Abstract
Beginning in the late nineteenth century, western science, medicine, and the emergent fields of psychiatry and sexology began to supersede custom and religion as the authorities on sex. Since this period, sexuality has been subjected to increased diagnosis, classification, surveillance, and intervention, including psychiatric, psychoanalytic, surgical, and pharmaceutical. Medicine’s influence on sexuality has been most evident in its classification, treatment, and monopolization over (1) sexualities deemed as deviant (2) sexual reproduction and (3) sexual functioning. This chapter will examine the medicalization of sex as it has unfolded in these arenas, primarily within Anglo Europe and North America where these trends have been most prevalent. It explains the medicalization thesis, traces evolving theoretical frameworks and methodologies used in scientific research and clinical practice focused on sexuality, and identifies questions for further research.
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Notes
- 1.
While this criteria would make vast populations of women eligible for the nymphomania diagnostic criteria, as Groneman (1994) argues, it is difficult to know how often the diagnosis was directly applied to individual women.
References
Althabe, F., & Belizan, J. F. (2006). Caesarian section: The paradox. The Lancet, 268, 1472–1473.
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
Angel, K. (2010). The history of ‘female sexual dysfunction’ as a mental disorder in the 20th century. Current opinion in psychiatry, 23(6), 536.
Berman, J., Berman, L., & Bumiller, E. (2001). For women only: A revolutionary guide to overcoming sexual dysfunction and reclaiming your sex life. New York: Henry Holt.
Black, A., Yang, Q., Wen, S. W., Lalonde, A. B., Guilbert, E., & Fisher, W. (2009). Contraceptive use among Canadian women of reproductive age: Results of a national survery. Journal of Obstetrics and Gynaecology Canada, 31(7), 627–640.
Bland, L., & Doan, L. (1998). Sexology in culture: Labelling bodies and desires. Chicago: University of Chicago Press.
Boscoe, M., Basen, G., Alleyne, G., Bourrier-Lacroix, B., & White, S. (2004). The women’s health movement in Canada: Looking back and moving forward. Canadian Women’s Studies, 24(1), 7–13.
Cacchioni, T. (2007). Heterosexuality and “the labour of love:” A contribution to recent debates of female sexual dysfunction. Sexualities, 10, 299–320.
Cacchioni, T., & Tiefer, L. (2012). Why medicalization? Introduction to the special issue on the medicalization of sex. Journal of Sex Research, 49, 307–310.
Cahill, H. A. (2001). Male appropriation and medicalization of childbirth: An historical analysis. Journal of Advanced Nursing, 33(3), 334–342.
Carvalho, J., & Nobre, P. (2010). Sexual desire in women: An integrative approach regarding psychological, medical, and relationship dimensions. The Journal of Sexual Medicine, 7(5), 1807–1815.
Charpy, A. (1870). Des organes génitaux externes chez les prostituées. Annales des Dermatologie, 3, 271–279.
Chauncey, G. (1989). From sexual inversion to homosexuality: The changing medical conceptualization of female deviance. In K. Peiss, C. Simmons, & R. Padgug (Eds.), Passion and power: Sexuality in history (pp. 87–117). Philadelphia: Temple University Press.
Clarke, A. E., Shim, J. K., Mamo, L., Fosket, J. R., & Fishman, J. R. (2003). Biomedicalization: Technoscientific transformations of health, illness, in the US. American Sociological Review, 68, 161–194.
Conrad, P. (1992). Medicalization and social control. Annual Review of Sociology, 18, 209–232.
Cooper, W. (1975). Don’t change: A biological revolution for women. New York: Stein and Day.
Cott, N. F. (1978). Passionlessness: An interpretation of Victorial sexual ideology, 1790–1850. Signs, 4(2), 219–236.
Cryle, P., & Moore, A. (2011). Frigidity: An intellectual history. Basingstoke: Palgrave Macmillan.
DeLamater, J. D., & Sill, M. (2005). Sexual desire in later life. The Journal of Sex Research, 42(2), 138–149.
Derry, P. S. (2013, February). The medicalization of the menstrual cycle. Paper presented at Selling Sickness, Washington, D.C.
Dickinson, R. L., & Beam, L. (1931). A thousand marriages: A medical study of sex adjustment. Baltimore: Williams & Wilkins.
Digby, A. (1989). Women’s biological straightjacket. In S. Mendus & J. Rendall (Eds.), Sexuality and subordination: Interdisciplinary studies of gender in the nineteenth century (pp. 192–220). London: Routledge.
Drescher, J. (2010). Queer diagnoses: Parallels and contrasts in the history of homosexuality, gender variance, and the Diagnostic and Statistical Manual. Archives of Sexual Behavior, 39, 427–460.
Dubowitz, N., Puretz, M., Fugh-Berman, A. (2012, August 20). Low-T, high profit? [Web log post.] Bioethics Forum. http://www.thehastingscenter.org/Bioethicsforum/Post.aspx?id=5941&blogid=140. Accessed 1 Sep 2012.
Edwards, J. (2010, June 16). Viagra and blindness: Now the FDA is accusing Pfizer of covering up eye problems. CBS News. http://www.cbsnews.com/8301-505123_162-42844959/viagra-and-blindness-now-the-fda-is-accusing-pfizer-of-covering-up-eye-problems/. Accessed 1 Sep 2012.
Ellis, H., & Symonds, J. A. (1897). From sexual inversion. The Columbia Anthology of Gay Literature: Readings from Western Antiquity to the Present Day, 328.
Ehrenreich, B., & English, D. (1979). For her own good: one hundred and fifty years of the experts’ advice to women. London: Pluto.
Fausto-Sterling, A. (1999). Gender, race, and nation: The comparative anatomy of ‘Hottentot’ women in Europe, 1815–1817. In J. Terry & J. Urla (Eds.), Deviant bodies: Critical perspectives on difference in science and popular culture (pp. 19–44). Indiana: Indiana University Press.
Fishman, J. & Mamo, R. (2001). What’s in a disorder: A cultural analysis of medical and pharmaceutical constructions of male and female sexual dysfunction. In E. Kaschak & L. Tiefer (Eds.), A New View of women’s sexual problems. Binhampton: Haworth Press. Fishman, J. R. (2004). Manufacturing desire: The commodification of female sexual dysfunction. Social Studies of Science, 34, 187–218.
Flower, W. H., & Murie, J. (1867). Account of the dissection of a bushwoman. Journal of Anatomy and Physiology, 1(2), 189–208.
Foucault, M. (1965). Madness and civilization: A history of insanity in the age of reason. New York: Pantheon Books.
Foucault, M. (1973). Birth of a clinic: An archeology of the human sciences. New York: Pantheon Books.
Foucault, M. (1978). The history of sexuality: Vol. 1. London: Allen Lane.
Freud, S. (1949). Three essays on the theory of sexuality. (J. Strachey, Trans.). Albury Court: Imago Publishing. (Original work published 1905).
Freud, S. (1905). Three essays on sexuality. Standard.
Fugh-Berman, A. (2010). The haunting of medical journals: How ghostwriting sold “HRT.” PLoS Med, 7(9). doi: 10.1371/journal.pmed.1000335
Gazit, C. (Writer & Director). (Feb 17, 2003). The American experience: The Pill [Television broadcast]. In C. Gazit, D. Steward, & H. Klotz (Producer). Arlington: Public Broadcasting Service.
Gerhard, J. (2000). Revisiting Anne Koedt’s “The myth of the vaginal orgasm.” Feminist Studies, 26, 449–476.
Giami, A., & Perry, C. (2012). Transformations in the medicalization of sex: HIV prevention between discipline and biopolitics. Journal of Sex Research, 49(4), 353–361.
Gilman, S. L. (1985). Difference and pathology: Stereotypes of sexuality, race, and madness. Ithaca: Cornell.
Goldman, D. (2001). Thalidomide use: Past history and current implications for practice. Oncology Nursing Forum, 28(3), 471–479.
Goldstein, I., Meston, C. M., Davis, S., & Traish, A. (2006). Women’s sexual function and dysfunction: Study, diagnosis and treatment. United Kingdom: Taylor and Francis Group.
Gordon, H. (2008). The treatment of paraphilias: An historical perspective. Criminal behavior and mental health, 18(2), 79–87.
Groneman, C. (1994). Nymphomania: The historical construction of female sexuality. Signs: Journal of Women in Culture and Society, 19, 337–367.
Hamer, D. H., Hu, S., Magnuson, V. L., Hu, N., & Pattatucci, A. M. (1993). A linkage between DNA markers on the X chromosome and male sexual orientation. Science, 261(5119), 321–327.
Hartley, H. (2006). The pinking of Viagra culture: Drug industry efforts to create and repackage. Sexualities, 9, 363–378.
Hayes, R. D., Dennerstein, L., Bennett, C. M., Sidat, M., Gurrin, L., & Fairley, C. K. (2008). Risk factors for Female Sexual Dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. Journal of Sexual Medicine, 5(7), 1681–1693.
Hirschfield, M. (1914). Die Homosexualität des Mannes und des Weibes. Berlin: Louis Marcus Verlagsbuchhandlung.
Houck, J. A. (2003). “What do these women want?” Feminist responses to Feminine Forever, 1963–1980. Bulletin of the history of medicine, 77(1), 103–132.
Janssen, P. A., Lee, S. K., Ryan, E. M., Etches, D. J., Farquharson, D. F., Peacock, D., & Klein, M. C. (2002). Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia. Canadian Medical Association Journal, 166(3), 315–323.
Kaschak, E., & Tiefer, L. (2001). A new view of women’s sexual problems. Binghamton: The Haworth Press.
Koch, P. B., Mansfield, P. K., Thurau, D., & Carey, M. (2005). “Feeling frumpy”: The relationships between body image and sexual response changes in midlife women. Journal of Sex Research, 42(3), 215–223.
Koedt, A. (1973). The myth of the vaginal orgasm. In A. Koedt, E. Levine, & A. Rapone (Eds.), Radical feminism (pp. 198–207). New York: Quadrangle Books.
Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behaviour in the human male. Philadelphia: W. B. Saunders Co.
Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. H. (1953). Sexual behaviour in the human female. Philadelphia: W. B. Saunders Co.
Kleinplatz, P. J., Menard, A. D., Paquet, M., Paradis, N., Campbell, M., Zuccarino, D., & Mehak, L. (2009). The components of optimal sexuality: A portrait of “great sex.” The Canadian Journal of Human Sexuality, 18, 1–13.
Laumann, E. O., Gagnon, J. M., & Michaels, S. (1994). The social organization of sexuality: Sexual practices in the United States. Chicago: University of Chicago Press.
Leavitt, J. W. (1986). Brought to bed: Childbearing in America 1750–1950. Cambridge: Oxford University Press.
Lippman, A. (2004). Women’s cycles up for sale: Neo-medicalization and women’s reproductive health. Canadian Women’s Health Network, 6, 8–11.
Loe, M. (2004). The rise of Viagra: How the little blue pill changed sex in America. New York: New York University Press.
Lombroso, C., & Ferrero, G. (1893). La donna deliquente: La prostituta e la donna normale. Torino: Fratelli Bocca Editori.
Lupton, D. (1997). Foucault and the medicalization critique. In A. Petersen & R. Bunton (Eds.) Foucault, health, and medicine (pp. 94–110). London: Routledge.
Malthus, T. (1798). An essay on the principle of population, as it affects the future improvement of society. London: J. Johnson.
Mamo, L., & Fosket, J. R. (2009). Scripting the body: Pharmaceuticals and the (re)making of menstruation. Signs: Journal of Women in Culture & Society, 34(4), 925–949.
Martin, E. (1987). Woman in the body: A cultural analysis of reproduction. Boston: Beacon Press.
Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown.
Mitka, M. (2000). Some men who take Viagra die—why? Journal of the American Medical Association, 283, 590–593.
Moss, E. L., Stam, H. J., & Kattevilder, D. (2013). From suffrage to sterilization: Eugenics and the women’s movement in 20th century Alberta. Canadian psychology/Psychologie Canadienne, 54(2), 105–114.
Moynihan, R., & Cassels, A. (2006). Selling sickness: How the world’s biggest pharmaceutical companies are turning us all into patients. New York: Nation Books.
National Partnership for Women. (2013). Caesarian section: Why is the national U.S. Caesarian rate so high? http://www.childbirthconnection.org/article.asp?ck=10456. Accessed 7 July 2014
Neuhaus, J. (2000). The importance of being orgasmic: Sexuality, gender, and marital sex manuals in the United States. Journal of the History of Sexuality, 9, 447–473.
Nicholls, L. (2008). Putting the New View classification scheme to an empirical test. Feminism & Psychology, 18, 515–526.
Oakley, A. (1984). Captured womb: A History of the medical care of women. Oxford: B. Blackwell.
Ordover, N. (2003). American eugenics: Race, queer anatomy, and the science of nationalism. Minneapolis: University of Minnesota Press.
O’Riordan, K. (2012). The life of the gay gene: From hypothetical genetic marker to social reality. Journal of Sex Research, 49(4), 362–368.
Parry, D. C. (2008). “We wanted a birth experience, not a medical experience:” Exploring Canadian women’s use of midwifery. Health care for Women International, 29, 784–806.
Riessman, C. K. (1983). Women and medicalization: A new perspective. Social Policy, 14, 3–18.
Rochon-Ford, A., & Saibil, D. (Eds.). (2009). The push to prescribe. Toronto: Women’s Press.
Sigal, R. (1970). Politics of the pill. Off Our Backs, 1(1), 3.
Studd, J. (2006). Ovariotomy for medical madness and premenstrual syndrome-19th century history and lessons for current practice. Gynecological endocrinology, 22(8), 411–415.
Summerville, S. (1994). Scientific racism and the emergence of the homosexual body. Journal of the History of Sexuality, 5(2), 243–266.
Terry, J. (1999). An American obsession: Science, medicine, and homosexuality in modern society. Chicago: University of Chicago Press.
Tiefer, L. (1986). In pursuit of the perfect penis: The medicalization of male sexuality. American Behavioral Scientist, 29, 579–599.
Tiefer, L. (2001). Arriving at a “New View” of women’s sexual problems: Background, theory, and activism. In E. Kaschak & L. Tiefer (Eds.), A new view of women’s sexual problems (pp. 63–98). Binghampton: Haworth Press.
Tiefer, L. (2006). Sex therapy as a humanistic enterprise. Sexual & relationship therapy, 21(3), 359–375.
Tone, A. (2012). Medicalizing reproduction: The pill and home pregnancy tests. Journal of Sex Research, 49(4), 319–327.
Van Wagner, V., Epoo, B., Nastapoka, J., & Harney, E. (2007). Reclaiming birth, health, and community: Midwifery in the Inuit villages of Nunavik, Canada. American College of Nurse-Midwives, 52(4), 384–391.
Veurink, M., Koster, M., & de Jong-van den Berg, T. W. (2005). The history of DES, lessons to be learned. Pharm World, 27, 139–143.
von Krafft-Ebing, R. (1886). Psychopathia sexualis: eine klinisch-forensische Studie. Enke.
Wertz, R. W., & Wertz, D. C. (1989). Lying-in: A history of childbirth in America. New Haven: Yale University Press.
Williams, S. J. (2001). Sociological imperialism and the profession of medicine revisited: Where are we now? Sociology of Health & Illness, 23(2), 135–158.
Zola, I. K. (1983). Socio-medical inquiries. Philadelphia: Temple University Press.
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I would like to thank Amber Hui for her detailed and insightful RA work on this chapter.
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Cacchioni, T. (2015). The Medicalization of Sexual Deviance, Reproduction, and Functioning. In: DeLamater, J., Plante, R. (eds) Handbook of the Sociology of Sexualities. Handbooks of Sociology and Social Research. Springer, Cham. https://doi.org/10.1007/978-3-319-17341-2_24
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