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The Task of Social Hygiene
PREFACE
The study of social hygiene means the study of those things which concern the welfare of human beings living in societies. There can, therefore, be no study more widely important or more generally interesting. I fear, however, that by many persons social hygiene is vaguely regarded either as a mere extension of sanitary science, or else as an effort to set up an intolerable bureaucracy to oversee every action of our lives, and perhaps even to breed us as cattle are bred.
That is certainly not the point of view from which this book has been written. Plato and Rabelais, Campanella and More, have been among those who announced the principles of social hygiene here set forth. There must be a social order, all these great pioneers recognized, but the health of society, like the health of the body, is marked by expansion as much as by restriction, and, the striving for order is only justified because without order there can be no freedom. If it were not the mission of social hygiene to bring a new joy and a new freedom into life I should not have concerned myself with the writing of this book.
When we thus contemplate the process of social hygiene, we are no longer in danger of looking upon it as an artificial interference with Nature. It is in the Book of Nature, as Campanella put it, that the laws of life and of government are to be read. Or, as Quesnel said two centuries ago, more precisely for our present purpose, "Nature is universal hygiene." All animals are scrupulous in hygiene; the elaboration of hygiene moves pari passu with the rank of a species in intelligence. Even the cockroach, which lives on what we call filth, spends the greater part of its time in the cultivation of personal cleanliness. And all social hygiene, in its fullest sense, is but an increasingly complex and extended method of purification—the purification of the conditions of life by sound legislation, the purification of our own minds by better knowledge, the purification of our hearts by a growing sense of responsibility, the purification of the race itself by an enlightened eugenics, consciously aiding Nature in her manifest effort to embody new ideals of life. It was not Man, but Nature, who realized the daring and splendid idea—risky as it was—of placing the higher anthropoids on their hind limbs and so liberating their fore-limbs in the service of their nimble and aspiring brains. We may humbly follow in the same path, liberating latent forces of life and suppressing those which no longer serve the present ends of life. For, as Shakespeare said, when in The Winter's Tale he set forth a luminous philosophy of social hygiene and applied it to eugenics,
"Nature is made better by no mean
But Nature makes that mean …
This is an art
Which does mend Nature, change it rather, but
The art itself is Nature."
In whatever way it may be understood, however, social hygiene is now very much to the front of people's minds. The present volume, I wish to make clear, has not been hastily written to meet any real or supposed demand. It has slowly grown during a period of nearly twenty-five years, and it expresses an attitude which is implicit or explicit in the whole of my work. By some readers, doubtless, it will be seen to constitute an extension in various directions of the arguments developed in the larger work on "Sex in Relation to Society," which is the final volume of my Studies in the Psychology of Sex. The book I now bring forward may, however, be more properly regarded as a presentation of the wider scheme of social reform out of which the more special sex studies have developed. We are faced to-day by the need for vast and complex changes in social organization. In these changes the welfare of individuals and the welfare of communities are alike concerned. Moreover, they are matters which are not confined to the affairs of this nation or of that nation, but of the whole family of nations participating in the fraternity of modern progress.
The word "progress," indeed, which falls so easily from our lips is not a word which any serious writer should use without precaution. The conception of "progress" is a useful conception in so far as it binds together those who are working for common ends, and stimulates that perpetual slight movement in which life consists. But there is no general progress in Nature, nor any unqualified progress; that is to say, that there is no progress for all groups along the line, and that even those groups which progress pay the price of their progress. It was so even when our anthropoid ancestors rose to the erect position; that was "progress," and it gained us the use of hands. But it lost us our tails, and much else that is more regrettable than we are always able to realize. There is no general and ever-increasing evolution towards perfection. "Existence is realized in its perfection under whatever aspect it is manifested," says Jules de Gaultier. Or, as Whitman put it, "There will never be any more perfection than there is now." We cannot expect an increased power of growth and realization in existence, as a whole, leading to any general perfection; we can only expect to see the triumph of individuals, or of groups of individuals, carrying out their own conceptions along special lines, every perfection so attained involving, on its reverse side, the acquirement of an imperfection. It is in this sense, and in this sense only, that progress is possible. We need not fear that we shall ever achieve the stagnant immobility of a general perfection.
The problems of progress we are here concerned with are such as the civilized world, as represented by some of its foremost individuals or groups of individuals, is just now waking up to grapple with. No doubt other problems might be added, and the addition give a greater semblance of completion to this book. I have selected those which seem to me very essential, very fundamental. The questions of social hygiene, as here understood, go to the heart of life. It is the task of this hygiene not only to make sewers, but to re-make love, and to do both in the same large spirit of human fellowship, to ensure finer individual development and a larger social organization. At the one end social hygiene may be regarded as simply the extension of an elementary sanitary code; at the other end it seems to some to have in it the glorious freedom of a new religion. The majority of people, probably, will be content to admit that we have here a scheme of serious social reform which every man and woman will soon be called upon to take some share in.
I
INTRODUCTION
The Aim of Social Hygiene—Social Reform—The Rise of Social Reform out of English Industrialism—The Four Stages of Social Reform—(1) The Stage of Sanitation—(2) Factory Legislation—(3) The Extension of the Scope of Education—(4) Puericulture—The Scientific Evolution corresponding to these Stages—Social Reform only Touched the Conditions of Life—Yet Social Reform Remains highly Necessary—The Question of Infantile Mortality and the Quality of the Race—The Better Organization of Life Involved by Social Hygiene—Its Insistence on the Quality rather than on the Conditions of Life—The Control of Reproduction—The Fall of the Birth-rate in Relation to the Quality of the Population—The Rejuvenation of a Society—The Influence of Culture and Refinement on a Race—Eugenics—The Regeneration of the Race—The Problem of Feeble-Mindedness—The Methods of Eugenics—Some of the Problems which Face us.
Social Hygiene, as it will be here understood, may be said to be a development, and even a transformation, of what was formerly known as Social Reform. In that transformation it has undergone two fundamental changes. In the first place, it is no longer merely an attempt to deal with the conditions under which life is lived, seeking to treat bad conditions as they occur, without going to their source, but it aims at prevention. It ceases to be simply a reforming of forms, and approaches in a comprehensive manner not only the conditions of life, but life itself. In the second place, its method is no longer haphazard, but organized and systematic, being based on a growing knowledge of those biological sciences which were scarcely in their infancy when the era of social reform began. Thus social hygiene is at once more radical and more scientific than the old conception of social reform. It is the inevitable method by which at a certain stage civilization is compelled to continue its own course, and to preserve, perhaps to elevate, the race.
The era of social reform followed on the rise of modern industrialism, and, no doubt largely on this account, although an international movement, it first became definite and self-conscious in England. There were perhaps other reasons why it should have been in the first place specially prominent in England. When at the end of the seventeenth century, Muralt, a highly intelligent Swiss gentleman, visited England,