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Textbook Ebook Looking Through The Speculum Examining The Womens Health Movement Judith A Houck All Chapter PDF
Textbook Ebook Looking Through The Speculum Examining The Womens Health Movement Judith A Houck All Chapter PDF
Judith A. Houck
33 32 31 30 29 28 27 26 25 24 12345
Conclusion
Acknowledgments
List of Abbreviations
Notes
Index
Introduction
From the Speculum to the Clinic: A
History of Feminist Health Praxis
In the 1970s and beyond, women across the country compared their
experiences of the pelvic exam. Humiliating. Traumatic. Infantilizing.
Enraging. They complained about the literal intrusion into their
bodies that was always uncomfortable and sometimes painful.
Women noted physicians’ carelessness and ineptitude that made a
fraught procedure worse; they railed against the physicians who
seemed intentionally rough—“He really jams that speculum up
there.” They shared the intrusive questions about their sex lives and
the off-color jokes that sometimes accompanied the exam. They
protested the vulnerability the exam created: women on their backs,
nearly naked, their feet in stirrups, their legs splayed, their vision of
the procedure obstructed by a sheet. And women described their
physicians’ attitudes toward them: callous, bored, patronizing,
distracted, unwilling to share details of the procedure and cagey
about what they found. For many women, the pelvic exam
symbolized women’s relationship with medicine in general: passive
and vulnerable female patients examined by male physicians who
guarded and controlled information about women’s bodies.2
Women understood what was at stake. In dorm rooms and in
bookstores, in apartments and in libraries, women connected their
relationship with medicine to their larger role in society. Physicians
controlled information, devices, medications, and procedures that
shaped women’s lives. Without the ability to control their bodies—
especially their reproduction—women could not control their lives.
The women’s health movement, beginning in 1969 and taking hold
in the 1970s, was a broad-based movement seeking to increase
women’s bodily knowledge, reproductive control, and well-being. It
was a political movement which insisted that bodily autonomy,
acquired through bodily knowledge and sisterly connection, provided
the key to women’s liberation. It was also an institution-building
movement that sought to transform women’s relationship with
medicine, dedicated to increasing women’s access to affordable
health care without the barriers of homophobia, racism, and sexism.
But not only did the movement focus on women’s bodies, it also
encouraged activists to reimagine their relationships with each other,
to develop their relationships in the name of personal and political
change, and, eventually, to discover and confront the limitations of
the bonds of womanhood.
Embodied Feminism
Women’s health activism was inspired by and part of second-wave
feminism, a movement beginning in the 1960s and focused on
increasing women’s rights and securing women’s liberation.22 The
term second-wave feminism, widely contested, describes a mass
movement of women organizing for a variety of goals with a diverse
set of tactics. Second-wave feminists also espoused a variety of
beliefs about women and their difference from and similarity to men.
As with earlier women’s movements,23 many second-wave feminists
came to feminism through their bodies, challenging women’s inability
to control their reproduction,24 protesting their vulnerability to sexual
assault and domestic violence,25 and objecting to the constraints of
the sexual double standard. Many activists joined the health
movement with feminist credentials from participating in other areas
of the women’s movement, and they saw clinic building or self-help
promotion as a fulfilling channel for their feminist energies. Others
came to feminism through the self-help movement itself, inspired by
the light shining on a glistening cervix or grateful for the ride across
the Santa Cruz Mountains to secure an abortion. One health worker,
with a broken-down car and unclear prospects, stumbled into a
feminist clinic and found a life’s work. In each case, health feminism,
anchored in women’s embodied needs, provided clear evidence of
the need for and value of feminism.
For the most part, health activists understood the category of
woman as a self-evident category associated with a particular
anatomical configuration that centered on the vagina, the uterus,
and, to a lesser extent, the breasts. While health activists
understood that not all women have uteri—in the context of medical
removal through hysterectomy—they did not, in general, consider
the health needs of trans women. Only the lesbian health clinics
explicitly considered the category of woman, at least as it influenced
who might be understood as a lesbian.26
The women described in this history explored and developed their
political commitments to an improved world in a variety of ways. In
the early 1970s, most of the activists described in this book donated
their labor to their cause—staffing abortion referral hotlines,
developing self-help protocols, writing lesbian health pamphlets,
launching feminist health clinics. Over time, some of them found
ways to earn a living—some barely and some more comfortably—
doing the work they once did for free. Others joined the women’s
health movement under conditions of employment, as AmeriCorps
VISTA workers, social workers, health care providers, and
receptionists. Still others wrote grants to cover salaries, and some
continued to donate their labor for free. These women made
professional and social decisions to work toward their political
commitment to women’s self-determination and empowerment,
feminist health care, and social change.27
Documenting the Movement
This book contributes to an already rich and vibrant history of the
women’s health movement and other struggles for women’s bodily
autonomy and reproductive rights.28 It begins with the speculum,
wrested from medical hands and deployed by women to give them
literal and symbolic control over their bodies. It follows the women
as they peer into their own bodies and those of their movement
“sisters” to ascertain just what they saw that moved them so. It
examines the internal decision-making of health activists as they
created health centers, and it shares their struggles as they tried to
keep the centers afloat even when they could no longer recognize
their politics in the clinical work. It illuminates conflict within the
lesbian community over just who belonged at a lesbian clinic and
whether lesbians were at risk for HIV/AIDS. It explores how Black
women created their own feminist health organizations. It
documents how white activists confronted charges of racism and
how they stumbled repeatedly as they created more diverse
organizations.
I relied on a variety of sources for this history. Oral interviews
provide an important thread. Over a long decade, I talked with more
than seventy-five health activists who shared with me their stories of
the women’s health movement and their role within it. These
activists shared their passion, pride, struggles, and disappointments.
Their accounts identified themes, filled gaps, revealed connections,
and captured moments. This project would have been impossible
without them. The overwhelming majority of people I asked to
interview, BIPOC and white activists alike, agreed. Nevertheless,
most women who declined were women of color. As a result, certain
stories are told without the perspectives of activists who could
provide a more complete account of events.
The women who shared their stories occasionally also shared their
files. “Perhaps these might help,” they said as they handed me
meeting minutes, planning notebooks, self-help pamphlets,
handwritten correspondence, interview transcripts, and much more.
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are few indeed, who, hearing it on any authority but his, would not
feel disposed to reject it, at once, as a grievous heresy. Yet such
was, unquestionably, the spirit, the word, and the practice of Jesus. It
was enough for him to know that the weight of human woe, which
called him forth on his errand of mercy, was lightened; and that the
spirit before darkened and bound down by the powers of evil, was
now brought out into glorious light and freedom. Most earnestly did
he declare this solemn principle of catholic communion; and most
distinctly did he reiterate it in a varied form. The simplest act of
kindness done to the commissioned of Christ, would, of itself,
constitute a certain claim to his divine favor. But, on the other hand,
the least wilful injury of one sent forth from him, would at once insure
the ruin of the perpetrator.
So idolatrous was the reference with which many of the Fathers and ancient theologians
were accustomed to regard the apostles, that they would not allow that these chosen ones
of Christ ever committed any sin whatever; at least, none after their calling to be disciples.
Accordingly, the most ridiculous attempts have been made to justify or excuse the faults and
errors of those apostles, who are mentioned in the New Testament as having committed
any act contrary to the received standards of right. Among other circumstances, even
Peter’s perjured denial of his Lord, has found stubborn defenders and apologists; and
among the saintly commentators of both Papist and Protestant faiths, have been found
some to stand up for the immaculate soundness of James and John, in this act of wicked
and foolish zeal. Ambrose of Milan, in commenting on this passage, must needs maintain
that their ferocity was in accordance with approved instances of a similar character in the
Old Testament. “Nec discipuli peccant,” says he, “qui legem sequuntur;” and he then refers
to the instance of extemporaneous vindictive justice in Phineas, as well as to that of Elijah,
which was quoted by the sons of Zebedee themselves. He argues, that, since the apostles
were indued with the same high privileges as the prophets, they were in this instance
abundantly justified in appealing to such authority for similar acts of vengeance. He
observes, moreover, that this presumption was still farther justified in them, by the name
which they had received from Jesus; “being ‘sons of thunder,’ they might fairly suppose that
fire would come down from heaven at their word.” But Lampe very properly remarks, that
the prophets were clearly moved to these acts of wrathful justice, by the Holy Spirit, and
thereby also, were justified in a vindictiveness, which might otherwise be pronounced cruel
and bloody. The evidence of this spirit-guidance, those old prophets had, in the
instantaneous fiery answer from heaven, to their denunciatory prayer; but on the other
hand, in this case, the words of Jesus in reply to the Sons of Thunder, show that they were
not actuated by a holy spirit, nor by the Holy Spirit, for he says to them, “Ye know not what
manner of spirit ye are of,”――which certainly implies that they were altogether mistaken in
supposing that the spirit and power of Elijah rested on them, to authorize such wide-wasting
and indiscriminate ruin of innocent and guilty,――women and children, as well as men,
inhabiting the village; and he rebukes and condemns their conduct for the very reason that it
was the result of an unholy and sinful spirit.
Yet, not only the Romish Ambrose, but also the Protestant Calvin, has, in his idolatrous
reverence for the infallibility of the apostles, (an idolatry hardly less unchristian than the
saint-worship against which he strove,) thought it necessary to condemn and rebuke
Maldonado, as guilty of a detestable presumption, in declaring the sons of Zebedee to have
been lifted up with a foolish arrogance. On the arguments by which Calvin justifies James
and John, Lampe well remarks, that the great reformer uses a truly Jesuitical weapon,
(propria vineta caedit Loyolita,) when he says that “they desired vengeance not for
themselves, but for Christ; and were not led into error by any fault, but merely by ignorance
of the spirit of the gospel and of Christ.” But was not this ignorance itself a sin, showing
itself thus in the very face of all the oft-repeated admonitions of Jesus against this bloody
spirit, even in his or any cause? and of all his inculcations of a universal rule of forbearance
and forgiveness?
John is not mentioned again in the gospel history, until near the
close of the Savior’s labors, when he was about to prepare his
twelve chosen ones, for the great change which awaited their
condition, by long and earnest instruction, and by prayer. In making
the preliminary arrangements for this final meeting, John was sent
along with Peter, to see that a place was provided for the
entertainment. After this commission had been satisfactorily
executed, they joined with Jesus and the rest of the twelve disciples
in the Paschal feast, each taking a high place at the board, and John
in particular reclining next to Jesus. As a testimony of the intimate
affection between them, it is recorded by this apostle himself in his
gospel, that during the feast he lay on Jesus’s breast,――a position
which, though very awkward, and even impossible, in the modern
style of conducting feasts in the sitting posture, was yet rendered
both easy and natural, in the ancient mode, both Oriental and
Roman, of reclining on couches around the table. Under these
circumstances, those sharing the same part of the couch, whose
feelings of affection led them most readily together,――such a
position as that described by John, would occur very naturally and
gracefully. It here, in connection with John’s own artless, but
expressive sentence, mentioning himself as the disciple whom Jesus
loved, presents to the least imaginative mind, a most beautifully
striking picture of the state of feeling between the young disciple and
his Lord,――showing how closely their spirits were drawn together,
in an affection of the most sacred and interesting character, far
surpassing the paternal and filial relation in the high and pure nature
of the feeling, because wholly removed from the mere animalities
and instincts that form and modify so much of all natural love. The
regard between these two beings was by no means essentially
dependent on any striking similarity of mind or feeling. John had very
little of that mild and gentle temperament which so decidedly
characterized the Redeemer;――he had none of that spirit of
meekness and forgiveness which Jesus so often and earnestly
inculcated; but a fierce, fiery, thundering zeal, arising from a
temperament, ardent alike in anger and in love. Nor was such a
character at all discordant with the generality of those for whom
Jesus seemed to feel a decided preference. There is no one among
the apostolic band, whether Galilean or Hellenistic, of whose
characters any definite idea is given, that does not seem to be
marked most decidedly by the fiercer and harsher traits. Yet like
those of all children of nature, the same hearts seem to glow, upon
occasion, as readily with affectionate as with wrathful feeling, both, in
many instances, combining in their affection for Jesus. The whole
gospel record, as far as the twelve disciples are concerned, is a
most satisfactory comment on the characteristics ascribed by
Josephus to the whole Galilean race,――“ardent and fierce.” And
this was the very temperament which recommended them before all
men in the world, for the great work of laying the deep foundations of
the Christian faith, amid opposition, hatred, confusion, and blood.
And among these wild, but ardent dispositions, did even the mild
spirit of the Redeemer find much that was congenial to its frame, as
well as its purposes; for in them, his searching eye recognized
faculties which, turned from the base ends of worldly strife and low,
brawling contest, might be exalted, by a mere modification, and not
eradication, to the great works of divine benevolence. The same
temperament that once led the ardent Galileans into selfish quarrels,
under the regenerating influences of a holy spirit, might be trained to
a high devoted self-sacrifice for the good of others; and the valor
which once led them to disregard danger and death in spiteful
enmity, could, after an assimilation to the spirit of Jesus, be made
equally energetic in the dangerous labors of the cause of universal
love. Such is most clearly the spirit of the Galilean disciples, as far
as any character can be recognized in the brief, artless sketches,
incidentally given of them in the New Testament history. Nor is there
any good reason to mark John as an exception to these harsher
attributes. The idea, now so very common, of his softness and
amiability, seems to have grown almost entirely out of the
circumstance, that he was “the disciple whom Jesus loved;” as if the
high spirit of the Redeemer could feel no sympathy with such traits
as bravery, fierce energy, or even aspiring ambition. Tempted
originally by the great source of evil, yet without sin, he himself knew
by what spiritual revolutions the impulses which once led only to evil,
could be made the guides to truth and love, and could see, even in
the worst manifestations of that fiery ardor, the disguised germ of a
holy zeal, which, under his long, anxious, prayerful care and
cultivation, would become a tree of life, bringing forth fruits of good
for nations. Even in these low, depraved mortals, therefore, he could
find much to love,――nor is the circumstance of his affectionate
regard, in itself, any proof that John was deficient in the most striking
characteristics of his countrymen; and that he was not so, there is
proof positive and unquestionable in those details of his own and his
brother’s conduct, already given.
Lampe quotes on this point Vitringa, (Sacred Observations, I. iii. 7,) Suicer, (Church
Thesaurus voc. στυλος,) and Gataker, (Cinnus, ii. 20.) He refers also to Jerome,
commenting on Galatians ii. 9; who there alludes to the fact that John, one of the “pillars,” in
his Revelation, introduces the Savior speaking as above quoted. (Revelation iii. 12.)
With Peter and James.――The authority for this is Irenaeus, (A. D. 150‒170,) who says,
“Those apostles who were with James, permitted the Gentiles indeed to act freely, leaving
us to the spirit of God. They themselves, too, knowing the same God, persevered in their
ancient observances. * * * Thus the apostles whom the Lord made witnesses of his whole
conduct and his whole teaching, (for every where are found standing together with him,
Peter, James and John,) religiously devoted themselves to the observance of the law,
which is by Moses, thus acknowledging both [the law and the spirit] to be from one and the
same God.” (Irenaeus, Against Heresies.)
Fourteenth day of March.――This refers to the practice of observing the feast of the
resurrection of Christ, on the fourteenth day of March, corresponding with the passover of
the Jews,――a custom long kept up in the eastern churches, instead of always keeping it
on Sunday. The authority for the statement is found in two ancient writers; both of whom are
quoted by Eusebius. (Church History, V. 24.) He first quotes Polycrates, (towards the end of
the second century,) as writing to Victor, bishop of Rome, in defense of the adherence of the
eastern churches to the practice of their fathers, in keeping the passover, or Easter, on the
fourteenth day of the month, without regard to the day of the week on which it occurred,
though the great majority of the Christian churches throughout the world, by common
consent, always celebrated this resurrection feast on the Lord’s day, or Sunday. Polycrates,
in defense of the oriental practice of his flock and friends, so accordant with early Jewish
prejudices, quotes the example of the Apostle John, who, he says, died at Ephesus, where
he (Polycrates) was bishop. He says, that John, as well as his brother-apostle, Philip, and
Polycarp his disciple, “all observed Easter on the fourteenth day of the month, never varying
from that day, at all.” Eusebius (ibid.) quotes also Irenaeus, writing to the same bishop
Victor, against his attempt to force the eastern churches into the adoption of the practice of
the Roman church, in celebrating Easter always on a Sunday, instead of uniformly on the
fourteenth day of the month, so as to correspond with the Jewish passover. Irenaeus, in
defense of the old eastern custom, tells of the practice of Polycarp, bishop of Smyrna, a
disciple of John. Polycarp, coming to Rome in the days of bishop Anicetus, (A. D. 151‒160,)
though earnestly exhorted by that bishop to renounce the eastern mode of celebrating
Easter always on the fourteenth, like the Jewish passover, steadily refused to change;
giving as a reason, the fact that John, the disciple of Jesus, and others of the apostles,
whom he had intimately known, had always followed the eastern mode.
This latter authority, fairly derived from a person who had been the intimate friend of
John himself, may be pronounced entitled to the highest respect, and quite clearly
establishes this little circumstance, which is valuable only as showing John’s pertinacious
adherence to Jewish forms, to the end of his life.
Socrates, an ecclesiastical historian, (A. D. 439,) alludes to the circumstance, that those
who observed Easter on the fourteenth, referred to the authority of the Apostle John, as
received by tradition.
Nor were they alone; for as the Jewish historian, who was an eye-
witness of the sad events of those times, records, “many of the
respectable persons among the Jews, after the alarming attack of
Cestius, left the city, like passengers from a sinking ship.” And this
fruitless attack of the Romans, he considers to have been so
arranged by a divine decree, to make the final ruin fall with the more
certainty on the truly guilty.
Parthia.――The earliest trace of this story is in the writings of Augustin, (A. D. 398,) who
quotes the first epistle of John as “the epistle to the Parthians,” from which it appears that
this was a common name for that epistle, in the times of Augustin. Athanasius is also
quoted by Bede, as calling it by the same name. If he wrote to the Parthians in that familiar
way, it would seem probable that he had been among them, and many writers have
therefore adopted this view. Among these, the learned Mill (Prolegomena in New Testament
§ 150) expresses his opinion very fully, that John passed the greater part of his life among
the Parthians, and the believers near them. Lampe (Prolegomena to a Johannine Theology,
Lib. I. cap. iii. § 12, note) allows the probability of such a visit, but strives to fix its date long
before the destruction of Jerusalem; yet offers no good reason for such a notion.
India.――The story of the Jesuit missionaries is given by Baronius, (Annals 44. § 30.)
The story is, that letters from some of these missionaries, in 1555, give an account of their
finding such a tradition, among an East Indian nation, called the Bassoras, who told them
that the apostle John once preached the gospel in that region. No further particulars are
given; but this is enough to enable us to judge of the value of a story, dating fifteen
centuries from the event which it commemorates.