When, however, the decade
1890-99 is taken by itself as the typical period, it is found
that of 120 marriages, 107 were limited, and only thirteen
unlimited, while of these thirteen, five were childless at the
date of the return. In this decade, therefore, only seven
unlimited fertile marriages are reported, out of a total of 120.
What is true of Great Britain is true of all other civilized
countries, in the highest degree true of the most civilized
countries, and it finds expression in the well-known phenomenon
of the decline of the birthrate. In modern times, this movement
of decline began in France, producing a slow but steady
diminution in the annual number of births, and in France the
movement seems now to be almost, or quite, arrested. But it has
since taken place in all other progressive countries, notably in
the United States, in Canada, in Australia, and in New Zealand,
as well as in Germany, Austro-Hungary, Italy, Spain, Switzerland,
Belgium, Holland, Denmark, Sweden, and Norway. In England, it has
been continuous since 1877. Of the great countries, Russia is
the only one in which it has not yet taken place, and among the
masses of the Russian population we find less education, more
poverty, a higher deathrate, and a greater amount of disease,
than in any other great, or even small, civilized country.
It is sometimes said, indeed, that the decline of the birthrate
is not entirely due to the voluntary control of procreation. It
is undoubtedly true that certain other elements, common under
civilized conditions, such as the postponement of marriage in
women to a comparatively late age, tend to diminish the size of
the family. But when all such allowances have been made, the
decline is still found to be real and large. This has been shown,
for instance, by the statistical analyses made by Arthur
Newsholme and T.H.C. Stevenson, and by G. Yule, both published in
_Journal Royal Statistical Society_, April, 1906.
Some have supposed that, since the Catholic Church forbids
incomplete sexual intercourse, this movement for the control of
procreation will involve a relatively much greater increase among
Catholic than among non-Catholic populations. This, however, is
only correct under certain conditions. It is quite true that in
Ireland there has been no fall in the birthrate, and that the
fall is but little marked in those Lancashire towns which possess
a large Irish element. But in Belgium, Italy, Spain, and other
mainly Catholic countries, the decline in the birthrate is duly
taking place. What has happened is that the Church--always alive
to sexual questions--has realized the importance of the modern
movement, and has adapted herself to it, by proclaiming to her
more ignorant and uneducated children that incomplete intercourse
is a deadly sin, while at the same time refraining from making
inquiries into this matter among her more educated members. The
question was definitely brought up for Papal judgment, in 1842,
by Bishop Bouvier of Le Mans, who stated the matter very clearly,
representing to the Pope (Gregory XVI) that the prevention of
conception was becoming very common, and that to treat it as a
deadly sin merely resulted in driving the penitent away from
confession. After mature consideration, the Curia Sacra
Poenitentiaria replied by pointing out, as regards the common
method of withdrawal before emission, that since it was due to
the wrong act of the man, the woman who has been forced by her
husband to consent to it, has committed no sin. Further, the
Bishop was reminded of the wise dictum of Liguori, "the most
learned and experienced man in these matters," that the confessor
is not usually called upon to make inquiry upon so delicate a
matter as the _debitum conjugale_, and, if his opinion is not
asked, he should be silent (Bouvier, _Dissertatio in sextum
Decalogi præceptum; supplementum ad Tractatum de Matrimonio_.
1849, pp. 179-182; quoted by Hans Ferdy, _Sexual-Probleme_, Aug.,
1908, p. 498). We see, therefore, that, among Catholic as well as
among non-Catholic populations, the adoption of preventive
methods of conception follows progress and civilization, and
that the general practice of such methods by Catholics (with the
tacit consent of the Church) is merely a matter of time.
From time to time many energetic persons have noisily demanded that a stop
should be put to the decline of the birthrate, for, they argue, it means
"race suicide." It is now beginning to be realized, however, that this
outcry was a foolish and mischievous mistake. It is impossible to walk
through the streets of any great city, full of vast numbers of persons
who, obviously, ought never to have been born, without recognizing that
the birthrate is as yet very far above its normal and healthy limit. The
greatest States have often been the smallest so far as mere number of
citizens is concerned, for it is quality not quantity that counts. And
while it is true that the increase of the best types of citizens can only
enrich a State, it is now becoming intolerable that a nation should
increase by the mere dumping down of procreative refuse in its midst. It
is beginning to be realized that this process not only depreciates the
quality of a people but imposes on a State an inordinate financial burden.
It is now well recognized that large families are associated with
degeneracy, and, in the widest sense, with abnormality of every
kind. Thus, it is undoubtedly true that men of genius tend to
belong to very large families, though it may be pointed out to
those who fear an alarming decrease of genius from the tendency
to the limitation of the family, that the position in the family
most often occupied by the child of genius is the firstborn. (See
Havelock Ellis, _A Study of British Genius_, pp. 115-120). The
insane, the idiotic, imbecile, and weak-minded, the criminal, the
epileptic, the hysterical, the neurasthenic, the tubercular, all,
it would appear, tend to belong to large families (see e.g.,
Havelock Ellis, op. cit., p. 110; Toulouse, _Les Causes de la
Folie_, p. 91; Harriet Alexander, "Malthusianism and Degeneracy,"
_Alienist and Neurologist_, Jan., 1901). It has, indeed, been
shown by Heron, Pearson, and Goring, that not only the
eldest-born, but also the second-born, are specially liable to
suffer from pathological defect (insanity, criminality,
tuberculosis). There is, however, it would seem, a fallacy in the
common interpretation of this fact. According to Van den Velden
(as quoted in _Sexual-Probleme_, May, 1909, p. 381), this
tendency is fully counterbalanced by the rising mortality of
children from the firstborn onward. The greater pathological
tendency of the earlier children is thus simply the result of a
less stringent selection by death. So far as they show any really
greater pathological tendency, apart from this fallacy, it is
perhaps due to premature marriage. There is another fallacy in
the frequent statement that the children in small families are
more feeble than those in large families. We have to distinguish
between a naturally small family, and an artificially small
family. A family which is small merely as the result of the
feeble procreative energy of the parents, is likely to be a
feeble family; a family which is small as the result of the
deliberate control of the parents, shows, of course, no such
tendency.
These considerations, it will be seen, do not modify the tendency
of the large family to be degenerate. We may connect this
phenomenon with the disposition, often shown by nervously unsound
and abnormal persons, to believe that they have a special
aptitude to procreate fine children. "I believe that everyone has
a special vocation," said a man to Marro (_La Pubertà_, p. 459);
"I find that it is my vocation to beget superior children." He
begat four,--an epileptic, a lunatic, a dipsomaniac, and a
valetudinarian,--and himself died insane. Most people have come
across somewhat similar, though perhaps less marked, cases of
this delusion. In a matter of such fateful gravity to other human
beings, no one can safely rely on his own unsupported
impressions.
The demand of national efficiency thus corresponds with the demand of
developing humanitarianism, which, having begun by attempting to
ameliorate the conditions of life, has gradually begun to realize that it
is necessary to go deeper and to ameliorate life itself. For while it is
undoubtedly true that much may be done by acting systematically on the
conditions of life, the more searching analysis of evil environmental
conditions only serves to show that in large parts they are based in the
human organism itself and were not only pre-natal, but pre-conceptional,
being involved in the quality of the parental or ancestral organisms.
Putting aside, however, all humanitarian considerations, the serious error
of attempting to stem the progress of civilization in the direction of
procreative control could never have occurred if the general tendencies of
zoölogical evolution had been understood, even in their elements. All
zoölogical progress is from the more prolific to the less prolific; the
higher the species the less fruitful are its individual members. The same
tendency is found within the limits of the human species, though not in an
invariable straight line; the growth of civilization involves a
diminution in fertility. This is by no means a new phenomenon; ancient
Rome and later Geneva, "the Protestant Rome," bear witness to it; no doubt
it has occurred in every high centre of moral and intellectual culture,
although the data for measuring the tendency no longer exist. When we take
a sufficiently wide and intelligent survey, we realize that the tendency
of a community to slacken its natural rate of increase is an essential
phenomenon of all advanced civilization. The more intelligent nations have
manifested the tendency first, and in each nation the more educated
classes have taken the lead, but it is only a matter of time to bring all
civilized nations, and all social classes in each nation, into line.[429]
This movement, we have to remember--in opposition to the ignorant outcry
of certain would-be moralists and politicians--is a beneficent movement.
It means a greater regard to the quality than to the quantity of the
increase; it involves the possibility of combating successfully the evils
of high mortality, disease, overcrowding, and all the manifold misfortunes
which inevitably accompany a too exuberant birthrate. For it is only in a
community which increases slowly that it is possible to secure the
adequate economic adjustment and environmental modifications necessary for
a sane and wholesome civic and personal life.[430] If those persons who
raise the cry of "race suicide" in face of the decline of the birthrate
really had the knowledge and intelligence to realize the manifold evils
which they are invoking they would deserve to be treated as criminals.
On the practical side a knowledge of the possibility of preventing
conception has, doubtless, never been quite extinct in civilization and
even in lower stages of culture, though it has mostly been utilized for
ends of personal convenience or practiced in obedience to conventional
social rules which demanded chastity, and has only of recent times been
made subservient to the larger interests of society and the elevation of
the race. The theoretical basis of the control of procreation, on its
social and economic, as distinct from its eugenic, aspects, may be said to
date from Malthus's famous _Essay on Population_, first published in 1798,
an epoch-marking book,--though its central thesis is not susceptible of
actual demonstration,--since it not only served as the starting-point of
the modern humanitarian movement for the control of procreation, but also
furnished to Darwin (and independently to Wallace also) the fruitful idea
which was finally developed into the great evolutionary theory of natural
selection.
Malthus, however, was very far from suggesting that the control of
procreation, which he advocated for the benefit of mankind, should be
exercised by the introduction of preventive methods into sexual
intercourse. He believed that civilization involved an increased power of
self-control, which would make it possible to refrain altogether from
sexual intercourse, when such self-restraint was demanded in the interests
of humanity. Later thinkers realized, however, that, while it is
undoubtedly true that civilization involves greater forethought and
greater self-control, we cannot anticipate that those qualities should be
developed to the extent demanded by Malthus, especially when the impulse
to be controlled is of so powerful and explosive a nature.
James Mill was the pioneer in advocating Neo-Malthusian methods, though he
spoke cautiously. In 1818, in the article "Colony" in the supplement to
the _Encyclopædia Britannica_, after remarking that the means of checking
the unrestricted increase of the population constitutes "the most
important practical problem to which the wisdom of the politician and
moralist can be applied," he continued: "If the superstitions of the
nursery were discarded, and the principle of utility kept steadily in
view, a solution might not be very difficult to be found." Four years
later, James Mill's friend, the Radical reformer, Francis Place, more
distinctly expressed the thought that was evidently in Mill's mind. After
enumerating the facts concerning the necessity of self-control in
procreation and the evils of early marriage, which he thinks ought to be
clearly taught, Place continues: "If a hundredth, perhaps a thousandth
part of the pains were taken to teach these truths, that are taken to
teach dogmas, a great change for the better might, in no considerable
space of time, be expected to take place in the appearance and the habits
of the people. If, above all, it were once clearly understood that it was
not disreputable for married persons to avail themselves of such
precautionary means as would, without being injurious to health, or
destructive of female delicacy, prevent conception, a sufficient check
might at once be given to the increase of population beyond the means of
subsistence; vice and misery, to a prodigious extent, might be removed
from society, and the object of Mr. Malthus, Mr. Godwin, and of every
philanthropic person, be promoted, by the increase of comfort, of
intelligence, and of moral conduct, in the mass of the population. The
course recommended will, I am fully persuaded, at some period be pursued
by the people even if left to themselves."[431]
It was not long before Place's prophetic words began to be realized, and
in another half century the movement was affecting the birthrate of all
civilized lands, though it can scarcely yet be said that justice has been
done to the pioneers who promoted it in the face of much persecution from
the ignorant and superstitious public whom they sought to benefit. In
1831, Robert Dale Owen, the son of Robert Owen, published his _Moral
Physiology_, setting forth the methods of preventing conception. A little
later the brothers George and Charles Drysdale (born 1825 and 1829), two
ardent and unwearying philanthropists, devoted much of their energy to the
propagation of Neo-Malthusian principles. George Drysdale, in 1854,
published his _Elements of Social Science_, which during many years had
an enormous circulation all over Europe in eight different languages. It
was by no means in every respect a scientific or sound work, but it
certainly had great influence, and it came into the hands of many who
never saw any other work on sexual topics. Although the Neo-Malthusian
propagandists of those days often met with much obloquy, their cause was
triumphantly vindicated in 1876, when Charles Bradlaugh and Mrs. Besant,
having been prosecuted for disseminating Neo-Malthusian pamphlets, the
charge was dismissed, the Lord Chief Justice declaring that so ill-advised
and injudicious a charge had probably never before been made in a court of
justice. This trial, even by its mere publicity and apart from its issue,
gave an enormous impetus to the Neo-Malthusian movement. It is well known
that the steady decline in the English birthrate begun in 1877, the year
following the trial. There could be no more brilliant illustration of the
fact, that what used to be called "the instruments of Providence" are
indeed unconscious instruments in bringing about great ends which they
themselves were far from either intending or desiring.
In 1877, Dr. C.R. Drysdale founded the Malthusian League, and
edited a periodical, _The Malthusian_, aided throughout by his
wife, Dr. Alice Drysdale Vickery. He died in 1907. (The noble and
pioneering work of the Drysdales has not yet been adequately
recognized in their own country; an appreciative and
well-informed article by Dr. Hermann Rohleder, "Dr. C.R.
Drysdale, Der Hauptvortreter der Neumalthusianische Lehre,"
appeared in the _Zeitschrift für Sexualwissenschaft_, March,
1908). There are now societies and periodicals in all civilized
countries for the propagation of Neo-Malthusian principles, as
they are still commonly called, though it would be desirable to
avoid the use of Malthus's name in this connection. In the
medical profession, the advocacy of preventive methods of sexual
intercourse, not on social, but on medical and hygienic grounds,
began same thirty years ago, though in France, at an earlier
date, Raciborski advocated the method of avoiding the
neighborhood of menstruation. In Germany, Dr. Mensinga, the
gynæcologist, is the most prominent advocate, on medical and
hygienic grounds, of what he terms "facultative sterility," which
he first put forward about 1889. In Russia, about the same time,
artificial sterility was first openly advocated by the
distinguished gynæcologist, Professor Ott, at the St. Petersburg
Obstetric and Gynæcological Society. Such medical
recommendations, in particular cases, are now becoming common.
There are certain cases in which a person ought not to marry at
all; this is so, for instance, when there has been an attack of
insanity; it can never be said with certainty that a person who
has had one attack of insanity will not have another, and persons
who have had such attacks ought not, as Blandford says (Lumleian
Lectures on Insanity, _British Medical Journal_, April 20, 1895),
"to inflict on their partner for life, the anxiety, and even
danger, of another attack." There are other and numerous cases in
which marriage may be permitted, or may have already taken place,
under more favorable circumstances, but where it is, or has
become, highly desirable that there should be no children. This
is the case when a first attack of insanity occurs after
marriage, the more urgently if the affected party is the wife,
and especially if the disease takes the form of puerperal mania.
"What can be more lamentable," asks Blandford (loc. cit.), "than
to see a woman break down in childbed, recover, break down again
with the next child, and so on, for six, seven, or eight
children, the recovery between each being less and less, until
she is almost a chronic maniac?" It has been found, moreover, by
Tredgold (_Lancet_, May 17, 1902), that among children born to
insane mothers, the mortality is twice as great as the ordinary
infantile mortality, in even the poorest districts. In cases of
unions between persons with tuberculous antecedents, also, it is
held by many (e.g., by Massalongo, in discussing tuberculosis and
marriage at the Tuberculosis Congress, at Naples, in 1900) that
every precaution should be taken to make the marriage childless.
In a third class of cases, it is necessary to limit the children
to one or two; this happens in some forms of heart disease, in
which pregnancy has a progressively deteriorating effect on the
heart (Kisch, _Therapeutische Monatsheft_, Feb., 1898, and
_Sexual Life of Woman_; Vinay, _Lyon Medical_, Jan. 8, 1889); in
some cases of heart disease, however, it is possible that, though
there is no reason for prohibiting marriage, it is desirable for
a woman not to have any children (J.F. Blacker, "Heart Disease in
Relation to Pregnancy," _British Medical Journal_, May 25, 1907).
In all such cases, the recommendation of preventive methods of
intercourse is obviously an indispensable aid to the physician in
emphasizing the supremacy of hygienic precautions. In the absence
of such methods, he can never be sure that his warnings will be
heard, and even the observance of his advice would be attended
with various undesirable results. It sometimes happens that a
married couple agree, even before marriage, to live together
without sexual relations, but, for various reasons, it is seldom
found possible or convenient to maintain this resolution for a
long period.
It is the recognition of these and similar considerations which has
led--though only within recent years--on the one hand, as we have seen, to
the embodiment of the control of procreation into the practical morality
of all civilized nations, and, on the other hand, to the assertion, now
perhaps without exception, by all medical authorities on matters of sex
that the use of the methods of preventing conception is under certain
circumstances urgently necessary and quite harmless.[432] It arouses a
smile to-day when we find that less than a century ago it was possible for
an able and esteemed medical author to declare that the use of "various
abominable means" to prevent conception is "based upon a most presumptuous
doubt in the conservative power of the Creator."[433]
The adaptation of theory to practice is not yet complete, and we could not
expect that it should be so, for, as we have seen, there is always an
antagonism between practical morality and traditional morality. From time
to time flagrant illustrations of this antagonism occur.[434] Even in
England, which played a pioneering part in the control of procreation,
attempts are still made--sometimes in quarters where we have a right to
expect a better knowledge--to cast discredit on a movement which, since
it has conquered alike scientific approval and popular practice, it is now
idle to call in question.
It would be out of place to discuss here the various methods which are
used for the control of procreation, or their respective merits and
defects. It is sufficient to say that the condom or protective sheath,
which seems to be the most ancient of all methods of preventing
conception, after withdrawal, is now regarded by nearly all authorities
as, when properly used, the safest, the most convenient, and the most
harmless method.[435] This is the opinion of Krafft-Ebing, of Moll, of
Schrenck-Notzing, of Löwenfeld, of Forel, of Kisch, of Fürbringer, to
mention only a few of the most distinguished medical authorities.[436]
There is some interest in attempting to trace the origin and
history of the condom, though it seems impossible to do so with
any precision. It is probable that, in a rudimentary form, such
an appliance is of great antiquity. In China and Japan, it would
appear, rounds of oiled silk paper are used to cover the mouth of
the womb, at all events, by prostitutes. This seems the simplest
and most obvious mechanical method of preventing conception, and
may have suggested the application of a sheath to the penis as a
more effectual method. In Europe, it is in the middle of the
sixteenth century, in Italy, that we first seem to hear of such
appliances, in the shape of linen sheaths, adapted to the shape
of the penis; Fallopius recommended the use of such an appliance.
Improvements in the manufacture were gradually devised; the cæcum
of the lamb was employed, and afterwards, isinglass. It appears
that a considerable improvement in the manufacture took place in
the seventeenth or eighteenth century, and this improvement was
generally associated with England. The appliance thus became
known as the English cape or mantle, the "capote anglaise," or
the "redingote anglaise," and, under the latter name, is referred
to by Casanova, in the middle of the eighteenth century
(Casanova, _Mémoires_, ed. Garnier, vol. iv, p. 464); Casanova
never seems, however, to have used these redingotes himself, not
caring, he said, "to shut myself up in a piece of dead skin in
order to prove that I am perfectly alive." These capotes--then
made of goldbeaters' skin--were, also, it appears, known at an
earlier period to Mme. de Sévigné, who did not regard them with
favor, for, in one of her letters, she refers to them as
"cuirasses contre la volupté et toiles d'arraignée contre le
mal." The name, "condom," dates from the eighteenth century,
first appearing in France, and is generally considered to be that
of an English physician, or surgeon, who invented, or, rather,
improved the appliance. Condom is not, however, an English name,
but there is an English name, Condon, of which "condom" may well
be a corruption. This supposition is strengthened by the fact
that the word sometimes actually was written "condon." Thus, in
lines quoted by Bachaumont, in his _Diary_ (Dec. 15, 1773), and
supposed to be addressed to a former ballet dancer who had become
a prostitute, I find:--
"Du _condon_ cependant, vous connaissez l'usage,
* * * * *
"Le _condon_, c'est la loi, ma fille, et les prophètes!"
The difficulty remains, however, of discovering any Englishman of
the name of Condon, who can plausibly be associated with the
condom; doubtless he took no care to put the matter on record,
never suspecting the fame that would accrue to his invention, or
the immortality that awaited his name. I find no mention of any
Condon in the records of the College of Physicians, and at the
College of Surgeons, also, where, indeed, the old lists are very
imperfect, Mr. Victor Plarr, the librarian, after kindly making a
search, has assured me that there is no record of the name. Other
varying explanations of the name have been offered, with more or
less assurance, though usually without any proofs. Thus, Hyrtl
(_Handbuch der Topographischen Anatomic_, 7th ed., vol. ii, p.
212) states that the condom was originally called gondom, from
the name of the English discoverer, a Cavalier of Charles II's
Court, who first prepared it from the amnion of the sheep; Gondom
is, however, no more an English name than Condom. There happens
to be a French town, in Gascony, called Condom, and Bloch
suggests, without any evidence, that this furnished the name; if
so, however, it is improbable that it would have been unknown in
France. Finally, Hans Ferdy considers that it is derived from
"condus"--that which preserves--and, in accordance with his
theory, he terms the condom a condus.
The early history of the condom is briefly discussed by various
writers, as by Proksch, _Die Vorbauung der Venerischen
Krankheiten_, p. 48; Bloch, _Sexual Life of Our Time_, Chs. XV
and XXVIII; Cabanès, _Indiscretions de l'Histoire_, p. 121, etc.
The control of procreation by the prevention of conception has, we have
seen, become a part of the morality of civilized peoples. There is another
method, not indeed for preventing conception, but for limiting offspring,
which is of much more ancient appearance in the world, though it has at
different times been very differently viewed and still arouses widely
opposing opinions. This is the method of abortion.
While the practice of abortion has by no means, like the practice of
preventing conception, become accepted in civilization, it scarcely
appears to excite profound repulsion in a large proportion of the
population of civilized countries. The majority of women, not excluding
educated and highly moral women, who become pregnant against their wish
contemplate the possibility of procuring abortion without the slightest
twinge of conscience, and often are not even aware of the usual
professional attitude of the Church, the law, and medicine regarding
abortion. Probably all doctors have encountered this fact, and even so
distinguished and correct a medico-legist as Brouardel stated[437] that he
had been not infrequently solicited to procure abortion, for themselves or
their wet-nurses, by ladies who looked on it as a perfectly natural thing,
and had not the least suspicion that the law regarded the deed as a crime.
It is not, therefore, surprising that abortion is exceedingly common in
all civilized and progressive countries. It cannot, indeed, unfortunately,
be said that abortion has been conducted in accordance with eugenic
considerations, nor has it often been so much as advocated from the
eugenic standpoint. But in numerous classes of cases of undesired
pregnancy, occurring in women of character and energy, not accustomed to
submit tamely to conditions they may not have sought, and in any case
consider undesirable, abortion is frequently resorted to. It is usual to
regard the United States as a land in which the practice especially
flourishes, and certainly a land in which the ideal of chastity for
unmarried women, of freedom for married women, of independence for all, is
actively followed cannot fail to be favorable to the practice of abortion.
But the way in which the prevalence of abortion is proclaimed in the
United States is probably in large part due to the honesty of the
Americans in setting forth, and endeavoring to correct, what, rightly or
wrongly, they regard as social defects, and may not indicate any real
pre-eminence in the practice. Comparative statistics are difficult, and it
is certainly true that abortion is extremely common in England, in France,
and in Germany. It is probable that any national differences may be
accounted for by differences in general social habits and ideals. Thus in
Germany, where considerable sexual freedom is permitted to unmarried women
and married women are very domesticated, abortion may be less frequent
than in France where purity is stringently demanded from the young girl,
while the married woman demands freedom for work and for pleasure. But
such national differences, if they exist, are tending to be levelled down,
and charges of criminal abortion are constantly becoming more common in
Germany; though this increase, again, may be merely due to greater zeal in
pursuing the offence.
Brouardel (op. cit., p. 39) quotes the opinion that, in New York,
only one in every thousand abortions is discovered. Dr. J.F.
Scott (_The Sexual Instinct_, Ch. VIII), who is himself strongly
opposed to the practice, considers that in America, the custom of
procuring abortion has to-day reached "such vast proportions as
to be almost beyond belief," while "countless thousands" of cases
are never reported. "It has increased so rapidly in our day and
generation," Scott states, "that it has created surprise and
alarm in the minds of all conscientious persons who are informed
of the extent to which it is carried." (The assumption that those
who approve of abortion are necessarily not "conscientious
persons" is, as we shall see, mistaken.) The change has taken
place since 1840. The Michigan Special Committee on Criminal
Abortion reported in 1881 that, from correspondence with nearly
one hundred physicians, it appeared that there came to the
knowledge of the profession seventeen abortions to every one
hundred pregnancies; to these, the committee believe, may be
added as many more that never came to the physician's knowledge.
The committee further quoted, though without endorsement, the
opinion of a physician who believed that a change is now coming
over public feeling in regard to the abortionist, who is
beginning to be regarded in America as a useful member of
society, and even a benefactor.
In England, also, there appears to have been a marked increase of
abortion during recent years, perhaps specially marked among the
poor and hard-working classes. A writer in the _British Medical
Journal_ (April 9, 1904, p. 865) finds that abortion is
"wholesale and systematic," and gives four cases occurring in his
practice during four months, in which women either attempted to
produce abortion, or requested him to do so; they were married
women, usually with large families, and in delicate health, and
were willing to endure any suffering, if they might be saved from
further child-bearing. Abortion is frequently effected, or
attempted, by taking "Female Pills," which contain small portions
of lead, and are thus liable to produce very serious symptoms,
whether or not they induce abortion. Professor Arthur Hall, of
Sheffield, who has especially studied this use of lead ("The
Increasing Use of Lead as an Abortifacient," _British Medical
Journal_, March 18, 1905), finds that the practice has lately
become very common in the English Midlands, and is gradually, it
appears, widening its circle. It occurs chiefly among married
women with families, belonging to the working class, and it tends
to become specially prevalent during periods of trade depression
(cf. G. Newman, _Infant Mortality_, p. 81). Women of better
social class resort to professional abortionists, and sometimes
go over to Paris.
In France, also, and especially in Paris, there has been a great
increase during recent years in the practice of abortion. (See
e.g., a discussion at the Paris Société de Médecine Légale,
_Archives d'Anthropologie Criminelle_, May, 1907.) Doléris has
shown (_Bulletin de la Société d'Obstétrique_, Feb., 1905) that
in the Paris Maternités the percentage of abortions in
pregnancies doubled between 1898 and 1904, and Doléris estimates
that about half of these abortions were artificially induced. In
France, abortion is mainly carried on by professional
abortionists. One of these, Mme. Thomas, who was condemned to
penal servitude, in 1891, acknowledged performing 10,000
abortions during eight years; her charge for the operation was
two francs and upwards. She was a peasant's daughter, brought up
in the home of her uncle, a doctor, whose medical and obstetrical
books she had devoured (A. Hamon, _La France en 1891_, pp.
629-631). French public opinion is lenient to abortion,
especially to women who perform the operation on themselves; not
many cases are brought into court, and of these, forty per cent.
are acquitted (Eugène Bausset, _L'Avortement Criminel_, Thèse de
Paris, 1907). The professional abortionist is, however, usually
sent to prison.
In Germany, also, abortion appears to have greatly increased
during recent years, and the yearly number of cases of criminal
abortion brought into the courts was, in 1903, more than double
as many as in 1885. (See, also, Elisabeth Zanzinger, _Geschlecht
und Gesellschaft_, Bd. II, Heft 5; and _Sexual-Probleme_, Jan.,
1908, p. 23.)
In view of these facts it is not surprising that the induction of abortion
has been permitted and even encouraged in many civilizations. Its
unqualified condemnation is only found in Christendom, and is due to
theoretical notions. In Turkey, under ordinary circumstances, there is no
punishment for abortion. In the classic civilization of Greece and Rome,
likewise, abortion was permitted though with certain qualifications and
conditions. Plato admitted the mother's right to decide on abortion but
said that the question should be settled as early as possible in
pregnancy. Aristotle, who approved of abortion, was of the same opinion.
Zeno and the Stoics regarded the foetus as the fruit of the womb, the soul
being acquired at birth; this was in accordance with Roman law which
decreed that the foetus only became a human being at birth.[438] Among the
Romans abortion became very common, but, in accordance with the
patriarchal basis of early Roman institutions, it was the father, not the
mother, who had the right to exercise it. Christianity introduced a new
circle of ideas based on the importance of the soul, on its immortality,
and the necessity of baptism as a method of salvation from the results of
inherited sin. We already see this new attitude in St. Augustine who,
discussing whether embryos that died in the womb will rise at the
resurrection, says "I make bold neither to affirm nor to deny, although I
fail to see why, if they are not excluded from the number of the dead,
they should not attain to the resurrection of the dead."[439] The
criminality of abortion was, however, speedily established, and the early
Christian Emperors, in agreement with the Church, edicted many fantastic
and extreme penalties against abortion. This tendency continued under
ecclesiastical influence, unrestrained, until the humanitarian movement of
the eighteenth century, when Beccaria, Voltaire, Rousseau and other great
reformers succeeded in turning the tide of public opinion against the
barbarity of the laws, and the penalty of death for abortion was finally
abolished.[440]
Medical science and practice at the present day--although it can scarcely
be said that it speaks with an absolutely unanimous voice--on the whole
occupies a position midway between that of the classic lawyers and that of
the later Christian ecclesiastics. It is, on the whole, in favor of
sacrificing the foetus whenever the interests of the mother demand such a
sacrifice. General medical opinion is not, however, prepared at present to
go further, and is distinctly disinclined to aid the parents in exerting
an unqualified control over the foetus in the womb, nor is it yet disposed
to practice abortion on eugenic grounds. It is obvious, indeed, that
medicine cannot in this matter take the initiative, for it is the primary
duty of medicine to save life. Society itself must assume the
responsibility of protecting the race.
Dr. S. Macvie ("Mother _versus_ Child," _Transactions Edinburgh
Obstetrical Society_, vol. xxiv, 1899) elaborately discusses the
respective values of the foetus and the adult on the basis of
life-expectancy, and concludes that the foetus is merely
"a parasite performing no function whatever," and that "unless
the life-expectancy of the child covers the years in which its
potentiality is converted into actuality, the relative values of
the maternal and foetal life will be that of actual as against
potential." This statement seems fairly sound. Ballantyne
(_Manual of Antenatal Pathology: The Foetus_, p. 459)
endeavors to make the statement more precise by saying that "the
mother's life has a value, because she is what she is, while the
foetus only has a possible value, on account of what it may
become."
Durlacher, among others, has discussed, in careful and cautious
detail, the various conditions in which the physician should, or
should not, induce abortion in the interests of the mother ("Der
Künstliche Abort," _Wiener Klinik_, Aug. and Sept., 1906); so
also, Eugen Wilhelm ("Die Abtreibung und das Recht des Arztes zur
Vernichtung der Leibesfrucht," _Sexual-Probleme_, May and June,
1909). Wilhelm further discusses whether it is desirable to alter
the laws in order to give the physician greater freedom in
deciding on abortion. He concludes that this is not necessary,
and might even act injuriously, by unduly hampering medical
freedom. Any change in the law should merely be, he considers, in
the direction of asserting that the destruction of the foetus is
not abortion in the legal sense, provided it is indicated by the
rules of medical science. With reference to the timidity of some
medical men in inducing abortion, Wilhelm remarks that, even in
the present state of the law, the physician who conscientiously
effects abortion, in accordance with his best knowledge, even if
mistakenly, may consider himself safe from all legal penalties,
and that he is much more likely to come in conflict with the law
if it can be proved that death followed as a result of his
neglect to induce abortion.
Pinard, who has discussed the right to control the foetal
life (_Annales de Gynécologie_, vols. lii and liii, 1899 and
1900), inspired by his enthusiastic propaganda for the salvation
of infant life, is led to the unwarranted conclusion that no one
has the rights of life and death over the foetus; "the infant's
right to his life is an imprescriptible and sacred right, which
no power can take from him." There is a mistake here, unless
Pinard deliberately desires to place himself, like Tolstoy, in
opposition to current civilized morality. So far from the infant
having any "imprescriptible right to life," even the adult has,
in human societies, no such inalienable right, and very much less
the foetus, which is not strictly a human being at all. We assume
the right of terminating the lives of those individuals whose
anti-social conduct makes them dangerous, and, in war, we
deliberately terminate, amid general applause and enthusiasm, the
lives of men who have been specially selected for this purpose on
account of their physical and general efficiency. It would be
absurdly inconsistent to say that we have no rights over the
lives of creatures that have, as yet, no part in human society at
all, and are not so much as born. We are here in presence of a
vestige of ancient theological dogma, and there can be little
doubt that, on the theoretical side at all events, the
"imprescriptible right" of the embryo will go the same way as the
"imprescriptible right" of the spermatozöon. Both rights are
indeed "imprescriptible."
Of recent years a new, and, it must be admitted, somewhat unexpected,
aspect of this question of abortion has been revealed. Hitherto it has
been a question entirely in the hands of men, first, following the Roman
traditions, in the hands of Christian ecclesiastics, and later, in those
of the professional castes. Yet the question is in reality very largely,
and indeed mainly, a woman's question, and now, more especially in
Germany, it has been actively taken up by women. The Gräfin Gisela
Streitberg occupies the pioneering place in this movement with her book
_Das Recht zur Beiseitigung Keimenden Lebens_, and was speedily followed,
from 1897 onwards, by a number of distinguished women who occupy a
prominent place in the German woman's movement, among others Helene
Stöcker, Oda Olberg, Elisabeth Zanzinger, Camilla Jellinek. All these
writers insist that the foetus is not yet an independent human being, and
that every woman, by virtue of the right over her own body, is entitled to
decide whether it shall become an independent human being. At the Woman's
Congress held in the autumn of 1905, a resolution was passed demanding
that abortion should only be punishable when effected by another person
against the wish of the pregnant women herself.[441] The acceptance of
this resolution by a representative assembly is interesting proof of the
interest now taken by women in the question, and of the strenuous attitude
they are tending to assume.
Elisabeth Zanzinger ("Verbrechen gegen die Leibesfrucht,"
_Geschlecht und Gesellschaft_, Bd. II, Heft 5, 1907) ably and
energetically condemns the law which makes abortion a crime. "A
woman herself is the only legitimate possessor of her own body
and her own health.... Just as it is a woman's private right, and
most intimate concern, to present her virginity as her best gift
to the chosen of her heart, so it is certainly a pregnant woman's
own private concern if, for reasons which seem good to her, she
decides to destroy the results of her action." A woman who
destroys the embryo which might become a burden to the community,
or is likely to be an inferior member of society, this writer
urges, is doing a service to the community, which ought to reward
her, perhaps by granting her special privileges as regards the
upbringing of her other children. Oda Olberg, in a thoughtful
paper ("Ueber den Juristischen Schutz des Keimenden Lebens," _Die
Neue Generation_, June, 1908), endeavors to make clear all that
is involved in the effort to protect the developing embryo
against the organism that carries it, to protect a creature, that
is, against itself and its own instincts. She considers that most
of the women who terminate their pregnancies artificially would
only have produced undesirables, for the normal, healthy, robust
woman has no desire to effect abortion. "There are women who are
psychically sterile, without being physically so, and who possess
nothing of motherhood but the ability to bring forth. These, when
they abort, are simply correcting a failure of Nature." Some of
them, she remarks, by going on to term, become guilty of the far
worse offence of infanticide. As for the women who desire
abortion merely from motives of vanity, or convenience, Oda
Olberg points out that the circles in which these motives rule
are quite able to limit their children without having to resort
to abortion. She concludes that society must protect the young
life in every way, by social hygiene, by laws for the protection
of the workers, by spreading a new morality on the basis of the
laws of heredity. But we need no law to protect the young
creature against its own mother, for a thousand natural forces
are urging the mother to protect her own child, and we may be
sure that she will not disobey these forces without very good
reasons. Camilla Jellinek, again (_Die Strafrechtsreform_, etc.,
Heidelberg, 1909), in a powerful and well-informed address before
the Associated German Frauenvereine, at Breslau, argues in the
same sense.
The lawyers very speedily came to the assistance of the women in
this matter, the more readily, no doubt, since the traditions of
the greatest and most influential body of law already pointed, on
one side at all events, in the same direction. It may, indeed, be
claimed that it was from the side of law--and in Italy, the
classic land of legal reform--that this new movement first begun.
In 1888, Balestrini published, at Turin, his _Aborto,
Infanticidio ed Esposizione d'Infante_, in which he argued that
the penalty should be removed from abortion. It was a very able
and learned book, inspired by large ideas and a humanitarian
spirit, but though its importance is now recognized, it cannot be
said that it attracted much attention on publication.
It is especially in Germany that, during recent years, lawyers
have followed women reformers, by advocating, more or less
completely, the abolition of the punishment for abortion. So
distinguished an authority as Von Liszt, in a private letter to
Camilla Jellinek (op. cit.), states that he regards the
punishment of abortion as "very doubtful," though he considers
its complete abolition impracticable; he thinks abortion might be
permitted during the early months of pregnancy, thus bringing
about a return of the old view. Hans Gross states his opinion
(_Archiv für Kriminal-Anthropologie_, Bd. XII, p. 345) that the
time is not far distant when abortion will no longer be punished.
Radbruch and Von Lilienthal speak in the same sense. Weinberg has
advocated a change in the law (_Mutterschutz_, 1905, Heft 8),
and Kurt Hiller (_Die Neue Generation_, April, 1909), also from
the legal side, argues that abortion should only be punishable
when effected by a married woman, without the knowledge and
consent of her husband.
The medical profession, which took the first step in modern times in the
authorization of abortion, has not at present taken any further step. It
has been content to lay down the principle that when the interests of the
mother are opposed to those of the foetus, it is the latter which must be
sacrificed. It has hesitated to take the further step of placing abortion
on the eugenic basis, and of claiming the right to insist on abortion
whenever the medical and hygienic interests of society demand such a step.
This attitude is perfectly intelligible. Medicine has in the past been
chiefly identified with the saving of lives, even of worthless and worse
than worthless lives; "Keep everything alive! Keep everything alive!"
nervously cried Sir James Paget. Medicine has confined itself to the
humble task of attempting to cure evils, and is only to-day beginning to
undertake the larger and nobler task of preventing them.
"The step from killing the child in the womb to murdering a
person when out of the womb, is a dangerously narrow one," sagely
remarks a recent medical author, probably speaking for many
others, who somehow succeed in blinding themselves to the fact
that this "dangerously narrow step" has been taken by mankind,
only too freely, for thousands of years past, long before
abortion was known in the world.
Here and there, however, medical authors of repute have advocated
the further extension of abortion, with precautions, and under
proper supervision, as an aid to eugenic progress. Thus,
Professor Max Flesch (_Die Neue Generation_, April, 1909) is in
favor of a change in the law permitting abortion (provided it is
carried out by the physician) in special cases, as when the
mother's pregnancy has been due to force, when she has been
abandoned, or when, in the interests of the community, it is
desirable to prevent the propagation of insane, criminal,
alcoholic, or tuberculous persons.
In France, a medical man, Dr. Jean Darricarrère, has written a
remarkable novel, _Le Droit d'Avortement_ (1906), which advocates
the thesis that a woman always possesses a complete right to
abortion, and is the supreme judge as to whether she will or not
undergo the pain and risks of childbirth. The question is, here,
however, obviously placed not on medical, but on humanitarian and
feminist grounds.
We have seen that, alike on the side of practice and of theory, a great
change has taken place during recent years in the attitude towards
abortion. It must, however, clearly be recognized that, unlike the control
of procreation by methods for preventing conception, facultative abortion
has not yet been embodied in our current social morality. If it is
permissible to interpolate a personal opinion, I may say that to me it
seems that our morality is here fairly reasonable.[442] I am decidedly of
opinion that an unrestricted permission for women to practice abortion in
their own interests, or even for communities to practice it in the
interests of the race, would be to reach beyond the stage of civilization
we have at present attained. As Ellen Key very forcibly argues, a
civilization which permits, without protest, the barbarous slaughter of
its carefully selected adults in war has not yet won the right to destroy
deliberately even its most inferior vital products in the womb. A
civilization guilty of so reckless a waste of life cannot safely be
entrusted with this judicial function. The blind and aimless anxiety to
cherish the most hopeless and degraded forms of life, even of unborn life,
may well be a weakness, and since it often leads to incalculable
suffering, even a crime. But as yet there is an impenetrable barrier
against progress in this direction. Before we are entitled to take life
deliberately for the sake of purifying life, we must learn how to preserve
it by abolishing such destructive influences--war, disease, bad industrial
conditions--as are easily within our social power as civilized
nations.[443]
There is, further, another consideration which seems to me to carry
weight. The progress of civilization is in the direction of greater
foresight, of greater prevention, of a diminished need for struggling with
the reckless lack of prevision. The necessity for abortion is precisely
one of those results of reckless action which civilization tends to
diminish. While we may admit that in a sounder state of civilization a few
cases might still occur when the induction of abortion would be desirable,
it seems probable that the number of such cases will decrease rather than
increase. In order to do away with the need for abortion, and to
counteract the propaganda in its favor, our main reliance must be placed,
on the one hand, on increased foresight in the determination of conception
and increased knowledge of the means for preventing conception,[444] and
on the other hand, on a better provision by the State for the care of
pregnant women, married and unmarried alike, and a practical recognition
of the qualified mother's claim on society.[445] There can be little doubt
that, in many a charge of criminal abortion, the real offence lies at the
door of those who have failed to exercise their social and professional
duty of making known the more natural and harmless methods for preventing
conception, or else by their social attitude have made the pregnant
woman's position intolerable. By active social reform in these two
directions, the new movement in favor of abortion may be kept in check,
and it may even be found that by stimulating such reform that movement has
been beneficial.
We have seen that the deliberate restraint of conception has become a part
of our civilized morality, and that the practice and theory of facultative
abortion has gained a footing among us. There remains a third and yet more
radical method of controlling procreation, the method of preventing the
possibility of procreation altogether by the performance of castration or
other slighter operation having a like inhibitory effect on reproduction.
The other two methods only effect a single act of union or its results,
but castration affects all subsequent acts of sexual union and usually
destroys the procreative power permanently.
Castration for various social and other purposes is an ancient and
widespread practice, carried out on men and on animals. There has,
however, been on the whole a certain prejudice against it when applied to
men. Many peoples have attached a very sacred value to the integrity of
the sexual organs. Among some primitive peoples the removal of these
organs has been regarded as a peculiarly ferocious insult, only to be
carried out in moments of great excitement, as after a battle. Medicine
has been opposed to any interference with the sexual organs. The oath
taken by the Greek physicians appears to prohibit castration: "I will not
cut."[446] In modern times a great change has taken place, the castration
of both men and women is commonly performed in diseased conditions; the
same operation is sometimes advocated and occasionally performed in the
hope that it may remove strong and abnormal sexual impulses. And during
recent years castration has been invoked in the cause of negative
eugenics, to a greater extent, indeed, on account of its more radical
character, than either the prevention of conception or abortion.
The movement in favor of castration appears to have begun in the United
States, where various experiments have been made in embodying it in law.
It was first advocated merely as a punishment for criminals, and
especially sexual offenders, by Hammond, Everts, Lydston and others. From
this point of view, however, it seems to be unsatisfactory and perhaps
illegitimate. In many cases castration is no punishment at all, and indeed
a positive benefit. In other cases, when inflicted against the subject's
will, it may produce very disturbing mental effects, leading in already
degenerate or unbalanced persons to insanity, criminality, and anti-social
tendencies generally, much more dangerous than the original state.
Eugenic considerations, which were later brought forward, constitute a
much sounder argument for castration; in this case the castration is
carried out, by no means in order to inflict a barbarous and degrading
punishment, but, with the subject's consent, in order to protect the
community from the risk of useless or mischievous members.
The fact that castration can no longer be properly considered a
punishment, is shown by the possibility of deliberately seeking
the operation simply for the sake of convenience, as a preferable
and most effective substitute for the adoption of preventive
methods in sexual intercourse. I am only at present acquainted
with one case in which this course has been adopted. This subject
is a medical man (of Puritan New England ancestry) with whose
sexual history, which is quite normal, I have been acquainted for
a long time past. His present age is thirty-nine. A few years
since, having a sufficiently large family, he adopted preventive
methods of intercourse. The subsequent events I narrate in his
own words: "The trouble, forethought, etc., rendered necessary by
preventive measures, grew more and more irksome to me as the
years passed by, and finally, I laid the matter before another
physician, and on his assurances, and after mature deliberation
with my wife, was operated on some time since, and rendered
sterile by having the vas deferens on each side exposed through a
slit in the scrotum, then tied in two places with silk and
severed between the ligatures. This was done under cocaine
infiltrative anæsthesia, and was not so extremely painful, though
what pain there was (dragging the cord out through the slit,
etc.) seemed very hard to endure. I was not out of my office a
single day, nor seriously disturbed in any way. In six days all
stitches in the scrotum were removed, and in three weeks I
abandoned the suspensory bandage that had been rendered necessary
by the extreme sensitiveness of the testicles and cord.
"The operation has proved a most complete success in every way.
Sexual functions are _absolutely unaffected in any way
whatsoever_. There is no sense of discomfort or uneasiness in the
sexual tract, and what seems strangest of all to me, is the fact
that the semen, so far as one can judge by ordinary means of
observation, is undiminished in quantity and unchanged in
character. (Of course, the microscope would reveal its fatal
lack.)
"My wife is delighted at having fear banished from our love, and,
taken all in all, it certainly seems as if life would mean more
to us both. Incidentally, the health of both of us seems better
than usual, particularly so in my wife's case, and this she
attributes to a soothing influence that is attained by allowing
the seminal fluid to be deposited in a perfectly normal manner,
and remain in contact with the vaginal secretions until it
naturally passes off.
"This operation being comparatively new, and, as yet, not often
done on others than the insane, criminal, etc., I thought it
might be of interest to you. If I shed even the faintest ray of
light on this greatest of all human problems ... I shall be glad
indeed."
Such a case, with its so far satisfactory issue, certainly
deserves to be placed on record, though it may well be that at
present it will not be widely imitated.
The earliest advocacy of castration, which I have met with as a part of
negative eugenics, for the specific "purpose of prophylaxis as applied to
race improvement and the protection of society," is by Dr. F.E. Daniel, of
Texas, and dates from 1893.[447] Daniel mixed up, however, somewhat
inextricably, castration as a method of purifying the race, a method which
can be carried out with the concurrence of the individual operated on,
with castration as a punishment, to be inflicted for rape, sodomy,
bestiality, pederasty and even habitual masturbation, the method of its
performance, moreover, to be the extremely barbarous and primitive method
of total ablation of the sexual organs. In more recent years somewhat more
equitable, practical, and scientific methods of castration have been
advocated, not involving the removal of the sexual glands or organs, and
not as a punishment, but simply for the sake of protecting the community
and the race from the burden of probably unproductive and possibly
dangerous members. Näcke has, from 1899 onwards, repeatedly urged the
social advantages of this measure.[448] The propagation of the inferior
elements of society, Näcke insists, brings unhappiness into the family and
is a source of great expense to the State. He regards castration as the
only effective method of prevention, and concludes that it is, therefore,
our duty to adopt it, just as we have adopted vaccination, taking care to
secure the consent of the subject himself or his guardian, of the civil
authorities, and, if necessary, of a committee of experts. Professor
Angelo Zuccarelli of Naples has also, from 1899 onwards, emphasized the
importance of castration in the sterilization of the epileptic, the insane
of various classes, the alcoholic, the tuberculous, and instinctive
criminals, the choice of cases for operation to be made by a commission of
experts who would examine school-children, candidates for public
employments, or persons about to marry.[449] This movement rapidly gained
ground, and in 1905 at the annual meeting of Swiss alienists it was
unanimously agreed that the sterilization of the insane is desirable, and
that it is necessary that the question should be legally regulated. It is
in Switzerland, indeed, that the first steps have been taken in Europe to
carry out castration as a measure of social prophylaxis. The sixteenth
yearly report (1907) of the Cantonal asylum at Wil describes four cases of
castration, two in men and two in women, performed--with the permission of
the patients and the civil authorities--for social reasons; both women had
previously had illegitimate children who were a burden on the community,
and all four patients were sexually abnormal; the operation enabled the
patients to be liberated and to work, and the results were considered in
every respect satisfactory to all concerned.[450]
The introduction of castration as a method of negative eugenics
has been facilitated by the use of new methods of performing it
without risk, and without actual removal of the testes or
ovaries. For men, there is the simple method of vasectomy, as
recommended by Näcke and many others. For women, there is the
corresponding, and almost equally simple and harmless method of
Kehrer, by section and ligation of the Fallopian tubes through
the vagina, as recommended by Kisch, or Rose's very similar
procedure, easily carried out in a few minutes by an experienced
hand, as recommended by Zuccarelli.
It has been found that repeated exposure to the X-rays produces
sterility in both sexes, alike in animals and men, and X-ray
workers have to adopt various precautions to avoid suffering from
this effect. It has been suggested that the application of the
X-rays would be a good substitute for castration; it appears that
the effects of the application are only likely to last a few
years, which, in some doubtful cases, might be an advantage. (See
_British Medical Journal_, Aug. 13, 1904; ib., March 11, 1905;
ib., July 6, 1907.)
It is scarcely possible, it seems to me, to view castration as a method of
negative eugenics with great enthusiasm. The recklessness, moreover, with
which it is sometimes proposed to apply it by law--owing no doubt to the
fact that it is not so obviously repulsive as the less radical procedure
of abortion--ought to render us very cautious. We must, too, dismiss the
idea of castration as a punishment; as such it is not merely barbarous but
degrading and is unlikely to have a beneficial effect. As a method of
negative eugenics it should never be carried out except with the subject's
consent. The fact that in some cases it might be necessary to enforce
seclusion in the absence of castration would doubtless be a fact exerting
influence in favor of such consent; but the consent is essential if the
subject of the operation is to be safeguarded from degradation. A man who
has been degraded and embittered by an enforced castration might not be
dangerous to posterity, but might very easily become a dangerous member of
the society in which he actually lived. With due precautions and
safeguards, castration may doubtless play a certain part in the elevation
and improvement of the race.[451]
The methods we have been considering, in so far as they limit the
procreative powers of the less healthy and efficient stocks in a
community, are methods of eugenics. It must not, however, be supposed that
they are the whole of eugenics, or indeed that they are in any way
essential to a eugenic scheme. Eugenics is concerned with the whole of the
agencies which elevate and improve the human breed; abortion and
castration are methods which may be used to this end, but they are not
methods of which everyone approves, nor is it always clear that the ends
they effect would not better be attained by other methods; in any case
they are methods of negative eugenics. There remains the field of positive
eugenics, which is concerned, not with the elimination of the inferior
stocks but with ascertaining which are the superior stocks and with
furthering their procreative power.
While the necessity of refraining from procreation is no longer a bar to
marriage, the question of whether two persons ought to marry each other
still remains in the majority of cases a serious question from the
standpoint of positive as well as of negative eugenics, for the normal
marriage cannot fail to involve children, as, indeed, its chief and most
desirable end. We have to consider not merely what are the stocks or the
individuals that are unfit to breed, but also what are these stocks or
individuals that are most fit to breed, and under what conditions
procreation may best be effected. The present imperfection of our
knowledge on these questions emphasizes the need for care and caution in
approaching their consideration.
It may be fitting, at this point, to refer to the experiment of
the Oneida Community in establishing a system of scientific
propagation, under the guidance of a man whose ability and
distinction as a pioneer are only to-day beginning to be
adequately recognized. John Humphrey Noyes was too far ahead of
his own day to be recognized at his true worth; at the most, he
was regarded as the sagacious and successful founder of a sect,
and his attempts to apply eugenics to life only aroused ridicule
and persecution, so that he was, unfortunately, compelled by
outside pressure to bring a most instructive experiment to a
premature end. His aim and principle are set forth in an _Essay
on Scientific Propagation_, printed some forty years ago, which
discusses problems that are only now beginning to attract the
attention of the practical man, as within the range of social
politics. When Noyes turned his vigorous and practical mind to
the question of eugenics, that question was exclusively in the
hands of scientific men, who felt all the natural timidity of the
scientific man towards the realization of his proposals, and who
were not prepared to depart a hair's breadth from the
conventional customs of their time. The experiment of Noyes, at
Oneida, marked a new stage in the history of eugenics; whatever
might be the value of the experiment--and a first experiment
cannot well be final--with Noyes the questions of eugenics passed
beyond the purely academic stage in which, from the time of
Plato, they had peacefully reposed. "It is becoming clear," Noyes
states at the outset, "that the foundations of scientific society
are to be laid in the scientific propagation of human beings." In
doing this, we must attend to two things: blood (or heredity) and
training; and he puts blood first. In that, he was at one with
the most recent biometrical eugenists of to-day ("the nation has
for years been putting its money on 'Environment,' when
'Heredity' wins in a canter," as Karl Pearson prefers to put it),
and at the same time revealed the breadth of his vision in
comparison with the ordinary social reformer, who, in that day,
was usually a fanatical believer in the influence of training and
surroundings. Noyes sets forth the position of Darwin on the
principles of breeding, and the step beyond Darwin, which had
been taken by Galton. He then remarks that, when Galton comes to
the point where it is necessary to advance from theory to the
duties the theory suggests, he "subsides into the meekest
conservatism." (It must be remembered that this was written at an
early stage in Galton's work.) This conclusion was entirely
opposed to Noyes' practical and religious temperament. "Duty is
plain; we say we ought to do it--we want to do it; but we cannot.
The law of God urges us on; but the law of society holds us back.
The boldest course is the safest. Let us take an honest and
steady look at the law. It is only in the timidity of ignorance
that the duty seems impracticable." Noyes anticipated Galton in
regarding eugenics as a matter of religion.
Noyes proposed to term the work of modern science in propagation
"Stirpiculture," in which he has sometimes been followed by
others. He considered that it is the business of the
stirpiculturist to keep in view both quantity and quality of
stocks, and he held that, without diminishing quantity, it was
possible to raise the quality by exercising a very stringent
discrimination in selecting males. At this point, Noyes has been
supported in recent years by Karl Pearson and others, who have
shown that only a relatively small portion of a population is
needed to produce the next generation, and that, in fact, twelve
per cent. of one generation in man produces fifty per cent. of
the next generation. What we need to ensure is that this small
reproducing section of the population shall be the best adapted
for the purpose. "The _quantity_ of production will be in direct
proportion to the number of fertile females," as Noyes saw the
question, "and the _value_ produced, so far as it depends on
selection, will be nearly in inverse proportion to the number of
fertilizing males." In this matter, Noyes anticipated Ehrenfels.
The two principles to be held in mind were, "Breed from the
best," and "Breed in-and-in," with a cautious and occasional
Reading Tips
Use arrow keys to navigate
Press 'N' for next chapter
Press 'P' for previous chapter