'Big white chief', 'pontius pilate', and the 'plumber': The impact of the 1967 Abortion Act on the Scottish medical community, c.1967-1980

'Big white chief', 'pontius pilate', and the 'plumber': The impact of the 1967 Abortion Act on the Scottish medical community, c.1967-1980
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DOI:
10.1093/sochis/hki026
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发表时间:
2005-08-01
影响因子:
0.7
通讯作者:
Davidson, R
Davidson, R
中科院分区:
人文科学2区
文献类型:
--
作者:
Davis, G;Davidson, R

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近年来,堕胎法改革的社会历史及其后果越来越受到历史学家、社会学家和政治学家的关注。然而,以前的研究往往主要集中在英语的经验,并围绕堕胎立法的社会政治,而不是其对医学界的影响使用一系列的法律的,医疗和政府文件,辅以口头证词,本文旨在解决这些限制,探索1967年堕胎法在苏格兰的医疗经验。首先,它概述了被认为是由该法造成的医疗问题,正如苏格兰证人向莱恩委员会所阐述的那样;特别是对现有妇科服务和工作人员的压力、对该法的解释的地理差异、终止妊娠的法定时限以及在涉及社会标准的情况下医疗参与终止妊娠的适当性的关注。其次,本文探讨了医学界如何应对这些问题和新的责任的挑战,并审查了一系列的战略,希望尽量减少或下放他们的作用,在决策过程中的医疗从业者。
The social history of abortion law reform and its aftermath have, in recent years, attracted increasing attention from historians, sociologists, and political scientists. However, previous research has tended to focus primarily on the English experience, and on the social politics surrounding abortion legislation rather than its impact upon the medical community Using a range of legal, medical, and governmental files, supplemented by oral testimony, this article seeks to address these limitations by exploring the medical experience of the 1967 Abortion Act in Scotland. First, it outlines the medical problems which were perceived to have been created by the Act, as articulated by Scottish witnesses to the Lane Committee; in particular, concerns surrounding the pressure on existing gynaecological services and staff, geographical variations in the interpretation of the Act, the statutory time limit for termination, and the appropriateness of medical involvement in terminations of pregnancy where social criteria were involved. Secondly, the article explores how the medical community responded to those concerns and to the challenge of new responsibilities, and reviews the range of strategies employed by those medical practitioners wishing to minimize or devolve their role in the decision-making process.