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A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain [Hardcover]

Robert Darby (Author)
5.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

August 1, 2005 0226136450 978-0226136455 1
In the eighteenth century, the Western world viewed circumcision as an embarrassing disfigurement peculiar to Jews. A century later, British doctors urged parents to circumcise their sons as a routine precaution against every imaginable sexual dysfunction, from syphilis and phimosis to masturbation and bed-wetting. Thirty years later the procedure again came under hostile scrutiny, culminating in its disappearance during the 1960s.

Why Britain adopted a practice it had traditionally abhorred and then abandoned it after only two generations is the subject of A Surgical Temptation. Robert Darby reveals that circumcision has always been related to the question of how to control male sexuality. This study explores the process by which the male genitals, and the foreskin especially, were pathologized, while offering glimpses into the lives of such figures as James Boswell, John Maynard Keynes, and W. H. Auden. Examining the development of knowledge about genital anatomy, concepts of health, sexual morality, the rise of the medical profession, and the nature of disease, Darby shows how these factors transformed attitudes toward the male body and its management and played a vital role in the emergence of modern medicine.
(20050315)

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Editorial Reviews

Review

"If A Surgical Temptation were merely a history of circumcision in Britain, it would succeed. But it is much more than that. For Robert Darby, medical debates about circumcision become a window through which to address bigger themes—the ways in which medical attitudes about male sexuality developed and changed slowly from the eighteenth century to the middle of the twentieth century. And that really serves to make his even bigger claim—that through its effort to control men''s sexuality and discussion about men''s sexuality, modern British medicine began to constitute itself as a culturally legitimate expert knowledge."—Michael Kimmel, SUNY, Stony Brook

(Michael Kimmel Michael Kimmel )

"Left to its devices, the human male foreskin goes on its merry way, but Victorian England would have none of that. The uncircumcised penis was blamed for the ''moral and physical decay'' of syphilis and masturbation, while doctors characterised the emission of sperm as ''a life-threatening illness that demanded drastic treatment if there was to be any hope of a cure''. Medical historian Robert Darby, . . . brilliantly records the rise of circumcision as ''a miracle-working cure-all'' for many ills, including hysteria."--Weekend Australian


(Tony Maniaty Weekend Australian )

“Darby traces a gradual process that began in the 18th century with a ‘great fear’ of the moral and medical consequences of masturbation. . . . The principal value of Darby’s research lies in the detailed description, based on original sources, of changing attitudes toward sexuality and how, in turn, these attitudes changed the way physicians and nonphysicians viewed the human body.”
(David L. Gollaher New England Journal of Medicine )

"This book should be required reading for American physicians in particular, especially those who continue to perform an operation seldom practiced in the rest of the world and who might not know why it was originally begun."
(Robert A. Nye JAMA )

"A meticulously designed study, packed with historical detail. . . . A Surgical Temptation will be recognized as a major contribution to our understanding of the way beliefs about sexuality have shaped medical practice, and vice versa."
(Leonard B. Glick Sexuality Research & Social Policy )

"Historians, ethicists, physicians, developmental biologists, and sociologists should find this book a fertile and provocative resource."
(Ruth E. Walton American Journal of Human Biology )

"In emphasizing the nonscientific reasons behind both the rise and fall of circumcision, Darby not only illuminates the historical background of this topic but reminds us of the often subjective nature of medical theories and practices. . . . Revealing the complex array of factors that lie behind the history of circumcision, Darby''s work is of significance not only for students and historians of medicine, gender, and sexuality, but also for those engaged in current debates surrounding the practice itself."
(Janet Miron ISIS )

"Darby''s fascinating and detailed book both chronicles this grisly story and tries to explain it. . . . As a social history of the relations between public anxieties and professional establishments, Darby''s book could hardly be bettered."
(Ben Knights Men & Masculinity )

"Darby has written a marvellous read, judicious in his judgement, highly empathic in his reading and deep with insight. He shows the folly and sheer unnecessary butchery of circumcision."
(Mark W. Bufton History )

"Darby has added a fascinating chapter to the history of sexuality by detailing the attitudes toward the foreskin and the rise of circumcision in Britain. . . . In addition to its careful attention to detail and its impressive range of observations, the book is largely a pleasure to read. Clear and carefully argued, it builds a case that is as fascinating as it is penetrating. . . . Awonderful study that I would recommend without qualification to historians of sexuality and medicine."
(George Haggerty Journal of the History of Sexuality )

From the Inside Flap

In the eighteenth century, the Western world viewed circumcision as an embarrassing disfigurement peculiar to Jews. A century later, British doctors urged parents to circumcise their sons as a routine precaution against every imaginable sexual dysfunction, from syphilis and phimosis to masturbation and bed-wetting. Thirty years later the procedure again came under hostile scrutiny, culminating in its disappearance during the 1960s.

Why Britain adopted a practice it had traditionally abhorred and then abandoned it after only two generations is the subject of A Surgical Temptation. Robert Darby reveals that circumcision has always been related to the question of how to control male sexuality. This study explores the process by which the male genitals, and the foreskin especially, were pathologized, while offering glimpses into the lives of such figures as James Boswell, John Maynard Keynes, and W. H. Auden. Examining the development of knowledge about genital anatomy, concepts of health, sexual morality, the rise of the medical profession, and the nature of disease, Darby shows how these factors transformed attitudes toward the male body and its management and played a vital role in the emergence of modern medicine.

An erudite, lively, and sometimes combative investigation of a formative period in medical history, A Surgical Temptation will inform and engage any reader with an interest in the history of medicine, gender, sexuality, the practice of circumcision in the world today, and the ways in which culture fashions the human body.

Product Details

  • Hardcover: 368 pages
  • Publisher: University Of Chicago Press; 1 edition (August 1, 2005)
  • Language: English
  • ISBN-10: 0226136450
  • ISBN-13: 978-0226136455
  • Product Dimensions: 9.3 x 6.5 x 1.2 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #966,598 in Books (See Top 100 in Books)

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28 of 29 people found the following review helpful:
5.0 out of 5 stars Victorian attitudes to male sexuality - what remains?, February 14, 2006
By 
This review is from: A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain (Hardcover)
In this book Dr Robert Darby has examined Victorian thinking on male sexuality. In doing so he has exposed the roots of the thinking which still permeates medical and social attitudes to

circumcision in English-speaking countries. It is easy enough to be aware of the general nature of this negative energy around male sexuality, but until A Surgical Temptation exposed me to its murkiest depths I did not really understand where it all came from, or how mad it really is!

At the centre of the book is Victorian medical men's hatred of the foreskin - and their frank if backhanded acknowledgement of how significantly the foreskin contributes to sexual pleasure: they realised that it is easier and more pleasurable for a boy to play with his penis if it still has all its moving parts. This is the fundamental reason for the surgical temptation and the demonisation of the foreskin in the title.

There is an indignant voice behind the detailed historical research that quietly asks us to question modern practice and attitudes. Routine circumcision rates remain high in the United States and many developing countries. Much lower rates are found in Australia, New Zealand and the United Kingdom. My suspicion is that the reasons for this are to be found in the same misinformed Victorian prudery that the book so expertly and thoroughly exposes.

I notice that Dr Darby has outlined some of the arguments in his book in an article published by American Sexuality Magazine. The book has been referred to as, "required reading" in a review published in the Journal of the American Medical Association.
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13 of 17 people found the following review helpful:
5.0 out of 5 stars The First Chapter, June 30, 2006
This review is from: A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain (Hardcover)
The first pages of the first chapter quickly dispel any notion that genital cutting of infants and children has ever had a medical purpose.
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
nerve force theory, preventive circumcision, besetting trial, preemptive amputation, congenital phimosis, unyielding tube, most grievous diseases, elongated prepuce, widespread circumcision, narrow foreskin, long prepuce, universal circumcision, adherent prepuce, masturbation phobia, fantasy surgery, pudic nerve, seminal loss, early circumcision, routine circumcision, long foreskin, sebaceous matter, tight foreskin, mass circumcision, venereal cases, dirt traps
Key Phrases - Capitalized Phrases (CAPs): (learn more)
British Medical Journal, United States, William Acton, Jonathan Hutchinson, Pathologizing Male Sexuality, Prevention Is Better Than Cure, Source of Serious Mischief, Baker Brown, The Priests of the Body, The Best of Your Property, One of the Most Grievous Diseases, The Besetting Trial of Our Boys, Contagious Diseases Acts, First World War, The Shadow of Parson Malthus, George Drysdale, New Zealand, Herbert Snow, Havelock Ellis, Robert James, John Hunter, Obstetrical Society, Lewis Sayre, Cooper Forster, Edmund Owen
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