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432 pages, Paperback
First published January 1, 1976
It is almost as if we had come full circle back to the days of “scientific motherhood,� when experts joined mothers to manufacture upright citizens out of unruly infants. But things never quite repeat themselves. Five decades of historical twists and turns—in the political atmosphere, the economy, and in the content of science—had warped the old mother-child expertWell, by now, women had had enough of masochistic motherhood. In the early sixties, the "single girl" burst out on the scene, who cared a hoot for marriage, domesticity or motherhood. She was just out to enjoy herself. Experts came in once again, riding on the wings of consumer society, to serve as pop psychologists of the singles culture. Permissiveness was taken up as a programme of universal liberation. Everyone was entitled, and the maximisation of personal pleasure was made an end in itself.
triangle beyond all recognition. For one thing the experts had lost status. They had quarreled too often, and they had changed their minds too often in the memory of living women. First there was industrial-style behaviorism, then permissiveness, and finally the reaction against it in the fifties and sixties. “Science,� applied to child raising, began to look like a chameleon which could match any national mood or corporate need.
Psychological ideology had swung 180 degrees from the neo-Freudian theories of libidinal motherhood and female masochism. From being the only source of fulfillment in a woman’s life children had become an obstacle to her freedom. From being a symbolic act of submission, sex had become a pleasurable commodity that women as well as men had a right to demand. But if the rules imposed by the old domestic ideology had denied women any future other than service to the family, the new psychology seemed to deny human bonds altogether—for women or for men. Pop psychology, which had begun with the effusive evocation of universal joy, ended up with the grim “realism� of the lifeboat strategy: not everyone can get on board, so survival depends on learning how to fight it out on the way to “getting yours.� Despite their radical break with the old domestic ideology, the experts of marketplace psychology ended up promoting an ideal of women’s nature that was no less distorted and limiting than the ideal that had once been advanced by nineteenth-century gynecology.With the coming of the women's liberation movement in the seventies, the whole concept of gender identity was challenged. Women simply refused to be what society wanted them to be: they defiantly declared that they are what they are. Of course, it is only a beginning. Women's problems after centuries of subjugation are not to be solved overnight; but the courage to take off the mask and look at the real face beneath is indeed the first bold step.
The wider and freer a men’s [sic] general education the better practitioner he is likely to be, particularly among the higher classes to whom the reassurance and sympathy of a cultured gentleman of the type of Eryximachus [an aristocratic Greek doctor], may mean much more than pills or potions.
So if science was culture, and culture was really class, then, in the end, it was class that healed. Or rather, it was the combination of upper class and male superiority that gave medicine its essential authority. With a patriarchal self-confidence that had almost no further need for instruments, techniques, or medications, Osler wrote:If a poor lass, paralyzed apparently, helpless, bed-ridden for years, comes to me, having worn out in mind, body, and estate a devoted family; if she in a few weeks or less by faith in me, and faith alone, takes up her bed and walks, the saints of old could not have done more....
Now at least the medical profession had arrived at a method of faith-healing potent enough to compare with woman’s traditional healing—but one which was decisively masculine. It did not require a nurturant attitude, nor long hours by the patient’s bedside. In fact, with the new style of healing, the less time a doctor spends with a patient, and the fewer questions he permits, the greater his powers would seem to be.
the theories which guided the doctor’s practice from the last nineteenth to the early twentieth century held that woman’s normal state was to be sick. This was not advanced as an empirical observation, but as physiological fact. Medicine had “discovered� that female functions were inherently pathological. Menstruation, that perennial source of alarm to the male imagination, provided both the evidence and the explanation. Menstruation was a serious threat throughout life—so was the lack of it.
The idea that women were masochistic seemed to solve everything. Woman's lot, from a masculinist point of view, consisted of menial labor and sexual humiliation. But as a masochist, these were precisely the things that she liked and needed. (The explanation of "mascochism" is so convenient and totalistic that we can only wonder why the psychomedical didn't think to extend it to other groups, like the poor and racial minorities.) But at the same time, the idea of female masochism signaled the mounting bankruptcy of sexual romanticist theory. Once, women had been lured into domesticity with promises of intellectual challenge, activity, and power over the household and children. No one had argued, in the early-twentieth-century mothers' movement or domestic science movement, that women had to resign themselves to motherhood, that they had to give up anything. Energy, intelligence, and ambition were precisely the character traits that the scientific mother needed to run her household and raise her children. To say now, at mid-century, that it was not energy, but passivity, that held a woman to her home, not ambition, but resignation, not enjoyment, but pain—was to say that from a masculinist point of view that the female role was unthinkable, and that those who fit into it were in some sense insane. The theory of female masochism stood as an admission from the psychomedical experts that the feminine ideal they had helped construct was not only difficult to achieve, but probably impossible.