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      Choosing the best apple: counselling leaflets and technologies of communication in the history of reproduction

      research-article
      Medical Humanities
      BMJ Publishing Group
      cultural history, Genetics, reproductive medicine, History

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          Abstract

          Historians have shown how the establishment of human genetic counselling in West Germany was characterised by several sociohistorical factors, in particular the impact of the legacies of Nazi biopolitics. These accounts have reconstructed continuities on an intellectual level which delayed a turn towards non-directive approaches, emphasising individual (emotional) well-being and voluntariness, and instead have prolonged a discourse that defined disability as an economic and social burden. However, while the distinct legacies of eugenics and racial hygienics are well researched, other factors that constituted counselling encounters, such as the ways of communicating reproduction and material objects’ roles in transformations of concepts, actors and their relations, have not been examined in detail. Drawing on the archives of a Marburg-based charity, this paper aimed to reconstruct these factors at the example of the production and circulation of a major family planning leaflet, Our Child Shall Be Healthy, developed ca 1977. In doing so, I want to suggest that connections between science, politics and economy were a key element in technologies of communicating reproduction. This essay approaches counselling as a communicative practice that was in continual productive engagement with different concepts of reproductive health. First, it argues that the communicative and paper technologies used in counselling interactions in West Germany changed in the aftermath of the worldwide thalidomide tragedy. Second, it argues that a novel approach to reproductive health emerged that focused on individual decision making as the basis of prosperity and emotional well-being. Taking a family planning leaflet as a site for reconstructing how people of different organisations, with different stakes and expertise converged in the design of a counselling encounter, this paper targets the crossroads of economic, political and scientific activities in the history of communicating reproductive health and reproductive risks.

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          The Speculum of Ignorance: The Women's Health Movement and Epistemologies of Ignorance

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            Designs on nature. Science and democracy in Europe and the Unites States

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              Tangled Diagnoses: Prenatal Testing, Women, and Risk

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                Author and article information

                Journal
                Med Humanit
                Med Humanit
                medhum
                mh
                Medical Humanities
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                1468-215X
                1473-4265
                June 2023
                4 July 2023
                : 49
                : 2
                : 260-271
                Affiliations
                [1] departmentHistory of Medicine and Ethics in Medicine , Ringgold_14903Charité Universitätsmedizin Berlin , Berlin, Germany
                Author notes
                [Correspondence to ] Professor Birgit Nemec, History of Medicine and Ethics in Medicine, Charité Universitätsmedizin Berlin, Berlin, 14195, Germany; birgit.nemec@ 123456charite.de
                Author information
                http://orcid.org/0000-0003-2359-5556
                Article
                medhum-2023-012664
                10.1136/medhum-2023-012664
                10359561
                37402562
                73e7aa2c-ff9a-4f5a-80e1-58abaeb84c1f
                © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:  https://creativecommons.org/licenses/by/4.0/.

                History
                : 10 May 2023
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100002347, Bundesministerium für Bildung und Forschung;
                Award ID: 01UL1907X
                Funded by: FundRef http://dx.doi.org/10.13039/501100000267, Arts and Humanities Research Council;
                Award ID: AH/T013281/1; 429045347
                Funded by: FundRef http://dx.doi.org/10.13039/501100001659, Deutsche Forschungsgemeinschaft;
                Award ID: NE 2419/1-1
                Categories
                Original Research
                1506
                Custom metadata
                unlocked

                cultural history,genetics,reproductive medicine,history
                cultural history, genetics, reproductive medicine, history

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