The Dangers of White Supremacy: Nazi Sterilization and Its Mixed-Race Adolescent Victims

Mixed-race African German and Vietnamese German children were born around 1921, when troops drawn from the French colonial empire occupied the Rhineland. These children were forcibly sterilized in 1937. Racial anthropologists had denounced them as "Rhineland Bastards," collected details on them, and persuaded the Nazi public health authorities to sterilize 385 of them. One of the adolescents later gave public interviews about his experiences. Apart from Hans Hauck, very few are known by name, and little is known about how their sterilization affected their lives. None of the 385 received compensation from the German state, either as victims of coerced sterilization or as victims of Nazi medical research. The concerned human geneticists went unprosecuted. (Am J Public Health. 2022;112(2):248-254. https://doi.org/10.2105/AJPH.2021.306593).

THE JEREMIAH METZGER LECTURE: A BRIEF HISTORY OF EUGENICS IN AMERICA: IMPLICATIONS FOR MEDICINE IN THE 21ST CENTURY

In the first half of the 20^th century, the US was swept up in a multifaceted movement to enhance the genetic makeup of the country's population. This eugenics movement, based on flawed scientific principles promulgated by Galton in the UK and Davenport in the US included legally mandated compulsory sterilization in 27 states in the US and sharply restricted immigration from many parts of the world. Compulsory sterilization legislation was upheld by the Supreme Court in 1927. The American eugenics movement was a model for the compulsory sterilization implemented by the Nazis after they took power in Germany in 1933. The movement waned in America only following World War II when the US public became aware of the full extent of the Nazi Aryan racial superiority program. With the advent of major advances in molecular and cellular biology that are already being applied to clinical medicine in the 21^st century, we have entered a new eugenics era. It is critical that we learn the lessons of our earlier eugenics movement if we are to avoid making the same flawed decisions now.

The Central Role of Neuroscientists under National Socialism

Neuroscientists played central roles in the victimization of colleagues and their patients during the era of National Socialism from 1933 to 1945. After helping dismiss Jewish and nonideologically aligned colleagues, German neuroscientists were among the physicians and researchers who joined the Nazi Party and affiliated groups in record numbers. Forced sterilization and then so-called 'euthanasia' of neurological and psychiatric patients were planned and executed by prominent German and Austrian neuroscientists. Other neuroscientists collaborated indirectly by using patients for unethical experimentation to discover the cause of multiple sclerosis or to try to induce epileptic convulsions in a hypoxic state. Some merely used neuropathological material from murdered patients for publications in scientific journals. In the totalitarian state, research funding and academic advancement were awarded to physicians engaged in eugenics research. Opportunism and ideologically tainted science without regard to medical ethics were the motivating factors for collaborating neuroscientists. Some German and Austrian neuroscientists tried to resist Nazi policies, although much more passively than their colleagues in German-occupied countries. French, Dutch, Norwegian, and Danish neuroscientists actively resisted the Nazification of their profession from the beginning and helped to save some patients and colleagues, at great personal risk. Many German, Austrian, Czech, and Polish neurologists were murdered in the Holocaust, and hundreds of thousands of neurological and psychiatric patients were sterilized or murdered in just 12 years. The Nazis used the 'successful' techniques developed in the 'euthanasia' programs to carry out the mass murder of millions in the Holocaust. Today's neuroscientists are obligated to learn of the ethical violations of their predecessors 70-80 years ago. No law will prevent abandonment of the basic principles of ethical patient care and professionalism that can occur in any totalitarian state, but neuroscientists can possibly prevent it.

An Evil Hitherto Unchecked: Eugenics and the 1917 Ontario Royal Commission on the Care and Control of the Mentally Defective and Feeble-Minded

In 1917, the Ontario government appointed the Royal Commission on the Care and Control of the Mentally Defective and Feeble-Minded, headed by Justice Frank Hodgins. Its final report made wide-ranging recommendations regarding the segregation of feeble-minded individuals, restrictions on marriage, the improvement of psychiatric facilities, and the reform of the court system, all matters of great concern to the eugenics movement. At the same time, however, it refrained from using explicitly eugenic vocabulary and ignored the question of sterilization. This article explores the role the commission played in the trajectory of eugenics in Ontario (including the province's failure to pass sterilization legislation) and considers why its recommendations were disregarded.

[Bonhoeffer's position on sterilization of the mentally ill]

Karl Bonhoeffer was head of the psychiatric department of the Charité University Hospital from 1912 to 1938 and in 1923 expressed his expert opinion for the Prussian Provincial Health Council regarding the demand of the Saxon physician Gustav Boeters for the implementation of a sterilization law. Bonhoeffer wrote that eugenic sterilization cannot be successful because only obvious bearers of severe forms of mental illness can be registered but not the carriers of hereditary illness factors if they only lead to mildly expressed forms of illness or even if the carriers remain without symptoms. However, after the adoption of the "law for the prevention of offspring with hereditary diseases" in 1933 Bonhoeffer gave courses on hereditary health issues supporting the execution of the law. How should this change be understood going from a scientifically critical position against eugenically preventive sterilization of the mentally ill to acting as an expert advocate in discussions about hereditary health and thereby as a seeming protagonist, a coperpetrator and forerunner of National Socialist health policy? To understand this it seems necessary to consider the situation of that time which was increasingly dominated by a biologically and socially oriented medicine in connection with the eugenic movement. Then the effects and motives of Bonhoeffer's position toward sterilization will be questioned. Effects can be seen on the one hand in that the leading authority of the discipline apparently supported the execution of the law by giving courses on the subject and as an expert advocate and by that eliminating doubts in the justification of the law. On the other hand Bonhoeffer's "restrictive statements about eugenic sterilization…were used to support argumentation and precedence cases as a basis for cautious indications". It remains a fact that his expert judgments more frequently than not saved some mentally ill persons from sterilization but nonetheless demanded this of others.

QUESTIONS

1. Did Bonhoeffer accept eugenic sterilization as justified in cases of unequivocally inherited defects in mentally ill patients? 2. Why did Bonhoeffer not boycott the law in his realm of influence or make this rejection public by resignation? The answers will try to create an understanding for the behavior of an influential person, now seen as controversial, within the context of his time in order to sensitize those of us born later for the present effects in our own times.

Sterilization and birth control in the shadow of eugenics: married, middle-class women in Alberta, 1930-1960s

The history of eugenic sterilization connotes draconian images of coerced and involuntary procedures robbing men and women of their reproductive health. While eugenics programs often fit this characterization, there is another, smaller, and less obvious legacy of eugenics that arguably contributed to a more empowering image of reproductive health. Sexual sterilization surgeries as a form of contraception began to gather momentum alongside eugenics programs in the middle of the 20th century and experiences among prairie women serve as an illustrative example. Alberta maintained its eugenics program from 1929 to 1972 and engaged in thousands of eugenic sterilizations, but by the 1940s middle-class married women pressured their Albertan physicians to provide them with sterilization surgeries to control fertility, as a matter of choice. The multiple meanings and motivations behind this surgery introduced a moral quandary for physicians, which encourages medical historians to revisit the history of eugenics and its relationship to the contemporaneous birth control movement.

Voluntary and therapeutic castration of sex offenders in The Netherlands (1938–1968)

Between 1938 and 1968 some 400 sex offenders in the Netherlands who by court orders had been put at 'the discretion of the government' and were incarcerated in asylums for the criminally insane, 'voluntarily' submitted themselves to 'therapeutic' castration, the surgical removal of their testes. Prior to 1938, inspired by a Danish castration act from 1929, and urged by asylums that were overcrowded by sex offenders, the ethics of the surgery had been discussed for nearly a decade amongst theologians, (forensic) psychiatrists, jurists and politicians, mostly in the context of eugenic sterilization. Discussions of conflicting Catholic, Protestant and non-denominational points of view vis-à-vis eugenics resulted in consensus about 'therapeutic' and 'voluntary' castration. Sexual deviancy, according to some, was like a tumor located in the testes, which could therefore be removed without moral objections and the person was thus cured of his disease. Although obviously related to forensic psychiatry and concerned with issues like protection of society and treatment of offenders, discussions were never held in a strictly forensic context. Unlike in other countries in which castration policies were enforced, in The Netherlands the surgery was never embodied in law but subject to an informal protocol that covered political accountability. To satisfy Catholic objections references to eugenic aims were omitted from the documents, as were references to castration as a penalty.Based on international and Dutch literature (from both before and after 1938) as well as case histories, this article will show that the compromise about the therapeutic value of castration had no basis in medical knowledge, while 'voluntariness' (as elsewhere) was an acknowledged fallacy once surgeries had started. It was also acknowledged that castration did not really cure deviancy, but curbed libido and helped the castrate to suppress his urges. Nonetheless, because of the eugenic origins of discussions, associated with persistent confusion about the difference between castration and sterilization, it never became fully clear whether the surgery was meant to curb libido or to prevent the offenders from begetting inferior progeny.

Eugenics in the community: gendered professions and eugenic sterilization in Alberta, 1928-1972

Scholarship on Alberta's Sexual Sterilization Act (1928-1972) has focused on the high-level politics behind the legislation, its main administrative body, the Eugenics Board, and its legal legacy, overlooking the largely female-dominated professions that were responsible for operating the program outside of the provincial mental health institutions. This paper investigates the relationship between eugenics and the professions of teaching, public health nursing, and social work. It argues that the Canadian mental hygiene and eugenics movements, which were fundamentally connected, provided these professions with an opportunity to maintain and extend their professional authority.

[Polish neuropsychiatric environment to sterilization laws in the thirties of the twentieth century]

The article describes the considerations that were carried out by Polish psychiatrists and neurologists in the thirties of the twentieth century, due to the sterilization of persons with mental disorders. The paper presents a short history of sterilization laws in the world. The reaction to the German Law for the Prevention of Hereditary Diseased Offspring (1933) among Polish psychiatrists was presented. The views of psychiatrists and neurologists to the proposed sterilization law in Poland were also outlined. Two projects of eugenic laws in Poland came from psychiatrists. Sterilization Law in Poland ultimately was enacted.

Pelvimetry and the persistance of racial science in obstetrics

In the late nineteenth century, Mexican scientists became fixated on pelvic structure as an indicator of racial difference and hereditary worth. Forty years later, in his 1931 dissertation, medical student Gustavo Aldolfo Trangay proposed the implementation of a eugenic sterilization campaign in Mexico. He even reported performing clandestine sterilizations in public clinics, despite federal laws that prohibited doctors from doing so. Trangay reasoned that his patients were unfit for motherhood, and he claimed that their small pelvic cavities were a sign of biological inferiority. His focus on anatomical measurements--and especially pelvic measurements--was not novel in Mexico, but his work shows how doctors used nineteenth century racial science to rationalize eugenic sterilization.

[Sterilization and eugenics]

The term "eugenics" was coined by Francis Galton in 1883 and was defined as the science of the improvement of the human race by better breeding. "Positive eugenics" referred to methods of encouraging the "most fit" to reproduce more often, while "negative eugenics" was related to ways of discouraging or preventing the "less fit" from reproducing by birth control and sterilization. Many western countries adopted eugenics programs including Britain, Canada, Norway, Australia, Switzerland and others. In Sweden more then 62,000 "unfits" were forcibly sterilized. Many states in the U.S.A. had adopted marriage laws with eugenics criteria including forced sterilization. Approximately 64,000 individuals were sterilized. Eugenics considerations also lay behind the adoption of the Immigration Restriction Act of 1924. The Largest plan on eugenics was adopted by the Nazi regime in Germany. Hundreds of thousands of people, who were viewed as being "unfit", were forcibly sterilized by different methods: Surgical sterilization or castration with severe complications and high mortality rates. X-ray irradiation. The method was suggested by Brack, and tested by Schuman using prisoners in Block No. 10 in Auschwitz and Birkenau. Experiments were also performed by Brack on prisoners using the "window method". "Klauberg method"--injection of irritating materials into the uterus. Experiments were conducted using the plant Caladium Seguinum which was believed to have sterilization and castration properties.

'These pushful days': time and disability in the age of eugenics

At the turn of the twentieth century, social attitudes toward disability turned sharply negative. An international eugenics movement brought about restrictive immigration laws in the United States and other immigrant nations. One cause was the changing understanding of time, both historical and quotidian, that accompanied the advent of evolutionary theory and a competitive industrial economy. As analogies of competition became culturally ubiquitous, new words to talk about disability such as 'handicapped', 'retarded', 'abnormal', 'degenerate', and 'defective', came into everyday use, all of them explicitly or implicitly rooted in new ways of thinking about time. The intense fear of disability that characterised the eugenics movement grew, in good part, from this new and unsettling vision of time.

[Sterilization surgeon and researcher: life and career of Benno Ottow (1884-1975)]

The activities of the gynaecologist and member of the Erbgesundheitsgericht Benno Ottow (1884-1975) in the "Third Reich" have been described in a couple of publications. During the Nazi dictatorship Ottow demonstrated great commitment to putting the ideological and legal demands into practice. Drawing on sources from private and state archives in Estonia, Germany and Sweden, this paper investigates the biography of Benno Ottow: from his time as a junior physician period in Estonia and Russia to his directorship of the Brandenburg gynaecological state hospital in Berlin-Neukölln and the postwar-years in Sweden.

["Well, it's not our fault that God made us so small". Opposition and self-will in women who suffered enforced sterilization]

Coercive sterilizations committed during the "Third Reich" were seen as a means of creating a Volksgemeinschaft (people's community) based on racial purity and hereditary health. While the physicians and attorneys who executed those actions emphasized the victims' sacrifice for the Volksgemeinschaft and stressed the benefits to the persons concerned and their families, the victims tried to escape the sterilization program. The "view from below" offers the possibility to observe victims as active agents who expressed their self-will in various ways: through escape, verbal protest and by refusing to be branded "inferior". In their attempts to reject the stigma of "inferiority", the victims often clung to the prevailing genetic ideas. The present article wants to highlight the also existing cracks inside eugenic thinking and shows, moreover, that other body concepts and ideas of illness existed, as the importance of eugenic thinking and the primacy of the Volksgemeinschaft were also called into question at the time.

The economics of race and eugenic sterilization in North Carolina: 1958-1968

Theoretical justifications for state-sanctioned sterilization of individuals provided by Irving Fisher rationalized its racialization on grounds that certain non-white racial groups, particularly blacks due to their dysgenic biological and behavioral traits, retarded economic growth and should be bred out of existence. Fisher's rationale suggests that national or state level eugenic policies that sterilized the so-called biological and genetically unfit could have been racist in both design and effect by disproportionately targeting black Americans. We empirically explore this with data on eugenic sterilizations in the State of North Carolina between 1958 and 1968. Count data parameter estimates from a cross-county population allocation model of sterilization reveal that the probability of non-institutional and total sterilizations increased with a county's black population share-an effect not found for any other racial group in the population. Our results suggest that in North Carolina, eugenic sterilization policies were racially biased and genocidal.

Hitler's bible: an analysis of the relationship between American and German eugenics in pre-war Nazi Germany

Throughout the last century the wellbeing of those with disability has been threatened by the idea of eugenics. The most notable and extreme example of this could be considered to have been carried out during World WarTwo, within Nazi eugenic programmes. These resulted in the sterilisation and killing of hundreds of thousands of disabled people. Through research of a wide range of sources it has been established that much of the inspiration and encouragement for this rapidly progressing movement in Germany initially came from America, most notably from California. American eugenicists expressed interest, and at times jealousy, at the speed of the progression in German eugenics. German Sterilisation laws were drafted following careful study of American experiments and research, while financial support from a number of American individuals encouraged further German research. Correspondence between influential leaders, including Hitler, Grant and Whitney, Verschuer and Popenoe, on both sides also added to the developing relationship. In conclusion, although there are a number of vital differences between the progress of the eugenics programme in America and in pre-war Nazi Germany, and eugenics in America never produced the massive genocide that occurred in Germany, it is clear that the research, encouragement and enthusiasm from America had a profound influence on the rapidly growing Nazi eugenics movement.

Sterilization in Alberta, 1928 to 1972: gender matters

Alberta, Canada, passed a Sexual Sterilization Act in 1928 and up until its repeal in 1972, over 2,800 people were sterilized. Women were overrepresented in the number of sterilizations performed. This paper explores how changing understandings of eugenics led to a subtle transformation which resulted in a "two-pronged" system that targeted mentally defective men, often a danger to society, and mentally normal but morally abnormal women who consented to sterilization. The end result was success for the movement in terms of the types and numbers of people sterilized, and in the longevity of the program.

The sex reform movement and eugenics in interwar Poland

This paper focuses on the relations between a liberal group of sex reformers, consisting of writers and literary critics, and physicians from the Polish Eugenics Society in interwar Poland. It illustrates the paradoxes of the mutual co-operation between these two groups during the 1930s and analyses the reason why compulsory sterilisation was rejected by politicians. From the early 1930s two movements began to forge an alliance in Poland: the sexual reform movement which advocated freedom of the individual, and eugenics, which called for limiting the freedom of the individual for the collective good. This paper draws attention to several issues which emerged as part of this collaboration: population politics, the relationship between reformers, eugenicists and state institutions, and the question of how both movements--eugenics and sexual reform--perceived the question of sexuality, birth control and abortion. It will also focus on those aspects of their thinking that led to mutual co-operation.

Eugenics without the state: anarchism in Catalonia, 1900-1937

Current historiography has considered eugenics to be an emanation from state structures or a movement which sought to appeal to the state in order to implement eugenic reform. This paper examines the limitations of that view and argues that it is necessary to expand our horizons to consider particularly working-class eugenics movements that were based on the dissemination of knowledge about sex and which did not aspire to positions of political power. The paper argues that anarchism, with its contradictory practice afforded by the convulsive social situation of the Civil War in Spain, allows us to assess critically the parameters of the social action of eugenics, its many alliances, and its struggle for existence in changing political circumstances not of its own making.

The doers of good. Scandinavian historians revise the social history of eugenics(1997-2001)

Late disclosure of the large scale of sterilization practices in the Nordic countries created an outburst of scandal: did these policies rely on coercion? To what extent? Who in the end was responsible? Sterilization practices targeted underprivileged people first. The mentally retarded and women were their first victims. Operations were very frequently determined by other people's manipulative or coercive influences. Should the blame be put on the Social-Democrats in power throughout the period (except in Finland and Estonia)? Apart from Denmark, perhaps, local physicians and local services, more than governments, seemed to have strongly supported sterilization practices. Teetotalers and feminists shared responsibilities. How can one explain that eugenics finally declined? Based on a sound application of the Hardy-Weinberg law, the science of the eugenicists was correct. Was it politics? But uncovering of the Nazi crimes had only a very small impact on eugenics. Some authors underline the fact that the Nordic scientific institutions were particularly suited to liberal values. Others point to the devastating effect on eugenics once hereditarist psychiatry fell from favor in the middle of the sixties.

[German ophthalmologists and NSDAP]]

Approximately 40-45 % of all German physicians joined the National Socialist German Workers Party (NSDAP) until 1945. Reasons for party membership are manifold and still a matter of debate. Very likely, the extraordinary high representation of medical doctors in the NSDAP was rather a result of active entry than recruitment by the party. There are only few data concerning the willingness of ophthalmologists to become a party member ("Parteigenosse", "Pg"). According to the list of University teachers in Germany ("Hochschullehrerkarte"; Federal Archive, Berlin), the list of the members of the German Ophthalmological Society (DOG) of 1934 and especially the list of NSDAP-members (Federal Archive, Berlin) the following conclusions can be drawn: 1. Directors of German University eye hospitals (chairmen) were members of the NSDAP with a frequency of 23% in 1933 and 48% in 1938 as well as in 1943. The motivation for joining the party was most likely the perspective of acceleration of the academic career. 2. "Only" 30% of the ophthalmologists working in private praxis were "Pg" (until 1945). 3. Both chairmen and ophthalmologists in private praxis were equally hindered to join the NSDAP between May 1st 1933 and May 1st 1937 when the party temporarily stopped registration. 4. The majority of ophthalmologists who joined the NSDAP were born between 1880 and 1900 and thus had taken part in World War I as soldiers or had experienced the times of need after WW I. Only few ophthalmologists succeeded in the NS-hierarchy and probably only one ophthalmologist, Walther Löhlein from Berlin, came in personal contact with Adolf Hitler who was constantly in fear for his sight after his eye injury in October 1918. The "Law for the prevention of genetically disabled offsprings" ("Gesetz zur Verhütung erbkranken Nachwuchses") from July 14th, 1933 separated ophthalmologists into two parties: those advocating sterilization to a high degree and those recommending sterilization only exceptionally. Interestingly, both groups consisted equally of NSDAP-members as well as of non-NSDAP-members. To conclude, although ophthalmology was--in comparison with other medical disciplines--rather "unpolitical" in the NS-era, ophthalmologists at that time were concerning NSDAP-membership and loyalty to the regime very likely neither "better" nor "worse" than the German physicians in general.

Johannes Heinrich Schultz and National Socialism

BACKGROUND

Johannes Heinrich Schultz (1884-1970) established the set of techniques known as "autogenic training." From 1936 until 1945 he worked as assistant director of the Göring Institute. His role during National Socialism has been underestimated in our opinion.

METHOD

We considered Schultz's academic publications and his "autobiography" from 1964.

RESULTS

Schultz publicly advocated compulsory sterilization as well as the "annihilation of life unworthy of life" and developed a diagnostic scheme which distinguished between the neurotic/curable and the hereditary/ incurable. In fact, this classification was then employed to decide between life and death. In order to justify the "New German Psychotherapy" alongside eugenic psychiatry, Schultz carried out degrading and inhuman "treatments" of homosexual prisoners of concentration camps who were in mortal danger.

LIMITATIONS

This study was based on written documents. We were not able to interview contemporary witnesses.

CONCLUSION

By advocating compulsory sterilization and the "annihilation of life unworthy of life" and by the abuse of homosexuals as research objects Schultz violated fundamental ethical principles of psychiatry.

Locating the voices of the sterilized

Scholars have been studying eugenics and sterilization for years, but only recently have some begun to examine these issues from the point of view of those sterilized. This is in large part because so few records containing the voices of the sterilized exist or are accessible to scholars. This essay examines my own effort to recover the voices of women sterilized in the post-baby boom United States from the "bottom up" and includes my own experience researching and writing Fit to Be Tied?: Sterilization and Reproductive Rights in America, 1960-1984. It represents the beginning of a discussion about locating and using sources containing the voices of the sterilized and working with the limitations inherent to them.

Exhibiting eugenics: response and resistance to a hidden history

Human Plants, Human Harvest: The Hidden History of California Eugenics is the first-ever exhibition on the history of eugenics in California. The disappearance of this history for half a century, and the consequent absence of a "collective menory", were the primary factors determining the exhibit's sttrcture and content. Responses to the exhibit confirmed that most visitors "never knew" about this history. The exhibit is described in some detail, with selected imagery from the exhibit reproduced. After the initial exhibition, responses of other museums and foundation officials revealed a continuing resistance to this history being publicly displayed, though the sources of resistance varied.

Nurses and the sterilization experiments of Auschwitz: a postmodernist perspective

The medical experiments conducted on non-consenting prisoners of Nazi concentration camps during World War II necessitated the codification of principles to protect human subjects of research. Auschwitz was the largest and one of the most infamous of the camps and the site of numerous 'medical' experiments. This historical study uses primary source documents obtained from archives in England and Germany to describe one type of experiment carried out at Auschwitz - the sterilization experiments. The purpose of these experiments was to perfect a technique in which non-Aryans could be prevented from reproducing while still being able to work as slave laborers. These narratives regarding the sterilization experiments at Auschwitz are remarkable in that they contain previously undocumented information regarding the voluntary and involuntary involvement of nurses. Following these narratives, a discussion of ethics in relation to the Holocaust is presented with a specific focus on the work of Agamben. Implications of the Auschwitz narratives for the application of codes of ethical principles and contemporary nursing are discussed from a postmodernist perspective.

[The German Ophthalmological Society (DOG) during the Period of National Socialism]

Sixty-one years after the end of the Hitler dictatorship, the history of the German Ophthalmological Society (DOG) has still hardly been investigated. According to different sources, especially the reports of the DOG congresses 1934, 1936, 1938, and 1940, the following picture can be drawn: 1. The seizure of power ("Machtergreifung") of Adolf Hitler was appreciated by most of the DOG members. 2. After a change of the constitution the DOG came under the control of the "Reichsinnenministerium". However, it escaped the egalitarianism ("Gleichschaltung") and remained relatively independent. 3. Approximately 40 % of the heads of the German university eye clinics who were the most influential DOG representatives were members of the national socialistic German working party (NSDAP). Almost all of these joined the party in 1933 or later. 4. Up to the last congress in Dresden, 1940, the DOG activities were quite extensive. After that time the activities strongly declined. 5. The "Law for the prevention of genetically disabled offspring" ("Gesetz zur Verhütung erbkranken Nachwuchses") from January 1st 1934 was intensely discussed by the DOG. Some prominent ophthalmologists and DOG members were at least in part responsible for the sterilisations because of "congenital blindness". However, as far as it is known, the DOG itself did not intervene directly concerning the practice of sterilisation. 6. Between 1932 and 1940, the DOG lost approximately 12 % of its members. Many of these stemmed from foreign countries, and many were German Jews. The latter left the DOG, as Walther Löhlein stated after the end of the war, "voluntarily". However, a main reason for leaving the DOG was very likely the feeling of being unwanted. The national socialism had several disastrous effects on ophthalmology. Although single DOG members participated in the excesses, the DOG as an organization was not directly involved. However, taking into consideration that more than 10 % of the members of the pre-Hitler era left their scientific society it is a matter of interpretation whether the DOG remained completely innocent between 1933 and 1945.

Doctors and nurses of death: a case study of eugenically motivated killing under the Nazi 'euthanasia' programme

This article reviews newly declassified US intelligence files and other sources, including relevant trial documents, related to the Nazi killing of mentally and physically sick individuals deemed to be of little further use to society. It both supplements and revises existing work on the so-called 'Euthanasia' programme at the Kaufbeuren psychiatric institution in Bavaria, and highlights a series of gender issues related to the involvement of women nurses including Catholic nuns, in this institute. In addition, this study not only casts new light on the way in which patients were, from admission onwards, redefined as disposable objects but also emphasises contradictions within the defence case of the defendants.

Sterilized in the name of public health: race, immigration, and reproductive control in modern California

In exploring the history of involuntary sterilization in California, I connect the approximately 20,000 operations performed on patients in state institutions between 1909 and 1979 to the federally funded procedures carried out at a Los Angeles County hospital in the early 1970s. Highlighting the confluence of factors that facilitated widespread sterilization abuse in the early 1970s, I trace prosterilization arguments predicated on the protection of public health. This historical overview raises important questions about the legacy of eugenics in contemporary California and relates the past to recent developments in health care delivery and genetic screening.

[Eugenist politics in the United States of America in the first xxth half-century]

The United-States were the first country which had devised eugenist politics. The applications of theories had taken place as far as the end of the 1960's. They were placed one's reliance on two points: on the one hand, immigration's limitation and on the other hand an obligatory sterilisation of criminels and feebleminde people.

Screening for mental illness: the merger of eugenics and the drug industry

The implementation of a recommendation by the President's New Freedom Commission (NFC) to screen the entire United States population--children first--for presumed, undetected, mental illness is an ill-conceived policy destined for disastrous consequences. The "pseudoscientific" methods used to screen for mental and behavioral abnormalities are a legacy from the discredited ideology of eugenics. Both eugenics and psychiatry suffer from a common philosophical fallacy that undermines the validity of their theories and prescriptions. Both are wed to a faith-based ideological assumption that mental and behavioral manifestations are biologically determined, and are, therefore, ameliorated by biological interventions. NFC promoted the Texas Medication Algorithm Project (TMAP) as a "model" medication treatment plan. The impact of TMAP is evident in the skyrocketing increase in psychotropic drug prescriptions for children and adults, and in the disproportionate expenditure for psychotropic drugs. The New Freedom Commission's screening for mental illness initiative is, therefore, but the first step toward prescribing drugs. The escalating expenditure for psychotropic drugs since TMAP leaves little doubt about who the beneficiaries of TMAP are. Screening for mental illness will increase their use.

[Risking more freedom? Cyproterone acetate, sexual offenders and the German "Law on voluntary castration and other methods of treatment", 1960-1975]

Shortly after the fall of the National Socialist regime efforts were made in the Federal Republic of Germany to legislate anew on sterilisation and castration. For some experts, in particular sexologists and forensic psychiatrists in Hamburg, the question of the "treatment" of sexual offenders soon played a major role. In another research context an endocrinological substance showing anti-androgenic effects was synthesised in 1961 at the Schering AG in Berlin. In 1966 this substance, cyproterone acetate, was used for the first time to subdue the sexual drive. During parliamentary debates on a reintroduction of castration as a method of treatment for sexual deviations the advocates of cyproterone acetate succeeded in "inserting" their expertise into the "law on voluntary castration and other methods of treatment", which was adopted by the German Bundestag in January 1969. This paper discusses the interface between applied pharmacology, forensic psychiatry and sexology, and the politics leading to this law.