front cover of The Physician's Hand
The Physician's Hand
Work Culture and Conflict in American Nursing
Barbara Melosh
Temple University Press, 1982

This book recasts nursing history and places it in the context of women’s history, labor history, medical history, and sociology. Removed from the limited framework of professionalization, nursing history can provide a fresh perspective on broader issues in social history. First, it offers an illuminating example of the ways in which gender informs work and, conversely. How work reproduces and transforms relationships of power and inequality.

Second, the experience of nurses adds a new dimension to our understanding of work. More than a study of professionalization, nursing history is the story of women workers’ experience in a rationalizing service industry. Like other workers, nurses faced a fundamental reorganization of work that changed the content and experience of nursing. But unlike many others, they did not suffer a dilution of skill. The book also explores the shifting configurations of social relations on the job and their implications for nurses’ work.

Third, nurses’ history provides a useful standpoint for analyzing the possibilities and limitations of women’s work.

Finally, nursing history alerts us to the complexities of working women’s consciousness, countering the common notion of women’s passivity in the workplace.

The Physician’s Hand traces nursing history from the twenties to the seventies. It begins just after World War I when the "trained nurse" had gained a secure place in medical care but not yet found a niche in the hospital. Most worked in private duty. Chapter 1 outlines the theoretical framework of professionalization. Chapter 2 examines the history and culture of hospital schools, and the following chapters focus on the changing structure and experience of nursing in its three major settings: private duty nursing, public health care, and hospital work. The conclusion weighs the competing traditions of professionalization and occupational culture in nurses’ history and their meaning for the current crisis in nursing.

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front cover of Strangers and Kin
Strangers and Kin
The American Way of Adoption
Barbara Melosh
Harvard University Press, 2002

Strangers and Kin is the history of adoption, a quintessentially American institution in its buoyant optimism, generous spirit, and confidence in social engineering. An adoptive mother herself, Barbara Melosh tells the story of how married couples without children sought to care for and nurture other people's children as their own. It says much about the American experience of family across the twentieth century and our shifting notions of kinship and assimilation. Above all, it speaks of real people striving to make families out of strangers.

In the early twentieth century, childless adults confronted orphanages reluctant to entrust their wards to the kindness of strangers. By the 1930s, however, the recently formed profession of social work claimed a new expertise--the science and art of child placement--and adoption became codified in law. It flourished in the United States, reflecting our ethnic diversity, pluralist ideals, and pragmatic approach to family. Then, in the 1960s, as the sexual revolution reshaped marriage, motherhood, and women's work, adoption became a less attractive option and the number of adoptive families precipitously declined. Taking this history into the early twenty-first century, Melosh offers unflinching insight to the contemporary debates that swirl around adoption: the challenges to adoption secrecy; the ethics and geopolitics of international adoption; and the conflicts over transracial adoption.

This gripping history is told through poignant stories of individuals, garnered from case records long inaccessible to others, and captures the profound losses and joys that make adoption a lifelong process.

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