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Androphobia, Demasculinization, and Professional Conflicts: The Herstories of the Physical Therapy Profession Deconstructed

Published online by Cambridge University Press:  25 July 2016

Anders Ottosson
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Abstract

Research on the beginning of the physical therapy profession in different countries often identifies it as a traditional female occupation. Its original semiprofessional character is also pointed out. It lacked professional attributes with masculine connotations, such as a high degree of autonomy and a unique scientific body of knowledge. But on all accounts this understanding is wrong. Originally the profession was an occupation for men only, who were very professionally independent and in charge of a state-sanctioned science of their own. Yet no modern physical therapists know about this, and neither do scholars studying the profession's origin. Why is that? The aim of this article is to highlight the gender mechanisms shaping a discourse strong enough to change our historical consciousness, in this case preventing us from seeing the masculine context out of which the physical therapy profession grew. The analysis explaining the phenomenon centers on two gender-altering and conflict-laden processes, one that was homosocial (men against men) and one that was heterosocial (women against men). Common to both was that they were ultimately powered by a fear of masculinity, here conceptualized as androphobia. Simplified the physical therapy profession came to be perceived as too masculine, and due to this its excess of masculinity was actively eliminated from the profession even in physical form (read: males). The profession was demasculinized and the same happened to its old history, which made the latter unwanted and finally obscured behind new herstories.

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Articles
Information
Social Science History , Volume 40 , Issue 3 , Fall 2016 , pp. 433 - 461
Copyright
Copyright © Social Science History Association, 2016 

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References

Abbott, Andrew (1988) The System of Professions: An Essay on the Division of Expert Labor. Chicago: University of Chicago Press.Google Scholar
Baer, Hans (2004) “Divergences in the evolution of osteopathy in four anglophone countries: The United States, Canada, Britain, and Australia,” in Oths, Kathryn S. and Hinojosa, Servano Z. (eds.) Healing by Hands, Manual Medicine and Bonesetting in Global Perspective. Walnut Creek: AltaMira Press: 63–80.Google Scholar
Barrows, Isabel C. (1890) Physical Training: A Full Report of the Papers and Discussions of the Conference Held in Boston in November 1889. Boston: Press of G. H. Ellis.Google Scholar
Berquist, Jon L. (1992) Reclaiming Her Story: The Witness of Women in the Old Testament. St. Louis: Chalice Press.Google Scholar
Betänkande med förslag angående ordnandet av sjukgymnastutbildningen i riket avgivet av sakkunniga inom Ecklesiastikdepartementet, Ecklesiastikdepartementets konseljakter, 19310220, 64 (3). National Archives, Sweden.Google Scholar
Betts, Richard J. (1971) “American medical thought on exercise as the road to health.” Bulletin of the History of Medicine 45 (2): 138–52.Google Scholar
Bjurwill, Christer (1996) “Helhetstanken hos Per Henrik Ling.” Stockholm: Idrott, Historia and Samhälle: 9–19.Google Scholar
Blåboksnummer 1955/16. Uppsala Universitetsbibliotek, Sweden.Google Scholar
Blackwell, Elizabeth (1852) The Laws of Life, with Special Reference to Physical Education of Girls. New York: S. Low.Google Scholar
Box 5B.1.1.1. Chartered Society of Physiotherapy, Wellcome Institute Library, London.Google Scholar
Box 190 P1.3, 9/4 1913. Chartered Society of Physiotherapy, Wellcome Institute Library, London.Google Scholar
Bradford, Helene (1996) “Women, gender and colonialism: Rethinking the history of the British cape colony and its frontier zones, c. 1806–70.” Journal of African History 37 (3): 351–70.Google Scholar
Brown, Theodore M. (1970) “The college of physicians and the acceptance of iatromechanism in England, 1665–1695.” Bulletin of the History of Medicine 44 (1): 12–30.Google Scholar
Buchhold, C. Hermann (1914) “Six years’ experiences at the Medicomechanical Department at Massachusetts General Hospital.” JAMA 63 (20): 1733–39.Google Scholar
Calvert, Robert Noah (2002) The History of Massage: An Illustrated Survey from around the World. Rochester, VT: Healing Art Press.Google Scholar
Connell, R. W. (1995) Masculinities. Cambridge: Polity Press.Google Scholar
Connell, R. W., and Messerschmidt, James A. (2005) “Hegemonic masculinity: Rethinking the concept.” Gender and Society 19 (6): 829–59.Google Scholar
Cooter, Roger (1993) Surgery and Society in Peace and War: Orthopaedics and the Organization of Modern Medicine, 1880–1948. London: Macmillan Press.Google Scholar
Davies, C. (1996) “The sociology of professions and the professions of gender.” Sociology 30 (4): 661–78.Google Scholar
Erenhoff, C. C. (1845) Medicina Gymnastica or Therapeutic Manipulation: A Short Treatise on This Science as Practiced at the Royal Institution at Stockholm. London: J. Masters.Google Scholar
Eulenburg, M. M. (1853) Die Schwedische Heil-Gymnastik. Versuch einer wissenschaftlischen Begrundung derselben. Berlin: Hirschwald.Google Scholar
Fletcher, Schiela (1984) Women First: The Female Tradition in English Physical Education 1880–1980. London: Athlone Press.Google Scholar
Florin, Florin (1993) “Kön och professionalisering,” in Lindström, Maja, Markkola, Pirjo, and Mäenpää, Sari (eds.) Kvinnohistoriens nya utmaningar: Från sexualitet till Världshistoria. Tampere: Tampereen yliopisto: 275–81.Google Scholar
Friedson, Elliot (1970) Professional Dominance: The Social Structure of Medical Care. New York: Atherton Press.Google Scholar
Georgii, C. A. (1847) Kinésiethérapie ou traitements des maladies par le mouvement selon la méthod de Ling. Paris: Germer-Baillière.Google Scholar
Georgii, C. A. (1854) A Biographical Sketch of the Swedish Poet and Gymnasiarch Peter Henry Ling. London: Germer-Baillière.Google Scholar
Gevitz, Norman (1982) The DOs: Osteopathic Medicine in America. Baltimore: John Hopkins University Press.Google Scholar
Gevitz, Norman (1988) “Osteopathic medicine: From deviance to difference,” in Gevitz, Norman (ed.) Other Healers: Unorthodox Medicine in America. Baltimore and London: John Hopkins University Press: 124–56.CrossRefGoogle Scholar
Gilbert, J. (2001) “Science and it's ‘other’: Looking underneath ‘woman’ and ‘science’ for new directions in research on gender and science education.” Gender and Education 13 (3): 291–305.Google Scholar
Glazer, P. M., and Slater, M. (1987) Unequal Colleagues: The Entrance of Women into the Professions, 1890–1940. New Brunswick: Rutgers University Press.Google Scholar
Graham, Douglas (1890) A Treatise on Massage. New York: J. H. Vail & Co. Google Scholar
Gritzer, Glenn, and Arluke, Arnold (1985) The Making of Rehabilitation: A Political Economy of Medical Specialization, 1890–1980. Berkeley: University of California Press.Google Scholar
Gromkowska-Meloosik, Agnieska (2014) “The masculinization of identity among successful career women? A case study of Polish female managers.” Journal of Gender and Power 1 (1): 25–47.Google Scholar
Guenther, Katja (2014) “Exercises in therapy—Neurological gymnastics between Kurort and hospital medicine, 1880–1945.” Bulletin of the History of Medicine 88 (1): 112–31.Google Scholar
Hackin, Thomas (2002) “Textual silence and the discourse of homelessness.” Discourse and Society 13 (3): 347–72.Google Scholar
Hansson, Nils, and Ottosson, Anders (2015) “Nobel Prize for physiotherapy? Rise, fall and revival of medico-mechanical institutes.” Physical Therapy 95 (8): 1184–94.Google Scholar
Hartelius, T. J. (1896) Swedish Movements or Medical Gymnastics. Battle Creek: Modern Medicine Pub. Co. Google Scholar
Heap, Ruby (1995) “The emergence of physiotherapy as a new profession for Canadian women, 1914–1918,” in Cook, Sharon Anne, McLean, Lorna R., and O'Rourke, Kate (eds.) Framing Our Past: Canadian Women's History in the Twentieth Century. Montreal: McGill-Queen's University Press: 295–99.Google Scholar
Holme, Lotta (1996) Konsten att göra barn raka. Ortopedi och vanförevård i Sverige till 1920. Linköping: Carlsson.Google Scholar
In de Betou, J. Govert (1842) Therapeutic Manipulation: Or a Successful Treatment of Various Disorders of the Human Body by Mechanical Applications. London: Simpkin, Marshall, & Co. Google Scholar
Kellogg, Harvey (1895) The Art of Massage: Its Physiological and Therapeutic Applications. Battle Creek: Modern Medicine Pub. Co. Google Scholar
Kimmel, Michael (1996) Manhood in America: A Cultural History. New York: Free Press.Google Scholar
Larkin, G. (1983) Occupational Monopoly and Modern Medicine. London: Tavistock Publications.Google Scholar
Larsen, Dale (2005) “The historical development of knowledge in physiotherapeutic spinal manual therapy.” PhD diss., University of Sydney, Sydney.Google Scholar
Larson, M. Sarfatti (1977) The Rise of Professionalism: A Sociological Analysis. Berkeley: California University Press.Google Scholar
Lindroth, Jan (1974) Idrottens väg till Folkrörelse. Uppsala: Vlg. Keine Angabe.Google Scholar
Lindroth, Jan (2004) Ling—från storhet till upplösning. Studier i svensk gymnastikhistoria 1800–1950. Stockholm: Symposion.Google Scholar
Lindsay, Sally (2007) “Gendering work: The masculinization of nurse anesthesia.” Canadian Journal of Sociology 32 (4): 429–44.Google Scholar
Linker, Beth (2005a) “Strength and science: Gender, physiotherapy, and medicine in early-twentieth-century America.” Journal of Women's History 17 (3): 105–32.Google Scholar
Linker, Beth (2005b) “The business of ethics: Gender, medicine, and the professional codification of the American Physiotherapy Association, 1918–1935.” Journal of the History of Medicine and Allied Sciences 60 (3): 320—54.Google Scholar
Linker, Beth (2011) War's Waste: Rehabilitation in World War I America. Chicago: University Chicago Press.Google Scholar
Ljunggren, Jens (1999) Kroppens bildning: Linggymnastikens manlighetsprojekt 1790–1914. Stockholm: Symposion.Google Scholar
Lovett, W. Robert (1912) Lateral Curvature of the Spine and Round Shoulders. Philadelphia: P. Blakiston's Son & Co. Google Scholar
Lundqvist-Wannerberg, Pia (2004) “Kroppens medborgarfostran. Kropp, klass och genus 1916–1962.” PhD diss., Stockholm Unviersity, Stockholm.Google Scholar
McIntosh, P. C. (1957) Landmarks in the History of Physical Education. New York: Routledge.Google Scholar
McMillan, Mary (1921) Massage and Therapeutic Exercise. Boston: W. B. Saunders Company.Google Scholar
Mélio, George (1889) Manual of the Swedish Drill for Teachers and Students. New York: Excelsior Publishing House.Google Scholar
Morantz-Sanches, Regina (1992) “Feminist theory and historical practice: Rereading Elizabeth Blackwell.” History and Theory 31 (4): 51–69.Google Scholar
Murphy, Raymond (1988) Social Closure: The Theory of Monopolization and Exclusion. Oxford: Clarendon Press.Google Scholar
National Council (1898) Report of the Council. American Physical Education Review 3: 61.Google Scholar
Neumann, J. Albert (1852) Die Heil-Gymnastik oder die Kunst der Leibesübungen, angewant zur Heilung von Krankheiten nach dem Systeme des Schweden Ling und seiner Schüler Branting, Georgii, de Ron, sowei nach eigenen Ansichten und Erfahrungen. Berlin: P. Jeanrenaud.Google Scholar
Nicholls, D., and Cheek, J. (2006) “Physiotherapy and the shadow of prostitution: The Society of Trained Masseuses and the massage scandals of 1894.” Social Science and Medicine 62 (9): 2336–48.Google Scholar
Oldenburg, Hugo Adalvard (1895) Collected Papers on Massage and Gymnastics. Chicago.Google Scholar
Ottosson, Anders (2005) “Sjukgymnasten—vart tog “han” vägen? En undersökning av sjukgymnastyrkets maskulinisering och avmaskulinisering 1813–1934.” PhD diss., Göteborg University, Göteborg.Google Scholar
Ottosson, Anders (2010a) “The first historical movements of kinesiology: Scientification in the borderland between medicine and physical culture around 1850.” The International Journal of the History of Sport 27 (11): 1892–919.Google Scholar
Ottosson, Anders (2010b) “Als Orthopäden noch Physioterapeuten waren, oder warum es Physiotherapeuten an Geschichtsbewusstsein mangelt—Verhältnis von Orthopädie und Physiotherapie in Schweden im 19. Jahrhundert.” Manuelle Therapie 14 (1): 14–21.Google Scholar
Ottosson, Anders (2011) “The manipulated history of manipulations of spines and joints: Rethinking orthopaedic medicine through the 19th century discourse of mechanical medicine.” Medicine Studies 3 (2): 83–116.Google Scholar
Ottosson, Anders (2013a) Gymnastik som medicin. Berättelsen om en svensk exportsuccé. Slovenien: Atlantis.Google Scholar
Ottosson, Anders (2013b) “Svärdet, facklan och staven samt en ek på villovägar? Synen på sjuk och frik vid GCI 1813–1950,” in Bolling, Hans and Yttergren, Leif (eds.) 200 år av kroppsbildning. Gymnastiska Centralinstitutet/Gymnastik- och Idrottshögskolan, 1813–2013. Stockholm: The Swedish School of Sport and Health Sciences: 51–76.Google Scholar
Ottosson, Anders (2016a) “One history or many herstories? Gender politics and the history of physiotherapy origins in the nineteenth and early twentieth century.” Women's History Review 25 (2): 296–319.Google Scholar
Ottosson, Anders (2016b) “The age of gynaecological masseurs: Non-intrusive male hands, female intimacy and women's health around 1900.” Social History of Medicine (forthcoming).Google Scholar
Ottosson, Anders (2016c) “Gym machines and migration of medical knowledge in the 1800s,” in Hansson, Nils and Wistrand, Jonatan (eds.) Bridging the Baltic: Transfer of Medical Knowledge in the Baltic Sea Region, 1850–2000 (forthcoming).Google Scholar
Palmqvist, Maria (1900) “The physical training department vid the Women's College of Baltimore.” Tidskrift i Gymnastik 27: 115–23.Google Scholar
Park, Roberta (1986) “Edward M. Hartwell and physical training at the John Hopkins University, 1879–1890.” Journal of Sport History 14 (1): 108–19.Google Scholar
Park, Roberta (2007a) “Biological thought, athletics and the formation of a ‘man-character’: 1830–1900.” International Journal of the History of Sport 24 (12): 1543–69.Google Scholar
Park, Roberta (2007b) “Physiologists, physicians, and physical educators: Nineteenth century biology and exercise, hygienic and educative.” International Journal of the History of Sport 24 (12): 1637–73.Google Scholar
Park, Roberta (2008) “Sharing, arguing, and seeking recognition: International congresses, meetings, and physical education, 1867–1915.” International Journal of the History of Sport 25 (5): 519–48.Google Scholar
Parkin, Frank (1979) Marxism and Class Theory: A Bourgeoise Critique. London: Tavitock Publications.Google Scholar
Pfister, G. (2003) “Cultural confrontations: German Turnen, Swedish gymnastics and English sport—European diversity in physical activities from a historical perspective.” Culture, Sport, Society 6 (1): 61–91.Google Scholar
Quiroga, Virginia A. M. (1995) Occupational Therapy: The First Thirty Years, 1900–1930. Bethesda: AOTA.Google Scholar
Rao, V. K. (2008) The Teaching of Physical Education. New Delhi: A. P. H. Publishing Corporation.Google Scholar
Reed College Record (1918) War Work for Women: Training for Reconstruction Aides for Military Hospitals. Reed College Record 32. Portland: Reed College.Google Scholar
Reet, Howell A. (1979) “Baron Nils Posse—The ‘father’ of Swedish gymnastics in the United States.” Uppsala: 8th International Congress for the History of Sport and Physical Education: 209–19.Google Scholar
Remley, Mary L. (1979) “An ever-widening circle: The expansion of Swedish gymnastics through teacher training.” Uppsala: 8th International Congress for the History of Sport and Physical Education: 220–27.Google Scholar
Rogers, Naomi (2014) Polio Wars: Sister Elisabeth Kenny and the Golden Age of American Medicine. New York: Oxford University Press.Google Scholar
Schiller, Francis (1971) “Spinal irritation and osteopathy.” Bulletin of the History of Medicine 45: 250–66.Google Scholar
Schreber, D. G. Mortiz (1852) Kinesiatrik oder die gymnastische Heilmetode. Für Ärtze und gebildete Nichtärtze nach eigenen Erfahrung dargstellt. Leipzig: Verlag.Google Scholar
Shiöler, Julia (2005) “Über die Anfänge der Schwedishen Heilgymnastik in Deutschland—ein Beitrag zur Geschichte der Krankengymnastik im 19. Jahrhundert.” PhD diss., Westfälischen Wilhelms-Universität Münster, Münster.Google Scholar
Spalding, Muriel, and Collett, Laura (1910) The Swedish Drill Teacher. London: J. Curwen & Sons.Google Scholar
Spears, Betty (1979) “The Royal Central Institute of Gymnastics and the formative years of the Boston Normal School of Gymnastics, Boston, Massachusetts.” Uppsala: 8th International Congress for the History of Sport and Physical Education: 200–8.Google Scholar
Sturdy, S., and Cooter, R. (1998) “Science, scientific management, and the transformation of medicine in Britain c. 1870–1950.” History of Science 36: 421–66.Google Scholar
Swisher, Laura Lee, and Catherine, Page G. (2005) Professionalism in Physiotherapy: History, Practice and Development. St. Louis: Elsevier.Google Scholar
Taylor, Charles F. (1857) The Movement Cure. New York: William Radde.Google Scholar
Taylor, Charles F. (1861) Theory and Practice of the Movement-Cure: or, Treatment of Lateral Curvature of the Spine; Paralyses, Indegestion, Constipation, Consumption, Angular Curvatures. Philadelphia: Lindsay & Blakiston.Google Scholar
Taylor, George H. (1860) An Exposition of the Swedish Movement-Cure. New York: Fowler and Wells.Google Scholar
Taylor, George H. (1880) Health by Exercise. What Exercises to Take and How to take them, to Remove Special Physical Weaknesses. Embracing an Account of the Swedish Method, and a Summary of the Principles of Hygiene. New York: American Book Exchange.Google Scholar
Taylor, Henry Ling (1896) “Exercise as a Remedy.” Popular Science Monthly 48: 626–35.Google Scholar
Terlouw, Thomas (1991) De opkomst van het Heilgymnastisch beroep in Nederland in de 19de eeuwe. Amsterdam: Erasmus Publishing.Google Scholar
Terlouw, Thomas (2000) “How can we treat collective amnesia?” Physiotherapy 86 (5): 257–61.Google Scholar
Terlouw, Thomas (2007) “Roots of physical medicine, physical therapy, and mechanotherapy in the Netherlands in the 19th century: A disputed area within the healthcare domain.” The Journal of Manual and Manipulative Therapy 15 (2): 23–41.Google Scholar
Tosh, J. (2005) Manliness and Masculinities in Ninehteenth-Century Britain. Malaysia: Pearson Education Limited.Google Scholar
Törngrens Arkiv, 1/8 1900. National Archives, Sweden.Google Scholar
Trouillot, Michel-Rolph (1995) Silencing the Past: Power and the Production of History. Boston: Beacon Press.Google Scholar
Verbrugge, H. Martha (1988) Able-bodied Womenhood, Personal Health and Social Change in 19th Century Boston. New York: Oxford University Press.Google Scholar
Walkley, Susan (2004) “When the body leads the mind: Perspectives on massage therapy in the United States,” in Oths, Kathryn S. and Hinojosa, Servano Z. (eds.) Healing by Hands, Manual Medicine and Bonesetting in Global Perspective. Walnut Creek: AltaMira Press: 23–42.Google Scholar
Wardwell, I. (1992) Chiropractic: History and Evolution. St. Louis: Mosby Year Book.Google Scholar
Whorton, C. James (2002) Nature Cures: The History of Alternative Medicine in America. New York: Oxford University Press.Google Scholar
Witz, Anne (1990) “Patriarchy and profession: The gendered politics of occupational closure.” Sociology 24 (4): 675–90.Google Scholar
Witz, Anne (1992) Professions and Patriarchy. London: Routledge.Google Scholar
Wright, G. Wilhelmine (1912) “Muscle training in the treatment of infantile paralysis.” Boston Medical and Surgical Journal 157 (17): 567–74.Google Scholar
Zieff, G. Susan (2010) “Leading the way in science, medicine, and physical training: Female physicians in academia.” International Journal of the History of Sport 27 (7): 1219–36.Google Scholar