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He mentioned only two points wherein there is apparent conflict, namely, prophylaxis that allows immorality while avoiding venereal disease, and prevention of conception. Neither of these is directly involved in the sex-education movement, and their immoral bearings are highly debatable.
The fact that the American Society of Sanitary and Moral Prophylaxis was organized by a group of people in New York City tended from the beginning to make it a local society. While for several years it took the lead in sex-hygiene and enrolled members residing in many parts of the United States, it was never a national organization.
The founders of the American Society for Sanitary and Moral Prophylaxis placed sanitation first in the name and stated in the constitution that "the object of this Society is to limit the spread of diseases which have their origin in the Social Evil. It proposes to study every means, sanitary, moral, and administrative, which promise to be most effective for this purpose."
Psychophysical prophylaxis may secure steadiness of equilibrium to a system which inherited little resistance. Yet this large borderland region, where an ill-adjusted brain may be saved or lost in accordance with favorable or unfavorable circumstances, shades off again to the darker regions where the inner evolution leads by necessity to disaster even under favorable conditions.
Whatever effect the humid mildness of the air may have in diminishing excitability, and in allaying pulmonary irritation in patients of a nervous temperament, it is decidedly injurious in those of a feeble and lymphatic habit.... The delusion of an Italian climate, as regards the cure or prophylaxis of tubercular consumption, is in no part of that country, so delightful to persons in sound health, more clearly portrayed than at far-famed Pisa.
But in more than thirty states the immediate reporting of infants' sore eyes is compulsory, and in thirteen states the prophylaxis is distributed free to doctors and midwives. In our own state, every precaution is taken to prevent infant ophthalmia.
Consequently, it was found necessary to make laws for the prevention of this disease. For various reasons, it is difficult to pass a law making the use of a prophylaxis compulsory, and in only a few states has this been done.
In 1892, thirteen years before the organization of the Society of Sanitary and Moral Prophylaxis, a group of members of the National Education Association considered briefly the importance of instructing young people. However, this meeting was of ephemeral significance and had no genetic relation to the present-day movement.
Dale's articles on Moral Prophylaxis, in the JOURNAL OF NURSING since the July number; Instructing Children in the Origin of Life, Elisabeth Robinson Scovil, in October JOURNAL OF NURSING; Leaflets and pamphlets published by American Motherhood, 188 Main Street, Cooperstown, New York; Publications of the American Association of Sanitary and Moral Prophylaxis, New York City, JOURNAL OF NURSING, February, 1912.
And both parties assume that what is at issue is the scientific soundness of the prophylaxis. It never occurs to them that the particular pathogenic germ which they intended to introduce into the patient's system may be quite innocent of the catastrophe, and that the casual dirt introduced with it may be at fault.
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