Historical Perspectives Quarterly - Articles

Wahl, M.

Addiction was considered ‘alien to Socialism’. At least, that was the narrative upheld by the socialist East German state, which thus followed the traditional argumentation of socialist and social democratic movements since the turn of the century. While the state clung to this ideological claim, the consumption and abuse of beer, spirits, and benzodiazepines continued to increase. However, there was never a central strategy for the treatment and prevention of addiction in the German Democratic Republic (GDR). The hesitation and ignorance of the state authorities created a vacuum that was filled by local initiatives and expert discussions aimed at improving the situation of people with addictions. In this article, I analyse the introduction of new treatment methods in a psychiatric hospital in the GDR and show that doctors, psychologists, patients, and local officials had certain freedoms to test new approaches, many of which originated in the West. Even though they had to adapt concepts such as the ‘therapeutic communities’ of British reformer Maxwell Jones to the specific socialist and East German context to avoid restrictions by state authorities, the Berlin Wall did not prevent the transfer of knowledge. This article, therefore, paints a nuanced picture of the therapeutic methods used to treat people with addiction in the GDR. From condemning individuals as outcasts of socialist society for socially deviant drinking behaviour and relying exclusively on aversion therapy and moral accusations, there was a shift towards a mixture of treatments that became increasingly specialised and individualised, especially in the 1970s and 1980s, comparable to Western standards.

Davenport, R.

In the long‐running debate over standards of living during the industrial revolution, pessimists have identified deteriorating health conditions in towns as undermining the positive effects of rising real incomes on the ‘biological standard of living’. This article reviews long‐run historical relationships between urbanization and epidemiological trends in England, and then addresses the specific question: did mortality rise especially in rapidly growing industrial and manufacturing towns in the period c. 1830–50? Using comparative data for British, European, and American cities and selected rural populations, this study finds good evidence for widespread increases in mortality in the second quarter of the nineteenth century. However, this phenomenon was not confined to ‘new’ or industrial towns. Instead, mortality rose in the 1830s especially among young children (aged one to four years) in a wide range of populations and environments. This pattern of heightened mortality extended between c. 1830 and c. 1870, and coincided with a well‐established rise and decline in scarlet fever virulence and mortality. The evidence presented here therefore supports claims that mortality worsened for young children in the middle decades of the nineteenth century, but also indicates that this phenomenon was more geographically ubiquitous, less severe, and less chronologically concentrated than previously argued.

Lynteris, C.

Whether referring to oceanic travel on board of ships or to movement in terra firma, framings of the “migratory rat” formed a key epidemiological component of approaches to the Third Plague Pandemic (1894-1959) as the first pandemic to be understood as caused by a zoonotic disease. In this article, I examine the emergence and development of scientific framings of the migratory rat in the first, explosive years of the third plague pandemic in India (1896-1899). Examining publications and archival sources, I ask how this animal figure came to inform and transform epidemiological reasoning. Going beyond established approaches that have shown how the rat-plague relation was mobilised by colonial doctors to pathologise Indigenous lifeways, I argue that more complex and ambivalent processes were also set in motion by this figure. First, I show how the migratory rat became invested with attributes of invasiveness that assumed ontological qualities in colonial epidemiological reasoning. Second, comparing the migratory rat with the hitherto established “staggering rat,” I argue that the former embodied new approaches to both space and time in epidemiology. Third, I show how Indigenous scientists came to mobilise this complex figure to contest colonial approaches to plague.

Popova, K.

Following the decisions of the scientific session ‘For the further flourishing of Pavlov’s doctrine’ of the Academy of Sciences and the Academy of Medical Sciences of the USSR in 1950, important reforms were introduced under political control in the USSR and the Eastern Bloc countries. Research plans of science institutions and medical university curricula were changed according to these decisions. Scientists and university professors were forced to adopt courses in Pavlovian doctrine. The reforms affected the work of hospitals and sanatoriums, whose staff was instructed to reform the everyday practice. Regarding the clinical work, the session had two main consequences: the introduction of the so-called Curative-Protective Hospital Regime and the introduction of sleep therapy for the treatment of psychiatric diseases, hypertension, ulcers, rheumatism, and other diseases. As a widespread therapeutic method, it was established in the 1950s in the USSR and in the countries of the Eastern Bloc as a general reform of health politics. Political (Soviet influence), ideological (dialectical materialism), theoretical (Pavlovian teaching), and practical medical considerations intersected in the implementation of the therapeutic methods which made patients objects of this treatment. This study explores the process of dissemination and establishment of sleep therapy in Bulgarian hospital practice based on the hospital documentation of the Pediatrics Clinic at the Medical Academy and the Clinic of Cardiac Diseases in Sofia in 1952–1953.

Angelova, M.

This article deals with the tuberculosis policy in Communist Bulgaria from the 1940s to the end of the 1950s. The focus is on the BCG vaccination as the major preventive tool. The article’s reconstruction of decision-making draws on evidence from archive records produced by the Bulgarian Ministry of Health. The main question guiding the research is how past Bulgarian experiences on the one hand, and international traditions, on the other, influence medical opinion and state policy towards tuberculosis and patients with tuberculosis. How did the Cold War context shape BCG vaccination policy? The author presents the story of the ‘Bulgarian’ BCG strain, which was made possible by the international research networks and travels of the Bulgarian scientist Srebra Rodopska (1913–2006). Her story has recently been rediscovered and made popular in Bulgaria, in the context of debates about COVID-19. This article aims to correct the public history narrative, which has thus emerged by placing the story of the BCG vaccine within its Cold War context. The author pays attention to dependencies between medicine and politics, and to the role of the state. Despite the popular story of Rodopska as the inventor of a ‘Bulgarian’ BCG strain and vaccine, what actually happened was that in Bulgaria of the 1950s and 1960s, the Soviet strain and vaccine production technique were used. This was also due to Soviet pressure to follow the Soviet model of public health infrastructure.

Kim, H.

Porsnovs, D.

Between 1966 and 1974, the US Bureau of Sport Fisheries and Wildlife carried out research on the possibilities of using waste materials for constructing artificial reefs. One of the main outcomes was the recommendation to construct reefs from waste tires. With the encouragement of the findings, more than 700 reefs containing tens of millions of tires were built along the US Atlantic seaboard. This article investigates the artificial reef study at Sandy Hook Marine Laboratory and analyses environmental claims built on its results. The results show that fisheries scientists involved in artificial reef research framed tire artificial reefs as a solution to two problems: recreational fishing enhancement and waste disposal. Their claims about the appropriateness of tire reefs became a driving force of their construction in the US.

Osseo-Asare, A.

During the 1980s, college students in the United States helped to destigmatize the distribution and use of condoms. They shifted their aims from preventing unwanted pregnancy to stopping the spread of sexually transmitted infections including the newly identified acquired immunodeficiency syndrome (AIDS). Two student-led initiatives to deliver condoms after hours at Harvard University in Cambridge, Massachusetts and the University of Texas at Austin show regional and temporal differences in sexual mores as awareness of AIDS increased. These male students adopted a non-pharmaceutical intervention to prevent pregnancy and disease in the context of increased marketing of Trojan® brand condoms. Interviews with co-founders reveal how the students grappled with backlash from family members and campus administrators less enthusiastic about their popularization of condoms. Co-founders described how media attention affected their college experiences and how condom companies changed campus culture. Overall, large non-pharmaceutical companies such as Trojan® and small condom-resellers such as those at Harvard and the University of Texas at Austin reshaped cultural norms around safe sex as awareness of AIDS grew between 1985 and 1987.