CHAPTER XII. — часть 1

THE SCIENCE OF PROCREATION.

The Relationship of the Science of Procreation to the Art of Love—Sexual Desire and Sexual Pleasure as the Conditions of Conception—Reproduction Formerly Left to Caprice and Lust—The Question of Procreation as a Religious Question—The Creed of Eugenics—Ellen Key and Sir Francis Galton—Our Debt to Posterity—The Problem of Replacing Natural Selection—The Origin and Development of Eugenics—The General Acceptance of Eugenical Principles To-day—The Two Channels by Which Eugenical Principles are Becoming Embodied in Practice—The Sense of Sexual Responsibility in Women—The Rejection of Compulsory Motherhood—The Privilege of Voluntary Motherhood—Causes of the Degradation of Motherhood—The Control of Conception—Now Practiced by the Majority of the Population in Civilized Countries—The Fallacy of "Racial Suicide"—Are Large Families a Stigma of Degeneration?—Procreative Control the Outcome of Natural and Civilized Progress—The Growth of Neo-Malthusian Beliefs and Practices—Facultative Sterility as Distinct from Neo-Malthusianism—The Medical and Hygienic Necessity of Control of Conception—Preventive Methods—Abortion—The New Doctrine of the Duty to Practice Abortion—How Far is this Justifiable?—Castration as a Method of Controlling Procreation—Negative Eugenics and Positive Eugenics—The Question of Certificates for Marriage—The Inadequacy of Eugenics by Act of Parliament—The Quickening of the Social Conscience in Regard to Heredity—Limitations to the Endowment of Motherhood—The Conditions Favorable to Procreation—Sterility—The Question of Artificial Fecundation—The Best Age of Procreation—The Question of Early Motherhood—The Best Time for Procreation—The Completion of the Divine Cycle of Life.

We have seen that the art of love has an independent and amply justifiable right to existence apart, altogether, from procreation. Even if we still believed—as all men must once have believed and some Central Australians yet believe^[421]—that sexual intercourse has no essential connection with the propagation of the race it would have full right to existence. In its finer manifestations as an art it is required in civilization for the full development of the individual, and it is equally required for that stability of relationships which is nearly everywhere regarded as a demand of social morality.

When we now turn to the second great constitutional factor of marriage, procreation, the first point we encounter is that the art of love here also has its place. In ancient times the sexual congruence of any man with any woman was supposed to be so much a matter of course that all questions of love and of the art of love could be left out of consideration. The propagative act might, it was thought, be performed as impersonally, as perfunctorily, as the early Christian Fathers imagined it had been performed in Paradise. That view is no longer acceptable. It fails to commend itself to men, and still less to women. We know that in civilization at all events—and it is often indeed the same among savages—erethism is not always easy between two persons selected at random, nor even when they are more specially selected. And we also know, on the authority of very distinguished gynæcologists, that it is not in very many cases sufficient even to effect coitus, it is also necessary to excite orgasm, if conception is to be achieved.

Many primitive peoples, as well as the theologians of the Middle Ages, have believed that sexual excitement on the woman's part is necessary to conception, though they have sometimes mixed up that belief with false science and mere superstition. The belief itself is supported by some of the most cautious and experienced modern gynæcologists. Thus, Matthews Duncan (in his lectures on Sterility in Women) argued that the absence of sexual desire in women, and the absence of pleasure in the sexual act, are powerful influences making for sterility. He brought forward a table based on his case-books, showing that of nearly four hundred sterile women, only about one-fourth experienced sexual desire, while less than half experienced pleasure in the sexual act. In the absence, however, of a corresponding table concerning fertile women, nothing is hereby absolutely proved, and, at most, only a probability established.

Kisch, more recently (in his Sexual Life of Woman), has dealt fully with this question, and reaches the conclusion that it is "extremely probable" that the active erotic participation of the woman in coitus is an important link in the chain of conditions producing conception. It acts, he remarks, in either or both of two ways, by causing reflex changes in the cervical secretions, and so facilitating the passage of the spermatozoa, and by causing reflex erectile changes in the cervix itself, with slight descent of the uterus, so rendering the entrance of the semen easier. Kisch refers to the analogous fact that the first occurrence of menstruation is favored by sexual excitement.

Some authorities go so far as to assert that, until voluptuous excitement occurs in women, no impregnation is possible. This statement seems too extreme. It is true that the occurrence of impregnation during sleep, or in anæsthesia, cannot be opposed to it, for we know that the unconsciousness of these states by no means prevents the occurrence of complete sexual excitement. We cannot fail, however, to connect the fact that impregnation frequently fails to occur for months and even years after marriage, with the fact that sexual pleasure in coitus on the wife's part also frequently fails to occur for a similar period.

"Of all human instincts," Pinard has said,^[422] "that of reproduction is the only one which remains in the primitive condition and has received no education. We procreate to-day as they procreated in the Stone Age. The most important act in the life of man, the sublimest of all acts since it is that of his reproduction, man accomplishes to-day with as much carelessness as in the age of the cave-man." And though Pinard himself, as the founder of puericulture, has greatly contributed to call attention to the vast destinies that hang on the act of procreation, there still remains a lamentable amount of truth in this statement. "Future generations," writes Westermarck in his great history of moral ideas,^[423] "will probably with a kind of horror look back at a period when the most important, and in its consequences the most far-reaching, function which has fallen to the lot of man was entirely left to individual caprice and lust."

We are told in his Table Talk, that the great Luther was accustomed to say that God's way of making man was very foolish ("sehr närrisch"), and that if God had deigned to take him into His counsel he would have strongly advised Him to make the whole human race, as He made Adam, "out of earth." And certainly if applied to the careless and reckless manner in which procreation in Luther's day, as still for the most part in our own, was usually carried out there was sound common sense in the Reformer's remarks. If that is the way procreation is to be carried on, it would be better to create and mould every human being afresh out of the earth; in that way we could at all events eliminate evil heredity. It was, however, unjust to place the responsibility on God. It is men and women who breed the people that make the world good or bad. They seek to put the evils of society on to something outside themselves. They see how large a proportion of human beings are defective, ill-conditioned, anti-social, incapable of leading a whole and beautiful human life. In old theological language it was often said that such were "children of the Devil," and Luther himself was often ready enough to attribute the evil of the world to the direct interposition of the Devil. Yet these ill-conditioned people who clog the wheels of society are, after all, in reality the children of Man. The only Devil whom we can justly invoke in this matter is Man.

The command "Be fruitful and multiply," which the ancient Hebrews put into the mouth of their tribal God, was, as Crackanthorpe points out,^[424] a command supposed to have been uttered when there were only eight persons in the world. If the time should ever again occur when the inhabitants of the world could be counted on one's fingers, such an injunction, as Crackanthorpe truly observes, would again be reasonable. But we have to remember that to-day humanity has spawned itself over the world in hundreds and even thousands of millions of creatures, a large proportion of whom, as is but too obvious, ought never to have been born at all, and the voice of Jehovah is now making itself heard through the leaders of mankind in a very different sense.

It is not surprising that as this fact tends to become generally recognized, the question of the procreation of the race should gain a new significance, and even tend to take on the character of a new religious movement. Mere morality can never lead us to concern ourselves with the future of the race, and in the days of old, men used to protest against the tendency to subordinate the interests of religion to the claims of "mere morality." There was a sound natural instinct underlying that protest, so often and so vigorously made by Christianity, and again revived to-day in a more intelligent form. The claim of the race is the claim of religion. We have to beware lest we subordinate that claim to our moralities. Moralities are, indeed, an inevitable part of our social order from which we cannot escape; every community must have its mores. But we are not entitled to make a fetich of our morality, sacrificing to it the highest interests entrusted to us. The nations which have done so have already signed their own death-warrant.^[425] From this point of view, the whole of Christianity, rightly considered, with its profound conviction of the necessity for forethought and preparation for the life hereafter, has been a preparation for eugenics, a schoolmaster to discipline within us a higher ideal than itself taught, and we cannot therefore be surprised at the solidity of the basis on which eugenical conceptions of life are developing.

The most distinguished pioneers of the new movement of devotion to the creation of the race seem independently to have realized its religious character. This attitude is equally marked in Ellen Key and Francis Galton. In her Century of the Child (English translation, 1909), Ellen Key entirely identifies herself with the eugenic movement. "It is only a question of time," she elsewhere writes (Ueber Liebe und Ehe, p. 445), "when the attitude of society towards a sexual union will depend not on the form of the union, but on the value of the children created. Men and women will then devote the same religious earnestness to the psychic and physical perfectioning of this sexual task as Christians have devoted to the salvation of their souls."

Sir Francis Galton, writing a few years later, but without doubt independently, in 1905, on "Restrictions in Marriage," and "Eugenics as a Factor in Religion" (Sociological Papers of the Sociological Society, vol. ii, pp. 13, 53), remarks: "Religious precepts, founded on the ethics and practice of older days, require to be reinterpreted, to make them conform to the needs of progressive nations. Ours are already so far behind modern requirements that much of our practice and our profession cannot be reconciled without illegitimate casuistry. It seems to me that few things are more needed by us in England than a revision of our religion, to adapt it to the intelligence and needs of this present time.... Evolution is a grand phantasmagoria, but it assumes an infinitely more interesting aspect under the knowledge that the intelligent action of the human will is, in some small measure, capable of guiding its course. Man has the power of doing this largely, so far as the evolution of humanity is concerned; he has already affected the quality and distribution of organic life so widely that the changes on the surface of the earth, merely through his disforestings and agriculture, would be recognizable from a distance as great as that of the moon. Eugenics is a virile creed, full of hopefulness, and appealing to many of the noblest feelings of our nature."

As will always happen in every great movement, a few fanatics have carried into absurdity the belief in the supreme religious importance of procreation. Love, apart from procreation, writes one of these fanatics, Vacher de Lapouge, in the spirit of some of the early Christian Fathers (see ante p. 509), is an aberration comparable to sadism and sodomy. Procreation is the only thing that matters, and it must become "a legally prescribed social duty" only to be exercised by carefully selected persons, and forbidden to others, who must, by necessity, be deprived of the power of procreation, while abortion and infanticide must, under some circumstances, become compulsory. Romantic love will disappear by a process of selection, as also will all religion except a new form of phallic worship (G. Vacher de Lapouge, "Die Crisis der Sexuellen Moral," Politisch Anthropologische Revue, No. 8, 1908). It is sufficient to point out that love is, and always must be, the natural portal to generation. Such excesses of procreative fanaticism cannot fail to occur, and they render the more necessary the emphasis which has here been placed on the art of love.

"What has posterity done for me that I should do anything for posterity?" a cynic is said to have asked. The answer is very simple. The human race has done everything for him. All that he is, and can be, is its creation; all that he can do is the result of its laboriously accumulated traditions. It is only by working towards the creation of a still better posterity, that he can repay the good gifts which the human race has brought him.^[426] Just as, within the limits of this present life, many who have received benefits and kindnesses they can never repay to the actual givers, find a pleasure in vicariously repaying the like to others, so the heritage we have received from our ascendents we can never repay, save by handing it on in a better form to our descendants.

It is undoubtedly true that the growth of eugenical ideals has not been, for the most part, due to religious feeling. It has been chiefly the outcome of a very gradual, but very comprehensive, movement towards social amelioration, which has been going on for more than a century, and which has involved a progressive effort towards the betterment of all the conditions of life. The ideals of this movement were proclaimed in the eighteenth century, they began to find expression early in the nineteenth century, in the initiation of the modern system of sanitation, in the growth of factory legislation, in all the movements which have been borne onwards by socialism hand in hand with individualism. The inevitable tendency has been slowly towards the root of the matter; it began to be seen that comparatively little can be effected by improving the conditions of life of adults; attention began to be concentrated on the child, on the infant, on the embryo in its mother's womb, and this resulted in the fruitful movement of puericulture inspired by Pinard, and finally the problem is brought to its source at the point of procreation, and the regulation of sexual selection between stocks and between individuals as the prime condition of life. Here we have the science of eugenics which Sir Francis Galton has done so much to make a definite, vital, and practical study, and which in its wider bearings he defines as "the science which deals with those social eugenics that influence, mentally or physically, the racial qualities of future generations." In its largest aspect, eugenics is, as Galton has elsewhere said, man's attempt "to replace Natural Selection by other processes that are more merciful and not less effective."

In the last chapter of his Memories of My Life (1908), on "Race Improvement," Sir Francis Galton sets forth the origin and development of his conception of the science of eugenics. The term, "eugenics," he first used in 1884, in his Human Faculty, but the conception dates from 1865, and even earlier. Galton has more recently discussed the problems of eugenics in papers read before the Sociological Society (Sociological Papers, vols. i and ii, 1905), in the Herbert Spencer Lecture on "Probability the Foundation of Eugenics," (1907), and elsewhere. Galton's numerous memoirs on this subject have now been published in a collected form by the Eugenics Education Society, which was established in 1907, to further and to popularize the eugenical attitude towards social questions; The Eugenics Review is published by this Society. On the more strictly scientific side, eugenic studies are carried on in the Eugenics Laboratory of the University of London, established by Sir Francis Galton, and now working in connection with Professor Karl Pearson's biometric laboratory, in University College. Much of Professor Pearson's statistical work in this and allied directions, is the elaboration of ideas and suggestions thrown out by Galton. See, e.g., Karl Pearson's Robert Boyle Lecture, "The Scope and Importance to the State of the Science of National Eugenics" (1907). Biometrika, edited by Karl Pearson in association with other workers, contains numerous statistical memoirs on eugenics. In Germany, the Archiv für Rassen und Gesellschafts-biologie, and the Politisch-Anthropologische Revue, are largely occupied with various aspects of such subjects, and in America, The Popular Science Monthly from time to time, publishes articles which have a bearing on eugenics.

At one time there was a tendency to scoff, or to laugh, at the eugenic movement. It was regarded as an attempt to breed men as men breed animals, and it was thought a sufficiently easy task to sweep away this new movement with the remark that love laughs at bolts and bars. It is now beginning to be better understood. None but fanatics dream of abolishing love in order to effect pairing by rule. It is merely a question of limiting the possible number of mates from whom each may select a partner, and that, we must remember, has always been done even by savages, for, as it has been said, "eugenics is the oldest of the sciences." The question has merely been transformed. Instead of being limited mechanically by caste, we begin to see that the choice of sexual mates must be limited intelligently by actual fitness. Promiscuous marriages have never been the rule; the possibility of choice has always been narrow, and the most primitive peoples have exerted the most marked self-restraint. It is not so merely among remote races but among our own European ancestors. Throughout the whole period of Catholic supremacy the Canon law multiplied the impediments to matrimony, as by ordaining that consanguinity to the fourth degree (third cousins), as well as spiritual relationship, is an impediment, and by such arbitrary prohibitions limited the range of possible mates at least as much as it would be limited by the more reasonable dictates of eugenic considerations.

At the present day it may be said that the principle of the voluntary control of procreation, not for the selfish ends of the individual, but in order to extinguish disease, to limit human misery, and to raise the general level of humanity by substituting the ideal of quality for the vulgar ideal of mere quantity, is now generally accepted, alike by medical pathologists, embryologists and neurologists, and by sociologists and moralists.

It would be easy to multiply quotations from distinguished authorities on this point. Thus, Metchnikoff points out (Essais Optimistes, p. 419) that orthobiosis seems to involve the limitation of offspring in the fight against disease. Ballantyne concludes his great treatise on Antenanal Pathology with the statement that "Eugenics" or well-begetting, is one of the world's most pressing problems. Dr. Louise Robinovitch, the editor of the Journal of Mental Pathology, in a brilliant and thoughtful paper, read before the Rome Congress of Psychology in 1905, well spoke in the same sense: "Nations have not yet elevated the energy of genesic function to the dignity of an energy. Other energies known to us, even of the meanest grade, have long since been wisely utilized, and their activities based on the principle of the strictest possible economy. This economic utilization has been brought about, not through any enforcement of legislative restrictions, but through steadily progressive human intelligence. Economic handling of genesic function will, like the economic function of other energies, come about through a steady and progressive intellectual development of nations." "There are circumstances," says C. H. Hughes, ("Restricted Procreation," Alienist and Neurologist, May, 1908), "under which the propagation of a human life may be as gravely criminal as the taking of a life already begun."

From the general biological, as well as from the sociological side, the acceptance of the same standpoint is constantly becoming more general, for it is recognized as the inevitable outcome of movements which have long been in progress.

"Already," wrote Haycraft (Darwinism and Race Progress, p. 160), referring to the law for the prevention of cruelty to children, "public opinion has expressed itself in the public rule that a man and woman, in begetting a child, must take upon themselves the obligation and responsibility of seeing that that child is not subjected to cruelty and hardship. It is but one step more to say that a man and a woman shall be under obligation not to produce children, when it is certain that, from their want of physique, they will have to undergo suffering, and will keep up but an unequal struggle with their fellows." Professor J. Arthur Thomson, in his volume on Heredity (1908), vigorously and temperately pleads (p. 528) for rational methods of eugenics, as specially demanded in an age like our own, when the unfit have been given a better chance of reproduction than they have ever been given in any other age. Bateson, again, referring to the growing knowledge of heredity, remarks (Mendel's Principles of Heredity, 1909, p. 305): "Genetic knowledge must certainly lead to new conceptions of justice, and it is by no means impossible that, in the light of such knowledge, public opinion will welcome measures likely to do more for the extinction of the criminal and the degenerate than has been accomplished by ages of penal enactment." Adolescent youths and girls, said Anton von Menger, in his last book, the pregnant Neue Sittenlehre (1905), must be taught that the production of children, under certain circumstances, is a crime; they must also be taught the voluntary restraint of conception, even in health; such teaching, Menger rightly added, is a necessary preliminary to any legislation in this direction.

Of recent years, many books and articles have been devoted to the advocacy of eugenic methods. Mention may be made, for instance, of Population and Progress (1907), by Montague Crackanthorpe, President of the Eugenics Education Society. See also, Havelock Ellis, "Eugenics and St. Valentine," Nineteenth Century and After, May, 1906. It may be mentioned that nearly thirty years ago, Miss J. H. Clapperton, in her Scientific Meliorism (1885, Ch. XVII), pointed out that the voluntary restraint of procreation by Neo-Malthusian methods, apart from merely prudential motives, there clearly recognized, is "a new key to the social position," and a necessary condition for "national regeneration." Professor Karl Pearson's Groundwork of Eugenics, (1909) is, perhaps, the best brief introduction to the subject. Mention may also be made of Dr. Saleeby's Parenthood and Race Culture (1909), written in a popular and enthusiastic manner.

How widely the general principles of eugenics are now accepted as the sound method of raising the level of the human race, was well shown at a meeting of the Sociological Society, in 1905, when, after Sir Francis Galton had read papers on the question, the meeting heard the opinions of numerous sociologists, economists, biologists, and well-known thinkers in various lands, who were present, or who had sent communications. Some twenty-one expressed more or less unqualified approval, and only three or four had objections to offer, mostly on matters of detail (Sociological Papers, published by the Sociological Society, vol. ii, 1905).

If we ask by what channels this impulse towards the control of procreation for the elevation of the race is expressing itself in practical life, we shall scarcely fail to find that there are at least two such channels: (1) the growing sense of sexual responsibility among women as well as men, and (2) the conquest of procreative control which has been achieved in recent years, by the general adoption of methods for the prevention of conception.

It has already been necessary in a previous chapter to discuss the far-reaching significance of woman's personal responsibility as an element in the modification of the sexual life of modern communities. Here it need only be pointed out that the autonomous authority of a woman over her own person, in the sexual sphere, involves on her part a consent to the act of procreation which must be deliberate. We are apt to think that this is a new and almost revolutionary demand; it is, however, undoubtedly a natural, ancient, and recognized privilege of women that they should not be mothers without their own consent. Even in the Islamic world of the Arabian Nights, we find that high praise is accorded to the "virtue and courage" of the woman who, having been ravished in her sleep, exposed, and abandoned on the highway, the infant that was the fruit of this involuntary union, "not wishing," she said, "to take the responsibility before Allah of a child that had been born without my consent."^[427] The approval with which this story is narrated clearly shows that to the public of Islam it seemed entirely just and humane that a woman should not have a child, except by her own deliberate will. We have been accustomed to say in later days that the State needs children, and that it is the business and the duty of women to supply them. But the State has no more right than the individual to ravish a woman against her will. We are beginning to realize that if the State wants children it must make it agreeable to women to produce them, as under natural and equitable conditions it cannot fail to be. "The women will solve the question of mankind," said Ibsen in one of his rare and pregnant private utterances, "and they will do it as mothers." But it is unthinkable that any question should ever be solved by a helpless, unwilling, and involuntary act which has not even attained to the dignity of animal joy.

It is sometimes supposed, and even assumed, that the demand of women that motherhood must never be compulsory, means that they are unwilling to be mothers on any terms. In a few cases that may be so, but it is certainly not the case as regards the majority of sane and healthy women in any country. On the contrary, this demand is usually associated with the desire to glorify motherhood, if not, indeed, even with the thought of extending motherhood to many who are to-day shut out from it. "It seems to me," wrote Lady Henry Somerset, some years ago ("The Welcome Child," Arena, April, 1895), "that life will be dearer and nobler the more we recognize that there is no indelicacy in the climax and crown of creative power, but, rather, that it is the highest glory of the race. But if voluntary motherhood is the crown of the race, involuntary compulsory motherhood is the very opposite.... Only when both man and woman have learned that the most sacred of all functions given to women must be exercised by the free will alone, can children be born into the world who have in them the joyous desire to live, who claim that sweetest privilege of childhood, the certainty that they can expand in the sunshine of the love which is their due." Ellen Key, similarly, while pointing out (Ueber Liebe und Ehe, pp. 14, 265) that the tyranny of the old Protestant religious spirit which enjoined on women unlimited submission to joyless motherhood within "the whited sepulchre of marriage" is now being broken, exalts the privileges of voluntary motherhood, while admitting that there may be a few exceptional cases in which women may withdraw themselves from motherhood for the sake of the other demands of their personality, though, "as a general rule, the woman who refuses motherhood in order to serve humanity, is like a soldier who prepares himself on the eve of battle for the forthcoming struggle by opening his veins." Helene Stöcker, likewise, reckons motherhood as one of the demands, one of the growing demands indeed, which women now make. "If, to-day," she says (in the Preface to Liebe und die Frauen, 1906), "all the good things of life are claimed even for women—intellectual training, pecuniary independence, a happy vocation in life, a respected social position—and at the same time, as equally matter-of-course, and equally necessary, marriage and child, that demand no longer sounds, as it sounded a few years ago, the voice of a preacher in the wilderness."

The degradation to which motherhood has, in the eyes of many, fallen, is due partly to the tendency to deprive women of any voice in the question, and partly to what H. G. Wells calls (Socialism and the Family, 1906) "the monstrous absurdity of women discharging their supreme social function, bearing and rearing children, in their spare time, as it were, while they 'earn their living' by contributing some half mechanical element to some trivial industrial product." It would be impracticable, and even undesirable, to insist that married women should not be allowed to work, for a work in the world is good for all. It is estimated that over thirty per cent. of the women workers in England are married or widows (James Haslam, Englishwoman, June, 1909), and in Lancashire factories alone, in 1901, there were 120,000 married women employed. But it would be easily possible for the State to arrange, in its own interests, that a woman's work at a trade should always give way to her work as a mother. It is the more undesirable that married women should be prohibited from working at a profession, since there are some professions for which a married woman, or, rather, a mother, is better equipped than an unmarried woman. This is notably the case as regards teaching, and it would be a good policy to allow married women teachers special privileges in the shape of increased free time and leave of absence. While in many fields of knowledge an unmarried woman may be a most excellent teacher, it is highly undesirable that children, and especially girls, should be brought exclusively under the educational influence of unmarried teachers.

The second great channel through which the impulse towards the control of procreation for the elevation of the race is entering into practical life is by the general adoption, by the educated classes of all countries—and it must be remembered that, in this matter at all events, all classes are gradually beginning to become educated—of methods for the prevention of conception except when conception is deliberately desired. It is no longer permissible to discuss the validity of this control, for it is an accomplished fact and has become a part of our modern morality. "If a course of conduct is habitually and deliberately pursued by vast multitudes of otherwise well-conducted people, forming probably a majority of the whole educated class of the nation," as Sidney Webb rightly puts it, "we must assume that it does not conflict with their actual code of morality."^[428]

There cannot be any doubt that, so far as England is concerned, the prevention of conception is practiced, from prudential or other motives, by the vast majority of the educated classes. This fact is well within the knowledge of all who are intimately acquainted with the facts of English family life. Thus, Dr. A. W. Thomas writes (British Medical Journal, Oct. 20, 1906, p. 1066): "From my experience as a general practitioner, I have no hesitation in saying that ninety per cent. of young married couples of the comfortably-off classes use preventives." As a matter of fact, this rough estimate appears to be rather under than over the mark. In the very able paper already quoted, in which Sidney Webb shows that "the decline in the birthrate appears to be much greater in those sections of the population which give proofs of thrift and foresight," that this decline is "principally, if not entirely, the result of deliberate volition," and that "a volitional regulation of the marriage state is now ubiquitous throughout England and Wales, among, apparently, a large majority of the population," the results are brought forward of a detailed inquiry carried out by the Fabian Society. This inquiry covered 316 families, selected at random from all parts of Great Britain, and belonging to all sections of the middle class. The results are carefully analyzed, and it is found that seventy-four families were unlimited, and two hundred and forty-two voluntarily limited. When, however, the decade 1890-99 is taken by itself as the typical period, it is found that of 120 marriages, 107 were limited, and only thirteen unlimited, while of these thirteen, five were childless at the date of the return. In this decade, therefore, only seven unlimited fertile marriages are reported, out of a total of 120.

What is true of Great Britain is true of all other civilized countries, in the highest degree true of the most civilized countries, and it finds expression in the well-known phenomenon of the decline of the birthrate. In modern times, this movement of decline began in France, producing a slow but steady diminution in the annual number of births, and in France the movement seems now to be almost, or quite, arrested. But it has since taken place in all other progressive countries, notably in the United States, in Canada, in Australia, and in New Zealand, as well as in Germany, Austro-Hungary, Italy, Spain, Switzerland, Belgium, Holland, Denmark, Sweden, and Norway. In England, it has been continuous since 1877. Of the great countries, Russia is the only one in which it has not yet taken place, and among the masses of the Russian population we find less education, more poverty, a higher deathrate, and a greater amount of disease, than in any other great, or even small, civilized country.

It is sometimes said, indeed, that the decline of the birthrate is not entirely due to the voluntary control of procreation. It is undoubtedly true that certain other elements, common under civilized conditions, such as the postponement of marriage in women to a comparatively late age, tend to diminish the size of the family. But when all such allowances have been made, the decline is still found to be real and large. This has been shown, for instance, by the statistical analyses made by Arthur Newsholme and T. H. C. Stevenson, and by G. Yule, both published in Journal Royal Statistical Society, April, 1906.

Some have supposed that, since the Catholic Church forbids incomplete sexual intercourse, this movement for the control of procreation will involve a relatively much greater increase among Catholic than among non-Catholic populations. This, however, is only correct under certain conditions. It is quite true that in Ireland there has been no fall in the birthrate, and that the fall is but little marked in those Lancashire towns which possess a large Irish element. But in Belgium, Italy, Spain, and other mainly Catholic countries, the decline in the birthrate is duly taking place. What has happened is that the Church—always alive to sexual questions—has realized the importance of the modern movement, and has adapted herself to it, by proclaiming to her more ignorant and uneducated children that incomplete intercourse is a deadly sin, while at the same time refraining from making inquiries into this matter among her more educated members. The question was definitely brought up for Papal judgment, in 1842, by Bishop Bouvier of Le Mans, who stated the matter very clearly, representing to the Pope (Gregory XVI) that the prevention of conception was becoming very common, and that to treat it as a deadly sin merely resulted in driving the penitent away from confession. After mature consideration, the Curia Sacra Poenitentiaria replied by pointing out, as regards the common method of withdrawal before emission, that since it was due to the wrong act of the man, the woman who has been forced by her husband to consent to it, has committed no sin. Further, the Bishop was reminded of the wise dictum of Liguori, "the most learned and experienced man in these matters," that the confessor is not usually called upon to make inquiry upon so delicate a matter as the debitum conjugale, and, if his opinion is not asked, he should be silent (Bouvier, Dissertatio in sextum Decalogi præceptum; supplementum ad Tractatum de Matrimonio. 1849, pp. 179-182; quoted by Hans Ferdy, Sexual-Probleme, Aug., 1908, p. 498). We see, therefore, that, among Catholic as well as among non-Catholic populations, the adoption of preventive methods of conception follows progress and civilization, and that the general practice of such methods by Catholics (with the tacit consent of the Church) is merely a matter of time.

From time to time many energetic persons have noisily demanded that a stop should be put to the decline of the birthrate, for, they argue, it means "race suicide." It is now beginning to be realized, however, that this outcry was a foolish and mischievous mistake. It is impossible to walk through the streets of any great city, full of vast numbers of persons who, obviously, ought never to have been born, without recognizing that the birthrate is as yet very far above its normal and healthy limit. The greatest States have often been the smallest so far as mere number of citizens is concerned, for it is quality not quantity that counts. And while it is true that the increase of the best types of citizens can only enrich a State, it is now becoming intolerable that a nation should increase by the mere dumping down of procreative refuse in its midst. It is beginning to be realized that this process not only depreciates the quality of a people but imposes on a State an inordinate financial burden.

It is now well recognized that large families are associated with degeneracy, and, in the widest sense, with abnormality of every kind. Thus, it is undoubtedly true that men of genius tend to belong to very large families, though it may be pointed out to those who fear an alarming decrease of genius from the tendency to the limitation of the family, that the position in the family most often occupied by the child of genius is the firstborn. (See Havelock Ellis, A Study of British Genius, pp. 115-120). The insane, the idiotic, imbecile, and weak-minded, the criminal, the epileptic, the hysterical, the neurasthenic, the tubercular, all, it would appear, tend to belong to large families (see e.g., Havelock Ellis, op. cit., p. 110; Toulouse, Les Causes de la Folie, p. 91; Harriet Alexander, "Malthusianism and Degeneracy," Alienist and Neurologist, Jan., 1901). It has, indeed, been shown by Heron, Pearson, and Goring, that not only the eldest-born, but also the second-born, are specially liable to suffer from pathological defect (insanity, criminality, tuberculosis). There is, however, it would seem, a fallacy in the common interpretation of this fact. According to Van den Velden (as quoted in Sexual-Probleme, May, 1909, p. 381), this tendency is fully counterbalanced by the rising mortality of children from the firstborn onward. The greater pathological tendency of the earlier children is thus simply the result of a less stringent selection by death. So far as they show any really greater pathological tendency, apart from this fallacy, it is perhaps due to premature marriage. There is another fallacy in the frequent statement that the children in small families are more feeble than those in large families. We have to distinguish between a naturally small family, and an artificially small family. A family which is small merely as the result of the feeble procreative energy of the parents, is likely to be a feeble family; a family which is small as the result of the deliberate control of the parents, shows, of course, no such tendency.

These considerations, it will be seen, do not modify the tendency of the large family to be degenerate. We may connect this phenomenon with the disposition, often shown by nervously unsound and abnormal persons, to believe that they have a special aptitude to procreate fine children. "I believe that everyone has a special vocation," said a man to Marro (La Pubertà, p. 459); "I find that it is my vocation to beget superior children." He begat four,—an epileptic, a lunatic, a dipsomaniac, and a valetudinarian,—and himself died insane. Most people have come across somewhat similar, though perhaps less marked, cases of this delusion. In a matter of such fateful gravity to other human beings, no one can safely rely on his own unsupported impressions.

The demand of national efficiency thus corresponds with the demand of developing humanitarianism, which, having begun by attempting to ameliorate the conditions of life, has gradually begun to realize that it is necessary to go deeper and to ameliorate life itself. For while it is undoubtedly true that much may be done by acting systematically on the conditions of life, the more searching analysis of evil environmental conditions only serves to show that in large parts they are based in the human organism itself and were not only pre-natal, but pre-conceptional, being involved in the quality of the parental or ancestral organisms.

Putting aside, however, all humanitarian considerations, the serious error of attempting to stem the progress of civilization in the direction of procreative control could never have occurred if the general tendencies of zoölogical evolution had been understood, even in their elements. All zoölogical progress is from the more prolific to the less prolific; the higher the species the less fruitful are its individual members. The same tendency is found within the limits of the human species, though not in an invariable straight line; the growth of civilization involves a diminution in fertility. This is by no means a new phenomenon; ancient Rome and later Geneva, "the Protestant Rome," bear witness to it; no doubt it has occurred in every high centre of moral and intellectual culture, although the data for measuring the tendency no longer exist. When we take a sufficiently wide and intelligent survey, we realize that the tendency of a community to slacken its natural rate of increase is an essential phenomenon of all advanced civilization. The more intelligent nations have manifested the tendency first, and in each nation the more educated classes have taken the lead, but it is only a matter of time to bring all civilized nations, and all social classes in each nation, into line.^[429] This movement, we have to remember—in opposition to the ignorant outcry of certain would-be moralists and politicians—is a beneficent movement. It means a greater regard to the quality than to the quantity of the increase; it involves the possibility of combating successfully the evils of high mortality, disease, overcrowding, and all the manifold misfortunes which inevitably accompany a too exuberant birthrate. For it is only in a community which increases slowly that it is possible to secure the adequate economic adjustment and environmental modifications necessary for a sane and wholesome civic and personal life.^[430] If those persons who raise the cry of "race suicide" in face of the decline of the birthrate really had the knowledge and intelligence to realize the manifold evils which they are invoking they would deserve to be treated as criminals.

On the practical side a knowledge of the possibility of preventing conception has, doubtless, never been quite extinct in civilization and even in lower stages of culture, though it has mostly been utilized for ends of personal convenience or practiced in obedience to conventional social rules which demanded chastity, and has only of recent times been made subservient to the larger interests of society and the elevation of the race. The theoretical basis of the control of procreation, on its social and economic, as distinct from its eugenic, aspects, may be said to date from Malthus's famous Essay on Population, first published in 1798, an epoch-marking book,—though its central thesis is not susceptible of actual demonstration,—since it not only served as the starting-point of the modern humanitarian movement for the control of procreation, but also furnished to Darwin (and independently to Wallace also) the fruitful idea which was finally developed into the great evolutionary theory of natural selection.

Malthus, however, was very far from suggesting that the control of procreation, which he advocated for the benefit of mankind, should be exercised by the introduction of preventive methods into sexual intercourse. He believed that civilization involved an increased power of self-control, which would make it possible to refrain altogether from sexual intercourse, when such self-restraint was demanded in the interests of humanity. Later thinkers realized, however, that, while it is undoubtedly true that civilization involves greater forethought and greater self-control, we cannot anticipate that those qualities should be developed to the extent demanded by Malthus, especially when the impulse to be controlled is of so powerful and explosive a nature.

James Mill was the pioneer in advocating Neo-Malthusian methods, though he spoke cautiously. In 1818, in the article "Colony" in the supplement to the Encyclopædia Britannica, after remarking that the means of checking the unrestricted increase of the population constitutes "the most important practical problem to which the wisdom of the politician and moralist can be applied," he continued: "If the superstitions of the nursery were discarded, and the principle of utility kept steadily in view, a solution might not be very difficult to be found." Four years later, James Mill's friend, the Radical reformer, Francis Place, more distinctly expressed the thought that was evidently in Mill's mind. After enumerating the facts concerning the necessity of self-control in procreation and the evils of early marriage, which he thinks ought to be clearly taught, Place continues: "If a hundredth, perhaps a thousandth part of the pains were taken to teach these truths, that are taken to teach dogmas, a great change for the better might, in no considerable space of time, be expected to take place in the appearance and the habits of the people. If, above all, it were once clearly understood that it was not disreputable for married persons to avail themselves of such precautionary means as would, without being injurious to health, or destructive of female delicacy, prevent conception, a sufficient check might at once be given to the increase of population beyond the means of subsistence; vice and misery, to a prodigious extent, might be removed from society, and the object of Mr. Malthus, Mr. Godwin, and of every philanthropic person, be promoted, by the increase of comfort, of intelligence, and of moral conduct, in the mass of the population. The course recommended will, I am fully persuaded, at some period be pursued by the people even if left to themselves."^[431]

It was not long before Place's prophetic words began to be realized, and in another half century the movement was affecting the birthrate of all civilized lands, though it can scarcely yet be said that justice has been done to the pioneers who promoted it in the face of much persecution from the ignorant and superstitious public whom they sought to benefit. In 1831, Robert Dale Owen, the son of Robert Owen, published his Moral Physiology, setting forth the methods of preventing conception. A little later the brothers George and Charles Drysdale (born 1825 and 1829), two ardent and unwearying philanthropists, devoted much of their energy to the propagation of Neo-Malthusian principles. George Drysdale, in 1854, published his Elements of Social Science, which during many years had an enormous circulation all over Europe in eight different languages. It was by no means in every respect a scientific or sound work, but it certainly had great influence, and it came into the hands of many who never saw any other work on sexual topics. Although the Neo-Malthusian propagandists of those days often met with much obloquy, their cause was triumphantly vindicated in 1876, when Charles Bradlaugh and Mrs. Besant, having been prosecuted for disseminating Neo-Malthusian pamphlets, the charge was dismissed, the Lord Chief Justice declaring that so ill-advised and injudicious a charge had probably never before been made in a court of justice. This trial, even by its mere publicity and apart from its issue, gave an enormous impetus to the Neo-Malthusian movement. It is well known that the steady decline in the English birthrate begun in 1877, the year following the trial. There could be no more brilliant illustration of the fact, that what used to be called "the instruments of Providence" are indeed unconscious instruments in bringing about great ends which they themselves were far from either intending or desiring.

In 1877, Dr. C. R. Drysdale founded the Malthusian League, and edited a periodical, The Malthusian, aided throughout by his wife, Dr. Alice Drysdale Vickery. He died in 1907. (The noble and pioneering work of the Drysdales has not yet been adequately recognized in their own country; an appreciative and well-informed article by Dr. Hermann Rohleder, "Dr. C. R. Drysdale, Der Hauptvortreter der Neumalthusianische Lehre," appeared in the Zeitschrift für Sexualwissenschaft, March, 1908). There are now societies and periodicals in all civilized countries for the propagation of Neo-Malthusian principles, as they are still commonly called, though it would be desirable to avoid the use of Malthus's name in this connection. In the medical profession, the advocacy of preventive methods of sexual intercourse, not on social, but on medical and hygienic grounds, began same thirty years ago, though in France, at an earlier date, Raciborski advocated the method of avoiding the neighborhood of menstruation. In Germany, Dr. Mensinga, the gynæcologist, is the most prominent advocate, on medical and hygienic grounds, of what he terms "facultative sterility," which he first put forward about 1889. In Russia, about the same time, artificial sterility was first openly advocated by the distinguished gynæcologist, Professor Ott, at the St. Petersburg Obstetric and Gynæcological Society. Such medical recommendations, in particular cases, are now becoming common.

There are certain cases in which a person ought not to marry at all; this is so, for instance, when there has been an attack of insanity; it can never be said with certainty that a person who has had one attack of insanity will not have another, and persons who have had such attacks ought not, as Blandford says (Lumleian Lectures on Insanity, British Medical Journal, April 20, 1895), "to inflict on their partner for life, the anxiety, and even danger, of another attack." There are other and numerous cases in which marriage may be permitted, or may have already taken place, under more favorable circumstances, but where it is, or has become, highly desirable that there should be no children. This is the case when a first attack of insanity occurs after marriage, the more urgently if the affected party is the wife, and especially if the disease takes the form of puerperal mania. "What can be more lamentable," asks Blandford (loc. cit.), "than to see a woman break down in childbed, recover, break down again with the next child, and so on, for six, seven, or eight children, the recovery between each being less and less, until she is almost a chronic maniac?" It has been found, moreover, by Tredgold (Lancet, May 17, 1902), that among children born to insane mothers, the mortality is twice as great as the ordinary infantile mortality, in even the poorest districts. In cases of unions between persons with tuberculous antecedents, also, it is held by many (e.g., by Massalongo, in discussing tuberculosis and marriage at the Tuberculosis Congress, at Naples, in 1900) that every precaution should be taken to make the marriage childless. In a third class of cases, it is necessary to limit the children to one or two; this happens in some forms of heart disease, in which pregnancy has a progressively deteriorating effect on the heart (Kisch, Therapeutische Monatsheft, Feb., 1898, and Sexual Life of Woman; Vinay, Lyon Medical, Jan. 8, 1889); in some cases of heart disease, however, it is possible that, though there is no reason for prohibiting marriage, it is desirable for a woman not to have any children (J. F. Blacker, "Heart Disease in Relation to Pregnancy," British Medical Journal, May 25, 1907).

In all such cases, the recommendation of preventive methods of intercourse is obviously an indispensable aid to the physician in emphasizing the supremacy of hygienic precautions. In the absence of such methods, he can never be sure that his warnings will be heard, and even the observance of his advice would be attended with various undesirable results. It sometimes happens that a married couple agree, even before marriage, to live together without sexual relations, but, for various reasons, it is seldom found possible or convenient to maintain this resolution for a long period.

It is the recognition of these and similar considerations which has led—though only within recent years—on the one hand, as we have seen, to the embodiment of the control of procreation into the practical morality of all civilized nations, and, on the other hand, to the assertion, now perhaps without exception, by all medical authorities on matters of sex that the use of the methods of preventing conception is under certain circumstances urgently necessary and quite harmless.^[432] It arouses a smile to-day when we find that less than a century ago it was possible for an able and esteemed medical author to declare that the use of "various abominable means" to prevent conception is "based upon a most presumptuous doubt in the conservative power of the Creator."^[433]

The adaptation of theory to practice is not yet complete, and we could not expect that it should be so, for, as we have seen, there is always an antagonism between practical morality and traditional morality. From time to time flagrant illustrations of this antagonism occur.^[434] Even in England, which played a pioneering part in the control of procreation, attempts are still made—sometimes in quarters where we have a right to expect a better knowledge—to cast discredit on a movement which, since it has conquered alike scientific approval and popular practice, it is now idle to call in question.

It would be out of place to discuss here the various methods which are used for the control of procreation, or their respective merits and defects. It is sufficient to say that the condom or protective sheath, which seems to be the most ancient of all methods of preventing conception, after withdrawal, is now regarded by nearly all authorities as, when properly used, the safest, the most convenient, and the most harmless method.^[435] This is the opinion of Krafft-Ebing, of Moll, of Schrenck-Notzing, of Löwenfeld, of Forel, of Kisch, of Fürbringer, to mention only a few of the most distinguished medical authorities.^[436]

There is some interest in attempting to trace the origin and history of the condom, though it seems impossible to do so with any precision. It is probable that, in a rudimentary form, such an appliance is of great antiquity. In China and Japan, it would appear, rounds of oiled silk paper are used to cover the mouth of the womb, at all events, by prostitutes. This seems the simplest and most obvious mechanical method of preventing conception, and may have suggested the application of a sheath to the penis as a more effectual method. In Europe, it is in the middle of the sixteenth century, in Italy, that we first seem to hear of such appliances, in the shape of linen sheaths, adapted to the shape of the penis; Fallopius recommended the use of such an appliance. Improvements in the manufacture were gradually devised; the cæcum of the lamb was employed, and afterwards, isinglass. It appears that a considerable improvement in the manufacture took place in the seventeenth or eighteenth century, and this improvement was generally associated with England. The appliance thus became known as the English cape or mantle, the "capote anglaise," or the "redingote anglaise," and, under the latter name, is referred to by Casanova, in the middle of the eighteenth century (Casanova, Mémoires, ed. Garnier, vol. iv, p. 464); Casanova never seems, however, to have used these redingotes himself, not caring, he said, "to shut myself up in a piece of dead skin in order to prove that I am perfectly alive." These capotes—then made of goldbeaters' skin—were, also, it appears, known at an earlier period to Mme. de Sévigné, who did not regard them with favor, for, in one of her letters, she refers to them as "cuirasses contre la volupté et toiles d'arraignée contre le mal." The name, "condom," dates from the eighteenth century, first appearing in France, and is generally considered to be that of an English physician, or surgeon, who invented, or, rather, improved the appliance. Condom is not, however, an English name, but there is an English name, Condon, of which "condom" may well be a corruption. This supposition is strengthened by the fact that the word sometimes actually was written "condon." Thus, in lines quoted by Bachaumont, in his Diary (Dec. 15, 1773), and supposed to be addressed to a former ballet dancer who had become a prostitute, I find:—

The difficulty remains, however, of discovering any Englishman of the name of Condon, who can plausibly be associated with the condom; doubtless he took no care to put the matter on record, never suspecting the fame that would accrue to his invention, or the immortality that awaited his name. I find no mention of any Condon in the records of the College of Physicians, and at the College of Surgeons, also, where, indeed, the old lists are very imperfect, Mr. Victor Plarr, the librarian, after kindly making a search, has assured me that there is no record of the name. Other varying explanations of the name have been offered, with more or less assurance, though usually without any proofs. Thus, Hyrtl (Handbuch der Topographischen Anatomic, 7th ed., vol. ii, p. 212) states that the condom was originally called gondom, from the name of the English discoverer, a Cavalier of Charles II's Court, who first prepared it from the amnion of the sheep; Gondom is, however, no more an English name than Condom. There happens to be a French town, in Gascony, called Condom, and Bloch suggests, without any evidence, that this furnished the name; if so, however, it is improbable that it would have been unknown in France. Finally, Hans Ferdy considers that it is derived from "condus"—that which preserves—and, in accordance with his theory, he terms the condom a condus.

The early history of the condom is briefly discussed by various writers, as by Proksch, Die Vorbauung der Venerischen Krankheiten, p. 48; Bloch, Sexual Life of Our Time, Chs. XV and XXVIII; Cabanès, Indiscretions de l'Histoire, p. 121, etc.