This article uses the fifty‐year career of Paul Popenoe as a lens through which to examine the North American eugenics movement. Popenoe, a leading advocate of compulsory sterilisation in the 1930s, became a celebrated marriage counsellor in the 1950s, famous for the Ladies' Home Journal feature ‘Can This Marriage Be Saved?’ The ease with which Popenoe metamorphosed from a champion of sterilisation to an expert on marriage was made possible by, and helps to reveal, deep ideological affinities and organisational connections between eugenics and marriage counselling in the United States.

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Nonconsensual sterilization is usually seen as the by-product of a classist and racist society; disability is ignored. This article examines the 1973 sterilization of two young black girls from Alabama and other precedent-setting court cases involving the sterilization of "mentally retarded" white women to make disability more central to the historical analysis of sterilization. It analyzes the concept of mental retardation and the appeal of a surgical solution to birth control, assesses judicial deliberations over the "right to choose" contraceptive sterilization when the capacity to consent is in doubt, and reflects on the shadow of eugenics that hung over the sterilization debate in the 1970s and 1980s.

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