The Task of Social Hygiene

11

Thus Heron finds that in London during the past fifty years there has been 100 per cent increase in the intensity of the relation between low social birth and high birth-rate, and that the high birth-rate of the lower social classes is not fully compensated by their high death-rate (D. Heron, "On the Relation of Fertility in Man to Social Status," Drapers' Company Research Memoirs, No. I, 1906). As, however, Newsholme and Stevenson point out (Journal Royal Statistical Society, April, 1906, p. 74), the net addition to the population made by the best social classes is at so very slightly lower a rate than that made by the poorest class that, even if we consent to let the question rest on this ground, there is still no urgent need for the wailings of Cassandra.

12

Sociological Papers of the Sociological Society, 1904, p. 35.

13

There is a certain profit in studying one's own ancestry. It has been somewhat astonishing to me to find how very slight are the social oscillations traceable in a middle-class family and the families it intermarries with through several centuries. A professional family tends to form a caste marrying within that caste. An ambitious member of the family may marry a baronet's daughter, and another, less pretentious, a village tradesman's daughter; but the general level is maintained without rising or falling. Occasionally, it happens that the ambitious and energetic son of a prosperous master-craftsman becomes a professional man, marries into the professional caste, and founds a professional family; such a family seems to flourish for some three generations, and then suddenly fails and dies out in the male line, while the vigour of the female line is not impaired.

14

The new social adjustment of a family, it is probable, is always difficult, and if the change is sudden or extreme, the new environment may rapidly prove fatal to the family. Lorenz (Lehrbuch der Genealogie, p. 135) has shown that when a peasant family reaches an upper social class it dies out in a few generations.

15

See, on this point, Reibmayr, Entwicklungsgeschichte des Talentes und Genies, Vol. I, ch. vii.

16

Fahlbeck, op. cit., p. 168.

17

Regeneration implies that there has been degeneration, and it cannot be positively affirmed that such degeneration has, on the whole, occurred in such a manner as to affect the race. Reibmayr (Die Entwicklungsgeschichte des Talentes und Genies, Bd. I, p. 400) regards degeneration as a process setting in with urbanization and the tendency to diminished population; if so, it is but another name for civilization, and can only be condemned by condemning civilization, whether or not physical deterioration occurs. The Inter-departmental Commission on Physical Deterioration held in 1904, in London, concluded that there are no sufficient statistical or other data to prove that the physique of the people in the present, as compared with the past, has undergone any change; and this conclusion was confirmed by the Director-General of the Army Medical Service. There is certainly good reason to believe that urban populations (and especially industrial workers in factories) are inferior in height and weight and general development to rural populations, and less fit for military or similar service. The stunted development of factory workers in the East End of London was noted nearly a century ago, and German military experience distinctly shows the inferiority of the town-dweller to the country-dweller. (See e.g. Weyl, Handbuch der Hygiene, Supplement, Bd. IV, pp. 746 et seq.; Politisch-Anthropologische Revue, 1905, pp. 145 et seq.) The proportion of German youths fit for military service slowly decreases every year; in 1909 it was 53.6 per cent, in 1910 only 53 per cent; of those born in the country and engaged in agricultural or forest work 58.2 were found fit; of those born in the country and engaged in other industries, 55.1 per cent; of those born in towns, but engaged in agricultural or forest work, 56.2 per cent; of those born in towns and engaged in other industries 47.9 per cent. It is fairly clear that this deterioration under urban and industrial conditions cannot properly be termed a racial degeneration. It is, moreover, greatly improved even by a few months' training, and there is an immense difference between the undeveloped, feeble, half-starved recruit from the slums and the robust, broad-shouldered veteran when he leaves the army. The term "aggeneration"—not beyond criticism, though it is free from the objection to "regeneration"—was proposed by Prof. Christian von Ehrenfels ("Die Aufsteigende Entwicklung des Menschen," Politisch-Anthropologische Revue, April, 1903, p. 50).

18

It is unnecessary to touch here on the question of infant mortality, which has already been referred to, and will again come in for consideration in a later chapter. It need only be said that a high birth-rate is inextricably combined with a high death-rate. The European countries with the highest birth-rates are, in descending order: Russia, Bulgaria, Roumania, Servia, and Hungary. The European countries with the highest death-rates are, in descending order, almost the same: Russia, Hungary, Spain, Bulgaria, and Servia, It is the same outside Europe. Thus Chile, with a birth-rate which comes next after Roumania, has a death-rate that is only second to Russia.

19

Nyström (La Vie Sexuelle, 1910, p. 248) believes that "the time is coming when it will be considered the duty of municipal authorities, if they have found by experience or have reason to suspect that children will be thrown upon the parish, to instruct parents in methods of preventive conception."

20

The directly unfavourable influences on the child of too short an interval between its birth and that of the previous child has been shown, for instance, by Dr. R.J. Ewart ("The Influence of Parental Age on Offspring," Eugenics Review, October, 1911). He has found at Middlesbrough that children born at an interval of less than two years after the birth of the previous child still show at the age of six a notable deficiency in height, weight, and intelligence, when compared with children born after a longer interval, or with first-born children.

21

Tatler, Vol. II, No. 175, 1709.

22

"Write Man for Primula, and the stage of the world for that of the greenhouse," says Professor Bateson (Biological Fact and the Structure of Society, 1912, p. 9), "and I believe that with a few generations of experimental breeding we should acquire the power similarly to determine how the varieties of men should be represented in the generations that succeed." But Bateson proceeds to point out that our knowledge is still very inadequate, and he is opposed to eugenics by Act of Parliament.

23

E. Solmi, La Città del Sole di Campanella, 1904, p. xxxiv.

24

Only a year before his death Galton wrote (Preface to Essays in Eugenics): "The power by which Eugenic reform must chiefly be effected is that of Popular Opinion, which is amply strong enough for that purpose whenever it shall be roused."

25

It may perhaps be necessary to remark that by sterilization is here meant, not castration, but, in the male vasectomy (and a corresponding operation in the female), a simple and harmless operation which involves no real mutilation and no loss of power beyond that of procreation. See on this and related points, Havelock Ellis, Studies in the Psychology of Sex, Vol. VI, "Sex in Relation to Society," chap. xii.

26

The term "feeble-minded" may be used generally to cover all degrees of mental weakness. In speaking a little more precisely, however, we have to recognize three main degrees of congenital mental weakness: feeble-mindedness, in which with care and supervision it is possible to work and earn a livelihood; imbecility, in which the subject is barely able to look after himself, and sometimes only has enough intelligence to be mischievous (the moral imbecile); and idiocy, the lowest depth of all, in which the subject has no intelligence and no ability to look after himself. More elaborate classifications are sometimes proposed. The method of Binet and Simon renders possible a fairly exact measurement of feeble-mindedness.

27

Mott (Archives of Neurology and Psychiatry, Vol. V, 1911) accepts the view that in some cases feeble-mindedness is simply a form of congenital syphilis, but he points out that feeble-mindedness abounds in many rural districts where syphilis, as well as alcoholism, is very rare, and concludes by emphasizing the influence of heredity; the prevalence of feeble-mindedness in these rural districts is thus due to the fact that the mentally and physically fit have emigrated to the great industrial centres, leaving the unfit to procreate the race.

28

"Whether germinal variations," remarked Dr. R.J. Ryle at a Conference on Feeble-mindedness (British Medical Journal, October 3, 1911), "be expressed by cleft palate, cataract, or cerebral deficiency of the pyramidal cells in the brain cortex, they may be produced, and, when once produced, they are reproduced as readily as the perfected structure of the face or eye or brain, if the gametes which contain these potentialities unite to form the ovum. But Nature is not only the producer. Given a fair field and no favour, natural selection would leave no problem of the unfit to perplex the mind of man who looks before and after. This we know cannot be, and we know, too, that we have no longer the excuse of ignorance to cover the neglect of the new duties which belong to the present epoch of civilization. We know now that we have to deal with a growing group in our community who demand permanent care and control as well for their own sakes as for the welfare of the community. All are now agreed on the general principle of segregation, but it is true that something more than this should be forthcoming. The difficulties of theory are clearing up as our wider view obtains a firmer grasp of our material, but the difficulties of practice are still before us." These remarks correspond with the general results reached by the Royal Commission on the Feeble-minded, which issued its voluminous facts and conclusions in 1908.

29

See, for instance, A.F. Tredgold, Mental Deficiency, 1908.

30

The investigation of Bezzola showing that the maxima in the conception of idiots occur at carnival time, and especially at the vintage, has been held (especially by Forel) to indicate that alcoholism of the parents at conception causes idiocy in the offspring. It may be so. But it may also be that the licence of these periods enables the defective members of the community to secure an amount of sexual activity which they would be debarred from under normal conditions. In that case the alcoholism would merely liberate, and not create, the idiocy-producing mechanism.

31

Godden, Eugenics Review, April, 1911.

32

Feeble-mindedness and the other allied variations are not always exactly repeated in inheritance. They may be transmuted in passing from father to son, an epileptic father, for instance, having a feeble-minded child. These relationships of feeble-mindedness have been clearly brought out in an important investigation by Davenport and Weeks (Journal of Nervous and Mental Disease, November, 1911), who have for the first time succeeded in obtaining a large number of really thorough and precise pedigrees of such cases.

33

It may be as well to point out once more that the possibility of such limited depreciation must not be construed into the statement that there has been any general "degeneration of the race." It maybe added that the notion that the golden age lay in the past, and that our own age is degenerate is not confined to a few biometricians of to-day; it has commended itself to uncritical minds in all ages, even the greatest, as far back as we can go. Montesquieu referred to this common notion (and attempted to explain it) in his Pensées Diverses: "Men have such a bad opinion of themselves," he adds, "that they have believed not only that their minds and souls were degenerate, but even their bodies, and that they were not so tall as the men of previous ages." It is thus quite logically that we arrive at the belief that when mankind first appeared, "there were giants on the earth in those days," and that Adam lived to the age of nine hundred and thirty. Evidently no syndromes of degenerescence there!

34

The Superintendent of a large State School for delinquent girls in America (as quoted in the Chicago Vice Commission's Report on The Social Evil in Chicago, p. 229) says: "The girls who come to us possessed of normal brain power, or not infected with venereal disease, we look upon as a prize indeed, and we seldom fail to make a woman worth while of a really normal girl, whatever her environment has been. But we have failed in numberless cases where the environment has been all right, but the girl was born wrong."

35

See e.g. Havelock Ellis, The Criminal, 4th ed., 1910, chap IV.

36

R.L. Dugdale, The Jukes, 4th ed., 1910. It is noteworthy that Dugdale, who wrote nearly forty years ago, was concerned to prove the influence of bad environment rather than of bad heredity. At that time the significance of heredity was scarcely yet conceived. It remains true, however, that bad heredity and bad environment constantly work together for evil.

37

Jörger, Archiv für Rassen-und Gesellschafts-Biologie, 1905, p. 294. Criminal families are also recorded by Aubry, La Contagion du Meutre.

38

Even during school life this burden is serious. Mr. Bodey, Inspector of Schools, states that the defective school child costs three times as much as the ordinary school child.

39

I have set forth these considerations more fully in a popular form in The Problem of the Regeneration of the Race, the first of a series of "New Tracts for the Times," issued under the auspices of the National Council of Public Morals.

40

C.B. Davenport, "Euthenics and Eugenics," Popular Science Monthly, January, 1911.

41

The use of the terms "fit" and "unfit" in a eugenic sense has been criticized. It is said, for instance, that in a bad environment it may be precisely the defective classes who are most "fit" to survive. It is quite true that these terms are not well adapted to resist hyper-critical attack. The persistence with which they are employed seems, however, to indicate a certain "survival of the fittest." The terms "worthy" and "unworthy," which some would prefer to substitute, are unsatisfactory, for they have moral associations which are misleading. Galton spoke of "civic worth" in this connection, and very occasionally used the term "worthy" (with inverted commas), but he was careful to point out (Essays in Eugenics, p. 35) that in eugenics "we must leave morals as far as possible out of the discussion, not entangling ourselves with the almost hopeless difficulties they raise as to whether a character as a whole is good or bad."

42

Dr. Toulouse has devoted a whole volume to the results of a minute personal examination of Zola, the novelist, and another to Poincaré, the mathematician. Such minute investigations are at present confined to men of genius, but some day, perhaps, we shall consider that from the eugenic standpoint all men are men of genius.

43

Sterilization for social ends was introduced in Switzerland a few years ago, in order to enable some persons with impaired self-control to be set at liberty and resume work without the risk of adding to the population defective members who would probably be a burden on the community. It was performed with the consent of the subjects (in some cases at their urgent request) and their relations, so requiring no special legislation, and the results are said to be satisfactory. In some American States sterilization for some classes of defective persons has been established by statute, but it is difficult to obtain reliable information as regards the working and the results of such legislation.

44

When Professor Giddings speaks of the "goal of mankind," it must, of course, be remembered, he is using a bold metaphor in order to make his meaning clearer. Strictly speaking, mankind has no "goals," nor are there any ends in Nature which are not means to further ends.

45

This chapter was written so long ago as 1888, and published in the Westminster Review in the following year. I have pleasure in here including it exactly as it was originally written, not only because it has its proper place in the present volume, but because it may be regarded as a programme which I have since elaborated in numerous volumes. The original first section has, however, been omitted, as it embodied a statement of the matriarchal theory which, in view of the difficulty of the subject and the wide differences of opinion about it, I now consider necessary to express more guardedly (see, for a more recent statement, Havelock Ellis, Studies in the Psychology of Sex, Vol. VI, "Sex in Relation to Society," chap. x). With this exception, and the deletion of two insignificant footnotes, no changes have been made. After the lapse of a quarter of a century I find nothing that I seriously wish to withdraw and much that I now wish to emphasize.

46

The following passage summarizes this Appeal: "The simple and modest request is, that they may be permitted equal enjoyments with men, provided they can, by the free and equal development and exercise of their faculties, procure for themselves such enjoyments. They ask the same means that men possess of acquiring every species of knowledge, of unfolding every one of their faculties of mind and body that can be made tributary to their happiness. They ask every facility of access to every art, occupation, profession, from the highest to the lowest, without one exception, to which their inclinations and talents may direct and may fit them to occupy. They ask the removal of all restraints and exclusions not applicable to men of equal capacities. They ask for perfectly equal political, civil, and domestic rights. They ask for equal obligations and equal punishments from the law with men in case of infraction of the same law by either party. They ask for an equal system of morals, founded on utility instead of caprice and unreasoning despotism, in which the same action, attended with the same consequences, whether done by man or woman, should be attended with the same portion of approbation or disapprobation; in which every pleasure, accompanied or followed by no preponderant evil, should be equally permitted to women and to men; in which every pleasure accompanied or followed by preponderant evil should be equally censured in women and in men."

47

A period of transition not the less necessary although it is certainly disastrous and tends to produce an unwholesome tension between the sexes so long as men and women do not receive equal payment for equal work. "A thing of beauty is a joy for ever," as a working man in Blackburn lately put it, "but when the thing of beauty takes to doing the work for 16s. a week that you have been paid 22s. for, you do not feel as if you cannot live without possessing that thing of beauty all to yourself, or that you are willing to lay your life and your fortune (when you have one) at its feet." On the other hand, the working girl in the same town often complains that a man will not look at a girl unless she is a "four-loom weaver," earning, that is, perhaps, 20s. or 25s. a week.

48

See the very interesting work of Alfred Espinas, Des Sociétés Animales, which contains many fruitful suggestions for the student of human sociology.

49

The subtle and complex character of the sexual relationships in a high civilization, and the unhappy results of their State regulation, was well expressed by Wilhehm von Humboldt in his Ideen zu einen Versuch, die Grenzen der Wirksamkeit des Staates zu bestimmen, so long ago as 1792: "A union so closely allied with the very nature of the respective individuals must be attended with the most hurtful consequences when the State attempts to regulate it by law, or, through the force of its institutions, to make it repose on anything save simple inclination. When we remember, moreover, that the State can only contemplate the final results of such regulations on the race, we shall be still more ready to admit the justice of this conclusion. It may reasonably be argued that a solicitude for the race only conducts to the same results as the highest solicitude for the most beautiful development of the inner man. For after careful observation it has been found that the uninterrupted union of one man with one woman is most beneficial to the race, and it is likewise undeniable that no other union springs from true, natural, harmonious love. And further, it may be observed that such love leads to the same results as those very relations which law and custom tend to establish. The radical error seems to be that the law commands; whereas such a relation cannot mould itself according to external arrangements, but depends wholly on inclination; and wherever coercion or guidance comes into collision with inclination, they divert it still farther from the proper path. Wherefore it appears to me that the State should not only loosen the bonds in this instance, and leave ampler freedom to the citizen, but that it should entirely withdraw its active solicitude from the institution of marriage, and both generally and in its particular modifications, should rather leave it wholly to the free choice of the individuals, and the various contracts they may enter into with respect to it. I should not be deterred from the adoption of this principle by the fear that all family relations might be disturbed, for although such a fear might be justified by considerations of particular circumstances and localities, it could not fairly be entertained in an inquiry into the nature of men and States in general. For experience frequently convinces us that just where law has imposed no fetters, morality most surely binds; the idea of external coercion is one entirely foreign to an institution which, like marriage, reposes only on inclination and an inward sense of duty; and the results of such coercive institutions do not at all correspond to the intentions in which they originate."

50

Such register should, as Bertillon rightly insisted, be of the most complete description—setting forth all the anthropological traits of the contracting parties—so that the characteristics of a human group at any time and place may be studied and compared. Registration of this kind would, beside its more obvious convenience, form an almost indispensable guide to the higher evolution of the race. I may here add that I have assumed, perhaps too rashly, that the natural tendency among civilized men and women is towards a monogamic and more or less permanent union; preceded, it may be in most individuals, by a more restless period of experiment. Undoubtedly, many variations will arise in the future, leading to more complex relationships. Such variations cannot be foreseen, and when they arise they will still have to prove their stability and their advantage to the race.

51

As among geese, and, occasionally, it is said, among elephants.

52

In 1787 Condorcet declared (Lettres d'un Bourgeois de New Haven, Lettre II) that women ought to have absolutely the same rights as men, and he repeated the same statement emphatically in 1790, in an article "Sur l'Admission des Femmes au Droit de Cité," published in the Journal de la Société de 1789. It must be added that Condorcet was not a democrat, and neither to men nor to women would he grant the vote unless they were proprietors.