Tag: birth

  • THE FETICH OF THE BIRTH-RATE

    THE FETICH OF THE BIRTH-RATE

    To the student of the progress of the human race the consideration of the state of public opinion regarding the Birth-rate of nations is of great interest. To the careful observer there is evident the gradual evolution of intelligent public opinion on this subject even in the comparatively short space of time in which the present generation has played its part on the great stage of human development.

    Public opinion on this subject during the period named may be said to have passed through three general stages. These stages are, of course, more clearly defined among the peoples of the most prosperous and intelligent countries, as for instance, in Western Europe and America, and particularly in England, France, and the United States. While the peoples of certain of these countries have passed through these stages somewhat more rapidly than have others, still it is perceived that each of these peoples have in the main followed the same general course.

    The first stage of this evolution of popular opinion may be said to have been begun about 1850, and to have ended about 1880. In this stage the ideal of a large and rapidly increasing birth-rate became a popular fetich before which all men and women were supposed to fall down and render worship. In this period public opinion manifested great satisfaction and joy in the evidences of a high and rapidly increasing birth-rate. It was held that this increasing birth-rate tended toward the success and glory of the particular nation, and incidentally to the race as a whole. The idea of Quantity was elevated to the throne of public favor, and the question of Quality was ignored or overlooked.

    This period was one of an unusual expansion of industry, and the rising birth-rate was regarded as a token that the world was destined to be exploited and eventually governed by the people of those nations who were able to demonstrate the greatest efficiency in industrial pursuits, and who at the same time were wise enough to increase their respective populations by an increasing birth-rate. The populace were excited by the idea of the dominance and prosperity of their own countrymen, while the leaders of industry were delighted with the idea of an increasing supply of laborers which would tend to keep down the rate of wages which otherwise would have reached proportions which would have interfered with competition with other countries. At the same time, the militarists were secretly delighted by the signs of an increasing supply of military material with which to build up gigantic armies.

    A writer on the state of public opinion on this subject during this period has well said: “It seemed to the more exuberant spirits that a vast British Empire, or a mighty Pan-German, might be expected to cover the whole world. France, with its low and falling birth-rate, was looked down at with a contempt as a decadent country inhabited with a degenerate population. No attempt to analyze the birth-rate, to ascertain what are really the biological, social, and economic accompaniments of a high birth-rate, made any impression on the popular mind. They were drowned in a general shout of exultation.”

    But this period of uncritical optimism was followed by a natural reaction. The pendulum stopped in its course, and soon began to swing in the opposite direction. Here, about 1880, the second stage may be said to have begun. Public opinion began to manifest a subtle change, and this mental attitude was accompanied by a physical manifestation in the form of a decreasing birth-rate. The rate of births began to fall rapidly, and has continued to fall steadily since that time.

    The writer above quoted from says of this second period: “In France the birth-rate fell slowly, in Italy more rapidly, and in England and Prussia still more rapidly. As, however, the fall began earliest in France, the birth-rate was lower there than in the other countries named. For the same reason it was lower in England than in Prussia, although England stands in this respect at almost exactly the same distance from Prussia today (1917) as thirty years ago, the fall having occurred at the same rate in both countries. It is quite possible that in the future it may become more rapid in Prussia than in England, for the birth-rate of Berlin is lower than the birth-rate of London, and urbanization is proceeding at a more rapid rate in Germany than in England.”

    It is not difficult to arrive at the psychological reason underlying this great change in public opinion, as manifested in this second stage. In the first place, the wonderful era of world-expansion was arrested, by natural causes well understood by students of sociology. The ambitious dreams of world-empires were rudely interrupted. Moreover, public opinion was being affected by a quiet education along the lines of sociology and economics.

    The working classes began to perceive, on the one hand, the tendency of overpopulation to hold down, or even decrease, the scale of wages. The evils of over-production, and of under-consumption were dimly perceived. And, on the other hand, the capitalists began to perceive that another factor was at work—one which they had failed to include in their optimistic calculations. Instead of the cheaper wage rate which they had expected by reason of the over-abundance of human material, they found that the growth of popular education in the democratic countries had caused the working classes to demand greater comforts of life, and to oppose the cheapening of human labor. And at the same time, the masses began to revolt against the idea of raising children to become “cannon fodder” for ambitious autocratic rulers. The masses began to protest against selling their labor and their lives so cheaply.

    These changed viewpoints of the working classes began to result in attempts on their part to form associations to resist the tendency on the part of capitalists to force down the scale of wages to fit the increased population. Trade unions flourished and became powerful, and the same impulse carried many into the ranks of socialism, and still beyond into the fold of anarchism and syndicalism. And, here note this significant fact, with these new perceptions and these new movements among the masses, the birth-rate began to fall rapidly.

    The writer above quoted from says of this period: “The pessimists were faced by horrors on both sides. On the one hand, they saw that the ever-increasing rate of human production which seemed to them the essential condition of national, social, even moral progress, had not only stopped but was steadily diminishing. On the other hand, they saw that, even so far as it was maintained, it involved, under modern conditions, nothing but social commotion and economic disturbance. There are still many pessimists of this class alive among us even today, alike in England and Germany, but a new generation is growing up, and this question is now entering another phase.”

    It would seem that the race is now well started in the third period, phase, or stage of this conception of the birth-rate. Even the Great War is not likely to seriouslyinterrupt its ultimate progress, though conditions in all civilized countries will unquestionably be disturbed by the unusual conditions now prevailing and caused by the great conflict. The spirit of this third stage seems to be that the Truth is to be found between the two extremes, viz.: (1) the extreme of passive optimism of the first stage; and (2) the extreme of passive pessimism of the second stage. It realizes that there is excellent ground for hope in better things; but it equally realizes that hope alone is vain, and will accomplish nothing unless it is accompanied with and directed by a clear intellectual vision manifested in individual and social action based on that clear intellectual vision.

    The writer above quoted from says of this developing period: “It is today beginning to be seen that the old notion of progress by means of reckless multiplication is vain. It can only be effected at a ruinous cost of death, disease, poverty, and misery. We see this in the past history of Western Europe, as we still see it in the history of Russia. Any progress effected along that line—if ‘progress’ it can be called—is now barred, for it is utterly opposed to those democratic conceptions which are ever gaining greater influence among us. Moreover, we are now better able to analyze demographic phenomena, and are no longer satisfied with any crude statements regarding the birth-rate. We realize that they need interpretation. They have to be considered in relation to the sex-constitution and the age-constitution of the population, and above all, they must be viewed in relation to the infant mortality rate.

    “The bad aspect of the French birth-rate is not so much its lowness as that it is accompanied by a high infantile mortality. The fact that the German birth-rate is higher than the English ceases to be a matter of satisfaction when it is realized that German infantile mortality is vastly greater than English. A high birth-rate is no sign of a high civilization. But we are beginning to feel that a high infantile death-rate is a sign of a very inferior civilization. A low birth-rate with a low infant death-rate not only produces the same increase in population as a high birth-rate with a high death-rate, which always accompanies it (for there are no examples of a high birth-rate with a low death-rate), but it produces it in a way which is far more worthy of our admiration in this matter than the way of Russia and China where opposite conditions prevail.”

    The evolutionary process which all students of sociology clearly perceive to have been underway in the matter of the attitude of public opinion toward the birth-rate, and which is now underway with increased impetus, is perceived to be a natural process. It is a natural process which has been underway from the beginning of the living world. For a long time it operated and manifested along unconscious and instinctive lines of activity, but now it has emerged into the light of human consciousness and manifests along the lines of conscious, voluntary, and deliberate human action.

    In its present state of evolutionary progress human thought along these lines has found expression in what is generally known as “Birth Control.” The process which has been working slowly through the ages, attaining every new forward step with waste and pain, is henceforth destined to be carried out voluntarily, in the light of human reason, foresight, and self-restraint. The rise of Birth Control may be said to correspond with the rise of social and sanitary science in the first half of the nineteenth century, and to be indeed an essential part of that movement.

    The new doctrine of Birth Control is now firmly established in all the most progressive and enlightened countries of Europe, notably in France and England; in Germany, where formerly the birth-rate was very high, Birth Control has developed with extraordinary rapidity during the present century. In Holland its principles and practice are freely taught by physicians and nurses to the mothers of the people, with the result that there is in Holland no longer any necessity for unwanted babies, and this small country possesses the proud privilege of the lowest death-rate in Europe.

    In the free and enlightened Democratic communities on the other side of the globe, in Australia and New Zealand, the same principles and practice are generally accepted, with the same beneficent results. On the other hand, in the more backward and ignorant countries of Europe, Birth Control is still little known, and death and disease flourish. This is the case in those eight European countries which come at the bottom of the list of the Birth Control scale, and in which the birth-rate is the highest and the death-rate the heaviest—the two rates maintaining such a constant correspondence as to lead to the inevitable conclusion that they are associated as cause and effect.

    But even in the more progressive countries Birth Control has not been established without a struggle, which has frequently ended in a hypocritical compromise, its principles being publicly ignored or denied and its practice privately accepted. For, at the great and vitally important point in human progress which Birth-Control represents, we see really the conflict of two moralities. The morality of the ancient world is here confronted by the morality of the new world.

    The old morality, knowing nothing of science and the process of Nature as worked out in the evolution of life, contented itself with assuming as a basis the early chapters of Genesis in which the children of Noah are represented as entering an empty earth which it is their business to populate diligently. So it came about that for this morality, still innocent of eugenics, recklessness was almost a virtue. Children were held to be given by God; if they died or were afflicted by congenital disease, it was the dispensation of God, and, whatever imprudence the parents might commit, the pathetic faith still ruled that “God will provide.”

    But in the new morality it is realized that in these matters Divine action can only be made manifest in human action, that is to say through the operation of our own enlightened reason and resolved will. Prudence, foresight, self-restraint—virtues which old morality looked down upon with benevolent contempt—assume a position of first importance. In the eyes of the new morality the ideal woman is no longer the meek drudge condemned to endless and often ineffectual child-bearing, but the free and instructed woman, able to look before and after, trained in a sense of responsibility alike to herself and to the race, and determined to have no children but the best.

    Such were the two moralities which came into conflict during the nineteenth century. They are irreconcilable and each firmly rooted, one in ancient religion and tradition, the other in progressive science and reason. Nothing was possible in such a clash of opposing ideas but a feeble and confused compromise such as we find still prevailing in various countries of Old Europe. This is not a satisfactory solution, however inevitable, and is especially unsatisfactory by the consequent obscurantism which placed difficulties in the way of spreading a knowledge of the methods of Birth Control among the masses of the population. For the result has been that while the more enlightened and educated have exercised a control over the size of their families, the poorer and more ignorant—those who should have been offered every facility and encouragement to follow in the same path—have been left, through a conspiracy of silence, to carry on helplessly the bad customs of their forefathers. This social neglect has had the result that the superior family stocks have been tampered by the recklessness of the inferior stocks.

    In America, we find the two moralities in active conflict today. Until recently America has meekly accepted at the hand of Old Europe the traditional prescription. On the surface, the ancient morality had been complacently, almost unquestionably, accepted in America, even to the extent of tacitly permitting the existence of a vast extension of abortion, under the surface of society— a criminal practice which ever flourishes where Birth Control is neglected.

    But today, a new movement is perceptible in America. It would seem that, almost in a flash, America has awakened to the true significance of the issue. With that direct vision of hers, that swift practicality of action, and above all, that sense of the democratic nature of all social progress, we see her resolutely beginning to face this great problem. In her vigorous tongue she is demanding “What is all this secrecy about, anyway? Let us turn on the Light!” And the best authorities agree that America’s answer to the demand will be of the greatest importance, and of immense significance to the whole world.

    In concluding this portion of our discussion, I ask my readers to consider the following quotations from writers who have touched upon the question of the stimulation of the birth-rate by the State, for the purpose of military policy. These quotations speak for themselves, and need but little comment.

    The first authority, a German, whose name has escaped me for the moment, laments the falling birth-rate in his country, and urges his own nation to stimulate it by offering bounties; he says: “Woe to us if we follow the example of the wicked and degenerate people of other nations. Our nation needs men. We have to populate the earth, and to carry the blessings of our Kultur all over the world. In executing that high mission we cannot have too much human material in defending ourselves against the aggression of other nations who are jealous of us and our achievements and progress. Let us promote parentage by law; let us repress by law every influence which may encourage a falling birth-rate; otherwise there is nothing left us but speedy national disaster, complete and irremediable.”

    Havelock Ellis, an Englishman, says: “In Germany for years past it has been difficult to take up a serious periodical without finding some anxiously statistical article about the falling birth-rate, and some wild recommendations for its arrest. For it is the militaristic German who of all Europeans is most worried by this fall; indeed Germans often even refuse to recognize it. Thus today we find Professor Gruber declaring that if the population of the German Empire continues to grow at the rate of the first five years of the present century, it will have reached 250,000,000 at the end of the century. By such a vast increase in population, the Professor complacently concludes, ‘Germany will be rendered invulnerable.’ But Gruber’s estimate is entirely fallacious. German births have fallen, roughly speaking, about 1 per 1,000 of the population, every year since the beginning of the century, and it would be equally reasonable to estimate that if they continue to fall at the present rate (which we cannot, of course, anticipate) births will altogether have ceased in Germany before the end of the century. The German birth-rate reached its climax forty years ago (1871-1880) with 40.7 per 1,000; in 1906 it was 34 per 1,000; in 1909 it was 31 per 1,000; in 1912 it was 28 per 1,000; in an almost measurable period of time, in all probability before the end of the century, it will have reached the same low level as that of France, when there will be but little difference between the ‘invulnerability’ of France and of Germany, a consummation which, for the world’s sake, is far more devoutly to be wished than that anticipated by Gruber.”

    Writers of Teutonic sympathies have asserted that the aggressive attitude of Germany at the beginning of the Great War was to be legitimately explained and apologized for on the ground that the War was the inevitable expansive outcome of the abnormally high birth-rate of Germany in recent times. Dr. Dernburg, the German statesman, said not very long ago: “The expansion of the German nation has been so extraordinary during the past twenty-five years that the conditions existing before the war had become insupportable.” Another writer has said: “Of later years there has arisen a movement among German women for bringing abortion into honor and repute, so that it may be carried out openly and with the aid of the best physicians. This movement has been supported by lawyers and social reformers of high position.”

    Thus, it would seem that a birth-rate stimulated by unusual circumstances or by deliberate State encouragement, seemingly draws upon it the operation of natural laws which tend to increase its death-rate by War, as well as by an increased number of abortions, and an increased death-rate. It would seem as natural laws operate to bring down the population to normal by war if the other factors do not operate sufficiently rapidly and efficiently.

    Havelock Ellis makes the following interesting statement: “If we survey the belligerent nations in the war we may say that those who took the initiative in drawing it on, or at all events were most prepared to welcome it, were Germany, Austria, Serbia, and Russia—all nations with a high birth-rate, and in which the fall of the birth-rate has not yet had time to permeate. On the other hand, of the belligerent peoples of today, all indications point to the French as the people most intolerant, silently but deeply, of the war they are so ably and heroically waging. Yet the France of the present, with the lowest birth-rate, was a century ago the France of a birth-rate higher than that of Germany today, and at that time the most militarist and aggressive of nations, a perpetual menace to Europe.”

    Finally, let us quote Havelock Ellis once more; he says: “When we realize these facts we are also enabled to realize how futile, how misplaced and how mischievous it is to raise the cry of ‘Race Suicide.’ It is futile because no outcry can affect a world-wide movement of civilization. It is misplaced because the rise and fall of the population is not a matter of birth-rate alone, but of the birth-rate combined with the death-rate, and while we cannot expect to touch the former we can influence the latter. It is mischievous because by fighting against a tendency which is not only inevitable but altogether beneficial, we blind ourselves to the advance of civilization and risk the misdirection of our energies. How far this blindness may be carried we see in the false patriotism of those who in the decline of the birth-rate, fancy they see the ruin of their own particular country, oblivious of the fact that we are concerned with a phenomenon of world-wide extension. The whole tendency of civilization is to reduce the birth-rate. We may go further, and assert with the distinguished German economist, Roscher, that the chief cause of the superiority of a highly civilized state over lower stages of civilization is precisely a greater degree of forethought and self-control in marriage and child-bearing. Instead of talking about Race Suicide, we should do well to observe at what an appalling rate, even yet, the population is increasing; and we should note that it is everywhere the poorest and most primitive countries, and in every country (as in Germany) the poorest regions, which show the highest birth-rate.”

    The same authority says: “One last resort the would-be patriotic alarmist seeks when all others fail. He is good enough to admit that a general decline in the birth-rate might be beneficial. But, he points out, it affects social classes unequally. It is initiated, not by the degenerate and unfit, with whom we could well dispense, but by the very best classes in the community, the well-to-do and the educated. One is inclined to remark, at once, that a social change initiated by its best social class is scarcely likely to be pernicious. Where, it may be asked, if not among the most educated classes, is any process of amelioration to be initiated? We cannot make the world topsy-turvy to suit the convenience of topsy-turvy minds. All social movements tend to begin at the top and to permeate downwards. This has been the case with the decline of the birth-rate, but it is already well marked among the working classes, and has only failed to touch the lowest stratum of all, too weak-minded and too reckless to be amenable to ordinary social motives. The rational method of meeting this situation is not a propaganda in favor of procreation—a truly imbecile propaganda, since it is only carried out and only likely to be carried out, by the very class which we wish to sterilize—but rather by a wise policy of regulative eugenics. We have to create the motives, and it is not an impossible task, which will act even upon the weak-minded and reckless lowest social stratum.”

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • WHAT BIRTH CONTROL IS, AND IS NOT

    WHAT BIRTH CONTROL IS, AND IS NOT

    The student of the progress of human affairs, or even the average person whose knowledge of the doings of mankind is derived from a hasty and casual reading of the daily newspapers and the popular magazines, cannot plead ignorance of the growing interest in the general subject which is embraced within the content of the term “Birth Control.”

    But while the general meaning of the term is at least vaguely grasped by the average member of the human crowd—the individual to whom we refer as “the man on the street”—we find a startling condition of mental confusion and often positive misconception concerning the essence and spirit of the general idea expressed by the term in question.

    While the fact is a reflection upon the average intelligence of the general public, it must be admitted that to the average person, or “the man on the street,” Birth Control means simply the teaching and practice of certain methods whereby men and women may indulge their sexual appetites, in or out of marriage, without incurring the liability or risk of conception and child-bearing. The average person does not stop to consider that such teachings and practices do not constitute “Birth Control” at all, but are, rather, merely the theory and practice of Birth Prevention, desirable only to those who seek sexual indulgences without being called upon to shoulder the responsibilities attached by Nature to the physical sexual union of men and women.

    The term “control” does not mean “prohibition,” or “prevention”; but, on the contrary, means “governing, regulating, or managing influence.” Birth Control, in the true meaning of the term, does not mean the prevention or prohibition of the birth of children, but rather the encouragement of the birth of children under the best possible conditions and the discouragement of the birth of children under improper or unfavorable conditions.

    Birth Control, in the true meaning of the term, does not mean theories and practices which would tend to reduce the population of the civilized countries of the world, but rather theories and practice which would inevitably result in the production of an adequate ratio of increase in the population of such countries, not only by reason of a normal birth-rate, but also by reason of a diminishing death-rate among infants—by the production of healthier children, accompanied by the raising of the standard of the average child born in such countries.

    Birth Control, in the true meaning of the term, therefore, is seen to consist not of the prohibition or prevention of human offspring, but rather of the governing, regulating, and managing of the production of human offspring, under the inspiration of the highest ideals and under the direction of the highest reason, for the purpose of the advancement and welfare of the race and that of the individuals composing the race. Instead of being an anti-social and anti-moral propaganda, Birth Control when rightly understood is perceived to be in accordance with the highest social aims and aspirations, and in accordance with the highest and purest morality of the race.

    Much of the opposition toward the general movement of Birth Control which has been manifested by many well-meaning, though misinformed, persons, has arisen by reason of the erroneous conception and understanding of the term itself, and of misleading information concerning the true nature of the best teachings on the subject. This prejudice has been heightened by certain zealous but ill-balanced advocates of the general movement who have overemphasized the incidental feature of the limitation of offspring under certain conditions, and who have appealed to the attention and interest merely of those who wished to escape the responsibilities of parenthood. This has caused much sorrow and distress to the many persons who have the highest ideals and results in view, and who deplore this unbalanced propaganda under the name, and apparently under the cloak of the general movement. Such persons have felt inclined to cry aloud “Good Lord, deliver us from our so-called friends!”

    One of the most distressing features of the popular prejudice against Birth Control, arising from a total misconception of the subject, has been the widely spread and popularly accepted notion that Birth Control is practically analogous to abortion—or, at the best, but a more refined and less repulsive and less dangerous form of abortion. In view of the fact that one of the important results sought to be obtained by a scientific knowledge of Birth Control actually is the prevention and avoidance of the crime of abortion which has wrought such terrible havoc among the women of civilized countries, it is most distressing and discouraging to the conscientious and high-minded advocates of Birth Control to have it said and believed that their teachings encourage and justify abortion.

    A reference to any standard dictionary or textbook will reveal the fact that “Abortion” means: “the premature expulsion of the human embryo or foetus; miscarriage voluntarily induced or produced,” etc. It is seen at a glance that the essence and meaning of abortion consists in the destruction of the human embryo which has resulted from conception. The embryo human child must already exist in its elemental form, before it can be destroyed by abortion. Therefore, if no such embryo form exists, it cannot be destroyed, and therefore there can be no abortion in such a case. And, it may positively be stated, no true advocate of Birth Control can possibly justify, much less advocate, the destruction of the human embryo or foetus, which act constitutes abortion. The difference between true Birth Control teachings and methods, and that of the advocates of abortion, is as great as the difference between the two poles. Instead of the two being identical or similar, they are diametrically opposed one to the other—they are logical “opposites,” each the antithesis of the other.

    Even in those forms or phases of the Birth Control propaganda in which the use of “contraceptives,” or “preventatives” is considered justified in certain cases—and these forms and phases are far from being the most important, as all students of the subject know—even in these exceptional forms and phases of the general subject the idea of abortion is combatted, and never justified or encouraged. A “contraceptive” agency merely tends to prevent or obviate undesirable conception; it never acts to destroy the result of previous and accomplished conception. A “contraceptive” merely prevents the union of the male and female elements of reproduction, and consequently the process from which evolves the foetus or embryo. A leading medical authority has said regarding this distinction: “In inducing abortion, one destroys something already formed—a foetus or an embryo, a fertilized ovum, a potential human being. In prevention, however, one merely prevents chemically or mechanically the spermatozoa from coming in contact with the ovum. There is no greater sin or crime in this than there is in simple abstinence, in refraining from sexual intercourse.”

    What then must we say when we consider the higher and more advanced forms and phases of Birth Control, those phases and forms which may be said to be mental or emotional “contraceptives,” rather than physical? Surely these cannot be considered as identical with or similar to abortion. And when we consider those phases and forms of Birth Control which are concerned with Pre-Natal Culture—the culture of the child before its birth—can one, even though he be intensely prejudiced against Birth Control, assert that there is to be found here anything which in any way whatsoever can be considered as relating to the theory or practice of abortion? And what must we say of the still higher phases in which the teachings are concerned with the mental and physical preparation of the parents prior to the conception of the child, to the end that the child may have the best possible physiological and psychological basis for its future well-being? Is not this the very antithesis and opposite of all that concerns abortion or abortive methods?

    The trouble about all great movements designed for the benefit of the human race is that at the beginning there is attracted to the movement, by reason of its novelty and “newness,” certain elements which seize upon certain incidental features of the general idea, make them their own while excluding or ignoring the more important things, and then exploit these incidental features in a sensational way, thereby attracting public attention and gaining much undesirable notoriety, and as a consequence bringing discredit and disfavor, prejudice and misunderstanding, to the general movement.

    Birth Control has passed through this apparently inevitable experience, and has suffered greatly thereby. But the Light is being thrown on the Dark Places, and the more intelligent portion of the public is beginning to realize that there is another side to the shield of Birth Control. And, as a consequence, much of the original prejudice is disappearing, and a new understanding of the subject is arising in the minds of many of the best individuals of the race. It is the purpose of this book to help to dispel the ignorance and misconception concerning this great subject of Birth Control, and to aid in presenting the higher and nobler aspects of the general movement to the attention of those who are concerned with the advance and progress of the race as a whole, and of the individual members thereof.

    The student of the subject of Birth Control will fall into grievous error if he begins his consideration of the subject under the impression that the questions concerned therein are new to the world of living things. If the process of Birth Control were something which had suddenly sprung into existence in the consciousness of man, without having an antecedent activity in the history of the race, and of living creatures in general, we might well hesitate to go further in the matter without the most serious and prolonged consideration of the entire principle by the careful thought of the wisest of the race. But while such consideration is advisable, as in the case of any and all important problems presenting themselves for solution and judgment, it is found that those so considering the subject have a sound and firm foundation upon which to base their thought and to test their conclusions.

    As many thoughtful students of the subject have pointed out to us, the question of Birth Control has been with the race practically since the beginning of human history; and it has its correspondences in the instinctive actions of the lower forms of life. The chief difference is that we are now seeking to deal with these problems consciously, voluntarily, and deliberately, whereas in the past the race has dealt with them more or less unconsciously, by methods of trial and error, through perpetual experiment which has often proved costly but which has all the more clearly brought out the real course of natural processes.

    We cannot hope to solve problems so ancient and so deeply rooted as these by merely the rational methods of yesterday and today. To be of value our rational methods must be the revelation in deliberate consciousness of unconscious methods which go far back into the remote past. Our deliberate methods will not be sound except in so far as they are a continuation of those methods which, in the slow evolution of life, have been found sound and progressive on the plane of instinct. This is particularly true in the case of those among us who desire their own line of conduct in the matter to be so closely in accord with natural law, or the law of creation, that to question it would be impious.

    It may be accepted without an extended argument or presentation of evidence that at the outset the prime object of Nature seems to have been that of Reproduction. There is evident, without doubt, an effort on the part of Nature to secure economy of method in the attainment of ever greater perfection in the process of reproduction, but we cannot deny that the primary motive seems to be that of reproduction pure and simple. The tendency toward reproduction is indeed so fundamental in Nature that it is impressed with the greatest emphasis upon every living thing. And, as careful thinkers have told us “the course of evolution seems to have been more of an effort to slow down reproduction than to furnish it with new facilities.”

    Reproduction appears in the history of life even before sex manifests itself. The lower forms of animal and plant life oftener produce themselves without the aid of sex, and some authorities have argued that the presence of sex differentiation serves rather to check active propagation rather than to increase it. If quantity, without regard to quality or variation, be the object of Nature, then that purpose would have been better served by withholding sex-differentiation than by evolving it. As Professor Coulter, a leading American botanist, has well said: “The impression one gains of sexuality is that it represents reproduction under peculiar difficulties.”

    To those who find it difficult to assimilate this somewhat startling idea, we now present a brief statement of the infinitely greater facility toward reproduction manifested by living creatures lacking in sex-differentiation as compared with those possessing it. It is seen that bacteria among primitive plants, and protozoa among primitive animals, are patterns of very rapid and prolific reproduction, though sex begins to appear in a rudimentary form in very lowly forms of life. A single infusorian becomes in a week the ancestor of millions, that is to say, of far more individuals than could proceed under the most favorable conditions from a pair of elephants in five centuries; and Huxley has calculated that the progeny of a single parthenogenetic aphis, under favorable circumstances, would in a few months outweigh the whole population of China. It must be noted, however, that this proviso “under favorable circumstances” reveals the weak point of Nature’s early method of reproduction by enormously rapid multiplication. Creatures so easily produced are easily destroyed; and Nature, apparently in consequence, wastes no time in imparting to them the qualities needed for a high form of life and living.

    And, even after sex differentiation had attained a considerable degree of development, Nature seemed slow to abandon her original plan of rapid multiplication of individuals. Among insects so far advanced as the white ants, the queen lays eggs at the enormous rate of 80,000 a day during her period of active life. Higher in the scale, we find the female herring laying 70,000 eggs at one period of delivery. But in both of these cases we find the manifestation of that apparently invariable rule of Nature, viz., that a high birth-rate is accompanied by a heavy death-rate, whether that high death-rate be caused by natural enemies, wars, or disease.

    At a certain stage of the evolutionary process, Nature seems to have awakened to a realization of the fact that it was better, from every point of view, to produce a fewsuperior beings rather than a vast number of inferior ones. Here, at last, Nature discloses a heretofore hidden aim, namely, the production of quality rather than quantity; and once she has started on this new path, she has pursued it with even greater eagerness than that of reproduction pure and simple. And here we pause to note a principle laid down by the students of Evolution, viz., that advancing evolution is accompanied by declining fertility.

    This new stage of Nature’s processes is marked by a constant and invariable manifestation of diminished number of offspring, accompanied by an increased amount of time and care in the creation and breeding of each of the young creatures. Accompanying this, we find that the reproductive life of the creature is shortened, and confined to more or less special periods; these periods beginning much later, and ending much earlier, and even during their continuance tending to operate in cycles of activity. Here, we see, Nature, grown wiser by experience, herself began to exercise her power in the direction of Birth Control—the use of preventive checks on reproduction.

    A writer has said along these lines: “As reproduction slackened, evolution was greatly accelerated. A highly important and essential aspect of this greater individuation is a higher survival value. The more complex and better equipped creature can meet and subdue difficulties and dangers to which the more lowly organized creature that came before—produced wholesale in a way which Nature seems to look back on as cheap and nasty—succumbed helplessly without an effort. The idea of economy began to assert itself in the world. It became clear in the course of evolution that it is better to produce really good and highly efficient organisms, at whatever cost, than to be content with cheap production on a wholesale scale. They allowed greater developmental progress to be made, and they lasted better. Even before man began it was proved in the animal world that the death-rate falls as the birth-rate falls.”

    Let us compare the lowly herring with the highly evolved elephant. The herring multiplies with enormous rapidity and on a vast scale, and it possesses a very small brain, and is almost totally unequipped to grapple with the special difficulties of its life, to which it succumbs on a wholesale scale. A single elephant is carried for about two years in its mother’s womb, and is carefully guarded by her for many years after birth; it possesses a large brain, and its muscular system is as remarkable for its delicacy as for its power, and is guided by the most sensitive perceptions. It is fully equipped for all the dangers of life, save for those which have been introduced by the subtle ingenuity of modern man. Though a single pair of elephants produces so few offspring, yet their high cost is justified, for each of them has a reasonable chance of surviving to old age. This contrast, from the point of view of reproduction, of the herring and the elephant, well illustrates the principle of evolution previously referred to. It brings clearly into view the difference between Nature’s earlier and her later methods—the ever increasing preference for quality over quantity. Unless we grasp this underlying principle of Nature in its wider aspects we may fail to perceive its operations in the case of man, which latter we may now consider.

    It is, of course, impossible to speak positively regarding the birth-rate and death-rate of the pre-historic primitive races of mankind, for there is not data upon which to base such a report. But reasoning upon the basis of conditions existing among the primitive tribes of the present time we are justified in holding that in the early stages of the evolution of the race there was manifested a high birth-rate and a correspondingly high death-rate. Upon the basis of conditions now existing among savage tribes it would appear that primitive man has a higher birth-rate than the average of mankind today, and likewise a higher death-rate. The rapidly increasing number of children born to the tribe was counteracted by deaths among children caused by neglect, poverty, and disease. In some cases the population was prevented from becoming larger than the means of subsistence justified by the practice of infanticide.

    As to the condition of the race in the early stages of “modern” civilization, we have modern Russia as a surviving instance of this stage. In modern Russia we find, side by side with the progress in neighboring nations, conditions which a few centuries ago existed all over Europe. Here we have an enormous birth-rate, and a terrible death-rate caused by ignorance, superstition, insanitation, filth, bad food, impure water, plagues, famines, and other accompaniments of overcrowding and misery. We find a mortality among young children which sometimes destroys more than half of the children born before they have attained the age of five years. As high as is the Russian birth-rate, it is a matter of record that at times the death-rate has actually exceeded it. And among the survivors there is found a startlingly large percentage of chronic and incurable diseases, with a large number of cases of blindness and other defects.

    Similar results follow in China, where the birth-rate is exceptionally high, and the death-rate correspondingly large; and where there is a large percentage of inferior physical development and pathological defects, the evil conditions which produce death also tending to produce deterioration in the survivors. In both of these countries we have an example of the result of unrestricted reproduction, and unrestricted destruction—as among herrings, so among men. And yet this condition of unrestricted reproduction is the logical goal of certain persons who, inspired by the best possible intentions, in their ignorance and criminal rashness would dare to arrest that fall in the birth-rate which is now beginning to spread its influence in every civilized land.

    In Western Europe before the nineteenth century the population increased very slowly. The enormous birth-rate was nearly equalled by the exceedingly heavy death-rate caused by plagues, pestilences, and famine, and by the frequent wars large and small. The mortality among young children was particularly heavy. Writers have pointed out that the old family records show frequently two or three children of the same Christian name, the first child having died and its name given to a successor.

    During the last quarter of the eighteenth century, when machinery was introduced and a new industrial era opened, the birth-rate rose rapidly. Factories springing up gave increased support to many, and as children were employed as “hands” in the mills at an early age, the richest family was the one with most children. The population began to increase rapidly. But soon disease, misery, and poverty arose from filth and insanitation, immorality and crime, overcrowding and child-labor, drink and lack of sane courses of conduct.

    In time, however, progress set in, and social reformers began the great movement for the betterment of the environment, sanitation, shorter hours of labor, and restriction of child-labor, factory regulation, etc. And when the environment is bettered, the death-rate drops, and the birth-rate accompanies it on its downward progress. As Leroy-Beaulieu says: “The first degree of prosperity in a rude population with few needs tends toward prolificness of reproduction; a later degree of prosperity, accompanied by all the feelings and ideas stimulated by the reduction of such prolificness.”

    The law of the reduction of reproduction in response to the improvement of environment is a natural law, arising from fixed biological principles. This is because when we improve the environment we improve the individual situated in that environment; and the improvement of the individual has always resulted in a check upon reproduction. We must remember, however, that this change is not the result of conscious or voluntary action; instead it is the result of unconscious activities and instinctive urge. As Sir Shirley Murphy has said: “Birth Control is a natural process, and though in civilized men, endowed with high intelligence, it necessarily works in some measure voluntarily and deliberately, it is probable that it also works, as in the evolution of the lower animals, to some extent automatically.”

    Science shows us that even among the most primitive micro-organisms; when placed under unfavorable conditions as to food and environment, they tend to pass into a reproductive phase and by sporulation or otherwise begin to produce new individuals rapidly. This, of course, because of the fact that their death-rate is increased, and an increased birth-rate must be manifested in order to maintain a balance. If the environment be improved, the death-rate decreases, and this is followed by a fall in the birth-rate, according to the constant laws of Nature manifesting in such cases.

    The same law is seen to be manifested in the case of Man. Improve his environment, and his death-rate drops, which is accompanied by a falling birth-rate. Here, once more we see the application of the scientific axiom “Improve the environment and reproduction is checked.” As Leroy-Beaulieu has said: “The tendency of civilization is to reduce the birth-rate.” And as Professor Benjamin Moore has said: “Decreased reproduction is the simple biological reply to good economic conditions.” And as Havelock Ellis has said: “Those who desire a higher birth-rate are desiring, whether they know it or not, the increase of poverty, ignorance, and wretchedness.”

    Among men, Birth Control has now evolved from the unconscious and instinctive phase, and is now unfolding and manifesting on the plane of conscious and voluntary activity. The influence of deliberate intention and conscious design is now one of the important factors in the process. Here at this point we reach a totally new aspect of reproduction. In the past stages of evolution the original impetus toward reproduction has been checked and directed by Nature, working along instinctive and unconscious lines; and the result has been an extreme diminution of the number of off-spring; a prolongation of the time devoted to the breeding and care of each new member of the family, in harmony with its greatly prolonged life; a spacing out of the intervals between the offspring; and, as a result, a vastly greater development of each individual, and an ever better equipment for the task of living. All this was slowly attained automatically, without any conscious volition on the part of the individuals, even when they were human beings, who were the agents.

    Now, however, we are confronted with a change which we may regard as, in some respects, the most momentous sudden advance in the whole history of reproduction, namely, the process of reproductive progress now become conscious and deliberately volitional. Birth control, no longer automatic, is now being directed by human mind and will precisely to the attainment of ends which Nature has been struggling after for millions of years; and, being consciously and deliberately directed, it is now enabled to avoid many of the pitfalls into which the unconscious method fell.

    Havelock Ellis says: “The control and limitation of reproductive activity by conscious and volitional effort is an attempt by open-eyed intelligence and foresight to attain those ends which Nature through untold generations has been painfully yet tirelessly struggling for. The deliberate co-operation of Man in the natural task of Birth Control represents an identification of the human will with what we may, if we choose, regard as the divinely appointed law of the world. We can well believe that the great pioneers, who, a century ago, acted in the spirit of this faith may have echoed the thought of Kepler when, on discovering his great planetary law, he exclaimed in rapture: ‘O God! I think Thy thoughts after Thee!’”

    The following brief general history of the modern Birth Control movement is quoted from Havelock Ellis, and will be of interest to students of the subject: “The pioneers of modern Birth Control were English. Among them Malthus occupies the first place. That distinguished man, in his great and influential work, ‘The Principles of Population,’ in 1798, emphasized the immense importance of foresight and self-control in procreation, and the profound significance of birth limitation for human welfare. Malthus, however, relied on ascetic self-restraint, a method which could only appeal to the few; he had nothing to say for the regulation of conception in intercourse. That was suggested twenty years later, very cautiously by James Mill, the father of John Stuart Mill, in the ‘Encyclopaedia Britannica.’ Four years afterwards, Mill’s friend, the Radical reformer, Francis Place, advocated this method more clearly. Finally, in 1831, Robert Dale Owen, the son of the great Robert Owen, published his ‘Moral Physiology,’ in which he set forth the ways of preventing conception; while a little later the Drysdale brothers, ardent and unwearying philanthropists, devoted their energies to a propaganda which has been spreading ever since and has now conquered the whole civilized world.

    “It was not, however, in England but in France, so often at the head of an advance in civilization, that Birth Control first firmly became established, and that the extravagantly high birth rate of earlier times began to fall; this happened in the first half of the nineteenth century, whether or not it was mainly due to voluntary control. In England the movement came later, and the steady decline in the English birth-rate, which is still proceeding, began in 1877. In the previous year there had been a famous prosecution of Bradlaugh and Mrs. Besant for disseminating pamphlets describing the methods of preventing conception; the charge was described by the Lord Chief Justice, who tried the case, as one of the most ill-advised and injudicious ever made in a court of justice. But it served an undesigned end by giving enormous publicity to the subject and advertising the methods it sought to suppress. There can be no doubt, however, that even apart from this trial the movement would have proceeded on the same lines. The times were ripe, the great industrial expansion had passed its first feverish phase, social conditions were improving, education was spreading. The inevitable character of the movement is indicated by the fact that at the very same time it began to be manifested all over Europe, indeed in every civilized country of the world.

    “At the present time the birth-rate (as well as usually the death-rate) is falling in every country of the world sufficiently civilized to possess statistics of its own vital movement. The fall varies in rapidity. It has been considerable in the more progressive countries; it has lingered in the more backward countries. If we examine the latest statistics for Europe, we find that every country, without exception, with a progressive and educated population, and a fairly high state of social well-being, presents a birth-rate below 30 per 1,000. We also find that every country in Europe in which the mass of the people are primitive, ignorant, or in a socially unsatisfactory condition (even although the governing classes may be progressive or ambitious) shows a birth-rate of above 30 per 1,000. France, Great Britain, Belgium, Holland, the Scandinavian countries, and Switzerland are in the first group. Russia, Austro-Hungary, Italy, Spain, and the Balkan countries are in the second group. The German Empire was formerly in the second group, but now comes within the first group, and has carried on the movement so energetically that the birth-rate of Berlin is already below that of London, and that at the present rate of decline the birth-rate of the German Empire will before long sink to that of France. Outside Europe, in the United States just as much as in Australia and New Zealand, the same progressive movement is proceeding with equal activity.”

    The same authority sums up the present attitude of the advocates of scientific and rational Birth Control, as follows: “The wide survey of the question of birth limitation has settled the question of the desirability of the adoption of preventing conception, and finally settled those who would waste out time with their fears that it is not right to control conception. We know now on whose side are the laws of God and Nature. We realize that in exercising control over the entrance gate of life we are not fully performing, consciously and deliberately, a great human duty, but carrying on rationally a beneficial process which has, more blindly and wastefully, been carried on since the beginning of the world. There are still a few persons ignorant enough or foolish enough to fight against the advance of civilization in this matter; we can well afford to leave them severely alone, knowing that in a few years all of them will have passed away. It is not our business to defend the control of birth, but simply discuss how we may most wisely exercise that control.”

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • EUGENICS AND CHARACTER

    EUGENICS AND CHARACTER

    The rapidly growing interest in Eugenics, and the scientific consideration of the world-wide decline in the birth-rate have drawn attention to the study of the eugenic factors which determine the production of high ability in offspring. Many distinguished investigators have conducted long and exhaustive investigations for the purpose of ascertaining and summarizing all possible biological data concerning the parentage and birth of the most notable persons born in European countries, and to a lesser extent in America.

    The investigations are now acquiring a fresh importance, because, while it is becoming recognized that we are gaining a control over the conditions of birth, the production of children has itself gained an importance. The world is no longer to be bombarded by an exuberant stream of babies, good, bad, and indifferent in quality, with mankind to look on calmly at the struggle for existence among them. Whether we like it or not, the quantity is steadily diminishing, and the question of quality is beginning to assume a supreme significance. The question then is being anxiously asked: “What are the conditions which assure the finest quality in our children?”

    A German scientist, Dr. Vaerting, of Berlin, published just before the War a treatise on the subject of the most favorable age in parents for the production of offspring of ability. He treated the question in an entirely new spirit, not merely as a matter of academic discussion, but rather as a practical matter of vital importance to the welfare of modern society. He starts by asserting that “our century has been called the century of the child,” and that for the child all manner of rights are now being claimed. But, he wisely adds, there is seldom considered the prime right of all the child’s rights, i. e., the right of the child to the best ability and capacity for efficiency that his parents are able to transmit to him. The good doctor adds that this right is the root of all children’s rights; and that when the mysteries of procreation have been so far revealed as to enable this right to be won, we shall, at the same time renew the spiritual aspect of the nations.

    The writer referred to decided that the most easily ascertainable and measurable factor in the production of ability, and efficiency in offspring, and a factor of the greatest significance, is the age of the parents at the child’s birth. He investigated a number of cases of men of ability and efficiency, along these lines, and made a careful summary of his results. Some of his results are somewhat startling, and may possibly require the corroboration of other investigators before they can be accepted as authoritative; but they are worthy of being carefully considered at the present time, pending such further investigation.

    Vaerting found that the fathers who were themselves not notably intellectual have a decidedly more prolonged power of procreating distinguished children than is possessed by distinguished fathers. The former may become the fathers of eminent children from the period of sexual maturity up to the age of forty-three or beyond. When, however, the father is himself of high intellectual distinction, the records show that he was nearly always under thirty, and usually under twenty-five years of age at the time of the birth of his distinguished son, although the proportion of youthful fathers in the general population is relatively small. The eleven youngest fathers on Vaerting’s list, from twenty-one to twenty-five years of age, were with one exception themselves more or less distinguished; while the fifteen oldest, from thirty-nine to sixty years of age, were all without exception undistinguished.

    Among the sons on the latter list are to be found much greater names (such as Goethe, Bach, Kant, Bismarck, Wagner, etc.) than are to be found among the sons of young and more distinguished fathers, for here is only one name (Frederick the Great) of the same caliber. The elderly fathers belonged to the large cities, and were mostly married to wives very much younger than themselves. Vaerting notes that the most eminent men have frequently been the sons of fathers who were not engaged in intellectual avocations at all, but earned their living as humble craftsmen. He draws the conclusion from these data that strenuous intellectual energy is much more unfavorable than hard physical labor to the production of marked ability in the offspring. Intellectual workers, therefore, he argues, must have their children when young, and we must so modify our social ideals and economic conditions as to render this possible.

    Vaerting, however, holds that the mother need not be equally young; he finds some superiority, indeed, provided the father is young, in somewhat elderly mothers, and there were no mothers under twenty-three on the list. The rarity of genius among the offspring of distinguished parents he attributes to the unfortunate tendency to marry too late; and he finds that the distinguished men who marry late rarely have any children at all. Speaking generally, and apart from the production of genius, he holds that women have children too early, before their psychic development is completed, while men have children too late, when they have already “in the years of their highest psychic generative fitness planted their most precious seed in the mud of the street.”

    The eldest child was found to have by far the best chance of turning out distinguished, and in this fact Vaerting finds further proof of his argument. The third son has the next best chance, and then the second, the comparatively bad position of the second being attributed to the too brief interval which often follows the birth of the first child. He also notes that of all the professions the clergy come beyond comparison first as the parents of distinguished sons (who are, however, rarely of the highest degree of eminence), lawyers following, while officers in the army and physicians scarcely figure at all. Vaerting is inclined to see in this order, especially in the predominance of the clergy, the favorable influence of an unexhausted reserve of energy and a habit of chastity on intellectual procreativeness.

    It should be remembered, however, that Vaerting’s cases on his list were all those of Germans, and, therefore, the influence of the characteristic social customs and conditions of the German people must be taken into account in the consideration.

    Havelock Ellis in his well known work “Study of British Genius” dealt on a still larger scale, and with a somewhat more precise method, with many of the same questions as illustrated by British cases. After the publication of Vaerting’s work, Ellis re-examined his cases, and rearranged his data. His results, like those of the German authority, showed a special tendency for genius to appear in the eldest child, though there was no indication of notably early marriage in the parents. He also found a similar predominance of the clergy among the fathers, and a similar deficiency of army officers and physicians.

    Ellis found that the most frequent age of the father was thirty-two years, but that the average age of the father at the distinguished child’s birth was 36.6 years; and that when the fathers were themselves distinguished their age was not, as Vaerting found in Germany, notably low at the birth of their distinguished sons, but higher than the general average, being 37.5 years. He found fifteen distinguished sons of distinguished British fathers, but instead of being nearly always under thirty and usually under twenty-five, as Vaerting found it in Germany, the British distinguished father has only five times been under thirty, and among these only twice under twenty-five. Moreover, precisely the most distinguished of the sons (Francis Bacon and William Pitt) had the oldest fathers, and the least distinguished sons the youngest fathers.

    Ellis says of his general conclusions resulting from this investigation: “I made some attempts to ascertain whether different kinds of genius tend to be produced by fathers who were at different periods of life. I refrained from publishing the results as I doubted whether the numbers dealt with were sufficiently large to carry any weight. It may, however, be worth while to record them, as possibly they are significant. I made four classes of men of genius: (1) Men of Religion, (2) Poets, (3) Practical Men, (4) Scientific Men and Sceptics. (It must not, of course, be supposed that in this last group all the scientific men were sceptics, or all the sceptics scientific.) The average age of the fathers at the distinguished son’s birth was, in the first group, 35 years; in the second and third group, 37 years; and in the last group, 40 years. (It may be noted, however, that the youngest father of all the history of British genius, aged sixteen, produced Napier, who introduced logarithms.)

    “It is difficult not to believe that as regards, at all events, the two most discrepant groups, the first and last, we come upon a significant indication. It is not unreasonable to suppose that in the production of men of religion in whose activity emotion is so potent a factor, the youthful age of the father should prove favorable; while for the production of genius of a more coldly intellectual and analytic type more elderly fathers are demanded. If that should prove to be so, it would become a source of happiness to religious parents to have their children early, while irreligious parents should be advised to delay parentage.

    “It is scarcely necessary to remark that the age of the mothers is probably quite as influential as that of the fathers. Concerning the mothers, however, we always have less precise information. My records, so far as they go, agree with Vaerting’s for German genius, in indicating that an elderly mother is more likely to produce a child of genius than a very youthful mother. There were only fifteen mothers recorded under twenty-five years of age, while thirteen were over thirty-nine years; the most important age for mothers was twenty-seven.

    “On all these points we certainly need controlling evidence from other countries. Thus, before we insist with Vaerting that an elderly mother is a factor in the production of genius, we may recall that even in Germany the mothers of Goethe and Nietzsche were both eighteen at their distinguished son’s birth. A rule which permits of such tremendous exceptions scarcely seems to bear the strain of emphasis.”

    The student, however, must always remember that while the study of genius and exceptionable talent is highly interesting, and even, as is quite probable, not without significance for the general laws of heredity, still we must beware of too hastily drawing conclusions from it to bear on the practical questions of eugenics. Genius is rare—and, in a certain sense, abnormal. Laws meant for application to the general population must be based on a study of the general population. Vaerting, himself, realized how inadequate it was to confine our study to cases of genius.

    Another investigator, Marro, an Italian scientist, in his well-known book on puberty which was published several years ago, brought forth some interesting data showing the result of the age of the parents on the moral and intellectual characters of school-children in Northern Italy. He found that children with fathers below twenty-six at their birth showed the maximum of bad conduct and the minimum of good; they also yielded the greatest proportion of children of irregular, troublesome, or lazy character, but not of really perverse children—the latter being equally distributed among fathers of all ages. The largest number of cheerful children belonged to the young fathers, while the children tended to become more melancholy with ascending age of the fathers. Young fathers produced the largest number of intelligent, as well as of troublesome children; but when the very exceptional intelligent children were considered separately, they were found to be more usually the offspring of elderly fathers.

    As regarded the mothers, Marro found that the children of young mothers (under twenty-one) are superior, both as regards conduct and intelligence, though the more exceptionally intelligent children tended to belong to more mature mothers. When the parents were both in the same age-groups, the immature and the elderly groups tended to produce more children who were unsatisfactory, both as regards conduct and intelligence—the intermediate group yielding the most satisfactory results of this kind.

    Havelock Ellis makes the following plea for further investigations along these lines, in the interest of the well-being of the race: “But we have need of inquiries made on a more wholesale and systematic scale. They are no longer of a merely speculative character. We no longer regard children as the ‘gifts of God’ flung into our helpless hands; we are beginning to realize that the responsibility is ours to see that they come into the world under the best conditions, and at the moments when their parents are best fitted to produce them. Vaerting proposes that it should be the business of all school authorities to register the ages of the pupils’ parents. This is scarcely a provision to which even the most susceptible parent could reasonably object, though there is no cause to make the declaration compulsory where a ‘conscientious’ objection existed, and in any case the declaration would not be public.

    “It would be an advantage—although this might be more difficult to obtain—to have the date of the children’s marriage, and of the birth of previous children, as well as some record of the father’s standing in his occupation. But even the ages of the parents alone would teach us much when correlated with the school position of the pupil in intelligence and conduct. It is quite true that there are unavoidable fallacies. We are not, as in the case of genius, dealing with people whose life-work is complete and open to the whole world’s examination.

    “The good and clever child is not necessarily the forerunner of the first-class man or woman; and many capable and successful men have been careless in attendance at lectures, and rebellious to discipline. Moreover, the prejudice and limitations of the teachers have to be recognized. Yet when we are dealing with millions most of these fallacies would be smoothed out. We should be, once for all, in a position to determine authoritatively the exact bearing of one of the simplest and most vital factors of the betterment of the race. We should be in possession of a new clue to guide us in the creation of the man in the coming world. Why not begin today?”

    Considerable attention on the part of the American thinking public has been directed toward the investigations and researches of Casper L. Redfield. Mr. Redfield combats the orthodox scientific position that the acquired qualities are not transmitted to offspring; and he most positively states that such characteristics are transmitted to offspring, and are really the causes which have tended toward the evolution and progress of the race. But he insists upon this vital point, namely, that the parent must already have acquired improved quality before he can transmit improvement to the offspring—and that before he can have acquired this improved quality, he must have lived sufficiently long to have experienced the causes which have developed improvement in himself. Consequently, he holds that delayed parentage produces great men.

    Mr. Redfield several years ago offered a prize of two hundred dollars to anyone who could show that a single one of the great men of history was the product of a succession of young parents, or was produced by a line of ancestry represented by more than three generations to a century. But no one ever claimed the prize money. According to Mr. Redfield’s doctrine, race improvement is and will be accomplished as the result of effort, physical and mental, upon the part of prospective parents, particularly if the period of effort is sustained over a considerable number of years previous to reproduction.

    The following quotations from Mr. Redfield’s writing will give a general idea of his lines of thought and his theories. He says:

    “At some time in the past there was a common ancestor for man and the ape. At that time the mental ability of the man was the same as that of the ape, because at that time man and the ape were the same person. From that common ancestor there have been derived two main lines of descent, one leading to man and the other to the ape of today. In the line leading to man, mental ability has increased little by little so that today the mental ability of the man is far above that of the ape. While it may not be literally true for each and every generation between that common ancestor and man of the present time, still we will commit no error if we divide the total increase in mental ability by the number of intervening generations and say that each generation in turn was a little superior to that which produced it. Now it happens that mental ability is something which is inherited—is transmitted from parent to offspring. Take that fact with the fact that there has been a regular (or irregular) increase in mental ability in the generations leading to man, and it will be seen that each generation in succession transmitted to its offspring more than it inherited from its parents. But a parent cannot transmit something which he did not have. Where and how did those generations get that ability which they transmitted but did not inherit?”

    Mr. Redfield in his writings shows that what is true of the human race is true of high-bred domesticated animals, namely, the cow of high milk producing breeds; the fast running and trotting horses; and the highly developed hunting dogs. To each case he applies his question: “Where and how did those generations of animals get that power which they transmitted but did not inherit?” In his investigations he claims to have discovered the secret, namely, that the ancestors, throughout several generations, had each acquired the power which it transmitted, which added to the inherited power raised the general power of the stock. This arose from careful breeding, and directly from the fact that the average age of the parent was much higher in the highly-bred stock than in the “scrub” or ordinary run of stock. In other words, delayed parentage produced better offspring.

    Mr. Redfield proceeds to argue from these facts as follows: “At one time man and ape reproduced at the same average age, whereas now they reproduce at widely different ages. Going back to the time when man and ape separated, our ancestors survived by physical and mental activity in securing food and escaping from enemies. As time went on man reproduced at later and later average age until now he reproduces at about thirty years from birth of parent to birth of offspring. When time between generations stretched out in the man line more than it did in the ape line, the man acquired more mental development before he reproduced than did the ape, and he did this because he was mentally active more years before reproducing. The successive generations leading to modern man transmitted to offspring more than they inherited from their parents, and the generations which did this are the same generations which acquired, before reproducing, the identical thing which they transmitted in excess of inheriting.

    “Coming now to those rare men of whom we have only a few in a century, how were they produced? It should be noted that each one had two parents, four grandparents, and eight great-grandparents. Also that they are certainly improvements over their great-grandparents. If they were not such improvements, then there would be many ‘rare’ cases in a century. In looking into the pedigrees of these great men it is found that they were sons of parents of nearly all ages, but were predominantly sons of elderly parents. While we sometimes find comparatively young parents in the pedigree of a great man, we never find a succession of young parents. Neither do we find an intellectually great man produced by a pedigree extending over three generations. The great man is produced only when the average for three generations is on the elderly side of what is normal. The average age of one thousand fathers, grandfathers, and great-grandfathers in the pedigrees of eminent men was found to be over forty years. Great men rise from ordinary stock only when several generations in succession acquire mental efforts in excess amounts before reproducing.”

    It is the opinion of the present writer that the theories of Mr. Redfield are in the main true, and that in the future much valuable information will be obtained along the same lines, which will tend to corroborate his general conclusions. One’s attention needs but to be plainly directed to the matter, and then he will see that it is absurd to think of a creature transmitting to his offspring qualities which neither he or his mate had inherited or acquired. If there were no transmission of acquired qualities there would be no improvement—and in fact, we know that the bulk of inherited qualities were at some time in the history of the race “acquired.” And, reasoning along the same line, we may see that the young parents who have not had as yet an opportunity to acquire mental power cannot expect to transmit it to their offspring—all that they can do is to transmit the inherited stock qualities plus the small acquired power which they have gained in their limited experience. And, finally, it is seen that offspring produced at a riper age of parenthood, continued over several generations, tend toward unusual ability and powers. Consequently, the people or nation with a higher average age of parenthood may logically expect to attain greater mental powers than the peoples lacking that quality. And what is true of a people or nation is of course true of a particular family.

    The subject touched upon in this part of our book is one of the greatest interest to careful students of Eugenics; and is one which calls for careful and unprejudiced consideration from all persons having the interest of the race at heart.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • PRE-NATAL INFLUENCES

    PRE-NATAL INFLUENCES

    The term “Pre-Natal” of course means “before birth,” and Pre-Natal Influences are those influences exerted upon the child before its birth into the world. The students of Eugenics are vitally interested in the subject of Pre-Natal Influences, as they recognize that therein is to be found the secret of much which will work along the line of “better offspring,” and general race-betterment.

    Pre-Natal Influences (as the term is used in the present consideration of the subject) may be considered as manifesting in three phases, as follows:

    (1) The influence of the physical, mental, and moral “family characteristics” of the parents, transmitted to the child along the lines of heredity.

    (2) The influence of the acquired personal characteristics of the parents (particularly the acquired characteristics which are especially active at and just previous to the time of actual conception), transmitted to the child along the lines of heredity.

    (3) The influence of “maternal impressions” (after conception, and during the period of gestation or pregnancy) transmitted to the child physiologically and psychologically.

    I shall now ask you to proceed with me to a consideration of the various phases of Pre-Natal Influences coming under the above name three general classes, and the principal factors involved therein.

    Heredity in General.

    By “heredity” is meant “the tendency which there is in each animal or plant, in all essential characters, to resemble its parents”; or “the hereditary transmission of physical or psychical characteristics of parents to their offspring.”

    There is a great disagreement among the authorities as to how far the principle of heredity really extends, and the real causes of heredity are in dispute. In the present consideration we shall, of course, pass over the technical phases of the subject, and shall touch only upon the general features and principles involved.

    Shute, in his work entitled “Organic Evolution,” says: “That an offspring always inherits from its parents many of their characteristics is well known; that it always varies, more or less, from them, is also equally well known. Heredity and variation are twin forces that play upon every creature, holding it rigidly true to the parental type or compelling more or less divergence therefrom, according to the strength of the one or other power; so that every creature is the resultant of the activities of these two great parallel forces. Variation is co-extensive with heredity, and every living creature gives evidence of the existence of variations.

    “Mental heredity can be illustrated by studying the genealogies of such persons as Aristotle, Goethe, Darwin, Coleridge, Milton, etc. Probably the Bach family, of Germany, supply one of the best illustrations of the inheritance of intellectual character that we know of. The record of this family begins in 1550, lasting through eight generations to 1800. For about two centuries it gave to the world musicians and singers of high rank. The founder was Weit Bach, a baker of Presburg, who sought recreation from his routine work in song and music. For nearly two hundred years his descendants, who were very numerous in Franconia, Thuringia, and Saxony, retained a musical talent, being all church singers and organists. When the members of the family had become very numerous and widely separated from one another, they decided to meet at a stated place once a year. Often more than a hundred persons—men, women, and children—bearing the name of Bach were thus brought together. This family reunion continued until nearly the middle of the eighteenth century. In this family of musicians, twenty-nine became eminent.

    “Inheritance of moral character is well known. Heredity, in its relation to crime and pauperism, has been thoroughly investigated by Mr. Dugdale in his most instructive little work entitled “The Jukes.” In this work the descendants of one vicious and neglected girl are traced through a large number of generations. It reveals that a large proportion of the descendants of this woman became licentious, for, in the course of six generations, fifty-two percent of the children were illegitimate. It shows also that there were seven times more paupers among the women than among the average women of the state, and nine times more paupers among the male descendants than among the average men of the state. The inheritance of physical peculiarities is so obvious as to need no illustration. Among the ancients the Romans stereotyped its truth by the use of such expressions as ‘the labiones’ or thick-lipped; ‘the nasones,’ or big-nosed; ‘the capitones,’ or big-headed, and ‘the buccones,’ or swollen-cheeked, etc. In more recent times we read of the Austrian lip and the Bourbon nose.”

    But in all considerations of the subject of heredity, one must always remember that the inheritance of physical, mental, and moral characteristics is not alone from the immediate parents, but rather from many ancestors further removed in order and time. Back of each person there is a long line of paternal and maternal ancestors, extending back to the beginning of the race. And in that line there are influences for good and evil, awaiting favorable environment for awakening into new life unless restrained by the will of the individual.

    As Shute says: “There will come a time when the fertilized ovum will have a highly complex nucleus composed of many different ancestral groups of hereditary units. One often hears the expression that a child is a chip of the old block; but this is only a very partial truth, for the child is pre-eminently a composite chip of many old blocks.” And Luther Burbank has well said: “Heredity means much; but what is heredity? Not some hideous ancestral spectre, forever crossing the path of a human being. Heredity is simply the sum of all the environments of all past generations on the responsive ever-moving life-forces.”

    Transmission of Acquired Characteristics.

    One of the great disputes of biology is that concerning the question of whether or not parents may transmit to their offspring their personal “acquired characteristics” as well as those inherited from their line of ancestors. One side of the controversy points to the observed cases of children and grandchildren resembling each other, physically, mentally, and morally, in acquired characteristics; but the other side explains these facts as due to environment rather than to heredity.

    The best authorities seem to favor a middle-view, holding that acquired characteristics may be and are transmitted as “tendencies” in the offspring. Thus as each succeeding generation manifests the acquired tendency, it adds a cumulative force to the family heredity. At the same time they hold that “environment” is needed to “draw out” the inherited “tendency.” For instance, a child born with evil tendencies, and placed in an evil environment, will most likely manifest evil conduct. The same child, if placed in a good environment, will not have the evil tendencies “drawn out” by the environment, and will probably not manifest evil conduct. The same rule applies to the child drawn with good “tendencies.” In short, it is held that heredity and environment tend to balance each other—the “something within” is called out (or not called out) by the “something without.” The life of the individual is held to be a continuous action and reaction between heredity and environment, and both of these elements must be taken into consideration when we think of the subject.

    Shute says: “As influencing a man’s life and character, which is the strongest factor, heredity or environment?” In our opinion, as the result of long study and reading, where we have an average man of a sound mind in a sound body, there environment will be the strongest factor whether for good or evil—that is, in men in general, who have no organic defect, such as insanity or idiocy, and allied affections, the stronger force is environment; but in those having such defect, heredity is the controlling power, and we may add, the destroying power.

    The Eugenic Rule Regarding Heredity.

    It is one of the cardinal principles of Eugenics that those with a bad family history should not become parents. By this it is not meant that the manifestation of undesirable tendencies, physical, mental, and moral, on the part of certain individuals of a family necessarily constitutes a “bad family history.” On the contrary, many of the best families have, from time to time, individuals who manifest undesirable tendencies, and who are in general out of harmony with the general family standard. It is an old axiom that “there is a black sheep in every flock”; and the flock must be measured by its general standard, and not by its exceptional black sheep.

    A “bad family history” is one in which the family has clearly manifested certain undesirable physical, mental, and moral traits in a marked degree, and in a sufficientnumber of instances to establish a standard. Some families have a “bad family history” for inebriety; others for epilepsy; others for licentiousness; others for dishonesty—the history extending over several generations, and including a marked number of individuals in each generation. Individuals of such a family should refrain from bearing children; and if children be born to such the greatest care should be exercised by the parents in the matter of surrounding the child with the environment least calculated to “draw out” the undesirable characteristic. The child has a right to be well born, and to be protected from being brought into the world subjected to the handicap of a “bad family history.” If individuals cannot endow their children with a good family history, they should refrain from bearing children—such is the Eugenic advice on the subject.

    The same rule applies to the question of “acquired characteristics” of the parents—especially those acquired characteristics which are especially active at or just before the time of the contemplated conception. Though the family history of both husband and wife be ever so good, it is held that if one or both of the parents have acquired undesirable and transmissible characteristics, physical, mental, or moral, then the question of bringing children into the world should be carefully considered, and conscientiously decided, after competent authorities have been consulted concerning the case. The prospective child should always be given the benefit of the doubt in such cases. To bring children into the world merely to gratify personal pleasure or pride, regardless of the welfare of the child, is something utterly unworthy of an intelligent and moral human being.

    Fitness for Parenthood.

    In determining the “fitness” for parenthood, on the part of husband and wife, the mental, physical, and moral qualities should all be taken into consideration. Weak or abnormal mentality; chronic immorality or perverted moral sense; or diseased or abnormal physical conditions—these should always be regarded as bars to parenthood. To violate this principle is to deliberately violate the fundamental laws of Nature, as well as those principles which are accepted as representing the best thought and customs of the race. A mental, moral, or physical “pervert” or “defective” is manifestly an “unfit,” considered as a prospective parent. Parenthood on the part of such individuals is not only a crime against society, but always a base injustice perpetrated upon the offspring.

    A very interesting phase of the general subject now before us for consideration is that which touches upon the effect of those particular acquired characteristics which are especially active at the time, or just before the time of conception. The best authorities hold that the influences manifest and active in the prospective father and mother during the period immediately preceding conception will have a marked effect upon the character of the child. The following quotations from authorities on the subject will serve to illustrate this idea.

    Riddell says: “The transient physical, mental and moral conditions of the parents, prior to the initial of life, at the time of inception, do affect offspring.” Dr. Cowan says: “Through the rightly directed wills of the mother and father, preceding and during ante-natal life, the child’s form of body, character of mind, and purity of soul are formed and established. That in its plastic shape, during ante-natal life, like clay in the hand of the potter, it can be molded into absolutely any form of body and soul the parents may knowingly desire.” Newton says: “Numerous facts indicate that offspring may be affected and their tendencies shaped by a great variety of influences, among which moods and influences more or less permanent may be included.”

    Riddell says: “The influence of environmental conditions and pre-natal training are ever evident. Colts from dams that have been under regular training are faster than those from the same mother foaled before she had been trained. The puppies of the trained shepherd dog learn much more rapidly than do those from the untrained animal. No sportsman would think of paying a high price for a puppy, the mother of which was stupid and untrained. The same law applies, only with greater effect, to the human family.” Greer says: “No married couple will desire, design and love a babe into existence without the first requisite—good physical health.” Grant Allen says: “To prepare ourselves for the duties of maternity and paternity by making ourselves as vigorous and healthful as we can be, is a duty we owe to children unborn.” Holbrook says: “It is essential, therefore, that if children are to be well-born, the parents should be careful that at the moment of procreation they are fitted for the performance of so serious an act.” Another authority says: “Generation should be preceded by regeneration.”

    Cowan says: “In the conception of a new life, the mass of mankind observes no law unless it be the law of chance. Out of the licentious or incontinent actions of a husband’s nature, conception after a time is discovered to take place. No preparation of body, mind, or soul is made by either parent. Not more than one child in perhaps ten thousand is brought into the world with the consent and loving desire of its parents. The other nine thousand, nine hundred, and ninety nine children are endowed with the accumulated sins of the parents. Is it any wonder that there is so much sin, sickness, drunkenness, suffering, licentiousness, murder, suicide, and prematuredeath, and so little of purity, chastity, success, goodness, happiness and long life in the world?”

    Preparation for Parenthood.

    The ancient Greeks attached great importance to the mental, moral and physical condition of the parents at the moment of conception, and for a period preceding the same. The Investigations of modern scientists have tended to corroborate the facts upon which the ancient theories were based. Modern science teaches that the life-cells of each parent are impressed with the condition of the respective parents, and retain this impression until they meet and finally coalesce and combine, the combined cell then receiving the result of the original impressions.

    The best authorities on the subject claim that a reasonable time of self-restraint and continence should be observed by the prospective parents before the conception of the child. This contention is borne out by the experience of the breeders of fine horses and cattle, who have discovered that the best offspring are produced when the animals have been restrained from sexual intercourse for a reasonable time; this precaution being particularly observed in the case of the male parent animal. Writers on the subject cite a number of instances to prove that this law maintains in human as well is in animal life. It is claimed that Sir Isaac Newton was conceived after a period of over a year of total sexual abstinence on the part of his parents. Many other celebrated men are said to have been conceived after an absence from home on the part of the father, or a temporary absence from home on the part of the mother. Many physicians are able to cite many similar cases observed in the course of their own experience.

    The prospective parents should endeavor to bring themselves up to a high degree of physical health and well-being. The blood of the mother should be enriched byproper nutrition, and the organs of the body should be brought to a state of normal functioning along the lines of digestion, assimilation, and elimination.

    The minds of both parents should be exercised by reading the right kind of books, and by paying attention to natural objects of interest. A little change of scene will tend to awaken the powers of observation and attention. Riddell says: “If the prospective parents will habitually exercise the reasoning faculties and inventive powers, usually the offspring will have a fair degree of inventive talent and originality, even where these qualities are originally deficient in the parents. When there is a considerable natural talent or where there are latent inventive powers, constant training on the part of the parents will usually give the offspring exceptional powers in this direction.”

    The prospective parents should also develop and exercise their moral faculties in the period preceding conception. This course will tend to reproduce the same quality in the child. The reverse of this, alas, is also true. A case is cited of a man who procreated a child while plotting a nefarious crime; and the child in after life manifested a tendency toward theft, roguery and rascality, even at a very early age. The lack of moral fibre so often noticed in the sons of rich men who have attained their success through questionable methods is perhaps as much attributable to these pre-conceptual influences as to the “spoiling” environment of the child after birth.

    In the period of physical, mental, and moral preparation for parenthood the leading thought of both parents should be: “Do we wish our child to be like this?” This thought, if carried as an ideal, will act both in the direction of self-restraint and self-development.

    The actual time of the conception of the new life should be carefully chosen, so that it may occur under the best circumstances and conditions. The suggestions embodied in the preceding paragraphs should have been carefully observed; and the time chosen should be one in which a peaceful and happy state of mind is possessed by both parents. The ovum of the woman is believed to have its greatest vitality about the time of the close of each menstrual period, and many good authorities hold that this is not only the natural period for sexual intercourse, but is also the exact period in which the life-forces in the ovum are strongest; and that, consequently, the child conceived at this period is likely to be stronger and more vigorous than the one conceived at a later time between the menstrual periods.

    Dr. Stall says: “Medical authorities attach great importance to the mental condition at the moment of conjunction and conception. It is quite universally believed that this is a moment of unparalleled importance to the welfare of the future being. It is an awful crime to beget life carelessly, and when in improper and unworthy mental states. Some people seem to think that the matter of begetting a child, like the matter of selecting a wife, should be left wholly to blind chance. Neither of these two important events can be too much safeguarded by wise and thoughtful consideration. If conception is permitted to take place when either one or both of the parents are in bad health; if the wife is an unwilling mother, and the embryo is developed by her while her whole nature rebels against the admission into the family of a child who is not wanted, the children begotten and born under such circumstances can never be other than sickly, nervous and fretful during their entire childhood, and cross and uncompanionable throughout their whole lives.

    “Much of the differences which exist between children of the same parents may be easily attributed to the different bodily and mental conditions of the parents at theperiod of conjunction, the changed physical, intellectual and emotional states of the parents at the different periods of conception producing the corresponding differences in their offspring. The results of purposed and prepared parenthood are so great and so desirable that a husband and wife should consider these matters carefully, making preparations, and approach the period when they would beget offspring and bring immortal beings into the world with the greatest thoughtfulness, consideration, and also with prayer.”

    Dr. Hufeland says: “In my opinion, it is of the utmost importance that the moment of conception should be confined to a period when the sensation of collected powers, ardent passion, and a mind cheerful and free from care, invite to it on both sides.” Riddell says: “The law of initial impressions is well established. It has been understood and applied by stock-raisers for centuries. Experiments prove that the qualities most highly excited in animals prior to their union are most fully transmitted. The speed of horses and the acquired characters of the dog have been improved by the applications of the law. History and classic literature contain many references that recognize its importance, like Shakespeare’s ‘Come on, ye cowards; ye were got in fear.’ Ancient laws forbade union while parents were intoxicated, because such unions resulted in the production of drunkards and monstrosities. The asylums for the feeble-minded contain hundreds of unfortunate ones that are the product of such unions. The law of initial impressions, like the other laws of heredity, is traced most easily where morbid conditions are transmitted; but fortunately it is quite as potential in the production of desirable qualities. Unusual excitement to the social, intellectual or religious powers on the parents just prior to the inception of the new life frequently produce in the child corresponding tendencies.”

    Dr. Stockham says: “Many a drunkard owes his lifelong appetite for alcohol to the fact that the inception of his life could be traced to a night of dissipation on the part of his father.” Fleming says: “Not only do drunkards transmit to their descendants tendency toward insanity and crime, but even habitually sober parents who at the moment of conception are in a temporary state of drunkenness beget children who are epileptic or paralytic, idiotic or insane, very often microcephalic, or with remarkable weakness of mind, which is transformed at the first favorable occasion into insanity.”

    The time of conception should undoubtedly be chosen to correspond to a time in which the sex-powers of both parents are at their maximum. This is arrived at by a reasonable period of previous continence and abstinence from sexual relations between the married couple, and by an observance of the natural law which renders the woman most strong sexually at the close of the menstrual period. The husband, as well as the wife, is most strong sexually at this period, as under normal conditions his sex-power is most actively called forth by that of the woman at this period. At this period the wave of sex-power is at its height, and this is the best time for the beginning of the new life. As Riddell says: “Strong, vigorous, chaste sexuality at the time of conception is of supreme importance; it is indispensable to good results. No number of other conditions or factors can be so favorable as to justify the creation of a new life when the vitality of either parent is low. Parents transmit their physical constitution, intellect and morals only to the extent of the sex-power at the time of inception.”

    It is needless to say that there should exist between the prospective parents a strong bond of affection and attraction. By an irony of civilized life, the term “love child” is applied only to the offspring of unmarried lovers—men and women whose affection or passion have run away with their judgment, and who have “loved not wisely, but too well.” Some of the world’s greatest men and women have been “love children” of this kind; and in such cases it is probably true that their physical and mental strength has been the result of the ardent feeling animating the parents at the moment of conception. Such children seldom result from the “tired bed” or worn-out passion, love killed by sexual excesses, indifference on the part of one of the participants of the union, “duty” intercourse without affection or passion, or forced sexual relations. Every child should be a “love child” in the true sense of the term. The term should be one of respect, not of reproach. There should be no children but “love children.” The fruit of the perfect mating and marriage should be the perfect “love child”—and it would always be so if husbands and wives would but observe the laws of the normal, natural, sex-life.

    And, last of all—and perhaps more important than all—is the fact that at the moment of conception the minds and hearts of both of the prospective parents should be united in a strong love and desire for the hoped-for child. At that moment their best natures should blend into each other, and their love for each other fuse into a new love—the love of the child of the union. Under such circumstances, in such act the Cosmic Forces flow unhindered through the beings of the parents, and the new life is begun under the approving smile of Nature.

    Maternal Impressions.

    One of the oldest and most firmly-rooted beliefs of the race is that which holds that the pregnant mother may, and often does, consciously or unconsciously, impress upon her unborn child certain mental, moral, or physical traits. The majority of persons accept this idea as self-evident, and are able to cite cases within their own personal experience which go to prove the correctness of the popular belief. But certain modern authorities have sought to tear down this belief, and to discredit the general idea. Let us briefly consider both sides of this question.

    On the side of the generally accepted belief, Riddell says: “The more I study the influence of maternal impressions upon the life, mentality and character of men, the more I am led to believe that the education and moral training that a child receives before it sees the light of day are the most influential, and, therefore, the most important part of its education.” Newton says: “A mother may, during the period of gestation, exercise some influence, by her own voluntary mental and physical action, either unwittingly or purposely, in determining the traits and tendencies of her offspring. This is now a common belief among intelligent people. Every observant teacher could doubtless bear witness to the same general facts, and it would be easy to fill a volume with testimonials from various sources illustrative and confirmatory of the law under discussion. Such facts establish beyond question the conviction that the mother has it largely in her power to confer on her child such a tendency of mind and conformation of brain as shall not only facilitate the acquisition of knowledge in any specific direction, but make it certain that such knowledge will be sought and acquired.”

    Dr. Fordyce Baker says: “The weight of authority must be conceded to be in favor of the idea that maternal impressions may effect the growth, form and character of a forming child.” Dr. Rokitansky says: “The question whether mental emotions do influence the development of the child must be answered ‘Yes!’” Dr. Brittain says: “The singular effects produced on the unborn child by the sudden mental emotions of the mother are remarkable examples of a kind of electrotyping on the sensitive surface of living forms. It is doubtless true that the mind’s action in such cases may increase or diminish the molecular deposits in the several portions of the system. The precise place which each separate particle assumes may be determined by the influence of thought or feeling. If, for example, there exists in the mother any unusual tendency of the vital forces to the brain at the critical period, there will be a similar cerebral development and activity in the offspring.”

    Newton says: “The human embryo is formed and developed in all its parts, even to the minutest detail, by and through the action of the vital, mental, and spiritual forces of the mother, which forces act in and through the corresponding portions of her own organism. And while this process may go on unconsciously, or without the mother’s voluntary participation or direction, yet she may consciously and purposely so direct her activities as, with a good degree of certainty, to accomplish specifically desired ends in determining the traits and qualities of her offspring.” Professor Bayer says: “The influence of the mind of a prospective mother upon her child, before its birth, is of tremendous importance to its active existence as a member of society, from the fact that it lies in the mother’s power to shape its mentality, that it may be a power for good or for evil.”

    The views of that school of thought which is opposed to this old and generally accepted idea of material impressions, are ably presented by Dr. Saleeby, as follows: “Consider the case. The baby is at this time already a baby, though rather small and uncanny, floating in a fluid of its own manufacture. Its sole connection with the mother is by means of its umbilical cord—that is to say, blood-vessels, arterial and venous. There is no nervous connection whatever; absolutely nothing but the blood-stream, carried along a system of tubes. This blood is the child’s blood, which it sends forth from itself along the umbillical cord to a special organ, the placenta or afterbirth, half made by itself and half made by the mother, in which the child’s blood travels in thin vessels so close to the mother’s blood that their contents can be interchanged. Yet the two streams never mix. The child’s blood, having disposed of its carbonic acid and waste products to the mother’s blood, and having received therefrom oxygen and food, returns so laden to the child. Pray how is the mother’s reading of history to make the child a historian? We see now how the learning of geometry on the part of the mother before its birth will not set her baby upon that royal road to geometry of which Euclid rightly denied the existence—any more than after its birth. Such a thing does not happen—unless we are to call in Telepathy.”

    All this argument may seem quite convincing—at first. But when we begin to consider the matter carefully, we begin to perceive the weak places in the argument as above presented. In the first place, it is known that emotions powerfully affect the condition, quality, and “life” of the blood. We know that cheerful emotions impart certain uplifting qualities to the blood, while depressing emotions correspondingly react upon it. Fear, worry, fright, jealousy, etc., are actual poisons to the blood, and have brought on diseased conditions to the persons manifesting these emotions. Moreover, it is known that impaired quality of the blood reacts upon the brain. Is it so unreasonable, then, to hold that emotional states in the mother may react upon the mental and physical condition of the unborn child, through the blood? Does not something similar occur in the case of the babe, after its birth, when it is affected by the conditions of its mother’s milk brought on by her depressing emotions, fright, etc.? This would seem to explain at least the matter of emotional reactions between mother and unborn babe.

    But the case is not closed with the presentation of the evidence of physiology, important though that may be. There is an entirely different field of science to be drawn upon before the case is closed. The orthodox physiologist makes the mistake of supposing that all mental impulses and transmission of psychic energy require the service of nerves as channels of transmission. While such channels are usually required, we have good reasons for believing that there are exceptions to the rule. There have been found tiny creatures, possessing life and energy, performing the functions of nourishment, elimination, and even of reproduction—and yet without a nervous system. In one well-known instance, that of the moneron, we find not only an absence of a nervous system but also the lack of organs of any kind—and yet the creature lives, acts, moves, eats, thinks, and reproduces itself.

    Then, again, consider the moving cells of the blood, unconnected with the brain, unattached to the nervous system, and yet rushing to the work of repairing a wound, or of repelling an intruding germ, in obedience to a mental command from the controlling subconscious mental regions of the living creature. How does the mental impulse reach these cells and others of similar nature in the system? If we were not so sure of the facts, might we not feel inclined to say with Dr. Saleeby, in the above quoted sentence: “Such a thing does not happen—unless we are to call in telepathy.”

    Moreover, examining Dr. Saleeby’s statement, we see mention made of the placenta at being “half made by the embryo, and half made by the mother.” How does this co-operation and co-ordination of effort and subconscious will arise? How does the subconscious mentality of the embryo know that the subconscious mentality of the mother is making its half of the placenta, or vice versa? Again, how is the subconscious mentality of the mother affected by the presence and development of the child—how do her mammary glands respond to the growth and development of the child? In short, how is the manifest co-operation and co-ordination between the “nature” of the mother and the “nature” of the child possible, unless there exists some psychical, as well as some physical, relation between the two beings.

    The person conscientiously considering this subject must include in his thought the discoveries of modern psychology concerning what is known as the “subconscious mind,” which controls the unconscious and instinctive functions of the physical body, and also receives impressions and suggestions from the surface consciousness of its owner. This factor being admitted to our thought on the subject, we may find it possible to accept the idea of material impressions from mother to child operating from the subconscious mind of the mother to that of the child. In other words, that there is a subconscious mental connection, as well as the physical connection, between the mother and her unborn child.

    Many careful thinkers (and observers) find it just as easy to accept the fact of this strange “sympathetic co-ordination” between a mother and her unborn child as it is to accept the very frequent “sympathetic sickness” of the husband during the pregnancy of his wife—or of the “sympathetic labor pains” so often experienced by the husband during the confinement of his wife. Both of the latter two cases occur too often to permit the phenomenon to be denied off hand by those who would set aside all facts not agreeing with their particular personal theories. There is no nervous system connecting husband and wife, and of such cases the critic like Dr. Saleeby might say: “Such a thing does not happen—unless we call in telepathy!” The fact remains that many things actually happen which according to the orthodox physiological theories “cannot happen.” But they DO happen, nevertheless, whether we call it “telepathy” or merely label it “certain facts, the exact causes of which Science in the present state of its knowledge (or ignorance) cannot definitely determine.” One irrefutable fact outweighs a ton of mere general denials of possibility.

    It is recorded that the mother of Charles Kingsley believed in maternal impressions, and during her period of pregnancy exercised her imagination and emotions in the direction of wishing, and imagining, that the coming child should have the same love of Devonshire scenery that so delighted her. The result proved her theory, for though Kingsley never saw Devonshire until he was a man of thirty years of age, every Devonshire scene had a mysterious charm for him throughout his entire life. It is said that Robert Burns was so strongly impressed parentally by the old Scotch songs and ballads that his mother sung during her pregnancy, that his whole nature longed to express itself in like measure and substance. He always believed that his poetic spirit was kindled by this tendency on the part of his mother during the period preceding his birth.

    The mother of Napoleon Bonaparte during several months of her pregnancy, accompanied her husband during his military campaigns in Corsica, and during the entire term she lived in an atmosphere of battles, military strategy, and troops. When the boy was very young he manifested an unusual interest in war and conquest, and his whole mind had the military bent, although his brothers were in no wise remarkable in this direction. The artist, Flaxman, stated that his mother had related to him how for several months prior to his birth she had spent many hours each day studying drawings and engravings, and endeavoring to visualize by memory the beautiful figures of the human body drawn by the masters. The result was that from early childhood Flaxman manifested an intense delight in drawing; and in after life his drawings were regarded as masterpieces. He, and his mother, always attributed his talent to the parental impressions above mentioned.

    “Buffalo Bill” was believed to owe his characteristics to the mental states of his mother, the family living in Missouri during the days of frontier fights and disturbances, the mother being called upon several times to exercise resourceful courage and fortitude. A well-known worker along the lines of liberal Christianity is said to have attributed his tendencies in that direction to the prayers of his mother, during her pregnancy, that the child might be true to the teachings of the Christ, and should be a laborer in the cause of human brotherhood. This man, relating the fact, said: “I may have been converted before I was born.” A well-known writer along the lines of moral philosophy is believed by friends to owe his talent to the earnest thoughts and hopes of his mother during pregnancy—she is said to have pictured the child as a son destined to become a great moral philosopher, her mind being so firmly fixed on this fact that she felt it was already an assured fact.

    The Greeks were wont to surround the pregnant women with beautiful statuary, and it is recorded that in many cases the children afterward born closely resembled these works of art and beauty. It is claimed that many Italian women closely resemble the face shown in Raphael’s “Madonna,” copies of this celebrated picture being quite common in Italian households. Frances Willard, the temperance worker, is said to have very closely resembled a young woman of whom her mother was very fond. Many family resemblances are believed to have arisen in this way, rather than by heredity. Zerah Colburn, the mathematical prodigy whose feats astounded the scientific world in the early part of the last century, is said to have derived his wonderful faculty from maternal impressions of this kind; his mother is said to have occupied much of her time during her pregnancy in studying arithmetic and working problems, the study being quite new to her and proving very interesting.

    Cases similar to those above quoted might be duplicated almost indefinitely. The story is practically the same in each and every case. The principle involved is always that the pregnant mother took a decided interest in certain subjects, studies, and work, and that the child when born manifested at an early age similar tastes and inclinations. But far more important to the average prospective parent is the fact that many authorities positively claim that any pregnant mother may consciously and deliberately influence and shape the character, physical, mental, and moral of her unborn child.

    Newton well says, on this subject: “In the cases usually given to the public bearing on this topic, the moulding power appears to have been exercised merely by accident or chance; that is, without any intelligent purpose on the part of mothers to produce the results. Can there be any doubt that similar means, if purposely and wisely adopted, and applied with the greater care and precision which enlightened intention secure, would produce under the same law even more perfect results. Is it not altogether probable that an intentional direction of the vital or mental forces to any particular portion of the brain will cause a development and activity in the corresponding portion of the brain of the offspring? There seems to be no reasonable ground on which these propositions can be denied. The brain is made up of a congeries of organs which are the organs of distinct faculties of the mind or soul. It follows, then, that if the mother during gestation maintains a special activity of any one brain organ, or group of organs, in her brain, she thereby causes more development of the corresponding organ or group in the brain of the fetus. She thus determines a tendency in the child to special activity of the faculties, of which such organs are the instruments. It is plain, furthermore, that if any one organ or faculty may thus be cultivated before birth, and its activity enhanced for life, so may any other—and so may all. It would seem, then, clearly within the bounds of possibility that a mother, by pursuing a systematic and comprehensive method, may give a well-rounded and harmoniously developed organism to her child—notwithstanding her own defects, which, under the unguided operation of hereditary law, are likely to be repeated in her offspring. Or it is within her power to impart a leading tendency in any specific direction that she may deem desirable, for a life of the highest usefulness. In this way ancestral defects and undesirable hereditary traits, of whatever nature or however strong, may be overcome, or in a good degree counterbalanced by giving greater activity to counteracting tendencies; and, in this way, too, it would appear the coveted gifts of genius may be conferred. In other words, it would seem to be within the mother’s power, by the voluntary and intelligent direction of her own forces, in orderly and systematic methods, both to mold the physical form to lines of beauty, and shape the mental, moral, and spiritual features of her child to an extent to which no limit can be assigned.”

    I think that in the pages of this particular part of the book the prospective parent may find hints and general directions toward a clearly defined ideal, which is carefully studied, and as carefully put into practice will produce results far beyond the dreams of the average man and woman. The hope is a magnificent one, and the best testimony is in favor of the possibility of its actual realization.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • GESTATION OR PREGNANCY

    GESTATION OR PREGNANCY

    Gestation is “the act of carrying young in the Uterus, from the time of conception to that of parturition.” Conception occurs at the moment of the impregnation of the ovum; parturition is the act of delivery, or childbirth. Pregnancy is “the state of being with child.” The terms “period of gestation,” and “period of pregnancy,” respectively, are employed by medical authorities to designate the time during which the mother carries the young within her own body—from the moment of the impregnation of the ovum until the moment of the final delivery of the child into the outer world.

    The term of pregnancy in woman continues for over nine calendar months (or ten lunar months)—from about 275 to 280 days, though in exceptional cases it may be terminated in seven calendar months, or on the other hand may continue for ten calendar months. The usual method is to figure 280 days from the first day of the last menstruation. A simple method of calculating the probable date of delivery is as follows: Count back three months, and then add seven days, and you will have the date of probable delivery. Example: A woman’s first day of last menstruation is March 28. Counting back three months gives us December 28; and adding seven days to this gives us January 4, as the date of probable delivery. There will always be a possible margin of a few days before or after the ascertained probable date—but the delivery will very closely approximate said date. Ignore the shortage of days of February in this calculation, the same being covered by the general margin allowed.

    Development of the Impregnated Ovum. In the preceding lesson we terminated our consideration of the impregnated ovum at the point at which, after the process of segmentation, the “primitive trace” had appeared. This primitive trace appears as an opaque streak, or straight line, formed of an aggregation of cells of a distinctive quality. This delicate “trace” or “streak” is the first indication of the form of the coming child. It is the basis, pattern, or mould, in or around which the spinal column is to be formed, and around which the entire young body is to be developed by the wonderful and intricate processes of dividing and reduplication, and the folding and combination of cells. From one end of this “trace” develops the head; from the other end develops the lower end of the spine. At a later stage there appear tiny “buds” in the positions at which the arms and legs should be; these gradually develop, and their ends split into tiny fingers and toes, and finally are transformed into perfect little arms and legs, miniatures of those of the adult human being.

    The term “the embryo” is employed to designate the developing young creature in the earlier stages of its development, particularly before the end of the third month of its existence. After the end of the third month the embryo is called “the fetus.” In the short space of 280 days the young creature evolves and develops from a single simple cell into a complex organism—a perfect miniature human being. Nature works a wonderful miracle here, and yet so common is it that we take it all as a matter of course, and lose sight of the miracle. From the most simple forms are formed in the developing creature the most complex organs and parts. The heart is formed from a tiny straight line of cells, by enlargement and partition. The stomach and intestines, likewise, develop from a tiny straight line of cells arranged as a tiny tube—the stomach is formed by dilation of one part of the tube, while the large intestine experiences a similar though lesser distention and a greater growth in length; the smaller intestines being formed by growth in length and circumference. The other organs evolve from similar simple beginnings.

    The embryo is nourished during its earlier stages by means of the “yolk sack,” or “umbilical vesicle,” which is outside the body of the embryo, being joined to it by means of the umbilical duct. This yolk sack (originally formed by a “drawing together” in the ovum, which thus separates itself into two portions or areas) is an important feature of the life of the embryo, as it nourishes and sustains it in its earlier stages. Blood vessels form in this yolk sack, and after a time its fluid is absorbed, and after the third month the sack gradually disappears.

    After the passing away of the yolk sack, the embryo is nourished and sustained by the “allantois,” another peculiar sack which is formed. This sack readily becomes filled with blood-vessels, and serves to nourish the embryo by sustenance obtained from the body of the mother through the walls of the Uterus, a direct communication with the blood-vessels of the mother thus being secured. The blood in the embryo, and that in the mother, come into close contact, thus allowing the embryo to be nourished by the blood of the mother. After a time, in turn, the allantois diminishes and dwindles away, its offices being taken up and performed by the “placenta” or “afterbirth.”

    The Placenta or Afterbirth. The Placenta, or afterbirth, is a round, flat substance or organ, contained within the Uterus, by which communication and connection is established and maintained between the fetus and the mother, by means of the umbillical cord. It is a flat, circular mass, about seven inches in diameter, and weighing about sixteen ounces. It is attached to the sides of the Uterus of the mother during the period of gestation, and is expelled from the body of the mother, as “the afterbirth,” after the birth of the child.

    Let us pause a moment, and reconsider the several steps in Nature’s plan for nourishing the embryo and fetus. In the first place, as we have seen, there is the yolk sack or umbillical vesicle, filled with a fluid which nourishes the embryo. This gradually disappears in time, and is replaced by the “allantois” which by connection with the walls of the Uterus is enabled to nourish the fetus from and by the blood of the mother. For a short time, however, the embryo is nourished by both the yolk sack and the allantois. Then the allantois assumes the entire task, and the yolk sack passes away. Then, later, the placenta replaces the allantois, and the latter passes away as did its predecessor. The placenta works along the same general lines as the allantois, but is a far more complex way and with a much higher degree of efficiency, as we shall see presently.

    The placenta is connected with the body of the fetus by what is known as “the umbillical cord.” The “umbillicus” or “navel” in the human being marks the place at which the umbillical cord entered the body of the fetus, from which it was severed after the birth of the child. The purpose of the umbillical cord is to contain and support the umbillical arteries and veins through which the fetus obtains nourishment from the placental substance, and through which the return blood flows. The rich red arterial blood is carried from the placenta to the fetus, and is then distributed over the body of the fetus, nourishing and building it up; the dark venous blood, laden with the waste products of the body of the fetus, is carried back to the placenta, there to be repurified and rendered again rich and nourishing.

    The story of the circulation of the blood of the fetus is most interesting. Although the fetal blood is derived from that of the mother, as we have said, yet the maternal blood does not pass directly from the circulatory system of the mother into that of the fetus; nor does the blood of the fetus return directly into the circulatory system of the mother. In fact, the fetal blood never comes in direct contact with that of the mother, or vice versa. The fetus has an independent circulatory system of its own, and yet, at the same time, from the moment of the placental connection until the moment of childbirth, all its nourishment is derived from its mother.

    The secret of the above paradoxical statement is made apparent when we understand the meaning of the scientific term “osmosis.” Osmosis is “the passage of a fluid through a membrane”; it is a chemical process, caused by the chemical affinity between two liquids or gases separated one from the other by a porous diaphragm or substance. In the process of osmosis in the case before us, the fetal blood takes up nourishing substances and oxygen from the blood of the mother, and passes on to the latter the waste products of the fetal system, by means of passing these substances through the thin porous membranes which separate the two independent systems of blood vessels, i. e., the system of the fetus, and that of the mother. Before birth, in fact, the fetus has its blood nourished and oxygenated by means of the food partaken of by its mother, and the oxygen taken in by the mother in her breathing. After its birth, the infant eats and breathes for itself, and thus nourishes its blood supply directly, instead of receiving it indirectly from the mother.

    The Placenta begins to be formed about the third month of gestation, and continues to develop steadily from that time. At the time of the delivery of the child the Placenta covers nearly or quite one-third of the inner space of the distended Uterus of the mother. The total “afterbirth” consists of the Placenta, the umbillical cord, and the remaining membranes of the ovum, all of which are expelled after the birth of the child.

    The Amnion. An important appendage contained in the Uterus in connection with the developing fetus is that known as “The Amnion.” This is an inner sack which forms within the womb, and which serves to enclose the fetus, and also to sheath the umbillical cord. The Amnion encloses the embryo very snugly during the early stages of its development, but it gradually becomes distended with a pale watery fluid, known as “the amniotic fluid,” the purpose of which is to “float” the fetus and to give it mechanical support on all sides. This fluid is composed of water carrying in solution small quantities of albumin, urea, and salt.

    Sex in the Embryo and Fetus. It is impossible to determine the sex of the embryo during its early stages. During the fourth week the first traces of the sexual glands appear, but not until the fifth week can the sex be determined even by the microscope. If the embryo is to become a male, certain ducts are transformed into convoluted tubules, and each is attached to the testes which have been formed from the genital nucleus. If the embryo is to become a female, the ducts join to form the uterus and vagina, other portions being transformed into the fallopian tubes and connecting with the ovaries which have been formed otherwise. The outer genitals appear in the early stages of the embryo, but there is no apparent distinction between the sexes, the external organs being the same in all cases, and consisting of a small tubular organ with a small lateral fold of skin on either side. Later, in the male, a groove appears on the under side of this primitive organ, thus forming the urethra, the scrotum being formed from the folded skin at the side. In the female, the primitive organ ceases to develop as in the male, and thus becomes proportionately smaller, and evolves into the clitoris of the female; the two lateral folds, on each side, being transformed into the labia majora, or “outer lips” of the female external genitals.

    Position of the Fetus. During the period of gestation the fetus lies “curled up” in the bag of the amnion. The head is usually relaxed and inclined forward, the chin resting on the breast; the feet are bent up in front of the legs, the legs bent up on the thighs, the knees separated from each other, but the heels almost touching on the back of the thighs; the arms bent forward and the hands placed between them as though to receive the chin between them. The folded-up fetus forms an oval, the longest diameter of which is about eleven inches at its greatest stage of growth. Nature here shows a wonderful ability to pack the fetus into as little space as possible, and in such a position as to protect it from injury, and to discommode the mother as little as possible.

    The following interesting statement made by Helen Idleson, M. D., in a European medical journal several years ago, gives a very clear idea, expressed in popular terms, of the appearance and characteristics of the embryo or fetus in the various stages of its development:

    “The growth of the embryo after fecundation is very rapid. On the tenth day it has the appearance of a semi-transparent grayish flake. On the twelfth day it is nearly the size of a pea, filled with fluid, in the middle of which is an opaque spot, presenting the first appearance of an embryo, which may be clearly seen as an oblong or curved body, and is plainly visible to the naked eye on the fourteenth day. The twenty-first day the embryo resembles an ant or a lettuce seed. Many of its parts now begin to show themselves, especially the cartilaginous beginnings of the spinal column, the heart, etc. The thirtieth day the embryo is as large as a horse-fly, and resembles a worm, bent together. There are as yet no limbs, and the head is larger than the rest of the body. When stretched out it is nearly half an inch long. Toward the fifth week the heart increases greatly in proportion to the remainder of the body, and the rudimentary eyes are indicated by two black spots toward the sides, and the heart exhibits its external form, bearing a close resemblance to that in an adult. In the seventh week, bone begins to form in the lower jaw and clavicle. Narrow streaks on each side of the vertebral column show the beginning of the ribs. The heart is perfecting its form, the brain enlarging, and the eyes and ears growing more perfect, and the limbs sprouting from the body. The lungs are mere sacks, and the trachea is a delicate thread, but the liver is very large. In the seventh week are formed the renal capsules and kidneys.

    “At two months, the forearm and hand can be distinguished, but not the arm; the hand is larger than the forearm, but it is not supplied with fingers. The distinction of sex is yet difficult. The eyes are prominent. The nose forms an obtuse eminence. The nostrils are rounded and separated. The mouth is gaping, and the epidermis can be distinguished from the true skin. The embryo is from one-half to two inches long, the head forming more than one-third of the whole. At the end of three months, the eyelids are distinct but shut; the lips are drawn together; the forehead and nose are clearly traceable, and the organs of generation prominent. The heart beats with force; the larger vessels carry red blood; the fingers and toes are well defined, and the muscles begin to be developed.

    “At the fourth month, the embryo takes the name of ‘fetus.’ The body is six to eight inches in length. The skin has a rosy color, and the muscles produce a sensible motion. A fetus born at this time might live several hours. At five months the length of the body is from eight to ten inches. At six months, the length is twelve and one-half inches. The hair appears on the head, the eyes closed, the eyelids somewhat thicker, and their margins, as well as their eyebrows, are studded with very delicate hairs. At seven months, every part has been increased in volume and perfection; the bony system is nearly complete; length, twelve to fourteen inches. If born at this period, the fetus is able to breathe, cry and nurse, and may live if properly cared for.

    “At eight months, the fetus seems to grow rather in length than in thickness; it is only sixteen to eighteen inches long, and yet weighs from four to five pounds. The skin is very red, and covered with down and a considerable quantity of sebaceous matter. The lower jaw, which at first was very short, is now as long as the upper one. Finally, at term, nine months, the fetus is about nineteen to twenty-three inches long, and weighs from six to eight pounds. The red blood circulates in the capillaries, and the skin performs the functions of perspiration; the nails are fully developed.”

    Another writer says: “There is a superstition that a child born at eight months is not as liable to live as if born at seven months; indeed, many suppose that an eight months’ child never survives. Facts do not prove this idea to be correct. Personally, I have known several eight months’ babies to live and do well, and I believe that their chance of life is much greater than if born at seven months.”

    Children born in the seventh month of gestation are capable of living, though great care is required to rear them for the first few months after birth. The “incubators” now so common in large cities have greatly increased the chances of the “seven months’ child,” and, for that matter, of those born even earlier. There are a number of cases of record where children have been born after six months of gestation, and a few even before the six months, but these cases are rare and unusual, and such children usually die soon after birth.

    The following table, given by a good authority, shows the average length and weight of the human embryo and fetus:

    Age. Length in inches. Weight.
    2 weeks 0.1 Not given
    3 weeks 0.2 3 grains
    4 weeks 0.3 Not given
    5 weeks 0.5 Not given
    6 weeks 0.7 Not given
    7 weeks 0.9 Not given
    8 weeks 1.5 4 drachms
    3 months 3.0 2 ounces
    4 months 6.0 5 ounces
    5 months 9.0 10 ounces
    6 months 12.0 1 pound
    7 months 15.0 3 pounds
    8 months 17.0 5 pounds
    9 months 20.0 6 to 9 pounds

    Professor Clark holds that if at birth the infant weighs less than 5 pounds, it rarely thrives, though the records show that many infants weighing much less than this have lived and thrived. In very rare cases, infants have been known to weigh no more than one pound at birth, and to have still survived and thrived. And, on the other hand, many cases are known where infants were born, and thrived, who weighed more than twice the average weight. So, at the last, it is difficult to lay down hard and fast rules in the case.

    Delivery. At the termination of the period of gestation, the child is born into the world, and, instead of depending upon the blood of the mother for nourishment and oxygen, it begins to ingest its own food, to eliminate its own waste matter through the regular channels of the body, and to use its own lungs for the purpose of obtaining oxygen for its blood and to burn up the waste products in the lungs.

    The process of bringing a child into the world is called “parturition.” The fetus is expelled from the body of the mother by the contraction of the muscles of and around the Uterus, and also by the contraction of the abdominal walls. In the early stages of labor, the uterine muscles are brought into play; but when the fetus enters into the vaginal passage the abdominal muscles manifest their energy. The uterine and abdominal muscular movements are purely involuntary, although the mother may aid in the delivery by voluntary muscular movements. The involuntary muscular movements are due to the reflex action originating, probably, in a part of the spinal cord.

    The uterine contractions are rhythmical, and have been compared to the contraction of the muscles of the heart. Each “labor pain” begins with a minimum of contraction, the activity increasing until a maximum is reached, when it gradually decreases, only to be followed a little later by a new contraction. When the fetus is finally expelled from the Uterus (followed later by the placenta or “afterbirth”) that organ begins a gradual contraction to its normal size, shape, and condition, the restorative process usually lasting over several weeks.

    The Physical Signs of Pregnancy. The physical signs of pregnancy in the case of women of normal health are as follows:

    (1) Cessation of the menses, or menstruation. While it is true that a non-pregnant woman may occasionally pass over a menstrual period, yet as a general rule the complete cessation of a period by a married woman, particularly when the woman has previously been regular in this respect, may be considered a probable indication of pregnancy; and when the second period has been passed the probability merges almost into a certainty. An examination by a competent physician will set all doubts at rest.

    (2) Enlargement of the breasts. This indication usually manifests itself in about six or eight weeks after conception. This enlargement is usually preceded by a sensation of tingling and throbbing. The enlargement is manifested in the form of a rather hard and knotty increase, differing from the ordinary fatty increase; the lobules, arranged regularly around the nipple, are plainly distinguishable beneath the skin by means of the touch of the fingers.

    (3) Darkening of the areolar tissue surrounding the nipple. In the unimpregnated condition this tissue is of a pinkish shade; but after impregnation the shade grows darker and the circle increases in size. However, when the woman bears several children in somewhat rapid succession, this dark color may become permanent and accordingly ceases to be an indication.

    (4) Enlargement of the abdomen. This indication manifests itself about the second month, at which time the Uterus begins to elevate the intestines by rising up from the pelvis. In the fourth month the Uterus has risen so far out of the pelvis that it assumes the form and appearance of a hard round tumor. The entire abdomen then begins to enlarge. The Uterus causes an enlargement in the region of the navel at the sixth month, and the region of the diaphragm at the ninth month.

    (5) Quickening, or “signs of life.” This indication manifests first from the fourth month to the fifth—at about the exact half of the entire period of gestation. At this time, and afterward, the movements of the embryo are plainly discernable to the mother.

    The Disorders of Pregnancy. There are a number of physical disorders usually accompanying pregnancy, some of which are trifling, but some of which require the advice of a competent physician. The best plan is for the woman to consult a physician shortly after she discovers herself to be pregnant, and thereafter to visit him occasionally for advice during the period of gestation. The too common plan of postponing the call upon the physician until the eighth or ninth month is not a wise one, for in many cases the advice of a competent physician at an earlier stage of the pregnancy will obviate serious complications. The call upon the physician should usually be made not later than the third or fourth month, and positively not delayed longer than the fifth month. The physician should make an examination to ascertain whether the child is in the normal position in the Uterus, and should also examine the urine each month to ascertain whether the kidneys are functioning normally.

    What is called “morning sickness” is one of the most common of the disorders of pregnancy. It is marked by nausea or vomiting, or both, early in the morning, usually shortly after arising. Some women have at least faint symptoms of this disorder from the very beginning of conception, but usually it does not manifest until the third, fourth, or fifth week of pregnancy. It usually ceases at the end of the third or fourth month. Except in very severe cases, in which the physician should be consulted, the disorder is not serious, and requires but a little common-sense treatment, and rational habits of living. An authority says: “Eat of some fruit that best agrees with palate or stomach; drink hot water; eat nothing until a real hunger demands food. Where nausea occurs after eating, a tart apple or orange is good.” Another authority says: “Let women suffering from morning sickness try acid fruit—apples, oranges, or even lemons, if their sourness is not unpleasant. If a single orange or apple after each meal does not suffice, let them try two; let them eat ten if that number is necessary to conquer the distress. The principle is a correct one, and the relief certain. Let fruit be eaten at all hours of the day—before meals and after, on going to bed at night and at getting up in the morning. If berries are in season, let them be eaten in the natural state—that is, without sugar. If the sickness still continues, omit a meal now and then, and substitute fruit in its stead. By persistence in this course, not only will nausea be conquered, but an easy confinement guaranteed.”

    The pregnant woman often develops a capricious appetite. This disorder may manifest in one or more of several forms, as for instance: the woman may lose her appetite, and take but little food; or she may develop an abnormally large appetite, and eat much more than is necessary; or she may take a dislike to certain kinds of food—many women have an aversion toward meat during pregnancy; or she may have a “craving” for certain articles of food, sometimes for kinds of food not liked at other times, such as sour pickles, sour cabbage, etc. A little common sense, and the presence of attractive articles of fruits, etc., will do much to relieve these troubles; in extreme cases the physician’s advice will help.

    The pregnant woman should have her teeth put in good order as soon as possible, as troubles with teeth sometimes manifest themselves during pregnancy, and give much trouble and annoyance. Difficulty in urination, constipation, piles, irritation or itching of the genital organs, varicose veins, liver spots, and similar disorders, which are sometimes manifest during pregnancy, in some form or degree, should receive the attention and care of a competent physician.

    The following general advice from a competent authority is worthy of being followed: “If everything is satisfactory, if there is no severe vomiting, kidney trouble, etc., the usual mixed diet may continue. The only changes I would make are the following: Drink plenty of hot water during the entire time of pregnancy: a glass or two in the morning, two or three glasses in the afternoon, the same at night. From six to twelve glasses may be consumed. Also plenty of milk, buttermilk and fermented milk. Plenty of fruit and vegetables. Meat only once a day. For the tendency to constipation, whole wheat bread, rye bread, bread baked of bran, or bran with cream. As to exercise, either extreme must be avoided. Some women think that as soon as they become pregnant, they must not move a muscle; they are to be put in a glass case, and kept there until the date of delivery. Other women, on the other hand, of the ultra-modern type, indulge in strenuous exercise, and go out on long fatiguing walks up to the last day. Either extreme is injurious. The right way is moderate exercise, and short, non-fatiguing walks. Bathing may be kept up to the day of the delivery. But warm baths, particularly during the last two or three months, are preferable to cold baths.”

    Childbirth. The first indication of approaching delivery of the child is that of the descent of the child into the pelvis of the mother, from its former position up near the diaphragm. When this occurs, the mother usually experiences a feeling of relief, and a greater ease in breathing because of the relaxation of the former pressure on the diaphragm. Sometimes this occurs several days preceding delivery, while in other cases it occurs only a few hours before delivery. There usually occurs about the same time a slight discharge of mucus tinged with blood. The latter is called “the show,” and is caused by the unsealing of the mouth of the womb, and indicates that the Uterus is preparing to discharge its contents.

    Labor, in childbirth, consists of three stages. In the first stage, the Uterus alone contracts, and the mouth of the womb dilates; in the second stage, the abdominal muscles assist the Uterus in expelling the child; in the third stage, the Placenta (afterbirth) and membranes are expelled.

    After the delivery of the child, and after the pulsation in the umbillical cord has ceased (usually from ten to thirty minutes after delivery), the umbillical cord is severed and tied by the physician. In natural labor, the expulsion of the afterbirth occurs from within a few minutes to an hour after the delivery of the child. Nature is sometimes slow in expelling the afterbirth, but caution should be exercised in the matter of using force to assist Nature in this matter, for injury to the Uterus has often resulted from malpractice in such a case. The afterbirth is not firmly attached to the womb, but is like the peel of an orange which Nature sloughs off in due time.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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  • Making available free paediatric medicine can accelerate elimination of congenital Chagas disease

    Making available free paediatric medicine can accelerate elimination of congenital Chagas disease

    The donation of an essential antiparasitic medicine can potentially accelerate the elimination of Chagas disease infection in children. A pediatric presentation of benznidazole with accurate dosage and will soon be made available freely to address
    a long-standing gap in the treatment of congenital infections of Chagas disease.  

    The donation, by the Mundo Sano Foundation1 and INSud Pharma2 group to the World Health Organization (WHO), is expected to become effective soon.

    “Making benznidazole freely available for the treatment of newborns and children until the age of 19 will be a game-changer in the fight against Chagas disease” said Dr Mwelecele Ntuli Malecela, Director, WHO Department of Control
    of Neglected Tropical Diseases. “This can save future generations from developing life-threatening and fatal complications and also boost up diagnosis and treatment contributing to congenital Chagas disease elimination.”

    The three-year agreement will make available 108 000 tablets of benznidazole3 – one of the two antiparasitic medicines against Chagas disease. Treatment4 with benznidazole in the early stages of infection can cure Chagas
    disease, prevent or curb disease progression and prevent congenital transmission in pregnant women.

     “We have now added the systematic detection and treatment of all newborns and children under 19 which was not part of  our recent switch from control to elimination of congenital Chagas disease” said Dr Pedro Albajar
    Vinas, Medical Officer, WHO Department of Control of Neglected Tropical Diseases. “In addition, screening of pregnant women at risk of infection who have not had past antiparasitic treatment provides an excellent opportunity for prevention of posterior transmission throughout pregnancy and birth.”

    Each year, an estimated 15 000 children are born from infected mothers. 

    The agreement

    The donation by Mundo Sano Foundation for the duration of the agreement comprises benznidazole:

    • 105,000 tablets of 100mg
    • 3,000 tablets of 12.5mg

    Furthermore, the Foundation may donate funds to support activities associated with distribution of medicines and is ready to consider extending this agreement beyond the specified duration of three years.

    The disease

    Chagas disease, also known as American trypanosomiasis, is a potentially life-threatening illness caused by the protozoan parasite Trypanosoma cruzi (T. cruzi).

    Although considerable progress has been achieved, particularly in reducing vector transmission and screening of blood and organ supply, reaching, diagnosing and providing healthcare for people most affected has been a challenge.

    Currently, under-diagnosis of Chagas disease cases is as high as 90% and under-diagnosis of congenital and paediatric cases is believed not to be lower.

    Globally, an estimated 6-7 million people are infected with T. cruzi.

    The disease is found mainly in endemic areas of 21 continental Latin American countries5. But movement of people to urban areas and to other continents has expanded its transmission through non vectorial routes, such as blood transfusion,
    congenital transmission, organ transplants and oral transmission through food contamination.

    Considering that neglected tropical disease as a growing public health problem in many countries, the World Health Assembly – WHO’s decision-making body – decided in May 2019 to commemorate World Chagas Disease Day on 14 April.

    The inaugural celebration happens this year.


    1Mundo Sano is a nonprofit international foundation working with the public and private sectors, academia, and other international organizations to provide solutions to the affected communities and generate scientific knowledge.
    In 2012, it led a public-private consortium in 2012 to produce benznidazole in Argentina.

    2Insud Pharma (formerly known as Chemo Group) specializes in research, development, manufacture, sale and marketing of active pharmaceutical ingredients and medicinal products for human and veterinary use.

    3In 2017, the United States Food and Drug Administration (FDA) approved benznidazole for the treatment of children aged 2–12, making it the first treatment approved in the United States for Chagas disease.

    4Nifurtimox is also 100% effective in curing Chagas disease if given soon after onset of infection, including cases of congenital infection. It is donated by Bayer who pledged more than 7.5 million tablets for the period 2012-2021.

    5Argentina, Belize, Bolivia (Plurinational State of), Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, French Guiana, Guatemala, Guyana, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Suriname, Uruguay, and Venezuela
    (Bolivarian Republic of).

     

     

     

     

    Making available free paediatric medicine can accelerate elimination of congenital Chagas disease
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  • Women in the New Age

    Women in the New Age

    42. The Transvaluation of Values

    The gradual emancipation of ladies that has been happening for the final century has nonetheless a protracted technique to proceed earlier than they’re wholly delivered from their conventional burdens and so stand away from the oppressions of males. But already, it should be plain, they’ve made monumental progress—maybe greater than they made within the ten thousand years previous. The rise of the commercial system, which has borne so harshly upon the race normally, has introduced them sure unmistakable advantages. Their financial dependence, although nonetheless adequate to make marriage extremely enticing to them, is nonetheless thus far damaged down that giant lessons of ladies are actually virtually free brokers, and fairly impartial of the favour of males. Most of those girls, responding to concepts which can be nonetheless highly effective, are but intrigued, after all, by marriage, and like it to the autonomy that’s coming in, however the truth stays that they now have a free alternative within the matter, and that dire necessity now not controls them. After all, they needn’t marry if they do not need to; it’s doable to get their bread by their very own labour within the workshops of the world. Their grandmothers had been in a much more troublesome place. Failing marriage, they not solely suffered a merciless ignominy, however in lots of instances confronted the menace of precise hunger. There was merely no respectable place within the economic system of these occasions for the free girl. She both needed to enter a nunnery or settle for a disdainful patronage that was as galling as charity.

    Nothing might be plainer than the impact that the rising financial safety of ladies is having upon their entire behavior of life and thoughts. The diminishing marriage fee and the much more quickly diminishing delivery charges present which manner the wind is blowing. It is frequent for male statisticians, with attribute imbecility, to ascribe the autumn within the marriage fee to a rising disinclination on the male aspect. This rising disinclination is definitely on the feminine aspect. Even although no appreciable physique of ladies has but reached the particular doctrine that marriage is much less fascinating than freedom, it should be plain that giant numbers of them now method the enterprise with far better fastidiousness than their grandmothers and even their moms exhibited. They are tougher to please, and therefore happy much less usually. The girl of a century in the past may think about nothing extra beneficial to her than marriage; even marriage with a fifth fee man was higher than no marriage in any respect. This notion is progressively feeling the opposition of a opposite notion. Women normally should desire marriage to work, however there may be an rising minority which begins to understand that work could supply the better contentment, notably if it’s mellowed by a certain quantity of philandering.

    There already seems on the planet, certainly, a category of ladies, who, whereas nonetheless not genuinely averse to marriage, are but free from any idea that it’s needed, and even invariably fascinating. Among these girls are an excellent many considerably vociferous propagandists, virtually male of their violent earnestness; they vary from the man-eating suffragettes to such preachers of free motherhood as Ellen Key and such skilled shockers of the bourgeoisie because the American prophetess of birth-control, Margaret Sanger. But amongst them are many extra who wake the world with no such noisy eloquence, however content material themselves with finishing up their concepts in a quiet and respectable method. The variety of such girls is way bigger than is usually imagined, and that quantity tends to extend steadily. They are girls who, with their financial independence assured, both by inheritance or by their very own efforts, mainly within the arts and professions, do precisely as they please, and make no pother about it. Naturally sufficient, their superiority to conference and the frequent frenzy makes them extraordinarily enticing to the higher form of males, and so it isn’t unusual for certainly one of them to seek out herself voluntarily sought in marriage, with none preliminary scheming by herself—certainly an expertise that only a few odd girls ever get pleasure from, save maybe in desires or delirium.

    The previous order changeth and giveth place to the brand new. Among the ladies’s golf equipment and within the girls’s faculties, I’ve little doubt, there may be nonetheless a lot debate of the previous and foolish query: Are platonic relations doable between the sexes? In different phrases, is friendship doable with out intercourse? Many a girl of the brand new order dismisses the issue with one other query: Why with out intercourse? With the decay of the traditional idea of ladies as property there should come inevitably a reconsideration of the entire intercourse query, and out of that reconsideration there should come a revision of the mediaeval penalties which now punish the slightest frivolity within the feminine. The notion that honour in girls is completely a bodily matter, {that a} single aberrance could convert a girl of the best deserves into a girl of none in any respect, that the only real invaluable factor a girl can convey to marriage is virginity—this notion is so preposterous that no clever particular person, male or feminine, truly cherishes it. It survives as one of many hole conventions of Christianity; nay, of the levantine barbarism that preceded Christianity. As girls throw off the opposite conventions which now bind them they are going to throw off this one, too, and so their advantage, grounded upon fastidiousness and self-respect as an alternative of upon mere concern and conformity, will grow to be afar extra laudable factor than it ever may be below the current system. And for its absence, in the event that they see match to get rid of it, they are going to no extra apologize than a person apologizes immediately.

    43. The Lady of Joy

    Even prostitution, in the long term, could grow to be a roughly respectable occupation, because it was within the nice days of the Greeks. That high quality will certainly connect to it if ever it grows fairly pointless; no matter is pointless is at all times respectable, for instance, faith, modern clothes, and a information of Latin grammar. The prostitute is disesteemed immediately, not as a result of her commerce entails something intrinsically degrading and even unpleasant, however as a result of she is presently assumed to have been pushed into it by dire necessity, towards her dignity and inclination. That this assumption is normally unsound is not any objection to it; practically all of the pondering of the world, notably within the area of morals, is predicated upon unsound assumption, e.g., that God observes the autumn of a sparrow and is shocked by the autumn of a Sunday-school superintendent. The fact is that prostitution is without doubt one of the most tasty of the occupations virtually open to the form of girls who have interaction in it, and that the prostitute generally likes her work, and wouldn’t trade locations with a shop-girl or a waitress for something on the planet. The notion on the contrary is propagated by unsuccessful prostitutes who fall into the fingers {of professional} reformers, and who assent to the imbecile theories of the latter as a way to domesticate their good will, simply as convicts in jail, questioned by tee-totalers, at all times ascribe their rascality to alcohol. No prostitute of something resembling regular intelligence is below the slightest duress; she is completely free to desert her commerce and go into a store or manufacturing facility or into home service each time the impulse strikes her; all of the prevailing gabble about white slave jails and kidnappers comes from pious rogues who make a dwelling by feeding such nonsense to the credulous. So lengthy as the common prostitute is ready to make an excellent dwelling, she is sort of content material together with her lot, and disposed to distinction it egotistically with the slavery of her virtuous sisters. If she complains of it, then you might ensure that her success is under her expectations. A ravenous lawyer at all times sees injustice, within the courts. A nasty doctor is a bitter critic of Ehrlich and Pasteur. And when a suburban clergyman is pressured out of his treatment by a vestry-room revolution he virtually invariably concludes that the sinfulness of man is incurable, and typically he even begins to doubt among the typographical errors in Holy Writ.

    The excessive worth set upon virginity by males, whose esteem of it’s primarily based upon a mix of vainness and voluptuousness, causes many ladies to protect it in their very own individuals with a jealousy far past their non-public inclinations and pursuits. It is their idea that the lack of it could materially impair their probabilities of marriage. This idea isn’t supported by the information. The fact is that the girl who sacrifices her chastity, all the pieces else being equal, stands a significantly better probability of creating a creditable marriage than the girl who stays chaste. This is very true of ladies of the decrease financial lessons. At as soon as they arrive into contact, hitherto socially troublesome and typically virtually unimaginable, with males of upper lessons, and start to tackle, with the curious facility of their intercourse, the refinements and tastes and factors of view of these lessons. The mistress thus gathers allure, and what has begun as a sordid sale of amiability not uncommonly ends with formal marriage. The variety of such marriages is enormously better than seems superficially, for each events clearly make each effort to hide the information. Within the circle of my essentially restricted private acquaintance I do know of scores of males, a few of them of wealth and place, who’ve made such marriages, and who don’t appear to remorse it. It is an previous commentary, certainly, {that a} girl who has beforehand disposed of her advantage makes an excellent spouse. The frequent idea is that it’s because she is grateful to her husband for rescuing her from social outlawry; the reality is that she makes an excellent spouse as a result of she is a shrewd girl, and has specialised professionally in masculine weak spot, and is thus extra-competent on the conventional enterprise of her intercourse. Such a girl usually reveals a really magnificent sagacity. It could be very troublesome to deceive her logically, and it’s unimaginable to disarm her emotionally. Her revolt towards the pruderies and sentimentalities of the world was proof, to start with, of her mental enterprise and braveness, and her success as a insurgent is proof of her extraordinary pertinacity, resourcefulness and acumen.

    Even probably the most lowly prostitute is healthier off, in all worldly methods, than the virtuous girl of her personal station in life. She has much less work to do, it’s much less monotonous and dispiriting, she meets a far better number of males, and they’re of lessons distinctly past her personal. Nor is her occupation hazardous and her final destiny tragic. A dozen or extra years in the past I noticed a considerably amusing proof of this final. At that point sure sentimental busybodies of the American metropolis during which I lived undertook an elaborate inquiry into prostitution therein, and a few of them got here to me prematurely, as a sensible journalist, for recommendation as to the way to proceed. I discovered that each one of them shared the frequent superstition that the skilled lifetime of the common prostitute is simply 5 years lengthy, and that she invariably ends within the gutter. They had been enormously amazed after they unearthed the reality. This fact was to the impact that the common prostitute of that city ended her profession, not within the morgue however on the altar of God, and that those that remained single usually continued in follow for ten, fifteen and even twenty years, after which retired on competences. It was established, certainly, that absolutely eighty per cent married, and that they virtually at all times obtained husbands who would have been far past their attain had they remained virtuous. For one who married a cabman or petty pugilist there have been a dozen who married respectable mechanics, policemen, small shopkeepers and minor officers, and a minimum of two or three who married well-to-do tradesmen {and professional} males. Among the 1000’s whose careers had been studied there was truly one who ended because the spouse of the city’s richest banker—that’s, one who bagged the perfect catch in the entire group. This girl had begun as a home servant, and deserted that harsh and dreary life to enter a brothel. Her experiences there polished and civilized her, and in her previous age she was a grande dame of nice dignity. Much of the sympathy wasted upon girls of the traditional occupation is grounded upon an error as to their very own angle towards it. An educated girl, listening to {that a} frail sister in a public stew is anticipated to be amiable to all kinds of bounders, thinks of how she would shrink from such contacts, and so concludes that the precise prostitute suffers acutely. What she overlooks is that these males, nonetheless gross and repulsive they could seem to her, are measurably superior to males of the prostitute’s personal class—say her father and brothers—and that communion with them, removed from being disgusting, is usually relatively romantic. I effectively keep in mind observing, throughout my collaboration with the vice-crusaders aforesaid, the delight of a girl of pleasure who had attracted the discover of a police lieutenant; she was intensely happy by the concept of getting a consumer of such haughty manners, such sensible costume, and what appeared to her to be so dignified a occupation. It is at all times forgotten that this weak spot isn’t confined to prostitutes, however run by the entire feminine intercourse. The girl who couldn’t think about a bootleg affair with a rich cleaning soap producer and even with a lawyer finds it fairly simple to think about herself succumbing to an envoy or a duke. There are only a few exceptions to this rule. In probably the most reserved of recent societies the ladies who characterize their highest flower are notoriously complaisant to royalty. And royal girls, to finish the circuit, not sometimes yield to actors and musicians, i.e., to males radiating a glamour not encountered even in princes.

    44. The Future of Marriage

    The transvaluation of values that’s now in progress will go on slowly and for a really lengthy whereas. That it’s going to ever be fairly full is, after all, unimaginable. There are inherent variations will proceed to point out themselves till the top of time. As girl progressively turns into satisfied, not solely of the potential for financial independence, but in addition of its worth, she’s going to in all probability lose her current overmastering need for marriage, and tackle herself to assembly males in free financial competitors. That is to say, she’s going to tackle herself to buying that sensible competence, that prime expertise for puerile and mainly mechanical expertness, which now units man forward of her within the labour market of the world. To do that she must sacrifice a few of her current intelligence; it’s unimaginable to think about a genuinely clever human being turning into a reliable trial lawyer, or buttonhole employee, or newspaper sub-editor, or piano tuner, or home painter. Women, to get upon all fours with males in such silly occupations, must commit non secular suicide, which might be a lot additional than they are going to ever truly go. Thus a shade of their current superiority to males will at all times stay, and with it a shade of their relative inefficiency, and so marriage will stay enticing to them, or in any respect occasions to most of them, and its overthrow might be prevented. To abolish it completely, as sure fevered reformers suggest, can be as troublesome as to abolish the precession of the equinoxes.

    At the current time girls vacillate considerably absurdly between two schemes of life, the previous and the brand new. On the one hand, their financial independence continues to be stuffed with circumstances, and however they’re in revolt towards the immemorial conventions. The result’s a normal unrest, with many signs of extravagant and unintelligent revolt. One of these signs is the looks of mental striving in girls—not a striving, alas, towards the real pearls and rubies of the thoughts, however one merely towards the acquirement of the rubber stamps that males make use of of their so-called pondering. Thus we’ve girls who launch themselves into get together politics, and fill their heads with an enormous mass of ineffective information about political methods, customs, theories and personalities. Thus, too, we’ve the girl social reformer, trailing alongside ridiculously behind a tatterdemalion posse of male utopians, every with one thing to promote. And thus we’ve the girl who goes in for superior knowledge of the kind on draught in girls’s golf equipment—in short, the form of knowledge which consists completely of a physique of beliefs and propositions which can be ignorant, unimportant and unfaithful. Such banal striving is most prodigally on show within the United States, the place superficiality quantities to a nationwide illness. Its reputation is because of the comparatively better leisure of the American individuals, who work lower than another individuals on the planet, and, above all, to the comparatively better leisure of American girls. Thousands of them have been emancipated from any compulsion to productive labour with out having acquired any compensatory mental or creative curiosity or social obligation. The result’s that they swarm within the girls’s golf equipment, and waste their time, listening to dangerous poetry, worse music, and nonetheless worse lectures on Maeterlinck, Balkan politics and the unconscious. It is amongst such girls that one observes the periodic rages for Bergsonism, the Montessori methodology, the twilight sleep and different such follies, so pathetically attribute of American tradition.

    One of the evil results of this tendency I’ve hitherto descanted upon, to wit, the rising disposition of American girls to treat all routine labour, notably within the residence, as infra dignitatem and therefore insupportable. Out of that notion come up many lamentable phenomena. On the one hand, we’ve the spectacle of a large number of wholesome and well-fed girls engaged in public actions that, 9 occasions out of ten, are meaningless, mischievous and a nuisance, and however we behold such a decay within the home arts that, on the first onslaught of the late conflict, the nationwide authorities needed to import a overseas professional to show the housewives of the nation the veriest components of thrift. No such instruction was wanted by the housewives of the Continent. They had been merely informed how a lot meals they may have, and their pure competence did the remainder. There is rarely any avoidable waste there, both in peace or in conflict. A French housewife has little use for a rubbish can, save as a depository for uplifting literature. She does her finest with the means at her disposal, not solely in conflict time however always.

    As I’ve stated over and over on this inquiry, a girl’s disinclination to accumulate the intricate expertness that lies on the backside of fine housekeeping is due primarily to her lively intelligence; it’s troublesome for her to pay attention her thoughts upon such silly and meticulous enterprises. But whether or not troublesome or simple, it’s clearly vital for the common girl to make some effort in that course, for if she fails to take action there may be chaos. That chaos is duly seen within the United States. Here girls reveal certainly one of their subterranean qualities: their deficiency in conscientiousness. They are fairly with out that dog-like constancy to obligation which is without doubt one of the shining marks of males. They by no means summon up a excessive pleasure in doing what’s inherently unpleasant; they at all times go to the galleys below protest, and with vows of sabotage; their basic philosophy is nearly that of the syndicalists. The sentimentality of males connives at this, and is thus largely accountable for it. Before the common puella, apprenticed within the kitchen, can choose up a fourth of the culinary subtleties which can be commonplace even to the cooks on eating vehicles, she has caught a person and want concern herself about them no extra, for he has to eat, within the final evaluation, no matter she units earlier than him, and his lack of intelligence makes it simple for her to close off his tutorial criticisms by bald appeals to his feelings. By a straightforward course of he lastly attaches a optimistic worth to her indolence. It is a proof, he concludes, of her fineness of soul. In the presence of her lofty incompetence he’s abashed.

    But as girls, gaining financial autonomy, meet males in progressively bitterer competitors, the rising masculine mistrust and concern of them might be mirrored even within the enchanted area of marriage, and the husband, having yielded up most of his previous rights, will start to disclose a brand new jealousy of those who stay, and notably of the fitting to a good quid professional quo for his personal docile trade. In transient, as girls shake off their historic disabilities they will even shake off a few of their historic immunities, and their doings will come to be regarded with a soberer and extra exigent scrutiny than now prevails. The extension of the suffrage, I consider, will encourage this awakening; in wresting it from the reluctant male the ladies of the western world have planted dragons’ tooth, the which can presently leap up and gnaw them. Now that girls have the political energy to acquire their simply rights, they are going to start to lose their previous energy to acquire particular privileges by sentimental appeals. Men, going through them squarely, will think about them anew, not as romantic political and social invalids, to be coddled and caressed, however as free opponents in a harsh world. When that reconsideration will get below manner there might be a normal overhauling of the relations between the sexes, and among the truthful ones, I believe, will start to marvel why they did not let effectively sufficient alone.

    45. Effects of the War

    The current sequence of wars, it appears seemingly, will proceed for twenty or thirty years, and maybe longer. That the primary conflict was inconclusive was proven brilliantly by the preposterous nature of the peace lastly reached—a peace so synthetic and dishonest that the signing of it was virtually equal to a brand new declaration of conflict. At least three new contests within the grand method are plainly perception—one between Germany and France to rectify the unnatural tyranny of a weak and incompetent nation over a powerful and enterprising nation, one between Japan and the United States for the mastery of the Pacific, and one between England and the United States for the management of the ocean. To these should be added numerous minor struggles, and maybe one or two of just about main character: the trouble of Russia to regain her previous unity and energy, the trouble of the Turks to place down the slave rise up (of Greeks, Armenians, Arabs, and so on.)which now menaces them, the trouble of the Latin-Americans to throw off the galling Yankee yoke, and the joint effort of Russia and Germany (maybe with England and Italy aiding) to do away with such worldwide nuisances because the insane Polish republic, the petty states of the Baltic, and maybe additionally many of the Balkan states. I cross over the chance of a brand new mutiny in India, of the rising of China towards the Japanese, and of a normal battle for a brand new alignment of boundaries in South America. All of those wars, nice and small, are possible; most of them are humanly sure. They might be fought ferociously, and with assistance from harmful engines of the utmost effectivity. They will result in an unparalleled butchery of males, and a big proportion of those males might be below forty years of age.

    As a consequence there might be a scarcity of husbands in Christendom, and as a second consequence the survivors might be appreciably tougher to snare than the lads of immediately. Every man of agreeable exterior and straightforward means might be pursued, not merely by just a few dozen or rating of ladies, as now, however by entire battalions and brigades of them, and he might be pushed in sheer self-defence into very sharp bargaining. Perhaps in the long run the state must intervene within the enterprise, to forestall the potential husband going to waste within the turmoil of alternative.

    Just what kind this interference is prone to take has not but appeared clearly. In France there may be already a wholesale legitimization of kids born out of wedlock and in Eastern Europe there was a clamour for the legalization of polygamy, however these gadgets don’t meet the principle downside, which is the encouragement of monogamy to the utmost. A plan that means itself is the amelioration of the place of the monogamous husband, now rendered more and more uncomfortable by the legal guidelines of most Christian states. I don’t assume that the extra clever form of girls, confronted by a deadly scarcity of males, would object severely to that amelioration. They should see plainly that the current system, whether it is carried a lot additional, will start to work powerfully towards their finest pursuits, if solely by significantly reinforcing the disinclination to marriage that already exists among the many higher form of males. The girl of true discretion, I’m satisfied, would a lot relatively marry a superior man, even on unfavourable phrases, than make John Smith her husband, serf and prisoner at one stroke.

    The legislation should finally acknowledge this truth and make provision for it. The common husband, maybe, deserves little succour. The girl who pursues and marries him, although she could also be moved by egocentric goals, needs to be correctly rewarded by the state for her service to it—a service certainly to not be flippantly estimated in a navy age. And that reward could conveniently take the shape, as within the United States, of statutes giving her title to a big share of his actual property and requiring him to give up most of his revenue to her, and releasing her from all obedience to him and from all obligation to maintain his home so as. But the girl who aspires to increased sport needs to be fairly prepared, it appears to me, to resign a few of these benefits in compensation for the better honour and satisfaction of being spouse to a person of benefit, and mom to his kids. All that’s wanted is legal guidelines permitting her, if she’s going to, to resign her proper of dower, her proper to upkeep and her immunity from self-discipline, and to make another phrases that she could also be led to treat as equitable. At current girls are unable to make most of those concessions even when they might: the legal guidelines of nearly all of western nations are rigid. If, for instance, an Englishwoman ought to agree, by an ante-nuptial contract, to submit herself to the self-discipline, not of the present statutes, however of the elder frequent legislation, which allowed a husband to right his spouse corporally with a stick no thicker than his thumb, it could be competent for any sentimental neighbour to set the settlement at naught by haling her husband earlier than a Justice of the Peace for carrying it out, and it’s a secure wager that the Justice of the Peace would jail him.

    This plan, nonetheless novel it might appear, is definitely already in operation. Many a married girl, as a way to maintain her husband from revolt, makes roughly disguised surrenders of sure of the rights and immunities that she has below current legal guidelines. There are, for instance, even in America, girls who practise the home arts with competence and diligence, regardless of the plain indisputable fact that no authorized penalty can be visited upon them in the event that they failed to take action. There are girls who comply with exterior trades and professions, contributing a share to the household exchequer. There are girls who obey their husbands, even towards their finest judgments. There are, most quite a few of all, girls who wink discreetly at husbandly departures, overt or in mere intent, from the oath of chemical purity taken on the altar. It is a commonplace, certainly, that many completely happy marriages admit a celebration of the third half. There can be extra of them if there have been extra girls with sufficient serenity of thoughts to see the sensible benefit of the association. The hassle with such triangulations isn’t primarily that they contain perjury or that they provide any basic offence to the spouse; if she avoids banal theatricals, in truth, they generally have the impact of augmenting the husband’s devotion to her and respect for her, if solely because the fruit of comparability. The hassle with them is that only a few males amongst us have sense sufficient to handle them intelligently. The masculine thoughts is instantly taken in by specious values; the common married man of Protestant Christendom, if he succumbs in any respect, succumbs to some meretricious and flamboyant creature, bent solely upon fleecing him. Here is the place the cruel realism of the Frenchman reveals its superiority to the sentimentality of the lads of the Teutonic races. A Frenchman would no extra consider taking a mistress with out consulting his spouse than he would consider standing for workplace with out consulting his spouse. The result’s that he’s seldom victimized. For one Frenchman ruined by girls there are a minimum of 100 Englishmen and Americans, even supposing 100 occasions as many Frenchmen have interaction in that form of recreation. The case of Zola is typical. As is well-known, his amours had been rigorously supervised by Mme. Zola from the primary days of their marriage, and in consequence his life was wholly free from scandals and his thoughts was by no means distracted from his work.

    46. The Eternal Romance

    But no matter the way forward for monogamous marriage, there’ll by no means be any decay of that agreeable adventurousness which now lies on the backside of all transactions between the sexes. Women could emancipate themselves, they could borrow the entire bag of masculine methods, they usually could treatment themselves of their current need for the vegetable safety of marriage, however they are going to by no means stop to be girls, and as long as they’re girls they are going to stay provocative to males. Their chief allure immediately lies exactly in the truth that they’re harmful, that they threaten masculine liberty and autonomy, that their sharp minds current a menace vastly better than that of acts of God and the general public enemy—and they are going to be harmful for ever. Men concern them, and are fascinated by them. They know the way to present their tooth charmingly; the extra enlightened of them have perfected an outstanding strategy of fascination. It was Nietzsche who known as them the recreation of the warrior—not of the poltroon, keep in mind, however of the warrior. A profound saying. They have an infinite capability for rewarding masculine trade and enterprise with small and irresistible flatteries; their acute understanding combines with their capability for evoking concepts of magnificence to make them incomparable companions when the intense enterprise of the day is finished, and the time has come to increase comfortably within the interstellar ether.

    Every man, I daresay, has his personal notion of what constitutes good peace and contentment, however all of these notions, regardless of the elemental battle of the sexes, revolve round girls. As for me—and I hope I could also be pardoned, at this late stage in my inquiry, for intruding my very own persona—I reject the 2 commonest of them: ardour, a minimum of in its extra adventurous and melodramatic features, is just too thrilling and alarming for therefore indolent a person, and I’m too egoistic to have a lot need to be mothered. What, then, stays for me? Let me attempt to describe it to you.

    It is the shut of a busy and vexatious day—say half previous 5 – 6 o’clock of a winter afternoon. I’ve had a cocktail or two, and am stretched out on a divan in entrance of a fireplace, smoking. At the sting of the divan, shut sufficient for me to succeed in her with my hand, sits a girl not too younger, however nonetheless handsome and well-dressed—above all, a girl with a delicate, low-pitched, agreeable voice. As I snooze she talks—of something, all the pieces, all of the issues that girls speak of: books, music, the play, males, different girls. No politics. No enterprise. No faith. No metaphysics. Nothing difficult and vexatious—however keep in mind, she is clever; what she says is clearly expressed, and sometimes picturesquely. I observe the positive sheen of her hair, the gorgeous lower of her frock, the glint of her white tooth, the arch of her eye-brow, the sleek curve of her arm. I take heed to the beautiful murmur of her voice. Gradually I go to sleep—however just for an immediate. At as soon as, observing it, she raises her voice ever so little, and I’m awake. Then to sleep once more—slowly and charmingly down that slippery hill of desires. And then awake once more, after which asleep once more, and so forth.

    I ask you severely: may something be extra unutterably stunning? The sensation of falling asleep is to me probably the most beautiful on the planet. I enjoyment of it a lot that I even stay up for demise itself with a sneaking marvel and need. Well, right here is sleep poetized and made doubly candy. Here is sleep set to the best music on the planet. I match this example towards any that you just ran consider. It isn’t solely enchanting; additionally it is, in a really true sense, ennobling. In the top, when the woman grows prettily miffed and throws me out, I return to my sorrows one way or the other purged and glorified. I’m a greater man in my very own sight. I’ve grazed upon the fields of asphodel. I’ve been genuinely, utterly and unregrettably completely happy.

    47. Apologia in Conclusion

    At the top I crave the indulgence of the aesthetic reader for the imperfections essentially seen in all that I’ve right here set down—imperfections not solely resulting from incomplete data and fallible logic, but in addition, and maybe extra importantly, to sure basic weaknesses of the intercourse to which I’ve the honour to belong. A person is inseparable from his congenital vanities and stupidities, as a canine is inseparable from its fleas. They reveal themselves in all the pieces he says and does, however they reveal themselves most of all when he discusses the majestic thriller of girl. Just as he smirks and rolls his eyes in her precise presence, so he places on apathetic and unescapable clownishness when he essays to dissect her within the privateness of the laboratory. There is not any e book on girl by a person that’s not a stupendous compendium of posturings and imbecilities. There are however two books that present even a superficial need to be trustworthy—”The Unexpurgated Case Against Woman Suffrage,” by Sir Almroth Wright, and this one. Wright made a gallant try to inform the reality, however earlier than he obtained half manner by his job his ineradicable donkeyishness as a male overcame his scientific frenzy as a psychologist, and so he swiftly washed his fingers of the enterprise, and affronted the even handed with a half baked and preposterous e book. Perhaps I’ve failed too, and much more ingloriously. If so, I’m stuffed with honest and indescribable remorse.

    Extract from IN DEFENSE OF WOMEN by H. L. Mencken

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  • Woman Suffrage

    Woman Suffrage

    31. The Crowning Victory

    It is my honest hope that nothing I’ve right here exhibited can be mistaken by the the Aristocracy and gentry for ethical indignation. No such feeling, in fact, is in my coronary heart. Moral judgments, as outdated Friedrich used to say, are international to my nature. Setting apart the huge herd which exhibits no definable character in any respect, it appears to me that the minority distinguished by what is often thought to be an extra of sin could be very far more admirable than the minority distinguished by an extra of advantage. My expertise of the world has taught me that the typical wine-bibber is a much better fellow than the typical prohibitionist, and that the typical rogue is healthier firm than the typical poor drudge, and that the worst white, slave dealer of my acquaintance is a decenter man than the very best vice crusader. In the identical manner I’m satisfied that the typical lady, no matter her deficiencies, is tremendously superior to the typical man. The very ease with which she defies and swindles him in a number of capital conditions of life is the clearest of proofs of her normal superiority. She didn’t receive her current excessive immunities as a present from the gods, however solely after a protracted and sometimes bitter combat, and in that combat she exhibited forensic and tactical skills of a really admirable order. There was no weak point of man that she didn’t penetrate and make the most of. There was no trick that she didn’t put to efficient use. There was no system so daring and inordinate that it daunted her.

    The newest and biggest fruit of this female expertise for fight is the extension of the suffrage, now common within the Protestant international locations, and even advancing in these of the Greek and Latin rites. This fruit was garnered, not by an assault en masse, however by a mere foray. I imagine that almost all of ladies, for causes that I shall presently expose, weren’t anticipating the extension, and regard it as of small worth at the moment. They know that they will get what they need with out going to the precise polls for it; furthermore, they’re out of sympathy with many of the brummagem reforms advocated by the skilled suffragists, female and male. The mere assertion of the present suffragist platform, with its lengthy listing of quack sure-cures for all of the sorrows of the world, is sufficient to make them smile sadly. In specific, they’re sceptical of all reforms that rely on the mass motion of immense numbers of voters, massive sections of whom are wholly devoid of sense. A standard lady, certainly, no extra believes in democracy within the nation than she believes in democracy at her personal fireplace; she is aware of that there should be a category to order and a category to obey, and that the 2 can by no means coalesce. Nor is she vulnerable to the inventory sentimentalities upon which the entire democratic course of is predicated. This was proven very dramatically within the United States on the nationwide election of 1920, during which the late Woodrow Wilson was introduced all the way down to colossal and ignominious defeat—the primary normal election during which all American ladies might vote. All the sentimentality of the state of affairs was on the facet of Wilson, and but absolutely three-fourths of the newly-enfranchised ladies voters voted in opposition to him. He is, regardless of his skills for deception, a poor well-liked psychologist, and so he made a clumsy effort to fetch the women by tear-squeezing: each connoisseur will keep in mind his bathos about breaking the center of the world. Well, only a few ladies imagine in damaged hearts, and the trigger isn’t far to hunt: virtually each lady above the age of twenty-five has a damaged coronary heart. That is to say, she has been vastly upset, both by failing to nab some fairly fellow that her coronary heart was set on, or, worse, by truly nabbing him, after which discovering him to be a bounder or an imbecile, or each. Thus strolling the world with damaged hearts, ladies know that the harm isn’t critical. When he pulled out the Vox angelica cease and commenced sobbing and snuffling and blowing his nostril tragically, the discovered physician merely drove all the ladies voters into the arms of the Hon. Warren Gamaliel Harding, who was too silly to invent any points in any respect, however merely took detrimental benefit of the mistrust aroused by his opponent.

    Once the ladies of Christendom grow to be comfortable in using the poll, and eliminate the preposterous harridans who obtained it for them and who now search to inform them what to do with it, they’ll proceed to a scotching of lots of the sentimentalities which at the moment corrupt politics. For one factor, I imagine that they’ll provoke measures in opposition to democracy—the worst evil of the present-day world. When they arrive to the matter, they’ll actually not ordain the extension of the suffrage to youngsters, criminals and the insane briefly, to these ever extra inflammable and knavish than the male hinds who’ve loved it for therefore lengthy; they’ll attempt to result in its restriction, little by little, to the small minority that’s clever, agnostic and self-possessed—say six ladies to at least one man. Thus, out of their larger intuition for actuality, they’ll make democracy protected for a democracy.

    The curse of man, and the reason for almost all his woes, is his stupendous capability for believing the unbelievable. He is endlessly embracing delusions, and every new one is worse than all which have gone earlier than. But the place is the delusion that ladies cherish—I imply habitually, firmly, passionately? Who will draw up an inventory of propositions, held and maintained by them in sober earnest, which are clearly not true? (I allude right here, in fact, to real ladies, to not suffragettes and different such pseudo-males). As for me, I mustn’t prefer to undertake such an inventory. I do know of nothing, the truth is, that correctly belongs to it. Women, as a category, imagine in not one of the ludicrous rights, duties and pious obligations that males are endlessly gabbling about. Their superior intelligence is on no account extra eloquently demonstrated than by their ironical view of all such phantasmagoria. Their recurring angle towards males is considered one of aloof disdain, and their recurring angle towards what males imagine in, and get into sweats about, and bellow for, is considerably the identical. It takes twice as lengthy to transform a physique of ladies to some new fallacy because it takes to transform a physique of males, and even then they halt, hesitate and are filled with mordant criticisms. The ladies of Colorado had been voting for 21 years earlier than they succumbed to prohibition sufficiently to permit the person voters of the state to undertake it; their very own majority voice was in opposition to it to the top. During the interval the boys voters of a dozen non-suffrage American states had gone shrieking to the mourners’ bench. In California, enfranchised in 1911, the ladies rejected the dry revelation in 1914. National prohibition was adopted throughout the struggle with out their votes—they didn’t get the franchise all through the nation till it was within the Constitution—and it’s with out their assist at the moment. The American man, regardless of his status for lawlessness, is definitely very a lot afraid of the police, and in all of the areas the place prohibition is now truly enforced he makes excuses for his poltroonish acceptance of it by arguing that it’ll do him good in the long term, or that he must sacrifice his personal needs to the widespread weal. But it’s virtually unattainable to search out an American lady of any tradition who’s in favour of it. One and all, they’re against the turmoil and corruption that it entails, and resentful of the invasion of liberty underlying it. Being realists, they haven’t any perception in any program which proposes to remedy the pure swinishness of males by laws. Every regular lady believes, and fairly precisely, that the typical man could be very very like her husband, John, and he or she is aware of very properly that John is a weak, foolish and knavish fellow, and that any effort to transform him into an archangel in a single day is certain to come back to grief. As for her view of the typical creature of her personal intercourse, it’s marked by a cynicism so penetrating and so damaging {that a} clear assertion of it might shock past endurance.

    32. The Woman Voter

    Thus there’s not the slightest likelihood that the enfranchised ladies of Protestantdom, as soon as they grow to be comfortable in using the poll, will give any heed to the ex-suffragettes who now presume to guide and instruct them in politics. Years in the past I predicted that these suffragettes, tried out by victory, would grow to be idiots. They are actually onerous at work proving it. Half of them dedicate themselves to advocating reforms, mainly of a sexual character, so totally preposterous that even male politicians and newspaper editors snort at them; the opposite half succumb absurdly to the blandishments of the old-time male politicians, and so enroll themselves within the nice political events. A lady who joins considered one of these events merely turns into an imitation man, which is to say, a donkey. Thereafter she is nothing however an obscure cog in an historical and creaking machine, the only intelligible function of which is to keep up a horde of scoundrels in public workplace. Her vote is immediately set off by the vote of some sister who joins the opposite camorra. Parenthetically, I could add that all the girls to take to this political immolation appear to me to be frightfully plain. I do know these of England, Germany and Scandinavia solely by their portraits within the illustrated papers, however these of the United States I’ve studied at shut vary at numerous massive political gatherings, together with the 2 nationwide conventions first following the extension of the suffrage. I’m certainly no fastidious fellow—the truth is, I choose a sure melancholy decay in ladies to the loud, circus-wagon brilliance of youth—however I provide you with my phrase that there have been not 5 ladies at both nationwide conference who might have embraced me in digital camera with out first giving me chloral. Some of the chief stateswomen on present, the truth is, had been so downright hideous that I felt faint each time I had to have a look at them.

    The reform-monging suffragists appear to be equally devoid of the extra caressing items. They could also be full of altruistic ardour, however they actually have dangerous complexions, and never a lot of them know costume their hair. Nine-tenths of them advocate reforms aimed on the alleged lubricity of the male-the single normal, medical certificates for bridegrooms, birth-control, and so forth. The motive right here, I imagine, is mere rage and jealousy. The lady who isn’t pursued units up the doctrine that pursuit is offensive to her intercourse, and needs to make it a felony. No genuinely engaging lady has any such want. She likes masculine admiration, nevertheless violently expressed, and is kind of capable of maintain herself. More, she is properly conscious that only a few males are daring sufficient to supply it and not using a plain invitation, and this consciousness makes her extraordinarily cynical of all ladies who complain of being harassed, beset, storied, and seduced. All the extra clever ladies that I do know, certainly, are unanimously of the opinion that no woman in her proper senses has ever been truly seduced for the reason that world started; at any time when they hear of a case, they sympathize with the person. Yet extra, the traditional lady of vigorous charms, roving about amongst males, all the time tries to attract the admiration of those that have beforehand admired elsewhere; she prefers the skilled to the novice, and estimates her talent by the attractiveness of the huntresses who’ve hitherto stalked it. The iron-faced suffragist propagandist, if she will get a person in any respect, should get one wholly with out sentimental expertise. If he has any, her crude manoeuvres make him snort and he’s repelled by her lack of pulchritude and amiability. All such suffragists (save a couple of miraculous beauties) marry ninth-rate males after they marry in any respect. They need to put up with the kind of castoffs who’re virtually able to fall in love with girl physicists, embryologists, and embalmers.

    Fortunately for the human race, the campaigns of those indignant viragoes will come to naught. Men will carry on pursuing ladies till hell freezes over, and ladies will hold luring them on. If the latter enterprise had been deserted, the truth is, the entire recreation of affection would play out, for not many males take any discover of ladies spontaneously. Nine males out of ten can be fairly glad, I imagine, if there have been no ladies on the planet, as soon as they’d grown accustomed to the quiet. Practically all males are their happiest when they’re engaged upon actions—for instance, consuming, playing, looking, enterprise, journey—to which ladies usually are not ordinarily admitted. It is ladies who seduce them from such celibate doings. The hare postures and gyrates in entrance of the hound. The strategy to put an finish to the gaudy crimes that the suffragist alarmists speak about is to shave the heads of all the gorgeous ladies on the planet, and pluck out their eyebrows, and pull their enamel, and put them in khaki, and forbid them to wriggle on dance-floors, or to put on scents, or to make use of lip-sticks, or to roll their eyes. Reform, as ordinary, errors the fish for the fly.

    33. A Glance Into the Future

    The current public prosperity of the ex-suffragettes is mainly as a consequence of the truth that the old-time male politicians, being naturally very silly, mistake them for spokesmen for the entire physique of ladies, and so present them politeness. But quickly or late—and possibly disconcertingly quickly—the good mass of smart and agnostic ladies will flip upon them and depose them, and thereafter the girl vote can be now not on the disposal of bogus Great Thinkers and messiahs. If the suffragettes proceed to fill the newspapers with nonsense, as soon as that change has been effected, will probably be solely as a minority sect of tolerated idiots, just like the Swedenborgians, Christian Scientists, Seventh Day Adventists and different such fanatics of at the moment. This was the historical past of the extension of the suffrage in all the American states that made it earlier than the nationwide enfranchisement of ladies and will probably be repeated within the nation at massive, and in Great Britain and on the Continent. Women usually are not taken in by quackery as readily as males are; the hardness of their shell of logic makes it troublesome to penetrate to their feelings. For one lady who testifies publicly that she has been cured of most cancers by some swindling patent drugs, there are no less than twenty masculine witnesses. Even such frauds because the favorite American elixir, Lydia Pinkham’s Vegetable Compound, that are ostensibly treatments for particularly female ills, anatomically unattainable within the male, are mainly swallowed, so an clever druggist tells me, by males.

    My personal perception, based mostly on elaborate inquiries and lengthy meditation, is that the grant of the poll to ladies marks the hid however none the much less actual starting of an enchancment in our politics, and, in the long run, in our complete idea of presidency. As issues stand, an clever grappling with a few of the capital issues of the commonwealth is nearly unattainable. A politician usually prospers underneath democracy, not in proportion as his rules are sound and his honour incorruptible, however in proportion as she excels within the manufacture of sonorous phrases, and the invention of imaginary perils and imaginary defences in opposition to them. Our politics thus degenerates right into a mere pursuit of hobgoblins; the male voter, a coward in addition to an ass, is endlessly taking fright at a brand new one and electing some mountebank to put it. For 100 years previous the folks of the United States, probably the most horrible current democratic state, have scarcely had a political marketing campaign that was not based mostly upon some preposterous concern—first of slavery after which of the manumitted slave, first of capitalism after which of communism, first of the outdated after which of the novel. It is a peculiarity of ladies that they don’t seem to be simply set off by such alarms, that they don’t fall readily into such facile tumults and phobias. What begins a male assembly to snuffling and trembling most violently is exactly the factor that may trigger a feminine assembly to smell. What we’d like, to beat back mobocracy and safeguard a civilized type of authorities, is extra of this sniffing. What we’d like—and in the long run it should come—is a sniff so highly effective that it’ll name a halt upon the navigation of the ship from the forecastle, and put a reliable employees on the bridge, and lay a course that’s describable in intelligible phrases.

    The officers nominated by the male citizens in fashionable democracies earlier than the extension of the suffrage had been normally chosen, not for his or her competence however for his or her mere expertise for idiocy; they mirrored precisely the male weak point for no matter is rhetorical and mawkish and feeble and unfaithful. Consider, for instance, what occurred in a salient case. Every 4 years the male voters of the United States selected from amongst themselves one who was put ahead as the person most match, of all resident males, to be the primary citizen of the commonwealth. He was chosen after interminable dialogue; his {qualifications} had been totally canvassed; very massive powers and dignities had been put into his arms. Well, what did we generally discover after we examined this gentleman? We discovered, not a profound thinker, not a frontrunner of sound opinion, not a person of notable sense, however merely a wholesaler of notions so childish that they need to wants disgust a sentient suckling—briefly, a spouting geyser of fallacies and sentimentalities, a cataract of unsupported assumptions and hole moralizings, a tedious phrase-merchant and platitudinarian, a fellow whose noblest flights of thought had been flattered after they had been known as understandable—particularly, a Wilson, a Taft, a Roosevelt, or a Harding.

    This was the male champion. I don’t enterprise upon the cruelty of evaluating his bombastic flummeries to the clear reasoning of a lady of like fame and place; all I ask of you is that you simply weigh them, for sense, for shrewdness, for clever grasp of obscure relations, for mental honesty and braveness, with the concepts of the typical midwife.

    34. The Suffragette

    I’ve spoken with some disdain of the suffragette. What is the matter along with her, essentially, is straightforward: she is a lady who has stupidly carried her envy of sure of the superficial privileges of males to such a degree that it takes on the character of an obsession, and makes her blind to their worthless and sometimes mainly imaginary character. In specific, she centres this frenzy of hers upon one particular privilege, to wit, the alleged privilege of promiscuity in amour, the trendy droit du seigneur. Read the books of the chief girl Savonarolas, and you can find working by means of them an hysterical denunciation of what’s known as the double normal of morality; there’s, certainly, a complete literature devoted completely to it. The existence of this double normal appears to drive the poor ladies half frantic. They bellow raucously for its abrogation, and demand that the frivolous male be visited with much more idiotic penalties than these which now go to the aberrant feminine; some even advocate gravely his mutilation by surgical procedure, that he could also be pressured into rectitude by a bodily incapacity for sin.

    All this, in fact, is hocus-pocus, and the considered usually are not deceived by it for an immediate. What these virtuous bel dames truly want of their hearts isn’t that the male be decreased to chemical purity, however that the franchise of dalliance be prolonged to themselves. The most basic acquaintance with Freudian psychology exposes their secret animus. Unable to ensnare males underneath the current system, or in any respect occasions, unable to ensnare males sufficiently appetizing to arouse the envy of different ladies, they leap to the idea that it might be simpler if the foundations had been much less exacting. This idea exposes their deficiency within the chief character of their intercourse: correct statement. The reality is that, even when they possessed the liberty that males are supposed to own, they might nonetheless discover it troublesome to attain their ambition, for the typical man, no matter his stupidity, is no less than eager sufficient in judgment to choose a single wink from a genuinely engaging lady to the final delirious favours of the everyday suffragette. Thus the idea of the whoopers and snorters of the trigger, in its esoteric in addition to in its public side, is unsound. They are merely ladies who, of their tastes and processes of thoughts, are two-thirds males, and the actual fact explains their failure to attain presentable husbands, and even consolatory betrayal, fairly as successfully because it explains the prepared credence they offer to political and philosophical absurdities.

    35. A Mythical Dare-Devil

    The reality is that the image of male carnality that such ladies conjure up belongs virtually wholly to fable, as I’ve already noticed in coping with the sophistries of Dr. Eliza Burt Gamble, a paralogist on a considerably increased airplane. As they depict him of their fevered treatises on illegitimacy, white-slave buying and selling and ophthalmia neonatorum, the typical male grownup of the Christian and cultured international locations leads a lifetime of gaudy lubricity, rolling magnificently from one liaison to a different, and with an virtually limitless queue of ruined milliners, dancers, charwomen, parlour-maids and waitresses behind him, all dying of poison and despair. The lifetime of man, as these furiously envious ones see it, is the lifetime of a number one actor in a boulevard revue. He is a polygamous, multigamous, myriadigamous; an insatiable and unconscionable debauche, a monster of promiscuity; prodigiously untrue to his spouse, and even to his associates’ wives; fathomlessly libidinous and fantastically glad.

    Needless to say, this image bears no extra relation to the information than a dissertation on main technique by a navy “expert” promoted from dramatic critic. If the chief suffragette scare mongers (I communicate with none embarrassing naming of names) had been engaging sufficient to males to get close to sufficient to sufficient males to know sufficient about them for his or her function they might paralyze the Dorcas societies with no such cajoling libels. As a matter of sober reality, the typical man of our time and race is kind of incapable of all these incandescent and intriguing divertisements. He is way extra virtuous than they make him out, far much less schooled in sin, far much less enterprising and ruthless. I don’t say, in fact, that he’s pure in coronary heart, for the possibilities are that he is not; what I do say is that, within the overwhelming majority of instances, he’s pure in act, even within the face of temptation. And why? For a number of major causes, not to enter minor ones. One is that he lacks the braveness. Another is that he lacks the cash. Another is that he’s essentially ethical, and has a conscience. It takes extra sinful initiative than he has in him to plunge into any affair save probably the most informal and sordid; it takes extra ingenuity and intrepidity than he has in him to hold it off; it takes extra money than he can conceal from his consort to finance it. A person might power his precise spouse to share the direst poverty, however even the least vampirish lady of the third half calls for to be courted in what, contemplating his station in life, is the grand method, and the bills of that grand method scare off all save a small minority of specialists in deception. So lengthy, certainly, as a spouse is aware of her husband’s revenue precisely, she has a positive technique of holding him to his oaths.

    Even more practical than the fiscal barrier is the barrier of poltroonery. The one character that distinguishes man from the opposite increased vertebrate, certainly, is his extreme timorousness, his simple yielding to alarms, his incapacity for journey and not using a crowd behind him. In his regular incarnation he’s no extra able to initiating an extra-legal affair—in any respect occasions, above the mawkish harmlessness of a flirting match with a cigar woman in a cafe-than he’s of scaling the battlements of hell. He likes to consider himself doing it, simply as he likes to consider himself main a cavalry cost or climbing the Matterhorn. Often, certainly, his self-importance leads him to think about the factor carried out, and he admits by winks and blushes that he’s a nasty one. But on the backside of all that tawdry pretence there’s normally nothing extra materials than an oafish smirk at some disgusted shop-girl, or a scraping of shins underneath the desk. Let any lady who’s disquieted by stories of her husband’s derelictions determine to herself how lengthy it might have taken him to suggest to her if left to his personal enterprise, after which let her ask herself if that’s the case pusillanimous a creature may very well be imaged within the position of Don Giovanni.

    Finally, there’s his conscience—the amassed sediment of ancestral faintheartedness in numerous generations, with imprecise spiritual fears and superstitions to leaven and mellow it. What! a conscience? Yes, expensive associates, a conscience. That conscience could also be imperfect, inept, unintelligent, brummagem. It could also be indistinguishable, at instances, from the mere concern that somebody could also be wanting. It could also be shot by means of with hypocrisy, stupidity, play-acting. But nonetheless, as consciences go in Christendom, it’s genuinely entitled to the identify—and it’s all the time in motion. A person, keep in mind, isn’t a being in vacuo; he’s the fruit and slave of the atmosphere that bathes him. One can not enter the House of Commons, the United States Senate, or a jail for felons with out changing into, in some measure, a rascal. One can not fall overboard with out transport water. One can not cross by means of a contemporary college with out carrying away scars. And by the identical token one can not dwell and have one’s being in a contemporary democratic state, 12 months in and 12 months out, with out falling, to some extent no less than, underneath that ethical obsession which is the hall-mark of the mob-man let out. A citizen of such a state, his nostril buried in Nietzsche, “Man and Superman,” and different such superior literature, might caress himself with the notion that he’s an immoralist, that his soul is stuffed with soothing sin, that he has reduce himself free from the revelation of God. But all of the whereas there is part of him that continues to be a sound Christian, a moralist, a proper considering and forward-looking man. And that half, in instances of stress, asserts itself. It might not fear him on unusual events. It might not cease him when he swears, or takes a nip of whiskey behind the door, or goes motoring on Sunday; it might even let him alone when he goes to a leg-show. But the second a concrete Temptress rises earlier than him, her nostril snow-white, her lips rouged, her eyelashes drooping provokingly—the second such an deserted wench has at him, and his lack of prepared funds begins to conspire together with his lack of braveness to assault and wobble him—at that exact second his conscience flares into operate, and so finishes his enterprise. First he sees problem, then he sees the hazard, then he sees improper. The result’s that he slinks off in trepidation, and one other vampire is baffled of her prey.

    It is, certainly, the key scandal of Christendom, no less than within the Protestant areas, that almost all males are trustworthy to their wives. You will a journey a great distance earlier than you discover a married man who will admit that he’s, however the information are the information, and I’m certainly not one to flout them.

    36. The Origin of a Delusion

    The origin of the delusion that the typical man is a Leopold II or Augustus the Strong, with the amorous expertise of a guinea pig, isn’t far to hunt. It lies in three elements, the which I rehearse briefly:

    1. The idiotic self-importance of males, resulting in their everlasting boasting, both by open mendacity or sinister hints.

    2. The notions of vice crusaders, nonconformist divines, Y. M. C. A. secretaries, and different such libidinous poltroons as to what they might do themselves if they’d the braveness.

    3. The ditto of sure suffragettes as to ditto.

    Here you may have the genesis of a generalization that offers the much less vital kind of ladies a substantial amount of pointless uneasiness and vastly augments the pure conceit of males. Some pornographic outdated fellow, within the discharge of his duties as director of an anti-vice society, places in a night ploughing by means of such books as “The Memoirs of Fanny Hill,” Casanova’s Confessions, the Cena Trimalchionis of Gaius Petronius, and II Samuel. From this perusal he arises with the conviction that life amid the purple lights should be one stupendous whirl of deviltry, that the clerks he sees in Broadway or Piccadilly at evening are out for revels that may have brought about protests in Sodom and Nineveh, that the typical man who chooses hell leads an existence akin to that of a Mormon bishop, that the world outdoors the Bible class is packed like a sardine-can with betrayed salesgirls, that each man who would not imagine that Jonah swallowed the whale spends his complete leisure leaping by means of the seventh hoop of the Decalogue. “If I were not saved and anointed of God,” whispers the vice director into his personal ear, “that is what I, the Rev. Dr. Jasper Barebones, would be doing. The late King David did it; he was human, and hence immoral. The late King Edward VII was not beyond suspicion: the very numeral in his name has its suggestions. Millions of others go the same route…. Ergo, Up, guards, and at ’em! Bring me the pad of blank warrants! Order out the seachlights and scaling-ladders! Swear in four hundred more policemen! Let us chase these hell-hounds out of Christendom, and make the world safe for monogamy, poor working girls, and infant damnation!”

    Thus the hound of heaven, arguing fallaciously from his personal secret aspirations. Where he makes his mistake is in assuming that the unconsecrated, whereas sharing his longing to debauch and betray, are free from his different weaknesses, e.g., his timidity, his lack of resourcefulness, his conscience. As I’ve mentioned, they don’t seem to be. The overwhelming majority of those that seem within the public haunts of sin are there, to not interact in overt acts of ribaldry, however merely to tremble agreeably upon the sting of the abyss. They are the identical skittish experimentalists, exactly, who throng the halfway at a world’s honest, and go to smutty exhibits, and soak up intercourse magazines, and browse the kind of books that our vice crusading pal reads. They prefer to conjure up the charms of carnality, and to assist out their considerably sluggish imaginations by precise peeps at it, however with regards to taking a forthright header into the sulphur they normally fail to muster up the braveness. For one clerk who succumbs to the houris of the pave, there are 5 hundred who succumb to lack of means, the warnings of the intercourse hygienists, and their very own miserable consciences. For one “clubman”—i.e., bagman or suburban vestryman—who invades the ladies’s outlets, engages the love of some harmless miss, lures her into infamy after which sells her to the Italians, there are one thousand who by no means get any additional than asking the worth of cologne water and discharging a couple of furtive winks. And for one husband of the Nordic race who maintains a blonde refrain woman in oriental luxurious across the nook, there are ten thousand who’re as true to their wives, 12 months in and 12 months out, as so many convicts within the death-house, and can be no extra able to any such loathsome malpractice, even within the face of free alternative, than they might be of slicing off the ears of their younger.

    I’m sorry to explode a lot romance. In specific, I’m sorry for the suffragettes who specialize within the double normal, for after they get into pantaloons eventually, and have the brand new freedom, they’ll uncover to their sorrow that they’ve been pursuing a chimera—that there’s actually no such animal because the male anarchist they’ve been denouncing and envying—that the wholesale fornication of man, no less than underneath Christian democracy, has little extra precise existence than trustworthy promoting or sound cooking. They have adopted the porno maniacs in embracing a bit of buncombe, and when the day of deliverance comes it is going to flip to ashes of their arms.

    Their error, as I say, lies in overestimating the braveness and enterprise of man. They themselves, barring mere bodily valour, a top quality during which the typical man is way exceeded by the typical jackal or wolf, have extra of each. If the implications, to a person, of the slightest descent from virginity had been one-tenth as swift and barbarous as the implications to a younger woman in like case, it might take a division of infantry to dredge up a single male flouter of that lex talionis in the entire western world. As issues stand at the moment, even with the percentages so tremendously in his favour, the typical male hesitates and is thus not misplaced. Turn to the statistics of the vice crusaders should you doubt it. They present that the weekly receipts of feminine recruits upon the wharves of sin are all the time greater than the demand; that extra younger ladies enter upon the vermilion profession than could make respectable livings at it; that the stress of the temptation they maintain out is the chief consider corrupting our undergraduates. What was the primary act of the American Army when it started summoning its younger clerks and faculty boys and plough arms to conscription camps? Its first act was to mark off a so-called ethical zone round every camp, and to safe it with trenches and machine weapons, and to place a variety of volunteer termagants to patrolling it, that the assembled jeunesse is likely to be protected of their rectitude from the immoral advances of the adjoining milkmaids and poor working ladies.

    37. Women as Martyrs

    I’ve given three causes for the prosperity of the notion that man is a pure polygamist, bent eternally upon recent dives into Lake of Brimstone No. 7. To these one other must be added: the thirst for martyrdom which exhibits itself in so many ladies, significantly underneath the upper types of civilization. This unhealthy urge for food, the truth is, could also be described as considered one of civilization’s ailments; it’s virtually exceptional in additional primitive societies. The savage lady, unprotected by her impolite tradition and compelled to heavy and relentless labour, has retained her bodily power and with it her honesty and self-respect. The civilized lady, steadily degenerated by a larger ease, and helped down that hill by the pretensions of civilized man, has turned her infirmity right into a advantage, and so impacts a feebleness that’s truly far past the truth. It is by this route that she will be able to most successfully disarm masculine mistrust, and get what she desires. Man is flattered by any acknowledgment, nevertheless insincere, of his superior power and capability. He likes to be leaned upon, appealed to, adopted docilely. And this tribute to his would possibly caresses him on the psychic airplane in addition to on the airplane of the clearly bodily. He not solely enjoys serving to a lady over a gutter; he additionally enjoys serving to her dry her tears. The result’s the huge pretence that characterizes the relations of the sexes underneath civilization—the double pretence of man’s crafty and autonomy and of lady’s dependence and deference. Man is all the time in search of somebody to boast to; lady is all the time in search of a shoulder to place her head on.

    This female affectation, in fact, has steadily taken on the power of a hard and fast behavior, and so it’s got a sure assist, by a well-recognized technique of self-delusion, in actuality. The civilized lady inherits that behavior as she inherits her crafty. She is born half satisfied that she is actually as weak and helpless as she later pretends to be, and the prevailing folklore gives her limitless corroboration. One of the resultant phenomena is the enjoyment of martyrdom that one so usually finds in ladies, and significantly within the least alert and introspective of them. They take a heavy, unhealthy pleasure in struggling; it subtly pleases them to be onerous put upon; they prefer to image themselves as slaughtered saints. Thus they all the time discover one thing to complain of; the very situations of home life give them a superabundance of medical materials. And if, by any likelihood, such materials exhibits a falling off, they’re uneasy and sad. Let a lady have a husband whose conduct isn’t moderately open to query, and she’s going to invent legendary offences to make him bearable. And if her invention fails she can be plunged into the utmost distress and humiliation. This reality most likely explains many mysterious divorces: the husband was not too dangerous, however too good. For public opinion amongst ladies, keep in mind, doesn’t favour the girl who is stuffed with a placid contentment and has no masculine torts to report; if she says that her husband is wholly passable she is seemed upon as a numskull much more dense that he’s himself. A person, talking of his spouse to different males, all the time praises her extravagantly. Boasting about her soothes his self-importance; he likes to fire up the envy of his fellows. But when two ladies speak of their husbands it’s primarily atrocities that they describe. The most esteemed lady gossip is the one with the longest and most numerous repertoire of complaints.

    This craving for martyrdom explains one of many generally famous characters of ladies: their keen aptitude for bearing bodily ache. As now we have seen, they’ve truly a very good deal much less endurance than males; large accidents shock them extra severely and kill them extra rapidly. But when acute algesia is unaccompanied by any profounder phenomena they’re undoubtedly capable of bear it with a far larger present of resignation. The motive isn’t far to hunt. In ache a person sees solely an invasion of his liberty, power and shallowness. It flooring him, masters him, and makes him ridiculous. But a lady, extra refined and devious in her processes of thoughts, senses the dramatic impact that the spectacle of her struggling makes upon the spectators, already full of compassion for her feebleness. She would thus a lot somewhat be praised for dealing with ache with a martyr’s fortitude than for devising some technique of eliminating it–the first considered a person. No lady might have invented chloroform, nor, for that matter, alcohol. Both medicine supply an escape from conditions and experiences that, even in aggravated kinds, ladies relish. The lady who drinks as males drink—that’s, to boost her threshold of sensation and ease the agony of dwelling—almost all the time exhibits a deficiency in female characters and an undue preponderance of masculine characters. Almost invariably you can find her useless and boastful, and filled with different marks of that bombastic exhibitionism which is so sterlingly male.

    38. Pathological Effects

    This female yearning for martyrdom, in fact, usually takes on a downright pathological character, and so engages the psychiatrist. Women present many different traits of the identical type. To be a lady underneath our Christian civilization, certainly, means to dwell a life that’s heavy with repression and dissimulation, and this repression and dissimulation, in the long term, can not fail to provide results which are indistinguishable from illness. You will discover a few of them described at size in any handbook on psychoanalysis. The Viennese, Adler, and the Dane, Poul Bjerre, argue, certainly, that womanliness itself, as it’s encountered underneath Christianity, is a illness. All ladies endure from a suppressed revolt in opposition to the inhibitions pressured upon them by our synthetic tradition, and this suppressed revolt, by well-known Freudian means, produces a posh of psychological signs that’s acquainted to all of us. At one finish of the size we observe the suffragette, along with her grotesque adoption of the male perception in legal guidelines, phrases and talismans, and her hysterical demand for a sexual libertarianism that she couldn’t put to make use of if she had it. And on the different finish we discover the snuffling and neurotic lady, along with her bogus martyrdom, her extravagant pruderies and her pathological delusions. As Ibsen noticed way back, it is a man’s world. Women have damaged a lot of their outdated chains, however they’re nonetheless enmeshed in a formidable community of artificial taboos and sentimentalities, and it’ll take them one other era, no less than, to get real freedom. That that is true is proven by the deep unrest that but marks the intercourse, regardless of its latest progress towards social, political and financial equality. It is nearly unattainable to discover a man who actually needs that he had been a lady, however virtually each lady, at a while or different in her life, is gnawed by a remorse that she isn’t a person.

    Two of the toughest issues that ladies need to bear are (a) the silly masculine disinclination to confess their mental superiority, and even their equality, and even their possession of a standard human gear for thought, and (b) the equally silly masculine doctrine that they represent a particular and ineffable species of vertebrate, with out the pure instincts and appetites of the order—to adapt a phrase from Hackle, that they’re transcendental and virtually gaseous mammals, and marked by a whole lack of sure salient mammalian characters. The first imbecility has already involved us at size. One finds traces of it even in works professedly dedicated to disposing of it. In one such guide, for instance, I come across this: “What all the skill and constructive capacity of the physicians in the Crimean War failed to accomplish Florence Nightingale accomplished by her beautiful femininity and nobility of soul.” In different phrases, by her possession of some recondite and indescribable magic, sharply separated from the unusual psychological processes of man. The idea is unsound and preposterous. Miss Nightingale completed her helpful work, not by magic, however by onerous widespread sense. The drawback earlier than her was merely considered one of group. Many males had tackled it, and all of them had failed stupendously. What she did was to convey her female sharpness of wit, her female clear-thinking, to bear upon it. Thus attacked, it yielded rapidly, and as soon as it had been dropped at order it was simple for different individuals to hold on what she had begun. But the opinion of a person’s world nonetheless prefers to credit score her success to some mysterious angelical high quality, unstatable in lucid phrases and having no extra actuality than the divine inspiration of an archbishop. Her terribly acute and correct intelligence is thus conveniently put upon the desk, and the amour propre of man is stored inviolate. To confess frankly that she had extra sense than any male Englishman of her era can be to utter a reality too harsh to be bearable.

    The second delusion generally exhibits itself within the idea, already mentioned, that ladies are devoid of any intercourse intuition—that they undergo the odious caresses of the lubricious male solely by a strong effort of the need, and with the only object of discharging their responsibility to posterity. It can be unattainable to enter this delusion with correct candour and at due size in a piece designed for studying aloud within the home circle; all I can do is to refer the scholar to the books of any competent authority on the psychology of intercourse, say Ellis, or to the confidences (if they’re obtainable) of any complaisant bachelor of his acquaintance.

    39. Women as Christians

    The glad tidings preached by Christ had been clearly extremely beneficial to ladies. He lifted them to equality earlier than the Lord when their very possession of souls was nonetheless doubted by the vast majority of rival theologians. Moreover, He esteemed them socially and set worth upon their sagacity, and one of the crucial disdained of their intercourse, a girl previously in public life, was amongst His common advisers. Mariolatry is thus on no account the invention of the mediaeval popes, as Protestant theologians would have us imagine. On the opposite, it’s plainly discernible within the Four Gospels. What the mediaeval popes truly invented (or, to be exact, reinvented, for they merely borrowed the weather of it from St. Paul) was the doctrine of ladies’s inferiority, the exact reverse of the factor credited to them. Committed, for sound causes of self-discipline, to the celibacy of the clergy, they needed to assist it by depicting all visitors with ladies within the mild of a hazardous and ignominious enterprise. The consequence was the deliberate group and improvement of the idea of feminine triviality, lack of duty and normal looseness of thoughts. Woman turned a kind of satan, however with out the admired intelligence of the common demons. The look of ladies saints, nevertheless, provided a continuing and embarrassing criticism of this idiotic doctrine. If occasional ladies had been match to take a seat upon the appropriate hand of God—and so they had been usually proving it, and forcing the church to acknowledge it—then certainly all ladies couldn’t be as dangerous because the books made them out. There thus arose the idea of the angelic lady, the pure vestal; we see her at full size within the romances of mediaeval chivalry. What emerged in the long run was a kind of double doctrine, first that ladies had been devils and secondly that they had been angels. This preposterous dualism has merged, as now we have seen, right into a compromise dogma in fashionable instances. By that dogma it’s held, on the one hand, that ladies are unintelligent and immoral, and alternatively, that they’re free from all these weaknesses of the flesh which distinguish males. This, roughly talking, is the notion of the typical male numskull at the moment.

    Christianity has thus each libelled ladies and flattered them, however with the load all the time on the facet of the libel. It is subsequently, at backside, their enemy, as the faith of Christ, now wholly extinct, was their pal. And as they steadily throw off the shackles which have certain them for a thousand years they present appreciation of the actual fact. Women, certainly, usually are not naturally spiritual, and they’re rising much less and fewer spiritual as 12 months chases 12 months. Their unusual devotion has little if any pious exaltation in it; it’s a routine apply, power on them by the masculine notion that an look of holiness is correct to their lowly station, and a masculine feeling that church-going in some way retains them so as, and out of doings that may be much less reassuring. When they exhibit any real spiritual fervour, its sexual character is normally so apparent that even the vast majority of males are cognizant of it. Women by no means go flocking ecstatically to a church during which the agent of God within the pulpit is an aged asthmatic with a watchful spouse. When one finds them pushed to frenzies by the deserves of the saints, and weeping over the sorrows of the heathen, and dashing out to haul the entire vicinage as much as grace, and spending hours on their knees in hysterical abasement earlier than the heavenly throne, it’s fairly protected to imagine, even with out an precise go to, that the ecclesiastic who has labored the miracle is a good and toothsome fellow, and a very good deal extra aphrodisiacal than discovered. All the good preachers to ladies in fashionable instances have been males of suave and ingratiating behavior, and the good majority of them, from Henry Ward Beecher up and down, have been taken, quickly or late, in transactions way more appropriate to the boudoir than to the footstool of the Almighty. Their well-known killings have all the time been made among the many silliest kind of ladies—the type, briefly, who fall so wanting the traditional acumen of their intercourse that they’re bemused by mere magnificence in males.

    Such ladies are in a minority, and so the intercourse exhibits a very good deal fewer spiritual lovers per mille than the intercourse of sentiment and perception. Attending, a number of years in the past, the gladiatorial exhibits of the Rev. Dr. Billy Sunday, the celebrated American pulpit-clown, I used to be always struck by the good preponderance of males within the pen dedicated to the saved. Men of all ages and in monumental numbers got here swarming to the altar, loudly bawling for assist in opposition to their sins, however the ladies had been something however quite a few, and the few who appeared had been mainly both chlorotic adolescents or pathetic outdated Saufschwestern. For six nights working I sat straight beneath the gifted exhorter with out seeing a single feminine convert of what statisticians name the child-bearing age—that’s, the age of most intelligence and attraction. Among the male simpletons bagged by his yells throughout this time had been the president of a railroad, half a dozen wealthy bankers and retailers, and the previous governor of an American state. But not a lady of comparable place or dignity. Not a lady that any self-respecting bachelor would care to chuck underneath the chin.

    This cynical view of non secular emotionalism, and with it of the entire inventory of ecclesiastical balderdash, might be accountable, no less than partially, for the reluctance of ladies to enter upon the sacerdotal profession. In these Christian sects which nonetheless bar them from the pulpit—normally on the imperfectly hid floor that they don’t seem to be equal to its alleged calls for upon the morals and the mind—one by no means hears of them protesting in opposition to the prohibition; they’re fairly content material to depart the degrading imposture to males, who’re higher fitted for it by expertise and conscience. And in these baroque sects, mainly American, which admit them they present no eagerness to placed on the stole and chasuble. When the primary clergywoman appeared within the United States, it was predicted by alarmists that males can be pushed out of the pulpit by the brand new competitors. Nothing of the type has occurred, neither is it in prospect. The complete corps of feminine divines within the nation is likely to be herded into one small room. Women, when literate in any respect, are far too clever to make efficient ecclesiastics. Their sharp sense of actuality is in limitless opposition to the entire sacerdotal masquerade, and their cynical humour stands in opposition to the snorting that’s inseparable from pulpit oratory.

    Those ladies who enter upon the spiritual life are virtually invariably moved by some motive distinct from mere pious irritation. It is a commonplace, certainly, that, in Catholic international locations, ladies are pushed into convents by financial concerns or by disasters of amour far oftener than they’re drawn there by the hope of heaven. Read the lives of the feminine saints, and you will notice what number of of them tried marriage and failed at it earlier than ever they turned to faith. In Protestant lands only a few ladies undertake it as a occupation in any respect, and among the many few a secular impulse is nearly all the time seen. The woman who’s out of the blue overcome by a want to minister to the heathen in international lands is almost invariably discovered, on inspection, to be a woman harbouring a idea that it might be agreeable to marry some heroic missionary. In level of reality, she duly marries him. At house, maybe, she has discovered it unattainable to get a husband, however within the remoter marches of China, Senegal and Somaliland, with no white competitors current, it’s equally unattainable to fail.

    40. Piety as a Social Habit

    What stays of the alleged piety of ladies is little greater than a social behavior, bolstered in most communities by a paucity of different and extra inviting divertissements. If you may have ever noticed the ladies of Spain and Italy at their devotions you needn’t be advised how a lot the worship of God could also be a mere excuse for rest and gossip. These ladies, of their each day lives, are surrounded by a formidable community of mediaeval taboos; their regular human want for ease and freedom in intercourse is opposed by masculine mistrust and superstition; they meet no strangers; they see and listen to nothing new. In the home of the Most High they escape from that vexing routine. Here they might brush shoulders with a crowd. Here, so to talk, they might crane their psychological necks and stretch their non secular legs. Here, above all, they might come into some kind of contact with males comparatively extra affable, cultured and charming than their husbands and fathers—to wit, with the rev. clergy.

    Elsewhere in Christendom, although ladies usually are not fairly so relentlessly watched and penned up, they really feel a lot the identical want of selection and pleasure, and each are likewise on faucet within the temples of the Lord. No one, I’m positive, want be advised that the typical missionary society or church stitching circle isn’t primarily a non secular group. Its precise function is exactly that of the absurd golf equipment and secret orders to which the decrease and least resourceful lessons of males belong: it gives a way of refreshment, of self-expression, of non-public show, of political manipulation and boasting, and, if the pastor occurs to be attention-grabbing, of discreet and virtually lawful intrigue. In the course of a life largely dedicated to the research of pietistic phenomena, I’ve by no means met a single lady who cared an genuine rattling for the precise heathen. The attraction of their salvation is all the time virtually purely social. Women go to church for a similar motive that farmers and convicts go to church.

    Finally, there’s the aesthetic lure. Religion, in most components of Christendom, holds out the one bait of magnificence that the inhabitants are ever cognizant of. It gives music, dim lights, comparatively formidable structure, eloquence, formality and thriller, the caressing meaninglessness that’s on the coronary heart of poetry. Women are way more conscious of such issues than males, who’re ordinarily fairly as devoid of aesthetic sensitiveness as so many oxen. The angle of the everyday man towards magnificence in its numerous kinds is, the truth is, an angle of suspicion and hostility. He doesn’t regard a murals as merely inert and silly; he regards it as, in some indefinable manner, positively offensive. He sees the artist as knowledgeable voluptuary and scoundrel, and would no extra belief him in his family than he would belief a colored clergyman in his hen-yard. It was males, and never ladies, who invented such sordid and literal faiths as these of the Mennonites, Dunkards, Wesleyans and Scotch Presbyterians, with their antipathy to stunning ritual, their obscene buttonholing of God, their nice expertise for decreasing the ineffable thriller of faith to a mere bawling of idiots. The regular lady, in as far as she has any faith in any respect, strikes irresistibly towards Catholicism, with its poetical obscurantism. The evangelical Protestant sects have a tough time holding her. She can no extra be an precise Methodist than a gentleman is usually a Methodist.

    This inclination towards magnificence, in fact, is dismissed by the typical male blockhead as not more than a feeble sentimentality. The reality is that it’s exactly the other. It is definitely not sentimentality to be moved by the stately and mysterious ceremony of the mass, and even, say, by these timid imitations of it which one observes in sure Protestant church buildings. Such proceedings, no matter their defects from the standpoint of a pure aesthetic, are in any respect occasions vastly extra stunning than any of the personal acts of the people who participate in them. They raise themselves above the barren utilitarianism of on a regular basis life, and no much less above the maudlin sentimentalities that males search pleasure in. They supply a way of escape, handy and alluring, from that sordid routine of thought and occupation which ladies revolt in opposition to so pertinaciously.

    41. The Ethics of Women

    I’ve mentioned that the faith preached by Jesus (now wholly extinct on the planet) was extremely beneficial to ladies. This was not saying, in fact, that ladies have repaid the praise by adopting it. They are, the truth is, detached Christians within the primitive sense, simply as they’re dangerous Christians within the antagonistic fashionable sense, and significantly on the facet of ethics. If they really settle for the renunciations commanded by the Sermon on the Mount, it’s only in an effort to flout their substance underneath cowl of their look. No lady is actually humble; she is merely politic. No lady, with a free selection earlier than her, chooses self-immolation; probably the most she genuinely needs in that route is a spectacular martyrdom. No lady delights in poverty. No lady yields when she will be able to prevail. No lady is actually meek.

    In their sensible ethics, certainly, ladies pay little heed to the precepts of the Founder of Christianity, and the actual fact has handed into proverb. Their gentleness, just like the so-called honour of males, is seen solely in conditions which provide them no menace. The second a lady finds herself confronted by an antagonist genuinely harmful, both to her personal safety or to the well-being of these underneath her safety—say a baby or a husband—she shows a bellicosity which stops at nothing, nevertheless outrageous. In the courts of legislation one sometimes encounters a male extremist who tells the reality, the entire reality and nothing however the reality, even when it’s in opposition to his trigger, however no such lady has ever been on view for the reason that days of Justinian. It is, certainly, an axiom of the bar that ladies invariably lie upon the stand, and the entire effort of a barrister who has one for a shopper is dedicated to protecting her inside bounds, that the obtuse suspicions of the male jury is probably not unduly aroused. Women litigants virtually all the time win their instances, not, as is often assumed, as a result of the jurymen fall in love with them, however merely and solely as a result of they’re clear-headed, resourceful, implacable and with out qualms.

    What is right here seen within the halls of justice, within the face of an unlimited technical gear for combating lying, is ten instances extra apparent in freer fields. Any man who’s so unlucky as to have a critical controversy with a lady, say within the departments of finance, theology or amour, should inevitably carry away from it a way of getting handed by means of a harmful and virtually ugly expertise. Women not solely chew within the clinches; they chew even in open combating; they’ve a dental attain, so to talk, of fantastic size. No assault is so determined that they won’t undertake it, as soon as they’re aroused; no system is so unfair and horrifying that it stays them. In my early days, needing to enhance my prose, I served for a 12 months or in order reporter for a newspaper in a police courtroom, and through that point I heard maybe 4 hundred instances of so-called wife-beating. The husbands, of their defence, virtually invariably pleaded justification, and a few of them advised such tales of studied atrocity on the home fireplace, each psychic and bodily, that the discovered Justice of the Peace discharged them with tears in his eyes and the very catchpolls within the courtroom needed to blow their noses. Many extra males than ladies go insane, and lots of extra married males than single males. The reality puzzles nobody who has had the identical alternative that I needed to discover out what goes on, 12 months in and 12 months out, behind the doorways of apparently glad properties. A lady, if she hates her husband (and lots of of them do), could make life so bitter and obnoxious to him that even loss of life upon the gallows appears candy by comparability. This hatred, in fact, is usually, and maybe virtually invariably, fairly justified. To be the spouse of an unusual man, certainly, is an expertise that should be very onerous to bear. The hollowness and self-importance of the guy, his petty meanness and stupidity, his puling sentimentality and credulity, his bombastic air of a cock on a dunghill, his anaesthesia to all whispers and summonings of the spirit, above all, his loathsome clumsiness in amour—all these items should revolt any lady above the bottom. To be the article of the oafish affections of such a creature, even when they’re trustworthy and profound, can’t be anticipated to present any real pleasure to a lady of sense and refinement. His efficiency as a gallant, as Honor de Balzac way back noticed, unescapably suggests a gorilla’s efforts to play the violin. Women survive the tragicomedy solely by dint of their nice capability for play-acting. They are capable of act so realistically that always they deceive even themselves; the typical lady’s contentment, certainly, is not more than a tribute to her histrionism. But there should be innumerable revolts in secret, even so, and one generally wonders that so few ladies, with the factor so facile and so protected, poison their husbands. Perhaps it’s not fairly as uncommon as important statistics make it out; the deathrate amongst husbands could be very a lot increased than amongst wives. More than as soon as, certainly, I’ve gone to the funeral of an acquaintance who died out of the blue, and noticed a curious glitter within the eyes of the inconsolable widow.

    Even on this age of emancipation, regular ladies have few critical transactions in life save with their husbands and potential husbands; the enterprise of marriage is their dominant concern from adolescence to senility. When they step outdoors their recurring circle they present the identical alert and keen wariness that they exhibit inside it. A person who has dealings with them should hold his wits about him, and even when he’s most cautious he’s usually flabbergasted by their sudden and unconscionable forays. Whenever lady goes into commerce she rapidly will get a status as a pointy dealer. Every little city in America has its Hetty Green, every sweating blood from turnips, every the phobia of all of the male usurers of the neighbourhood. The man who tackles such an amazon of barter takes his fortune into his arms; he has little extra likelihood of success in opposition to the female approach in enterprise than he has in opposition to the female approach in marriage. In each arenas the benefit of ladies lies of their freedom from sentimentality. In enterprise they deal with themselves wholly to their very own revenue, and provides no thought no matter to the hopes, aspirations and amour propre of their antagonists. And within the duel of intercourse they fence, to not make factors, however to disable and disarm. A person, when he succeeds in throwing off a lady who has tried to marry him, all the time carries away a maudlin sympathy for her in her defeat and dismay. But nobody ever heard of a lady who pitied the poor fellow whose trustworthy ardour she had discovered it expedient to spurn. On the opposite, ladies take enjoyment of such clownish agonies, and exhibit them proudly, and boast about them to different ladies.

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  • Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 1

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 2


    A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19.  There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

    The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

    a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

    b)     Manifesting incompetence in the assessment of a patient;

    c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them; 

    d)     Failure to advise, or proffering wrong advice to  a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

    e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary; 

    f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

    g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

    h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

    i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

     

    Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

                 Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

    “Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”            

                Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

    COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

    The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

    It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis.  It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

    The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

    Health workers should:

    •follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training; 

    •use provided protocols to assess, triage and treat patients; 

    •treat patients with respect, compassion and dignity; 

    •maintain patient confidentiality; 

    •swiftly follow established public health reporting procedures of suspect and confirmed cases; 

    •provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

    •put on, use, take off and dispose of personal protective equipment properly;

    •self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs; 

    •advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and 

    •report  to  their  immediate  supervisor  any  situation  which  they  have  reasonable  justification  to  believe presents an imminent and serious danger to life or health.

     

    Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences. 

    Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

    A Coronavirus patient who has suffered medical negligence has a number of options:

    1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable,  the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

    2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

          3.  If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.  

    A Need To Do More For Doctors And Other Professionals In The Health Sector

    Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working  hours,  psychological  distress,  fatigue,  occupational  burnout,  stigma,  and  physical  and  psychological violence. 

    During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian  government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

    Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

    The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

    There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]  

    It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

    The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

    Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

    ·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

    ·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

    ·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

    ·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

    ·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences; 

    ·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

    ·         provide access to mental health and counselling resources; and 

    ·         enable co-operation between management and workers and/or their representatives. Etc.

    In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

    Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

    Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

    Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

    Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in. 

    Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

    Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

    [1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

    [2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

    https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

    [3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

    [4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

    [5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

    [6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

    [7] Supra

    [8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

    [9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

     

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    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem
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  • WHO steps up action to improve access to safe blood

    WHO steps up action to improve access to safe blood

    The World Health Organization’s new action plan to speed up universal access to safe blood and blood products pulls together existing recommendations and recommends new improved ways of working. It’s the start of a four-year collaborative effort to improve blood transfusion and blood-based therapies in all countries.

    Safe blood saves lives in all sorts of circumstances, not least in emergency and epidemic settings. Blood transfusion and blood products are critical for birth delivery for both the mother and baby; the survival and quality of life of patients suffering from life-threatening conditions such as haemophilia, thalassemia, immune deficiency and cancer; treating severe injuries and carrying out medical and surgical procedures.  

    But progress in blood safety and availability has been slow in many parts of the world, placing patients’ safety at risk and putting undue pressure on health workers. Progress is also mostly restricted to developed countries. Out of the approximate 118 million blood donations collected globally, 42% are collected in high-income countries, home to 16 % of the world’s population. And one out of four low-income countries do not test all donated blood, while 54% of countries do not have surveillance systems to securitise the supply chain from blood donor to patient. 

    Challenges include: slow implementation of national blood policies and weak blood regulatory systems; insufficient number of voluntary blood donors (who are considered the safest donors); poor quality management of screening tests, blood grouping and compatibility testing; inappropriate clinical use of blood; insufficient national funding for blood safety.

    To address these, WHO has set out six key objectives for all countries and in particular those with weak blood systems:

    • appropriately structured, well-coordinated and sustainably resourced national blood systems;
    • regulatory capacity to ensure the quality and safety of blood;
    • functioning and efficiently managed blood services;
    • effective implementation of patient blood management to optimize transfusion practices;
    • effective surveillance, haemovigilance and pharmacovigilance, supported by comprehensive and accurate data collection systems;
    • partnerships, collaboration and information exchange to achieve key priorities and jointly address challenges and emerging threats at global, regional and national levels.

    The Organization looks forward to working with partners worldwide to implement the plan, improve blood supply particularly in the low and middle-income countries where this is so urgently needed, and save lives. The plan will run from 2020-2024.

    WHO steps up action to improve access to safe blood
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