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Pity, disgust, fear, cure, and prevention—all are words that Americans have used to make sense of what today we call intellectual disability. Inventing the Feeble Mind explores the history of this disability in the United States from its several identifications over the past 200 years—idiocy, imbecility, feeblemindedness, mental defect, mental deficiency, mental retardation, and most recently intellectual disability. Using institutional records, private correspondence, personal memories, and rare photographs, James Trent argues that the economic vulnerability of intellectually disabled people (and often their families), more than the claims made for their intellectual and social limitations, has shaped meaning, services, and policies in United States history.

Between 1892 and 1947. American institutional superintendents argued three distinct, though overlapping, cases for sterilizing mentally retarded people: sterilization to maintain institutional order, sterilization for eugenic control, and sterilization for controlling the growth of institutional populations. Departing from recent critics who see sterilization as a debate between 'segregation or sterilization' and who link this debate principally to the eugenics movement, I argue that superintendents drew on the above rationales to preserve their institutions in the face of several external factors, not merely eugenics. As such, sterilization became a 'medical' procedure constructed not so much for its explicit purpose -stopping procreation, but to maintain institutional stability and preserve professional prerogative.

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