History, University of Cambridge, Cambridge, UK
Med Humanit. 2023 Jun;49(2):154-162. doi: 10.1136/medhum-2021-012206. Epub 2021 Aug 23.
First opened in 1964 in London, the Brook Advisory Centres (BAC) were the first centres to provide contraceptive advice and sexual counselling to unmarried people in postwar Britain. Drawing on archival materials, medical articles published by BAC members and oral history interviews with former counsellors, this paper looks at tensions present in sexual health counselling work between progressive views on young people's sexuality and moral conservatism. In so doing, this paper makes two inter-related arguments. First, I argue that BAC doctors, counsellors and social workers simultaneously tried to adopt a non-judgmental listening approach to young people's sexual needs and encouraged a model of heteronormative sexual behaviours that was class-based and racialised. Second, I argue that emotional labour was central in BAC staff's attempt to navigate and smooth these tensions. This emotional labour and the tensions within it is best illustrated by BAC's pyschosexual counselling services, which on the one hand tried to encourage youth sexual pleasure and on the other taught distinctive gendered sexual roles that contributed to pathologising teenage sexual behaviours and desire.In all, I contend that, in resorting to an emotionally orientated counselling, BAC members reconfigured for the young the new form of sexual subjectivity that had been in the making since the interwar years, that is, the fact that individuals regarded themselves as sexual beings and expressed feelings and anxieties about sex. BAC's counselling work was as much a rupture with the interwar contraceptive counselling tradition-since it operated in a new climate, stressed a non-judgmental listening approach and catered for the young-as it was a continuity of some of the values of the earlier movement.
布鲁克咨询中心(BAC)于 1964 年在伦敦首次开业,是战后英国第一所为未婚人士提供避孕建议和性咨询的中心。本文通过档案资料、BAC 成员发表的医学文章和对前顾问的口述历史访谈,考察了性健康咨询工作中存在的两种紧张关系,即年轻人性行为的进步观点与道德保守主义之间的紧张关系。为此,本文提出了两个相互关联的论点。首先,我认为 BAC 的医生、顾问和社会工作者试图对年轻人的性需求采取一种不评判的倾听方式,并鼓励一种基于阶级和种族的异性恋性行为模式。其次,我认为情感劳动是 BAC 工作人员试图解决这些紧张关系的核心。这种情感劳动和其中的紧张关系在 BAC 的精神分析咨询服务中表现得最为明显,一方面试图鼓励年轻人的性愉悦,另一方面又教授独特的性别化的性行为角色,这导致了对青少年性行为和欲望的病理学化。总之,我认为,BAC 成员诉诸情感导向的咨询,重新配置了年轻人的新形式的性主体,这种新形式的性主体自两次世界大战之间以来一直在形成,即个人将自己视为性存在,并对性表达感受和焦虑。BAC 的咨询工作既是对两次世界大战期间避孕咨询传统的一种突破——因为它在新的环境中运作,强调不评判的倾听方式,并迎合年轻人——也是对早期运动某些价值观的延续。