
Book #342 of 2021:
Medical Bondage: Race, Gender, and the Origins of American Gynecology by Deirdre Cooper Owens
An incredibly heavy yet informative read on how the modern field of gynecology was created in the age of American slavery, with enslaved black women its unwilling participants. They were involved as patients for experimental techniques, of course, lacking any ways to decline consent and often experiencing pregnancy or other consequences of rape (by men of either race). But the white doctors also drew nurses from that captive population — again without giving them a choice in the matter — thereby putting these assistants on the frontlines of developing the new knowledge, a status that has summarily been ignored by traditional histories.
Author Deirdre Cooper Owens goes into great detail about the massive indignities and small triumphs of this era, and how they still reverberate today when African Americans like her seek treatment and encounter harmful misconceptions of their ‘medical superbodies’ inaccurately believed to withstand more pain than white people. In a later chapter, she likewise explores how Irish immigrants of the same time were pathologized as non-white due to perceptions of their foreign origin, relative destitution, and participation in sex work, and were accordingly treated similarly to slaves of the south by northern practitioners. She highlights the inherent contradiction here, beyond the slipperiness of racial categories: black and Irish women were seen as fit to study by force because they were supposedly so different from their white counterparts, but they could nevertheless somehow provide object lessons on biology that were then applied in service to whites.
The book is an infuriating account despite its shorter length and occasional academic density, and the content warning for the graphic historical atrocities should hopefully be clear from my descriptions above. For those readers who can stomach all that, it’s a terrible but necessary education on where the scientific understanding of reproductive health unfortunately began.
★★★★☆
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