Work, marriage and premature birth: the socio-medicalisation of pregnancy in state socialist East-Central Europe.

Reproductive health in state socialism is usually viewed as an area in which the broader contexts of women's lives were disregarded. Focusing on expert efforts to reduce premature births, we show that the social aspects of women's lives received the most attention. In contrast to typical descriptions emphasising technological medicalisation and pharmaceuticalisation, we show that expertise in early socialism was concerned with socio-medical causes of prematurity, particularly work and marriage. The interest in physical work in the 1950s evolved towards a focus on psychological factors in the 1960s and on broader socio-economic conditions in the 1970s. Experts highlighted marital happiness as conducive to healthy birth and considered unwed women more prone to prematurity. By the 1980s, social factors had faded from interest in favour of a bio-medicalised view. Our findings are based on a rigorous comparative analysis of medical journals from Hungary, Poland, Czechoslovakia and East Germany.

Saving newborns, defining livebirth: The struggle to reduce infant mortality in East-Central Europe in comparative and transnational perspectives, 1945-1965.

After World War II, infant mortality rates started dropping steeply. We show how this was accomplished in socialist countries in East-Central Europe. Focusing on the two postwar decades, we explore comparatively how medical experts in Poland, Hungary, Czechoslovakia, and East Germany saved fragile newborns. Based on an analysis of medical journals, we argue that the Soviet Union and its medical practices had only a marginal influence; the four countries followed the recommendations of the World Health Organization instead, despite not being members. Importantly, we analyze the expert clashes over definitions of livebirth, which impact infant mortality statistics. We analyze the divergent practices and negotiations between countries: since the infant mortality rate came to represent the level of socioeconomic advancement, its political significance was paramount. Analyzing the struggle to reduce infant mortality thus helps us understand how socialist countries positioned themselves within the transnational framework while being members of the "socialist bloc."

Sex and gender norms in marriage: Comparing expert advice in socialist Czechoslovakia and Hungary between the 1950s and 1980s.

First, we argue that sexuality was central to socialist modernization: Sex and gender were reformulated whenever the socialist project was being revised. Expertise was crucial in these reformulations, which harnessed people's support for the changing regimes. Moreover, the role of the expert in society grew over time, leading to ever expanding and diversified fields of expertise. Second, gender and sexuality stood disjointed in these changes. Whereas in the early 1950s sex was a taboo subject in Hungary, in the last three decades of socialism it was gradually acknowledged and emancipated, along with a discursive push to alter gender roles within marriage. Conversely, Czechoslovak experts paid close attention to sexuality and particularly to female pleasure from the outset of the regime, highlighting the benefits of gender equality for conjugal satisfaction; yet, they changed course with Normalization (1969-1989) when they embraced gender hierarchy as the structure for a good marriage and a fulfilling sex life. It follows that gender and sexuality can develop independently: Change in one is not necessarily bound to similar progress in the other. Thus, third, whereas there was a shared initial push for gender equality, there was no unified socialist drive for the liberalization of sexuality. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

'We Won't Ban Castrating Pervs Despite What Europe Might Think!': Czech Medical Sexology and the Practice of Therapeutic Castration.

The Czech Republic holds one of the highest numbers of men labelled as sexual delinquents worldwide who have undergone the irreversible process of surgical castration - a policy that has elicited strong international criticism. Nevertheless, Czech sexology has not changed its attitude towards 'therapeutic castration', which remains widely accepted and practised. In this paper, we analyse the negotiation of expertise supporting castration and demonstrate how the changes in institutional matrices and networks of experts (Eyal 2013) have impacted the categorisation of patients and the methods of treatment. Our research shows the great importance of historical development that tied Czech sexology with the state. Indeed, Czech sexology has been profoundly institutionalised since the early 1970s. In accordance with the state politics of that era, officially named Normalisation, sexology focused on sexual deviants and began creating a treatment programme that included therapeutic castration. This practice, the aim of which is to protect society from sex offenders, has changed little since. We argue that it is the expert-state alliance that enables Czech sexologists to preserve the status quo in the treatment of sexual delinquents despite international pressure. Our research underscores the continuity in medical practice despite the regime change in 1989. With regard to previous scholarship on state-socialist Czechoslovakia, we argue that it was the medical mainstream that developed and sustained disciplining and punitive features.