Theorizing interconnections of sexual and racial differences remains a core problematic within feminist theory. In this article the author argues that these connections might in some cases usefully be understood as constituting a chiasmas. The term ‘chiasmas’ is taken from MichËle Le Doeuff’s analysis of the writings of 18th-century physiologist Pierre Roussel. Le Doeuff argues that Roussel’s understanding of sexual difference is chiastic. An examination of contemporary medical and scientific discourses around the menopause and its treatment through hormone replacement therapy (...) takes the argument onto new ground. The author argues here that menopause-related discourses rely on a chiastic logic that connects sexual difference with racial differences. Identification of such logics may prove useful to feminist analyses of specific entanglements of the logics of sexual and racial differences, in contemporary and historical instances. (shrink)

Sex hormones today are seen as central to the production of biological sexual difference. This article examines the development of this scientific `fact', and asks how hormones came to be in this position. The article does not involve original historical research, however. Instead it uses existing histories of hormonal sexual difference to develop a theoretical argument about body histories. How can the history of scientific views of bodies be written and understood? What can these histories tell us about the relation (...) between scientific representations of bodies and the materiality of bodies? Combining and critiquing arguments from feminist histories of science, Bruno Latour's actor network theory, Michel Serres's theory of folded time, and Donna Haraway's notion of situated knowledges, this article argues for the centrality of embodiment and location to useful body histories. (shrink)

This article explores the relationship between medicine’s history and its digital present through the lens of the physician-patient relationship. Today the rhetoric surrounding the introduction of new technologies into medicine tends to emphasize that technologies are disturbing relationships, and that the doctor-patient bond reflects a more ‘human’ era of medicine that should be preserved. Using historical studies of pre-modern and modern Western European medicine, this article shows that patient-physician relationships have always been shaped by material cultures. We discuss three activities (...) – recording, examining, and treating – in the light of their historical antecedents, and suggest that the notion of ‘human medicine’ is ever-changing: it consists of social attributions of skills to physicians that played out very differently over the course of history. (shrink)

Summary Historians have devoted little attention to blood transfusion in the nineteenth century. In part, this neglect reflects the presentist assumption that, before Karl Landsteiner's discovery of blood types, this practice would have failed too often to gain currency. Yet, transfusion was in fact the subject of much debate, and was actively practised, primarily by obstetricians on haemorrhaging women. Examining this practice through the conceptual lens of ‘blood clots’, both as noun and as observation, I follow transfusors’ assumptions about the (...) nature of the blood and the problem of its coagulation. Tracing the medicalization of ideas about blood by the century's end, I map this shift onto changing notions about why transfusion was performed, what substance was best employed, and what instrument best fitted that substance's movement into the circulation. In this way, ‘Blood Clots’ reconstructs the discourse surrounding transfusion, extending that discourse to material culture in order to illuminate the rationale that guided transfusion's practice in nineteenth-century Britain. (shrink)

How do institutions respond to expert contests over epistemologies of sex and gender? In this article, I consider how epistemological ascendancy in debates over the regulation of women athletes with high testosterone is established within a legal setting. Approaching regulation as an institutional act that defines forms of embodied difference, the legitimacy of which may be called into question, I show how sexed bodies are enacted through and as part of determinations of expertise. I focus on proceedings from 2015 when (...) the Court of Arbitration for Sport was asked to decide whether an Indian sprinter, Dutee Chand, could compete as a female athlete. Despite acknowledging that sexed bodies are unruly, the court ultimately endorsed the use of testosterone as seemingly essential to women’s athletic performance, thereby reasserting a two-category model of biological difference. The legitimacy of these regulatory efforts was established through the concurrent narrowing of expertise and the body, a process that is also revealed to be gendered. (shrink)

The production of big pictures is arguably the most significant sign of the intellectual maturity of a field. It suggests both that the field's broad contours, refined over several generations of scholarship, enjoy the approval of practitioners, and that audiences exist with an interest in or need for overviews. The situation is somewhat more complicated in the history of science, since the existence of big historical pictures precedes that of a well-defined scholarly field by about two centuries. Broadly conceived histories (...) of science and medicine were being written in the eighteenth century, when such an all-encompassing vision was central to the claims about the progress of knowledge upon which Enlightenment ideologues set such store. The Plato to Nato style histories, characteristic of the earlier twentieth century, were written largely by isolated pioneers, and while these were used in teaching as the field was becoming professionalized, recent scholars have preferred to concentrate on a monographic style of research. Despite the existence of the series started by Wiley, and now published by Cambridge University Press, it is only in the last ten years or so that more conscious attempts have been made to generate a big-picture literature informed by new scholarship. It is noteworthy that most of this is addressed to students and general readers, although there is no logical reason why it should not tackle major theoretical issues of concern to scholars. My point about maturity still holds, then, since as a designated discipline the history of science is rather new; it is still feeling out its relationship with cognate disciplines. Big-picture histories have an important role to play in these explorations since they make findings and ideas widely available and thereby offer material through which ambitious interpretations can be debated, modified and transformed. (shrink)

(1995). Women and eugenics in Britain: The case of Mary Scharlieb, Elizabeth Sloan Chesser, and Stella Browne. Annals of Science: Vol. 52, No. 5, pp. 481-502.

This paper discusses one of the most famous paintings on medical themes: The Doctor by Sir Luke Fildes (Fig. 1), which exemplifies how an ideal type of doctoring is construed from reality and from the views and expectations of both the public and doctors themselves. A close reading of The Doctor elucidates three fundamental conflicts in medicine: the first is between statistical efficiency in accordance with scales of morbidity and mortality and the personal devotion that every sick child or suffering (...) individual wants to receive; the second is between the doctor-dominated market and the patient-dominated market; and the third is between influential and rich doctors (“consultants”) and practitioners of family medicine (GPs).1 Fig. 1 Sir Luke Fildes, “The Doctor”, oil on canvas, 1891. With permission from The Tate Gallery, London. (shrink)