Medical Men, Moralists, and the Roots of Sex Education

Chapter 1 examines the liberal Protestant roots of the American Social Hygiene Association (ASHA), a clearinghouse for the early sex education movement. ASHA emerged from the combination of two distinct movements: social purity and social hygiene. Liberal Protestantism came to influence sex education through the merging of these strands and the collective realization that scientific information was not enough to influence sexual behavior. This chapter locates the roots of ASHA in social purity groups of the 1870s, many of which were led by Unitarians and Quakers and focused on ridding society of prostitution. The chapter explores their evolving relationship with the physician-dominated social hygiene movement that began in the early twentieth century, demonstrating that liberal religious concerns about sexual morality impacted sex education through the dynamic interactions between purity reformers and social hygienists. ASHA became the organization within which both groups developed a joint strategy for teaching the moral side of sex.

‘Apostles of Continence’: Doctors and the Doctrine of Sexual Necessity in Progressive-Era America

In the first decades of the twentieth century, a group of doctors under the banner of the social hygiene movement set out on what seemed an improbable mission: to convince American men that they did not need sex. This was in part a response to venereal disease. Persuading young men to adopt the standard of sexual discipline demanded of women was the key to preserving the health of the nation from the ravages of syphilis and gonorrhoea. But their campaign ran up against the doctrine of male sexual necessity, a doctrine well established in medical thought and an article of faith for many patients. Initially, social hygienists succeeded in rallying much of the medical community. But this success was followed by a series of setbacks. Significant dissent remained within the profession. Even more alarmingly, behavioural studies proved that many men simply were not listening. The attempt to repudiate the doctrine of male sexual necessity showed the ambition of Progressive-era doctors, but also their powerlessness in the face of entrenched beliefs about the linkage in men between sex, health and success.