{"title":"“为他人的罪受苦”:卢修斯·d·巴尔克利、梅毒和美国进步时代的疾病去污名化。","authors":"Elliott Bowen","doi":"10.1017/mdh.2024.44","DOIUrl":null,"url":null,"abstract":"<p><p>Historical research on efforts to reduce the stigma associated with venereal disease (VD) generally dates these campaigns back to the 1930s. Within the United States, one of the earliest attempts to detach VD from its traditional association with sexual immorality occurred during the late nineteenth- and early twentieth-century, when the New York City dermatologist Lucius Bulkley coined the term <i>syphilis insontium</i> ('syphilis of the innocent') in the hopes of demonstrating that many of those who contracted this disease did so through non-sexual contact. Gaining widespread acceptance within the medical community, Bulkley's ideas served as the intellectual foundation for a discursive assault on the prevailing belief that syphilis constituted the 'wages of sin'-one designed to destigmatise the disease and to promote more scientific responses to it. However, the effects of this anti-stigma rhetoric were often counterproductive. Encouraging doctors to discern 'innocence' or 'guilt' through assessments of a patient's character, <i>syphilis insontium</i> often amplified the disease's association with immorality. With the passage of time, physicians became increasingly aware of these problems, and in the 1910s, a backlash against Bulkley's ideas emerged within the American medical community. Yet even with the resultant demise of his destigmatisation campaign, discourses of 'innocent syphilis' continued to circulate, casting a long shadow over subsequent stigma reduction efforts.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-17"},"PeriodicalIF":0.9000,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"'Suffering for the Sins of Others': Lucius D. Bulkley, <i>Syphilis Insontium</i>, and Disease Destigmatisation in the Progressive Era United States.\",\"authors\":\"Elliott Bowen\",\"doi\":\"10.1017/mdh.2024.44\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Historical research on efforts to reduce the stigma associated with venereal disease (VD) generally dates these campaigns back to the 1930s. Within the United States, one of the earliest attempts to detach VD from its traditional association with sexual immorality occurred during the late nineteenth- and early twentieth-century, when the New York City dermatologist Lucius Bulkley coined the term <i>syphilis insontium</i> ('syphilis of the innocent') in the hopes of demonstrating that many of those who contracted this disease did so through non-sexual contact. Gaining widespread acceptance within the medical community, Bulkley's ideas served as the intellectual foundation for a discursive assault on the prevailing belief that syphilis constituted the 'wages of sin'-one designed to destigmatise the disease and to promote more scientific responses to it. However, the effects of this anti-stigma rhetoric were often counterproductive. Encouraging doctors to discern 'innocence' or 'guilt' through assessments of a patient's character, <i>syphilis insontium</i> often amplified the disease's association with immorality. With the passage of time, physicians became increasingly aware of these problems, and in the 1910s, a backlash against Bulkley's ideas emerged within the American medical community. Yet even with the resultant demise of his destigmatisation campaign, discourses of 'innocent syphilis' continued to circulate, casting a long shadow over subsequent stigma reduction efforts.</p>\",\"PeriodicalId\":18275,\"journal\":{\"name\":\"Medical History\",\"volume\":\" \",\"pages\":\"1-17\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-01-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical History\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1017/mdh.2024.44\",\"RegionNum\":2,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical History","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1017/mdh.2024.44","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
'Suffering for the Sins of Others': Lucius D. Bulkley, Syphilis Insontium, and Disease Destigmatisation in the Progressive Era United States.
Historical research on efforts to reduce the stigma associated with venereal disease (VD) generally dates these campaigns back to the 1930s. Within the United States, one of the earliest attempts to detach VD from its traditional association with sexual immorality occurred during the late nineteenth- and early twentieth-century, when the New York City dermatologist Lucius Bulkley coined the term syphilis insontium ('syphilis of the innocent') in the hopes of demonstrating that many of those who contracted this disease did so through non-sexual contact. Gaining widespread acceptance within the medical community, Bulkley's ideas served as the intellectual foundation for a discursive assault on the prevailing belief that syphilis constituted the 'wages of sin'-one designed to destigmatise the disease and to promote more scientific responses to it. However, the effects of this anti-stigma rhetoric were often counterproductive. Encouraging doctors to discern 'innocence' or 'guilt' through assessments of a patient's character, syphilis insontium often amplified the disease's association with immorality. With the passage of time, physicians became increasingly aware of these problems, and in the 1910s, a backlash against Bulkley's ideas emerged within the American medical community. Yet even with the resultant demise of his destigmatisation campaign, discourses of 'innocent syphilis' continued to circulate, casting a long shadow over subsequent stigma reduction efforts.
期刊介绍:
Medical History is a refereed journal devoted to all aspects of the history of medicine and health, with the goal of broadening and deepening the understanding of the field, in the widest sense, by historical studies of the highest quality. It is also the journal of the European Association for the History of Medicine and Health. The membership of the Editorial Board, which includes senior members of the EAHMH, reflects the commitment to the finest international standards in refereeing of submitted papers and the reviewing of books. The journal publishes in English, but welcomes submissions from scholars for whom English is not a first language; language and copy-editing assistance will be provided wherever possible.