Academic Journal

Medical Gaze Sans Bioethics: Revisiting Enslaved Black Women's Medical Bondage in Behind the Sheet.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Medical Gaze Sans Bioethics: Revisiting Enslaved Black Women's Medical Bondage in Behind the Sheet.
Συγγραφείς: Madhu S; Department of English, School of Humanities and Management, National Institute of Technology, Tadepalligudem, Andhra Pradesh, India., Jose S; School of Humanities and Management, National Institute of Technology, Tadepalligudem, Andhra Pradesh, India. soumyajose@nitandhra.ac.in.
Πηγή: The Journal of medical humanities [J Med Humanit] 2025 Dec; Vol. 46 (4), pp. 637-654. Date of Electronic Publication: 2025 Jan 04.
Τύπος έκδοσης: Journal Article; Historical Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer Country of Publication: United States NLM ID: 8917478 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3645 (Electronic) Linking ISSN: 10413545 NLM ISO Abbreviation: J Med Humanit Subsets: MEDLINE
Imprint Name(s): Publication: New York, NY : Springer
Original Publication: New York, N.Y. : Human Sciences Press, [c1989-
Ιατρικοί όροι (MeSH): Bioethics*/history , Black or African American*/history , Enslavement*/history , Gynecology*/history , Gynecology*/ethics, Vesicovaginal Fistula/history ; Vesicovaginal Fistula/surgery ; Female ; Humans ; History, 19th Century ; United States
Περίληψη: The birth of modern gynecology in the USA is preceded by experimental exploitations of Black women's bodies in the mid-nineteenth century, entailing a long-drawn extraction of "reproductive knowledge" from enslaved patients. Charly Evon Simpson's Behind the Sheet (2019) stages the history of medical bondage of Black enslaved women in antebellum South, reconstructing the events that led to the surgical innovation for vesico-vaginal fistula. Scrutinizing Simpson's dramatization of the event, this paper prompts inquiries into the interplay of power and consent between the physician and the enslaved patient in plantation healthcare, highlighting the need to reexamine bioethical principles. Using the theoretical framework of medical gaze propounded by Foucault and further developed by Susan Greenhalgh, the paper analyzes the operation of white patriarchal power and the construction of physician heroism in the medical sphere. Investigating the realm of bodily autonomy in the context of medical bondage, the paper attempts to render a "herstorical" standpoint on the contributions of enslaved Black women to the field of gynecology.
(© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Competing Interests: Declarations. Conflict of Interest: The authors declare no competing interests.
References: Atieh, Majda, and Mohammed Jalal Osman. 2017. The aesthetics of disability, abortion, and adoption in Kia Corthron’s Cage Rhythm and Come Down Burning. Tishreen University Journal for Research and Scientific Studies – Arts and Humanities Series 39(3): 781–793.
Barclay, Jenifer L. 2014. Mothering the ‘useless’: Black motherhood, disability, and slavery. Women, Gender, and Families of Color 2(2): 115–140. https://www.jstor.org/stable/10.5406/womgenfamcol.2.2.0115.
Campbell, Colleen. 2021. Medical violence, obstetric racism, and the limits of informed consent for Black women. Michigan Journal of Race and Law 26(Special Issue): 47. https://doi.org/10.36643/mjrl.26.sp.medical.
Catanese, Brandi Wilkins. 2011. The problem of the color[blind]: Racial transgression and the politics of Black performance. Ann Arbor: The University of Michigan Press. (PMID: 10.3998/mpub.368267)
Cheema Amal W, Meagher Karen M, Sharp Richard R (2019) Multiple marginalizations: What bioethics can learn from Black feminism. The American Journal of Bioethics 19(2):1–3. https://doi.org/10.1080/15265161.2019.1575142. (PMID: 10.1080/15265161.2019.1575142)
Colbert, Soyica Diggs. 2017. Black movements: Performance and cultural politics. New Jersey: Rutgers University Press.
Colbert, Soyica Diggs. 2018. Suzan-Lori Parks. In Visions of tragedy in modern American drama, ed. David Palmer, 199-211. New York: Bloomsbury. (PMID: 10.5040/9781474276955.ch-018)
Collins, Patricia Hill. 2000. Black feminist thought: Knowledge, consciousness, and the politics of empowerment. 2nd ed. New York: Routledge.
Collins, Patricia Hill. 2004. Black sexual politics: African Americans, gender, and the new racism. New York: Routledge. (PMID: 10.4324/9780203309506)
Cronin, Monica. 2020. Anarcha, Betsey, Lucy, and the women whose names were not recorded: The legacy of J Marion Sims. Anaesthesia and Intensive Care 48(3_suppl): 6–13. https://doi.org/10.1177/0310057X20966606.
Cuomo, Amelia Lynn. 1999. Expecting women: Constructing the pregnant woman in twentieth century United States and British dramatic representation. Louisiana State University and Agricultural & Mechanical College. LSU Historical Dissertations and Theses. 6915. https://repository.lsu.edu/gradschool_disstheses/6915.
Davis, Angela. 1972. Reflections on the Black woman’s role in the community of slaves. The Massachusetts Review 13(1/2): 81–100. http://www.jstor.org/stable/25088201.
DeFrantz Thomas F and Gonzalez Anita (2014) Introduction: From “Negro expression” to “Black performance.” In: DeFrantz Thomas F, Gonzalez Anita (eds) Black performance theory. Duke University Press, London, pp 1–15. (PMID: 10.1215/9780822377016)
Dubbin, L. A., Jamie Suki Chang, and Janet K. Shim. 2013. Cultural health capital and the interactional dynamics of patient-centered care. Social Science & Medicine 93: 113–120. https://doi.org/10.1016/j.socscimed.2013.06.014. (PMID: 10.1016/j.socscimed.2013.06.014)
Dudley, Rachel. 2012. Toward an understanding of the ‘medical plantation’ as a cultural location of disability. Disability Studies Quarterly 32 (4).
Fett, Sharla M. 2002. Working cures: Healing, health, and power on Southern slave plantations. Chapel Hill, North Carolina: University of North Carolina Press.
Foucault, Michel. 1978. The history of sexuality volume I: An introduction. Translated by Robert Hurley. New York: Pantheon Books.
Foucault, Michel. 2003. The birth of the clinic: An archaeology of medical perception. Translated by A. M. Sheridan. London: Routledge.
Fox, Ann M. 2013. A different integration: Race and disability in early-twentieth-century African American drama by women. Legacy 30(1): 151–171. https://www.jstor.org/stable/10.5250/legacy.30.1.0151.
Gramsci, Antonio. 1992. Selections from the prison notebooks. ed. Geoffrey Lowell Smith. Translated by Quintin Hoare. New York: International Publishers.
Greenhalgh, Susan. 2001. Under the medical gaze: Facts and fictions of chronic pain. Berkeley: University of California Press. (PMID: 10.2307/jj.17681900)
Hall, William J., Mimi V. Chapman, Kent M. Lee, Yesenia M. Merino, Tainayah W. Thomas, B. Keith Payne, Eugenia Eng, Steven H. Day, and Tamera Coyne-Beasley. 2015. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review. American Journal of Public Health 105(12): e60–76. https://doi.org/10.2105/AJPH.2015.302903. (PMID: 10.2105/AJPH.2015.302903)
Hartman, Saidiya V. 2022. Scenes of subjection: Terror, slavery, and self-making in nineteenth-century America. New York: W. W. Norton & Company, Inc.
Hoberman, John M. 2012. Black and blue: The origins and consequences of medical racism. Berkeley: University of California Press. (PMID: 10.1525/california/9780520248908.001.0001)
Hoffman, Kelly M., Sophie Trawalter, Jordan R Axt, and M. Norman Oliver. 2016. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proceedings of the National Academy of Sciences of the United States of America 113(16): 4296–301. https://doi.org/10.1073/pnas.1516047113. (PMID: 10.1073/pnas.1516047113)
Hogarth, Rana A. 2017. Medicalizing Blackness: Making racial difference in the Atlantic world, 1780-1840. Chapel Hill: University Of North Carolina Press.
Holloway, Karla F. C. 2011. Private Bodies, public texts: Race, gender, and cultural bioethics. Duke University Press.
Kapsalis, Terri. 2002. Mastering the female pelvis: Race and the tools of reproduction. In Skin deep, spirit strong: The Black female body in American culture, ed. K. Wallace-Sanders, 263–300. Ann Arbor, MI: University of Michigan Press.
Lacognato, Ashley. 2022. America is killing the Black body, slowly but surely: How slavery-era beliefs grew to accepted, institutionalized practice. Master’s thesis, State University of New York at Buffalo.
Mackenzie, Catriona, and Natalie Stoljar. 2000. Relational autonomy: Feminist perspectives on autonomy, agency, and the social self. New York: Oxford University Press. (PMID: 10.1093/oso/9780195123333.001.0001)
Mbembe, Achille. 2019. Necropolitics. Translated by Steven Corcoran. Durham: Duke University Press.
Morgan, Jennifer L. 2004. Laboring women: Reproduction and gender in new world slavery. Philadelphia, Pennsylvania: University of Pennsylvania Press. (PMID: 10.9783/9780812206371)
Nash, Jennifer C. 2021. Birthing Black mothers. Durham: Duke University Press. (PMID: 10.1215/9781478021728)
National Library of Medicine. 1999. Vesico-vaginal fistula. What is an obstetric fistula? Safe Mother (27): 4–8. https://pubmed.ncbi.nlm.nih.gov/12322285/.
Nuriddin, Ayah, Graham Mooney, and Alexandre I. R. White. 2020. Reckoning with histories of medical racism and violence in the USA. Lancet (London, England) 396 (10256): 949–951. https://doi.org/10.1016/S0140-6736(20)32032-8. (PMID: 10.1016/S0140-6736(20)32032-8)
Nyrovaara, Eeva. 2011. The feminist transformation of bioethics: An analysis of theoretical perspectives and practical applications in feminist bioethics. PhD diss., University of Helsinki.
Odero, Angela, Manon Pongy, Louis Chauvel, Bernard Voz, Elisabeth Spitz, Benoit Pétré, and Michèle Baumann. 2020. Core values that influence the patient-healthcare professional power dynamic: Steering interaction towards partnership. International Journal of Environmental Research and Public Health 17(22): 8458. https://doi.org/10.3390/ijerph17228458. (PMID: 10.3390/ijerph17228458)
Owens, Deirdre Cooper. 2017. Medical bondage: Race, gender, and the origins of American gynecology. Athens, GA: University of Georgia Press. (PMID: 10.2307/j.ctt1pwt69x)
Pernick, Martin S. 1985. A calculus of suffering: Pain, professionalism and anesthesia in nineteenth-century America. New York: Columbia University Press.
Posey, Brianne M. 2023. Reproductive slavery: Historical and present-day discussions of the Black female body as a condition of confinement. Women’s Studies International Forum 98 (May): 102741. https://doi.org/10.1016/j.wsif.2023.102741. (PMID: 10.1016/j.wsif.2023.102741)
Ray, Keisha, Faith E. Fletcher, Daphne O. Martschenko, and Jennifer E. James. 2023. Black bioethics in the age of Black lives matter. Journal of Medical Humanities 44: 251–267. https://doi.org/10.1007/s10912-023-09783-4. (PMID: 10.1007/s10912-023-09783-4)
Ristic, Aleksandar J., Adriana Zaharijević, and Nenad Miličić. 2021. Foucault’s concept of clinical gaze today. Health Care Analysis 29(2): 99–112. (PMID: 10.1007/s10728-020-00402-0)
Roberts, Dorothy E. 1997. Killing the Black body: Race, reproduction, and the meaning of liberty. New York: Vintage.
Robinson, Cedric J. 2000. Black Marxism: The making of the Black radical tradition. The University of North Carolina Press.
Ross, Loretta J. 2017. Trust Black women: Reproductive justice and eugenics. In Radical reproductive justice: Foundations, theory, practice, critique, eds. Loretta J. Ross, Lynn Roberts, Erika Derkas, Whitney Peoples, and Pamela Bridgewater Toure, 50–74. New York: Feminist Press.
Sabin, Janice A. 2020. How we fail Black patients in pain. AAMC. https://www.aamc.org/news/how-we-fail-black-patients-pain . Accessed May 6 2023.
Savitt, Todd L. 2007. Race and medicine in nineteenth- and early-twentieth century America. Ashland: The Kent State University Press.
Schafer, Carol. 2008. Staging a new literary history: Suzan-Lori Parks’s Venus, In the Blood, and Fucking A. Comparative Drama 42(2): 181–203. https://www.jstor.org/stable/23038019.
Shildrick, Margrit. 2015. Leaky bodies and boundaries: Feminism, postmodernism and (bio)ethics. New York: Routledge. (PMID: 10.4324/9781315004952)
Simpson, Charly Evon. 2019. Behind the sheet. New York: Dramatists Play Service.
Smith-Rosenberg, Caroll, and Charles Rosenberg. 1973. The female animal: Medical and biological views of woman and her role in nineteenth-century America. The Journal of American History 60(2): 332–356. https://doi.org/10.2307/2936779. (PMID: 10.2307/2936779)
Somnath, Saha. 2006. The relevance of cultural distance between patients and physicians to racial disparities in health care. Journal of General Internal Medicine 21(2): 203–205. https://doi.org/10.1111/j.1525-1497.2006.0345.x. (PMID: 10.1111/j.1525-1497.2006.0345.x)
Turner, Sasha. 2020. The nameless and the forgotten: Maternal grief, sacred protection, and the archive of slavery. In Motherhood, childlessness and the care of children in Atlantic slave societies, eds. Camillia Cowling, Maria Helena Pereira Toledo Machado, Diana Paton and Emily West, 43–71. New York: Routledge.
Verbrugge, Martha H. 1976. Women and medicine in nineteenth-century America. Signs 1(4): 957–72. http://www.jstor.org/stable/3173245.
Vos, Natasha L. 2017. Medical humanities: Healing through personal narrative. Survive & Thrive: A Journal for Medical Humanities and Narrative as Medicine 3(1): 50–52.
Wade, Sabia. 2023. Birthing liberation: How reproductive justice can set us free. Chicago: Chicago Review Press.
Washington, Deleso A. 2009. Critical race feminist bioethics: Telling stories in law school and medical school in pursuit of ‘cultural competency.’ Scholarly Commons @ FAMU Law. https://commons.law.famu.edu/faculty-research/117/.
Washington, Harriet A. 2006. Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. New York: Random House.
Weinbaum, Alys Eve. 2019. The afterlife of reproductive slavery: Biocapitalism and Black feminism’s philosophy of history. Durham: Duke University Press. (PMID: 10.1215/9781478003281)
Contributed Indexing: Keywords: Biopower; Black superbody; Gynecology; Informed consent; Medical plantation; Medical racism
Entry Date(s): Date Created: 20250104 Date Completed: 20260107 Latest Revision: 20260108
Update Code: 20260130
DOI: 10.1007/s10912-024-09921-6
PMID: 39754659
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1573-3645
DOI:10.1007/s10912-024-09921-6