Universitätsmedizin Berlin, Institute for History of Medicine and Ethics of Medicine, Thielallee 71, 14195 Berlin, Germany.
University of Michigan, 3700 Haven Hall, 505 S. State St., Ann Arbor, MI 48109-1045, USA.
Stud Hist Philos Sci. 2022 Oct;95:50-63. doi: 10.1016/j.shpsa.2022.07.001. Epub 2022 Aug 15.
Most historiographies of the crossroads of environmental and reproductive health in 20th century start and end with the case of thalidomide. Despite its global scope, thalidomide today stands for sharp contrasts: in the numbers of victims, in institutional responses to the disaster, and also-more generally-in regulatory approaches to potential risks and national cultures of reproductive justice and disability rights. This paper takes a closer look at two countries that have been seen as emblematic of this divide in regulatory frameworks, despite similarities and interconnections in other areas, such as (pharma)industrial production, science, and robust feminist environmental health movements: the U.S. and West Germany. It argues that thalidomide needs to be historically contextualized within a broad framework of concepts and models of environment from research on exogenous reproductive effects. To do so, it reconstructs what counted as environment in research on reproductive health and birth defects in these two national settings in the postwar decades. It looks at transformations made across multifaceted initiatives, studying collective landscapes and workplaces as potentially dangerous "outer worlds," as well as smaller scale and more individualized environments, i.e., the maternal metabolism, uterus, lifestyle, or social interactions. The article thereby aims to explicate concepts and debates about the environment that influenced later national divisions in politics of science and technology, hinting of the democratic challenges these posed.
大多数关于 20 世纪环境与生殖健康交叉点的历史编纂学都是从反应停案例开始和结束的。尽管反应停的影响范围很广,但它今天却代表了鲜明的对比:受害者的数量、机构对灾难的反应,以及更普遍地说,对潜在风险的监管方法和生殖公正与残疾权利的国家文化。本文更仔细地研究了两个被视为监管框架分歧的代表性国家,尽管在其他领域(如制药)工业生产、科学和强大的女权主义环境健康运动方面存在相似性和相互联系:美国和西德。它认为,需要从研究外源生殖效应的环境概念和模型的广泛框架中对反应停进行历史背景分析。为此,它在战后几十年的这两个国家背景下,重新构建了生殖健康和出生缺陷研究中被视为环境的因素。它考察了在多方面倡议中所做的转变,将集体景观和工作场所视为潜在危险的“外部世界”,以及规模较小和更个体化的环境,即母体代谢、子宫、生活方式或社会互动。因此,本文旨在阐明影响后来国家在科学技术政治上分化的环境概念和辩论,并暗示这些概念所带来的民主挑战。