JF Ptak Science Books Post 2886
This is an issue that you don't hear every day...and offhand it seems to be a little late in the asking by 1941. But it wasn't too late, unfortunately, and the question was a debated one in some halls of practicing eugenic and mental health academe. This is the title to a paper1 written by Dr. Charles C. Hawke (M.D., F.A.C.S.) while superintendent of the Kansas State Asylum in 1941, and it entailed a discussion of the efficacy of the enforced sterilization practice--a procedure under law that was basically discontinued as a medical/surgical response to mental issues in 1950 (in Kansas).
Dr. Hawke wonders—somewhat facetiously to my reading—about the reluctance of including testicles in the field of “glandular surgery”, noting that “text books in the eugenic field” teach that “this mighty king is not to be disturbed”, along with a few other purplely examples. He quickly establishes the castration (and ovariectomy) as well as vasectomy and salpingectomy may be the way to stabilize “the unstable group” (in institutions), “be they idiot, imbecile or moron” and that the procedure should “be given serious consideration”.
He states that “the majority of our castrates will never leaves the institution. You ask—why then castrate[?]” He doesn't seem to answer this directly, but does provide some evidence (below) that the behavior of 71% those castrated and confined does improve. It is not 100%, Dr. Hawke notes, and adds the corollary “...but what surgical procedure has a 100% cure [sic]”.
There are other reports of successes in castration, including a long paragraph of Dr. (F. Hoyt) Pilcher, (Superintendent of the Kansas State Asylum for Idiotic and Imbecile Children) who began his work in the early 1890s. There is also a review of the 1917 (and 1928) laws passed by the Kansas legislature on “asexualization”. It seems that the state can uphold recommendations from medical officials recommending castration; the person in question can register a “protest” (“which are rare”). These laws extended its reach into “state penitentiaries, the boys' reformatories, state hospitals for the insane, and the state hospital for epileptics, the state home for the feebleminded and the state industrial school for girls...”
It is quite a document of those eugenical times.
Notes:
1. Charles C. Hawke (M.D., F.A.C.S., Winfield, Kansas). Castration vs. Vasectomy in the Feebleminded as a Surgical Problem. 12 leaves (including a 17-item bibliography. Mimeographed. Stapled. GOOD+ copy. This copy's provenance: “Gift from the author, 1941” in pencil notation on the back of the first leaf, with the LC rubber stamp on the rear leaf. WorldCat records only ONE copy (Tozzer Libray, Harvard), so as a single-issue "offprint" it is a rare thing.
2. For a deep review see: Cean T. Collins, “CHILDREN OF SORROW: A History of the Mentally Retarded in Kansas”, in Bulletin of the History of Medicine, Vol. 39, No. 1 , 1965, pp. 53-78
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